Programme Specification A statement of the knowledge, understanding and skills that underpin a taught programme of study leading to an award from The University of Sheffield 1 Programme Title Acute and Critical Care Practice 2 Programme Code NURU204 (Part-time) 3 JACS Code B700 4 Level of Study Undergraduate 5a Final Qualification Diploma 5b QAA FHEQ Level Intermediate 6 Intermediate Qualification(s) None 7 Teaching Institution (if not Sheffield) Not applicable 8 Faculty Medicine Dentistry and Health 9 Department School of Nursing and Midwifery 10 Other Department(s) involved in teaching the programme None 11 Mode(s) of Attendance Part-time 12 Duration of the Programme Maximum of 5 years Part-time 13 Accrediting Professional or Statutory Body None 14 Date of production/revision March 2014 15. Background to the programme and subject area As a result of current changes in the NHS, the Department of Health (DoH, 2000) identified through national audit that all aspects of acute and critical care are no longer restricted to specialised units. More seriously ill patients are now cared for in all clinical settings. Consequently, a wider range of practitioners from various professions and clinical environments need to access programmes or units that provide them with acute and critical care skills in order to optimise patient care. The programme provided by the School of Nursing and Midwifery has been developed to provide a more flexible educational framework to meet this need. Sheffield School of Nursing and Midwifery has a long tradition of providing post-registration education for health care practitioners in acute and critical care. There is a history of close collaboration between the School and the local Trusts. This has led to the development of a dynamic and fluid post-registration curriculum designed to meet the ever-widening range of specialist care within the acute field. Unit and Programme Leaders have both a clinical and educational background commensurate with acute and critical care. Consequently all teaching is evidence-based and orientated to care delivery. A range of modules have been developed for five key areas (trauma, critical care, peri-operative care, cancer care and cardio-vascular care) which are central to acute and critical care practice and which reflect current changes in the NHS and national strategies. Practitioners will be able to choose units from any area pertinent to their clinical specialism. One of the modules that may also be accessed as part of this programme is the Mentor Preparation Unit. These modules can be accessed as stand alone or combined to constitute a Diploma or BMedSci in Acute and Critical Care Practice. It is envisaged that this will increase flexibility for students and managers and at the same time provide essential acute and critical care skills for practitioners from a variety of clinical environments and professions. The assessment of the modules varies. However on the whole a combination of theoretical and practice assessment is adopted. The practice assessment consists of clinical competency. To complete the assessment process practitioners must be employed in areas where the learning outcomes can be achieved. Most modules are accessed by both Level 2 and Level 3 students. Shared learning enriches the experiences of the group through the exploration and application of research to a variety of clinical practices. There is an expectation that Health Care Practitioners will have the pertinent IT and study skills needed for this level of study. Statutory bodies demand that Health Care Practitioners have the above skills in order to meet the requirements of their registration. As a consequence these skills are not included in the modules that 1 219515298 – ver15-16 contribute to this programme. However there are resources available throughout the University to meet this need on individual demand. Information relating to these resources can be found in the programme handbook. In most cases it is necessary to have the support of the Clinical Manager prior to commencement of the unit/programme. Undertaking this programme has increased the career options for many students both locally and further afield. Other students have used this programme to access higher level educational programmes. 16. Programme aims The Diploma in Acute and Critical Care Practice has the following aims that reflect the Strategic Plan for the School of Nursing and Midwifery: 1. to enable the Health Care Practitioner to deliver optimum quality care through the acquisition of specialist skills, knowledge and expertise. 2. to provide a deeper and broader understanding of client/patient health needs within the context of changing health care provision. 17. Programme learning outcomes Knowledge and understanding: Having successfully completed the programme, students will be able to: K1 analyse the physiological, pathological, psychological, sociological and cultural aspects which may influence the care of their client group. K2 analyse and appraise the use of a range of theories and models of professional practice to select appropriate strategies for the management and delivery of care for their specific client group. K3 analyse current practice to promote change in the delivery of care in the light of research findings specific to their client group. Skills and other attributes: Having successfully completed the programme, students will be able to: S1 provide care which applies specialist knowledge and skills to meet the needs of their specific client population, together with a broader understanding of health promotion and health care provision. S2 analyse the use of professional and clinical decision making skills in order to create and maintain an environment in which carers and clients are enabled to make informed choices. 18. Teaching, learning and assessment Development of the learning outcomes is promoted through the following teaching and learning methods: Development of the learning outcomes is promoted through the following teaching and learning methods: 1. Lectures: are used where the essential aims is to impart knowledge relating to K1-3, S1-2 above. 2. Seminars: which are either staff-led or student-led are used throughout the programmes, however, the use of seminars will vary depending on the unit undertaken. They are designed to reinforce information imparted through lectures by allowing students to work through, analyse, understand and respond to that information. They are used to enable students to make the link between theory and clinical practice. Seminars thus contribute to the achievement of knowledge and understanding (K1-3, S1-2). 3. Group Tutorials: are meetings arranged between a lecturer and a small group of students in order to clarify a particular problem experienced by the student(s) in the understanding of material or to support the student(s) in the process of preparation for a seminar or assessment (K1-3, S1-2). 4. Individual tutorials: are meetings arranged between a lecturer and an individual in order to clarify a particular problem experienced by the student(s) in the understanding of material or to support the student(s) in the process of preparation for a seminar or assessment. (K1-3, S1-2). 5. Independent Study: the amount of individual study will vary depending on the module(s) undertaken to achieve the programme. This information is clearly set out in the individual module handbooks. Independent study is used: to assimilate and clarify material explored in lectures; to prepare for seminars; to prepare for assessments and to generally examine literature pertinent to the module outcomes (K1-3, S1-2). 2 219515298 – ver15-16 6. Problem-Based Learning: students will identify a case study/critical incident from clinical practice and explore the issues arising in conjunction with appropriate literature (K1-3, S1-2). 7. Role play: the use of role play through video presentation or simulation to explore material pertinent to the unit content will vary depending on the unit undertaken. Some modules use video preparation or simulation as a form of non-threatening role play where students are encouraged to use the material examined in lectures to develop a short scenario applied to clinical practice. This is then analysed either individually or in small groups in light of current evidence/literature (K1-3, S1-2). Simulation is used formatively and summatively where appropriate. Opportunities to demonstrate achievement of the learning outcomes are provided through the following assessment methods: The summative assessment is designed to reflect the philosophy, rationale, aims and learning outcomes of the programme. It is a central part of the process of teaching and learning, ensuring integration and cohesion between theory and practice. Assessment of Theory and Practice The strategies adopted encompass summative processes based on the integration of theory and practice. The achievement of learning outcomes for each module contributing to the programme is outlined with each module details but is essentially assessed through a variety of styles, e.g. Reflective essays based on practice incidents: students are required to identify an incident from clinical experience that demonstrates good or bad practice. A literature search of the evidence available relating to the incident is then undertaken and used to reflect upon the practice(s) identified within an essay format (K1-3, S12). Research critique/literature review: students are required to critique a body of literature using the research process and relate this to clinical practice (K1-3, S1-2). Portfolio and clinical competence: some modules that contribute to the programme encompass formative and summative processes based on the quality of evidence produced in the portfolios of learning that contribute towards clinical competence achievement. The portfolio is a record of learning and outcomes of clinical performance, demonstrating the progress and level of development of knowledge, skills and attitudes. This will be dictated by the outcomes of the programme and units within it. The overall assessment strategy is designed to assess the student’s ability to undertake practice which is safe and based on the best available evidence. These reflect the learning outcomes. A clinical mentor will work alongside the practitioner whilst on clinical placement to enrich their clinical experience, support them during this period of learning, and to assess their competency. Mentors will have to meet educational standards as set by the Nursing and Midwifery Council (K13, S1-2). Multiple Choice Questions (MCQ): an exam consisting of multiple choice questions relating to the module undertaken (K1-3, S1-2). Objective Structured Clinical Examination (OSCE): an examination of clinical skills using a structured process of assessment (K1-3, S1-2). 19. Reference points The learning outcomes have been developed to reflect the following points of reference: Subject Benchmark Statements http://www.qaa.ac.uk/AssuringStandardsAndQuality/subject-guidance/Pages/Subject-benchmarkstatements.aspx Framework for Higher Education Qualifications (2008) http://www.qaa.ac.uk/Publications/InformationAndGuidance/Pages/The-framework-for-higher-educationqualifications-in-England-Wales-and-Northern-Ireland.aspx University Strategic Plan http://www.sheffield.ac.uk/strategicplan Learning and Teaching Strategy (2011-16) http://www.shef.ac.uk/lets/staff/lts 3 219515298 – ver15-16 Nursing and Midwifery Council www.nmc-uk.org Department of Health National Service Frameworks 20. Programme structure and regulations To attain a Diploma in Acute and Critical Care, the student must accumulate 120 credits through completion of an appropriate number of the modules from any of the pathways. In some circumstances modules provided by other departments in the School of Nursing and Midwifery can be integrated into the Diploma programme. However, a minimum of 70 credits must be obtained from modules within the Acute and Critical Care Pathways. The student is encouraged to construct a programme of learning pertinent to their clinical experience in consultation with their clinical manager. Detailed information about the structure of programmes, regulations concerning assessment and progression and descriptions of individual modules are published in the University Calendar available on-line at http://www.shef.ac.uk/govern/calendar/regs.html. 21. Student development over the course of study Within the Diploma programme modules may be undertaken in any order but must be completed normally within a two year period but within a maximum of five years. As the student progresses though the programme there is an increasing emphasis on student autonomy in learning. The teaching and assessment methods including seminars, problem solving, essay writing and presentations encourage the student to utilise an analysis of the literature to reflect upon clinical experience and identify practice development. An element of assessment for a number of the modules involves clinical competencies. This provides the student with the opportunity to demonstrate the application of theory to practice and proficiency in the skills pertinent to their clinical area. 22. Criteria for admission to the programme A person may be admitted to the programme who holds 120 credits (or the equivalent) at Level 1 obtained in the University or in other institutions. Detailed information regarding admission to the programme is available at http://www.shef.ac.uk/prospective/ 23. Additional information The School of Nursing and Midwifery is based at: Barber House Annexe 3a Clarkehouse Road Sheffield S10 2LA Telephone: 0114 222 2030 Email enquiries: snm.enquiries@sheffield.ac.uk Information at: www.shef.ac.uk/snm Units may be delivered at any site on the university campus Different units may be delivered each year. The School produces information online identifying those that will be available for students to access. 4 219515298 – ver15-16