92666 Integrated Professional Practice 2
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Credit points: 6 cp
Subject level:
Postgraduate
Result type: Grade and marksRequisite(s): 92665 Integrated Professional Practice 1
There are course requisites for this subject. See access conditions.
Description
Integrated Professional Practice 2 offers students the opportunity to undertake supervised and supernumerary extended clinical practice of 100+ hours. This will enable the application of coursework learning to nurse practitioner practice in representative health situations. This predominately field-based subject provides supervised and supported clinical practice experience to enhance and utilise coursework learning, enabling students to meet the Nursing and Midwifery Board of Australia’s Nurse Practitioner Standards for Practice.
This subject incorporates a spiral model of learning where learning from Integrated Professional Practice 1 will be revisited, reflected and built upon. This will allow a deeper understanding and application of the core concepts of advanced clinical knowledge and skills necessary for practice as a nurse practitioner in a clinical area within your organisational context. The subject content is determined by the context of practice and the student’s own learning objectives/ needs and focuses on developing nurse practitioner capability, with an emphasis on patients whose care is complex and challenging within your specialty area of practice. Congruent with the subject learning objectives and in consultation with the clinical and academic support teams, students will create personal learning outcomes that demonstrate the knowledge and skills required for the broad nurse practitioner role.
During the subject, students will be working in an advanced practice role (as demonstrated by completion and verification of the Australian Advanced Practice Nursing Self-Appraisal Tool) as a nurse practitioner student, supervised by a suitably qualified clinical support team from their facility in combination with an academic mentor appointed from the university.
Subject learning objectives (SLOs)
| A. | Perform generic, comprehensive health assessment relevant to your specialist field of nursing that culminate in accurate provisional and definitive diagnosis. (Nurse Practitioner Standard 1.1, 1.2) |
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| B. | Utilises knowledge and skills appropriate to an extended scope of practice in relatively stable health situations, including prescribing medications, ordering diagnostics, referring to other health professionals and developing therapeutic management and evaluation plans (Nurse Practitioner Standard 1.3, 2.3, 2.4, 3.1) |
| C. | Evaluate established and evolving knowledge in the clinical and social sciences, and integrate this knowledge to the care and education of a specific patient/ client population. (Nurse Practitioner Standard 2.1, 2.3) |
| D. | Elucidate autonomy, accountability and ability for extended practice by providing patient/ client focused care within an evidenced based nursing model of practice. (Nurse Practitioner Standard 2.1, 3.2) |
| E. | Establish therapeutic links with patient/client that recognise and respect physical differences, cultural identity and lifestyle choices. Provide culturally competent care and education to a specific patient population. (Nurse Practitioner Standard 2.1, 3.2) |
| F. | Exhibit leadership and proactivity in operating a nurse practitioner service to improve patient/client outcomes. (Nurse Practitioner Standard 4.1, 4.2) |
| G. | Exhibit a high level of clinical ability in performing treatments, interventions and procedures that are evidence based. (Nurse Practitioner Standard 1.1. 1.2, 2.3, 3.1, 4.1) |
| H. | Engage in and lead clinical collaboration that provides optimal outcomes for patients (Nurse Practitioner Standard 1.2, 2.1, 2.2, 2.4, 3.1, 3.2, 4.2) |
| I. | Develop and expand effective communication skills to collaborate with patients, carers and health professional when determining appropriate health care plans and treatment. (Nurse Practitioner Standard 1.2, 1.3, 2.1, 2.2, 2.4, 3.2, 4.2) |
Course intended learning outcomes (CILOs)
This subject also contributes specifically to the following graduate attributes:
- Translate and integrate evidence to identify gaps in health care, and enable optimal healthcare delivery for individuals, communities and populations across healthcare sectors (1.1)
- Appraise local, national and international evidence to enhance translation and contextualisation of the latest high-quality evidence into practice (1.2)
- Synthesise critical thinking and advanced assessment skills with diagnostic reasoning to plan, implement and evaluate quality person-centred care (1.3)
- Generate and utilise data to rationalise and apply non-pharmacological and pharmacological interventions using safety and quality frameworks in the therapeutic management of clients (1.4)
- Demonstrate capability in clinical leadership and advocacy, to drive or lead systems that support safe, efficient and effective person-centred care (2.1)
- Analyse, create, implement and reflect upon approaches that build the capacity of the interdisciplinary health workforce to enable health promoting, disease preventing, flexible and resilient care services (2.2)
- Prioritise and lead integrated care, based upon collaborative approaches, with patients, families, caregivers, and interdisciplinary teams to enable optimal health system outcomes (2.3)
- Investigate and critically reflect upon the nurse practitioner role as it relates to social justice, health inequity and global citizenship (3.1)
- Determine and influence accountability for efficient use of resources and equity of access to health care (3.2)
- Articulate duty of care and the NP role cognisant of the legislation and professional responsibilities (3.3)
- Apply a high level of interpersonal and professional skills when engaging with patients, clients and members of the healthcare team in collaborative practice (4.1)
- Appropriately utilise multimodal strategies and innovative techniques to communicate in challenging and/or complex situations across diverse population groups with relevant stakeholders (4.2)
- Investigate and apply innovative techniques to empower, facilitate and support healthy behaviours, integrated care and effective teamwork (4.3)
- Adapt educational strategies to enable the person receiving care and caregivers to achieve comprehension and promote their active participation in care planning and ongoing management (4.4)
- Appraise learning needs of colleagues to support them in providing clinical care that is evidence based and appropriate (4.5)
- Critically reflect upon own knowledge and skills within Nurse Practitioner practice, to maintain professional standards and continuing professional development (5.1)
- Articulate and promote the role of the Nurse Practitioner in professional contexts to help develop the profession (5.2)
- Demonstrate compassionate, person-centred care through high level expertise, professionalism and excellence in health care (5.3)
- Practise in accordance with relevant legislation and regulation governing nurse practitioner practice within local, state and national jurisdictions (5.4)
- Evaluate emerging information and communication technologies and processes in improving health outcomes, promoting consumer engagement in health promotion and effecting evidence based decision-making (5.5)
- Demonstrate respect and value for world view differences and in particular Australian Indigenous ways of knowing, being and doing (6.1)
Contribution to the development of graduate attributes
- Are reflective critical thinkers who contribute to practice, policy and research to enhance the 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 contribute to the health and wellbeing of Indigenous Australians, inclusive of physical, social, emotional and spiritual wellness (6.0)
Teaching and learning strategies
In this subject, students participate in a range of learning and teaching strategies that are designed to assist in developing a deeper understanding of the history and the role of the Nurse Practitioner.
Pre-class Learning
The subject is delivered through a supported, self-directed approach utilising resources and activities posted on Canvas and MyPlacement, subject material can be downloaded from Canvas . Prescribed readings are accessible through UTS Library resources or provided within Canvas. Online discussion forums, blogs and wikis may also be used. This learning will be examined in further detail at the face to face classes and additional development will be facilitated during the Supernumerary Integrated Professional Practice (SIPP) placements.
Face to Face Workshops
Students will attend 4x face to face workshops during the session. Learning will be flexible to focus on the specific learning goals and objectives identified by the students.
During the workshops students will actively analyse and explore how their knowledge will translate into practice. Students will be guided and through collaborative discussions and presentations will develop strategies and identify potential barriers to their professional development and skill acquisition. Clinical leaders and specialist professionals will be invited to the workshops to facilitate these discussions.
Supernumerary Integrated Professional Practice (SIPP)
This subject provides students with the opportunity to consolidate and translate knowledge examined at workshops and developed during blended activities into clinical practice. All SIPP will be in accordance with UTS Faculty of Health Clinical Placement Unit
policies and procedures. All practice must be completed within the session dates unless negotiated with the subject coordinator otherwise. Reflections on care and management will be incorporated to allow students to develop self-awareness and clinical judgement.
Alternate Supernumerary Integrated Professional Practice
Where appropriate and available students will have the opportunity to undertake SIPP at an alternate clinical facility under the supervision of an additional clinical support team. This can be either arranged by the student (approved by the subject coordinator) or the subject coordinator. This opportunity will be at the discretion of the subject coordinator and must adhere to university clinical placement procedures and policies. This opportunity will aim to build the capacity of the student through exposure to novel and unfamiliar environments within a structure that prioritises patient safety.
Feedback
Students have the opportunity to receive feedback on their development during their regular practice reviews with their clinical support teams. Formative feedback will be provided during each face to face workshop through reflection on clinical practice and collaborative discussions. Students learning objectives will be reviewed at each workshop which will allow students to adjust objectives to ensure subject requirements are met. Summative feedback will be received through assessment tasks. Regular email contact with the subject coordinator and telephone follow up is encouraged.
Peer review and feedback will be provided to students following assessment task 4.
Content (topics)
- Supervised and supported clinical practice experience to consolidate and apply coursework learning
- Application of Nurse Practitioner Standards for Practice, NMBA, 2021
- Knowledge and skill development in comprehensive and holistic patent/ client health assessment and enhancing clinical reasoning and decision making skills necessary for nurse practitioner practice.
- Advanced knowledge and skill set pertinent to the individual nurse practitioner scope of practice. Legal and professional parameters of the nurse practitioner role
- Digital health capability and digital leadership
- Flexible content determined by the context of practice and the students own learning objectives/ needs. In consultation with the clinical and academic support teams, students will develop personal learning goals and reflect on the knowledge and skills within the nurse practitioner scope of practice
- Resilience and professional self-management
- Key skills addressed in this subject: Nurse Practitioner Standards for Practice, NMBA, 2021
Assessment
Assessment task 1: Personal Learning Plan: reflection and adaptation
| Intent: | Students will examine and reflect on the personal learning plans developed in IPP1 (92665). Students are to adapt and build on these plans taking into consideration their current knowledge and future needs. This adaptation will form the basis of teaching and learning through the Supernumerary Integrated Professional Practice placement with their defined clinical support teams. |
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| Objective(s): | This assessment task addresses subject learning objective(s): B, C and E This assessment task contributes to the development of graduate attribute(s): 1.3, 2.1, 2.2, 3.3, 4.1, 4.3, 5.1 and 5.2 |
| Weight: | 20% |
| Length: | 1500 words +/- 10% (excluding references and appendices) |
Assessment task 2: Supernumerary Integrated Professional Practice and Clinical Practice Record
| Intent: | Students will undertake a supernumerary integrated professional practice placement. The students and clinical support team will focus on the learning objectives identified. Students will provide a record and accountability of supernumerary hours, reflections and assessments completed as part of the Supernumerary Integrated Professional Practice. |
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| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C, D, E, F, G, H and I This assessment task contributes to the development of graduate attribute(s): 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 3.2, 3.3, 4.1, 4.2, 4.3, 4.4, 5.1 and 5.4 |
| Length: | 100+ hours (or as determined by the subject coordinator) |
Assessment task 3: Oral Presentation of Comprehensive Clinical Case Study and Evaluation of Outcomes
| Intent: | Students will develop their communication skills and ability to articulate patient care and clinical reasoning. Self-assessment offers students an opportunity to develop the skills required to evaluate the outcomes of their own practice. Students are to reflect on this assessment in preparation for assessment task 5 and allows and examine their scope of practice in accordance with the Nurse Practitioner Standards for Practice. |
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| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C, D, E, G, H and I This assessment task contributes to the development of graduate attribute(s): 1.1, 1.2, 1.3, 1.4, 2.1, 2.3, 3.1, 3.2, 3.3, 4.1, 4.2, 4.3, 5.1, 5.2, 5.3 and 5.4 |
| Weight: | 20% |
| Length: | Presentation: 20-30 minutes Self-assessment: 500 words +/- 10% (excluding references and appendices) |
Assessment task 4: Comprehensive Clinical Case Study
| Intent: | This assessment focusses on the student’s ability to present a comprehensive clinical case study clearly articulating their role and clinical decision making capabilities. This assessment also requires students to demonstrate explicit connections of their practice to the Standards of Practice for Nurse Practitioners. |
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| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C, D, E, F, G, H and I This assessment task contributes to the development of graduate attribute(s): 1.1, 1.2, 1.3, 1.4, 2.1, 2.3, 3.1, 3.2, 3.3, 4.1, 4.2, 5.1, 5.2, 5.3, 5.4 and 6.1 |
| Weight: | 60% |
| Length: | 3000 words +/- 10% (excluding references and appendices) |
Assessment task 5: Clinical Viva 1
| Intent: | The viva will demonstrate the range of skills that are commensurate with the role of the nurse practitioner within the student’s specialty area of practice. This assessment will allow students to demonstrate their competency and alignment with the Nurse Practitioner Standards of Practice. |
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| Objective(s): | This assessment task addresses subject learning objective(s): A, B, C, D, E, F, G, H and I This assessment task contributes to the development of graduate attribute(s): 1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 3.1, 3.2, 3.3, 4.1, 4.2, 4.3, 4.4, 4.5, 5.1, 5.2, 5.3, 5.4, 5.5 and 6.1 |
References
Nursing and Midwifery Board of Australia. (2021). Nurse practitioner standards for practice. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/nurse-practitioner-standards-of-practice.aspx
NPS MedicineWise (2021). Prescribing competencies framework: Embedding quality use of medicines in practice. (2nd ed). https://www.nps.org.au/prescribing-competencies-framework
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