NUR6055 - Managing Complex Care Needs in Child Nursing

Objectives:

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

1 Critically analyse the role of the children’s nurse, other professionals, and agencies in coordinating and managing complex care needs of people across the life span and in supporting their carers and families.

2 Appraise contemporary legislation, models, and approaches to service delivery for children and young people with complex care needs in promoting positive risk management, shared decision making and supported self-care strategies.

3 Make sound recommendations for service development and improvement to enhance care for children and young people who have complex care needs that requires partnership and interagency working.

4 Critically examine and evaluate evidence based therapeutic interventions used to enhance the health and wellbeing of children and young people who have complex care needs.

5 Justify the use of a specific evidence based therapeutic intervention to support individuals, carers and families experiencing complex mental, physical, cognitive, emotional, or behavioural care needs.

Content:

This module will enable you to develop the knowledge and skills required to deliver and manage safe, effective, holistic family-centred care for children, young people and their families who have complex physical care needs, and those with long term and/or concurrent mental health problems and/or learning disabilities and autism. You will understand the nature of complex care including long-term conditions that require specialist and palliative care including but not limited to muscular dystrophy, congenital and acquired organ failure and oncological diseases. You will consider the complexities of care provision for children and young people with co-morbidities and multiple morbidities, recognising the impact of health inequalities and use all appropriate opportunities to promote health and prevent ill health. You will critically reflect on the complexities of managing the provision of care needs across a wide range of specialist services and the challenges of caring for and supporting children and young people within their own home or community. You will explore the role of the children’s nurse in supporting the safe transition of care including the transition from children’s to adult services. You will understand the processes involved in planning and ensuring safe discharge of children and young people across services and caseloads. Preparation and support for children and young people —including communication, play preparation, and distraction—will also be considered. You will engage as a member of the interdisciplinary team, using clinical reasoning and diagnostic thinking in complex situations. You will discuss strategies to monitor and evaluate the quality of children and young people’s experiences of complex care and develop the ability to take proactive measures to improve the quality of care and services. You will review contemporary healthcare policy and new models of service delivery in urgent or unscheduled care, case management and the independent sector. You will be able to advocate and safeguard people’s rights in relation to relevant legislation i.e., Gillick competence and Fraser guidelines (last updated 5/8/2022), Mental Health Act (2007), Mental Capacity Act (2005) and safeguarding procedures. You will understand the importance of empowering Children, Young People and Carers through consultation about policy, legislation and service development/improvement.

You will be able to articulate and justify a range of evidence based therapeutic interventions for individual and groups with complex needs including self-care management, health coaching, goal setting, motivational interviewing, distraction, diversion, and de-escalation techniques when communicating with carers and families under stress. You will learn about the carer role and impact upon individuals, particularly, young carers, siblings, mother/father, named primary carer and extended family in supporting a child/young person with complex needs and impact upon family dynamic, including financial and work pressure/relationships, individual health and wellbeing within families.

Learning and Teaching Information:

You will be taught in field specific groups allowing you to develop a specialised focus for your field of nursing expertise. 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. 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.

Lectures
Hours: 42
Intended Group Size: Full Cohort

Seminars
Hours: 28
Intended Group Size: 25

Guided independent study
Hours: 130

Further Detail 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. One draft opportunity will be provided for each assessment task with feedback provided at least one week prior to summative submission.

(1). You will select a relevant healthcare setting and an evidenced based therapeutic intervention. You will write a 3000 words service development and improvement plan which critically evaluates strategies to enhance the quality of integrated person centred-care provision for children or young people with complex health conditions and/or co-morbidities including the provision of a specific therapeutic approach, the involvement of individuals, carers, and families as equal partners in the process of collaborative care planning and in evaluating the quality-of-care provided via service audit findings.

The assessments will allow you to demonstrate knowledge and understanding of the provision and quality improvement of services for people, carers and families experiencing complex care needs.

Please note that compensation is not permitted. Each assessment component must be passed at 40% in accordance with NMC regulations. Please also note that students must adhere to standards of The Code (NMC, 2018) in relation to Prioritising People (5 – Respect people’s right to privacy and confidentiality). As such, any breach of confidentiality in an assessment submission will result in an automatic failure at 0.

Assessment:

Fact File

Module Coordinator - PRS_CODE=
Level - 6
Credit Value - 15
Pre-Requisites - NONE
Semester(s) Offered -

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