N1112 Student Module 1, Lab 1.
N1112 Student Module 1, Lab 1.
Bachelor of Nursing
NURS 1112
Version 1
August 2024
School of Nursing and Midwifery
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School of Nursing and Midwifery
Contents
NURS 1112 Introduction.....................................................................3
Course Overview 3
Self-Care Strategies for the Helping Professional 3
References.......................................................................................23
● Clinical practice – seeing pain, suffering, and not being able to provide appropriate responses
(Jimenez et al., 2009)
● Academics – reviews, exams, workload, and problems studying (Pulido et al., 2012; Yamashita et al.,
2012)
o Nurses are taught to care for others and often express reluctance in taking the time to care
for themselves or they have difficulties finding self-care activities that are a good fit and can
be integrated into their lives (Blum, 2014)
o Nurses give the best patient care when they are operating at the peak of their own wellness
(Linton and Koonmen, 2020)
o Nurses are faced with moral duties that includes their duty to protect themselves, their
patients, their families, and communities (Sirilla et al., 2017; Steinwedel, 2015)
The practice of self-care among nursing students is an important strategy for role-modelling health and
well-being and supporting nurses’ mental and physical fitness to practice (Antonishen, 2019, Blum, 2014,
Canadian Association of Schools of Nursing, 2015)
Self-care definition: activities that maintain physical, mental, emotional, and spiritual well-being
(American Holistic Nurses Association, 2021) as well as self-compassion promoting practices such as
engaging in acceptance, problem solving, and dealing with strong emotions skillfully (Hensel et al.,
2014). Self-care and spirituality are frequently linked (Slemon et al., 2021)
● Sleep – training your body to sleep by going to bed at the same time each night while
avoiding stimulants, caffeine, and nicotine at least 4-6 hours before bedtime and maintaining
a cool dark environment. Not bringing your textbooks to bed – using the bed for only
sleeping.
● Nutrition and Exercise – nutrition education would include healthy 30-minute meals that
include fruits and vegetables. The benefits of aerobics, flexibility, and strength and resistance
training. Walking around the university during breaks between classes would be beneficial.
Benefits of maintaining cardiovascular health, strengthening exercises, and using yoga and
Pilates for stretching and balance.
● Complementary Alternative Therapies – Natural aromatherapy oils and oil therapy, positive
affirmations
● Identify attributes of a nurse that contribute to the development of effective helping relationships
● Describe theories of caring
● Describe the phases of a helping relationship.
● Describe communication approaches that facilitate the building of a helping relationship.
● Describe the elements that contribute towards communicating a professional identity.
● Describe the components of a comprehensive health assessment.
● Describe the components of a general survey.
● Describe normal assessment findings from a general survey.
● Describe different types of health assessment.
● Differentiate between objective and subjective data gathering.
● Define inspection, palpation, percussion, and auscultation.
● Describe principles that guide prioritization of nursing care.
● Describe critical thinking, clinical decision making and how these are used in implementing the
nursing process.
p. 85 – 95
● Chapter 14 - Nursing Assessment, Diagnosis & Planning
p. 187 – 199
p. 202 – 207
● Chapter 15 - Implementing & Evaluating Nursing Care
p. 212 – 230
● Chapter 18 - Communication & Relational Practice
p. 278 – 280
p. 283 – 290
● Chapter 33 - Health Assessment & Physical Examination
p. 613 – 616
Textbook Readings: Jarvis Physical Examination & Health
Assessment
● Chapter 2 - Health Promotion in the Context of Health Assessment
p. 11 – 14
● Chapter 9 - Assessment Techniques and the Clinical Setting
p. 145 – 148
● Chapter 28 - The Complete Health Assessment: Putting It All Together
p. 832 – 833
Journal Articles
Amendolair, D. (2012). Caring model: Putting research into
practice. International Journal for Human Caring, 16(4), p.14-21.
Bailey, D. (2009) Caring Defined: A comparison and analysis. International
Journal for Human Caring. 13(1), p.16-32.
Other Resources
Gottlieb, L. N. & Feeley, N. (2006). The Collaborative Partnership Approach to
Care: A Delicate Balance, p. 27-38. (Chapter 2. link to PDF on D2L)
Learning Activities
Answer the following questions you complete the learning activities:
3. Describe each of the following ways in which nurses communicate professionalism in helping
relationships.
Autonomy & Ability to make independent decisions and taking accountability for it
Responsibility
Assertiveness Advocating for the patient(speaking up for the patient) at the same time
4. Describe the following therapeutic communication approaches and how the nurse would use each in
building a relationship with a client.
Active Listening (SOLER) Fully concentrating on what the patient is saying without interrupting.
(SOLER) sit facing the patient to show interest, Open posture to avoid
being defensive, lean slightly toward the patient to show involvement,
maintain eye contact to show engagement, relax , creates a comfortable
environment for the patient to share.
Sharing Observations Sharing what you observe e.g I noticed you seemed a bit quit today.
Sharing Empathy Putting yourself in the patients shoes and communicating understanding
e.g that must be difficult for you, can foster trust and validate feelings
Sharing Hope Offering positive reinforcement without giving false hope like saying, there
are treatments that can help you feel better, can motivate patients
Sharing Humor When used appropriately it can lighten the mood.must be used correctly
to avoid sign of insensitivity.
Sharing Feelings A nurse can share feelings within limits to show empathy e.g I feel
concerned about your comfort
Using Touch Appropriate physical touch like hand on the shoulder can provide comfort
Using Silence Allowing silence during conversations can give patience time to think and
express themselves
Clarifying Asking for clarification e.g (can you explain what you mean by.)
Focusing Helping patients concentrate or key issues e.g (let us focus on how you are
feeling right now)
Paraphrasing Restating what the patient says in your own words to show understanding
Asking Relevant Asking open ended, purposeful questions e.g (how has your pain affected
Questions your daily activities
Summarizing Summing up what has been discuss e.g so today we’ve talked about
Confrontation Gently confronting discrepancies in patients narration e.g you said you
have been eating well but I noticed some concerns WITH YOUR TEST
RESULTS
5. Describe the following non-therapeutic communication approaches and why the nurse should avoid
these.
Asking Personal Questions Asking irrelevant or overly personal questions can make the patient
feel uncomfortable
Giving Personal Opinions Imposing personal opinions undermines patient autonomy e.g( if I
were you I will )
Changing the Subject Shifting the topic away from patients concerns signals disinterest with
addressing sensitive issues
Automatic Responses Generic or scripted responses may come across as dismissive and fail
to address patients concerns
False Reassurance Offering unrealistic assurances e.g (do not worry everything will be
okay ) minimizes the patient feelings and may undermine trust if the
outcome isn’t positive
Asking for Explanations Asking why questions e.g (why did you not take your medications) can
make the patient feel judged
Approval or Disapproval Expressing approval or disapproval (e.g., "That was a good choice" or
"That wasn’t wise") can make patients feel judged, reducing their
sense of autonomy
Defensive Responses When a ptient expresses dissatisfaction, being defensive e.g that’s not
my fault
Arguing Disagreeing with the patients feelings can leed to conflict rather than
resolution
Passive or Aggressive They can both undermine therapeutic relationship between a nurse
Responses and a patient
6. Describe approaches the nurse can use in communicating with patients how have special needs:
Aphasia / Dysarthria / Muteness Use clear and concise language, use other forms of communication
like picture boards or written communication and try to be patient
with the patient give them time for responses
Cognitively Impaired Provide information in small so its easier to process, use visual aids
like gestures or pictures to verify, repeat key information
Hearing Impaired Stay face to face with the patient to make sure he can read your
lips. Speak slowly. Use sign language and written communication if
necessary.
Visually Impaired Describe the actions and surroundings and any procedures to
make sure the patient knows what is happening
Language is a Barrier Use an interpreter, talk slowly and clearly and use visual aids
2. Caring
Answer the following questions you complete the learning activities:
1. Describe Swanson’s Theory of Caring:
Doing For Helping patients with tasks they can’t do for themselves
Enabling Helping the patients complete goals and care for themselves
They perceive caring based on the nurse’s ability to connect with them emotionally, physically,
demonstrating genuine empathy, attentiveness and support
4. Give an example of how each of the following nursing practices might convey caring to a
patient/client:
Providing Presence Being physically and emotionally present especially during the patients critical
moments provides comfort, such as when they are feeling pain.
Touch Appropriate touch offers comfort and shows empathy to the patient
Listening Active listening without interruptions and rush shows that the nurse cares
about their inputs and wellbeing
Knowing the Patient Understanding the patients personal history, fears, preferences allow the nurse
to provide care that demonstrate concerns to their overall experience.
Spiritual Caring Supporting the patients religious needs shows respect for their beliefs and
provides comfort.
Family Care Including the family In the patient care shows that the nurse doesn’t only care
about the patient but their loved ones as well.
3. Health Promotion
1. What is the World Health Organization (WHO) definition of health promotion?
The process of enabling people to increase control over, and improve their health.
2. Describe the following health promotion activities that nurses engage in:
Social Justice & Healthy Equity Ensuring that all individuals regardless of their background and
socioeconomic status should have access to healthcare resources.
They also ensure fair treatment involves addressing disparities as a
result of race, gender and economic status
Advocacy & Activism Speaking up the patients rights and needs both in clinical settings
and broader policy level.e.g addressing issues such as inadequate
housing or food security that can affect health.
Activsm
Addressing Root Causes Addressing root causes that often lie in the social determinants of
health like housing, education, employment and access to healthy
food. Aiming to prevent diseases and improve long term health
outcomes
Tertiary Prevention Managing and improving the quality of life in chronic conditions e.g
rehabilitation.
4. General Survey
1. Describe each of the components of a general survey:
5. Collaborative Partnerships
1. Describe the five essential components of a collaborative partnership:
Living with Ambiguity Navigating uncertainty and complex cases with ease
Being Self-Aware & Constant self-assessment of your own thoughts and behaviours in care
Reflective situations
6. Critical Thinking
1. Describe each of the following critical thinking skills (see Table 12-1, pp. 176):
Interpretation Ability to understand and explain the meaning of information and data or concepts
Analysis The process of examining and breaking down information into parts to understand
better
Inference Ability to draw conclusions based on evidence. E.g making clinical decisions based
on observed trends
Self-Regulation The ability to monitor, reflect on and adjust your thinking process.
2. Describe how the following two components of critical thinking contribute to nurses’ effectiveness:
Specific Knowledge Base Nurses need a solid foundation to inform their practice. This includes
anatomy, physiology and more
Experience Clinical experience enhances a nurses ability to apply knowledge in real life
settings
Problem Solving Identifying a problem, creating potential solutions, evaluating them then
implementing the best one
Diagnostic Reasoning
Determining a patient shealth problem by analysing data and using clinical knowledge
Clinical Decision Making Are more specific form that involves evaluating patient data and using
nursing knowledge to make the best decision
It ensures that each phase of the nursing process is based on well reasoned decisions, reflective
thinking and evidence.
Intellectual Standards These are universal standards used to evaluate the quality of reasoning
Professional Standards These are standards set by the nursing profession, including adherence to
the Nursing Code of Ethics, best practices, and clinical guidelines
7. Critical Thinking
Nursing Process - Assessment
You will NOT be using the NANDA Nursing Diagnosis
2. What is assessment?
11. Describe how a nurse would analyze and interpret assessment data:
13. Describe the components of the Mount Royal School of Nursing & Midwifery comprehensive
assessment framework:
5. Describe the following processes which are essential to preparing to implement nursing care:
4. Describe each of the following ways what a nurse might revise a care plan:
Concerns: 2. 2.
Lab Preparation
Attend the lecture and complete the learning activities from:
Lab Supplies
Please bring the following supplies with you to lab.
1. Course Outline
2. Course Syllabus
3. Learning Guide
4. Pen & paper
5. Lab Kit: Triangular Bandage
Reflection Activity
1. How will you demonstrate professionalism in your class and in the lab?
REFERENCES
Jakubec, S. & Astle, B. (2024). In B.J. Astle et al. (Eds.). Canadian fundamentals of nursing (7th ed.).
Amendolair, D. (2012). Caring model: Putting research into practice. International Journal for Human
Caring, 16(4), pp.14-21.
Bailey, D. (2009) Caring Defined: A comparison and analysis. International Journal for Human Caring.
13(1), pp.16-32.
Antonishen, K. (2019). Stress, anxiety, and depression in year three nursing students before and after
learning an evolved exercise practice: a pilot study-Selfcare Journal. SelfCare Journal.
Blum, C. A. (2014). Practicing self-care for nurses: A nursing program initiative. Online Journal of Issues in
Nursing, 19(3).
Canadian Association of Schools of Nursing. National nursing education framework – baccalaureate: Final
report [Internet]. 2015 [cited 2018 Feb 12]. Available from
https://www.casn.ca/wp-content/uploads/2014/12/FINAL-BACC-Framwork-FINAL-SB-Jan-
2016.pdf
Green, C. (2020). Teaching accelerated nursing students’ self‐care: A pilot project. Nursing open, 7(1),
225-234.
Hensel, D., & Laux, M. (2014). Longitudinal study of stress, self-care, and professional identity among
nursing students. Nurse Educator, 39(5), 227-231.
Jimenez, C., IMavia-Osorio, P. M., & Diaz, C. V. (2009). Stress and health in novice and experienced
nursing students. Journal of Advanced Nursing, 66(2), 442-455. doi:10.1111/j. 1365-
2648.2009,05183.x
Linton, M., & Koonmen, J. (2020). Self-care as an ethical obligation for nurses. Nursing ethics, 27(8),
1694-1702.
Pulido-Martos, M,, Augusto-Landa, J. M., & Lopez-Zafra, E. (2012). Sources of stress in nursing students:
Click or tap here to enter text
.A systematic review of quantitative studies. International Nursing
Review 59, 15-25.
Sirilla, J., Thompson, K., Yamokoski, T., Risser, M. D., & Chipps, E. (2017). Moral distress in nurses
providing direct patient care at an academic medical center. Worldviews on Evidence‐Based
Nursing, 14(2), 128-135.
Slemon, Allie, Emily K. Jenkins, and Elisabeth Bailey. "Enhancing conceptual clarity of self-care for nursing
students: A scoping review." Nurse Education in Practice 55 (2021): 103178.
Steinwedel, C. M. (2015). Self-care as a matter of ethics and professionalism. Medsurg Nursing, 24(2), 75-
76.
Yamashita, K., Saito, M., & Takao, T. (2012). Stress and coping styles in Japanese nursing students.
International journal of nursing practice, 18(5), 489-496.