NRSG525 - Evidence-Based, Person-Centred Family Care in Specialty Nursing

Year

Credit points

Campus offering

Unit rationale, description and aim

As healthcare environments becomes more complex and dynamic, it is important that multidisciplinary team members work in a collaborative and professional manner to safely care for patients with complex health issues. The person-centred care model prioritises involvement of a care team approach that includes health care professionals, the patient, and their immediate family. In order to ensure care provision and patient advocacy that is representative of the patient’s needs, it is important that nurses working in specialty areas have a range of knowledge and skills that are evidence-based and underpinned by ethical practice.

In this unit, students will explore the significance of inter-professional communication, teamwork and shared decision making in relation to the specialist nursing role. Underpinning the concept of person- centred family care is the need for specialist nurses to demonstrate knowledge and skills in critical appraisal, evaluation of evidence and culturally safe practices, to optimise care outcomes for all patients.

The aim of this unit is for students to analyse, evaluate and demonstrate knowledge and skills for safe person-centred family care that is relevant to their area of specialty practice.

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

On successful completion of this unit, students should be able to:

LO1 - Describe the significance of specialist nursing knowledge and skills, inter-professional communication and teamwork in specialty settings (GA4, GA5)

LO2 - Demonstrate and evaluate the effectiveness of shared clinical decision making within specialty settings (GA4, GA7, GA10)

LO3 - Apply and evaluate specialist clinical knowledge and skills in relation to variations in the health status of patients within specialty settings, which reflects culturally safe practice and person-centred care (GA1, GA3, GA4, GA7, GA8, GA9, GA10)

Graduate attributes

GA1 - demonstrate respect for the dignity of each individual and for human diversity

GA3 - apply ethical perspectives in informed decision making

GA4 - think critically and reflectively 

GA5 - demonstrate values, knowledge, skills and attitudes appropriate to the discipline and/or profession 

GA7 - work both autonomously and collaboratively 

GA8 - locate, organise, analyse, synthesise and evaluate information 

GA9 - demonstrate effective communication in oral and written English language and visual media 

GA10 - utilise information and communication and other relevant technologies effectively.

Content

Topics will include:

• Ethical practice in the specialty setting:
• Ethical decision making and practice
• Consent
• Health professionals’ practice standards
• Health professionals’ codes of professional conduct
• Health professionals’ codes of ethical conduct.
• Role of the family in the specialty context
• Needs of the family
• Expectations of family
• Family assessment
• Concluding relationships
• Family-centred health promotion
• The role of the nurse in the specialty context:            
• The roles performed by health professionals
• The continuum of care requirements for persons receiving care
• Cultural competence
• Person and family centred care
• Prioritising and planning care
• Evaluating care
• Physiology of the Immune System & Physiology of Cancer
• The immune system
• Pathophysiology and pathobiology of Cancer
• Cell biology
• Oncogenesis
• Clinical Decision-Making in the specialty
• Evaluation of evidence for practice
• The impact of clinical decision making on health outcomes
• 5 As of EBP
• Principles of interprofessional communication:
• Interprofessional relationships and collaboration
• Information and communications technologies
• Evidence-Based Practice
• Evidence based approaches to care
• Critical appraisal of evidence
• Health promotion in the specialty
• Concept of health
• Global charters for health
• Functional models of health promotion
• Empowerment

Learning and teaching strategy and rationale

This unit is offered in online mode and uses an active and collaborative learning approach to support students to explore the relationship between patient outcomes and inter-professional teamwork, communication, decision making and person-centred care, in their specialty practice area. In constructing specialist nursing knowledge and skill, students will have the opportunity to analyse and critically evaluate care strategies for providing culturally safe, evidence-based and ethical nursing care within a healthcare setting.

The active and collaborative learning approach applied in this unit is flexible and inclusive. Students will engage in readings and reflections, e-Learning activities and have the opportunity to collaborate with peers in an online environment. This can involve, but is not limited to, online discussion forums, chat rooms, guided reading and webinar sessions. Students are required to complete online activities and assessments to demonstrate the application of knowledge.

Through an online learning platform, students will have the opportunity to reflect on the complexity of delivering person-centred family care within dynamic healthcare environments and specialty practice areas. Online learning in this unit will be supported by the provision of opportunities for students to attend online webinar sessions that allow synchronous exchange of information and facilitate responses to queries generated by students in relation to unit content. For those unable to participate in synchronous webinar sessions, recordings will be available.

Assessment strategy and rationale

In order to successfully complete this unit, a minimum combined total grade of all assessment tasks of 50% is required to pass this unit.

The assessment strategy used in this unit encourages the progressive development of specialist nursing knowledge and skills necessary for the student to be able to work effectively in a multi-disciplinary team to care for clients in the specialty health setting. In order to become an effective specialist nurse, the student must first develop comprehensive understanding of the specialist nursing role, inter-professional communication and teamwork. Shared decision-making is a key element of effective inter-professional teams, and this is further developed and assessed.

In real world practice, it is a requirement that the registered nurse has the ability to deliver high quality and culturally safe care and understand the theoretical underpinnings which direct these actions. This requirement exists because all registered nurses are accountable for their actions and poor choices may have severe adverse health consequences for patients and/or communities.

Overview of assessments

Representative texts and references

Within each learning module, students will find links to various chapters from the following texts. Most

of these books are available as eBooks accessible through the ACU library.

Arnold, E., & Boggs, K. U. (2019). Interpersonal relationships: professional communication skills for nurses (8th ed.). Saunders.

https://www-clinicalkey-com-au.ezproxy2.acu.edu.au/nursing/#!/browse/book/3-s2.0-C20160046107

Beauchamp, T. L., & Childress, J. F. (2019). Principles of biomedical ethics (8th ed.). Oxford University Press.

Bryant, B., & Knights, K. (2019). Pharmacology for health professionals (5th ed.). Elsevier.

https://www-clinicalkey-com-au.ezproxy2.acu.edu.au/nursing/#!/browse/book/3-s2.0-C20170006882

Bullock, S., & Hales, M. (2019). Principles of pathophysiology (2nd ed.). Pearson.

https://ebookcentral.proquest.com/lib/acu/detail.action?pq-origsite=primo&docID=5495513

Calleja, P., Theobald, K., & Harvey, T. (2020). Este’s Health assessment and physical examination (Australian and New Zealand 3rd ed.). Cengage Learning Australia.

https://ebookcentral.proquest.com/lib/acu/reader.action?docID=6135919

Craft, J., Gordon, C. J., Huether, S. E., McCance, K. L., Brashers, V. L., & Rote, N. S. (2019). Understanding pathophysiology (3e, Australian and New Zealand edition). Elsevier. https://www.clinicalkey.com.au/nursing/#!/browse/book/3-s2.0-C20160032503

Greenhalgh, T. M., Bidwell, J., Crisp, E., Lambros, A., & Warland, J. (2019). Understanding research methods for evidence-based practice in health (2nd ed.). John Wiley & Sons.

https://ebookcentral.proquest.com/lib/acu/detail.action?docID=5880746&pq-origsite=primo

Hoffmann, T., Bennett, S., & Del Mar, C. (2017). Evidence-based practice across the health professions (3rd ed.). Elsevier.

https://www-clinicalkey-com-au.ezproxy1.acu.edu.au/nursing/#!/browse/book/3-s2.0-C20160032369

McCance, K. L., Huether, S.E., Brashers, V. L., & Rote, N. S. (Eds.), (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). Elsevier. 

https://www-clinicalkey-com-au.ezproxy1.acu.edu.au/nursing/#!/browse/book/3-s2.0-C20150010218

Taylor, K. (2019). Health care and Indigenous Australians: cultural safety in practice (3rd ed.). Macmillan International Higher Education: Red Globe Press.

https://ebookcentral.proquest.com/lib/acu/detail.action?pq-origsite=primo&docID=6235065

Recommended specialty textbooks will be listed in LEO.