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Faculty of Medicine, Dentistry and Health School of Nursing and Midwifery
NURU149 BMedSci (Hons) Nursing (Adult)
SNM 145A Foundations in Health and Nursing 2
UNIT 2 Handbook
Unit Start Date: 11th March 2019
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Contents
Page No.
Contact Details 3
Overview of Unit One 4
Aim and Learning Outcomes 5
Summative Assessment Unit 2 6
Assessment Dates 9
Marking Criteria for Portfolio 10
Marking Criteria for Evidence Based Practice Essay 12
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CONTACT DETAILS FOR UNIT TWO TEAM
Programme Lead
Andrea Fox [email protected] 0114 2222079
Unit Two Lead
Andrea Fox [email protected] 0114 2222079
Parveen Ali [email protected] 0114 2222046
Programme Co-ordinator
Gary Toon [email protected] 0114 2222064
Placement Leads
Julie Hutchison [email protected] 0114 2222067
Carol Pollard [email protected] 0114 2222032
Work Based Address for Programme Team
Barber House Annex
School of Nursing and Midwifery
University of Sheffield
3a Clarkehouse Road
Sheffield
S10 2LA
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Overview of Unit Two
Welcome to Unit two of your pre-registration nursing programme. The title of this unit is:
Foundations in Health and Nursing 2 and the unit code is SNM 145A
In this unit you will continue to build on the knowledge and skills developed in Unit 1 that will
underpin your subsequent learning to become a Registered Adult Nurse. This unit will
include opportunities for you to study and develop your skills to critically appraise the
evidence base for nursing practice and to engage and reflect on its application during your
practice placement.
Within this unit, the content explores different topics from a variety of contexts, including
anatomy and physiology, nursing care and practice issues, clinical skills, ethics and
accountability. This enables you to develop your knowledge and skills in an holistic manner.
Anatomy and physiology sessions will now focus on systems of the body and you will have
an exam on the content from these at the end of your 7 week theory block.
You will be applying what you have learnt in Unit 1 to problems and scenarios in areas such
as ethics, research and nursing care delivery and management. Clinical skills sessions will
now focus on more complex skills such as catheterisation, enteral and parenteral feeding
and risk assessment tools and frameworks commonly used in practice.
We hope you enjoy the Unit.
Parveen and Andrea
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Aim of the Module
The overarching aim of this unit is to develop your knowledge in the art and science of
nursing and understanding of health. It will reinforce knowledge/skills acquired in unit 1 to
ensure a good foundational knowledge is developed which subsequent units build on. It
further enables you to acquire a holistic core knowledge and skills base in the theory and
practice of nursing. It develops skills in the use of evidence in practice and prepares you to
demonstrate the competency requirements for progression point 1 as identified by the
Nursing and Midwifery Council (2010).
If you successfully complete all the assessment elements of Part 1, you will be permitted to
move to Part 2
Learning Outcomes
Professional and Ethical Practice An understanding and application of the ethical, legal and anti-discriminatory principles relevant to nursing practice within an alternative health care environment
Care Delivery An understanding and appropriate application of evidence, skills, values and attitudes associated with the organisation, delivery and management of nursing care as outlined by the NMC 2010 and those pertaining to the National Service Frameworks
Care Management An understanding of the role of the nurse within the multi-disciplinary, multi-agency arena demonstrating a critical understanding of the principles of safe collaborative working within the health care environment
Personal and Professional Development Understand the need for continuing professional development and personal supervision activities for themselves and others, in order to enhance knowledge, skills values and attitudes
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Summative Assessment in Unit 2
Summative assessment in Unit 2 contains both theory and practical elements.
Assessment Weighting
4000 word evidence based practice assignment 50%
1hr 30 mins Anatomy & Physiology exam 20%
Portfolio 30%
Marking of the portfolio and evidence based practice assignment will be against the marking
criteria found at the end of this handbook and will be at LEVEL 1.
For further information about your assessments, attend the sessions in your
timetable, check your emails regularly for additional information and most
importantly, consult the information contained in the related handbooks and guidance
documents.
Theoretical Summative Assessment
Evidence Based Practice Assignment
Unit 2 Theoretical Assessment
You are required to submit a 4000 word assignment that demonstrates your understanding
of the processes involved in using evidence based practice in nursing, therefore the
assignment brief is as follows:
Reflecting on your recent clinical experience, explore the evidence base of a selected
area relating to an aspect of health or nursing practice.
Taught sessions within the theory block will support you in the development of different
aspects of the essay. You will need to agree a title for your essay which should be a
question related to your recent clinical practice experience. You should seek confirmation
from your personal tutor in relation to the question you have developed prior to starting your
literature search.
The following guidance can be used to structure your assignment. Within the assignment
you should:
Identify an area of interest relating to your recent clinical practice experience. This
will be the focus of your assignment.
Outline the rationale for the topic you have chosen – that is its relevance and
importance to adult nursing practice, current policy and guidance and the NMC Code.
Explain how you developed your assignment question and the search strategy using
a tool such as PICO.
Undertake a systematic approach to searching the literature using appropriate
electronic databases which must include CINAHL and possibly Internurse and
Medline.
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Keep an accurate record of searches undertaken and outline how you have acquired
the information you have selected. To do this you will need to keep detailed records
of the searches you have undertaken identifying the following:
o Databases searched
o Keywords used and MESH terms.
o Number of articles found from your searches
o How did you limit your searches, eg. Date ranges, language, age
Explain clearly how you selected the papers for inclusion in the critique. You should
choose 2-4 papers for inclusion in the critique.
Use an appropriate tool to critically appraise the selected papers and reflect on
quality and hierarchy of evidence. Demonstrate that you understand the difference
types of evidence retrieved – qualitative or quantitative, what research methods were
used etc?
In your conclusion, summarise key points in relation to your question and reflect on how your findings relate to practice.
The work must be referenced using the Harvard referencing system. Information on
this can be found in the Study Skills section on MOLE. A full reference list must be
included at the end of your essay.
Can include appendices – for example, a table of your search strategy could be
placed in an appendix and referred to from your main discussion. Appendices are not
included in your word count along with reference lists.
Students are reminded of the importance of maintaining confidentiality when
reflecting on placement experience. It is expected that you will seek regular tutorial
support from your Personal Tutor when developing your assignment. Please refer to the
marking criteria for what is expected at level 1. A pass grade is 40.
The word limit for the report is 4000 words +/- 10%
Examinations
In unit 2 you will be required to sit an invigilated examination.
This will be a 1.5 hour invigilated examination to test understanding of key concepts and
retention of factual knowledge relating to the anatomy and physiology of human body
systems taught in this unit. The examination takes the form of a set of multiple choice
questions previously unseen, covering the full range of the unit’s subject matter.
Practice Summative Assessment
Portfolio
As part of your personal and professional development you are required to keep a portfolio
of learning; this is a compulsory component of your programme. This is an important part
of your record of development and the maintenance of a portfolio will be required by the
NMC as part of your re-registration in future years.
The portfolio is an opportunity for you to collect evidence whilst on placement in practice
demonstrating the knowledge, skills and attitudes required to be a registered nurse. The
clinical skills passport will be included in the portfolio for you to record the development of
your clinical skills as you progress through each of the Units. You are also required to
demonstrate successful attainment of the professional behaviours expected of a professional
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nurse; these form part of your Assessment of Practice document and will be discussed both
in your practice review meeting with your mentor and also at the end of Unit review meeting
with your personal tutor.
Below is a summary about what to include in your portfolio. You are required to read the
‘Maintaining Your Portfolio’ document which can be accessed in your MOLE site.
Instructions on the structure for your portfolio have also been included below.
Briefly, the portfolio is largely based on your practice experience within placement and
should contain the following:
Up to date CV
Information on your own personal development
Clinical Skills Passport
Practice Placement Documentation
10 medicine proformas
4 in-depth reflections related to an exposure from the different fields of practice:
Mother and child, mental health, child and learning disability 750 words each +/- 10%
- these must include references to the literature.
2 Patient Journeys 1000 words each +/- 10% - these must include references to the
literature.
1: Personal history and development
a) An up-to-date copy of your curriculum vitae. This should include details of
previous relevant courses/experiences.
b) There also needs to be a section in you CV that looks at your personal
development.
Consider what you would like to do at the end of the programme.
What are your aspirations and intentions (goals) with regard to where you
would like to work?
How are you going to utilise each unit of study (Theory and placement) to help
you achieve these goals?
What do you perceive are your current strengths and weaknesses?
c) Include a short account of the learning and skills development that have taken
place over the duration of your second placement as this will be useful when
writing up your personal statement at the end of the programme.
2: Practice
a) Your Clinical Skills passport. This should be updated frequently and formally
discussed at your preliminary, intermediate and final interviews and with your
personal tutor at the end of unit review.
b) Your practice placement documentation.
Preliminary, intermediate and final interviews are required
Remember to complete the record of attendance
Include observed visit records.
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Other evidence of achievements – such as patient/staff testimonies
Include 10 medicine proformas
c) You will need to include evidence of your attendance at the mandatory
sessions. The programme co-ordinator will provide you with a formal record
which summarises your attendance. It is your responsibility to ensure that
you make up the sessions missed.
d) Your previous practice placement booklets as mentors may require to see
this.
3. EU Directives records
Maintain a record (list) of each exposure with a brief summary of each
exposure
Ensure you have each EU exposure signed and dated by your mentor
You must include the 4 detailed reflective accounts, one from each specialised
field of nursing. These should 750 words each +/-10% and include reference to
the literature.
4: Care delivery
e) Your two patient journeys. The patients should be identified in discussion with
your mentor. You should obtain the patient’s permission and maintain
confidentiality throughout the write up. These should be used as an
instrument for reflection at the interview stages. The framework for write up
should be as follows:
Patient history Condition and diagnosis Normal anatomy and physiology Pathophysiology Bio-psycho-social impact Assessment – look at which nursing model underpinned the assessment,
which assessment tools were used, how the assessment was undertaken Problems identified – both actual and potential problems Care planned – write a care plan which addresses each of the above problems.
If a care plan has already been written, it is fine to use that as long as it contains sufficient detail and addresses each of the patient’s problems.
Identify which other members of the multi-disciplinary team were/are involved in the patient’s care. How did they become involved? Who referred them? What is their role within that patient’s care? How did their involvement impact upon patient/client care?
Document on the Inter-professional learning (IPL) tracking tool found in Appendix one when you have opportunities to work with/ refer to other disciplines, agencies etc.
Evaluation of care
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Reflection – Reflect generally on that patient’s journey and the role of the multi-disciplinary team. Can you identify the knowledge, skills and values required to be a nurse and deliver effective care within the team and the patient at the centre of this. Why is evidenced based practice important in care delivery?
Patient Journeys should be 1000 +/-10% words in length each and referenced to the
literature to demonstrate reading around the topics discussed and that learning has
taken place.
The patient journeys and the EU Directive reflections will be graded and will
be submitted together via Turnitin.
The remaining portfolio documents will be submitted via MOLE on the date
given in the assessment calendar and reviewed by your personal tutor when
you meet for your end of unit review. These are not graded. The documents
that must be submitted are:
10 medicine proformas
CV
Summary of EU Directive Exposures
IPL Tracking tool
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Assessment Dates
Summative Assessment
1st Sit
Results Published
2nd Sit
Results Published
Anatomy & Physiology Exam
26th April 2019 1.30 – 3pm
28th May 2019 after 11am
24th June 2019 1.30-3pm
29th April 2019 after 11am
Evidence Based Practice Essay
24th June 2019 before 3pm
15th July 2019 after 11am (Chairs Action)
12th August 2019 before 3pm
9th September 2019 after 11am (Chairs action)
Portfolio
15th July 2019 before 3pm
29th July 2019 after 11am (Chairs Action)
27th August 2019 before 3pm
9th September 2019 after 11am (Chairs Action)
Practice Placement Booklet (Assessment of practice record)
22nd July 2019 by 3pm
29th July 2019 after 11am (Chairs Action)
2nd September 2019 by 3pm
6th September 2019 after 11am (Chairs Action)
Submission of practice hours
5th August 2019
*Practice placement documents submitted after 1500hrs will be awarded a first attempt fail. It is the student’s individual responsibility to ensure these documents are submitted on time.
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THE UNIVERSITY OF SHEFFIELD, SCHOOL OF NURSING & MIDWIFERY, FACULTY OF MEDICINE, DENTISTRY AND HEALTH MARKING CRITERIA FOR PORTFOLIO
Level 1
Level 2
Level 3
Excellent knowledge and understanding of issues relating to personal development and knowledge skills and values required in nursing is demonstrated and supported by an extensive review of appropriate evidence. A sound critical analysis and original interpretation of the key issues is evident Critical reflection on safe clinical practice and personal development is demonstrated with evidence of an analytical approach and application of appropriate literature. Ideas in the portfolio are fluently expressed and the presentation is logical and focused around key areas identified Spelling, grammar and punctuation are accurate. Excellent use of literature and Excellent Use of acknowledged referencing systems.
80 - 100
Very good knowledge and understanding of issues relating to personal development and knowledge skills and values required in nursing is demonstrated. Key issues are identified and analysed clearly. Evidence of wide reading and good use of appropriate literature to support the issues identified for inclusion in the portfolio. Critical reflection on clinical practice and personal development with application of appropriate literature shows very good insight into nursing issues. A very well planned and organised portfolio. Spelling, grammar and punctuation are accurate. Very good use of acknowledged referencing system
80 - 100
60 - 79
Good knowledge and understanding of issues relating to personal development and knowledge skills and values required in nursing is demonstrated. Most key issues are clearly identified with some evidence of analysis and supported by appropriate literature. Clear evidence of reflection on clinical practice and personal development and starting to show insight into the role of the nurse in healthcare delivery. Portfolio is organised and logical with good use of acknowledged referencing systems.
80 - 100
60 - 79
50 - 59
Demonstrates satisfactory knowledge of issues relating to personal development and knowledge skills and values required in nursing showing evidence of reading and understanding. Most key issues are identified and describes but limited attempts at analysis within the discussion. Evidence of reflection on clinical practice and is supported by relevant evidence Planning and organisation is evident with clear lines of discussion.
60 – 79
50 - 59
41 - 49
Adequate knowledge of issues relating to personal development and knowledge skills and values required in nursing demonstrated with evidence of reading and some understanding. Portfolio covers key issues identified discussion descriptive in parts. There is evidence of reflection on clinical practice, supported by literature with rationale. Planning and organisation is apparent but there is some repetition. A number of inaccuracies in spelling, grammar and punctuation.
50 – 59
41 - 49
40
Some knowledge and understanding of issues relating to personal development and knowledge skills and values required in nursing demonstrated but discussion not well developed.
13
Portfolio identifies some key issues but discussion mainly descriptive. Some evidence of reflection on clinical practice. Evidence of reading but limited application of the literature to support the work Some evidence of planning and organisation. Approved referencing system is not used appropriately.
41 – 49
40 26 - 39
Some knowledge and understanding of subject area demonstrated showing some evidence of reading. Key issues are not clearly identified or presented well within the portfolio. Very limited reflection on clinical practice with little attempt to apply supporting literature. Planning and organisation is limited and disorganised.
40
26 - 39
11 - 25
The knowledge of issues relating to personal development and knowledge skills and values required in nursing demonstrated is superficial with limited evidence of understanding of subject area. Limited evidence of reading appropriate literature or evidence to support the discussion. Some reflection on clinical practice but at a superficial level. Insufficient attention is paid to issues surrounding safe practice. The portfolio shows limited evidence of planning and organisation. Spelling, grammar and punctuation require attention. Some attempts at referencing.
26 – 39
11 - 25
1 - 10
Knowledge of issues relating to personal development and the knowledge skills and values required in nursing is unclear/inaccurate with limited evidence of understanding demonstrated. Limited evidence of reading appropriate literature to support the discussion. Little evidence of reflection on clinical practice with insufficient attention paid to issues surrounding safe practice. Poor presentation and/or structure.
11 - 25
1 - 10
0
No evidence of knowledge and understanding of issues relating to personal development and knowledge skills and values required in nursing Limited evidence of appropriate reading. No evidence of reflection on clinical practice. Portfolio is poorly presented.
1 - 10
0
0
Work not submitted. Incomplete submission (some part of the work is missing).
0 0 0
N.B. (i) Shaded areas indicate the minimum ‘pass’ mark (ii) Referencing:- Level 1 Inaccurate referencing should be identified in the student feedback sheet. Level 2 Inaccurate referencing should be identified in the student feedback sheet and the mark should be reduced by one marking band. Level 3 Inaccurate or incomplete referencing should be identified in the student feedback sheet, and the work should be graded as a 40. (iii) It is expected that confidentiality of patients, staff and organisations will be maintained. If confidentiality is breached then work will be returned to the student for this to be rectified. This may mean that there is a delay in the publication of results. (See Undergraduate Programme minutes, Faculty wide consultation) (iv) Assignments +/- Agreed Word Allowance.
For students who submit under the assessment word allowance (after the -10% rule) there is no direct penalty. The markers would award a grade that reflects the assignment, taking into account the number of issues raised, depth of analysis, organisation and presentation.
For students who submit over the word limit (after the + 10% rule) then students would be penalised for unfair means. 10% of the grade would be reduced for every 10% over the word allowance.
Therefore, over the word limit 11% - 19% incurs a 10% reduction in marks. 20% - 29% incurs a 20% reduction in marks. 30%-39% incurs a 30% reduction in marks 39%-40% incurs a 40% reduction in marks etc.
14
THE UNIVERSITY OF SHEFFIELD, SCHOOL OF NURSING & MIDWIFERY
UNIT 2 – FOUNDATIONS IN HEALTH AND NURSING 2 Evidence based Practice Assignment: Marking Criteria
Level 1 Good knowledge and understanding of the concept of evidence based practice demonstrated. Most key issues relating to the use of evidence are clearly identified with some evidence of analysis and supported by appropriate literature. Good evidence of ability of access and retrieve information Good evidence of wide and appropriate reading around relevant concepts Clear evidence of reflection on clinical practice. Work is organised within a sound framework and logically presented with very good use of acknowledged referencing systems. Appropriate conclusions are drawn from the discussion and relevant recommendations are made from this. Spelling, grammar and punctuation are mostly accurate.
80 - 100
Demonstrates knowledge of the concept of evidence based practice showing evidence of reading around, and understanding of, relevant areas. Ability to access and retrieve information is very well demonstrated Most key issues around the use of evidence are identified but limited attempts at analysis within the discussion. Evidence of reflection on clinical practice which is supported by appropriate literature. Planning and organisation is evident with clear lines of discussion presented within an appropriate framework. Conclusions are supported by relevant discussion and implications for practice considered Spelling, grammar and punctuation are mostly accurate.
60 – 79
Adequate knowledge of evidence based practice is demonstrated with evidence of reading and some understanding. Ability to access and retrieve information is demonstrated Key issues around the application of evidence identified but discussion is descriptive in parts. There is evidence of reflection on clinical practice, supported by literature with rationale. Planning and organisation is apparent but ideas not always well - formulated. A number of inaccuracies in spelling, grammar and punctuation.
50 – 59
Some knowledge and understanding of the concept of evidence based practice demonstrated but discussion is not well developed. Able to identify appropriate literature Some key issues around the use of evidence are identified but discussion mainly descriptive. Some evidence of reflection on clinical practice. Evidence of reading but limited application of the literature to support the conclusions and recommendations. Some evidence of planning and organisation. A number of inaccuracies in spelling, grammar and punctuation. Approved referencing system is not used appropriately.
41 – 49
Some knowledge and understanding of the concept of evidence based practice is demonstrated showing some evidence of reading around this area. Able to identify appropriate literature Key issues relating to the use of evidence in practice are not clearly identified. Very limited reflection on clinical practice with little attempt to apply supporting evidence in practice. Planning and organisation is limited. Spelling, grammar and punctuation require attention.
40
15
The knowledge demonstrated regarding evidence based practice is superficial with limited evidence of understanding of this subject area. Unclear approach to how the literature was accessed and retrieved Relevant key issues relating to the use of evidence are not evident, main points not clear Limited evidence of reading appropriate literature to support the discussion. Some reflection on clinical practice is evident but at a superficial level. Insufficient attention is paid to issues surrounding safe practice. Limited evidence of planning and organisation, no clear framework or logical argument Spelling, grammar and punctuation require attention. Some attempts at referencing.
26 – 39
Knowledge of issues relating to evidence based practice is unclear/inaccurate with limited evidence of understanding of this area. No evidence of how the literature was accessed and retrieved Limited evidence of reading appropriate literature to support the discussion. Little evidence of reflection on clinical practice with insufficient attention paid to issues surrounding safe practice. Poor presentation and/or structure. Spelling, grammar and punctuation are poor. Does not answer question set.
11 - 25
No evidence of knowledge and understanding of evidence based practice is demonstrated. No evidence of how the literature was accessed and retrieved Key issues are not identified, main points are not evident Limited evidence of appropriate reading. No evidence of reflection on clinical practice. Virtually illegible and poorly presented argument
1 - 10
Work not submitted. Incomplete submission (some part of the work is missing).
0
N.B. (i) Shaded areas indicate the minimum ‘pass’ mark (ii) Referencing:- Level 1 Inaccurate referencing should be identified in the student feedback sheet. Level 2 Inaccurate referencing should be identified in the student feedback sheet and the mark should be reduced by one marking band. Level 3 Inaccurate or incomplete referencing should be identified in the student feedback sheet, and the work should be graded as a 40. (iii) It is expected that confidentiality of patients, staff and organisations will be maintained. If confidentiality is breached then work will be returned to the student for this to be rectified. This may mean that there is a delay in the publication of results. (See Undergraduate Programme minutes, Faculty wide consultation) (iv) Assignments +/- Agreed Word Allowance.
For students who submit under the assessment word allowance (after the -10% rule) there is no direct penalty. The markers would award a grade that reflects the assignment, taking into account the number of issues raised, depth of analysis, organisation and presentation.
For students who submit over the word limit (after the + 10% rule) then students would be penalised for unfair means. 10% of the grade would be reduced for every 10% over the word allowance.
Therefore, over the word limit 11% - 19% incurs a 10% reduction in marks. 20% - 29% incurs a 20% reduction in marks. 30%-39% incurs a 30% reduction in marks 39%-40% incurs a 40% reduction in marks etc.
