NMHS42760 Cardiac Rehabilitation and Nursing Persons with Heart Failure

Academic Year 2023/2024

This module aims to provide the student with a comprehensive theoretical background to facilitate the delivery of holistic and evidence based nursing care for persons undergoing cardiac rehabilitation, for persons with heart failure.

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Curricular information is subject to change

Learning Outcomes:

On completion of this module students should be able to:
•Demonstrate competence in the systematic interpretation of 12 lead ECGs in relation to hypertrophy, bundle branch blocks, hemiblocks and their impact for nursing care.
•Utilise nursing taxonomies (NANDA, NIC, and NOC) critically discuss, demonstrating clinical judgement and diagnostic reasoning, the nursing management and collaborative care of a person with heart failure, cardiogenic shock, and those undergoing advanced haemodynamic interventions.
•Discuss the holistic care of persons and their family/loved ones prior to cardiac transplantation and insertion of mechanical circulatory support.
•Critically analyse the role of the critical care nurse in cardiac rehabilitation taking account of changing profile of persons with cardiovascular disease and evaluate the physiological benefits of prescribed and supervised cardiac training post-myocardial infarction/ cardiac surgery/cardiac transplantation.
•Explore end of life issues in chronic illness and cardiovascular nursing and involvement of the palliative care team in symptom management and provision of holistic nursing care

Indicative Module Content:

The systematic interpretation of 12 lead ECGs in relation to hypertrophy, bundle branch blocks, hemiblocks and their impact for nursing care.
Utilisation of nursing taxonomies (NANDA, NIC, and NOC) critically discuss, demonstrating clinical judgement and diagnostic reasoning, the nursing management and collaborative care of person with heart failure, cardiogenic shock, those undergoing advanced haemodynamic interventions.
The holistic care of persons and their family/loved ones prior to cardiac transplantation and insertion of mechanical circulatory support.
The role of the critical care nurse in cardiac rehabilitation and heart failure self-care education
Exploration of end of life issues in cardiovascular nursing

Student Effort Hours: 
Student Effort Type Hours
Lectures

30
Practical

6
Autonomous Student Learning

204
Online Learning

10
Total

250
Approaches to Teaching and Learning:
This year a blended learning approach will be taken. Depending on the pandemic situation, lectures will be mainly online with synchronised (live) and unsynchronised (recorded) elements. and practicals may be face to face or online. Group work, group discussion, ECG workshops, clinical based scenarios and low and hight fidelity simulation will be delivered face-to-face or online depending on the pandemic situation. Other online resources will be provided and students are expected to attend clinical placement in Heart Failure and Cardiac Rehabilitation settings. 
Requirements, Exclusions and Recommendations
Learning Requirements:

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

Learning Recommendations:

It is recommended that students undertake NMHS 42500 prior to undertaking NMHS42760


Module Requisites and Incompatibles
Equivalents:
Cardiac Rehab & Heart Failure (NMHS40880), Cardiac Rehab & Heart Failure (NURS40880)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Examination: Clinical based scenario and ECG analysis. Depending on the pandemic situation this exam may be in an invigilated classroom/exam room setting or online. Varies over the Trimester No Alternative non-linear conversion grade scale 50% No

40
Practical Examination: Students are required to perform an in-depth cardiovascular assessment, establish care priorities and develop and evaluate a plan of care based on case scenarios using an OSCE format. Unspecified n/a Alternative non-linear conversion grade scale 50% No

60

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, on an activity or draft prior to summative assessment
• Feedback individually to students, post-assessment

How will my Feedback be Delivered?

The ECG exam is a reusable object. Students are provided with practice with feedback on reading ECGs during the workshops throughout the Semester. Feedback is available by request on the terminal exam

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 40880: Cardiac Rehabilitation and Heart Failure

Additional Essential Reading

Department of Health and Children (2010) Changing Cardiovascular Health: National Cardiovascular Health Policy 2010-2019. Dublin: The Stationery Office. ISBN: 0-7557-7639.
Khan, M.G. (2007) Cardiac Drug Therapy. (7th Edition). New Jersey: Humana Press, ISBN: 978-1-58829-904-8
Ponikowski, P. et al. (2015) 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure, European Heart Journal, 37(27), pp.2129-2200.
Additional Recommended Reading and Research
Catapano, A.L. et al. (2016) 2016 ESC/EAS Guidelines for the management of dyslipidaemias, European Heart Journal, 37(39), pp.2999–3058.
Gonce Morton, P. and Fontaine, D.K. (2017) Critical Care Nursing: a Holistic Approach (11th Edition), London: Wolters Kluwer/ Lippincott Williams & Wilkins.
Gusdal, A.K., Josefsson. K. et al. (2017) Nurses attitudes towards family importance in heart failure care European Journal of Cardiovascular Nursing, 16(3), pp. 256 -266
O’Donovan, K. (2020) Mineralocorticoid receptor antagonists in heart failure with reduced ejection fraction. British Journal of Cardiac Nursing, (15)9, pp. 1-9. Available at: https://www.magonlinelibrary.com/doi/epdf/10.12968/bjca.2020.0046 (Accessed 30th June 2020).

O’Donovan, K. (2019) Angiotensin receptor blockers as an alternative to angiotensin converting enzyme inhibitors. British Journal of Cardiac Nursing, (14)6, pp. 1 -12. Available at:
https://www.magonlinelibrary.com/doi/epdf/10.12968/bjca.2019.0009 (Accessed 30 June 2021).

O’Donovan, K. (2018) Management of cardiogenic shock complicating ST segment elevation myocardial infarction. British Journal of Cardiac Nursing, (14)1, pp.16 -20. Available at: https://www.magonlinelibrary.com/doi/epdf/10.12968/bjca.2019.14.1.16 (Accessed 1July 2021).

O’Donovan, K. (2019) Management of cardiogenic shock complicating ST segment elevation myocardial infarction: 2, British Journal of Cardiac Nursing, (14)2, pp.80-85. Available at: https://www.magonlinelibrary.com/doi/epdf/10.12968/bjca.2019.14.2.80 (Accessed 1 July 2021).

Rice, H., Say, R. and Betihavas, V. (2018) The effect of nurse led education on hospitalisation, readmission, quality of life and cost in adults with heart failure: a systematic review, Patient Education and Counselling, 101(3), pp. 363 -374.
Zampieron, A. (2011) A retrospective study of nursing diagnosis, outcomes and interventions for patients admitted to a cardiology rehabilitation unit, International Journal of Nursing Terminologies and Classifications, 22(4), pp.148-156.

European Society of Cardiology Guidelines due to be published in September 2021 ( access via https://www.escardio.org/Guidelines
• Acute and chronic heart failure
• Valvular disease
• Cardiac pacing and cardiac resynchronisation therapy
• Cardiovascular disease prevention

Name Role
Ms Orla Daly 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.
 
Spring
      
Laboratory Offering 1 Week(s) - 36 Mon 08:00 - 16:50
Laboratory Offering 1 Week(s) - 21 Mon 09:00 - 15:50
Laboratory Offering 1 Week(s) - 24 Mon 09:00 - 15:50
Laboratory Offering 1 Week(s) - 32 Mon 09:00 - 15:50
External & School Exams Offering 1 Week(s) - 31 Mon 10:00 - 11:50
Lecture Offering 1 Week(s) - 28 Thurs 09:00 - 13:50
Laboratory Offering 1 Week(s) - 36 Tues 08:00 - 16:50
Spring