NMHS44280

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.



Last Edited - 25th Jan 2024

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:

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:

Prior learning will be module 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, 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
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)
** indicate essential texts

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
• HSE, National Heart Failure Clinical Care Programme (2012). Heart Failure Model of Care. Clinical Strategy and Programmes Directorate, HSE January 2012. Accessed via: https://www.hse.ie/eng/services/publications/clinical-strategy-and-programmes/heart-failure-model-of-care-jan-2012.pdf [Accessed 04/05/22)
• Irish Heart Foundation (2013) Step-by-Step through Heart Failure. Irish Heart Foundation.
• Long L, Mordi IR, Bridges C, Sagar VA, Davies EJ, Coats AJS, Dalal H, Rees K, Singh SJ, Taylor RS. Exercise-based cardiac rehabilitation for adults with heart failure. Cochrane Database of Systematic Reviews 2019, Issue 1. Art. No.: CD003331. DOI: 10.1002/14651858.CD003331.pub5. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6492482/pdf/CD003331.pdf [Last Accessed May 4th 2022]
• McDonagh TA et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal 42(36) pp3599-3726. https://doi.org/10.1093/eurheartj/ehab368
• McDonagh, T.A. Metra, M. Adamo M, et al (2023) 2023 Focused update of the 2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal 44 (37) pp 3627 – 3639. https://doi.org/10.1093/eurheartj/ehad195
• Zeppenfeld, K. et al. (2022) “2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death Developed by the task force for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death of the European Society of Cardiology (ESC) Endorsed by the Association for European Paediatric and Congenital Cardiology (AEPC)", European heart journal, 43(40), pp. 3997-4126. https://doi.org/10.1093/eurheartj/ehac262


Additional Research and Published Articles
• Asber S.R. Shanahan K.P. Lussier L. et al (2020) Nursing management of patients requiring acute mechanical circulatory support devices Critical Care Nurse 40 (1) e1 -e 11. https://doi.org/10.4037/ccn2020764
• Barisone M. Hayter M. Ghirotto L et al (2022) The experience of patients with an implantable cardioverter defibrillator: a systematic review and meta synthesis of qualitative studies European Journal of Cardiovascular Nursing 21(7) pp 677 – 686 https://doi.org/10.1093/eurjcn/zvab135
• Cooper, K.L. (2015) biventricular pacemakers in patients with heart failure, Critical Care Nurse, 35 (2), pp.20-28. https://doi.org/10.4037/ccn2015942
• Costanzo M.R. (2020) The cardiorenal syndrome in heart failure Heart Failure Clinics 16 (1) pp 81 -97 https://doi.org/10.1016/j.hfc.2019.08.010
• Fletcher L. (2020) The leadless pacemaker and cardiac nursing care British Journal of Cardiac Nursing 15 (11) https://doi.org/10.12968/bjca.2020.0059
• Hill B. Smith C. (2021) Central venous pressure monitoring in critical care settings British Journal of Nursing 30 (4) https://doi.org/10.12968/bjon.2021.30.4.230
• Jaarsma T. Hill L. Bayes – Genis A. et al (2021) Self care of heart failure patients: practical management recommendations from the heart failure association of the European society of cardiology European Journal of Heart Failure 23 (1) pp 157 – 174 https://doi.org/10.1002/ejhf.2008
• Kida K. Miyajima I. Suzuki N. et al (2023) Nutritional management of heart failure Journal of Cardiology 81 (3) p 288 -291 https://doi.org/10.1016/j.jjcc.2022.11.001
• Kirkby C. Renwick, C. Hargrave J et al (2022) Inherited arrhythmias: consideration for nurses British Journal of Cardiac Nursing 18 (2) https://doi.org/10.12968/bjca.2022.0127
• Moghaddam N. Van Diepen S, So, D. et al (2021) Cardiogenic shock teams and centres: a contemporary review of multidisciplinary care for cardiogenic shock ESC Heart Failure 8(2) p 988 – 998 https://doi.org/10.1002/ehf2.13180
• 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
• Van Stipdonk A.M. W. Schretlen S. Dohmen W et al (2020) Development and implementation of a cardiac resynchronisation therapy care pathway: improved process and reduced resource use BMJ Open Quality 10 e001072 https://doi.org/10.1136/bmjoq-2020-001072





Last Edited - 29th July 2024

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