Clinical Teaching II - Diagnostic Evaluation and Therapeutic Intervention for the Adult and Elderly in a Medical and Surgical Context

Code: ENF14448L

30 ECTS

Duration: 15 weeks/780 hours

Scientific Area: Nursing

Teaching languages: Portuguese

Languages of tutoring support: Portuguese

Regime de Frequência: Presencial

Presentation

Through the Curricular Unit it is intended that the student gradually develop the process of care for adults and the elderly with conditions, acute or chronic, medical and surgical

Sustainable Development Goals

Saúde de qualidade - Assegurar uma vida saudável e promover o bem-estar para todos, em todas as idades.

Educação de qualidade - Assegurar a educação inclusiva, e equitativa e de qualidade, e promover oportunidades de aprendizagem ao longo da vida para todos.

Igualdade de género - Alcançar a igualdade de gênero e empoderar todas as mulheres e meninas.

Reduzir as desigualdades - Reduzir as desigualdades dentro dos países e entre eles.

Learning Goals

Main goal:
1. Gradually develop the process of care for adults and the elderly with conditions, acute or chronic, medical and surgical.
Skills:
1. Makes an initial clinical assessment of adults and elderly people with conditions, acute or chronic, medical and surgical, using all sources and all instruments considered appropriate;
2. Demonstrates some ability to interpret data in light of theories and empirical evidence;
3. Demonstrates ability to suggest diagnoses and therapeutic interventions appropriate to the situation;
4. Develops, under tutoring, some of the functions inherent to the care process:
4.1. help function
4.2. education and guide function
4.3. Diagnosis and patient surveillance function
4.4. Administration and surveillance of therapeutic protocols
5. Demonstrates knowledge about outcome assessment criteria for therapeutic intervention.
6. Reveals critical thinking metacognitive skills.

1. Process of care for adults and elderly people with conditions, acute or chronic, medical and surgical.
a. initial assessment using the clinical instruments needed in each situation
b. analysis and interpretation of data combining more than two variables
c. participation in planning by suggesting appropriate diagnoses and interventions
d. provision of care, under mentorship, as planned
e. participation in the evaluation of health outcomes
2. Functions inherent to the care process:
a. help function
b. education and guide function
c. diagnosis and patient surveillance function
d. administration and surveillance of therapeutic protocols
3. Metacognitive Critical Thinking Skills

Teaching Methods

The methodologies used are clinical supervision and pedagogical supervision and involve: Student, nurse (tutor) and teacher. Students do Clinical Teaching in units/services, preferably with training suitability, by the Ordem dos Enfermeiros, supervised by Clinical Supervisors Nurses, preferably with increased skills in clinical supervision.
The strategies used are: guidance, direct supervision, collaboration, demonstration, discussion and analysis of care processes.
Each student performs at least three care processes applied in the medical/geriatric context and three in the surgical context.
Assessment instruments: observation grids applied by nurses (60%) and teachers (40%). Assessment is continuous, with training meetings. There are two moments of formative assessment and two of summative assessment. For approval, the rating is greater than or equal to 9.5 in both summative assessments.

Assessment

Each student carries out at least three care processes applied in the medical/geriatric context and three in the surgical context. Assessment instruments: observation grids applied by nurses (60%) and teachers (40%). Continuous assessment is only allowed with formative meetings. There are two stages of formative assessment and two stages of summative assessment. To pass, the grade must be equal to or higher than 9.5 in the supervising nurse's assessment and 9.5 in the teacher's assessment, in both the medical and surgical contexts. Passing EC II requires a mark of 9.5 or higher in both summative assessments. The minimum mark in each context is 9.5. If there is a mark lower than 9.5 in one of the contexts, the student must repeat the CE in the context in which they obtained a mark lower than 9.5. The positive mark will be kept for 2 years as described in the academic regulations.