Contact us

NSN435 Integrated Professional Practice 1 (Primary Health Care)

Unit synopsis

This first integrated professional practice unit will assist you to develop an understanding of how health determinants and population diversity impact health service delivery and develop skills in applying consumer based primary health care strategies. This unit provides supervised and supported professional practice experience to develop and apply coursework learning with a focus on primary health care principles and Aboriginal and Torres Strait Islander peoples' and communities. This unit requires students to complete 104 hours of supernumerary integrated professional practice.

Faculty
Faculty of Health
Study area
Health and community
Credit points
12

Dates and locations

Teaching period Locations
Summer, 2018
19 November 2018 - 22 February 2019
  • Kelvin Grove
  • Kelvin Grove (External)

Fees

Commonwealth supported place (CSP) student contribution amount
2018: $820
Domestic fee-paying student fee
2018: $2,388
International student fee
2018: $3,480

Guide to fees

Commonwealth supported place (CSP) student contribution amount
For Australian citizens, permanent visa holders and permanent humanitarian visa holders, and New Zealand citizens who study this unit:
  • as part of a QUT course and are eligible for a Commonwealth supported place (CSP)
  • as a cross-institutional student who has a Commonwealth supported place at their home university.
Domestic fee-paying student fee
For Australian citizens, permanent visa holders and permanent humanitarian visa holders, and New Zealand citizens, who study this unit:
  • as part of a QUT course and are not eligible for a Commonwealth supported place (CSP)
  • as part of a QUT course during Summer Semester
  • as a cross-institutional student who does not have a Commonwealth supported place at their home university
  • as a single-unit study student.
International student fee
For international students who study this unit:
  • as part of a QUT course
  • as part of our study abroad or exchange programs
  • as a cross-institutional student.

Previous study requirements

Prerequisites
NSN430 and NSN431 and NSN433

Guide to previous study requirements

Prerequisites
To enrol in this unit, you must have completed these prerequisite units (or have credit, advanced standing or exemption for them), or be able to demonstrate that you have equivalent background knowledge.
Anti-requisites
You can’t enrol in this unit if you have completed any of these anti-requisite units.
Co-requisites
To enrol in this unit, you must have already completed these co-requisite units, or you must enrol in them at the same time.
Equivalents
You can’t enrol in this unit if you have completed any of these equivalent units.
Assumed knowledge
We assume that you have a minimum level of knowledge in certain areas before you start this unit.

Unit outlines

Coordinator

Name
Leonie Bean
Email
lm.bean@qut.edu.au
Phone
07 3138 3821

Rationale

This unit provides supervised and supported professional practice experience to develop and apply coursework learning. This integrated professional practice unit focuses on the development of knowledge and skills in comprehensive health assessment, with a particular focus on primary health care principles and Aboriginal and Torres Strait Islander peoples' and communities.

This unit builds on and applies knowledge and skills gained in four previously completed units: NSN431 Transforming Service, NSN433 The Science of Health Assessment, NSN430 The Science of Pharmacology and NSN432 Pharmacological and Non-pharmacological Therapeutics.

Aims

The aim of this integrated professional practice unit is to develop your understanding of how health determinants and population diversity impact health service delivery and to develop your skills in applying consumer based primary health care strategies.

Learning outcomes

Successful completion of this unit requires you to provide evidence of the ability to:
1. Apply knowledge of primary health care principles to analyse and evaluate a health service model considering and prioritising key influences and determinants of health including social and economic factors;
2. Develop a systematic framework to optimise approaches to holistic consumer health assessment;
3. Collaborate with consumers and a range of health professionals using person-centred, culturally safe practice approaches and knowledge of the healthcare environment;
4. Apply advanced written and oral presentation skills to record and present comprehensive clinical practice reviews and case studies;
5. Critically reflect on your professional practice experience and draw on relevant literature to identify and justify areas for self-development and practice improvement opportunities.

Content

Content in this professional practice unit focuses on developing the knowledge and skills of the principles of primary health care and apply this learning to your usual area of practice.
· Module 1: Primary health care principles and context;
· Module 2: Preparation for integrated professional practice (organisational culture, use of digital health records, collaboration, communication, negotiation, case reviews);
· Module 3: Introduction to Portfolio creation (evidencing consumer case management);
· Module 4: Professional presentation skills (QUT creative industries).

Approaches to teaching and learning

This is an integrated professional practice unit comprised of two parts with a total of 104 hours of clinical placement across your usual workplace and a negotiated primary health care setting.

Part 1 - 40 hours (e.g. 5 weeks at one day per week) in a primary health care setting (not your usual workplace), where possible the particular context should be an Aboriginal and Torres Strait Islander community health service. The Part 1 professional placement will be supervised by an appropriately-qualified community-based, primary-care clinician or nurse practitioner. You will have the opportunity to observe clinical decision-making in primary health care.

Part 2 - 64 hours (e.g. 8 weeks at one day per week) in your usual workplace. The focus of this professional practice is to develop your knowledge and skills to conduct consumer health assessments.

Part 2 Professional placement will be supervised by your usual clinical support team members.

During the professional placement, you will have the opportunity to develop team functioning skills, become a responsive practitioner through evaluating service provision and initiating ongoing quality improvements to meet consumer needs. Under appropriate supervision you will conduct clinical practice reviews on your management of cases which represent a typical consumer. These reviews, which are the formal mechanism for teaching and learning in this unit, will be held weekly. The practice reviews will draw upon documented care in the medical record, observation of practice and your case reporting. Additionally, you will communicate weekly with your university-appointed nurse practitioner mentor for feedback.

Throughout your integrated professional practice you will continue to develop reflective practitioner skills through activities that include online modules and maintaining an online portfolio.

Assessment items

Name #1: Oral Presentation
DescriptionComplete the required professional placement and reflect upon your experience. Prepare and present a comparison of your usual workplace to the primary health care service that you attended.
Analyse the influence of local norms, cultural influences and team work functioning to identify and analyse the impact of these diverse influences on practice.

You will discuss the population accessing these services and explain the health demographics (community, diversity, equity and access), health status including reference to national and regional health priorities. You will highlight the service goals and policies, organisational culture, formal and informal lines of communication that influence or impact the service provision. Utilise evidence to support your discussion.

You will be required to present your reflection and analysis to your student peers or other professional audience using an analytical framework. An audio-visual copy of your presentation will be submitted for assessment online.
Due dateMid semester
Internal or externalExternal
Group or individualIndividual
Relates to learning outcomes1, 3, 4 and 5.
Name #2: Problem Solving Task
DescriptionThis assessment will comprise the development of a systematic holistic framework for undertaking a comprehensive health assessment. You must submit one consumer health history and physical examination with a written report consisting of documented full health history and findings of the physical examination. In undertaking this assessment you will adhere to a person-centred and culturally safe approach.
Due dateEnd of semester
Internal or externalExternal
Group or individualIndividual
Relates to learning outcomes1, 2, 3 and 4.
Name #3: Portfolio
DescriptionYou will compose a portfolio of documents evidencing your learning activities and clinical experiences and development as a nurse practitioner. This may include your log of clinical hours, evidence of comprehensive health assessments, management of cases and personal reflection on your learning.

Specifically, you will participate in weekly case reviews with your clinical support team who will provide feedback and recommendations for improved future practice. Over the semester you will complete 8 full comprehensive health assessments with documentation. You will need to submit evidence of your progress in this learning.
Due dateEnd of semester
Internal or externalExternal
Group or individualIndividual
Relates to learning outcomes1, 2 and 5.

Academic integrity

QUT is committed to maintaining high academic standards to protect the value of its qualifications. To assist you in assuring the academic integrity of your assessment you are encouraged to make use of the support materials and services available to help you consider and check your assessment items. Important information about the university's approach to academic integrity of assessment is on your unit Blackboard site.

A breach of academic integrity is regarded as Student Misconduct and can lead to the imposition of penalties.

Resource materials

Required Resources
NMBA (2014). Nurse Practitioner Standards of Practice. Available from AHPRA http://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Ball, J., Dains, J., Flynn, J.A., Solomon, B.S. & Stewart, R.W. (2015). Seidel's guide to physical examination (8th ed.). St Louis: Mosby.
Talley, N., & O'Connor, S. (2014). Clinical examination: A systematic guide to physical diagnosis (7th ed.). Sydney: Churchill Livingston

Recommended Resources
Aboriginal and Torres Strait Islander community health services
Australian Nursing and Midwifery Federation. (2009). Primary Health Care in Australia. Melbourne: ANMF Federal Office.
Australian Nursing and Midwifery Federation. (2015). ANMF National informatics standards for nurses and midwives. Melbourne: ANMF Federal Office.
Declaration of Alma-Ata International Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978.
Department of Health, Australian Government. (2015). Aboriginal and Torres Strait Islander Health Curriculum Framework. Available from health-curriculum-framework
Starfield, B. (2011). The hidden inequity in health care. International Journal for Equity in Health, 10(1), 15-15.
Walker S, Wood M, Nicol J (2013). Mastering Medical Terminology Australia and New Zealand.
Chatswood, NSW: Churchill-Livingstone/Elsevier (ISBN 9780729541114).

Risk assessment statement

As a student undertaking this unit you are required to be working in your nominated clinical speciality area. As such, you will be exposed to risks encountered in the practice of nursing. Students undertaking workplace-based professional practice experience or clinical placement are required to follow the same health safety guidelines that apply to all staff in the workplace. In addition, measures to control exposure to risks include:


  • Orientation to the health care agency

  • Supervision by a clinical support team

  • Appropriate theoretical and practical preparation


Emergency procedures
All facilities require that their health workers become familiar with local emergency procedures. It is your responsibility to locate fire exits, emergency procedures and complete CPR drill and fire safety as required.

Health status and immunisation requirements
It is strongly recommended that you will:

  • Endeavour at all times to maintain your personal health at a high level.

  • Be fit to work and have had a reasonable rest period between shifts.

  • Review your current immunisation status.

  • Inform the Unit Coordinator, Course Coordinator or Clinical Support Team if you are aware of any personal condition, which may present a risk to yourself or consumers, other students, health care agency staff or the general public while undertaking professional practice experience or clinical placement.


The management of your health facility has the right to send you home if, in their opinion, it is unsafe for you to work that day.

Confidentiality
As a student in the clinical area, you must treat all information regarding clients and their families with the utmost confidentiality. Information that is documented as part of your learning experiences must preserve client anonymity and confidentiality. Classroom discussion should also adhere to these principles.