NMHS42750 Nursing Persons with Altered Cardiac Function

Academic Year 2023/2024

The Module aims to provide the student with a comprehensive theoretical background to facilitate the delivery of holistic and evidence based nursing care for persons with altered cardiac function, with rhythm disturbances (arrhythmias and heart blocks) and for those undergoing invasive and non-invasive cardiac investigations.

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Curricular information is subject to change

Learning Outcomes:

On completion of this module students should be able to:
•Perform an in-depth patient assessment demonstrating competence in cardiovascular and respiratory assessment, haemodynamic monitoring, arrhythmia interpretation and interpretation of laboratory values
•Appling prior knowledge of the anatomy and physiology of the heart and the electrophysiology of the ECG to the care of persons with altered cardiac function, critically analyse the nursing care of the person undergoing cardiac diagnostic investigations/imaging and electrophysiology studies
•Utilising nursing taxonomies (NANDA, NIC, and NOC) critically discuss, demonstrating clinical judgement and diagnostic reasoning, the nursing management and collaborative care of persons with altered cardiac function incorporating political, economic and socio-cultural factors that impact on care.
•Critically evaluate the diagnosis of and treatments used in the management of arrhythmias and conduction disturbances
•Explore the critical care nurse’s role as an educator for a person requiring implantable devices for conduction and rhythm disturbances and altered cardiac function.

Indicative Module Content:

A comprehensive theoretical background to facilitate the delivery of holistic and evidence based nursing care for persons with altered cardiac function, with rhythm disturbances (arrhythmias and heart blocks) and for those undergoing invasive and non-invasive cardiac investigations.
Students will also engage with the application of nursing theories and of standardise nursing languages (NANDA-I, NIC and NOC) to clinical practice of cardiovascular nursing.

Student Effort Hours: 
Student Effort Type Hours
Lectures

30

Practical

5

Specified Learning Activities

8

Autonomous Student Learning

187

Online Learning

20

Total

250

Approaches to Teaching and Learning:
This year a blended learning approach will be undertaken. Depending on the pandemic situation, lectures will be online synchronised (live) and unsynchronised (recorded) elements. The programme will also involve face-to-face demonstration of learning through ECG workshops, clinical based scenarios, low and high-fidelity clinical simulation practice, group work, and group discussion. Other online resources will be provided. 
Requirements, Exclusions and Recommendations
Learning Requirements:

The student:
• Needs to be registered with NMBI as an RGN.
• Must have a minimum of 12 months post registration experience.
• Must work a minimum of 78 hours per month in a relevant cardiovascular nursing clinical area

Learning Recommendations:

It is recommended that students undertake NMHS42500 before undertaking NMHS 42750


Module Requisites and Incompatibles
Equivalents:
Altered Cardiac Function (NMHS40870), Altered Cardiac Function (NURS40870)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Presentation: Poster presentation of a patient case to clinical and academic experts Varies over the Trimester n/a Alternative non-linear conversion grade scale 50% No

35

Oral Examination: Nursing Round Assessment Varies over the Trimester n/a Alternative non-linear conversion grade scale 50% No

65


Carry forward of passed components
Yes
 
Remediation Type Remediation Timing
In-Module Resit Prior to relevant Programme Exam Board
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, post-assessment
• Group/class feedback, post-assessment
• Self-assessment activities

How will my Feedback be Delivered?

One-to-one feedback is offered. Students are provided with written feedback via rubric on the Poster Presentation, Oral Questions and Answers Assessment, and Nursing Rounds Assessment which is facilitated by the Course Director/UCD Academic and Clinical Expert/s.

Core Textbooks for the Programme

Ackley, B.J, Ladwig, G.B., Makic, M.B., Martinez-Kratz, M. and Zanotti, M. (2021) Nursing Diagnosis Handbook (12th edition revised preprint with 2021-2023 NANDA-I Updates, Edition 12. St Louis: Mosby Elsevier.

Butcher, H.K. et al. (2018) Nursing Interventions Classification (NIC) (7th Edition), St Louis: Mosby Elsevier.

Carpenito, L.J (2018) Nursing Diagnosis: Application to Practice (15th edition), London: Wolter Kluwer Health, Lippincott Williams and Wilkins

**Herdman, T.H. Kamitsuru, S. and Takao lopes (Eds) (2021) Nursing Diagnoses: Definitions and Classifications 2021-2023, (12th edition) New York: Thieme.
Johnson, M. et al. (2012) NOC and NIC Linkages to NANDA-I and Clinical Conditions, 3rd Edition, St Louis: Mosby Elsevier.
Moorhead, S. et al. (2018) Nursing Outcome Classification: measurement of health outcomes (6th edition). St Louis: Elsevier.

Olsen, K. (2014) Oxford handbook of Cardiac Nursing (3rd Edition), Oxford: Oxford University Press

**Thaler, M. (2018) The Only EKG Book you’ll Ever Need (9th edition), Philadelphia: Lippincott Williams and Wilkins.

**Woods, S.L. et al. (2009) Cardiac Nursing (6th edition), Philadelphia: Lippincott Williams and Wilkins.
** indicate essential texts
NMHS 42750 Nursing Persons with Altered Cardiac Function and NMHS 42760 Cardiac Rehab and Heart Failure Nursing

Additional Recommended Reading and Reference Texts

Blows, W.T. (2012) The Biological Basis of Clinical Observations., London: Routledge.

Crawford, M., DiMarco, L. and Paulus, W.J. (2009) Cardiology (3rd edition), London: Mosby. [reference text]

Hogan-Quigley, B., Palm, M.L. and Bickley, L. (2012) Bates’ Nursing Guide to Physical Examination and History Taking, London: Lippincott Williams and Wilkins.

Knapp, R. (2020) Haemodynamic monitoring made incredibly visual: incredibly easy (4th Edition) Philadelphia: Wolters Klumer.

Nowak, T. and Handford, A. (2004) Pathophysiology Concepts and Applications for Health Care Professionals (3rd edition), Boston: McGraw-Hill.

Opie, L.H. and Gersh, B.J. (2013) Lipid lowering and antiatherosclerotic drugs. Drugs for the Heart (7th edition), Philadelphia: Elsevier Saunders.

Perpetua, E.M. and Keegan, P. (2021) Cardiac Nursing (7th Edition). Philadelphia: Wolters Klumer.
Additional Research and Published Articles

AbuRuz, M.E. and Masa’Deh, P. (2017) Gender differences in anxiety and complications early after acute myocardial infarction. Journal of Cardiovascular Nursing, 32(6), p.p 538 -543.

Albert,N.M.(2012) Fluid management Strategies in Heart Failure, Critical Care Nurse, 32(2), pp.20-32.
Brady, D.R. (2016) Planning for deactivation of implantable cardioverter defibrillators at the end of life in patients with heart failure. Critical Care Nurse, (36) 6, pp. 24 -31.
Cooper, K.L. (2015) biventricular pacemakers in patients with heart failure, Critical Care Nurse, 35, pp.20-28.
Dennis A.S.C. and Behar JM (2020) New frontiers in cardiac devices. British Journal of Hospital Medicine, 81(10), pp. 92-103 available at https://ur.booksc.eu/book/84409806/908887 (last accessed 19th August 2021)
Eftekhari, H. et al. (2017) Cardiac pacing and devices: history, technologies and current innovations. British Journal of Cardiac Nursing 12(6). https://doi.org/10.12968/bjca.2017.12.6.280
Galdeano, L.E. et al. (2014) Reliability of the Cardiac Patients Learning Needs Inventory (CPLNI) for use in Portugal, Journal of Clinical Nursing, 11-12 pp. 1532-1540.
Huriani, E. (2019) Myocardial infarction patients’ learning needs: perception of patients, family members and nurses. International Journal of Nursing Sciences, 6, pp. 294 -299.
Leier, M. (2017) Advancements in pacemaker technology. Critical Care Nurse, 37(2), pp. 58 -65.
Pumonary artery/central venous pressure monitoring in adults.,Critical Care Nurse, 36 e12 –e 18

Sampson, M. (2016) Understanding the ECG part 4: conduction blocks, British Journal of Cardiac Nursing, 11(4), p.71.
Sampson, M. (2016) Understanding the ECG part 7: chamber enlargement, British Journal of Cardiac Nursing, 11(5), p.230


Name Role
Ms Orla Daly Lecturer / Co-Lecturer
Dr Aoife Claire MacCormac Lecturer / Co-Lecturer
Ms Kate O'Donovan Lecturer / Co-Lecturer
Dr Lisa Rogers Lecturer / Co-Lecturer
Ms Katie Wedgeworth Lecturer / Co-Lecturer
Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.
 

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