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NUR4115 - Principles of Biopsychosocial Concepts, Medicines Management and Essential Skills for Nursing Associate Practice

Objectives:

On successful completion of the module, apprentices will be able to:

1 - Demonstrate knowledge of the biopsychosocial model to explain health, illness, and wellbeing from a person-centred and holistic care perspective.

2 - Describe key psychological and sociological theories of health and well-being and how they can impact health and wellbeing outcomes across the lifespan.

3 - Explain how body systems work together to maintain homeostasis and how imbalance causes commonly encountered conditions.

4 - Describe the principles of safe and effective practice in medicines administration, drug calculation, side-effects, storage and disposal of medication.

5 - Apply knowledge of a range of clinical skills to monitor patients' vital signs, escalate risks and meet needs for privacy, dignity and respect aligned to the NAPAD Part 1.

Content:

This module aims to develop your knowledge and understanding of physical and mental health over the lifespan using a biopsychosocial approach and how this supports the delivery of person-centred care in clinical practice. By exploring health sciences through the lens of a holistic model, you will gain an appreciation of the interaction between anatomy, physiology, pathology, sociology, and health psychology, enabling you to recognise the patient as a whole person with an individual lifestyle and not simply as someone with an illness or disease, emphasising the complexity of the individual from a culturally diverse perspective. You will also be introduced to the basics of pharmacology and medicines management, and essential clinical skills which will enable you to meet the range of proficiencies assessed within Part 1 of your NAPAD during your practice learning placements.

You will learn how psychological theories and concepts including human development, behaviour, cognition, personality, loss, motivation, stress, pain, lifestyle choices and health literacy can impact health outcomes and perceptions of health and illness, including adjustment to, coping with and recovery from illness. You will develop knowledge of key social theories and how these can influence the social determinants of health for example age, gender, disability, discrimination, culture, education, sexual orientation, poverty, and employment, and how inequalities and social injustice can lead to negative health outcomes. You will understand fundamental concepts of human anatomy and physiology, and stages of human development from conception to death to enable you to make informed assessments of an individual’s physical and mental health needs and deliver safe and effective person-centred care. You will learn how the human body is organised, how the following body systems cardiovascular, respiratory, renal, nervous, and musculoskeletal work together to maintain homeostasis and how homeostatic imbalance causes commonly encountered conditions including anxiety; depression; cardiac diseases; respiratory diseases; renal disease, diabetes, arthritis; neurological disease and dementia. You will be introduced to principles of medications management and pharmacology and how drugs act and interact in the systems of the body and their therapeutic actions for people of all ages. You will develop knowledge and skills to ensure patient safety including reading prescription charts, patient identification processes, accurate medicines calculations for tablets, liquids and injections, safe medicines administration, record keeping, ordering, receiving and storage, transportation, and disposal of medicines in accordance with national and local guidelines.

The module is mapped against the Standards of proficiency for Nursing Associates (NMC, 2018) and Part 1 of the NAPAD proficiencies and will prepare you to carry out clinical skills across the four fields of nursing. Practical sessions will enable you to link theoretical concepts of the biopsychosocial model and apply them to deliver safe and effective patient care. You will be introduced to evidence-based practice approaches enabling you to take a history, observe, recognise and accurately assess people of all ages in relation to their mental and physical health, how to use electronic patient tools and scales such as National Early Warning Signs Score (NEWS2), Paediatric Advanced Warning Score (PAWS), the AVPU Scale, the Malnutrition Universal Screening Tool (MUST) and how to effectively use manual techniques and electronic devices to take, record and interpret vital signs and to identify patients who are at risk of deterioration and how to prevent further deterioration including escalation, and reporting of a patient’s changing health status using appropriate communication tools (e.g., SBAR) to more senior members of the team. You will understand how to meet patients’ needs for care and support including personal hygiene, skin care, sleep, nutrition and fluid intake, elimination and mobility maintaining privacy and dignity, promoting independence and self-care. Undertaking observation and assessment of signs of deterioration and distress, including pain, nausea, thirst, constipation, restlessness, agitation, anxiety and depression and respond appropriately taking into account communication needs of children, people with learning disabilities, autism and dementia. You will also practice the procedural competencies required for best practice, evidence-based medicines administration.

Learning and Teaching Information:

Research informed key lectures will introduce the weekly content of the module identifying theories/principles/concepts enabling you to develop your knowledge and skills. This will be supported by blended learning pre and post session activities on Moodle and you will be expected to engage with a range of activities including pre-reading to prepare you for lectures and follow-on activities to enable ongoing self and tutor assessment of your progress and application of knowledge and skills. The lecture content will be supported by seminars enabling smaller group discussion where you will consolidate your knowledge and critically engage with best evidence to support your professional development and to apply your learning to clinical practice, activities will include role play, problem-based learning, and practice-based scenario exploration. Practical session will enable you to develop nursing proficiencies in Annex A and B of the Standards of Proficiency for Nursing Associates (NMC, 2018) required for practice placements. These will be delivered in the Health Facilities Building and you will be required to wear nursing uniform for these sessions. Access to online learning platforms including safeMedicate and Clinicalskills.net will support the directed study element of this module. Where appropriate specialist practitioners and service users and carers will be invited to contribute to sessions to increase the authenticity of lived experience of the module content and highlight employability links. Learning styles will be supported by a variety of resources including videos, reading material, discussion and debate, e-learning modules, problem solving and practical tasks. You will be expected to utilise appropriate digital technologies and study skills to engage with additional resources and in independently directing your own learning.

Planned LTU Off-the-Job Delivery Learning:

Lectures
Hours: 24
Intended Group Size: Cohort

Seminars
Hours: 12
Intended Group Size: 30

Practicals
Hours: 24
Intended Group Size: 30



Minimum Self-Directed Off the Job Learning (e.g. Self-directed Study)
Hours: 90



Further Details Relating to Assessment

Post session activities submitted through Moodle will facilitate ongoing formative assessment opportunities via lecturer or peer feedback, these may include responses to case studies, quizzes, forum posts or blogs and self-assessment. Clinical skills proficiency will be formatively assessed via completion of self-assessment tasks using Clinicalskills.net. Formative assessment for the MCQ exam will be provided via weekly post session online quizzes on Moodle. You will be introduced to safeMedicate and set up your enrolment. You will be able to practice essential skills drug calculation and numeracy via the self-assessment tests in preparation for your safeMedication exam in NUR4103 Nursing Associate Practice 1.

(1). Online MCQ Exam: You will undertake a 1-hour online MCQ exam to test your knowledge of theories, concepts and skills covered in this module.

Please note that there is no compensation, each component must be passed at 40% - NMC regulations.

Assessment:

Fact File

Module Coordinator - Abigail Lancaster
Level - 4
Credit Value - 15
Pre-Requisites - NONE
Semester(s) Offered - 4APS