98728 Leadership, Accountability and Role Development in Advanced Practice
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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 2024 is available in the Archives.
Credit points: 6 cp
Subject level:
Postgraduate
Result type: Grade and marksDescription
This subject aims to provide a strong legal and ethical underpinning for advanced practice alongside explicit skill-building in the development and proposal of advanced practice and nurse practitioner positions in the health system. Students engage in an active workshop-style process to directly develop skills and capabilities essential to the development of safe, ethical and sustainable advanced practice positions and service models.
Students engage in leadership and ethics development appropriate for the significant level of responsibility associated with advanced practice nursing. This involves the completion of the Australian Advanced Practice Nursing Self-Appraisal (ADVANCE). This is standardised tool developed to identify and articulate advanced nursing practice.
Students build on their existing understanding of the legal parameters for nursing practice to understand the heightened requirements as complexity of care and level of responsibility and accountability increase. Strategies are explored to identify and manage risk to ensure safe and accountable practice. Students are encouraged to identify the moral implications of an expanded domain of practice for such things as responsibilities for patients and clients; consequent differences in modes of interacting with patients and clients; interaction with other practitioners for patient care and research purposes; and intra-professional matters such as mentorship, development of practice knowledge and leadership through advocacy for expanded practice.
Subject learning objectives (SLOs)
| A. | Integrate cognitive, technical and creative skills through critique and advocacy for health care policies, regulation and professional ethics (Nurse Practitioner Standards for Practice 4.2) |
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| B. | Explain the underlying theories, models and content of legal and ethical regulation of the nursing profession as it relates to advanced practice nursing (Nurse Practitioner Standards for Practice 3.3) |
| C. | Appraise the underlying theories and models informing contemporary health care ethics and professional regulation as it applies to advanced practice nursing (Nurse Practitioner Standards for Practice 2.1) |
| D. | Transform complex information and concepts into an effective demonstration of the legal and ethical requirements of clinical decision making and evaluation of practice for advanced practice nursing (Nurse Practitioner Standards for Practice 2.1, 3.3) |
| E. | Critically appraise health care services and demonstrate clinical leadership in the design and evaluation of advanced nursing and nurse practitioner service models (Practitioner Standards for Practice 3.3, 4.2) |
| F. | Critically appraise the outcomes of their own practice by participation in and reflection upon review by colleagues, supervisors and those to whom they provide leadership (Nurse Practitioner Standards for Practice 4.1) |
Course intended learning outcomes (CILOs)
This subject also contributes specifically to the following graduate attributes:
- Are reflective critical thinkers who examine and contribute to practice, policy and research to achieve clinical excellence and enhance health outcomes (1.0)
- Are visionary, innovative and responsive leaders (2.0)
- Are socially, culturally and ethically aware and accountable when engaging with health care consumers, families/significant others, interdisciplinary teams, communities, organisations and authorities (3.0)
- Communicate effectively and professionally in diverse and dynamic situations (4.0)
- Embody the professional qualities appropriate to the scope of their role (5.0)
Teaching and learning strategies
This subject is taught using a variety of teaching and learning strategies. The strategies used emphasise active application of knowledge.
Orientation Activities
Preparation for the Session - students are expected to undertake activities prior to the first week. These activities include online readings, videos, interaction with peers, and are important in helping students prepare for the subject's assessment tasks. This also provides students with an opportunity to meet and interact with peers. Students are to commence reflecting on the proposal that will be developed for the assessment tasks.
Independent Learning Activities
Relevant readings, videos and activities will be made available online relevant to the topic of the week. Students are expected to attend prepared. This will enhance the students’ ability to progress successfully throughout the subject and complete assessment items effectively. The online material aims to enhance students’ understanding of the topic or delve deeper into a more specific area, compare experiences and ideas with others, and gain feedback. Information and links to all these learning activities can be accessed via Canvas as well as the subject outline.
Workshops
Workshops will provide opportunities for group activities and discussion, self-assessment, peer review and formative feedback from the subject coordinator. Briefings and roundtable discussions provide opportunities for students to reflect on contemporary workplaces topics and develop problem solving and advanced communication skills.
Feedback
Feedback will be frequent and takes several forms including self-assessment, peer review, automatic feedback from interactive activities e.g. quizzes, and from the subject coordinator. Formative feedback throughout the subject aims to increase student performance at summative assessments.
Content (topics)
- Consideration, discussion and application of ethics & professional ethics in health care
- Law and authority in advanced practice in nursing
- Contemporary ways of understanding legal and ethical underpinnings of advanced practice in nursing
- Constructing a professional outlook on health and illness
- Service development and planning for Advanced Practice Nurse and Nurse Practitioner positions and service models
- Paternalism, autonomy and informed consent
- Health, healthcare and justice
- Managerial communication methods and modes in relation to change management in the workplace
Assessment
Assessment task 1: Advanced Practice Proposal and Service Design
| Intent: | Development of well researched and planned approaches to Nurse Practitioner or advanced practice nursing positions and/or service expansions are essential to successful implementation. Proposals should be developed based on evidence and demonstrated need, to expand or implement a model of care which responds to a defined population in a person-centred manner. Assessment task 1 includes drafting an outline of your Advanced Practice Proposal and Service Design for peer review in class. Early feedback will be provided to assist you in preparing the full report for submission. |
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| 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 |
| Type: | Report |
| Weight: | 40% |
| Length: | 2500 words +/- 10% (excluding references and appendices) |
| Criteria: |
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Assessment task 2: Proposal Presentation
| Intent: | Development and enhancement of skills in professional verbal presentations, advocacy and change management are essential to leadership in the health care system. This Assessment task develops real-world skills in succinct verbal presentation of the content of Assessment task 1. |
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| Objective(s): | This assessment task addresses subject learning objective(s): A, B, D and F This assessment task contributes to the development of graduate attribute(s): 1.0, 2.0, 3.0, 4.0 and 5.0 |
| Type: | Presentation |
| Weight: | 30% |
| Length: | 15 minute oral presentation during workshop 4. |
| Criteria: |
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Assessment task 3: Advanced Practice Nursing Self Appraisal and Reflection
| Intent: | Personal self appraisal of advanced nursing practice identifying and reflecting on personal strengths and opportunities for development. This task provides students with a framework to elicit feedback from workplace peers regarding advanced nursing practice. Students should use this reflection and feedback and correlate the requirements specified in the proposal in assessment task 1 and 2. |
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| Objective(s): | This assessment task addresses subject learning objective(s): A, D, E and F |
| Type: | Reflection |
| Weight: | 30% |
| Length: | 1000 words +/- 10% (excluding references and appendices) |
| Criteria: |
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Required texts
There is no set text for this subject.
Students will be directed to relevant reading via Canvas and encouraged to search for reading appropriate to their requirements.
Recommended texts
Grace, P. (2018). Nursing Ethics and professional responsibility in advanced practice (3rd ed.). Jones & Bartlett Learning.
Kerridge, I., Lowe, M., & Stewart, C. (2013). Ethics and law for the health professions (4th ed.). Federation Press.
Staunton, P., & Chiarella, M. (2020). Law for nurses and midwives (9th ed.). Elsevier Australia.
References
Bryant-Lukosius, D., & DiCenso, A. (2004). A framework for the introduction and evaluation of advanced practice nursing roles. Journal of Advanced Nursing. 48(5), 530-540.
Gardner, G., Duffield, C., Gardner A., & Batch, M. (2017). The Australian Advanced Practice Nursing Self-Appraisal Tool. DOI: 10.6084/m9.figshare.4669432
Refer to Canvas for access to up to date references for this subject.
Other resources
UTS Student Centre
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For other resources/information refer to the Faculty of Health website (https://www.uts.edu.au/about/faculty-health) and Canvas at: https://canvas.uts.edu.au/.
UTS Library
The Library has a wide range of resources, facilities and services to support you including textbooks, subject readings, health literature databases, workshops and bookable study rooms. There is also a team of librarians to help you with your questions available via online chat, phone and in person. 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.
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