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Year 3 Course Descriptions

Academic Term 5

NURS 332 - Care in Crisis & Complexity

Course Descriptions

Learners will develop knowledge regarding complex health challenges in the area of maternal health; urgent, emergent, and trauma-related situations; complex medical; and complex psychiatric conditions across the lifespan. Learners will acquire skills in clinical reasoning; priority setting in unstable, urgent, emergent, and trauma-related situations; managing and leading care in complex patient presentations and situations; engaging in person-centered, interprofessional collaboration; and facilitating the preservation of personhood in the midst of crisis.

Topics

Complex Medical Conditions
- Caring for Patients with Hepatic Disorders
- Caring for Patients with Shock, Disseminated Intravascular Coagulation (DIC), & Multiple Organ Dysfunction Syndrome (MODS)
- Caring for Patients in End-of-Life Care
Complex Maternity
- Caring for Families with Complex Pregnancies
- Caring for Women with Special Needs & Complex Labours & Births
- Caring for Families with Postpartum & Neonatal Complications
Complex Psychiatric Disorders
- Nursing Care of a Person & Family Experiencing a Complex Psychiatric Disorder
- Caring for Patients Experiencing Anger & Aggression
- Caring for Patients with Anxiety Disorders
- Caring for Patients with Substance-Related & Concurrent Disorders
- Caring for Patients with Personality Disorders
Complex Trauma
- Foundation of Caring for Patients & Families in Emergency Situations
- Caring for Patients with Traumatic Injuries
- Caring for Patients with Burn Injuries

Learning Outcomes

Apply the nursing process, clinical reasoning, and leadership skills to patients of all ages experiencing diverse complex, unstable, urgent, and emergent health challenges
Critically evaluate complex, unstable, urgent, and emergent situations for delegation and consultation in the interprofessional health care setting
Develop strategies to preserve personhood in the context of complex health challenges
Evaluate the health care setting using Quality and Safety Education for Nurses (QSEN) competencies to advocate and negotiate safe care in the context of crisis and complexity
Recognize culturally competent care for individuals and families experiencing complex, unstable, urgent, and emergent health challenges
Recognize the role of vigilance and ongoing monitoring necessary for evolving and rapidly changing patient conditions
Integrate pharmacological knowledge in the context of diverse complex health challenges
Use pertinent vocabulary, medications, and laboratory values related to complex health challenges in the health care setting
Integrate knowledge of colonization with Indigenous peoples' experience of acute illness
Integrate knowledge of collaborative approaches with other members of the interprofessional team when providing care for clients with complex episodic and chronic health challenges
Distinguish the responsibilities and contributions of the registered nurse and other health professionals related to the provision of person-centered care

NURS 342 - Advanced Nursing Skills

Course Description

Learners will build on their existing and emerging nursing knowledge using evidence-informed practice guidelines and standardized procedures for conducting advanced psychomotor nursing skills. Through experiential learning, evidence and best practice guidelines, simulation, and demonstration, participants will integrate knowledge, skills, and abilities for independent nursing practice. Learners demonstrate personal accountability, applying vigilant assessment, monitoring, and documentation in preventing errors and minimizing the risk of harm to patients. Quality and safety principles are applies to advanced psychomotor skills. Learners anticipate the dynamic changes that frequently occur within a patient's situation. Learners will engage with peers and instructors to seek and provide feedback.

Topics

Non-Tunneled CVC Dressing & Removal
PICC Dressing & Removal
Peripheral IV Insertion
Total Parenteral Nutrition
Blood & Blood Product Administration
Urinary Catheterization
Continuous Bladder Irrigation
Tracheostomy Care
Chest Tubes

Learning Outcomes

Competently and safely demonstrate selected advanced psychomotor skills
Conduct appropriate assessments, prioritize nursing interventions, and engage in advanced clinical reasoning for advanced psychomotor skills
Give and receive constructive feedback in the context of advanced nursing interventions
Recognize and communicate errors and value the registered nurse's role in preventing mistakes and minimizing risk to patients
Problem-solve challenges with equipment and learn how to manage sudden complications
Ensure adequate and timely monitoring strategies are in place to protect patient safety
Ensure the interprofessional health care team is collaborating to maintain dignity and preserve personhood when conducting advanced psychomotor skills
Consistently employ evidence-informed practice in all aspects of nursing care
Document nursing interventions, psychomotor skill, and related assessment findings using appropriate terminology and format, integrating nursing informatics
Contribute to quality improvement through evidence-informed and best practice in the health care setting

NURS 360 - Advanced Relational Practice

Course Description

Learners will extend and develop their foundational knowledge, skills, and dispositions for effective nurse-client therapeutic relationships in situations that are difficult, contentious, or distressing. Learners explore the influence of power and oppression on individual and population health. Learners will examine historical patterns of racism, ethnocentrism, colonialism, and neocolonialism in relation to health and health care systems. Social justice, interprofessional collaboration, and relational ethics are used to promote a culturally safe and compassionate nursing practice. Learners will gain competences to provide care for critically ill and dying persons, encompassing physical, spiritual, emotional, and social needs in a person- and family-centered approach.

Topics

Exploring Diversity Through the Lens of Intersectionality
Understanding Social Justice & Ethical Practice
Colonialism, Oppression, & Privilege within Nursing Practice
Racism within Nursing Practice
Marginalization & Stigma
Living with Dying: History & Principles of HEOLPC
The Future of HEOLPC/MAiD
Symptom Management & Interprofessional Practice
Symptom Management: Palliative Sedation
Symptom Management in the Pediatric Setting
Death & Beyond: Loss, Grief, & Bereavement
Theory/Theorizing About Loss, Grief, & Bereavement
Compassion Fatigue & Burnout

Learning Outcomes

Articulate the components of culturally safe, competent, ethical, and compassionate nursing care in difficult, contentious, and distressing situations
Engage in scholarly critical reflection to inform nursing practice applying foundational curricular perspectives
Incorporate diverse frameworks to enhance and synthesize understanding of complexity in relational practice
Develop strategies to enact competent, ethical, and compassionate nursing care in difficult, contentious, and distressing situations
Critically analyze the impact of conflict on interprofessional team functioning in the context of rapidly changing or crisis situations
Integrate relational ethics into effective clinical decision-making in order to enhance quality of care
Integrate knowledge of pathophysiology with clinical decision-making in the context of health crisis, and/or end-of-life care, to enable therapeutic presence and competent care
Identify nurses' role in the delivery of care regarding choices at end-of-life, including advance care planning
Integrate principles of relational practice and theoretical frameworks to develop personal strategies to support patients and families related to end-of-life
Evaluate the potential for intersecting social identities to impact the health and wellness of individuals
Recognize and develop responses to racism, neocolonialism, and ethnocentrism as it occurs in the practice setting
Discuss the importance of applying a strength-based approach to Indigenous peoples' health, as a way of reducing colonizing approaches such as judgement, marginalization, and stigmatization of Indigenous peoples
Analyze the implications of power and oppression on Indigenous peoples' individual and population health, in the context of colonization and residential schools in Canada on Indigenous peoples' health
Formulate strategies to nurture cultural safety, applying principles of social justice to plan de-colonizing care

NURS 380 - Nursing Practice 5

Course Description

Learners combine knowledge gained from previous and concurrent courses, and past clinical experiences to demonstrate clinical competence with minimal guidance from clinical instructors and supervising registered nurses in preparation for senior Consolidated Practice Experiences (CPEs). Placements are in the complex practice environments in the tertiary care setting, including medical and surgical cardiology, acute neurology, complex medicine and surgery, acute psychiatry, maternity, and pediatrics. Learners will practice under direct and indirect supervision. Learners are expected to complete weekly patient research assignments and critical reflections, incorporating theoretical knowledge, evidence-based or best practice, and personal clinical experience.

Learning Outcomes

Develop care plans by exploring and developing a range of possible alternatives and approaches for care with patients, family, and other health care professionals
Display initiative, confidence, self-awareness, and collaborative, respectful interactions within the interprofessional health care team
Advocate for safe, appropriate, and ethical care for patients and their representatives, especially when they are unable to advocate for themselves
Use relational ethics and clinical reasoning to address situations of moral and ethical distress and dilemmas
Negotiate priorities of care with patients while demonstrating an awareness of the influence of existing positional power relationships
Use a knowledge base in the health sciences including pathophysiology, psychopathology, and pharmacology to inform nursing practice
Provide nursing care that is informed by a variety of theories relevant to health and healing
Apply advanced sensitivity when caring for Indigenous patients by understanding how colonization and residential schooling have the potential to inform patients' experience of hospitalization
Provide nursing care to meet hospice, palliative, or end-of-life care needs (e.g., pain and symptom control; spiritual support; advocacy; and support for significant others) utilizing knowledge from nursing and other disciplines
Assist patients and their families to access, review, and evaluate information they retrieve using Information Communication Technologies (ICTs) using professional judgement
Modify and individualize patient care based on the emerging priorities of the health situation, in collaboration with patients, families, and other members of the interprofessional health care team
Anticipate potential health problems or issues and their consequences for patients in the context of acute, unstable, urgent, and complex situations
Recognize and seek immediate assistance in a rapidly changing situation that could affect patient health or safety (e.g., acute neurological event, perinatal crisis, mental health crisis, and trauma)
Prioritize and provide timely nursing care and consult as necessary for any patient with co-morbidities, and a complex and rapidly changing health status
Establish person-centered goals through shared decision-making, problem solving, and interprofessional conflict resolution
Contribute to team effectiveness with respecful communication and collaboration, demonstrating flexibility and interprofessional team building abilities
Evaluate the practice environment and patient care team using Quality and Safety Education for Nurses (QSEN) competencies to promote safe, person-centered care

+ Non-Nursing Elective

A non-nursing elective must be completed before the end of Academic Term 5 in order to progress to Academic Term 6 at the University of Victoria. All electives must be designated University Transferable and 100 level or higher.

Courses NOT Accepted as Electives:

BIOL 103 - Non-Majors General Biology
BIOL 150 - Human Anatomy
BIOL 151 - Human Physiology
HLTH 110 - Health & Wellness in Contemporary Society
PNUR 101 - Anatomy & Physiology
PSYC 154 - Interpersonal Skills

Academic Term 6

NURS 341 - Nursing Inquiry

Knowledge for the discipline of nursing is explored as well as various modes of nursing inquiry. Relationships between practice, theory, and research are explored.

NURS 342 - Global Health Issues

Study of complex chronic and episodic global health challenges and issues. Emphasis is placed on the role of the nurse as care provider, community organizer/facilitator, educator, and advocate within the context of the global society and the changing health care environment. Participants examine emerging health issues and trends further to develop their understanding of nursing practice.

NURS 350 - Community & Societal Health

Explores knowledge for nursing as a practice of relationship and inquiry, in promoting community and societal health. Emphasis is placed on working with community and society, from perspectives of social justice, health equity and political action, community development and capacity building for community health promotion, and transformative and emancipatory approaches to teaching and learning. Students engage in community-based learning activities to integrate theory and practice.

NURS 360 - Nursing Research

Participants enhance their understanding of nursing scholarship and their abilities to comprehend, critique, and utilize nursing research. Participants critically reflect on various scholarly works and research methodologies. Participants experience ways to critically examine their practice in relation to nursing research and to pose research questions for evidence-informed practice.

NURS 484 - Indigenous Health & Wellbeing

Develops student understanding of the socio-cultural history and current context that shapes the lives of Indigenous people and their communities' health in Canada. We enter into a 'relational space' through the use of storytelling, self-reflection, and experiential learning methods, and engage a critical social lens that explores power, white privilege, racism, and culture. Embedded in this course are the strengths and gifts of Indigenous knowledge and teachings.

CPE 3 & 4

NURS 370 - Consolidated Practice Experience 3

Provides opportunities for participants to integrate learning from previous terms and to advance their professional nursing practice. Participants have opportunities to consolidate learning and advance their clinical decision-making in a variety of settings. Nursing practice experiences consist of a six week practice placement.

NURS 470 - Consolidated Practice Experience 4

Provides opportunities for participants to integrate learning from previous terms, and to advance their professional nursing practice. Participants have opportunities to consolidate learning and advance their clinical decision-making in a variety of settings. Nursing practice experiences consist of a six-week practice placement.

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