Accountable Professional Leadership and Managing Complexity in Adult Nursing (Adult and Mental Health)
| Module title | Accountable Professional Leadership and Managing Complexity in Adult Nursing (Adult and Mental Health) |
|---|---|
| Module code | NURM102 |
| Academic year | 2020/1 |
| Credits | 30 |
| Module staff | (Convenor) |
| Duration: Term | 1 | 2 | 3 |
|---|---|---|---|
| Duration: Weeks | 9 | 1 |
| Number students taking module (anticipated) | 60 |
|---|
Module description
This module focuses on the effectiveness of complex care processes, organisation and delivery, leadership, quality improvement and patient safety. It will bringtogether Exeter’s six pillars of nursing to advance your knowledge, skills and behaviours. It is crucial to prepare you for the future of nursing so will emphasise the proactive leadership role of nurses in the interdisciplinary setting. Through the development of clinical decision making skills, critical thinking skills and the promotion of reflective practice you will expand your knowledge and skills and maintain a commitment to embodying excellence in your professional development as a registered nurse.
Module aims - intentions of the module
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You will apply the knowledge from this module to support your transition to professional nursing and Adult Nurse Registration with the NMC.
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The module supports your academic and professional development as a nurse with its various forms of assessment: essays, reflection, business case proposal presentation, MCQs and practical examinations which tap into and develop distinct transferable skills: academic writing; identifying and reviewing relevant literature; e-learning; extracting the most relevant content and expressing it in brief form; working as part of a group and communicating complex data to an audience in an accessible form; becoming a proactive leader of safe quality nursing care and the management of your own learning and development.
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You will demonstrate and embody excellence in nursing knowledge and care in complex situations.
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You will develop as a proactive leader; understanding and applying theory to your practice to ensure patient safety.
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You will develop your knowledge of pharmacodynamics and pharmacokinetics to prepare you for future prescribing practice.
You will fully integrate Exeter’s six pillars of nursing into your academic practice as indicated below:
Fundamental essentials of nursing care:you will consider the legal, ethical and accountability issues involved with prescribing and develop knowledge around pharmacodynamics and pharmacokinetics to prepare you for future prescribing practice. The focus will be, enhancing patient safety and provision of excellent quality care. You will learn to manage, supervise and evaluate the fundamentals of nursing care delivery and enabling effective self-management. F
Patient and public involvement:you will apply the principle of “nothing about us without us” and demonstrate the ability to accurately assess a person’s capacity to make sound decisions about their own care and to give or withhold consent. This pillar becomes increasingly sophisticated and integrated with evidence for practice during this module and includes the impact of policy. PPI
Evidence for practice:as an Exeter nurse you will start to produce evidence for practice, you will consider the contribution of quality improvement models, tools and strategies to enhancing patient safety and the provision of quality care. You will make strong conceptual links with the development, testing, evaluation and implementation of complex nursing and other healthcare interventions, and appreciate the centrality of public involvement in service improvement and health services research. E
No health without mental health:this pillar enables you to consider decision making in challenging situations while providing holistic care by involving and advocating for individuals, families and carers. You will provide and support evidence based low intensity interventions for common mental health conditions. MH
Leadership and management:you will be leading on care management, supervising and delegating care, teaching and providing feedback to others. You will be able to debate the leadership challenges involved in partnership working with service users, carers’ families and agencies with complex multi-faceted needs. Leadership is a critical focus as you develop your professional capabilities and achieve an understanding of the operationalisation of health services, including developing a business case underpinned by an application of financial management processes. You will engage in relationship management to include performance management and resource management. LM
Global health:this pillar will enable you to appraise and apply information about health outcomes when supporting people and families to manage their healthcare needs and make important health choices. You will understand the evidence for behavioural change and public health initiatives whilst enabling people to make their own informed personal decisions. GH
Intended Learning Outcomes (ILOs)
ILO: Module-specific skills
On successfully completing the module you will be able to...
- 1. Critically analyse the leadership challenges involved in interdisciplinary team working; and partnership working with service users, carers, and families with complex multi-faceted needs. L&M; E; PPI
- 2. Supervise and teach and critically evaluate teaching strategies used with students and others to ensure quality fundamental care is achieved by providing constructive feedback. F; L&M
- 3. Critically appraise and apply information about health outcomes when supporting people and families to manage their physical and mental health care needs helping them to make informed health choices. GH; PPI; MH; E
- 4. Apply a critical awareness of your developing knowledge and skill to demonstrate your ability to undertake a holistic assessment, interpreting the findings leading to a care plan which involves physical and mental health assessment and treatment. F; MH
ILO: Discipline-specific skills
On successfully completing the module you will be able to...
- 5. Demonstrate critical understanding and an operational knowledge of the legal, ethical and professional accountability issues in relation to prescribing practice. F
- 6. Critically discuss the pharmacodynamics and pharmacokinetics of drug groups, when and how these may be altered and the impact this would have on prescribing and patient management. F
- 7. Identify, assess and evaluate the contribution of quality improvement models, tools and strategies to enhancing patient safety and the provision of quality care. L&M; E; F
- 8. Interpret policies, principles and processes of performance management and their application to leadership roles in nursing. L&M
- 9. Develop a business case proposal by using and producing research, identifying strategic context, analysis, recommendations of improvement, change management, capacity building and implementation of identified change. L&M; E
ILO: Personal and key skills
On successfully completing the module you will be able to...
- 10. Critically appraise the influence of resilience and emotional intelligence in communication, produce clear accurate and timely records, and confidently contribute to the interdisciplinary team. F
- 11. Demonstrate the ability to undertake numeracy calculations for prescribing practice and collect necessary data for business case. F; L&M
- 12. Demonstrate proficiency at accessing and using digital literacy to inform safe, quality nursing care. F
Syllabus plan
Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:
This module delivery will vary according to your chosen pathway in stage 4. The module consists of a mixture of interactive lectures, workshops, seminars, simulation and online learning.
Indicative content for this module includes:
To support the pillars: patient and public involvement, fundamental essentials of nursing care, no health without mental health, and global health,the Exeter nurse will learn essential evaluative skills and be able to compare and contrast systems of care, quality assurance mechanism including an awareness of human factors. You will learn about clinical judgement and decision making in challenging situations how to provide holistic care by involving and advocating for families and carers in decisions about their physical and mental health. You will also develop your skills in physical examination and assessment.
The theory content for this module reflect the pillars fundamentals of nursing care, evidence for practice and leadership and management. You will consider leadership principles and concepts in relationship management of people with complex, diverse healthcare needs.
Multi-disciplinary team working and collaboration
Quality improvement models, tools and strategies
Change management
Business case development
Managing conflict
Resource management
Coaching, teaching and giving constructive feedback
Alongside leadership and management principles you will develop a basic knowledge of pharmacodynamics and pharmacokinetics and begin to consider prescribing to include legal policy, ethical aspects and professional accountability of prescribing.
These hours contribute to the NMC and EU Directive requirement of 2,300 of learning hours. This module equates to 412 hours, rather than the nominal hours associated with a standard undergraduate 30 credit module.
Learning activities and teaching methods (given in hours of study time)
| Scheduled Learning and Teaching Activities | Guided independent study | Placement / study abroad |
|---|---|---|
| 189 | 223 | 0 |
Details of learning activities and teaching methods
| Category | Hours of study time | Description |
|---|---|---|
| Scheduled learning and teaching activities | 76 | Problem based Learning |
| Scheduled learning and teaching activities | 28 | Lectures |
| Scheduled learning and teaching activities | 16 | Seminars |
| Scheduled learning and teaching activities | 4 | Professional Development tutorials |
| Scheduled learning and teaching activities | 65 | Simulation and skills development |
| Guided independent study | 62 | Preparation for assessments |
| Guided independent study | 100 | Reading and preparation for sessions |
| Guided independent study | 61 | Preparation for ANK, Numeracy (E Learning ) and Pharmacology Examinations |
Formative assessment
| Form of assessment | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|
| Applied Nursing Knowledge Progress Examinations | 1 hour MCQ Term 1 | 4-6, 11 | Feedback in person Results online |
| Objective Structured Clinical Examinations (OSCE) 1 | 2 stations x 20 minutes | 3-5 | Written and verbal feedback on performance |
| Project Proposal plan presentation | 10 minutes | 9 | Verbal feedback & peer feedback |
| Leadership essay plan | 1,000 words | 8 | Online written feedback |
Summative assessment (% of credit)
| Coursework | Written exams | Practical exams |
|---|---|---|
| 80 | 0 | 20 |
Details of summative assessment
| Form of assessment | % of credit | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|---|
| OSCE 2 | 20 | 2 stations x 20 minutes | 3-5,10-11 | Written and verbal feedback on performance |
| Project plan proposal | 35 | 1,800 words, | 7,9,11 | Written and verbal feedback |
| Leadership essay | 45 | 2,500 words, | 1-2, 8, 10, 12 | Written and verbal feedback |
| Pharmacology examination (Pass/Fail) | 0 | 1 hour SAQs, | 5, 6 ,11 | Written and verbal feedback |
| 0 | ||||
| 0 |
Details of re-assessment (where required by referral or deferral)
| Original form of assessment | Form of re-assessment | ILOs re-assessed | Timescale for re-assessment |
|---|---|---|---|
| OSCE 2 (20%) | OSCE 2 (2 stations x20 minutes) | 3-5,10-11 | 4 weeks after results |
| Project plan proposal (35%) | Project plan proposal (1,800 words) | 7,9,11 | 4 weeks after results |
| Leadership essay (45%) | Leadership essay (2,400 words) | 1-2,8,10,12 | 4 weeks after results |
| Pharmacology Exam (Pass/Fail)(0%) | Pharmacology Exam (1 hour SAQs) | 5-6,11 | 4 weeks after results |
Re-assessment notes
Students must pass all items of assessment and demonstrate professionalism and Fitness to Practice to progress to be recommended for professional registration with the NMC as an Adult Nurse.
Indicative learning resources - Basic reading
Alligood, M.A. (2018) Nursing Theorists And Their Work, Elsevier.
Ashelford, S., Raynsford, J., and Taylor, V. (2016) Pathophysiology & Pharmacology for Nursing Students, Sage.
Bickley, L.S (2017) Bate’s Guide to Physical Examination and History Taking. Wolters Kluwer.
Bickley, L.S (2017) Bate’s Pocket Guide to Physical Examination and History Taking. Wolters Kluwer.
Blank, R.H., Burau, V., & Kuhlmann, E. (2017) Comparative Health Policy (5th ed.) Macmillan International.
Bradshaw, T., and Mairs, H. (eds.) (2017) Health Promotion and Wellbeing in people with Mental Health problems, Sage publications.
Brooker, C., & Nicol, M. (2015) Alexander’s Nursing Practice 4th ed. Churchill Livingstone.
Delves-Yates, C. (ed.) (2015) Essentials of Nursing Practice, Sage.
Edelman, C.L., & Kudzman, E.C. (2018) Health Promotion Across the Life span, Elsevier.
Giger, J.N. (2017) Transcultural Nursing; Assessment and Intervention (7th ed.), Elsevier.
Gould, D., & Brooker, C. (2008) Infection Prevention and Control; Applied Microbiology for Healthcare (2nd ed) Palgrave Macmillan.
Griffith, R., & Tengath, C. (2017) Law and Professional Issues in Nursing: Transforming Nursing Practice, Sage.
Hubert, R.J., and Van Meter, K.C. (2018) Gould’s Pathophysiology for the Health Professions, Elsevier.
Innes, J.A., Dover. A.R., & Fairhurst, K. (eds.) (2018) Macleod’s Clinical Examination (14th ed.), Elsevier.
Jasper, M., Rosser. M., Mooney, G. (2013) (eds.) Professional Development, Reflection and Decision Making in Nursing and Health Care. Wiley Blackwell.
Kim, M., & Mallory, C. (2017) Statistics for Evidenced Based Practice in Nursing (2nd ed.) Jones and Bartlett.
Naidoo, J., and Wills, J. (2016) Foundations for Health Promotion, Elsevier.
Polit, D.F., and Back, C.H. (2017) Essential of Nursing Research: Appraising Evidence for Nursing Practice. Wolters Kluwer.
Papadopoulos, I. (ed.) (2006) Transcultural Health and Social Care; Development of Culturally Competent Practitioners, Butterworth Heinemann.
Richards, D.A., and Hallberg, I.R. (eds.) (2015) Complex Interventions in Health. Routledge.
Schon, D.A. (2006) the Reflective Practitioner: How Professionals Think in Action. Ashgate.
Schmidt, N.A., & Brown, J.M. (2017) Evidenced based Practice for Nurses: Appraisal and Application of research, (4th ed.), Jones and Bartlett.
Sethia, B., and Kumar, P. (eds.) (2019) Essentials of Global Health, Elsevier.
Stanley, D. (ed.) (2017) Clinical Leadership in nursing and Healthcare: Values into Action, (2nd ed.) John Wiley& Sons, available at https://onlinelibrary.wiley.com/doi/book/10.1002/9781119253785
Stein-Parbury, J. (2018) Patient & Person: Interpersonal Skills in Nursing, Elsevier.
Tashiro, J., Shimpuku, Y., Naruse, K., et. al., (2013) Concept analysis of reflection in nursing professional development. Japan Journal of Nursing Science 10(2):170-179 available at: https://www.evidence.nhs.uk/Search?q=nursing+reflection&sp=on
Tortora, G.J., Derrickson, B (2017) Principles of Anatomy and Physiology. Wiley.
Waller, D.G., Sampson, A.P. et., al. (2014) Medical Pharmacology & Therapeutics, Saunders, Elsevier.
Watson, C. (2018) The Language of Kindness: A Nurse’s Story. Chatto & Windus.
Waugh, A. Grant, A. (2018) Ross & Wilson, Anatomy and Physiology in Health and Illness, Elsevier.
West, M.A., Armit, K., Loewenthal, L., Eckert, R., West, T., and Lee, A. (2015) Leadership and Leadership development in healthcare: The Evidence base. The King’s fund/CCL. Available at
https://www.kingsfund.org.uk/publications/leadership-and-leadership-development-health-care
Wright, K.M., and McKeown, M. (2018) Essentials of Mental Health Nursing, Sage Publications
.
Indicative learning resources - Web based and electronic resources
Department of Health: www.gov.uk/government/organisations/department-of-health-and-social-care
Nursing and Midwifery Council: www.nmc.org.uk
NHS Improvement: https://improvement.nhs.uk/improvement-hub/quality-improvement/
NHS Leadership Academy: https://www.leadershipacademy.nhs.uk
Royal College of Nursing: www.rcn.org.uk
National Institute of Health and Clinical Excellence: www.nice.org.uk
World Health Organisation: www.who.int
Healthtalk online: www.healthtalk.org
WeNurses (@WeNurses) - Twitter: https://twitter.com/WeNurses
The King's Fund: https://www.kingsfund.org.uk/
https://www.elsevierclinicalskills.co.uk/
https://www.safemedicate.com
Indicative learning resources - Other resources
American Journal of Nursing
British Journal of Community Nursing
British Journal of Nursing
Evidence-based Nursing
International Journal of Nursing Studies
Journal of Advanced Nursing
Journal of Clinical Nursing
Journal of Psychiatric and Mental Health Nursing
Worldviews on Evidence Based Nursing
| Credit value | 30 |
|---|---|
| Module ECTS | 15 |
| Module pre-requisites | NUR1000, NUR1100, NUR2000, NUR2100, NUR3000, NUR3150, NUR3300, NUR3400, NUR3500, |
| Module co-requisites | None |
| NQF level (module) | 7 |
| Available as distance learning? | No |
| Origin date | 18/07/2018 |
| Last revision date | 12/12/2018 |
