Skip to main content

Module

Clinical Internship

Module titleClinical Internship
Module codeNURM112
Academic year2023/4
Credits30
Module staff

Dr Holly Sugg (Lecturer)

Mrs Victoria Sadler (Lecturer)

Duration: Term123
Duration: Weeks

0

0

10

Number students taking module (anticipated)

30

Description - summary of the module content

Module description

Your Clinical Internship module is a 30 credit module available in the final year of the MSci Nursing Programme as part of the Clinical area of focus on the Adult Nursing Pathway of the Programme. You will focus on the assessment, diagnosis and management of the unwell adult or older person. The module offers a flexible approach whereby you can focus on a specific area of clinical nursing interest, such as acute care, community, primary care or palliative care. You will continue to demonstrate Exeter’s seven pillars of nursing.

Module aims - intentions of the module

This module is a clinical internship, where you are supervised by an appropriate healthcare professional as you enhance your adult nursing skills and knowledge around assessment, examination and care management.

The overall aim of the module is to enhance your skills, employability and career development. Your internship will be negotiated by you in an area where you may in the future wish to work as a registered nurse. The academic nursing team will support you in this process.

  • You will use and develop a person-centred approach to taking a detailed history and examine body systems to help you make a potential nursing diagnosis.
  • You will formulate a plan of care, which may include admission to a care setting such as a hospital, referral to settings for another opinion or discharge from services.
  • You will select, undertake or request a range of appropriate clinical tests and assessments.
  • You will initiate and evaluate a range of interventions, which may include for example therapies and care by yourself or other healthcare professionals.
  • You will apply a developing skill set so you can enhance the care and experience of the people for whom you are caring.

You will fully integrate Exeter’s seven pillars of nursing into your academic practice as indicated below:

Fundamental essentials of nursing care: you will consider the legal, ethical and accountability issues involved with prescribing and develop knowledge around pharmacodynamics and pharmacokinetics to prepare you for future prescribing practice. The focus will be enhancing patient safety and provision of excellent quality care. You will learn to manage, supervise and evaluate the fundamentals of nursing care delivery and enabling effective self-management. F

Patient and public involvementyou will apply the principle of “nothing about us without us” and demonstrate the ability to accurately assess a person’s capacity to make sound decisions about their own care and to give or withhold consent. This pillar becomes increasingly sophisticated and integrated with evidence for practice during this module and includes the impact of policy. PPI

Evidence for practice: as an Exeter nurse you will start to produce evidence for practice, you will consider the contribution of quality improvement models, tools and strategies to enhancing patient safety and the provision of quality care. You will make strong conceptual links with the development, testing, evaluation and implementation of complex nursing and other healthcare interventions, and appreciate the centrality of public involvement in service improvement and health services research. E

No health without mental health: this pillar enables you to consider decision making in challenging situations while providing holistic care by involving and advocating for individuals, families and carers. You will provide and support evidence based low intensity interventions for common mental health conditions. MH

Leadership and management: you will be leading on care management, supervising and delegating care, teaching and providing feedback to others. You will be able to debate the leadership challenges involved in partnership working with service users, carers’ families and agencies with complex multi-faceted needs. Leadership is a critical focus as you develop your professional capabilities and achieve an understanding of the operationalisation of health services, including developing a business case underpinned by an application of financial management processes. You will engage in relationship management to include performance management and resource management. LM

Global health: this pillar will enable you to appraise and apply information about health outcomes when supporting people and families to manage their healthcare needs and make important health choices. You will understand the evidence for behavioural change and public health initiatives whilst enabling people to make their own informed personal decisions. GH

Ethics and Professionalism: The Exeter Nurse will demonstrate commitment to professional values - including social justice - and to the flourishing of individuals, families and communities. The Exeter Nurse aspires always to do the right thing and to be of good character (E & P)

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Select and apply appropriate assessment methods such as history taking, physical examination, and risk assessment, requesting and interpreting diagnostic tests.(F;E;L&M)
  • 2. Use expertise and decision making skills to inform clinical reasoning when dealing with adults who have differentiated or undifferentiated presentations of illness, synthesising information to make appropriate evidence based judgements about a potential diagnosis. Focus on patient autonomy, admission avoidance and early facilitated discharge as appropriate.(F;E; PPI;L&M, E&P)
  • 3. Assess individuals for risk factors and their impact on health and wellbeing; facilitate and encourage individuals to manage their own health and make informed choices; support individuals with an ongoing plan for preventative and rehabilitative measures.(E;PPI;MH;L&M, E&P)
  • 4. Initiate, evaluate and modify a range of interventions for the person you are caring for such as therapies, care and pharmacology. (F;E, E&P)
  • 5. Locate and apply contemporary, high-quality evidence-based resources and existing and emerging technology as appropriate to inform care and decisions for example genomics. (F;E, E&P)

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

  • 6. Demonstrate a critical understanding of your professional accountability, responsibility, developing autonomy as well as the limits of your competence within a complex environment dealing with limited information and uncertainty.(L&M, E&P)
  • 7. Demonstrate using your professional judgement to act and manage risk in complex unpredictable situations. Act on your professional judgement to seek help, demonstrating critical self-awareness, emotional intelligence and openness to change. (L&M;E, E&P)

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 8. Work in partnership with people, families, carers and the interdisciplinary team to plan care, promote health, prevent illness, person centred care and facilitate transition across the health care system.(L&M;GH;F;E;MH, E&P)
  • 9. Critically reflect on your clinical practice and your future learning needs. (E;L&M)

Syllabus plan

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:

You have flexibility regarding when you access to clincial practice and supervision. This module requires you to be proactive to ensure you demonstrare meeting the required outcomes and minimum time requirment in the clinical setting.  

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
1020270

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled Learning & Teaching activities10Seminar preparation for the internship
Guided independent study20Assessment preparation
Placement/study abroad270Internship scheduled time available

Assessment

Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Oral presentation of internship experience10 minutes1-8Written and verbal feedback

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
10000

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Internship report 955,500 word report 1-8Written/verbal feedback
Project log book5Online weekly report (1,500 words in total) 9Online feedback
0
0
0
0

Re-assessment

Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Internship report (95%)5500 word report 1-8Up to 4 weeks after result
Project log book (5%)Revised weekly reports (1,500 words in total)9Up to 4 weeks after result

Re-assessment notes

All items of assessment must be passed.

The assessment strategy requires you to maintain and present a portfolio of evidence which demonstrates achievement of the learning outcomes for the module. The use of a portfolio to collate evidence contributes to the development of skills of lifelong and continuous learning, the integration of theory and practice and critical self awareness. A work-based approach to learning will enable you utilise real situations to support authentic assessment of you developing skills.

You will work with an appropriate supervisor and assessor who will undertake assessment of your skills in the clinical setting, these will be included in the portfolio of evidence. 

Resources

Indicative learning resources - Basic reading

Alligood, M.A. (2018) Nursing Theorists And Their Work, Elsevier.

Arnold, E.A., and Boggs. K.U. (2011) Interpersonal Relationships: Professional Communication Skills for Nurses (7th ed.) Elsevier.

Ashelford, S., Raynsford, J., and Taylor, V. (2016) Pathophysiology & Pharmacology for Nursing Students, Sage.

Benner, P. (1984) From Novice to Expert. Excellence and Power in Clinical Nursing. Addison Wesley

Bickley, L.S (2017) Bate’s Guide to Physical Examination and History Taking. Wolters Kluwer.

Bickley, L.S (2017) Bate’s Pocket Guide to Physical Examination and History Taking. Wolters Kluwer.

Blank, R.H., Burau, V., & Kuhlmann, E. (2017) Comparative Health Policy (5th ed.) Macmillan International

Bradshaw, T., and Mairs, H. (eds.) (2017) Health Promotion and Wellbeing in people with Mental Health problems, Sage publications.

Brooker, C., & Nicol, M. (2015) Alexander’s Nursing Practice 4th ed. Churchill Livingstone.

Cody, W. (ed) (2013) Philosophical and Theoretical Perspectives: for Advanced Nursing Practice (5th ed.)  Jones and Bartlett.

Edelman, C.L., & Kudzman, E.C. (2018) Health Promotion Across the Life span, Elsevier. 

Giger, J.N., (2017) Transcultural Nursing; Assessment and Intervention (7th ed.), Elsevier.

Gould, D., & Brooker, C. (2008) Infection Prevention and Control; Applied Microbiology for Healthcare (2nd ed.) Palgrave Macmillan.

Griffith, R., & Tengath, C. (2017) Law and Professional Issues in Nursing: Transforming Nursing Practice, Sage.

Hubert, R.J., VanMeter, K.C. (2018) Gould’s Pathophysiology for the Health Professions, Elsevier.

Jasper, M., Rosser, M., Mooney, G. (2013) (eds.) Professional Development, Reflection and Decision –Making in Nursing and Health Care. Wiley Blackwell.

Johns, C., Freshwater, D. (2005) Transforming Nursing Through Reflective Practice. Wiley Blackwell.

Innes, J.A., Dover. A.R., & Fairhurst, K. (eds.) (2018) Macleod’s Clinical Examination (14th ed.), Elsevier. 

Naidoo, J and Wills, J (2016) Foundations for Health Promotion, Elsevier.

Polit, D.F., and Back, C.H. (2017) Essential of Nursing Research: Appraising Evidence for Nursing Practice. Wolters Kluwer.

Papadopoulos, I. (ed.) (2006) Transcultural Health and Social Care; Development of Culturally Competent Practitioners, Butterworth Heinemann.

Richards, D.A., and Hallberg, I.R. (eds.) (2015) Complex Interventions in Health. Routledge

Sethia, B., and Kumar, P. (eds.) (2019) Essentials of Global Health Elsevier

Stanley, D. (ed.) (2017) Clinical Leadership in nursing and Healthcare: Values into Action,(2nd ed.) John Wiley& Sons, available at https://onlinelibrary.wiley.com/doi/book/10.1002/9781119253785

Schon, D.A. (2006) the Reflective Practitioner: How Professionals Think in Action. Ashgate

Stein-Parbury, J. (2018) Patient & Person: Interpersonal Skills in Nursing, Elsevier.

Tashiro, J., Shimpuku, Y., Naruse, K.  et al., (2013) Concept analysis of reflection in nursing professional development. Japan Journal of Nursing Science 10(2):170-179 available at: https://www.evidence.nhs.uk/Search?q=nursing+reflection&sp=on

Tortora, G.J., Derrickson, B (2017) Principles of Anatomy and Physiology. Wiley.

Toughy, T.A., Jett, K. (2018) Ebersoles and Hess’ Gerontological Nursing and Healthy Ageing. Elsevier.

Waller, D.G., Sampson, A.P et., al. (2014) Medical Pharmacology & Therapeutics, Saunders, Elsevier

Watson, C. (2018) The Language of Kindness: A Nurse’s Story. Chatto & Windus.

West, M.A., Armit, K., Loewenthal, L., Eckert, R., West, T., and Lee, A. (2015) Leadership and Leadership development in healthcare: The Evidence base. The King’s fund/CCL. Available at

https://www.kingsfund.org.uk/publications/leadership-and-leadership-development-health-care

Wright, K.M., and McKeown. M. (2018)  Essentials of Mental Health Nursing, Sage Publications

Indicative learning resources - Web based and electronic resources

Department of Health: www.gov.uk/government/organisations/department-of-health-and-social-care

Nursing and Midwifery Council: www.nmc.org.uk 

NHS Improvement: https://improvement.nhs.uk/improvement-hub/quality-improvement/

NHS Leadership Academy: https://www.leadershipacademy.nhs.uk

Royal College of Nursing: www.rcn.org.uk

National Institute of Health and Clinical Excellence: www.nice.org.uk

World Health Organisation: www.who.int

Healthtalk online: www.healthtalk.org

WeNurses (@WeNurses) · Twitter: https://twitter.com/WeNurses

The King’s Fund: https://www.kingsfund.org.uk/

https://www.elsevierclinicalskills.co.uk/

https://www.safemedicate.com

Module has an active ELE page

Indicative learning resources - Other resources

Journals

American Journal of Nursing

British Journal of Community Nursing

British Journal of Nursing

Evidence-based Nursing

International Journal of Nursing Studies

Journal of Clinical Nursing

Journal of Advanced Nursing

Nursing Ethics

Nursing Management

Nursing Older People

Key words search

Clinical Internship, Placement, Enhanced skills, Project, Partnership Working

Credit value30
Module ECTS

15

Module pre-requisites

NUR1000, NUR1100, NUR2000, NUR2100, NUR3000, NUR3150, NUR3400 NUR3500,  

Module co-requisites

Enhancing your Adult Clinical practice Level 7

NQF level (module)

7

Available as distance learning?

No

Origin date

28/06/2018

Last revision date

23/12/2022