The aim of this module is to build and further enhance the skills developed in previous modules It will enable you to progress your skills and lead the design, delivery and evaluation of care delivery in a variety of settings across the lifespan.

- Professional, legal, and ethical standards related to complex care
- Managing complex situations where vulnerability and safeguarding may be of concern
- Self-awareness and recognition of own limitations in assessing and delivering nursing care to those experiencing complex healthcare needs
- liaising with the wider multi-disciplinary team and other agencies (including advocacy) as appropriate to ensure that individual needs are met
- Inter professional communication
- Holistic assessment, planning, implementation and evaluation of care to meet the needs of adults with complex health problems considering individual dignity, spirituality and culture, including pregnant women, people with co- morbidities, multiple organ failure and those needing palliative interventions
- Managing people with symptoms that are difficult to control such as chronic pain, fatigue and breathlessness
- The deteriorating patient: recognition, assessment and monitoring
- The care of people with acute/ critical problems including respiratory distress, hypotension, altered levels of consciousness , oliguria
- Acute symptom management such as pain nausea and vomiting
- The care of people with acute and life threatening health problems
- Sudden death and bereavement
- Contemporary care dilemmas: for example, Do Not Attempt Resuscitation (DNAR) orders, organ transplantation, advanced directives
- Clinical decision making , triage and prioritisation of care including `managing the unknownż
- Medicine management in adult nursing - including drug administration (simulation) , pharmacology, drug interactions and anaphylaxis
- Risk assessment and management including the prevention and control of infection and medical devices
- Mandatory skills sessions
- Core and field specific skills
- Group based- clinical supervision
- Utilisation of local and national policies and robust evidence based literature to inform clinical nursing practice and decision making.
- Placement preparation and evaluation

Numeracy Examination (100% pass mark required) - Pass/Refer/Fail (LO's 1 & 2)
Clinical Practice Assessment - Pass/Refer/Fail (LO 6)
Learning Profile based on year three (all LO's) weighted at 100%

All elements have to be passed in order to successfully complete the module

Formative Assessment:
Formative feedback in practice
Formative feedback in summative assessments of clinical practice
Formative feedback through group workshops
Group and Individual tutorials

Scheduled Learning and Teaching Activities: (206)
30 hours Key lectures
98 hours Skills training to include simulation on ESC 42 (mandatory skills)
24 hours Blackboard
54 hours Groupwork and workshops

Guided Independent Study Hours: (394)
50 hours Directed reading and preparation for lectures and seminars
164 hours Assessment preparation
150 hours self directed reading
30 hours Blackboard work

ALEXANDER, M. F., FAWCETT, J. N. and RUNCIMAN, P. J. (Eds.) ( 2006) Nursing Practice Hospital and Home the Adult. 3rd Ed. Edinburgh: Churchill Livingstone Elsevier.
CARPENITO, L. J. (2012) Nursing Diagnosis: Application to Clinical Practice. 14th Ed. London: Lippincott Williams & Wilkins.
CUTCLIFFE, J., MCKENNA, H. and HYRKAS, K. (2010) Nursing Models Application to Practice. London: Quay Books.
LAWSON, E. and HENNEFER, D. L. (2010) Medicines Management in Adult Nursing. London: Learning Matters.

Enrolled on BSc (Hons) Nursing Practice / Registered Nurse programme
Access to practice placements
Successful completion of progression point two

This level 6 module is a core module on the Registered Nurse (RN) / BSc Nursing Practice programme and will build upon the work already undertaken in years one and two preparing  you for entry to the nursing register as a competent adult nurse. The module incorporates your mandatory skills element and combines theory and simulated practice to ensure you are building your knowledge base around the deteriorating patient.

1. CRITICALLY EVALUATE AND INTEGRATE EVIDENCE AND VALUES BASED NURSING CARE DEMONSTRATING SYNTHESIS IN THE MANAGEMENT OF COMPLEX AND CHANGING HEALTH CARE NEEDS
Enquiry
Learning

2. DEMONSTRATE DETAILED AND SYSTEMATIC KNOWLEDGE AND UNDERSTANDING OF CONTEMPORARY NURSING CONCEPTS, PATHOPHYSIOLOGY, THERAPEUTIC INTERVENTIONS INCLUDING NUMERACY FOR PRACTICE AND THEIR APPLICATION TO THE PROVISION OF HOLISTIC CARE FOR PEOPLE WITH HEALTH PROBLEMS
Application
Knowledge & Understanding

3. EFFECTIVELY RISK ASSESS AND RISK MANAGE COMPLEX CARE, TAKING IN TO ACCOUNT AND RESPONDING EFFECTIVELY AND EFFICIENTLY TO THE CHANGING NEEDS OF THE SERVICE USER, FAMILY AND CARERS, ENGAGING THE WIDER MULTI-DISCIPLINARY TEAM AS APPROPRIATE
Application
Problem Solving

4. COMPILE CARE PLANS THAT DEMONSTRATE ASSESSMENT SKILLS, ACCURATE IDENTIFICATION OF THE ISSUES, APPROPRIATE PLANNING AND AN ABILITY TO MEASURE THE OUTCOMES
Analysis
Application
Problem Solving

5. SELECT BEST PRACTICE INCLUDING EVIDENCE BASED CARE INTERVENTIONS TO MEET THE NEEDS OF THE ADULT PATIENT
Analysis
Application

6. DEMONSTRATE ACHIEVEMENT OF NMC (2010) STANDARDS FOR ENTRY TO THE REGISTER
Application