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Learning Outcomes

1. Demonstrate an understanding of the importance of person centred and family centred care in safe and effective care delivery

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2. Discuss the epidemiology, pathophysiology and symptomatology of the health breakdown of conditions being studied

3. Use clinical reasoning to identify nursing problems in the patient scenarios being studied and plan safe effective nursing care and patient education

4. Identify the attribute and skills required for culturally competent practice and apply to scenarios being studied

5. Identify the importance of effective inter-professional communication to safe practice and the prevention of medication error

  1. Explain and apply legal and ethical concepts including beneficence, non-maleficence, negligence, open disclosure, and mandatory reporting
  2. Utilise nursing research to support best practice nursing actions and critically appraise qualitative research and its application to empathetic patient care.
  3. Demonstrate mastery of required medication and intravenous fluid calculations

Assessment 1  Care Plan

Purpose

This assignment is designed for students to consolidate their learning in the first three  tutorials; to demonstrate their clinical reasoning and application of the Clinical Reasoning  Cycle to plan care for patients with alteration in fluid balance including identifying symptoms, risk  factors  and  pathophysiological  changes;  setting  specific,  measurable, achievable, realistic and timely goals; and planning appropriate nursing actions with rationales based on scientific and best practice nursing literature.

Description

The Care Plan for this assignment is to be written on Care Plan Template .

1.  Students are to select one of the following Nursing Problems for their Care Plan for the scenario patient (Mr Ron Fraser) from the first three tutorials in their tutorial workbook,

either

a.  Altered fluid balance (hypovolaemia) from Scenario 2B, or

b.  Altered fluid balance (hypervolaemia) from Scenario 3A.

2.  Utilising clinical reasoning skills and knowledge students should identify and list the cluster of abnormalities (cues) from the scenario that relate to the identified priority patient

problem, and compare these to recognised normal values.

3.  From the Mr Ron Fraser scenarios identify the risk factors and prior occurrences that may have contributed to the identified problem and support this with reference to literature

4.  Discuss the pathophysiology (altered physiological functioning) that is occurring in the chosen scenario and link this to the symptoms (cues) presented. Support this discussion

with reference to literature.

5.  The priority Nursing Problem should be expressed as an actual Nursing Diagnosis with related to and evidenced by statements .

6. Set a related SMART goal with outcome criteria that are specific, measurable, achievable, realistic and timely.

7.  Identify four  priority Nursing  Actions  with some detail  to  achieve  the  stated  goal/s

8.  Provide a rationale for each action with reference to scientific or best practice literature.

9.  Provide an APA reference list of all source material used.

Assessment 2 – Qualitative Research Report

Purpose:

Empathetic understanding of the lived experience of patients and family is crucial to the delivery of person and family centred care. By undertaking this assignment students will further develop their ability to critically read, reflect on and apply qualitative nursing research findings to patient care. An online library module is provided within the Blackboard course to support students in identifying and critiquing qualitative research.

Description:

Students should access the papers  listed below:

  • Vasey, J., Smith, J., Kirshbaum, M. N. & Chirema, K. (2018). Tokenism or true partnership: Parental involvement in a child’s acute pain care. Journal of Clinical Nursing, 28, 1491-1505. DOI:1111/jocn.14747
  • Van Dijk, J.F.M., Vervoort, S.C.J.M., Van Wijck, A.J.M., Kalkman, C. J. & Schuurmans, M. J. (2016). Postoperative patients’ perspectives on rating pain: A qualitative study. International Journal of Nursing Studies, 53, 260-269.
  • Nilmant, K., Chailungka, P., Phungrassami, T., Promnoi, C., Tulathamkit, K., Noo-urai, P. & Phattaranavig, S. (2010). Living with suffering as voiced by Thai patients with terminal cancer. International Journal of Palliative Nursing, 16(8), 393-399.
  • Lindsay, H., MacGregor, C. & Fry, M. (2014). The experience of living with chronic illness for the haemodialysis patient: An interpretive phenomenological analysis. Health Sociology Review, 23(3), 232-241.
  • Brod, M., Pohlman, B., Wolden, M. & Christensen, T. (2013). Non-severe nocturnal hypoglycaemic events: Experience and impacts on patient functioning and well-being. Quality Life Research, 22, 997-1004.

Write a report on the research paper that covers the following areas.

a) Introduction: Clearly identify the research paper you have chosen, briefly state why this topic is important to nurses, and outline what your report will cover.

b) Background: Outline the topic area that was being addressed in the paper, and  findings from previous literature. Did the authors clearly identify the problem, what

previous research had been done in this area, and what they perceived as the gap in current knowledge of this area?

c) Aim:  What  was  the  aim  of  the  research  undertaken?  Was  this  clearly  stated?

d) Study design (Methodology): What research methodology was used? Briefly explain the philosophical underpinnings of this method. Is the chosen method appropriate for

the aims of the study?

e) Methods:  Describe  how  the  study  was  conducted,  including  a  description  of participants, recruitment, data collection and data analysis. Were these methods

suitable to achieve the study aims?

f) Ethics: Were ethical considerations addressed by the authors? Did you feel that the study maintained participant privacy, autonomy and safety?

g) Results: What were the main findings of the study? Were they clearly explained and supported directly from the data?

h) Discussion: Were the study results discussed in relation to credibility, significance, and compared to results from other research studies? Did the discussion help you to

understand the value of the research findings?

i) Conclusion: What conclusion did the authors draw as a result of the study? Did the conclusion answer the aim/research question?  Based on the study did they identify ecommendations for practice or further research?

j) Limitations: Did the authors identify any limitation in the study? Did you feel that there were other limiting factors?

k) Reflect on what you have learned about the experience of the patient and/or family and discuss how you will apply this in your future nursing practice

l) Provided an APA reference list including the research paper chosen and any other

resources used. Ensure that all source material is acknowledged in text. (Reference

list is not included in the word count)