NURSING 7151 - Cardiovascular Care

North Terrace Campus - Semester 2 - 2019

The course is designed for nurses caring for the interventional, medical and surgical cardiovascular patient cohorts. The course consists of a number of sections including risk factors, assessment & investigations; pathophysiology & medical management of the cardiovascular patient; other management strategies are such as, mechanical cardiac support, interventional cardiology, cardiac surgery and transplantation; and finally, secondary prevention, cardiac rehabilitation & palliation. The theoretical concepts and knowledge gained will enable the advanced practice nurse to engage in discussions regarding the principles of cardiovascular care nursing. It will have both theoretical and clinical components supported by classroom teaching. Students will also be expected to complete a range of clinical competencies throughout the course.

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Course Details

Course Code	NURSING 7151
Course	Cardiovascular Care
Coordinating Unit	Adelaide Nursing School
Term	Semester 2
Level	Postgraduate Coursework
Location/s	North Terrace Campus
Units	6
Contact	Up to 5 hours per week
Available for Study Abroad and Exchange
Prerequisites	NURSING 7031
Restrictions	Only available to students enrolled in the Graduate Diploma of Nursing Science (Cardiac)
Assessment	Search strategy & synopsis Case study presentations Written exam Viva voce Clinical skills diary

Course Staff

Course Coordinator: Samuel Kitto

Julia Muller Spiti
Adelaide Nursing School
Adelaide Health and Medical Sciences Building, North Terrace
The University of Adelaide 5005

Phone: +61 8 8313 6284

Course Timetable

The full timetable of all activities for this course can be accessed from Course Planner.

Course Learning Outcomes

1. Outline the process of risk stratification and the assessment tools used to risk stratify patients.

2. Recognise the ethnic and racial differences in the prevalence and prognostic impact of cardiovascular disease in different populations.

3. Describe the aetiology, pathophysiology, assessment, and management of cardiovascular disorders and their comorbidities.

4. Explain the indications, physiological effects, nursing care, and complications of the intra-aortic balloon pump.

5. Compare and contrast percutaneous intervention and surgical option for the treatment of coronary, valvular, and thoracic aortic disease.

6. Identify the barriers and explain the benefits, phases, and components to a successful cardiac rehabilitation program.

7. Explain the concepts of palliative care, and recommended strategies to improve palliative care for patients with advanced cardiovascular disease.

8. Outline and reflect upon the legal and ethical implications of disease and its management.

9. Identify and critically appraise the evidence that informs practice.

University Graduate Attributes

This course will provide students with an opportunity to develop the Graduate Attribute(s) specified below:

University Graduate Attribute	Course Learning Outcome(s)
Deep discipline knowledge informed and infused by cutting edge research, scaffolded throughout their program of studies acquired from personal interaction with research active educators, from year 1 accredited or validated against national or international standards (for relevant programs)	1 - 9
Critical thinking and problem solving steeped in research methods and rigor based on empirical evidence and the scientific approach to knowledge development demonstrated through appropriate and relevant assessment	1 - 9
Teamwork and communication skills developed from, with, and via the SGDE honed through assessment and practice throughout the program of studies encouraged and valued in all aspects of learning	3 - 7, 9
Career and leadership readiness technology savvy professional and, where relevant, fully accredited forward thinking and well informed tested and validated by work based experiences	1 - 9
Intercultural and ethical competency adept at operating in other cultures comfortable with different nationalities and social contexts able to determine and contribute to desirable social outcomes demonstrated by study abroad or with an understanding of indigenous knowledges	2, 6 - 8
Self-awareness and emotional intelligence a capacity for self-reflection and a willingness to engage in self-appraisal open to objective and constructive feedback from supervisors and peers able to negotiate difficult social situations, defuse conflict and engage positively in purposeful debate	8, 9

Learning Resources
Required Resources

Herzog, E 2018, CCU Book, Wolters Kluwer / Lippincott Williams & Wilkins, Philadelphia.

Lilly, LS 2016, Pathophysiology of Heart Disease, 6th edn, Wolters Klumer, Philadelphia.

Brown, DL 2019, Cardiac Intensive Care, 3rd edn, Elsevier, Philadelphia.

Recommended Resources

Reading lists, web-links, library resources, essay writing guides, study guides, referencing guides, TURNITIN

Online Learning
- Use of MyUni, Articulate Storyline for resource materials / lectures
- Use of announcements, discussion boards, quizzes, lecture recordings, external web-links
- Materials will be released over the semester

Learning & Teaching Modes

This course will be delivered through a blended learning mode:

Up to five hours face-to-face sessions per week (on-campus) including: a blend of lectures and tutorials utilising the principles of; ‘Problem-Based Learning’.

Lectures
Lecture locations will be made available on the MyUni website. There will be Articulate storyline Lectures available on the MyUni home page as student preparation for some weeks, that students are required to review prior to attending class.

Reading
There are several prescribed texts for this course and a reading list has been compiled and made available on MyUni. For each lecture, readings have been carefully chosen. All of these required and recommended readings have been selected to optimise knowledge on the topic and so that they will continue to be of use after graduating.

Clinical Practice and Skill Acquisition
This course supplements theoretical knowledge acquisition with field based learning. Students are required to complete clinical skills and work a minimum of 300 clinical hours in their specialty setting during the semester.

Workload

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

The information below is provided as a guide to assist students in engaging appropriately with the course requirements.

The delivery mode of this course is mainly face-to-face lectures and tutorials on campus (up to five hours contact per week). Although attendance is not compulsory in this course, students are strongly encouraged to attend the classes. Many of the lectures and tutorials presented in this course will involve problem-based learning using real-life case studies and will have a close link to your clinical specialty.

Reading
There are several required texts for this course. Most of the Reading will be supplied to you online through MyUni. However you are strongly advised to search and read widely of each topic in this course. It is expected that you will need to invest about 24 hours per week of study to successfully complete this course. It is recommended that you plan your time commitment to the course at the beginning of the semester. This includes all study activities, attendance at lectures / tutorials, readings and assessments; some weeks it will be more and others less.

Learning Activities Summary

WEEK	TOPIC
1	Cardiovascular risk factors Cardiovascular investigations
2	Heart failures Cardiomyopathies
3	Congenital heart disease Pulmonary hypertension
4	Endocardial disease Valvular heart disease
5	Myocarditis Pericardial disease
6	Syncope SCD & OOHCA
7	Neurological dysfunction in Cardiovascular populations Acute & chronic renal failure (inc. Contrast Nephropathy)
8	Mechanical circulatory assist devices Transplantation
9	Student case presentations
10	Interventional cardiology
11	Cardiac surgery
12	Cardiac rehabilitation Nurse-led clinics in cardiovascular care End-of-life care

Specific Course Requirements

Clinical Practice and Skill Acquisition
This course supplements theoretical knowledge acquisition with field based learning. Students are required to complete clinical skills and work a minimum of 300 clinical hours in their specialty setting during the semester.

Small Group Discovery Experience

It is our endeavour to have Small Group Discovery (SGDE) experiences for many of our tutorial based exercises during our face to face time with students. Groups will be allocated to work together on clinical scenarios and problems that will be explored for solutions/actions that reflect evidence based care, professional team work and best practice.

The University's policy on Assessment for Coursework Programs is based on the following four principles:

Assessment must encourage and reinforce learning.
Assessment must enable robust and fair judgements about student performance.
Assessment practices must be fair and equitable to students and give them the opportunity to demonstrate what they have learned.
Assessment must maintain academic standards.

Assessment Summary

ASSESSMENT TASK	TASK TYPE	WEIGHTING	COURSE LEARNING OUTCOMES
Search strategy & synopsis	Formative	0	1, 3 - 9
Case study presentation	Summative	50%	1, 3 - 9
Written exam	Summative	50%	1 - 7, 9
Viva voce	Summative	NGP	1 - 5, 9
Clinical skills diary	Summative	NGP	1 - 5, 9

Assessment Related Requirements

Clinical Skills Diary: NGP
The assessment of skills will occur throughout the semester. Students will be assessed by the Critical Care registered nurses and/or Clinical Titleholders, with whom they work. Please refer to the information provided in the Clinical skills diaries regarding skills assessment criteria. The diaries will be graded Pass or Fail and are a hurdle requirement ie. Students' must pass this assessment to pass the course.

Assessment Detail

Search Strategy & Synopsis – Formative (NGP): 1000 words. The aim of this assessment is to introduce the topic and provide a justification for the topic; outline the key points and issues to be critiqued; describe the search strategy used to source information; and include a reference list of at least 5 contemporary preliminary references.

Case study presentation – Summative (50%): 15 mins. Following on from Assessment 1 students are required to present a case study on their chosen topic to demonstrate understanding of certain key concepts associated with the course and communicate this understanding in a formal, structured way.

Written Exam – Summative (50%): 2 hours (2000 word equivalent). This assessment includes multiple choice and short answer questions and is designed to ensure summative knowledge of the course material.

Viva voce – Summative (NGP): 30 mins. This examination will test the student's ability to apply evidence-based knowledge and critical thinking in a leadership capacity with a view to formulating an appropriate plan of care for a patient and then appropriately respond to patient deterioration . The examination will cover knowledge taught in Cardiovascular Care and will be approximately 30 minutes long.

Clinical Skills Diary - (NGP). The assessment of skills will occur throughout the semester. Students will be assessed by the critical care registered nurses and clinical titleholders in their workplace. Please refer to the information provided in the Clinical skills record. A series of mandatory clinical skills must be completed in order to pass.

Submission

Assessments, unless otherwise stated in your Study guide, are to be submitted electronically via Assignments in MyUni on the due date identified in this Study guide. Instructions for assignment submission are available for all students under Tutorials at www.adelaide.edu.au/myuni/.

Turnitin is used to submit all assignments in this course. Turnitin is a plagiarism software tool that enables the student to identify any matching text before final submission. An assessment submitted via MyUni must be submitted as a .doc, .docx or .rtf file. If submitting a PowerPoint presentation for marking, the .ppt or .pptx must be submitted as .pdf file. It is also important to submit
your file under your name, such as surname.firstname. MyUni stamps all the other details against your filename once you submit your assessment.

Clinical Skills Diaries should be submitted in person to the students' respective Course Coordinator by 1630hrs on or before the due
date.

Course Grading

Grades for your performance in this course will be awarded in accordance with the following scheme:

M10 (Coursework Mark Scheme)
Grade	Mark	Description
FNS		Fail No Submission
F	1-49	Fail
P	50-64	Pass
C	65-74	Credit
D	75-84	Distinction
HD	85-100	High Distinction
CN		Continuing
NFE		No Formal Examination
RP		Result Pending

Further details of the grades/results can be obtained from Examinations.

Grade Descriptors are available which provide a general guide to the standard of work that is expected at each grade level. More information at Assessment for Coursework Programs.

Final results for this course will be made available through Access Adelaide.

Student Feedback

The University places a high priority on approaches to learning and teaching that enhance the student experience. Feedback is sought from students in a variety of ways including on-going engagement with staff, the use of online discussion boards and the use of Student Experience of Learning and Teaching (SELT) surveys as well as GOS surveys and Program reviews.

SELTs are an important source of information to inform individual teaching practice, decisions about teaching duties, and course and program curriculum design. They enable the University to assess how effectively its learning environments and teaching practices facilitate student engagement and learning outcomes. Under the current SELT Policy (http://www.adelaide.edu.au/policies/101/) course SELTs are mandated and must be conducted at the conclusion of each term/semester/trimester for every course offering. Feedback on issues raised through course SELT surveys is made available to enrolled students through various resources (e.g. MyUni). In addition aggregated course SELT data is available.

The feedback from students is very positive, with comments such as: 'face to face lectures improved my understanding as well as the chance to ask questions during the lectures; the content was relevant to my prectice and was explained well; I was able to apply my new knowledge to practice during the Course'.

The students also commented that there were too many readings per week, and on some weeks it was challenging to complete all the readings. This was addressed for 2019 by reducing the number of readings to 4 per week.
Student Support
Policies & Guidelines
This section contains links to relevant assessment-related policies and guidelines - all university policies.
Fraud Awareness

Students are reminded that in order to maintain the academic integrity of all programs and courses, the university has a zero-tolerance approach to students offering money or significant value goods or services to any staff member who is involved in their teaching or assessment. Students offering lecturers or tutors or professional staff anything more than a small token of appreciation is totally unacceptable, in any circumstances. Staff members are obliged to report all such incidents to their supervisor/manager, who will refer them for action under the university's student’s disciplinary procedures.

The University of Adelaide is committed to regular reviews of the courses and programs it offers to students. The University of Adelaide therefore reserves the right to discontinue or vary programs and courses without notice. Please read the important information contained in the disclaimer.

Authorised by:	Deputy Vice-Chancellor and Vice-President (Academic)
Maintained by:	Course Outlines Administrator