Guided Practice in General Practice Nursing and Home Health Care (7 cr)

Evaluation scale

H-5

Objective

Guided Practice in General Practice Nursing and Home Health Care 7ECTS
Competence Goals:

Guided Clinical Practice in General Practice Nursing
The student develops his/her guidance skills further in order to maintain and promote the health of a patient and to provide him/her with proper care. Student applies the latest, current criteria and working methods in health education and can apply previously learnt knowledge and skills in out-patient care, and guidance in an acute or general practice nursing situation. Student works as a member of a team in the various care environments of acute and general practice nursing. S/he applies manual nursing skills and under guidance administrates medicine in an aseptically correct manner. The student is familiar with the working environments and service processes of out-patient care and general practice nursing. S/he is also familiar with the contact, distance, network and mobile services available in general practice nursing and s/he can use all the options available as a member of a nursing team. The student can apply evidence –based information in assessing the patient’s condition and in the various other stages of the nursing process. The principles of safe patient care and work safety in clinical situations are important issues in the student’s knowledge database.

Guided Clinical Practice in Home Health Care
The student respects and values the uniqueness of an elderly person and his/her history and background. S/he assesses the care need of an elderly patient and plans, implements and evaluates, resource-and ethics based, holistic nursing interventions. The student assesses the functional capacity of a client in terms of his/her coping in the daily activities of life and applies working methods that foster needs based functional capacity and rehabilitation. The student takes into account the client’s individual process of aging. During the practice the student gives palliative care by taking into account the principles of good hospice care as well as the resources and coping of his/her colleagues and the next-of-kin of the patient. The student implements safe medical care and shows that s/he is familiar with the service system and legislation currently in effect in the field of elderly care.

Content

Tieto puuttuu

Assessment criteria, satisfactory (1)

GUIDED PRACTICE competences - evaluation
Grades: Passed/Failed
Methods:Self-assessment, clinical supervisors’ assessment, peer assessment by dialogic discussion
Competences:
Learning process of the student
Attainment of the student’s self-set competence goals, purposefulness, self-directedness, information/data retrieval, and justifying the action taken.
Self- and peer-assessment in the learning process, and feedback from the supervisors.
Ethical competence
Compliance with confidentiality, secrecy and privacy protection policies, and legislative issues, acting according to the values and principles of professional ethics, compliance with safety regulations at work, taking responsibility for own action, therapeutic attitude towards the client/patient/family/cooperation and study networks. Responsibility for own professional development.
Co-operation and communication competence
Ability to start and maintain professional communication at work: patient and client relationships, employee skills, collegiality, team-work skills, pair work skills, multi-professional work skills, co-operation with care and service units/institutions, organisations and networks. Co-operation and interaction is focused on the main objective/mission of the unit.
Mentoring and Counseling Competence
Ability to mentor and counsel different patients/clients, their next-of-kin and groups. Supports and guides the client in self-care and management of personal health problems and concerns. Health promotion competence.
Decision-making competence
Nursing process, reporting, information provision and documentation, coordination. Self-leadership competence, awareness, autonomy, positive outlook, creativity, responsibility.
Clinical competence in nursing
Identification of the biopsychosocial needs and problems of the patient/client/close network. Holistic evaluation of the patient. Planning, implementation and evaluation of the nursing interventions. Use of methods and tools in nursing. Functioning in care relationship. Examination- and nursing procedures. Ergonomy. Aseptics. Fluid therapy and pharmacotherapy.
Criteria for the grade “Fail” of Guided practice:
Student can fail the guided clinical practice based on the assessment criteria of professional, co-operational or development competencies. Guided practice can be assessed as a “Fail” based on a single criterium in the context of the following competencies:
Professional competence
- neglect of ethical principles, regulations, legislation,

- endangering patient safety,

- insufficient knowledge and skills in nursing
Co-operation competence
- drawbacks in co-operation competence

- non-commitment in care relationships

- non-collegiality in action

- essential deficiency in professional interaction
Development and developing competence
- lack of motivation and self-initiative

- lack of purposefulness

- unplanned training/guided practice

- drawbacks in self-assessment and reflection

- drawbacks in working life (employment) skills