NURSING 773 : Advanced Assessment and Clinical Reasoning

Medical and Health Sciences

2020 Semester Two (1205) (30 POINTS)

Course Prescription

Nurses make a variety of diagnoses in their daily practice. Advanced nursing practice requires skilled health assessment, estimation of probabilities and evidence based diagnostic reasoning. This complex cognitive process is developed in relation to skills and knowledge required for sound clinical reasoning.

Course Overview

Clinical Assessment provides the basis for advanced nursing practice. In order to provide safe, effective care nurses must be able to master a range of core and specialty-based assessment skills. Within an expanding scope of practice, nurses are required to assess patients, make provisional diagnoses, request and interpret diagnostic tests and prescribe therapeutic interventions based on skilled client assessment and sound evidence-based decision-making processes. The clinical assessment of clients requires a comprehensive approach within a nursing framework, which includes the integration of physical, social and emotional dimensions.
This course will be delivered in broad streams to reflect client health care needs and nurse’s learning needs, for example, child health and adult health.

Course Requirements

Restriction: NURSING 770

Capabilities Developed in this Course

Capability 1: Disciplinary Knowledge and Practice
Capability 2: Critical Thinking
Capability 3: Solution Seeking
Capability 4: Communication and Engagement
Capability 5: Independence and Integrity
Capability 6: Social and Environmental Responsibilities
Graduate Profile: Master of Nursing

Learning Outcomes

By the end of this course, students will be able to:
  1. Explore the need for nurses to include client assessment skills and evidence based diagnostic reasoning at an advancing level within their scope of practice. (Capability 1.1, 1.2, 2.1, 2.2, 5.1, 6.1, 6.2 and 6.3)
  2. Demonstrate the application of evidence based clinical decision-making in relation to diagnostic reasoning and client assessment. (Capability 1.1, 1.2, 2.2, 4.1, 4.2, 5.2, 6.1, 6.2 and 6.3)
  3. Demonstrate competence and a systematic approach in performing a focused or comprehensive client assessment. (Capability 1.2, 2.2 and 3.2)
  4. Assess a client’s health status and order appropriate laboratory and other diagnostic tests in order to establish diagnoses (Capability 1.1)
  5. Recognise and interpret clinical findings in relation to underlying pathophysiological processes (Capability 1.2 and 2.2)
  6. Articulate the knowledge underlying client assessment and diagnostic test findings in order to formulate a list of differential diagnoses or formulate a diagnostic decision. (Capability 1.2, 1.3, 2.2 and 3.1)

Assessments

Assessment Type Percentage Classification
Assignment 40% Individual Coursework
Multiple Choice Questions 15% Individual Coursework
Clinical Exam (OSCE) [TBC] 45% Individual Examination
Assessment Type Learning Outcome Addressed
1 2 3 4 5 6
Assignment
Multiple Choice Questions
Clinical Exam (OSCE) [TBC]

Learning Resources

The required course text for 773 is Bickley, L. S., & Szilagyi, P. G. (2017). Bates' guide to physical examination and history taking (12th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins

Course Contacts

Course Coordinator: Janet Massey - j.massey@auckland.ac.nz
Course Administrator: Riz Sari - r.sari@auckland.ac.nz

Workload Expectations

This course is a standard 30 point course and students are expected to spend 10 hours per week involved in each 15 point course that they are enrolled in.

For this course, you can expect 40 hours of lectures, 120  hours of reading and thinking about the content and 140 hours of work on assignments and/or test preparation.

Digital Resources

Course materials are made available in a learning and collaboration tool called Canvas which also includes reading lists and lecture recordings (where available).

Please remember that the recording of any class on a personal device requires the permission of the instructor.

All course content will be available as a prerecorded lecture on the course CANVAS page

Academic Integrity

The University of Auckland will not tolerate cheating, or assisting others to cheat, and views cheating in coursework as a serious academic offence. The work that a student submits for grading must be the student's own work, reflecting their learning. Where work from other sources is used, it must be properly acknowledged and referenced. This requirement also applies to sources on the internet. A student's assessed work may be reviewed against online source material using computerised detection mechanisms.

Inclusive Learning

All students are asked to discuss any impairment related requirements privately, face to face and/or in written form with the course coordinator, lecturer or tutor.

Student Disability Services also provides support for students with a wide range of impairments, both visible and invisible, to succeed and excel at the University. For more information and contact details, please visit the Student Disability Services’ website at http://disability.auckland.ac.nz

Special Circumstances

If your ability to complete assessed coursework is affected by illness or other personal circumstances outside of your control, contact a member of teaching staff as soon as possible before the assessment is due.

If your personal circumstances significantly affect your performance, or preparation, for an exam or eligible written test, refer to the University’s aegrotat or compassionate consideration page: https://www.auckland.ac.nz/en/students/academic-information/exams-and-final-results/during-exams/aegrotat-and-compassionate-consideration.html.

This should be done as soon as possible and no later than seven days after the affected test or exam date.

Student Feedback

At the end of every semester students will be invited to give feedback on the course and teaching through a tool called SET or Qualtrics. The lecturers and course co-ordinators will consider all feedback and respond with summaries and actions.

Your feedback helps teachers to improve the course and its delivery for future students.

Class Representatives in each class can take feedback to the department and faculty staff-student consultative committees.

Student Charter and Responsibilities

The Student Charter assumes and acknowledges that students are active participants in the learning process and that they have responsibilities to the institution and the international community of scholars. The University expects that students will act at all times in a way that demonstrates respect for the rights of other students and staff so that the learning environment is both safe and productive. For further information visit Student Charter (https://www.auckland.ac.nz/en/students/forms-policies-and-guidelines/student-policies-and-guidelines/student-charter.html).

Disclaimer

Elements of this outline may be subject to change. The latest information about the course will be available for enrolled students in Canvas.

In this course you may be asked to submit your coursework assessments digitally. The University reserves the right to conduct scheduled tests and examinations for this course online or through the use of computers or other electronic devices. Where tests or examinations are conducted online remote invigilation arrangements may be used. The final decision on the completion mode for a test or examination, and remote invigilation arrangements where applicable, will be advised to students at least 10 days prior to the scheduled date of the assessment, or in the case of an examination when the examination timetable is published.

Published on 20/06/2020 09:17 a.m.