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On successful completion of the module, students will be able to:
1. Critically analyse the pathophysiological changes of an individual who presents with an acute condition including physical, mental, cognitive, and behavioural responses.
2. Critically reflect on personal leadership and management styles and evaluate underpinning models, theories, and styles in enabling positive cultures and relationships in delivering high quality interprofessional person centred care.
3. Critically analyse the legal and ethical obligations of the nurse as a leader and coordinator of care in the context of local and national policy drivers.
4. Make sound professional judgements in utilising strategies to lead, co-ordinate intervene, delegate, and manage care delivery of the patient with acute mental ill health following evidence-based practice.
5. Apply systematic knowledge and application of medicines management, optimisation and pharmacology in preparation for prescriber ready status.
6. Demonstrate safe and effective clinical judgement and leadership when performing a range of nursing proficiencies from Annex A and B.
7. Demonstrate competency in mandatory training requirements for clinical practice.
This module will enable you to develop the leadership skills required to become a role model for best practice in coordinating and delivering effective and safe mental health nursing care and the advanced practice skills to provide initial management of a person that becomes acutely ill.
At Level 6 this module is divided into seven subject themes:
Theme 1 – Anatomy, Physiology and Pathophysiology
You will further develop your understanding of anatomy and physiology in relation to the acquired immune system and lymphatic systems including immediate and delayed hypersensitivity reactions in response to an antigen or allergen. You will understand genetics, genomics and genetic testing and their role in haematology, oncology, and endocrine disorders. You will explore principles of pathogenesis and immunology, understanding issues surrounding sexual health. Drawing on your previous knowledge of organ systems you will apply physiology to the recognition and nursing assessment of deterioration of mental and physical health such as self-harm, suicide, psychosis, sepsis, peri-arrest and respiratory and cardiac arrest.
Theme 2 - Values, Responsibility and Interprofessional Working:
You will reflect on your own leadership style and consider values, roles and responsibilities, accountability, character strengths, personal care and wellbeing, emotional intelligence, and resilience, in understanding the demands of professional nursing practice and recognising signs of vulnerability in yourself or colleagues and the action required to minimise risks to health. You will also understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and wellbeing required to meet people’s needs for mental and physical care. Organisational dynamics, culture and relationships, human factors, communication skills and team working will be explored and applied to enable effective collaboration when leading and coordinating interprofessional and integrated care delivery.
Theme 3 - Policy, Legislation and Ethics:
You will analyse the political landscape of policy and legislation for clinical governance relating to patient safety and continuous monitoring and improvement through quality assurance of healthcare services including The NHS Patient Safety Strategy (2019), the role of the CQC and Key Lines of Enquiry, public and patient involvement via independent organisations such as HealthWatch, whistleblowing, raising concerns and Freedom to Speak up Guardians to enhance health outcomes. You will examine the impact and outcomes of public and independent inquires such as Ockenden, the Francis Report and Winterbourne View Report and the role of interprofessional teams in serious case reviews and safeguarding adult reviews. The Care Act (2014), The Health and Care Act (2022) The NHS Long-term Plan (2019) and the Diversity and Inclusion strategy (2018) along with specific policies and legislation for mental health and learning disabilities will be analysed in relation to the organisation and delivery of health and care services in England. You will explore this through the lens of ethical and moral consideration in health care resource allocation since social justice is concerned with equity in distributing goods to people.
Theme 4 – Pharmacology, medicines management and optimisation:
You will develop your knowledge and expertise in maintaining accurate records of medication administered and omitted and ensuring others to the same using information technology as a leader and as part of an MDT in a variety of care settings. You will analyse the advantages and disadvantages of working in partnership with patients and carers in relation to self-administration and management of medicines including how prescriptions can be generated, the role of generic, unlicensed, and off label prescribing and an understanding of the potential risks associated with these approaches to prescribing. You will explore the reasons why people chose and choose not to take medication and develop an understanding of the impact of cultural and genetic factors on pharmacological interventions. You will apply knowledge of the contribution of pharmacology, diagnostics and therapeutics within the management of the acutely unwell person. Understand how to administer and monitor medications using vascular access devices and enteral equipment. Finally, you will develop the knowledge and skills required for prescriber ready status including an understanding of local and national frameworks pertaining to medical and non-medical prescribing and how safe prescribing decisions can be made in collaboration with the patient and members of the MDT.
Theme 5 - Numeracy, Literacy, Information and Digital Technology:
You will continue to enhance your numeracy, literacy, information and digital technology skills. To support your literacy skills, you will attend sessions on critical writing expectations, surviving and thriving and managing a Level 6 workload. You will have access to safeMedicate an online platform where you can practice prescribing calculation and healthcare numeracy skills during directed study time. You will explore the use of digital technology within multi-disciplinary teams and how digital technology can support your role as a leader and coordinator of care to access, input, share and apply information and data within teams and between agencies. You will explore the hierarchy of health information and efficiently search library databases and key resources to find quality research and assess the evidence base.
Theme 6 - Clinical Skills and Mandatory Training:
Clinical skills practical session will support linking theory to practice in relation to Theme 1 and Theme 4. Specific Annex B skills will enable you to undertake venepuncture and cannulation, interpreting normal and common abnormal blood profiles and venous blood gases. Set up and manage routine electrocardiogram (ECG) investigations and interpret normal and commonly encountered abnormal traces. Manage and monitor blood component transfusions. Assess needs for and provide appropriate oral, dental, eye and nail care and decide when an onward referral is needed. Record fluid intake and output and identify, respond to and manage dehydration or fluid retention. Manage the administration of IV fluids, manage fluid and nutritional infusion pumps and devices. Insert, manage and remove catheters for all genders and manage bladder drainage; and assist with self-catheterisation when required. Assess bladder and bowel patterns to identify and respond to constipation, diarrhoea and urinary and faecal retention. Administer enemas and suppositories and undertake rectal examination and manual evacuation when appropriate. Undertake stoma care identifying and using appropriate products and approaches. Use appropriate nasal and oral suctioning techniques, manage inhalation, humidifier and nebuliser devices, manage airway and respiratory processes and equipment. Observe, assess and respond rapidly to potential infection risks using best practice guidelines. Identify, assess and respond appropriately to uncontrolled symptoms and signs of distress including pain, nausea, thirst, constipation, restlessness, agitation, anxiety and depression and manage and monitor effectiveness of symptom relief medication, infusion pumps and other devices. Safely assess and manage invasive medical devices and lines. Assess and review preferences and care priorities of the dying person and their family and carers and provide care for the deceased person and the bereaved, respecting cultural requirements and protocols. You will also complete the required mandatory training as it is mandated by law (see module handbook for full schedule of mandatory training at Level 6) and complete e-learning packages and practical sessions to refresh skills for moving and handling, basic life support and breakaway techniques, these must be completed prior to commencing placement.
Theme 7 – Leading and co-ordinating person-centred care
You will first reflect upon your skills as a leader through consideration of an effective leader you have encountered in practice. You will then explore leadership models and theories along with concepts and principles of organisational change, and the impacts of culture and dynamics and apply these to your chosen field of practice, recognising the political landscape and your own role as a political agent of change. You will understand your role as a leader and coordinator of care relating to safe staffing levels and skill mix to enable appropriate prioritisation, delegation and assignment of care responsibilities to others involved in providing care. You will consider key issues relating to performance management and supervision to monitor and evaluate the quality of care delivered by others in a team and the communication skills required to challenge and provide constructive feedback for improvement. You will be able to recognise risk, near misses, critical incidents, major incidents, severe adverse effects and how to take appropriate action in raising and escalating concerns. Finally, you will develop your knowledge and skills of leadership and coordination to deliver safe, evidence-based nursing care for a person who becomes acutely mentally unwell, including support for their carers or families.
Themes 1 – 6 Key lectures will be delivered to all fields together and seminars will be a combination of mixed field groups and some field specific groups where content and discussion has a specialised focus for a particular field of nursing expertise, allowing you to benefit from both others individual experiences and perspectives and that of your core field specific group. Technical skills will be integrated across all fields enabling you to demonstrate proficiencies that may not be common in your chosen field of nursing practice. Theme 7 will be taught in field specific groups allowing you to develop the skills required to lead and coordinate care delivery as part of a multi-professional team for people with mental health needs, and who may become acutely ill. 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 FNS (NMC, 2018) and mandatory training skills 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, Clinicalskills.net and the NHS Learning HUB 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.
Lectures
Hours: 42
Intended Group Size: Full cohort
Seminars
Hours: 42
Intended Group Size: 25
Practical
Hours: 35
Intended Group Size: 25
Directed Study
Hours: 21
Intended Group Size: Individual
Guided independent study
Hours: 260
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. One draft opportunity will be offered for the case study and care pathway with feedback provided at least one week prior to summative submission. Formative assessment of body weight and body surface area and injectable medicines and health numeracy skills will be facilitated via safeMedicate practice tests. Clinical skills proficiency will be formatively assessed via completion of self-assessment tasks using Clinicalskills.net. Formative assessment for the seen exam will be provided via weekly post session online quizzes on Moodle. Mock OSCE opportunity will also be provided.
(1). Online unseen Exam: You will undertake a 1-hour online unseen exam to test your knowledge of anatomy, physiology and pathology concepts covered in Theme 1 of the module.
(2). OSCE: You will undertake stations to objectively assess aspects of nursing proficiencies and medications management covered in Theme 4 and Theme 6 of the module.
(3). Essay: You will write a 2500-word essay that critically evaluates leadership theories, skills and practices and reflect upon how you would apply these as a leader and coordinator of care for a person with acute mental ill health, considering your role and responsibilities for team effectiveness, interprofessional practice, service improvement, patient safety and quality assurance.
(4). Mandatory Training: You must pass the refresher practical sessions for moving & handling, basic life support and breakaway training and submit your certificates of achievement for the specified online NHS Learning HUB e-learning packages to Turnitin. All elements of this assessment must be passed prior to going on Practice 5. Please note you will have 1 hours per week direct study timetabled into the week to complete the required e-learning packages for this statutory element.
The assessments will allow you to demonstrate your knowledge and skills in leading and coordination safe, effective and compassionate nursing in your chosen field of practice.
Note that compensation is not permitted. Each assessment component must be passed at a minimum of 40% (NMC regulations), unless otherwise stipulated.
Module Coordinator - PRS_CODE=
Level - 6
Credit Value - 30
Pre-Requisites - NONE
Semester(s) Offered -