Clinical Immersion 1
|Module title||Clinical Immersion 1|
Ms Alison Marchbank (Convenor)
|Number students taking module (anticipated)|
Description - summary of the module content
This clinical immersion module provides opportunities for you to demonstrate achievement of specified NMC (2018) Standards of proficiency for registered nurses as well as adherence to the Code (NMC, 2015). The clinical immersion entails working full time hours in a clinical setting. Subject to the availability of clinical placements, your clinical immersion this year may incorporate a short exposure to a primary care setting and a short exposure to a mental health setting.
During the clinical immersion you will participate in the usual working pattern for the service in which you are based, including shifts, weekends and nights.
Practice supervisors and practice assessors will support, assess and provide feedback and feed forward, recording your progress in your Practice Assessment Document (PAD) and Ongoing Achievement Record (OAR). All areas will meet educational learning audit requirements through the shared quality assurance framework - Educational Audit Process. Mandatory year one proficiencies are specified in your PAD and Ongoing Achievement Record (OAR).
Module aims - intentions of the module
- The main objective of the module is to enable you to demonstrate safe, effective and professional nursing care.
- You will demonstrate achievement of a selection of the Standards of proficiency for registered nurses, including annexes A & B, as required by the Nursing and Midwifery Council (2018).
- You will demonstrate the ability to initiate, and to provide safe, evidence-based, holistic, person-centred, compassionate care in a range of care settings.
Your MSci Nursing is an exciting introduction to the world of modern nursing and you will begin to develop the knowledge, skills, attitudes and behaviours that will underpin the rest of your professional life as a nurse. In the clinical immersion module you will work to the six pillars of nursing, the NMC Standards of proficiency for registered nurses (2018) and the Code (NMC, 2015). You will begin to demonstrate:
Fundamental essentials of nursing care:as an Exeter nurse you will practice in accordance with the NMC Code (2015) to assess the mental, physical, cognitive, behavioural, social and spiritual needs of your patients to inform your plan of care. You will work in partnership with patients and adopt a person-centred approach to the fundamentals of care, such as elimination (going to the toilet), personal hygiene, nutrition, hydration, communication and mobilisation. Your understanding of biological and social sciences will be the cornerstone of your developing nursing practice. You will apply and integrate your scientific knowledge to plan and deliver safe, evidence-based, effective care. You will understand and consistently apply the principles of infection prevention and will begin to understand the importance of infection monitoring and the impact of antimicrobial resistance. F
Patient and public involvement:as an Exeter nurse you will begin to practice the principle of “nothing about us without us” and this will inform all of your interactions with patients, carers and members of the public to ensure care is person-centred and rooted in partnership working. PPI
Evidence for practice:as a first year Exeter nurse you will be developing your clinical practice and will integrate the best research evidence to inform care delivery and decision-making in order to support patient care, such as dignity, privacy, sleep, safety, comfort, nutrition, hydration, elimination, mobility, hygiene, oral care, wound care and skin integrity. Your critical thinking skills and research skills will enable you to identify, locate, appraise and challenge the evidence base for your care. E
No health without mental health: you will demonstrate in practice the understanding that health is reflected by physical, social and emotional wellbeing and is not merely the absence of illness or injury. You will recognise the importance of the social context within which your patients live and the impact this may have on their wellbeing. This pillar is supported by exposure to a mental health setting, where you will enhance your skills in recognising common mental health problems and understanding risk. MH
Leadership and management:as an Exeter nurse this year will see you focus on your own development and responsibility as a professional. You will begin to practice as part of the multidisciplinary team and realise your pivotal role as an advocate for patients, families and carers. You will develop your leadership practice and ensure that you uphold the principles that underpin care, compassion and respect. As an Exeter nurse you will begin to apply the principles of clinical governance in practice and will understand risk management and incident reporting to improve the quality of patient care. You will demonstrate your ability to identify risks to patient safety and will take appropriate action to escalate concerns. As you practice, you will respond openly and positively to feedback from your practice supervisor, practice assessor and colleagues. L&M
Global health: this pillar will enable you to understand your responsibility as part of the global health community to ensure your practice is safe, current and evolves to meet the health challenges and culturally diverse needs of your patients. G
Intended Learning Outcomes (ILOs)
ILO: Module-specific skills
On successfully completing the module you will be able to...
- 1. Working in partnership with the person receiving care, their families and carers (where appropriate), you are able to undertake an accurate assessment and provide evidence-based, compassionate and safe nursing care. (PPI;F;MH;E) (3ANPC3.4,3.5)
- 2. Demonstrate understanding and apply the relevant knowledge and skills to meet the individuals needs relating to dignity, comfort, hygiene and mobility. (F;E) (4PEC 4.7, B3.4, B3.5, B4.1, B7.1)
- 3. Communicate effectively utilizing appropriate verbal and non-verbal skills in the delivery of person-centred care decisions. (F:E;PPI;MH) (A1.1 1.6)
- 4. Identify the impact of lifestyle choices on the individuals mental and physical health and wellbeing and demonstrate the principles of health promotion and preventing ill health. (G;MH;E;PPI) (2 PH 2.1, 2.4)
- 5. Demonstrate that you have maintained professional values and demonstrate knowledge of safety and safeguarding for the person receiving care and carers and/or family. (L&M; F; E;) (1 BAP 1.1, 3ANPC 3.9, 6ISQC 6.1)
- 6. Apply knowledge of pharmacology, how medicines act and interact in the systems of the body, and their therapeutic action. (E;F) (4PEC 4.14, 4.15)
- 7. Prepare routine medications where necessary, safely and effectively administer these via common routes and maintains accurate records. (E;F) (B11.5, 11.8)
- 8. Safely and accurately perform medicines calculations. (F;E) (1BAP 1.15, B11.4)
- 9. Demonstrate that you have maintained appropriate professional values, expected attitudes and behaviours during the administration of medicines. (PPI;F;L&M) (1BAP 1.1)
- 10. Maintain safety and safeguard the patient from harm, demonstrating understanding of the Mental Capacity Act (DH 2007) and The Mental Health Act (DH 2007), where appropriate. (MH;E;F;PPI;L&M) (6ISQC 6.1)
ILO: Discipline-specific skills
On successfully completing the module you will be able to...
- 11. Demonstrate the ability to consistently provide safe and effective care, underpinned by the evidence base, in order to meet the Nursing and Midwifery Council Standards of proficiency for registered nurses (2018) and the Code (2015) L&M; NMC
ILO: Personal and key skills
On successfully completing the module you will be able to...
- 12. Demonstrate appropriate communication skills for clinical practice. F
- 13. Develop numeracy, literacy and digital literacy skills to support clinical practice. F
Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:
This module is based in the clinical setting and is made up of a series of clinical learning immersions which run in terms 1, 2 and 3. There are two main immersions during which you will also be exposed to a primary care setting and a mental health care setting. These clinical immersions are integrated with your theory module and together they form the first year of your MSci Nursing.
In your clinical immersions you will practice under supervision and in collaboration with nurses, students and healthcare colleagues to develop your nursing skills including assessment, planning, implementation and evaluation of nursing care. The indicative content for each pillar is listed below; the required Standards of proficiency (NMC, 2018) are clearly set out in your PAD.
Fundamental essential of nursing care
Application of biological and social sciences to understand people’s experiences of health and wellbeing,
communication skills, infection prevention, dignity, privacy, sleep, safety, comfort, nutrition, hydration, elimination, mobility, hygiene, oral care, wound care, skin integrity and basic emergency care in partnership with patients and their carers.
Patient and public involvement
Professional decision-making, empowerment, advocacy, medication support and management, partnership in assessment, planning, interventions and evaluation of care.
Evidence for Practice
Locating, appraising and challenging evidence for contemporary nursing care. Preparation for assessment in clinical immersions is essential, including identifying personal learning goals, maximising learning opportunities, demonstrating understanding of evidence and preparing for your clinical assessment.
No health without mental health
Enhanced communication skills, self-awareness, recognising common mental health problems such as anxiety and depression, identifying and acting on risk.
Leadership and management
Time management, clinical governance, risk management, safeguarding, incident reporting, duty of candour, professional standards, legislation, competencies, delivering and beginning to manage patient care. Receiving and giving feedback on quality of care and professionalism.
Infection prevention and control, antimicrobial resistance, medication management, population health, health promotion and cultural awareness.
The learning and teaching hours contribute to the NMC and EU Directive requirements of 2,300 practice learning hours across the whole programme. This Clinical Immersion module equates to 638 hours; rather than the nominal hours associated with a typical undergraduate 60 credit module.
Learning and teaching
Learning activities and teaching methods (given in hours of study time)
|Scheduled Learning and Teaching Activities||Guided independent study||Placement / study abroad|
Details of learning activities and teaching methods
|Category||Hours of study time||Description|
|Clinical Practice Immersion||638||Practice based learning supported by a practice supervisor and practice assessor|
|Form of assessment||Size of the assessment (eg length / duration)||ILOs assessed||Feedback method|
|Mid-point assessment of progress as part of the Practice Assessment Document (PAD). Formative Episode of Care assessment.||Formative assessment of achievement of proficiencies will happen at the mid-point of each part of the immersion. Formative Episode of Care assessment will take place at a time agreed by you and your practice assessor. This must happen before you undertake the summative Episode of Care assessment.||1-13||Direct verbal feedback and feed forward and written feedback and feed forward within PAD.|
Summative assessment (% of credit)
|Coursework||Written exams||Practical exams|
Details of summative assessment
|Form of assessment||% of credit||Size of the assessment (eg length / duration)||ILOs assessed||Feedback method|
|Practice Assessment Document (PAD) and Ongoing Achievement Record (OAR) successful completion of these documents provides evidence of your achievement in practice. (Pass/Fail)||100||Professional values and specified proficiencies are assessed continuously throughout the clinical immersion- these must be completed by the end of the clinical immersion. You have a single attempt at the Episode of Care and Medicines Management assessments, which are observed assessments, with a pass/ fail outcome. These will be undertaken at a time agreed by you and your practice assessor, usually towards the end of the final part of your clinical immersion.||1-13||Direct verbal feedback and feed forward and written feedback and feed forward within practice assessment document.|
Details of re-assessment (where required by referral or deferral)
|Original form of assessment||Form of re-assessment||ILOs re-assessed||Timescale for re-assessment|
|Practice Assessment Document (PAD) and Ongoing Achievement Record (OAR). (Pass/Fail) (100%)||Practice Assessment Document (PAD) and Ongoing Achievement Record (OAR). (Pass/Fail) (Professional values and specified proficiencies are assessed continuously throughout the clinical immersion- these must be completed by the end of the clinical immersion. You have a single attempt at the Episode of Care and Medicines Management assessments, which are observed assessments, with a pass/ fail outcome. These will be undertaken at a time agreed by you and your practice assessor, usually towards the end of the final part of your clinical immersion.)||1-13||A three week consolidation period is also available at the end of the academic year to make up learning hours missed due to illness etc. and to allow for reassessment including a second attempt of the Episode of Care and Medicines Management assessment if required.|
To progress to year two you must demonstrate that you have met the modular learning outcomes by demonstrating the professional values and agreed proficiencies specified in the PAD, in line with the NMC Standards of proficiency for registered nurses (2018). Furthermore, you must pass the summative ‘Episode of Care’ assessment and the ‘Medicines Management’ assessment, as detailed in the PAD. The final practice assessor will confirm that the specified professional values and agreed skills have been achieved and will ensure that relevant proficiencies have been signed for. They will also undertake the summative ‘Episode of Care’ assessment and the ‘Medicines Management’ assessment. Progression is supported and confirmed by the academic assessor for each year of the programme.
The Practice Assessment Document is assessed as either pass or fail. Within the year one clinical immersion, proficiencies can be carried over from one part of the immersion to the next. However, they must be achieved by the end of the year.
Indicative learning resources - Basic reading
Alligood, M.A. (2018) Nursing Theorists And Their Work, Elsevier.[Electronic resource]
Ashelford, S. Raynsford, J and Taylor, V. (2016) Pathophysiology & Pharmacology for Nursing Students, Sage.
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. .[Electronic resource]
Downs, M and Bowers, B (2014) Excellence in dementia care: research into Practice McGraw Hill Education [Electronic resource]
Delves-Yates, C. (ed) (2015) Essentials of Nursing Practice, Sage.
Griffith, R & Tengath, C. (2017) Law and Professional Issues in Nursing: Transforming Nursing Practice, Sage.
Hubert, R.J and Van Meter, K.C. (2018) Gould’s Pathophysiology for the Health Professions, Elsevier. .[Electronic resource]
Hyden, L C. And Antelius, E. (2017) Living with dementia: relations, responses and agency in everyday life. Palgrave [Electronic resource]
Innes, J.A., Dover. A.R., & Fairhurst, K. (eds) (2018) Macleod’s Clinical Examination (14th ed.), Elsevier.
Mutsatsa, S (2015) Physical healthcare and promotion in mental health nursing. Sage [Electronic resource]
Naidoo, J and Wills, J. (2016) Foundations for Health Promotion Elsevier.[Electronic resource]
Niles, N.J. (2018) Cultural Competence in American Healthcare. Sage [Electronic resource]
Norman, I and Ryrie, I. (2013) The Art and Science of Mental Health Nursing Fundamentals of mental health nursing [electronic resource] : an essential guide for nursing and healthcare student
Peate,I and Muralitharan, N (2015) Anatomy and physiology for nurses at a glance. Wiley Blackewell [Electronic resource]
Polit, D.F and Beck, C.T. (2017) Essential of Nursing Research: Appraising Evidence for Nursing Practice. Wolters Kluwer[MA1] .
Polit, D.F and Beck, C.T. (2017) Nursing research: generating and assessing evidence for nursing. Wolter 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. .[Electronic resource]
Schon, D.A (1991) The reflective practitioner: how professionals think in action. Ashgate. [Electronic resources]
Sethia, B. and Kumar, P. (eds) (2019) Essentials of Global Health, Elsevier. .[Electronic resource]
Silverman,J. Kurts,SM and Draper,J. (2013) Sills for communicating with patients. Radcliffe. [Electronic resources]
Stein-Parbury, J. (2018) Patient & Person: Interpersonal Skills in Nursing, Elsevier.
Trenowerth, S (2017) Promoting recovery in mental health nursing Sage.[Electronic resource]
Tortora,G.J and Derrickson, B (2017) Principles of anatomy and physiology. John Wiley. [Electronic resource]
Watson, C. (2018) The Language of Kindness: A Nurse’s Story. Chatto & Windus.
Waugh, A. Grant, A. (2018) Ross & Wilson, Anatomy and Physiology in Health and Illness, Elsevier.
Waugh, A. Grant, A. (2013) Ross & Wilson, Anatomy and Physiology in Health and Illness, Churchill livingstone.[Electronic resource]
Williams, K. Wolliams, M and Spiro, J (2012) Reflective Writing .Palgrave Macmillan [Electronic resource]
Wright, K. M. and McKeown, M. (2018) Essentials of Mental Health Nursing, Sage Publications.
Indicative learning resources - Web based and electronic resources
Nursing and Midwifery Council: www.nmc.org.uk
Royal College of Nursing: www.rcn.org.uk
Department of Health: www.gov.uk/government/organisations/department-of-health-and-social-care
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
Module has an active ELE page
Indicative learning resources - Other resources
American Journal of Nursing
British Journal of Community Nursing
British Journal of Nursing
International Journal of Nursing Studies
Journal of Advanced Nursing
Journal of Clinical Nursing
Journal of Psychiatric and Mental Health Nursing
Worldviews on Evidence-based Nursing
|NQF level (module)|
|Available as distance learning?|
|Last revision date|