Theoretical Basics of Nursing and Professional Activities of a Nurse in General Care
Study Course Implementer
Riga, 26a Anninmuizas boulevard, mdak@rsu.lv, +371 67061568
About Study Course
Objective
To provide comprehensive knowledge of the development of the nursing profession in a historical context, nursing theories and their relationship to modern changes in healthcare in a multicultural environment, patterns of care, basic principles of professional and medical ethics, as well as the implementation of evidence-based care while developing critical thinking.
Preliminary Knowledge
Introduction to the use of the Library, medical terminology in a foreign language, propedeytics, anatomy, contact psychology and communication skills, history of Latvia.
Learning Outcomes
Knowledge
1.Explain the development of the nursing profession in a historical context and describe the main theories of Nursing, their importance and relation to changes in modern healthcare. Describe patterns of care and their application in the planning and implementation of evidence-based patient care in a multicultural environment. Understand the basic principles of medical and professional ethics, as well as the philosophical and ethical assumptions on which the professional activities of nurses are based. Describe principles of evidence-based care, basics of research methodology and terminology in healthcare.
Skills
1.able to analyse and compare different Nursing theories and approaches to care; able to apply the care process model in the analysis of theoretical situations; able to identify and assess ethical dilemmas in healthcare; able to interpret scientific evidence and its role in improving the quality of care; able to justify professional decisions based on theory and evidence.
Competences
1.demonstrate an understanding of the values, ethics and professional responsibility of the nursing profession; able to integrate theoretical knowledge into the context of professional activity; able to critically evaluate information and make reasoned decisions; develop professional identity and readiness to work in a multidisciplinary healthcare environment; respect ethical principles and evidence-based approaches to patient care.
Situation of simulations in the ethical context.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Independent work |
0.00% from total grade
|
10 points
|
|
The student shall prepare four independent papers independently during the course for an intermediate assessment, which shall be presented in a group with the aim of further exploring the topics to be learned in the course: 1. medical symbols and emblems in medicine, their meaning and use today; 2. Nursing theories; 3. on ethical matters; 4. The evidence-based approach. In order to evaluate the quality of the study course as a whole, the student must complete the study course assessment questionnaire on the student Portal. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Medical symbols and badges |
25.00% from total grade
|
10 points
|
|
2.
Analysis and comparison of Nursing theories and models: by chronology, level, approach, content. |
25.00% from total grade
|
10 points
|
|
3.
Situation of simulations in the ethical context. |
25.00% from total grade
|
10 points
|
|
The test consists of essay (10%), reflection diary (30%), case analysis (10%), clinical case analysis (10%), ethical communication tool (20%), film analysis (20%). |
||
|
4.
PICO’S work |
25.00% from total grade
|
10 points
|
Study Course Theme Plan
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Video
|
2
|
Topics
|
The beginnings of the sister profession: the grey sisters.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
The merciful sisters of the priest Vincenta de Paula union. Activities of diaconisu nurses in Latvia (Vidzeme and Kurzeme (1862-1914)
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Profession of nurses in the territory of Latvia during the activities of the Russian Red Cross (1879-1914) and the Latvian Red Cross (1918-1940)
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Sisters’ activities in Soviet times (1940-1991). Reorganisation of the nursing profession during the National Independence
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Analytical report on the development of the nursing profession in Latvia: grey Sisters, Mercy Sisters of the priest Vincenta de Paula Alliance, Diaconis Sisters, Mercy Sisters of the Russian Red Cross and Latvian Red Cross.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Analytical report on the development of the nursing profession in Latvia: grey Sisters, Mercy Sisters of the priest Vincenta de Paula Alliance, Diaconis Sisters, Mercy Sisters of the Russian Red Cross and Latvian Red Cross.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Presentation of independent work on: Medical symbols and emblems
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Classic Nursing theories and models of care.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Recent Nursing theories and models of care.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
An overview of the classical theories of Nursing and their application in practice. (D. Orema, F. Abdelah, W. Henderson, K. Roy, D. Johnson, M. Gordon, H. Peplau, D. Orlando Rodzer, King, Watson, Knightingale, Levaine)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
An overview of the classical theories of Nursing and their application in practice. (D. Orema, F. Abdelah, W. Henderson, K. Roy, D. Johnson, M. Gordon, H. Peplau, D. Orlando Rodzer, King, Watson, Knightingale, Levaine)
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Justification of models of care and Nursing theories in practice. Models of care: Newman system model, MacGill care model, VIPS model, AACN synergy model.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Justification of models of care and Nursing theories in practice. Models of care: Newman system model, MacGill care model, VIPS model, AACN synergy model.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Recent theories and patterns of care in Nursing and Nursing-related theories. (Parse theory, Pender theory, Mercer theory, Kolkabs theory, J. Duffy quality care Model, Roper-Logan-Tierney’s Model).
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Recent theories and patterns of care in Nursing and Nursing-related theories. (Parse theory, Pender theory, Mercer theory, Kolkabs theory, J. Duffy quality care Model, Roper-Logan-Tierney’s Model).
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Nursing process, nursing plan
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Care diagnoses – targets, ingredients, types.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Care diagnoses and differences compared to medical diagnoses, care priorities.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Standardised Nursing diagnoses.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Distribution of care diagnoses in different baseline clinical situations; objectives, expected/expected outcome
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Distribution of care diagnoses in different baseline clinical situations; objectives, expected/expected outcome
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Nurse interventions at various care diagnoses.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Patient education and dissemination of care problems.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
The nature, terminology and important aspects of evidence-based practice.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Research and types thereof in healthcare. Limitations in the process of obtaining evidence.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Searching for and selecting evidence-based practice information across resources. Critical assessment of information.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Basic stages of evidence-based medicine as a method.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Formulation of research topic, question and keyword; creation of PEO.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
PEO; self-prepared presentation by students on the chosen problem, THE creation of PICO.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
PEO; self-prepared presentation by students on the chosen problem, THE creation of PICO.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
PICO formula, formulation of questions, keywords.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
The addition of evidence and its critical evaluation.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Communication of evidence.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Communication of evidence.
|
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
The fundamentals of medical ethics
Description
In the lecture, students acquaint themselves with the historical evolution of medical ethics, basic concepts and key principles in health care. Fundamental principles such as patient autonomy, charity, harmlessness, fairness, dignity, confidentiality and informed consent are all being looked at. |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
The sisters’ professional ethics.
Description
Lecturers learn the basic values of sisters’ professional ethics and the principles that govern the sisters’ professional conduct in the practice of care. The nurse’s responsibility to the patient, family, colleagues, profession and community is looked at, along with professional boundaries, confidentiality, respectful communication and advocacy for the patient’s interests. |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
37. Ethical competence for a nurse
Description
In the lecture, students acquaint themselves with the importance of ethical competence in their sister’s professional activities. The ability to recognise ethical problems, analyse situations, assess possible solutions and make professionally reasoned decisions respecting the patient’s rights, safety and dignity is considered. |
-
Video Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
38. Ethical dilemmas for her sister.
Description
In the lecture, students become familiar with the more common ethical dilemmas in health care, such as balancing the patient’s autonomy and safety, respecting confidentiality, ensuring informed consent, distributing resources, caring at the end of life, giving up treatment for a patient and getting loved ones involved in care decisions. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
39. Basic ethical principles in healthcare situations.
Description
In the lesson, students practically analyze patient care situations where key ethical fundamentals in health care should be recognized: autonomy, charity, harmlessness and fairness. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
40. Moral stress and ethical safety in nursing practice.
Description
In the lesson, students become familiar with the concept of moral stress, its causes and impact on the nurse, patient care and health team. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
41. Ethical competence, ethical courage and moral judgment.
Description
In the lesson, students learn the concept and meaning of ethical competence in health care, addressing personal ethical traits, ethical awareness, self-awareness, sensitivity, perception, judgment, moral judgment and decision-making. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
42. Communication ethics and patient dignity in care.
Description
The lesson looks at the ethics of communication in sister practice, highlighting the importance of respectful, empathetic and patient-friendly communication. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
43. The sisterhood’s professional ethics, values and responsibilities in care.
Description
In the lesson, students analyze the nature and importance of a nurse’s professional ethics, professional values, responsibility and ethical safety in a healthcare environment. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
44. Challenges and ethics of AI application in healthcare.
Description
In the lesson, students explore the possibilities and challenges of using AI in healthcare, with a particular focus on patient safety, data protection, privacy, transparency of algorithms, responsibility for decisions and potential discrimination or bias. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
45. Applied ethics in clinical practice, analysis of ethical dilemmas and decision making
Description
In the closing lesson, students analyze examples of applied ethics in clinical practice, including a patient’s rejection of treatment, substituted decision-making, end-of-life care, organ donation, previous guidance, DNR, patient privacy and confidentiality. |
Bibliography
Required Reading
Aprūpes diagnozes. Definīcijas un klasifikācija 2018-2020. 11. izdevums, Latvijas Māsu asociācija.
Odiņa, O. Māsu profesijas attīstība Latvijā (18.-20. gs). Promocijas darbs, RSU, 2013. (akceptējams izdevums)
Nursing theorists and their work 2025. / [edited by] Martha Raile Alligood, Professor Emeritus, College of Nursing, East Carolina University, Greenville, North Carolina. 11th edition. xvii, 746 pp.Suitable for English stream
Nursing Care Plans: Diagnoses, Interventions, and Outcomes. 10th ed. Meg Gulanick, Judith L. Myers. Izdošanas datums: 2021; KrisostomusSuitable for English stream
Swearingen's All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health. 6th ed. Julie S. Snyder, Christine Sump. Izdošanas datums: 2023; Izdevniecība: Elsevier - Health Sciences Division. KrisostomusSuitable for English stream
Znotiņa I. Uz pierādījumiem balstītas medicīnas resursi - labāko pierādījumu meklēšana un izmantošana. Mācību materiāls informācijpratībā. Rīga: RSU, 2014. (akceptējams izdevums)
Medicīnas informācijas meklēšana elektroniskajos resursos. Mācību materiāls. Eiropas Sociālā fonda projekts Nr.9.2.6.0/17/I/001. “Ārstniecības un ārstniecības atbalsta personāla kvalifikācijas uzlabošana. Rīga, 2019.
Viljamss, Dž. R. Medicīnas ētikas rokasgrāmata. Rīga: Latvijas ārstu biedrība, 2009. (latv.val nav jaunāka izdevuma)
Vorbertons, N. Filozofijas pamati. Rīga: Raka, 2001 [1999]. 88.-99. lpp. (latv.val nav jaunāka izdevuma)
Mežinska, S. Biomedicīnas ētiskās problēmas // Biomedicīnas ētika: teorija un prakse. Rīga, RSU, 2006. 140.-181. lpp. (latv.val nav jaunāka izdevuma)