NATIONAL AMERICAN

UNIVERSITY
BLOOMINGTON CAMPUS
BSN PROGRAM

Nursing 3331-Foundatons of Holistic Nursing-Clinical

Winter: 2013-2014

Learning Plan 3
Clinical Day #3 Nursing Process/Intra-disciplinary Communication
Objective of the Course/Competency:
1. Establish therapeutic communication techniques during nurse client interactions to
create and maintain client relationships and professional boundaries.
Knowledge and skills leading to mastery of this competency:
a. Incorporate effective communication techniques to produce professional working
relationships.
b. Adapt caring and healing techniques that promote a therapeutic nurse-client relationship.
c. Communicate effectively with the client and the clients support network.
d. Promote the phases of the helping relationship.
2. Enhance psychosocial well-being through effective assessment, interpretation and
intervention regarding intellectual, emotional, social, spiritual and cultural development.
Knowledge and skills leading to mastery of this competency:
a. Complete a health history, including environmental exposure and a family history that
recognizes genetic risks, to identify current and future health problems.
b. Complete a comprehensive and focused physical, behavioral, psychological, spiritual,
socioeconomic, environmental and family assessment of health and illness parameters in clients,
using developmentally and culturally appropriate approaches.
c. Select client outcomes to evaluate the effectiveness of psychobiological interventions.
d. Develop an awareness of clients as well as healthcare professionals spiritual beliefs and
values and how those beliefs and values impact health care.
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e. Implement holistic, client-centered care that reflects an understanding of human growth and
development, pathophysiology, pharmacology, medical management, and nursing management
across the health-illness continuum, across the lifespan, and in all healthcare settings.
3. Maximize self-esteem and a feeling of psychological safety and comfort.
Knowledge and skills leading to mastery of this competency:
a. Analyze theories and concepts from liberal education to build an understanding of the human
experience
b. Integrate theories and concepts from liberal education into nursing practice.
c. Complete a concept map related to self-esteem, body image, intellectual function, emotional
development, social development, and spiritual well-being.
d. Choose behavioral change techniques to promote health and manage illness
4. Provide a safe client care environment to assist the client in meeting personal safety
needs.
Knowledge and skills leading to mastery of this competency:
a. Create a safe care environment that results in high quality client outcomes.
b. Establish therapeutic communication, context, and relationship.
c. Demonstrate the application of psychomotor skills for the efficient, safe, and compassionate
delivery of client care.
d. Develop a caring presence.
e. Implement compassionate, client-centered, evidence-based care that respects client and family
preferences.
5. Explain the purposes, rationales, and indications for various nursing care activities.
Knowledge and skills leading to mastery of this competency:
a. Use an ethical decision making framework.
b. Provide for a clients need to know by giving, translating, or transmitting information.
c. Provide nursing care based on evidence that contributes to safe and high quality client
outcomes.
d. Implement evidence-based nursing interventions as appropriate for managing the acute and
chronic care of the client and their family to promote health across the lifespan.
6. Demonstrate accountability and responsibility for own professional behavior and
development to reflect professional standards and values.
Knowledge and skills leading to mastery of this competency:
a. Establish accountability for personal and professional behaviors.
b. Ensure professionalism, including attention to appearance, demeanor, respect for self and
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others, and attention to professional boundaries with clients and families as well as among
caregivers.
c. Examine the professional standards of moral, ethical, and legal conduct.
d. Maintain self-awareness.
Overview:
This clinical experience will build on the foundational concepts to provide holistic and culturally
congruent nursing care for adult clients in a sub-acute and long-term care setting. Students
practice will be guided by clinical practice guidelines and standard policy and procedures, while
learning to provide direct nursing care. Students will be required to collect and interpret a
variety of data to provide client and family centered care.

Learning Activities:
o Direct patient care
o Develop a nursing care plan for a client
o Discussion of Documentation
Charting by exception
SOAP
DAR
Computerized vs. paper documentation
Legal issues and scope of practice
o Reporting to supervising nurse in presence of faculty (each due once during the
clinical rotation- P/NP
SBAR-Reporting reminder sheet
DAR Reporting reminder sheet
Review:
Perry and Potter (8th ed,)) Chapter 26
Come to class prepared to discuss:
Intra-disciplinary Communication
Importance of Accurate Documentation
Post-class:
Clinical paperwork
Learning Objectives
1. Conduct a nursing assessment
2. Develop a priority nursing diagnosis
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3.
4.
5.
6.

Develop a plan of care from a nursing assessment

Select appropriate interventions for an assigned client
Evaluate a set of nursing actions selected for a client
Develop ability to report patient data and situation in set format using precise clinical
language and including all important information

NOTES FOR SBAR (oral report)

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Student Name_______________________
Date__________________

_____________________________________________________________________________

B_________________
A_________________

R________________
NOTES FOR DAR (oral report)
Student Name_______________________
Date__________________
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_______________________________________________________________________

A________________
R_______________