Clinical nursing (10 cr)

Objective

Nursing interventions

You understand your professional responsibilities and obligations and your actions promote patient safety.
You are able to create a good patient care relationship.
You are able to systematically monitor and evaluate the patient's well-being.
You have the basic knowledge of and the skills to carry out the key diagnostic tests needed in nursing.
You are able to respond to the need for care with nursing interventions and to document the process by entering structured nursing data using the FinCC system.
You are able to implement rehabilitation-promoting treatment and to work ergonomically.
You are able to implement the principles of safe pharmacotherapy.
You master the key principles of pain monitoring and assessment.
You are able to report according to the ISBAR protocol.
You master the basics of resuscitation and the use of an automated external defibrillator.
You are able to encounter and care for a dying patient and support his or her close relations.
You recognize the signs of impending death and know how to prepare the deceased.

Aseptic practices in nursing

You know the principles of infection control and are able to apply your knowledge when practicing infection control.
You know the disadvantages of infections at the individual level.
You know the economic impact of infections on society.

Ergonomics

You know the legislation related to nursing ergonomics and know how to act accordingly.
You are capable of functioning in a customer-oriented manner in an aid situation.
You understand the principles of nursing that promote rehabilitation and know how to implement them in your work.
You are able to take into account environmental safety and risks in relocation and relief situations.
You are able to report and document the patient's assistance situation from the perspective of the patient’s functional status.

Documentation

You are able to document structured data in a manner that is analogous with the nursing process.
You are able to enter nursing data into the FinCC system to classify nursing diagnoses (FiCND), nursing interventions (FiCNI) and nursing outcomes (FiCNO)

Content

Nursing interventions

How do you encounter the patient / client in nursing situations and create a good patient care relationship?
How do you use the ABCDE protocol to assess patient well-being?
How do you use the NEWS criteria in the early detection of vital organ dysfunctions?
How do you document according to the ISBAR protocol?
How do you carry out nursing need assessments, nursing diagnosis, planning and implementation, and the evaluation of outcomes?
What are the theoretical foundations of central primary care and nursing interventions?
What are the theoretical foundations of central diagnostic studies?
What are the key methods for monitoring and assessing pain?
What are the fundamentals of basic resuscitation and the use of an automated external defibrillator?
How do you encounter a dying patient and their close relations?
How do you carry out nursing care for a dying patient and prepare the deceased?

Aseptic practices in nursing

What are the pathogenic mechanisms of infectious diseases, the body's defense system and the means of preventing infectious diseases?
What are the principles of aseptic practices, standard precautions and precautionary measures?
What are the disadvantages and economic implications of infections at the individual and societal level?

Ergonomics

What is the legislation pertaining to nursing ergonomics and how do you comply with it?
How do you assess the patient's functional status and resources in an assistance situation?
How do you choose a safe method of assistance and the necessary assistive devices according to the patient's functional status?
What are the principles of rehabilitation nursing and how do you implement them?
How do you take the surroundings into account when considering safety and risks in relocation and relief situations?
How do you document and record the patient's assistance situation from a functional status perspective?

Documentation

How do you document the planning, implementation and evaluation of the treatment process in a customer-oriented manner?
How do you enter structured nursing data using the FinCC classification system (FiCND, FiCNI, FiCNO) and how do you enter free-form text? ?

Evaluation

Students can
• use professional vocabulary systematically.
• look for information in the key information sources of the field.
• identify interrelated tasks.
• work together with customers, users and target groups.
• use the key models, methods, software and techniques of the professional field.
• work as team members in a goal-oriented way.
• justify their actions according to the ethical principles of the professional field.

Course material

Material in Learn.

Books: voluntary material

Suomeksi
Anttila, V., Kanerva, M., Kuronen, M., Kurvinen, T., Lyytikäinen, O., Rantala, A., Vuento, R., Ylipalosaari, P. & Aalto, A. 2018. Hoitoon liittyvien infektioiden torjunta. 7. uudistettu painos. Helsinki: Terveyden ja hyvinvoinnin laitos.

Blomqvist M., Rummukainen T., Sainio T., Simola T & Tyrisevä-Ryösö M. 2022. Hoitotyön perusosaaminen. Helsinki: Sanoma Pro Oy.

Rautava-Nurmi, H., Westergård, A., Henttonen, T., Ojala, M., Vuorinen, S., Müller, E. & Rusanen, S. 2020. Hoitotyön taidot ja toiminnot. 7. uudistettu painos. 7.–8. painos. Helsinki: Sanoma Pro Oy. E-kirja. Saatavissa: https://www.ellibslibrary.com/book/978-952-63-5810-9 [viitattu 30.1.2024].

Englanniksi
Rogers, K., Scott, W. & Traynor, M. (toim.) 2012. Nurses! Test Yourself in Clinical Skills. McGraw-Hill: Open University Press. https://books.google.fi/books?id=7lRFBgAAQBAJ&printsec=copyright&redir_esc=y#v=onepage&q&f=false (sivut 1–24 nähtävillä)

Roper, T. A. 2014. Clinical skills. 2nd edition. New York, NY: Oxford University Press. (available at Kotka Campus Library)


Preclinical training:
Practising is based on all the theoretical material in this course.

Study forms and methods

Basics of Clinical Nursing

- Theoretical Studies at School – 5 ECTS
- Preclinical Practice of Nursing Skills at School– 4 ECTS
- Ergonomics Competence – 1 ECTS

Preclinical Training*
Preclinical training is part of the legally required clinical training for EU-registered nurses. Attendance at every session is mandatory. The topics for training days can be found in the Learn online environment.

Ergonomics Competence
A valid Patient Transfers Ergonomics Card (3 ECTS) grants exemption from the ergonomics module.

Documentation
Theoretical studies and practical assignments related to documentation are mandatory.

For Students with a Previous Nursing Degree
Students with a prior nursing qualification must attend the practice sessions and pass the basic skills competency test. The theoretical part can be accredited with a valid certificate.

RDI and work-related cooperation

Clinical Nursing 1 includes preclinical training (4 sp nursing, 1 sp ergonomy) at school.

Working life lecturer and possibly visiting patients.

Preclinical training subjects: (Some of the content is implemented in Clinical Training 1 at the first practice week at the school.)
Aseptic performance
Ergonomics
Basic care
Wound care
Catheterization and function of bowels
Nutrition and nasogastric tube
Breathing
Circulation
Evaluation of a patient
Medical care
Fluid balance and care
Blood sampling
Hospice care

Timing of exams and assignments

Exams of basics of clinical training (exam part I and part II=

Evaluation of learning in practical skills: 1 hour/student

Evaluation of ergonomics competence during practical lessons.

Documentation: Patient data was documented as a group work using Docca software.

Student workload

Theory: workload 5 x 27h = 135 h

Preclinical training: workload 4 x 8 h = 32 h. 4 practical training days (7-8 h / day) and evaluation of learning. The student can practice nursing activities in the Skills Workshop under the guidance of a teacher.

Ergonomics theory: 1 ECTS = 27 h,
Ergonomics training: 0.5 ECTS = 13h

Course part description

Basics of Clinical Nursing Theory:
Basics of Clinical Nursing includes materials and learning assignments on the Learn platform. The material is studied independently with the support of workshops, and competence is demonstrated through an exam. Assessment: graded 1–5 / fail.

Preclinical training: 4 obligatory practical days at school + evaluation of learning.

Ergonomics section: Ergonomics theory and small practice tasks. Practising patient transfer and movement assistance in the school premises using assistive devices.

Documentation: 2 mandatory lectures and two documentation assignments. Evaluation passed/failed

Further information

Ergonomics: Sari Pölönen, sari.polonen@xamk.fi
Clinical nursing, theory: Tuulia Litmanen, tuulia.litmanen@xamk.fi ja Anu Muhonen, anu.muhonen@xamk.fi
Preclinical training: Tuulia Litmanen, tuulia.litmanen@xamk.fi, Anu Muhonen, anu.muhonen@xamk.fi, Pirjo Heimo, pirjo.heimo@xamk.fi and Sari Pölönen, sari.polonen@xamk.fi
Documentation: Anna Makkonen, anna.makkonen@xamk.fi

Evaluation scale

1-5

Assessment methods and criteria

Exams 70% has to be right, scale 1-5 / fail.

Clinical care: Evaluation of learning: approved/failed

Ergonomics: Evaluation of learning: approved/failed