Veidlapa Nr. M-3 (8)
Study Course Description

Course Work. Care Quality Management - Development of Care Documentation

Main Study Course Information

Course Code
LF_662
Branch of Science
Clinical medicine; Health care sciences and services
ECTS
3.00
Target Audience
Nursing Science
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
Structural Unit
RSU Liepāja Branch
Contacts

-

About Study Course

Objective

Achieve understanding about the management of quality of patient care and the significance of the patient care documentation for nurses on the process of health care. Develop skills in writing and developing health care documentation which is based on the current scientific proof and meets the requirements of international standards of quality.

Preliminary Knowledge

Philosophy of Care and Process Model; Clinical Care; Leadership and Effective Management; Pedagogy in Health Care; Philosophy and Medical Ethics; Patient Safety and the Work Environment; Legal Aspects of Health Care Organization.

Learning Outcomes

Knowledge

1.Acquired knowledge after the student has completed the course: Level of comprehension: Human factors that influence patient security. Influence of the system on patient security. Clinical risks and management. Level of use: Quality of patient care, principles of patient security.Infection control and prevention. Safe management of medication. The risks of invasive procedures in the context of patient security. Processes of standardization. Professional guidelines and recommendations. Clinical standards and guidelines. Clinical audits. Processes and meaning of systems of quality. System of healthcare. Patient/client satisfaction. Quality of the patient care practice.

Skills

1.Have the ability to perform data analysis, summarize and be able to express their own opinion about scientific theories. Be able to draw conclusions about the written coursework. Understand and maintain the basic principles of patient security, influence of human factors on patient security and the influence of healthcare systems on patient security when developing the documentation of patient care. Understand clinical risks and use of methods for improving patient care. Understand procedures for infection control and prevention, risks of invasive procedures, risks of administering medication in the context of patient security. Cooperate in the development and implementation of recommendations for professional guidelines and processes of quality assurance. Participate in the development, implementation and improvement of systems for patient care. Participate in implementation of innovations. Improve nurses practice.

Competences

1.Have the ability to present and defend the written course work as well as be able to state one's own opinion about the questions asked.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
Summation and analysis of the theoretical material. Get acquainted with the advised and recommended sources of literature while preparing for the course. Prepare the corresponding work assignment for the lecture.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
Development of documentation of patient care: defining the aim and topicality.
2.

Examination

-
-
Exam (defence). Development of documentation of patient care which is reasoned in scientific literature and is prepared for use in Praxis for improvement of security of patient care.
3.

Examination

-
-
All those who have been present in all of the lectures and have received credit for the seminar – "Presentation of the coursework project – aims and topicality" – will be able to participate in the defence of the course work. Study works compliance with the methodical guidelines of RSU. Quality of the works content – development of documentation for quality of patient care, that are reasoned and based in scientific literature and is prepared for use in practice for improvement of security of patient care. Presentation of the study work. The defence of the students course work is open. The academic group is present. During the presentation students must hand in a 5-7 min long report about the written coursework which must include: assessment of the significance of the course works topic, achieved results, conclusions. Presentation includes visual materials (a PowerPoint presentation is recommended). After the presentation, the author of the coursework answers questions from members of the commission and attendants. After the commission has seen presentations from all of the participating students, a decision about the assessment will be made (assessments are given in a 1-10 point system) for each student. The assessment is then written in the students report card and in the attachment for the diploma.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Introduction to the course; course overview, midterm evaluations and evaluations. Course work development – thesis and selection of the supervisor. Documentation and responsibilities of a nurse
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Introduction to the health quality management in healthcare (patient security, audits, guidelines, methods, control sheets, quality indicators, work accounting in healthcare, systems of patient classification, training programs for patients and personnel)
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Documentation for patient care – types, structures, terminology, indicators of quality, requirements. Electronic documentation of the patient care
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Documentation for patient care – types, structures, terminology, indicators of quality, requirements. Electronic documentation of the patient care
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Development of the documentation for patient care: definition of the aim and topicality, researching scientific proof and selection, approbation, implementation into practice. Audit of training of the personnel and processes
  1. Lecture

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Development of the documentation for patient care: definition of the aim and topicality, researching scientific proof and selection, approbation, implementation into practice. Audit of training of the personnel and processes
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Course work development – thesis and selection of the supervisor (guidelines, methods, descriptions, control sheet, indicators of quality, patient classification systems)
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Course work development – thesis and selection of the supervisor (guidelines, methods, descriptions, control sheet, indicators of quality, patient classification systems)
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Development of the documentation for patient care: definition of the aim and topicality, researching scientific proof and selection
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Development of the documentation for patient care: definition of the aim and topicality, researching scientific proof and selection
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Development of the documentation of patient care
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Development of the documentation of patient care
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Approbation, implementation into practice. Audit of training of the personnel and processes
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Approbation, implementation into practice. Audit of training of the personnel and processes
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Presentation of the course work project
  1. Class/Seminar

Modality
Location
Contact hours
On site
Auditorium
2

Topics

Presentation of the course work project
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Defence (Semester paper)

Bibliography

Required Reading

1.

Ārstniecības iestāžu visaptverošas kvalitātes vadības sistēmas metodika. Pieejams no: https://www.sif.gov.lv/nodevumi/nodevumi/5194/Arstniecibas_iestazu_visaptverosas_kvalitates_vadibas_sistemas_metodika.pdf

3.

Pacientu aprūpes standartu lietošana ārstniecības personu izglītībā un praksē / Jana Ankrava, Karīna Kurtiša; Juridisko personu apvienība: Latvijas Universitātes Rīgas Medicīnas koledža un Latvijas Ārstu biedrība; [galvenā redaktore Maija Šetlere].

4.

Developing guidelines, Paul G Shekelle, Steven H Woolf, Martin Eccles, Jeremy Grimsha. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1115034/pdf/593.pdf

Additional Reading

2.

Moorhouse, M., & Doenges, M. (1990). Nurse's clinical pocket manual : Nursing diagnoses, care planning, and documentation / Mary Frances Moorhouse, Marilynn E. Doenges. Philadelphia]: F.A. Davis Company

3.

Carpenito-Moyet, L. (1991). Nursing care plans and documentation : Nursing diagnoses and collaborative problems / :. New York etc.: J.B.Lippincott Company.

4.

Aprūpes diagnozes definīcijas un klasifikācija 2018-2020, 11. izdevums, Rīgā, medicīnas apgāds, 2020

5.

Moen, H., Hakala, K., Peltonen, LM. et al. Assisting nurses in care documentation: from automated sentence classification to coherent document structures with subject headings. J Biomed Semant 11, 10 (2020). https://doi.org/10.1186/s13326-020-00229-7