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92918 Fundamentals of Critical Care Nursing

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2019 is available in the Archives.

UTS: Health
Credit points: 6 cp

Subject level:

Postgraduate

Result type: Grade and marks

There are course requisites for this subject. See access conditions.

Description

This subject is designed to consolidate and synthesise knowledge of physiological alterations and the pathophysiology of critical illness directly applied to the critically ill person, while the appropriate nursing care is blended throughout. Students are required to apply this knowledge to formulate a comprehensive health assessment to inform clinical decision-making. Furthermore, the effect of the critical care environment on the person and their family is considered. All teaching and learning strategies are informed by the philosophy of person-centred care, collaborative practice and excellence in communication within complex and diverse situations.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:
A. Consolidate and synthesise knowledge of physiological alterations and the pathophysiology of critical illness
B. Formulate and apply comprehensive health assessment to inform clinical decision making
C. Evaluate the effect of the critical care environment on the critically ill person and their family/carer
D. Demonstrate effective person centred care and collaborative practice
E. Build on communication skills to transfer knowledge in complex and diverse situations
F. Demonstrate understanding of legal and ethical considerations related to the care of critically ill people and their families

Course intended learning outcomes (CILOs)

This subject also contributes specifically to the following graduate attributes:

  • Are reflective critical thinkers who contribute to practice, policy and research to enhance health care and health outcomes (1.0)
  • Are effective, collaborative and responsive leaders (2.0)
  • Are socially, culturally and ethically accountable and consider health care in a global context (3.0)
  • Communicate appropriately and consistently in diverse situations (4.0)
  • Embody the professional qualities appropriate to the scope of their role (5.0)
  • Demonstrate professional cultural competency which contributes to the health and wellbeing of Indigenous Australians, inclusive of physical, social, emotional and spiritual wellness (6.0)

Contribution to the development of graduate attributes

1. Critical Thinking: Is a reflective critical thinker who contributes to practice, policy, education and research to enhance health care and health outcomes

  • 1.1 Locate and apply research knowledge and skills to critically evaluate the available evidence for optimal healthcare delivery
  • 1.2 Examine local, national and international networks to enhance translation of latest evidence into practice

2. Leadership: Is an effective, collaborative and responsive leader

  • 2.1 Review strategies to enable leadership and advocacy, within scope of practice, for person centred care
  • 2.2 Examine potential for creative approaches that enhance the interdisciplinary workforce, enabling health promoting environments
  • 2.3 Review collaborative approaches used with patients, families and interdisciplinary teams to enable optimal health outcomes

3. Accountability: Is socially, culturally and ethically accountable and considers health care in a global context

  • 3.1 Identify the health professional role as it relates to social justice and global citizenship
  • 3.2 Explore issues relating to efficient use of resources and equity of access to health care

4. Communication: Communicates appropriately and consistently in diverse situations

  • 4.1 Analyse effective strategies and techniques to communicate appropriately in challenging, complex, and diverse situations
  • 4.2 Examine techniques to empower, facilitate and support healthy behaviours

5. Professional Qualities: Embodies the professional qualities appropriate to the scope of their role

  • 5.1 Explore knowledge and skills within their context of practice, to maintain professional standards and engage in lifelong learning
  • 5.2 Practice and promote the principles of self-care that build resilience and foster human flourishing

6. Indigenous Cultural Respect: Demonstrates professional cultural competency which contributes to the health and well-being of indigenous Australians, inclusive of physical, social, emotional and spiritual wellness

  • 6.3 Recognise and discuss the diversity of Indigenous Australians and the importance of this in relation to their health and well-being

Teaching and learning strategies

The subject is designed to empower students to manage their learning experience and environment using active and collaborative learning which aims to build on current knowledge, skills and attitudes applicable to their critical care nursing practice. As in the clinical area, students are expected to take responsibility for their own learning and generation of knowledge and application to practice. Students are required to undertake preparatory study prior to masterclass / workshop attendance through the completion of readings and learning modules.

Students will attend University on three allocated study days over the semester (7hrs x 3) where they will undertake a series of masterclass / workshops facilitated by clinical experts. The integrated activities have a strong focus on clinical practice where students consolidate learning through collaborative practice and shared clinical experience. Learning activities include case analysis and group work/activities. Stage set self-directed learning activities are provided on a weekly basis to guide student's toward the timely completion of Assessment One

Content (topics)

This subject focuses on the fundamental principles underpinning critical care nursing within a holistic model of care. The study days are designed to focus on particular aspects of care in relation to care of the critically ill person with respiratory, cardiac, renal and neurological compromise. Paediatric emergencies are also covered.

The following content is blended throughout the sessions in relation to the care of the critically ill person in the specific area of focus:

  • Comprehensive patient assessment
  • Nursing care / interventions (principles of care / interventions)
  • Physiological alterations
  • Pathophysiological processes
  • Management of critical illness informed by research and evidence based practice
  • Recognition of the effect of the critical care environment on critically ill people and their families
  • Recognition of the legal and ethical considerations in critical care nursing practice

Assessment

Assessment task 1: Case Study

Intent:

Critically ill people and their families, as well as the wider community have an expectation that they will receive nursing care in a safe well-informed and well-resourced health care facility, by health care professionals who are skilled in the art and science of current evidence based practice in nursing. For critical care nurses, the ability to apply fundamental principles underpinning critical care nursing practice to each individual patient case while formulating best practice evidence based nursing care plans is integral to expert clinical practice and optimising outcomes for a patient and their family.

Given each patient presentation is unique, this assessment allows an in-depth focus on a particular presentation or condition where students are empowered to challenge their learning through their own selection of a patient case and its associated level of difficulty according to their current understanding and / or skill level.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B, C, D and E

This assessment task contributes to the development of graduate attribute(s):

1.0, 2.0, 3.0, 4.0 and 5.0

Weight: 60%
Length: 2000-2500 words
Criteria:

A detailed marking criteria will be available via UTSOnline

Assessment task 2: Final Exam (Multiple Choice Questions)

Intent:

Assessment 2 is designed to independently determine a student's understanding of the subject content and translate that knowledge into competent critical care nursing practice.

Objective(s):

This assessment task addresses subject learning objective(s):

A, B and D

This assessment task contributes to the development of graduate attribute(s):

1.0, 2.0, 3.0, 5.0 and 6.0

Weight: 40%

Minimum requirements

  • Both assessment items must be completed and submitted in order to achieve a pass grade or better for the subject.
  • In order to pass this subject you must obtain a minimum combined overall mark of 50%.
  • Please note there will be no reassessment for this subject

Required texts

Students may borrow essential and recommended text(s) from UTS Library or purchase them at the University Co-Op bookshop. The Co-Op Bookshop also offers an ordering and delivery service through their website at: http://www.coop-bookshop.com.au. Co-Op Bookshop members receive up to 12% discount on purchases.

Aitken, L., Marshall, A. & Chaboyer, W. 2015, ACCCN’s critical care nursing 3e, Elsevier, Sydney.

Curtis, K. & Ramsden, C. 2016, Emergency & trauma nursing 2e, Mosby Elsevier, Sydney.

Recommended texts

Aitken, L. M. & Marshall, A. P. 2007, 'Writing a case study: Ensuring a meaningful contribution to the literature', Australian Critical Care, vol. 20, no. 4, pp 132-136.

Benner, P., Hooper – Kyriakidis, P., & Stannard, D. 2011, Clinical wisdom and interventions in critical care: A thinking in action approach, 2nd ed, W.B. Saunders Company, Philadelphia.

University of Technology Sydney. 2009, Coursework Assessment Policy and Procedure Manual, viewed 11th January 2013,
http://www.gsu.uts.edu.au/policies/assessment-coursework.html

All recommended texts and resources are available on reserve in the UTS Library. Many resources are also available electronically via the UTS Library website. The University of Technology Sydney Coursework Assessment Policy and Procedure Manual is the official document related to student coursework and assessment and can be used as a reference document to answer any questions that arise regarding these components of study.

Additional readings and resources are provided throughout the online modules in on UTSOnline under the menu ‘Online modules'.

References

Further recomended references can be found in the online modules and UTSOnline

Other resources

UTS Student Centres
Building 10
Monday to Friday: 9am - 5pm
Tel: 1300 ASK UTS (1300 275 887)

Details for student centres: www.uts.edu.au/current-students/contacts/general-contacts
For other resources/information refer to the Faculty of Health website (www.uts.edu.au/about/faculty-health), the Health Student Guide (www.uts.edu.au/sites/default/files/uts-health-student-guide.pdf) and UTSOnline at: https://online.uts.edu.au/webapps/login/

UTS Library
The Library has a wide range of resources, facilities and services to support you including textbooks, subject readings, old exam papers, academic writing guides, health literature databases, workshops, a gaming room and bookable group study rooms. There is also a team of librarians to help you with all your questions.
W: lib.uts.edu.au, Facebook: utslibrary, Twitter: @utslibrary Tel: (02) 9514 3666

Improve your academic and English language skills
Marks for all assessment tasks such as assignments and examinations are given not only for what you write but also for how you write. If you would like the opportunity to improve your academic and English language skills, make an appointment with the HELPS (Higher Education Language & Presentation Support) Service in Student Services.

HELPS (Higher Education Language & Presentation Support)
HELPS provides assistance with English language proficiency and academic language. Students who need to develop their written and/or spoken English should make use of the free services offered by HELPS, including academic language workshops, vacation intensive courses, drop-in consultations, individual appointments and Conversations@UTS (www.ssu.uts.edu.au/helps). HELPS staff are also available for drop-in consultations at the UTS Library. Phone (02) 9514 9733

Please see www.uts.edu.au for additional information on other resources provided to students by UTS.