The University of Southampton
Courses

NPCG3012 Complex Care

Module Overview

This module is designed for year 3 BN single field students and year 3 and 4 BN Dual field students. The Final year students are expected to submit a summative assignment for the module at Level 6. This is a 3000 word essay. The year 3 Dual Field students are assessed via a presentation regarding a decision made in relation to a service user with complex needs. The module enables the students to reflect upon decision making in clinical practice in line with NMC competencies. The module comprises taught sessions, a half-day workshop, clinical skills sessions that relate to decision making as well as Tutor facilitated time that supports level 6 writing, self-awareness, reflection on practice, and practise in presenting. In addition, there is a guided study workbook and a list of suggested additional resources.

Aims and Objectives

Module Aims

This module will enable you to integrate all aspects of your learning in order to demonstrate the knowledge and skills required of a registered practitioner in relation to complex care situations within your chosen field. On successful completion of the module you will be able to: 1. In relation to your field of practice, appraise the role of the nurse caring for people with complex healthcare needs both in their own homes and in a variety of healthcare settings In addition to generic learning outcomes, those in the Adult field will be able to: 2. Demonstrate the diagnostic and decision making skills required for the safe assessment , planning and delivery of care for an adult with complex health care needs 3. Articulate an in depth knowledge of the pathophysiology, treatment and care needs of adults with a range of conditions requiring complex or technologically dependent care 4. Critically evaluate the evidence base underpinning the holistic care of adults requiring complex therapeutic interventions 5. Demonstrate the communication skills required to meet the psychosocial needs of adults and their families in a variety of complex healthcare situations and settings 6. Critically examine the specific issues relating to the safeguarding vulnerable adults presenting with complex healthcare needs 7. Critically examine the policy, principles and risk management issues informing the delivery of complex/critical and technologically based patient care In addition to generic learning outcomes, those in the Children’s’ field will be able to: 1. Demonstrate the diagnostic and decision making skills required for the safe assessment , planning and delivery of care for an infant child or young person with complex and/ or critical health care needs 2. Articulate an in depth knowledge of the pathophysiology, treatment and care needs of infants, children and young people with a range of conditions requiring complex, critical and/or technologically dependent care. 3. Critically evaluate the evidence base underpinning the holistic care of infants, children and young people requiring complex therapeutic interventions 4. Demonstrate the communication and negotiation skills required when delivering family centred care to infants, children, young people and their families in a variety of complex healthcare situations and settings 5. Critically examine the specific issues relating to the safeguarding of infants, children and young people presenting with complex healthcare needs 6. Critically consider the legal and ethical issues related to care management and end of life decision making, in the care of infants, children and young people with complex healthcare needs In addition to generic learning outcomes, those in the Mental Health field will be able to: 1. Demonstrate the interpersonal, clinical reasoning, diagnostic and decision making skills required for the assessment, planning and delivery of care for a person with complex mental health care needs 2. Articulate an in depth knowledge of the aetiology, treatment and care needs of people with a range of mental health conditions requiring complex care. 3. Critically evaluate the evidence base relating to the psychological, sociological and complex therapeutic interventions that can be used to improve the wellbeing of people with complex mental health problems 4. Demonstrate the communication skills required to care for people with mental health problems and their families in complex, changing and sensitive health care situations 5. Critically examine the specific issues relating to the safeguarding of people with complex mental healthcare needs

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • In relation to your field of practice, appraise the role of the nurse caring for people with complex healthcare needs both in their own homes and in a variety of healthcare settings
  • CHILD Critically evaluate the evidence base underpinning the holistic care of infants, children and young people requiring complex therapeutic interventions
  • CHILD Demonstrate the communication and negotiation skills required when delivering family centred care to infants, children, young people and their families in a variety of complex healthcare situations and settings
  • CHILD Critically examine the specific issues relating to the safeguarding of infants, children and young people presenting with complex healthcare needs
  • CHILD Critically consider the legal and ethical issues related to care management and end of life decision making, in the care of infants, children and young people with complex healthcare needs
  • MH Demonstrate the interpersonal, clinical reasoning, diagnostic and decision making skills required for the assessment, planning and delivery of care for a person with complex mental health care needs
  • MH Articulate an in depth knowledge of the aetiology, treatment and care needs of people with a range of mental health conditions requiring complex care.
  • MH Critically evaluate the evidence base relating to the psychological, sociological and complex therapeutic interventions that can be used to improve the wellbeing of people with complex mental health problems
  • MH Demonstrate the communication skills required to care for people with mental health problems and their families in complex, changing and sensitive health care situations
  • MH Critically examine the specific issues relating to the safeguarding of people with complex mental healthcare needs
  • ADULT Demonstrate the diagnostic and decision making skills required for the safe assessment , planning and delivery of care for an adult with complex health care needs
  • ADULT Articulate an in depth knowledge of the pathophysiology, treatment and care needs of adults with a range of conditions requiring complex or technologically dependent care
  • ADULT Critically evaluate the evidence base underpinning the holistic care of adults requiring complex therapeutic interventions
  • ADULT Demonstrate the communication skills required to meet the psychosocial needs of adults and their families in a variety of complex healthcare situations and settings
  • ADULT Critically examine the specific issues relating to the safeguarding vulnerable adults presenting with complex healthcare needs
  • ADULT Critically examine the policy, principles and risk management issues informing the delivery of complex/critical and technologically based patient care
  • CHILD Demonstrate the diagnostic and decision making skills required for the safe assessment , planning and delivery of care for an infant child or young person with complex and/ or critical health care needs
  • CHILD Articulate an in depth knowledge of the pathophysiology, treatment and care needs of infants, children and young people with a range of conditions requiring complex, critical and/or technologically dependent care.

Syllabus

Generic The nature of complex care The challenges of caring for/supporting people with complex care needs who are cared for within their own home or community The role of the nurse and other members of the multidisciplinary/interagency team in relation to care provision for people with complex healthcare needs and their families. Principles of major incident management Anticipating care needs in complex situations Medicines management including Patient Group Directives Delivering person centred care in complex care environments The professional responsibilities of the registered nurse in relation to declarations of good character Accepting personal accountability for autonomous practice as a newly registered practitioner Personal Development Portfolio and continuing professional development Policy and service developments in relation to complex care Ethical, legal and professional issues relating to complex care Adult Risk identification, management and positive risk taking Altered homeostasis in adults with a range of complex conditions (Including shock, trauma, burns, neurological injury, obstetric and endocrine emergencies) Physical assessment and history taking Clinical reasoning and diagnostic thinking in complex situations Evidence based clinical assessment, planning, management and delivery of care to people with complex care needs in all settings Vulnerable people in complex care situations, including those with concurrent mental health problems or learning disabilities Developments in service delivery in relation to urgent/unscheduled care, tertiary referral centres and the independent sector Assessment and management of patients experiencing physiological deterioration Care of adults in the critical care environment Technological dependency within primary, secondary and tertiary care Communication skills in complex care, including de-escalation techniques Medicines management in relation to complex care delivery, including relevant legal issues Promoting patient and self-care management Communication and team working in complex situations, including communicating with families under stress Legislation, ethical issues and policy / guidelines that inform the care of adults with complex needs Child Risk identification, management and positive risk taking Disrupted homeostasis in children with a range of conditions, including respiratory failure, sepsis, neurological change, neurological trauma. Evidence based assessment and management of children with a range of conditions requiring complex care Impact of complex healthcare needs, and critical or technologically dependent care, on infants, children and young peoples’ mental health and psychosocial development Refining of skills required in the assessment and management of an infant, child or young person whose condition is deteriorating. Care of infants, children young people in the critical care environment Technological dependency within primary, secondary and tertiary care Policy, care packages, access to primary, secondary and tertiary care in relation to the care of children with complex needs. Family centred care in a critical/complex care environment. History taking and physical assessment skills in relation to the care of infants, children and young people Ethical issues in relation to critical/complex care Medicines management in relation to complex care of infants, children and young people including relevant legal issues Safeguarding of infants, children and young people in complex care situations, including fabricated illness. Pain assessment and management Mental Health Risk identification, management and positive risk taking Therapeutic use of self in constructing enabling relationships that promote self-management and recovery Systematic global and specific assessment of needs, case formulation, goal setting, care planning, treatment intervention and evaluation Attempted suicide and suicide prevention and management Contemporary evidence-based individual and group therapeutic interventions: Cognitive behavioural therapy (depression, anxiety and psychosis) Dialectical behavioural therapy Promoting recovery from psychosis Group facilitation Crisis prevention and resolution through early intervention and relapse management Positive risk management which promotes the safety of the service user and others Psychopharmacology and medication management Physical mental health treatments Psychiatric emergencies/crisis management Managing the power imbalance with both service users and professionals Environmental management and safety of everyone involved with and including service users Service development and improvement Mental health education of other professionals and agencies Impact of effective clinical supervision and reflection on leadership and management

Learning and Teaching

Teaching and learning methods

Lectures Small group activities Self-directed study Directed study Simulated practice Technology Enhanced Learning

TypeHours
Placement12
Independent Study320
Teaching23
Total study time355

Resources & Reading list

Mutsatsa S (2011). Medicines Management in Mental Health Nursing. 

Davies J and Hassell L. (2007). Children in Intensive Care: A Survival Guide. 

French P, Smith J, Shiers D, Reed M and Rayne M (2010). Promoting Recovery in Early Psychosis: A Practice Manual. 

Cutliffe J and Stevenson C (2008). Care of the Suicidal Person. 

Crouch, S., Chapelhow C., Crouch, M. (2008). Medicines Management a Nursing Perspective. 

Prime Minister’s Commission on the Future of Nursing and Midwifery in England (2010). Front Line Care. 

Jarvis, C. (2007). Physical Examination and Health Assessment Saunders. 

Grant A (2010). Cognitive behavioural interventions for mental health practitioners.. 

Adam, K.S. and Osbourne, S. (2005). Critical care nursing science and practice.. 

Cole, E. (2009). Trauma Care. 

Swales M and Heard H (2009). Dialectical behaviour therapy. 

Carson D and Bain A (2008). Professional Risk and Working with People: Decision-making in Health, Social Care and Criminal Justice. 

Higgs, J, Jones M (2008). Clinical Reasoning in the Health Professions. 

Puri B and Treasaden I (2008). Emergencies in Psychiatry. 

Lynch J and Trenowth S (2008). Contemporary Issues in Mental Health Nursing. 

Department of Health, Department of Education and Skills (2005). National Service Framework for Children, Young People and Maternity Services, Long Term Ventilation. 

Teare,J (2008). Caring for Children with Complex Needs in the Community. 

Mackway-Jones, K. (2006). Emergency Triage, Manchester Triage Group. 

Wardrope J., Driscoll P., Laird L., Woolard M. (2008). Community Emergency Medicine A System of Assessment and Care Pathways. 

Thompson C and Dowding D (2002). Clinical Decision Making and Judgement in Nursing. 

Thompson C and Dowding D (2002). Clinical Decision Making and Judgement in Nursing. 

Hewitt-Taylor J. (2008). Children with complex and continuing health care needs. 

Department of Health (2008). Code of Practice: Mental Health Act 1983. 

Assessment

Summative

MethodPercentage contribution
Essay  (3000 words) 100%

Repeat Information

Repeat type: Internal & External

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