NMHS44270

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:

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:

Prior learning modules NMHS44230 or NMHS33990.

Module Requisites and Incompatibles

Pre-requisite:
NMHS33990 - Fundamentals of Acute Care CPD, NMHS44230 - Fundamentals of Acute Care


 

Assessment Strategy

 

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
• Butcher, H.K. et al. (2018) Nursing Interventions Classification (NIC) (7th Edition), St Louis: Mosby Elsevier.
• Carpenito, L.J (2016) Nursing Diagnosis: Application to Practice (15th edition), London: Wolter Kluwer Health, Lippincott Williams and Wilkins
• **Herdman, T.H. and Kamitsuru, S. (Eds) (2021) Nursing Diagnoses: Definitions and Classifications 2021 – 2023 , 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. (2021) Nursing Outcome Classification: measurement of health outcomes (7th edition). St Louis: Elsevier.
• Olsen, K. (2021) Oxford handbook of Cardiac Nursing (3rd Edition), Oxford: Oxford University Press
• **Thaler, M. (2018) The Only EKG Book you’ll Ever Need (9 th edition), Philadelphia: Lippincott Williams and Wilkins.
• **Perpetua E.M. Keegan P.A. (2021) Cardiac Nursing (7th Edition), Philadelphia: Lippincott, Wilkins and Williams
• Jennings et al. (2021) ESC Textbook of Cardiovascular Nursing, Oxford: Oxford University Press (some chapters available: https://doi.org/10.1093/med/9780198849315.001.0001)

Reference Texts
• Adam S.K Osborne (2017) Critical Care Nursing: Science and Practice (3rd edition) Oxford University Press
• Bickley, L.S. (2016) Bates' Pocket Guide to Physical Examination and History Taking (8 th edition), Philadelphia: Lippincott Williams and Wilkins.
• Blows, W.T. (2024 ) The Biological Basis of Clinical Observations ( 4th edition) , London: Routledge.
• Hayes, D.L., Asirvatham, S.J. & Friedman, P.A. (2021) Cardiac Pacing, Defibrillation and Resynchronisation (4th Edition), London: Wiley
• Gonce Morton, P. and Fontaine, D.K. (2017) Critical Care Nursing: a Holistic Approach (11th Edition), London: Wolters Kluwer/ Lippincott Williams & Wilkins.
• Kapoor, P.M. (2023) Textbook of Cardiac Critical Care (1st edition) Thieme
• Kenny, T. (2015) The nuts and bolts of implantable device therapy: Pacemakers (1st edition), Wiley-Blackwell, Oxford.

National And European Guidelines / Publications
• 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
• Health Services Executive (2020) National Framework for the Integrated Prevention and Management of Chronic Disease in Ireland 2020- 2025. www.hse.ie/eng/about/who/cspd/icp/chronic-disease/documents/national-framework-integrated-care.pdf (accessed 11th July 2024)
• Irish Association of Cardiac Rehabilitation (2013) Cardiac Rehabilitation Guidelines 2013. Https://iacronline.ie//wp-content/uploads/2022/09/IACR-Guidelines2013.pdf (access 11th July 2024)
• Perry I. Gallagher K on behalf of the Irish Heart Foundation (2023) Summary of Primary Prevention of Cardiovascular Disease . Irish Heart Foundation https://irishheart.ie/wp-content/uploads/2023/11/IHF_CVD_PP_Summary_SCREEN.pdf
• Glikson et al. (2021) 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. European Heart Journal 42(35) https://doi.org/10.1093/eurheartj/ehab364
• Mach F, Baigent M, Catapano A et al. (2020) 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. European Heart Journal1;41(1):111-188. Https://doi.org/10.1093/eurheartj/ehz455


Additional Research and Published Articles

• Bahram, M. Maryam S. Azar, T (2021) Journal of Education and Health Promotion 10(1) p 236 https://doi.org/10.4103/jehp.jehp_173_21
• Connolly M, Cotter, P (2021) Effectiveness of nurse led clinics on healthcare delivery: an umbrella review Journal of Clinical Nursing 32 (9-10) p 1760 -1767. https://doi.org/10.1111/jocn.16186
• Connolly, M. & Ryder, M. (2022) Consideration of symptom management in advanced heart failure, International Journal of Environmental Research and Public Health. 19 (22) p15160. https://doi.org/10.3390/ijerph192215160
• Kim S. Lee K. Kim S (2020) Knowledge , attitude, confidence and educational needs of palliative care in nurses caring for non-cancer patients: a cross-sectional descriptive study. BMC Palliative Care 19(article 105). https://doi.org/10.1186/s12904-020-00581-6
• Lindberg F. Lund L.H. Benson, L et al (2022) Patient profile and outcomes associated with follow up in specialty vs primary care in heart failure ESC Heart Failure 9 (2) p 822- 833. https://doi.org/10.10002/ehf2.13848
• Mehra V.M. Gaalema D.E. et al (2020) Systematic review of cardiac rehabilitation guidelines: quality and scope European Journal of Preventive Cardiology 27(9) pp 912 -928 https://doi.org/10.1177/2024487319878958
• Moradi M. Daneshi F. Behzadmehr R et al (2019) Quality of life of chronic heart failure patients: a systematic review and meta analysis Heart Failure Reviews 25 pp 993 – 1006
• Paul G. Eftekhari H. (2022) Implantable cardioverter defibrillator deactivation: opportunities and good practice British Journal of Cardiac Nursing 17 (3) https://doi.org/10.12968/bjca.2021.0107
• Porkodi A. Venkatakrishnan Ramakrishnan T (2021) The impact of nurse led cardiac rehabilitation on quality of life and biophysiological parameters in patients with heart failure: a randomised clinical trial The Journal of Nursing Research 29(1) p. e130. https://doi.org/10.1097/jnr.0000000000000407
• Ski C.F. Cartledge,C. Foldager, D. et al (2023) Integrated care in cardiovascular disease: a statement of the association of cardiovascular nursing and allied professions of the European society of cardiology European Journal of Cardiovascular Nursing 22(5) p e39 -e46 https://doi.org/10.1093/eurjecn/zvad009
• Sobanski P. Z Alt – Epping B. Currow D.C. et al (2020) Palliative care for people living with heart failure: European association for palliative care task force expert position statement Cardiovascular Research 116(1) pp 12 -27 https://doi.org/10.1093/cvr/cvz200

Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.