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2022/2023

Practicum V

Code: 106124 ECTS Credits: 12
Degree Type Year Semester
2500891 Nursing OB 3 2

Contact

Name:
Miguel Jimenez Pera
Email:
miguel.jimenez@uab.cat

Use of Languages

Principal working language:
catalan (cat)
Some groups entirely in English:
No
Some groups entirely in Catalan:
No
Some groups entirely in Spanish:
No

Teachers

Sofia Perez Hortiguela
Sílvia Martinez Coso
Silvia Cordoba Morante
Marta Casaponsa Buira
Mireia Solé Fernàndez
Agustí Duran Parra

Prerequisites

In order to enrol in Practicum V, students must have:

•          Attended the occupational risks session and test.

•          Attended the planned visits for the assessment and update of the vaccination card and the tuberculosis test through the Vall d’Hebron Preventive Medicine and Epidemiology areas before starting the first subject of the syllabus.

•          Own the Student ID.

Coherently it is HIGHLY RECOMMENDED for every Student to have passed every subject from Practicums I, II,III, IV and V.

Important: It is not possible to participate in two practicums simultaneously.

Students will be committed to preserving confidentiality and professional secrecy regarding the data they may get access to when learning about nursing services. They also commit to having an ethical al professional attitude in every single action. In that sense, whoever enrols in this subject also commits to apply the “Nursing Practicum regulations” and the “Behaviour recommendations for the Faculty of Medicine Students”. These documents are available through the Faculty of Medicine website.

•          The addresses of the hospitals and Medical centres where the students go through their clinical practicum will send us their instructions in order to arrange the signature of a confidentiality agreement and, if necessary, and ID.

•          Students will follow the regulations available at the Online Campus.

•          Not following the regulations will mean the termination of the practicum and therefore its failing.

It is mandatory to own a Certificate of Sexual Crimes before initiating the practicum. You will find information on howto obtain it on the following link: https://web.gencat.cat/ca/tramits/que-cal-fer-si/vull-obtenir-el-certificat-de-delictes-de-naturalesa-sexual. Some practicum centres will not authorize the start of the practicum if the certificate is not submitted on time. Carrying out this task is the student’s responsibility.

Objectives and Contextualisation

GENERAL OBJECTIVE

•          Practicum V will allow the Student to integrate and apply the contents acquired in different subjects, incorporating new knowledge, skills and attitudes through the real contact with the nursing profession.

SPECIFIC OBJECTIVES

•          Go in depth in the cares initiated in Practicum III, those that are part of the day-to-day life of a nurse and initiate yourselves in those complex cares that are carried out through nursing services.

•          Incorporate the nursing process of attention as scientific methodology.

•          Develop the dimensions of the collaborative and autonomous roles.

•          Offer nursing care adapted to Medical needs, guaranteeing quality nursing care, directed to the patient and the family with an integral vision that contemplated the biological, psychological and social need of the patients.

•          Develop Communications skills with the patient, its family and the working team. 

Competences

  • "Demonstrate an understanding of people without prejudice: consider physical, psychological and social aspects, as independent individuals; ensure that their opinions, values and beliefs are respected and guarantee their right to privacy, through trust and professional secrecy."
  • Apply the main foundations and theoretical and methodological principles of nursing.
  • Base nursing interventions on scientific evidence and the available media.
  • Carry out basic curative actions based on holistic health care, involving multiprofessional cooperation, the integration of processes and continuity of health care.
  • Demonstrate knowledge of health information systems.
  • Demonstrate knowledge of strategies to adopt measures of comfort and care of symptoms, the patient and family run, in the application of palliative care that will contribute to alleviate the situation of advanced and terminal patients.
  • Demonstrate knowledge of the ethical and deontological code of Spanish nursing and what is understood by ethical health implications in a changing world context.
  • Demonstrate knowledge of the principles of health financing and social health and proper use of available resources.
  • Design systems for curing aimed at people, families or groups and evaluate their impact, making any necessary changes.
  • Develop critical thinking and reasoning and communicate ideas effectively, both in the mother tongue and in other languages.
  • Develop independent learning strategies.
  • Establish efficient communication with patients, family members, social groups and friends, and promote education for health.
  • Generate innovative and competitive proposals for research and professional activities.
  • Offer solutions to health and illness problems to patients, families and the community applying the therapeutic relation by following the scientific method of the nursing process.
  • Offer technical and professional health care and that this adequate for the health needs of the person being attended, in accordance with the current state of scientific knowledge at any time and levels of quality and safety established under the applicable legal and deontological rules.
  • Plan and carry out nursing care aimed at people, families and groups orientated to health results and evaluate the impact of them using clinical and care practice guides describing the processes for the diagnosis, treatment or cure of a health problem.
  • Promote and respect the right to participation, information, autonomy and informed consent in decision-making by the patient, in accordance with the way they are experiencing the health-illness process.
  • Promote healthy life styles, self-treatment, giving support to the maintenance of preventative and therapeutic conducts.
  • Protect the health and welfare of people or groups attended guaranteeing their safety.
  • Students must be capable of applying their knowledge to their work or vocation in a professional way and they should have building arguments and problem resolution skills within their area of study.
  • Students must be capable of collecting and interpreting relevant data (usually within their area of study) in order to make statements that reflect social, scientific or ethical relevant issues.
  • Students must be capable of communicating information, ideas, problems and solutions to both specialised and non-specialised audiences.
  • Students must develop the necessary learning skills to undertake further training with a high degree of autonomy.
  • Use scientific methodology in interventions.
  • Work with a team of professionals as a basic unit to structure the professionals and the other care organisation workers in a unidisciplinary or multidisciplinary way.

Learning Outcomes

  1. Acquire and use the necessary instruments for developing a critical and reflective attitude.
  2. Adapt the language of communication to the needs of each interlocutor.
  3. Adapt to new situations and contexts maintaining a constructive attitude.
  4. Analyse differences by sex and gender inequality in ethiology, anatomy, physiology. Pathologies, differential diagnosis, therapeutic options, pharmacological response, prognosis and nursing care.
  5. Analyse nursing interventions justifying them with scientific evidence and/or expert opinions that support them.
  6. Apply knowledge of physiopathology and factors affecting health in nursing care.
  7. Apply scientific evidence in the planning and practice of nursing care.
  8. Apply the ethical and deontological code of nursing in all areas of nursing activity.
  9. Assess and treat receivers of care in a tolerant holistic manner without making value judgements.
  10. Carry out a specific clinical history, physical examination, psychological examination and nursing diagnosis for men and women, including emotional-sexual diversity and diversity in identity and gender expression.
  11. Carry out nursing care in an integrated manner within an interdisciplinary team.
  12. Communicate using non-sexist and non-discriminatory language.
  13. Compare the characteristics of the principal information systems.
  14. Demonstrate being able to carry out basic life support manoeuvres.
  15. Demonstrate skill in performing nursing procedures and techniques.
  16. Describe the principles for administering drugs and other therapies safely.
  17. Design care aimed at patients in situations of advanced illness and end of life which includes the appropriate strategies to improve their comfort and alleviate the situation, taking into account the values and preferences of care receivers and their families.
  18. Design education strategies for the health of people, families and groups.
  19. Display a cooperative attitude towards the different members of the team.
  20. Establish an empathetic and respectful relationship with the individual and their family, in accordance with their situation, their health problems and the stage of their development.
  21. Evaluate risks and protect the health of people ensuring their safety.
  22. Evaluate the state of health of the individual, family and/or community, identifying problems and internal and external factors affecting their health.
  23. Form part of multi and interdisciplinary texts and share common objectives.
  24. Identify and explain practical clinical and care guides related to attending to health demands of people during their entire life cycle and the changes that may occur, and to offer the necessary care at each stage.
  25. Identify elements that can endanger the health of persons in relation to the use and management of drugs.
  26. Identify the different groups of drugs and health products, the principles of their authorisation, use and symptoms, and the mechanisms of their use.
  27. Identify the guides for clinical practice specific to each stage of the life cycle.
  28. Identify the nutritional needs of healthy people and/or those with health problems.
  29. Identify the psychosocial components of individuals as well as the values and beliefs that identify them as autonomous and independent people.
  30. Identify the social, economic and environmental implications of academic and professional activities within the area of your own knowledge.
  31. Identify the theoretical bases and phases of a therapeutic relationship.
  32. Include psychosocial aspects in the health plan ensuring respect for opinions, preferences, beliefs and values.
  33. Make adequate use of the available resources.
  34. Periodically evaluate health situations and the nursing interventions that take place.
  35. Plan nursing cures aimed at people, families or groups.
  36. Prioritise means of prevention for health during interventions at health centres. 
  37. Recognise situations of risk to life.
  38. Resolve nursing problems and collaboration problems using clinical histories, applying nursing methodology and current standardised languages.
  39. Respect the principles of the right to privacy, confidentiality and professional secrecy in all care given.
  40. Respect the right to participation in the decision making process by people for their own care, in accordance with the way in which they are experiencing the health process.
  41. Select the basic aspects related to a healthy life, self-care and preventative and therapeutic actions in relation to health needs, directing the actions to the person as well as the families or responsible carers.
  42. Students must be capable of applying their knowledge to their work or vocation in a professional way and they should have building arguments and problem resolution skills within their area of study.
  43. Students must be capable of collecting and interpreting relevant data (usually within their area of study) in order to make statements that reflect social, scientific or ethical relevant issues.
  44. Students must be capable of communicating information, ideas, problems and solutions to both specialised and non-specialised audiences.
  45. Students must develop the necessary learning skills to undertake further training with a high degree of autonomy.
  46. Use methods of protection and safety to ensure wellbeing and minimise risk associated with health care.
  47. Use scientific evidence in care practice.
  48. Use strategies and skills that allow for effective communication with the care receivers, their families, social groups and partners as well as the expression of their concerns and interests.
  49. Use the process of nursing care as a scientific methodology in interventions and problem solving.
  50. Work in collaboration and in a responsible manner to achieve previously defined objectives to ensure the continuity of care.

Content

The contents of this practicum are formed by a combination of the different subjects taught through the first and second year. During the practicum students will have to select the necessary contents in order to identify needs and solve problems of the patients that are cared for during the practicum under the watch of a nurse. Here are some of those contents highlighted:

•          The Virginia Henderson model applied to attention of adults and the elderly.

•          The methodological basis to plan and offer nursing care.

•          Applying the teaching-learning process when nursing care is offered to people from different cultures.

•          Nursing attention plan.

•          Deontological code, rights and obligations of the user in the context of nursing care.

•          On-going improvement in the quality of nursing care.

•          Guides of clinical practices and protocol.

•          Healthy eating and therapeutic diets on patients.

•          Factors that influence the learning process in patients, educational needs, learning objectives, educational strategies and expected results.

•          Nursing care oriented to Health promotion and prevention.

•          Therapeutic communication.

•          Conflict management.

•          Risk management regulations for the patient’s safety.

•          The Catalan Medical System.

Methodology

Clinical practicum (PEXT):

The clinical practicum gives the students an opportunity to develop knowledge, skills, attitudes and valued in a professional environment that is real and complex, always under the supervision of a teaching nurse.

They last approximately 7 weeks in a hospital service depending on their training needs and during which each Student will have a nurse of that unit assigned to watch and guide their learning process continually and individually.

You can access the shifts and timetables on the calendar published on the website. The timetables can be modified according to the unit needs.

Reflective Journal

It is a collection of those situations lived throughout the practicum that awakened emotions, wither positive or negative, and had an impact on the learning process. It must be submitted biweekly via Moodle.

Annotation: Within the schedule set by the centre or degree programme, 15 minutes of one class will be reserved for students to evaluate their lecturers and their courses or modules through questionnaires.

Activities

Title Hours ECTS Learning Outcomes
Type: Supervised      
EXTERNAL PRACTICES (PEXT) 291 11.64 3, 1, 4, 5, 8, 6, 7, 34, 13, 12, 2, 15, 14, 19, 16, 17, 18, 20, 11, 10, 26, 25, 27, 24, 29, 30, 28, 32, 23, 35, 36, 45, 44, 42, 43, 37, 38, 40, 39, 41, 50, 33, 49, 48, 47, 31, 46, 21, 9, 22
Type: Autonomous      
Preparation of written works / Reding of articles 9 0.36 1, 13, 27, 29, 47

Assessment

Assessment criteria

The final qualification of the subject is formed by the sum of the clinical practices mark, the one obtained on the seminar and the one obtained on the reflective journal with the following weighing:

  • 70% formed by the clinical practices mark.
  • 30% formed by the reflective journal mark.

 In order to pass the subject every area must be completed with a minimum mark of 5.

Attendance control:

Attendance sheet: Through the daily signing of this document, the nurse responsible for each Student will confirm the schedule of each day. This document will serve as proof of the number of practice hours.

The only person responsible for the document will be the student. It will have to be updated at all times, and the student will be responsible for its information being truthful. The document will be submitted to the nursing associate teacher at the end of the practicum and uploaded to the Moodle.

This document may be asked at any given time by those responsible for the subject.

It is mandatory to go through the whole practicum period programmed on the teaching calendar, no matter the schedule of the practicum.

 Any interruption of assistance to the service is considered an absence. Those may be:

  • a)         Justified absences in the following situations:
    • Family death.
    • Specialized medical visit.
    • Acute illness.
    • Driving test.
    • Official university test.
    • Official language test.
    • Proof of those events will be required, and the teacher will write about them on the follow-up sheet.
  •  b)         Non-justified absences:
    • Those that are not on the previous list and are not authorized by the subject coordination. The student will write about them on the follow-up sheet and will make up for those hours in however way the teacher finds convenient. At the end of the practicum 1 point will be subtracted from the final mark for every day of absence.
  • c)         Strikes, demonstrations:
    • Taking into account the student’s rights, those students who want to take part in a strike will need to inform their teacher and the nursing service previously, as well as writing about it on the follow-up sheet. That day will be considered non retrievable.
  • d) Non-justified and non-notified absence:
    • It might entail failing the subject.
  • e) Lateness:
    • Being late more than 5 times during the practicum might entail failing the subject.

Absences must be communicated to the associate teacher as early on as possible and the practicum department so that the learning process stays unaffected and new days can be chosen the make up for the lost hours. Assignment teachers cannot guarantee the recovery of practical hours outside the time set in the academic calendar.

 

Clinical practicum:

 On-going assessment: Approximately trough half of the period, the associate nurse teacher, along with the nurse, will summarize the information obtained up to that point and will discuss it with each student. The fulfilment of the objectives, strengths and weaknesses and recommendations will be addressed in this assessment. The student will self-assess and discuss it with the teacher as well.

Final assessment: When the clinical practicum period is finished, the nurse will submit a final report regarding the competences acquired by the students. The student will self-assess and discuss it with the teacher as well.

*Attendance is mandatory in every shift that is programmed. Those absences that are not justified will be madeup for during the period programmed for the clinical practicum when authorized by the teacher responsible. Assignment teachers cannot guarantee the recovery of practical hours outside the time set in the academic calendar.

  

Reflective journals  (QR):

 Participation and reflections derived from the writing of the reflective journal will be assessed in the context of the clinical practicum. Plurality of ideas, people and situations will be considered, as well as the ability to identify strategies to improve while learning.

Submitting the reflective journal biweekly are mandatory. Non-compliance will reflect poorly on the assessment.

 

Obtaining of the final qualification:

According to the assessment regulations, the qualifications will be the following:

  • Fail: <5
  • Pass: de 5 a 6,9
  • Remarkable: de 7 a 8,9
  • Excellent: >9
  • Honours: >9

 According to the regulations of all degrees and masters of the Autonomous University of Barcelona, it will be considered “non-assessable” whoever can not submit enough evidence of assessment.

 *It will be considered criteria for “non-assessment”:

  • Not achieving the number of hours established on this guide.
  • Not submitting the projects within the timings established by teachers.

 

NOTE:

Any sign of academic dishonesty, such as plagiarism of document manipulation, as well as any discriminatory, violent or disrespectful attitudes towards patients, teachers or co-workers will be elevated to the practicum commission, which will analyse the situation and act accordingly.

An assessment commission can be created at any given time in order to assess special situations that do not find an answer in this guide or in those documents published on the practicum website

Assessment Activities

Title Weighting Hours ECTS Learning Outcomes
Evaluation during the practices at the center healhtcare 70% 0 0 3, 1, 4, 5, 8, 6, 7, 34, 13, 12, 2, 15, 14, 19, 16, 17, 18, 20, 11, 10, 26, 25, 27, 24, 29, 30, 28, 32, 23, 35, 36, 45, 44, 42, 43, 37, 38, 40, 39, 41, 50, 33, 49, 48, 47, 31, 46, 21, 9, 22
Narrative records 30% 0 0 1, 5, 13, 27, 29, 47

Bibliography

Alfaro-Lefevre, R. (2003). El proceso enfermero. 5ª ed. Barcelona: Masson.

Berman, A., Erb, G., Kozier, B., & Snyder, S. (2008). Fundamentos de enfermería: conceptos, proceso y práctica. Madrid: Pearson educación.

Betolaza, E., Alonso, I. (2002). El diario reflexivo y el aprendizaje tutorizado. Metas de Enfermería 45, 14-18.

Colina, J., Medina J.L. Construir el conocimiento de Enfermería mediante la práctica reflexiva. (1997). Rol de Enfermería, 232, 23-30.

ICS (2020). 3clics: Atenció primària basada en l'evidència. [Internet]. 2008 [citat 11 juliol 2020];12. Disponible a:https://www.ics.gencat.cat/3clics

ICS. (2010). Manual de procediments d’infermeria. [Internet]. 2008 [citat 11 juliol 2020];12. Disponible a:https://elenfermerodelpendiente.files.wordpress.com/2015/09/manual_infermeria_2010.pdf

Luis, M.T. (2013). Los diagnósticos enfermeros. Revisión crítica y guía práctica .9ª ed. Barcelona: Elsevier Masson

Luis, M.T. (2015). Enfermería Clínica. Cuidados enfermeros a las personas con transtornos de Salud. Barcelona: Wolters Klumer,

Luis, M.T., Fernández. C., Navarro. M.V. (2005). De la teoría a la práctica. El pensamiento de Virginia Henderson en el siglo XXI. 3ª ed. Barcelona: Masson

Medina, J.L. (2001). Guía para la elaboración del diario reflexivo. Barcelona: Universidad de Barcelona.

Nanda Internacional. (2015). Diagnósticos enfermeros. Definiciones y clasifiación 2015-2017. Madrid: Elsevier

Pérez, P. E., Sánchez, J. M. R., Formatger, D. G., & Fernández, M. G.  (2016). Investigación en metodología y lenguajes enfermeros. Elsevier España.

Schön, A.D. (1989) La formación de profesionales reflexivos. Barcelona. Paidos.

Schon, D. (1992). La formación de profesionales reflexivos. Hacia un nuevo diseño de la formación y el aprendizaje en las profesiones. Madrid: Piados MEC.

Tellez, S., García, M. (2012). Modelos de cuidados en enfermería NANDA, NIC y NOC. México DF: McGraw-Hill Interamericana

Software

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