Kingdom of Saudi Arabia The National Commission for Academic Accreditation & Assessment COURSE SPECIFICATION NURSING SCIENCE Revised March 2007 0 Course Specification For Guidance on the completion of this template, please refer to of Handbook 2 Internal Quality Assurance Arrangements Institution Alfw College/Department College of nursing science A Course Identification and General Information Course title and code: Nursing (0301356) Psychiatric & Mental Health Nursing 2. Credit hours : 6 Credits 3. Program(s) in which the course is offered. (If general elective available in many programs indicate this rather than list programs) BSN 4. Name of faculty member responsible for the course Mrs. H 5. Level/year at which this course is offered Third Year 6. Pre-requisites for this course (if any) Communication (NURS 428), Psychosocial 7. Co-requisites for this course (if any) NON 8. Location if not on main campus Main campus (321) 1 B Objectives 1. Summary of the main learning outcomes for students enrolled in the course. Discuss the major theories interpreting mental illness. Discuss the intellectual, behavioral and emotional reactions of patient, family and nurses reaction to mental illness. Describe the various types of neurotic, psychotic, personality, organic disorders and psychopathological process of each disorder. Relate various concepts to the process of human illness. Assess the intellectual, emotional and behavioral reaction manifested by an adult client exhibiting various conditions. Discuss the various therapeutic modalities utilized in the management of patients with various psychiatric conditions. Appraise the aspects of nursing process in implementing secondary and tertiary interventions for patient with various psychiatric conditions. Display positive attitude towards the mentally ill individual Integrate theoretical knowledge related to mental health into clinical practice. Utilize the nursing process in providing humanistic nursing care for different clients showing dysfunctional coping patterns at un in patient psychiatric unite. Demonstrate ability to use self therapeutically on working with colleagues, clients, and teacher. Develop a therapeutic nurse client relation ship with client who are suffering from mental illness. 2. Briefly describe any plans for developing and improving the course that are being implemented. (eg increased use of IT or web based reference material, changes in content as a result of new research in the field) C. Course Description (Note: General description in the form to be used for the Bulletin or Handbook should be attached) The course is required for all undergraduate 3rd. year nursing students. The course introduces the student to mental illness and theoretical concepts behind it. Students involved in this course are expected to, integrate knowledge base from the mental health nursing theory courses; Utilize the nursing process within the therapeutic nurse client relation ship with the emphasis on the humanistic holistic approach and develop an open communication with health care providers’ team to facilitate the client healing process in a structured environment. The focus of the training is on the therapeutic use of self this will be achieved by providing a supervised experience in an inpatient psychiatric setting. Learning is enhanced through the direct interaction with the clients and the actual participation in group activities that will help the student nurse to under stand self and others. 2 Material Items Introduction to psychiatric nursing Concepts of mental health mental illness. Theoretical foundation for understanding mental Grade illness, Psycho analytic, Psychosocial, Interpersonal, First Humanistic, Behavioral and Biogenic theories 20% Symptomatology of mental illness. Principles of psychiatric care. Legal aspects of psychiatric care. Anxiety, defense mechanisms, stress and adaptation. Care of patient with anxiety disorders. Second Care of patient with psychotic illness. Exam Care of abused client Care of patient with personality disorders. Care of patient with substance abuse. Pervasive personality disorders and its nursing care. Cognitive disorders and its nursing care Therapeutic modalities utilized in the management 50% Exam Final Exam Student Activities 20% of psychiatric conditions disorders. All students activities submitted along the entire 10% course Total 100% 1. Self awareness(personality development) about concepts mental health, mental illness, adduction, abused and other issues and its effect on interacting with clients. a. Self concept (self esteem, personal and professional identity, roles) 3 b. Attitudes c. Beliefs d. Value 2. Basic principles in working with psychiatric patient’s and legal aspects 3. Stress management 4. Caring and helping relation ship a. Basic concept(communication skills) b. Strategies of interviewing c. Phases of relation ship 5. Nursing process(mental health status assessment) 6. Activities a. Environment structure b. Interdisciplinary team function c. Therapies: Medication and ECT d. Patient education e. Recreational therapy, occupational and behavioural therapy 6. Care of client exhibiting social skill deficits 2 Course components (total contact hours per semester): Lecture: Tutorial: Practical/Fieldwork/Inte rnship: Clinical practise 45hrs 90hrs 4 Other: 3. Additional private study/learning hours expected for students per week. (This should be an average :for the semester not a specific requirement in each week) (Assignment , Exercises, Practise and Revision) average of 3 hrs 4. Development of Learning Outcomes in Domains of Learning For each of the domains of learning shown below indicate: A brief summary of the knowledge or skill the course is intended to develop; A description of the teaching strategies to be used in the course to develop that knowledge or skill; The methods of student assessment to be used in the course to evaluate learning outcomes in the domain concerned. a. Knowledge (i) Description of the knowledge to be acquired 1. Integrate theoretical knowledge related to mental health into clinical practice. 2. Utilize the nursing process in providing humanistic nursing care for different clients showing dysfunctional coping patterns at un in patient psychiatric unite. (ii) Teaching strategies to be used to develop that knowledge Lectures /small group discussion to present main themes and concepts of theories and therapeutic modalities. Brain storming to illustrate the differences in core concepts related to theories and therapeutic modalities. Reading assignment to integrate concepts of theories with actual practice in nursing process (Writing nursing care plans) (iii) Methods of assessment of knowledge acquired Paper & pencil exam (or PC. Based exam) 5 1. Truth & False (to recognize main concept of mental disorder) 2. Matching (to acknowledge the psychotherapy of mental disorder clients) 3. Short essay (to provide the meaning of different nursing interaction and nursing diagnosis) b. Cognitive Skills (i) Cognitive skills to be developed 1. Demonstrate ability to use self therapeutically on working with colleagues, clients, and teacher. 2. Develop a therapeutic nurse client relation ship with client who are suffering from mental illness. 3. Demonstrate knowledgeable skill performance in carrying out specific nursing procedures. (ii) Teaching strategies to be used to develop these cognitive skills 1- Role-plays to simulate different behaviours , general symptomatology , nurse – patient (client) interaction as well as the appropriate intervention related to behavioural /personality /mental disorders 2- Seminars to insure the appropriate application of different clinical concepts 3- Case study to develop rationales for psychological assessments, diagnosis, and planning of care 4- Attending rounds to acquire multidisciplinary professional approach to care in response to different multidimensional patients problems as well as applications of group dynamics skills 5- Scenarios to critique and propose psychological nursing interventions and long term goals, as well as means of evaluation of cara (iii) Methods of assessment of students cognitive skills 1- MCQ (to assess and recognize the different nursing therapeutic interactions) 2- Scenarios or real-life simulation (to interpret/ apply psychodynamic of behaviour disorders in the context of health care) 6 c. Interpersonal Skills and Responsibility (i) Description of the interpersonal skills and capacity to carry responsibility to be developed 1. Develop awareness into one’s own attitude towards mental health and mental illness and its effect on working with psychosocial issues of client. 2. Value one’s own mental health practices as a professional nurse. 3. Locate resources for early case finding of mental illness or psychosocial problems (ii) Teaching strategies to be used to develop these skills and abilities 1- Conviction mirror to reflect behaviour during role plays assisting in selfawareness 2- Video taping of actual students interactions in groups or one-to-one student patient interaction ( or role plays) to teach dynamics of interaction 3- Direct interaction with clients(real-life simulation) to apply and critique interpersonal skills (iii) Methods of assessment of students interpersonal skills and capacity to carry responsibility 1- Oral semi structure interview (to demonstrate the ability of communications with clients mental and behaviours disorder) 2- Seminar (to present project outcome as a demonstration of ability to apply interviewing and interpersonal therapeutic communication skills between nurses and clients) d. Communication, Information Technology and Numerical Skills (i) Description of the skills to be developed in this domain. Use of web based material related to mental disorder (EBSCO ) to apprise the advanced mental health clinical nursing management (ii) Teaching strategies to be used to develop these skills Group tutorial to facilitate selection & utilization of appropriate web based mental care material (iii) Methods of assessment of students numerical and communication skills 1- Assignments (to present recent different topic related to nursing interaction management) 7 e. Psychomotor Skills (if applicable) (i) Description of the psychomotor skills to be developed and the level of performance required 1. Collaborate with clients, colleagues, clinical instructor and health care team to ensure maximum quality of nursing care. 2. Facilitate and structure a therapeutic environment in a psychiatric unite. 3. apply nursing technique and procedure relevant to psychiatric patient (ii) Teaching strategies to be used to develop these skill Demonstration to acquire different nursing techniques & procedures A.V. aids( videos& posters) to help student to practice techniques & procedures by imitation Video taping of actual student performance to help realize procedural defaults and overcome them Real life Simulation(Attending and assisting in diagnostic/ treatment procedures group activities) to help student reach level of automation of skills for specific techniques & procedures (iii) Methods of assessment of students psychomotor skills 1- Structured observational clinical checklist (to assess actual interaction and interviewing the clients) 5. Schedule of Assessment Tasks for Students During the Semester Assess ment Assessment task (eg. essay, test, group project, examination etc.) 1 Quiz & reading 10% 2 Clinical practice performance 10% 3 Clinical performance checklist 10% 4 Written psychosocial assessment 10% 5 Nursing care plan 10% 6 Seminar 10% 7 Final exam 40% 8 Week due Proportion of Final Assessment 8 D. Student Support 1. Arrangements for availability of faculty for individual student consultations and academic advice. (include amount of time faculty are available each week) Consultations 2hrs , academic advice 2hrs E Learning Resources 1. Required Text(s) 1. Fortmash K.M. and Holoday-worret, P.A. (1999): psychiatric nursing care plans. (2nd ed) Mosby-year book,Inc, United states of America. 2. Essential References 3- Recommended Books and Reference Material (Journals, Reports, etc) (Attach List) 1. Videbeck Sheil L., (2001): Psychiatric Mental health nursing Library of congress Cat aloging-in-Publication. 4-.Electronic Materials, Web Sites etc Medicare web Site EBSCO web Site 5- Other learning material such as computer-based programs/CD, professional standards/regulations professional standards/regulations of psychiatric nursing F. Facilities Required Indicate requirements for the course including size of classrooms and laboratories (ie number of seats in classrooms and laboratories, extent of computer access etc.) 1. Accommodation (Lecture rooms, laboratories, etc.) Lecture rooms= 20 students Nursing lab to practice psychomotor procedures Clinical setting with training centre that implement Therapeutic milieu institutional settings : inpatient, acute, chronic and emergency psychiatric care community settings : outpatient clinics, occupational and recreational centres, day care hospitals 9 2. Computing resources Internet membership in web based mental health nursing membership in evidence-based mental health nursing sites 3. Other resources (specify --eg. If specific laboratory equipment is required, list requirements or attach list) Video recording apparatus and facility Conviction mirror Magmatic teaching board PowerPoint/ transparency projector Teaching lab dolls and equipments relevant to nursing procedure included in course G Course Evaluation and Improvement Processes 1 Strategies for Obtaining Student Feedback on Effectiveness of Teaching Students/teacher focus group Students personal written reflections Students teaching appraisal questionnaire Students clinical training appraisal questionnaire 2 Other Strategies for Evaluation of Teaching by the Instructor or by the Department By Instructor: Analysis of students performance progress through factor analysis of written periodical exams Criteria analysis of students performance progress for clinical practice and interpersonal skills By the Department Peer evaluation of the instructor Feedback to/from clinical preceptors 3 Processes for Improvement of Teaching Staff development of areas that are not satisfactory (specially tailored workshops to their needs, mentorship and counselling, self learning and training packages) Continuous education for new areas that will enhance present performance Visitors of teaching experts in the field for modelling performance Clinical preceptor training 4. Processes for Verifying Standards of Student Achievement (eg. check marking by an independent faculty member of a sample of student work, periodic exchange and remarking of a sample of assignments with a faculty member in another institution) Department committee to revise sample of randomly selected exams Department revision of exam report (grade: maximum, min , average ,mode, median Periodic exchange and remarking of a sample of assignments with a faculty member in another institution) Clinical examination of independent psychiatric nursing faculty member Co evaluation of students clinical performance including course teacher and clinical preceptor 4. Describe the planning arrangements for periodically reviewing course effectiveness and planning for improvement. Reviewing : Review and analyze Collective student performance in psychiatric nursing internship rotation each semester Review and analyze Collective summary of student performance of all teaching section of the course yearly 10 Acquire feedback regarding planning for improvement of transferable skills and level of retention of required knowledge from faculty teaching courses that demand this course as prerequisite(ex: community care nursing course) each semester Benchmark student performance with other similar program teaching similar course Planning for improvement: Update course syllabus to meet changing patient needs in the Saudi community Provide or enhance appropriate recourses needed to teach the course Provide course instructors with feedback of review results to propose improvement strategies Provide course instructors with needed training Provide clinical preceptors at the training institutes with review results to propose improvement strategies Mutual planning of the course with clinical preceptors 11