Subject

General Clinical Nursing

  • code 08604
  • course 2
  • term Semester 1
  • type OB
  • credits 6

Module: Module II: Fundamentals of Care II

Matter: General Clinical Nursing

Main language of instruction: Catalan

Other languages of instruction: Spanish

Timetable
 Sem.1  MO 12:00 14:00 
 Sem.1  TH 10:00 12:00 
 Sem.1  FR 10:00 12:00 

Teaching staff

Head instructor

Dr. Alberto GALLART - agallart@uic.es

Office hours

Every day to 9:50 to 10:10 am, by appointment via e-mail.

Introduction

Justification.

The planning of nursing care for major changes in the health of people requires a solid foundation of general skills that will be repeated in learning the care plan for each pathology. Progressively discover and internalize these skills with a methodology that combines the Master Class for the more complex and novel issues, while the remaining topics are reserved for group tutoring, preparation and presentation of information, and the facilitation of the assimilation of skills.   

Descriptor.

General Clinical Nursing subject focuses on acquiring the knowledge of recognizing adult health disorders, manifestations and care, and applying the Nursing Care Process P.A.E (from the Spanish term Proceso de Atención de Enfermería).During the course of the subject students will preform the care procedures to treat and / or prevent arising problems in the patients and families through cooperative work with other team members and with the participation of the person receiving care and their families in the health and disease process. Highlights include elements that are the basis for other courses in areas such as Semiotics, Homeostasis and General Basic Principles of Clinical care.

Pre-course requirements

  • There are no incompatibilities

Objectives

  1. Students will develop cognitive and psychomotor abilities, as well as relationships that enable them to integrate knowledge of basic general pathology in the adult, so to provide adequate nursing care skills, and promote the development of autonomy, health maintenance, disease prevention and welfare of the patient, family and community.
  2. Acquire the necessary skills to integrate theoretical knowledge in the daily practice of the nursing profession.
  3. Know general nursing care associated with more frequent semiology, the person in critical situations, surgical, chronic and oncological diseases, using the following methodology:
  4. Integrate specific knowledge of the disease based on the holistic concept of the individual.
  5. Remember the pathogenesis, epidemiology, pathophysiology of semiology scientifically based on nursing care.
  6. Knowing prognosis and possible complications.
  7. Study the Nursing Care Process (P.A.E) following: Obtaining correct information for the rigorous development of the nursing care plan. The specific assessment of the signs, symptoms and problems, using clinical judgment and establishing priorities. Care planning based on problems and nursing diagnoses.

Leer fonéticamente

Competencies

  • 11. E - Establish effective communication with patients, families, social groups and partners and promote health education.
  • 12. B - Know and observe the ethical code of conduct of Spanish nursing, understanding the ethical implications of health in a changing global context.
  • 15. B - Work with the team of professionals as a basic unit in which uni or multidisciplinary and interdisciplinary professionals and other staff of health care are organized.
  • 16. G - Know the health information systems.
  • 1. G - Ability to provide technical and professional health care appropriate to the health needs of the people they treat, with full technical and scientific autonomy, according to current and available scientific knowledge and to the quality standards and safety requirements set forth in the applicable legal standards and code of ethics.
  • 24. G - Ability to work autonomously.
  • 2. E - Plan and provide nursing care for individuals or groups, taking health outcomes into account and their impact, through guidelines for clinical practice and care, which describe the four processes by which a health problem is diagnosed or treated.
  • 3. E - Know and apply the theoretical and methodological foundations and principals of nursing.
  • 5. G - Design systems of care programed for people or groups, assessing their impact and making necessary modifications.
  • 6. E - Base nursing care on scientific evidence and available resources.
  • 7. B - Understand people without prejudice, considering their physical, psychological and social aspects, as autonomous and independent individuals, ensuring respect for their opinions, beliefs and values, ensuring their right to privacy through confidentiality and professional secrecy.
  • 8. B - Promote and respect the right of participation, information, autonomy and informed consent in decision-making of people treated, according to the way they live their health - disease process..

Learning outcomes

  • Develop cognitive and psychomotor abilities and relationships which provide adequate nursing care to promote autonomy, health maintenance, disease prevention and the well - being of the patient, their family and community.
  • Recognize the most frequent symptomatology in major health disorders
  • Develop nursing care from the reflection of the pathogenesis, epidemiology, pathophysiology of semiology scientifically based on nursing care through the care plan which is based on problems and nursing diagnoses.
  • Know the main diagnostic test imaging (radiology, scanner, PET etc.) and analytical, its foundation and application, as well as the therapeutic application, especially in cardiovascular and oncology interventionism.

Syllabus

  1. Introduction to nursing care in medical-surgical diseases. The physical and chemical agents that cause disease. Thermoregulation.
  2. General Semiología. Nursing care in large clinical syndromes. Pain, fever, jaundice, nausea and vomiting, bleeding, dizziness, syncope, coma, dyspnea, oligoanuria.
  3. Disorders of electrolyte and acid-base balance. Nursing care in patients with disorders of fluid and electrolyte balance. Fundamental concepts of fluid and electrolyte balance and acid-base homeostasis. Nursing care in patients with Fluidotherapy. Volumetric disorders. Imbalances of the main intra and extra cellular ions. Nursing care in patients with disorders of acid-base balance.
  4. Infection. Nursing care to patients with infection.
  5. Shock, sepsis and multiorgan failure. Nursing care to patients with shock.
  6. Chronic disease and acute disease. Definition and causes of acute and chronic disease. Differential diagnosis strategies and treatment. Nursing care in patients with chronic diseases.
  7. Physiotherapy and rehabilitation. Concept. Methods. Main therapeutic indications. Nursing care in patients with self-care deficit, at risk or impaired physical mobility, skin integrity and altered pattern of elimination.
  8. General principles of medical and surgical oncology. Nursing care for cancer patients in relation to the   Cancer pathophysiology, epidemiology, prevention and early detection. Classification system: Tumors, Nodules and Metastasis. General aspects of cancer treatment.
  9. Clinical tests. Diagnostics Laboratory haematological, microbiological, immunological, biochemical and biological laboratory.   Normal values for the most common clinical analysis. Analytical requests in daily practice, and outpatient hospital clinics.  
  10. Diagnostic techniques. The clinical diagnostic process. Diagnostic radiology. Histopathological diagnosis. Endoscopy. Clinical monitoring. Special diagnostic techniques.  Preparation of the patient undergoing diagnostic tests.
  11. The surgical patient. Nursing care in the pre-operative period. Nursing care   Intraoperative: positioning the patient on the operating table. Basic rules of surgical asepsis. The operating room. Sterilization. Surgical instruments. Nursing care in the post-operative period. The post-operative period: post-operative care unit: Immediate interventions. post-operative complications. Nursing care in the surgical wound.  Surgical pathophysiology. The surgical wound.
  12. Intensive care. Nursing care to critically ill patients. Structure and function of intensive care.  Monitoring systems. Treatment systems.


Chapter  ver Material adjunto

Teaching and learning activities

Table shows the relationship between ECTS and workload in hours of learning based on different methodologies to be used in General Clinical Nursing. All calculations are made under the assumption that the plan must contain 240 ECTS. In this area , every ECTS equals 10 hours in which the professor has a role or presence.   This teaching load can be made through Master Class where the professor will present the main ideas and encourage participation and discourse. It also can be made by the individual and group tutorials where students will be accompanied in the learning process, being guided and advised at all times. Cooperative work between peers is encouraged. The remaining 15 hours up to 25 of 1 ECTS, are distributed in 7 hours of autonomous work of which the professor monitor virtually 3 hours through ICT and 4 hours correspond to the students themselves. The rest of the 8 hours that do not appear in the tables correspond to the directed workload and autonomous learning of the student. In autonomous work, the student will learn to solve problems on their own with the reinforcement of the given material and information received in the lectures. There will be hours spent searching for information, development of work and individual study, all to achieve the desired knowledge.

METHODOLOGYCOMPETENCESECTS CREDITS
Lecture
15. B 16. G 1. G 24. G 25. E 3. E 5. G 6. E 8. B 4.3
Case method
12. B 1. G 7. B 8. B 0.7
Group tutorials
11. E 1. G 0.45
Critical reading
1. G 0.55
Virtual learning
1. G 1.8

Evaluation systems and criteria

The subject will be evaluated during the semester with various ongoing assessments and a final exam. The continuous assessment will have: Participation in class expressed through questionnaires through ICT, -Work on questionnaires and exercises through ICT and a midterm exam.

Relationship of the evaluation approach with learning objectives

The method of assessment will include all educational methodologies, not only will the individual work and synthesis in individual tests (midterm and final) be collected, but the continued work and synthesis of information from class discussions, reading literature and performing exercises will also be evaluated.

Relative weight of each instance of evaluation in the overall evaluation

  • The subject will be assessed during the semester through different continuous assessments with a percentage of 65% and a final exam worth 35%. To take an average of all assessment methods you will have to get at least a 5 on the final exam.
  • Continuous assessments are arranged by:


1. Participation in class on clinical cases and proposed exercises will be evaluated with a value of 35%.   By means of:

a) Group Tutorials: Solution Moodle questionnaires whose answers after being tutored in class will be introduced by the student during the same day. 7%

b) Correction of the exercises carried out in class.7%

c) Result of the “contest” between groups that will be held at the end of the course, as a synthesis of the subject twenty-one%

1. 16.8% will come from the qualification resulting from the “oral questions contest” between groups that will be held at the end of the course, as a synthesis of the subject.

2. 4.2% will come from the written document that the team members will write about the development of the leadership dimension of strategic thinking

2. Exercises and Questionnaires Working through ICT 15%.

3. Midterm exam 15%.

· The Midterm exam and final exam questions will be multiple choice response and / or short answer questions.

Second evaluation

The course will be evaluated with a final exam worth 50% and the mark of the continuous assessment will be a percentage of 50% since the midterm will not be considered. The 50% of continuous assessment will allow:

  1. Recovery of 15% of the Moodle questionnaires Tasks and Questionnaires through ICT when retaking them in first resit, in any case the maximum mark in this section must be a 5.
  2. Finally, for 35% of participation in the class section, the mark from the first examination will remain, because what is valued is the attendance and participation in class.

 

3 / 4  and  5/6 Resits

The 3 /4  and 5/6 resits will have the same type of evaluation in the examination and 1st resit and in no case will partial marks or any kind of assessment of a course be applied to these resits.

Evaluation of skills.

The outlined skills in the course will be passed if the evaluative tests are completed and passed. Learning outcomes and assessment tools skills can be found in Appendix 1.

General evaluation criteria

  • In order to take an average of all assessment methods students will have to get at least a 5 on the final exam.
  • The midterm exam and final exam questions will be multiple choice response and / or short-answer questions in which points will be deducted if not appropriate.

Evaluation scheme

Continuous assessment will be conducted and marks will be continuously placed on intranet so that students can see their progression of learning. The questionnaires will give feed back with the right answers so that students can learn and assess themselves at the same time. Students can review their examination.

Honor qualifications will not be awarded in any resit

LEADERSHIP PROJECT

The final grade of this subject will be affected in any evaluation (first/second/3er/4t/5 or 6) or resits, by the non-attendance to any of the 3 leadership tutorials of each semester in the following proportion: 0.5 points if missing in the 3 occasions; 0.4 points if you miss 2 tutorials and 0.3 if you miss 1 tutorial. This rule will apply to approved students and unca will be subject to suspension of the subject.

Bibliography and resources

  • Thibodeau GA, Paton KT. Estructura y Función del cuerpo Humano, 13ª edición de Elsevier, Madrid.2008
  •  Long, B. C., Phipps, W. J. (2002). Enfermería Médico-Quirúrgica (2ª ed.). Vol 1 y 2. Mosby 2000. Madrid.
  • Smeltzer S.C., Bare B.G. Enfermería Médico-quirúrgica de Brunner y Suddarth. 12ª edición. LIPPINCOTT. 2013
  • Herdman & Kamitsuru. Diagnósticos enfermeros. Definiciones y clasificación 2015-2017 Elsevier, 2015
  •  Mª T Luis. Los Diagnósticos enfermeros. Masson, Madrid, 9ª Edición.2014

Evaluation period

E: exam date | R: revision date | 1: first session | 2: second session:

  • E1 10/01/2020 10:00h
  • R1 29/01/2020 15:00h
  • E2 06/07/2020 10:00h
  • R2 13/07/2020 11:00h
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