Field /
Comments/notes
Title
/ Clinical decision making (CSP and SCPHN version)Code / NA 399A
Level / 6
Credit rating / 20
Pre-requisites / Normally course pre-requisites apply. 120 credits at level 4 and 120 credits at level 5 and normally in clinical practice
Currently work in relevant practice for a minimum of 15 hours per week
Have management support and approval to undertake the module and access to a Practice Teacher.
Type of module / Extensive over one semester
Aims / To enable students to reflect and analyse the clinical decisions that are made in their daily practice.
Learning outcomes/objectives / On successful completion of the module the student will be able to:
1. Identify, critically analyse and reflect on the following elements of clinical decision making
· Underpinning epistemology of practice
· Accountability
· Ethical perspectives
· Models of Clinical decision making
· Relationship between theory and practice
2. Analyse their professional role within health care delivery and consider the implications of future role developments.
3. Analyse clinical contexts within which their Clinical decisions are made both from an inter- and intra-professional prospective.
On successful completion of the module, the student will meet the following Specialist Practice Standards as approved by the Nursing and Midwifery Council:
11.11; 11.15 -11.17
Content / Includes:
· The process and models of reflection
· Analytical thinking
· Nature of professional knowledge
· Cognitive, intuitive and experiential theories of decision making.
· Relationship between theory and practice
· Research into clinical decisions.
· Ethical aspects of clinical decisions
· Use of evidence in clinical decision making
Students will be required to present clinical dilemmas for discussion within the group. Cases constructed by students that contain salient data for clinical decision making will be explored. Cases will be analysed from both the professional and client perspective. The similarities and differences noted will be discussed and evaluated.
Teaching and learning strategies / Blended teaching and learning strategy involving key note lectures, experiential learning and use of studentcentral. Active student involvement is integral to the discursive nature of this module.
Module hours – 200
60 taught hours
70 independent study
70 assessment related study
Learning support / Indicative Reading:
Benner, P. and C. Tanner, C. 1985. Clinical Judgement: how expert nurses use intuition in American Journal of Nursing ,87, (1),23-31.
Boud, D., R. Keogh, and D. Walker, (eds) 1985. Reflection: Turning experience into learning. London : Kogan Page.
Higgs J and M Jones eds. 2000.Clinical Reasoning in the Health Professions. 2nd edition. Oxford: Butterworth-Heineman
Johns, C.& D. Freshwater. 1998. Transforming Nursing through Reflective Practice, Oxford: Blackwell Science.
Moon, J.A. 1999. Reflection in Learning and Professional Development. London: Kogan Page
Palmer, A., S. Burns, S. &C. Bulman, 2000. Reflective Practice in Nursing. Oxford: Blackwell Scientific Publications.
Thompson, C. and D Dowding 2002. Clinical Decision Making and Judgement in Nursing. London: Churchill Livingstone
Websites:
Department of Health
http://www.dh.gov.uk/Home/fs/en
Nice guidelines
Bandolier:
http:www.jr2.ox.ac.uk/Bandolier
Centre for Reviews and Dissemination
http://www.york.ac.uk/inst.crd
Assessment tasks / 1. Written Assessment Task (50% of overall mark): (2000 words + 10%) All students
Reflective account of a clinical decision with indepth analysis of the rationales and influencing factors involved in the reasoning process. An identified theoretical framework should be used with a clear rationale given for its choice.
2. Practice assessment for Students undertaking CSP and SCPHN courses:
Choose and document an Interprofessional/interdisciplinary clinical decision making situation which highlights a clinical dilemma. Analyse with your Practice Teacher the accountability and ethical dimensions of the situation. Consider what evidence was used to resolve the issue.
In order to achieve an overall pass for the module students must pass both of the assessment tasks (minimum of 40%).
Brief description of module content and/or aims (maximum 80 words) / This module is for practitioners who wish to develop their clinical cognitive and reflective skills. The theoretical underpinnings and application of the clinical decision making processes and reflections will be explored.
Area examination board to which module relates / Undergraduate Continuing Professional Development
Module team/authors/
co-ordinator / Linnette King (module leader) Annie Chellel, Andrea Illingworth,
Jane Butler
Semester offered, where appropriate / 1 and 2
Date of first approval / 1995
Date of last revision / 2005
Version number / 6
Replacement for previous module / NA 315
NA 317
Field for which module is acceptable and status in that field / Nursing and Midwifery - optional/compulsory
Course(s) for which module as acceptable and status in that course / BSc (Hons) in Professional Practice – optional/compulsory
BSc (Hons) Nurse Practitioner
BSc(Hons) Community Specialist Practice O/M
BSc(Hons) Specialist Community Public Health Nursing O/M
School home / SNM
External examiner / Edward Griffiths
On successful completion of the module the student will meet:
SCPHN Standards / Principles 1,2,3,4,5,6,7,8,9,10HV Competencies / A1,2,3,4,5,6,7 B1,2 C1,2,3,4,5 D1,2,4
CSP Outcomes / 13.1,2,3,4,8,9,10,11,12,13,14,15,16,17,18,19,20,21,23,24,25,26,27
14.1,2,3,4,6,7,8,9,10,11,12,13,14,15,16,17,18,20
24.1,2,3,4,5,6,7,8,9,10,11,12,
30.1,2,3,4,5,6,7,8,9,10
QAA Key Skills / 1a,b,c,d 2a,b,c,d,e 3a,b 4a,b,c 5a
KSF Skills / 1.1,2,3,4 2.1,2,3,4,5 4.1.2.3.4.5 5.1,2,3,4, 6.1,4 7.1,2,3,4 8.1,2,3,4,5 9.2,3,4 10.1,2,3,4 12.3 13.2,3,4 15.4 16.1,2,3,4 17.3 18.1,2,3,4,5 19.1,2,3,4 20.4 21.4 22.1,2,3,4
Liberating the Talents / 1a,b,c 2a,b 3c 4a,b,c
NSF Children and Young People and maternity services : Change for children every child matters / Standards 1,2,3,4,5
Choosing Health / A,B,C,D,G