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GroupK702D14S/Degree Programme in Nursing (in English) (Kemi)
Study unitK702D37 Guided Practice 2, 10.00 ECTS credits, 267 h
UnitTerveysala (Meripuistokatu 26) Kemi
Time of implementationAutumn1/2016-2017, Autumn2/2016-2017
Responsible teacherMikkola Anja, Sliden Marianne
Other teachersKehus Eija, Sjöman Annette
Status of implementationFinished

Description status Ready
Language of instruction English
Starting and ending dates01.08.2016 - 31.12.2016
Minimum number of participants  
Maximum number of participants  
Enrolment period15.04.2016 - 20.10.2016
Implementation method
Virtuality 0 ECTS credits
R&D integration 0 ECTS credits
Resit dates of the exam
Koulutuksen aikataulu (www-linkki)
Description language English 

Guided Practice 2 10ECTS

Competence Goals:

The student is able to describe the care pathway of a surgical patient, and perioperative care as part of this pathway. As a member of a multi-professional nursing team the student can provide surgical patients with various conditions with holistic care. The student follows the principles of aseptic working methods and evidence –based nursing in clinical work and in different care environments. S/he works as a member of a multi-professional team along the care pathway of a surgical and perioperative patient. The student is able to be authentically present when supporting and guiding patients in various examinations, surgeries and other procedures. S/he can monitor and evaluate the vital signs of a patient and knows how to foster these signs. The student knows how to give an oral and a written nursing report and under the guidance of a supervisor to participate in the administration of medicine for a surgical patient. The student is familiar with and s/he implements the principles of work safety and patient safety in all his/her work duties.


Assessment criteria

GUIDED PRACTICE competences - evaluation

Grades: Passed/Failed

Methods:Self-assessment, clinical supervisors’ assessment, peer assessment by dialogic discussion


Learning process of the student

Attainment of the student’s self-set competence goals, purposefulness, self-directedness, information/data retrieval, and justifying the action taken.

Self- and peer-assessment in the learning process, and feedback from the supervisors.

Ethical competence

Compliance with confidentiality, secrecy and privacy protection policies, and legislative issues, acting according to the values and principles of professional ethics, compliance with safety regulations at work, taking responsibility for own action, therapeutic attitude towards the client/patient/family/cooperation and study networks. Responsibility for own professional development.

Co-operation and communication competence

Ability to start and maintain professional communication at work: patient and client relationships, employee skills, collegiality, team-work skills, pair work skills, multi-professional work skills, co-operation with care and service units/institutions, organisations and networks. Co-operation and interaction is focused on the main objective/mission of the unit.

Mentoring and Counseling Competence

Ability to mentor and counsel different patients/clients, their next-of-kin and groups. Supports and guides the client in self-care and management of personal health problems and concerns. Health promotion competence.

Decision-making competence

Nursing process, reporting, information provision and documentation, coordination. Self-leadership competence, awareness, autonomy, positive outlook, creativity, responsibility.

Clinical competence in nursing

Identification of the biopsychosocial needs and problems of the patient/client/close network. Holistic evaluation of the patient. Planning, implementation and evaluation of the nursing interventions. Use of methods and tools in nursing. Functioning in care relationship. Examination- and nursing procedures. Ergonomy. Aseptics. Fluid therapy and pharmacotherapy.

Criteria for the grade “Fail” of Guided practice:

Student can fail the guided clinical practice based on the assessment criteria of professional, co-operational or development competencies. Guided practice can be assessed as a “Fail” based on a single criterium in the context of the following competencies:

Professional competence

  • neglect of ethical principles, regulations, legislation,

  • endangering patient safety,

  • insufficient knowledge and skills in nursing

Co-operation competence

  • drawbacks in co-operation competence

  • non-commitment in care relationships

  • non-collegiality in action

  • essential deficiency in professional interaction

Development and developing competence

  • lack of motivation and self-initiative

  • lack of purposefulness

  • unplanned training/guided practice

  • drawbacks in self-assessment and reflection

  • drawbacks in working life (employment) skills
Pedagogical arrangements

TC and Guided practiceThe students, set their own personal goals for learning, and

perform continuous self-assessment. During the guided clinical practice, the students make use of Individual Learning Diary for Guided Practice (those who commenced their studies before the year 2014)/ Guided Practice Learning Journal for Student Registered Nurses at Lapland University of Applied Sciences (those who commenced their studies in 2014 or later)Learning Journal Guided Practice . The Medication passport supports pharmacotherapy studies.The course (Medication in Nursing) and/test in medical calculation must be passed with the approved grade before the beginning of the guided clinical practice in the 3rd, 5th and 7th term.

The working time of the students in guided practice is always 40 hours/week, of which 36 hours/week are to be done in the guided training placement, and four (4) hours/week are allocated for the written assignments related to the guided practice.

The working shifts of the whole guided practice period are planned on the schedule. The working hours which occur on holidays during the weekdays (on the so called the flexible holidays) are not to compensated. In case of several holidays during the guided practice, the guided practice period is prolonged. Sickness absences must always be notified as soon as possible both to the guided practice unit and to the clinical instructor or the senior lecturer in charge of the guided practice. The replacement/compensation for the absences are to be negotiated with the clinical supervisor and the senior lecturer in charge of the guided practice


Learning Journal of Guided Practice . The Medication passport.Materials in Moodle

environment and the litterature mentioned during the theoretical part of the courses


TCs, guided practicesSurgical and Perioperative NursingCompetence GoalsThe


  • is able to describe the care pathway of a surgical patient, and perioperative care as part of this pathway in a client-centered way and taking the family members into consideration

  • is able to be authentically present when supporting and guiding patients in various examinations, surgeries and other procedures

  • provides holistic nursing and guidance for surgical patients suffering from various conditions using a rehabilitative working method as a member of the nursing team

  • monitors and evaluates the vital signs of the surgical and perioperative patient

  • follows the principles of aseptic working methods and evidencebased nursing in clinical work and in different care environments promoting patientclient health and functional ability.

  • participates in the nursing process of the surgical and perioperative patient and reflects his/her competences collegially in a multi-professionalteam

  • shows independent, critical mindset and problemsolving skills in oral and written reporting

  • participates under supervision in the safe administration of medicine and analgesics to a surgical and perioperative patient.

  • implements the principles of patient safety and occupational safety in his/her work duties

    Guided Practice Assignment:Perioperative Nursing: Reflective self-assessment process descriptionSurgical Nursing: Description of the patients day reflecting on the competence goals


EVALUATION OF GUIDED PRACTICEThe competences in nursing:

  • Learning Process of the Student
  • Ethical Competence
  • Cooperation and Communication Competence
  • Decisionmaking Competence
  • Clinical Competence in Nursing

The senior lecturer in charge of the guided practice is responsible for the final grade mark and evaluation made up of the students self evaluation, his her clinical supervisors