King Khalid University Fundamentals of Nursing 1 Course Syllabus Nursing Department Course Title: Fundamentals of Nursing 1 Course Number: NURS 211 Credit Hours: 6 (3+3) Actual Credit Hours: 12(3+9) Prerequisite: --- Concurrent: Placement: Third Course Description: This course aims at providing the students with the basic principles and various concepts of nursing profession. The course is considered as an introductory course for other nursing courses. It includes theories of wellness and illness, and often physiological, psychological, emotional, and social concepts necessary to the delivery of holistic nursing care through the utilization of nursing process. Students will be introduced to the concepts of protection, prevention and promotion of clients to reach an optimal level of health throughout the lifespan. Ethical and legal situations in nursing practice, research, communication, as well as needs for personal growth and self-awareness will be also included. This course is the first clinical course designed to expose students to nursing as a field of practice. Through providing students with the laboratory and hospital guided experiences, they are expected to perform and master certain psychomotor skills such as basic hygiene, vital signs, nutrition, oxygenation, infection control, medication and charting and documentation. The practice of this course covers basic nursing procedures, recording and reporting using actual hospital documented sheets. These basic introductory skills are presented according to the functional health patterns that are in parallel with the knowledge 1
provided for students in the theory courses. and through the application of the nursing process Course Objectives At the end of this course, the student will be able to: 1. Identify the four core elements of nursing including practice, education, research, and management. 2. Comprehend main aspects and modalities regarding the holistic care of individuals, families, and community through health protection, prevention, and promotion. 3. Analyze the components of nursing process as a fundamental conceptual framework for nursing care. 4. Be introduced to the main nursing concepts related to health, illness and wellness. 5. Identify elements of comprehensive health assessment through accurate information gathering process. 6. Determine the basic nursing care components in clinical settings with consideration of hazard prevention and safety promotion measures. 7. Identify the physiological, psychosocial, and spiritual aspects (human responses) as essential parts of holistic nursing care. 8. Demonstrate safe, private, ethnical, and professional skillful performance of basic skills related to nursing procedures. 9. Identify the general purpose for demonstrating each procedure. 10. Identify and prepare relevant equipment for each procedure. Course Contents and outline Unit I: The Nature of Nursing History and contemporary factors influencing nursing development. History of nursing (scope of nursing, nurses' role, and scope of nursing and nursing values and attitudes). Professionalization. Definition of nursing theory, concept, and conceptual framework. Nursing organizations. Nursing education Nursing research. 2
Unit II: Contemporary Health Care Providers of health care. Factors affecting health care delivery Models for the delivery of nursing. Community based nursing. Continuity of care. Health promotion (Definition, Types, and Models). Nurse s role in health promotion. Unit III: Health beliefs and practices Concept of health, wellness, and wellbeing. Variables influencing health status beliefs, and practices. Illness and disease. Individual, family, and community health. Concept of holism and holistic nursing. Spiritual definition; spiritual health and the nursing process. Unit IV: The Nursing Process Overview of nursing process. Assessment (Collection data methods, organizing, Validating and documenting data). The diagnostic process and NANDA nursing diagnoses. Formulating diagnostic statements. The planning processes and types of planning. Implementing and evaluating. Documentation systems with ethical and legal considerations. Unit V: Integral Aspect of Nursing Caring and comforting. Main learning theories and the factors that influencing learning. Contrast the nursing process and the teaching process. Essential aspects of a teaching plan. Advantages and disadvantages of selected teaching strategies. Communication process and influencing factors. Differences between verbal and non-verbal communication. Leadership, management and the differences between formal and informal leaders. 3
Unit VI: Assessing Health Body temperature. Pulse. Respiration. Blood pressure. Physical health assessment. Review of body systems. Lab. training about Aseptic techniques o Medical hand washing o Surgical hand washing o Establishing and maintaining a sterile field and isolation technique o Donning and removing sterile gloves (open method). o Donning and removing sterile gown and sterile gloves (closed method). Lab. training about maintaining body mechanism and Safety o Using a bed or chair exit safety-monitoring device. o Applying restraints. o Range of motions Lab. training about bed making o Occupied bed making o Unoccupied bed making o Surgical bed making Lab. training about body positions o Fowler & Semi Fowler's position o Trendlenburge position o Dorsal recumbent position o Horizontal recumbent position o Lethotomy position o Sim's position o Prone position o Knee-chest position Lab. training about hygiene o Bathing and dressing patient o Providing perineal care o Feet and nails care o Mouth care for dependent patient. o Mouth care for independent patient. o Shaving. o Hair shampooing o Back rub and massage Lab. training about activity and exercises o Moving a client up in bed 4
o Turning a client to lateral or prone position in bed. o Moving a client to a sitting position on the edge of the bed. o Transferring a client between a bed and chair. o Transferring a client between a bed and stretcher. o Assisting a client to walk. Lab. training about history taking and nursing process o Patient admission o Patient discharge o Transfer of patient o Preparation for physical assessment o Communication and filling nursing process o Recording and reporting Lab. training about skin integrity and wound care o Sterile dressing o Bandaging o Removing of surgical stitches o Wound irrigation o Preventing pressure sores Lab. training about vital signs o Assessing body temperature using a mercury thermometer. o Assessing a peripheral pulse o Assessing apical pulse o Assessing apical radial pulse o Assessing respiration. o Assessing blood pressure. o Hot and cold applications Lab. training about medication preparation and administration o Preparation of the medication tray o Using medication cards o Ensuring medication seven's rights o Administering oral, Intramuscular, Intradermal, and Subcutaneous medications o Topical medication. o Starting and monitoring I.V. infusion. o Changing and discontinuing I.V infusion. Lab. training about elimination o Offering and removing bed-pan and urinal o Administering an enema o Intake & output charting o Collecting specimen o Catheter care Lab. training about eating and drinking (Nutrition) o Feeding the patient 5
o Inserting and removing NGT o Irrigating NGT o Gastric gavage o Gastric Lavage Lab. training about oxygenation o Administering O 2 by nasal cannula, facemask, and head tent. o Nebulizer inhalation o Coughing and breathing exercise. Teaching Strategies: Lectures Audio-visual aids Active participation of the students Discussion and group activities Video tapes. Class discussion. Lab. training (Demonstration & Re-demonstration.) Group activities. Clinical training (second semester) Rules and Regulations in Nursing Skill Labs. Food and beverages are not permitted in the lab areas. Overcoats and other peripheral items should not be brought into the lab areas. Each student has to comply with nursing dress code. Each student should bring his own scissor, meter, stethoscope, and torch, red and blue pen. Student has to have her nametag. Self-learning make up days will be planned with the instructor to compensate the missed labs for the excused students. Comply with ethical and moral lab considerations Evaluation Criteria: Class participation and assignments 10 % Mid-term examination 30 % Clinical Evaluation 30 % Final Written Examination 30 % Evaluation Criteria for Clinical Practice: (30 %) Performance Checklists Punctuality & Professional Conduct Daily and weekly evaluation sheet Clinical assignments Final clinical examination 6
Recommended Textbooks: Ellis, R.L.; Bentz, P.M. (2006): Modules for Basic Nursing Skills, 7th ed. Philadelphia: Lippincott Williams & Wilkins. Kozier, B.; Erb, G.; Berman, A.; & Burke, K. (2005) Fundamentals of Nursing. (7 th ed.). Simione, V: New Jersey. Lynn, P. (2006): Skill Checklists to Accompany Taylor's Clinical Nursing Skills: A Nursing Process Approach, 2nd ed. Philadelphia: Lippincott Williams & Wilkins. Potter, A. P, and Perry, A.G. (2006): Clinical Nursing Skills and Techniques, 6th ed. London: Mosby company. Potter, P.; & Perry, A. (2005): Fundamentals of Nursing. (6 th ed.). Schrefer, S: London. Taylor, C.; Lillis, C. (2007): Fundamentals of Nursing, Sixth Edition and Taylor's Clinical Nursing Skills, 6th ed. Philadelphia: Lippincott Williams & Wilkins. 7