FACULTY OF HEALTH SCIENCE School of Nursing,

26 Jun FACULTY OF HEALTH SCIENCE School of Nursing,

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FACULTY OF HEALTH SCIENCE

School of Nursing, Midwifery and Paramedicine

Brisbane Campus

SEMESTER 1, 2013

HLSC122: Inquiry in Health Care

UNIT OUTLINE

Credit points: 10

Prerequisites / co-requisites / incompatibles: Nil

Lecturer in Charge: Dr Leigh Davis

Office location: EB.07

Email: Leigh.[email protected].edu.au

Telephone: 3623 7616

Contact me: Email me to make an appointment or phone

Description:

This inter-professional unit provides foundational knowledge and skills for ways of reflecting on and making meaning out of a range of complex information in the health care environment. Approaches to knowledge development in the health disciplines, including the generation of new knowledge, are explored. The contribution of research knowledge to the provision of evidence based health care will be evaluated. This unit will also introduce the students to critical thinking skills that provide the basis for clinical reasoning.

Teaching team:

Roger Lord

EB.09

Roger.[email protected].edu.au

Brother Benildus

EB.08

Brother.[email protected].edu.au

Winnie Wu

EB.25

Winnie.[email protected].edu.au

Dianne Collins

TBA

Helen Funk

TBA

Karlyn Treston

TBA

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Mode/attendance pattern: This is an on-campus unit comprised of one two-hour lecture and one one-hour tutorial per week.

Duration: This unit is taught over a 12 week-semester or equivalent in intensive block mode.

You should anticipate undertaking 150 hours of study for this unit, including class attendance, readings and assignment preparation.

LEARNING OUTCOMES

The Inquiry in Health Care course is a professional program that requires development of particular attributes for accreditation purposes. These are also included in the Learning Outcomes.

On successful completion of this unit, you will be able to:

1. Describe development of different types of knowledge that underpin and inform health care;

2. Explain the different types of knowledge used to make evidence based decisions in health care and their application;

3. Reflect on and analyse health related situations and contexts; (ACU Graduate Attribute 4)

4. Develop inquiring questions related to health related situations and contexts;

5. Select appropriate types of knowledge required to analyse and problem solve various health care situations and contexts;

6. Locate and evaluate information from a range of sources to inform health practice; (ACU Graduate Attribute 8)

7. Develop effective strategies to identify and respond to your professional learning needs;

8. Work effectively with others to analyse and problem-solve health related situations; (ACU Graduate Attribute:6,7)

9. Articulate a logical argument to justify the knowledge base for clinical reasoning;

10. Demonstrate respect for the values and beliefs of health consumers and colleagues in applying knowledge to evidence based health practice.

GRADUATE ATTRIBUTES

Each unit in your course contributes in some way to the development of the ACU Graduate Attributes which you should demonstrate by the time you complete your course. You can view the ACU Graduate Attributes for all courses at http://www.acu.edu.au/204356. All Australian universities have their expected Graduate Attributes – ACU’s Graduate Attributes have a greater emphasis on ethical behaviour and

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community responsibility than those of many other universities. All of your units will enable you to develop some attributes.

On successful completion of this unit, you should have developed your ability to:

GA4 think critically and reflectively

GA6 solve problems in a variety of settings taking local and international perspectives into

account

GA7 work both autonomously and collaboratively

GA8 locate, organise, analyse, synthesise and evaluate information

CONTENT:

Topics will include:

Evidenced based health care

• Need for information and evidence

• Notion of best available evidence

• Best practice guidelines

• Continuous quality improvement

• Ethical application of evidence

Types of knowledge, their development and application

• Emancipatory

• Ethical

• Personal

• Aesthetic

• Empiric

Sources of knowledge and their application

• Formal

• Informal

Methods of inquiry in health and their application

• Types of health research

• Critical evaluation of data including basic statistics and rigour in quantitative data

• Application of inquiry in evidence based health care including public health, health protocols, best practice.

Clinical reasoning

Reflecting, analysing and problem-solving

• Critical thinking

• Clinical judgement (technical and situation based judgement)

• Quality care management

Content Extended

Reflective practice

• Critical reflection

• Self review of learning needs

• Maintaining a professional portfolio of evidence of competency Teamwork

• Group dynamics

• Communication within groups

• Leadership

• Decision making

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• Valuing diversity

QUALITY ASSURANCE AND STUDENT FEEDBACK

This unit has been evaluated through the ‘Student Evaluation of Unit’ (SEU) online surveys. Student feedback and changes to the unit will be provided during lecture one at each campus.

SEU surveys are usually conducted at the end of the teaching period. Your practical and constructive feedback is valuable to improve the quality of the unit. Please ensure you complete the SEU survey for the unit. You can also provide feedback at other times to the unit lecturers, course coordinators and/or through student representatives.

Study schedule

For the most up-to-date information, please check your LEO unit and also note advice from your lecturing and tutoring staff for changes to this schedule.

SCHEDULE:

wk

Lecture

Tutorial

Resources: Self

directed preparation

and learning

1

Unit introduction

Allocation of teams for

Required text: Chapters

Introduction to evidence-based

presentations and discussion of

1 & 7

the assignments.

practice – what is it & why do we

OR

need it?

Tutorial worksheet.

Recommended text:

Overview of assessment tasks

Discussion re expectations

Chapter 16 & 26

2

Methods as foundations.

Confirmation of teams and

Required text: Chapters

The research process.

presentation topics.

4,(p.87-122) & 9

Discussion of group processes

OR

Ethics in research

Week 2 online quiz open on LEO

Recommended text:

Chapter

1, & 2

3

Methods of inquiry in health care:

Discussion of previous lecture.

Required text: Chapter

Qualitative approaches 1

Clarification of presentation

5.

expectations

OR

Tutorial worksheet

Recommended text:

Chapters 6 & 7

4

Methods of inquiry in health care:

Review of qualitative

Required text: Chapter

Qualitative approaches 2.

methodologies.

5.

Tutorial worksheets.

OR

Facilitators and barriers to utilising

Recommended text:

qualitative research in EBP.

Case study.

Chapter 8

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5

Appraising a qualitative research

Review of the appraisal of a

Required text: Chapter

article.

qualitative research article.

7.

Contribution of qualitative research

The five (5) steps of EBP.

OR

to EBP.

Week 5 online quiz open on LEO

Recommended text:

Systematic reviews

Chapter 18, 26.

Good Friday holiday 29/3/13

1 April 2013

VACATION WEEK

6

Methods of inquiry in health care:

Teams 1 presenttheir appraisal

Required text: Chapters

A.Quantitative approaches 1.

of a research article.

4.

Teams 6produce 4 questions

OR

B. Facilitators and barriers to utilising

quantitative research in EBP.

and lead tutorial discussion.

Recommended text:

Review of qualitative

Chapter 11 &12.

methodologies.

7

Methods of inquiry in health care:

Team 2 presenttheir appraisal

Required text: Chapters

Quantitative approaches 2.

of a research article.

4.

Team 5produce 4 questions

OR

Systematic Reviews

and lead tutorial discussion.

Recommended text:

Review of qualitative

Chapter 13, 24 & 25.

methodologies.

8

Appraising a quantitative research

Team 3 presenttheir appraisal

Required text: Chapter

article.

of a research article.

7.

Contribution of quantitative research

Team 4produce 4 questions

OR

to EBP.

and lead tutorial discussion.

Recommended text:

25/4 ANZAC Day holiday

Review of qualitative

Chapter 18, 26.

methodologies.

23/4 Essay due

(Thursday group presentations

moved to week 12 due to public

holiday 25/4)

9

Clinical Trials

Team 4 presenttheir appraisal

Required text: Chapter

Mixed Methods Research

of a research article.

4, 6 & page 198.

Team 3produce 4 questions

OR

and lead. the discussion.

Recommended text:

Review of quantitative

Chapters 18 & 20

methodologies.

10

Evidence-based health care and

Team 5 presenttheir appraisal

Required text: Chapters

Quality Care Management

of a research article.

8

Epidemiology

Team 2produce 4 questions

OR

and lead tutorial discussion.

Recommended text:

Review of quantitative

Chapter 16 & 17.

methodologies.

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11

Assessing and interpreting research

Team 6 presenttheir appraisal

Required text: Chapters

overview.

of a research article.

8

Barriers to the utilisation of evidence

Team 1produce 4 questions

OR

in health care overview.

and lead tutorial discussion.

Recommended text:

Review of quantitative

Chapter 16 & 17.

methodologies.

Week 11 quiz open on LEO

12

Unit overview – Putting it all together

Team 7 presenttheir appraisal

All

of a research article.

Team 6produce 4 questions

and lead tutorial discussion.

Discussion of previous lecture.

Examination preparation.

Evaluation of the unit.

ASSESSMENT PROCEDURES:

Specific Assessment Requirements

Academic referencing style:

The American Psychological Association (APA) referencing convention is to be utilised for assessment tasks. Please use the Student Link: http://students.acu.edu.au/372091

Submission and Return of Assessment Tasks:

• Raw scores will be provided for assessment tasks in this unit

• The essay will be submitted as hard copy by 4.30pm on the due date to the Assignment boxes near the Nursing Labs (G) block. Please ensure your assignment has an ACU cover sheet and a marking guide.

• Each assessment will be assessed using the marking criteria within the appendices of the UO and individual scores will be awarded according to the maximum mark.

• A group grade will be allocated for Assessment task 2.

Communication:

• Students are welcome to contact the LIC by telephone however email communication is preferred.

Formatting requirements Assessment tasks 2:

o The following presentation aspects are required.

§ Title page including

• Unit code and title

• Assessment task number and title

• Student full name and ACU ID

o Arial font size 12

o1.5 line spacing (No less please) through introduction, body and conclusion oACU ID and page numbers in a footer but not on title page

o References New page

oIntroduction and conclusion essential oHeadings (optional)

o Appropriate structure and paragraphing

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• An extension of time to due dates may be granted in extenuating circumstances only when the EX form is submitted prior to the due date and time.

Attendance at weekly tutorials:Attendance requirements of unit

Attendance at all lectures and tutorials is expected. An attendance record of all tutorial classes will be recorded and a minimum of 80% of tutorial classes is mandatory.

Reasons why attendance is required

In tutorials, you will be interacting with other students and developing skills which you will use in your professional/clinical experience. Students who attend less than 80% of tutorials are at risk of not developing these essential skills. Therefore, it is a requirement you attend a minimum of 80% of tutorial classes.

Procedures to follow should a student fail to attend 80% of classes due to illness and/or personal circumstances beyond their control

1. You must contact your Lecturer-in-Charge when you know you have breached the 80% minimum requirement for tutorials.

2. You must also provide written evidence of why you were unable to attend (sick certificate, letter from a health professional on letterhead or a Statutory Declaration) to the Lecturer-in-Charge (LIC).

3. Your Lecturer-in-Charge will then provide you with a written learning activity which you will be required to submit on a specified date prior to the commencement of exam week.

Consequence for not meeting 80% attendance requirements of unit

1. Failure to provide written evidence of the reason for your non-attendance and/or failure to submit the written learning activity by the due date will result in a Fail grade for this unit.

2. Non attendance of more than 40% of all tutorial sessions (even with documentary evidence) will result in a Fail grade for the unit. In such instances you are advised to apply for “RE Re-credit of Student Learning Entitlement (SLE) and Refund of Fees in Special Circumstances”http://www.acu.edu.au/__data/assets/pdf_file/0007/117457/RE_Form_-_20120921.pdf

OVERVIEW OF ASSESSMENTS:

Brief Description of Assessment Tasks

Weighting

Learning

Graduate

(%)

Outcome/s

Attributes

Assessed

Assessed

1. Essay (1,000 words)

35%

3, 4, 5, 7, 10

4, 6

2.Team Work: Best Evidence Presentation (15

20%

1, 2, 3, 4, 5, 6, 7,

4, 7, 8

mins plus 5 mins class discussion)

8, 9, 10

3. Examination – 2 hours

45%

1, 2, 3, 10

4, 8

1, 2, 3, 7, 10

4, 7, 8

Unweighted quizzes

0%

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Assessment Task 1 – Essay

This example is to illustrate a situation where an evidence-based approach is required. It is not necessary to refer to this information in your essay

Sam is a newly qualified nurse and has observed that the practice of changing wound care dressings varies in the different hospital areas where she works. Sam is confused about which practice is the most appropriate according to the latest research literature.

Topic

In this essay you will be required to:

a) Define evidence based practice and discuss the importance of evidence based decision making as it relates to health care

b) Discuss the broad research methods (qualitative and quantitative research) and how the evidence that is generated from these methods can be applied to healthcare practice.

Due Date:Tuesday 23rd April at by 4.30pm.

Word Length:1000 words

Weighting:35%

Purpose:

To demonstrate your achievement of each learning outcome shown below.

Learning outcomes assessed:

3, 4, 5, 7, and 10.

How to submit:

Submit to the assignment box in the School of Nursing with your

Turnitin Originality Report (see details under Policies and

Regulations below).

Return of assignment:

The LIC will advise.

Marking Criteria (see page 13 below):Please append to your essay.

Instructions:

• Reference a minimum of 8-10 scholarly academic articles or texts related to Evidence-Based Practice (including the required text by Borbasi & Jackson, 2012) to extend and/or develop your argument.

• Websites, electronic pamphlets, information sheets and other non-academic material are not acceptable references.

• Key terms should be defined and all work properly referenced using APA referencing style

• Students are strongly advised to consult Academic Skills Unit study guide.

• An ACU Assignment Cover Sheet filled out and signed and dated must be attached to the essay.

• A Marking Criteria Sheet must be attached to the essay in order to receive overall comments on your work.

• Students are strongly advised to use the Marking Guide as a guide when writing the essay.

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Assessment Task 2.Team Work: Best Evidence Presentation

Due Date:To be negotiated in week 1 tutorial

Length:Fifteen minutes (three minutes per student) plus five minutes for class discussion andquestions.

Weighting:20%

Purpose:To demonstrate your achievement of each learning outcome shown below. Learning outcomes assessed: 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10.

Marking Criteria: Instructions:

For your Team Work Presentation you will be required to:

1. In teams work together on your allocated article

2. Each team should deliver their presentation in any form they agree to, for example, electronic presentation, poster presentation, ‘expert’ panel discussion and so on.

3. Each team will have 3 or 4 team members and present for a maximum of 15 mins. A further 5 minutes will be allowed for questions from the class and the tutor.

4. Final marks are awarded based on the individual team effort according to the marking criteria.

5. A teamwork summary form is to be signed by each student indicating the member’s contribution to the preparation and presentation of the debate. Individual student marks may differ according to their relative contribution.

6. Students will notify the LIC in a timely manner and provide substantiating evidence about any problems in relation to team work.

7. Use the attached marking criteria sheet as a guide for the expected standard for the essay.

Submission requirements

Prior to your team presentation each team must submit the following to the tutor prior to the presentation.

• Signed coversheet

• Script of the presentation

• Reference list using APA format (at least 8 academic references required)

• Signed Teamwork Summary Form (as attached)

Assessment Task 3. Examination

Due Date:Scheduled in the Central Examination Period – 3rd- 21stJune

Weighting:45%

Marking Criteria:The examination will be composed of 90 (ninety) multiple choice questions worth 0.5of a mark each.

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In order to pass this unit you are required to achieve an overall pass grade and meet any attendance requirements to which your enrolment is subjected.

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Referencing

This unit requires you to use the APA referencing system.

See the ‘Academic referencing’ page from the Office of Student Success (http://students.acu.edu.au/372091) for more details.

ACU POLICIES AND REGULATIONS

It is your responsibility to read and familiarise yourself with ACU policies and regulations, including regulations on examinations; review and appeals; acceptable use of IT facilities; and conduct and responsibilities. These are in the ACU Handbook, which is available in the Library or on the ACU website at http://www.acu.edu.au/142401

The Unit Outline Resources page (http://students.acu.edu.au/241467) is a good starting point.

Assessment Policy and Procedures

You must read the Assessment Policy and Assessment Procedures in the University Handbook: they include rules on deadlines; penalties for late submission; extensions; and special consideration (http://students.acu. edu.au/429796). If you have any queries on Assessment Policy, please see your Lecturer in Charge.

Grading Descriptors for the unit are detailed in section 7 of the Academic Regulations (available at http://students.acu.edu.au/430029).

Academic integrity

You have the responsibility to submit only work which is your own, or which properly acknowledges the thoughts, ideas, findings and/or work of others. The Framework for Academic Integrity and the Academic Honesty Policy are available at http://students.acu.edu.au/343665. Please read them, and note in particular that plagiarism, collusion and recycling of assignments are not acceptable. Penalties for academic dishonesty can vary in severity, and can include being excluded from the course.

STUDENT SUPPORT

If you are experiencing difficulties with learning, life issues or pastoral/spiritual concerns, or have a disability/medical condition which may impact on your studies, you are advised to notify your Lecturer in Charge, Course Coordinator and/or one of the services listed below as soon as possible. For all aspects of support please contact the Office of Student Success.

• Academic Skillsoffers a variety of services, including workshops (on topics such as assignmentwriting, time management, reading strategies, referencing), drop-in sessions, group appointments and individual consultations. It has a 24-hour online booking system for individual or group consultations.

• Campus Ministryoffers pastoral care, spiritual leadership and opportunities for you to beinvolved with community projects.

• The Career Development Service can assist you with finding employment, preparing a resume and employment application and preparing for interviews.

• The Counselling Service is a free, voluntary, confidential and non-judgmental service open to all students and staffed by qualified social workers or registered psychologists.

• Equity and Disabilitycan assist you if you need educational adjustments because of a disabilityor chronic medical condition; please contact them as early as possible.

• Indigenous Unitson each campus provide information and support for students.

The Unit Outline Resources web page (http://students.acu.edu.au/241467) provides links for each service.

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ONLINE RESOURCES AND TECHNOLOGY REQUIREMENTS

The LEO page for this unit contains further readings and resources. http://leo.acu.edu.au/

Key activities conducted in LEO include student notices, lecture and tutorial outlines and activities and online quizzes.

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TEXTS AND REFERENCES:

Required text(s)

Borbasi, S., & Jackson, D. (Eds.). (2012). Navigating the maze of research: Enhancing nursing and midwifery practice.(3rd ed.). Sydney: Elsevier Australia.

Recommended references

Liamputtong, P. (Ed.). (2010). Research methods in health: foundations for evidence-based practice.South Melbourne: Oxford University Press.

Further references

Alfaro-LeFevre, R. (2013). Critical thinking, clinical reasoning and clinical judgment: A practical approach

(5thed.). St. Louis, MO.: Elsevier/Saunders. http://primo.unilinc.edu.au/primo_library/libweb/action/dlDisplay.do?vid=ACU&docId=aleph002218444

Andre, K., &. Heartfield, M. (2011). Nursing and midwifery portfolios: Evidence of continuing competence.(2nd.ed.). Chatswood, NSW: Elsevier Australia.

Bulman, C., & Schutz, S. (Eds.). (2008). Reflective practice in nursing (4th.ed.). Oxford: Blackwell.

Courtney, M., & McCutcheon, H. (Eds.) (2010). Using evidence to guide nursing practice. Chatswood, NSW: Elsevier Australia.

Grove, S. K., Burns, N., & Gray, J. (2013). The practice of nursing research: Appraisal, synthesis and

generation of evidence(7thed.). St. Louis, MO: Elsevier/Saunders.http://primo.unilinc.edu.au/primo_library/libweb/action/dlDisplay.do?vid=ACU&docId=aleph002257699

Chinn, P.L., & Kramer, M.K. (2011). Integrated theory and knowledge development in nursing (8th ed.). St. Louis, MO.: Elsevier/ Mosby.

Cullum, N., Ciliska, D., Haynes, R.B., & Marks, S.l (Eds.). (2008). Evidence-based nursing: An introduction.Oxford, U.K.: Blackwell.

Freeley, A.J., & Steinberg, D.L. (2009). Argumentation and debate: Critical thinking for reasoned decision making(12thed.). Boston, MA: Wadsworth/Cengage Learning.

Higgs, J., Jones, M., Christensen, N., & Loftus, S. (Eds.). (2008). Clinical reasoning in the health professions(3rded.). Edinburgh: Elsevier/Butterworth Heinemann.

Johnson, D., & Johnson, F.P. (2013). Joining together: Group theory and group skills (11th ed.). Boston, MA: Pearson. http://primo.unilinc.edu.au/primo_library/libweb/action/dlDisplay.do?vid=ACU&docId=aleph002255883

Pearson, A., Field, J., & Jordan, Z. (2007). Evidence-based clinical practice in nursing and health care: Assimilating research, experience, and expertise. Oxford, U.K.: Blackwell.

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Polit, D., Beck, C.T. (2012). Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Wolters Kluwer; Lippincott Williams & Wilkins.

Reed, P.G., & Crawford Shearer, N. (Eds.) (2012). Perspectives on nursing theory (6th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

http://primo.unilinc.edu.au/primo_library/libweb/action/dlDisplay.do?vid=ACU&docId=aleph002182826

Schneider, Z., Whitehead, D. L., Lobiondo-Wood & Haber, J. (2013). Nursing and midwifery research: Methods and appraisal for evidence based practice(4th ed.). Elsevier Australia: Chatswood, NSW.

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APPENDICES

AUSTRALIAN CATHOLIC UNIVERSITY

HLSC122Inquiry in Health Care

Team Work Summary Sheet for Assessment Task 2

Each team member is to sign this sheet and provide an estimate of the proportion of work they contributed to the presentation. Circle yes/no after completing online quiz 1 and 2 available on LEO week 2 and 4.

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Each team: Submit this form (one per team) along with one Task 2 Marking Guide and group power point slide presentation (3 per page), plus individual presentation summary that includes a reference list with name and student number.

Team Number:______________ Tutorial time and Day:_________________________________

Presentation Article:_____________________________________________________________

______________________________________________________________________________

Date Presented: ____________

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Name

Signature

ID Number

Completed all

Estimate %

Date

questions

Contributed

quiz 1 and 2

Yes / No

Yes / No

Yes / No

Yes / No

Yes / No

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Please note:

It is expected that all team members will work to ensure the successful functioning and outcome of the group. If there are any issues with participation in your group, please inform the lecturer-in-charge or tutor immediately. Team members who do not attempt the quizzes and do not communicate effectively or who fail to collaborate with the other members of the team, and so contribute significantly less to the team presentation, may receive a lower mark for the presentation.

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Team Meeting Action Plan and Summary

Team Leader

Date & Time

Scribe

Location

Attendees & Signatures

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Key Points Discussed

No.

Topic

Highlights

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Action Plan

No.

Action Item(s)

Student

Target Date

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HLSC122 – Task 1 Essay Marking Guide

Student Name: __________________________________________

Student ID: _____________________

Weight: 35%

HD- (85-100%)

D- (75-84%)

C – (65-74%)

P- (50-6

Introduction

The introductory

The introductory paragraph

The introductory

The introdu

and Focus

paragraph provides a

provides a preamble, states

paragraph outlines only

paragraph