Perioperative nursing student´s competence

1. Perioperative nursing student´s competence Jaana Perttunen MSc, RN, Lecturer & Marjo Palovaara MNSc, RN, Senior Lecturer School of Health and Social Studies Jyväskylä University of Applied Sciences Jyväskylä, Finland School of Health and Social Studies

2. Finland and Jyväskylä in Europe Perttunen & Palovaara 2008

3. Map of Jyväskylä Perttunen & Palovaara 2008

4. UNIVERSITIES OF APPLIED SCIENCES Finnish Education System Perttunen & Palovaara 2008

5. JAMK Educational Provision Perttunen & Palovaara 2008 • The internationally oriented Jyväskylä University of Applied Sciences is one of the most appealing Universities of Applied Sciences in Finland. • Jyväskylä University of Applied Sciences provides • nearly 30 degree programmes in seven fields of study • five postgraduate university degrees (Master’s Degree) • continuing professional education plus education and development services • open studies • vocational teacher education

6. Schools of Jyväskylä University of Applied Sciences Perttunen & Palovaara 2008 • School of Cultural Studies • School of Business • School of Engineering and Technology • School of Information Technology • School of Tourism and Services Management • Institute of Natural Resources • School of Health and Social Studies – Wellbeing is our challenge Degree: Bachelor of Health Care and Social Services

7. Perttunen & Palovaara 2008 • School of Cultural Studies – Creativity allowed! Degree: Bachelor of Cultural Studies • School of Business – Educating experts in business economics Degree: Bachelor of Business Administration, BBA • School of Engineering and Technology – Competence into Competitive Edge Degree: Bachelor of Engineering • School of Information Technology – IT-Dynamo connects the world Degree: Bachelor of Engineering • Institute of Natural Resources Degree: Bachelor of Natural Resources • School of Health and Social Studies – Wellbeing is our challenge Degree: Bachelor of Health Care and Social Services • School of Tourism and Services Management Degree: Bachelor of Hospitality Management

8. Postgraduate Degrees Perttunen & Palovaara 2008 • Jyväskylä University of applied sciences offers postgraduate degrees (Master’s Degree) in five degree programmes: School of Health and Social Studies, Postgraduate (Master´s) Degree Programme in Health Promotion School of Engineering and Technology, Postgraduate Degree Programme in Logistics School of Information Technology, Postgraduate Degree Programme in Information Technology School of Business Administration, Postgraduate Degree Programme in Business School of Tourism and Services Management, Postgraduate Degree Programme in Facility Management • Online learning, international co-operation, and the networks in Central Finland are utilized in the education.

9. INFORMATION of APPLICANTS Perttunen & Palovaara 2008 Applicants to the Programmes (Youth's education spring 2008) Starting placesPrimary applicants Total Nursing (tuition English) 15 189 346 Nursing (Finnish) 42 243 664 Public Health Nursing 17 141 459 Midwife 17 141 453

10. Nurse Education in JAMK Perttunen & Palovaara 2008 • 210 ects • 1 ects= 27 hours of students work • 1/3 practice in different health care settings • 2/3 theoretical studies

11. The Structure of the Degree Programme Perttunen & Palovaara 2008 The Structure of the Degree Programme 210 ects • Basic studies • Professional studies • Elective studies • Clinical Placement (is included in professional studies) • Bachelor´s Thesis (15ects) • Maturity Test

12. The Structure of the Degree Programme Perttunen & Palovaara 2008 Optional Professional Studies 30 ects (included in 210 ects) • Adult Nursing • Critical Care Nursing • Gerontological Nursing • Mental Health and Addiction Nursing • Pediatric Nursing • Perioperative Nursing • Nursing in International Fields

13. Nursing in different health care settings Perttunen & Palovaara 2008 Perioperative and day surgery nursing 1,5ects: Objectives • The students will be familiarized with perioperative (surgery and anaesthetic nursing), day surgery nursing, central nursing interventions, and the implementation of aseptics. • The students will be familiarized with the central methods and devices used in perioperative nursing, and their use. • The students will internalise the basics of pain treatment and the methods used in it. • They will understand the importance of the encounter, guidance, and support of surgery patients, as well as the significance of multi-professional work in the holistic treatment of patients. Optional practice 3ects in perioperative wards

14. Professional optional studies: Perioperative nursing Perioperatiivinen hoitotyö 30op 6 ects perioperative nursing theory 3 x 6ects superviced practical placements 1,5 ects anathomy and fysiology 1,5 ects medical studies (anesthesiology and surgery) 3 ects optional studies Total 30 ects School of Health and Social Studies

15. Objectives for theoretical studies Perttunen & Palovaara 2008 • able to plan, implement and assess the holistic and empowering care of the perioperative patient. • able to take care of a patient in anesthesia or local anesthesia, and to prepare for changes in the condition of the patient. • observation of vital functions, rapid action in accordance with the situation, utilizing nursing interventions, medical treatment, technology, and multiprofessional work groups. • able to encounter the perioperative patient individually. • master basic technology, aseptics and the helping methods of perioperative nursing, and can, when guided, nurse the perioperative patient. • work with the operational principles of patient safety and high professional ethics.

16. Theoretical studies Perttunen & Palovaara 2008

17. Theory lessons Perttunen & Palovaara 2008 • Elective patient: lap. chole, general anesthesia, adult • Trauma patient: fractured ancle, spinal and epidural, elderly • Emergency patient: caesarean section, anesthesia in emergency situation, adult • Day surgery: hernia, anesthesia in day surgery, child • Drug calculations • Skill labs

18. Skill labs at school Perttunen & Palovaara 2008

19. Skill labs at hospital School of Health and Social Studies

20. Perttunen & Palovaara 2008

21. Superviced practical training Perttunen & Palovaara 2008

22. Perioperative practice I Perttunen & Palovaara 2008 Scrubbing and circulating, objectives: • use evidence-based knowledge of nursing in their decision-making. • central helping methods of perioperative nursing in scrubbing and circulating. • aseptic methods, and use the central technology of perioperative nursing.

23. Perioperative practice II Perttunen & Palovaara 2008 Anesthesia nursing, objectives • use evidence-based knowledge of nursing in their decision-making • central helping methods of anesthesia nursing • use the basic technology of anesthesia nursing and master aseptic methods • know the central medical and pain treatment in anesthesia nursing.

24. Perioperative practice III Perttunen & Palovaara 2008 Optional, objectives: • use evidence-based knowledge of nursing in their decision-making • master the patient-centred way of working in perioperative nursing • can guide and educate the patients during the perioperative nursing process

25. Perttunen & Palovaara 2008

26. Perttunen & Palovaara 2008 Perioperative nursing student´s competence how the perioperative nursing student’s competence develops during studies and a year after graduation.

27. The research method Perttunen & Palovaara 2008 Questionnaire • Before studies of perioperative nursing • After theory studies of perioperative nursing • Graduating • One year after graduating

28. The competences Perttunen & Palovaara 2008 • Competence related to ethics and values • Competence in clinical nursing • Competence in decision making • Competence in clinical nursing • Competence in nursing management • Competence in health promotion • Competence in development of perioperative nursing • Social and multicultural competence • Competence in encounters and collaboration • Development competence

29. The scale (1-5) Perttunen & Palovaara 2008 • Does not describe activities at all • Seldom describes activities • Describes activities to some extent • Describes activities well • Describes activities very well

30. 1 Competence related to ethics and values Perttunen & Palovaara 2008 • Recognizing • Reflecting • Discussing • Acting • Decision making

31. 2A Competence in decision making Perttunen & Palovaara 2008 • Utilizing patient's recourses • Prioritizing • Evidence based nursing • Consulting • Evaluation

32. 2B Competence in clinical nursing Perttunen & Palovaara 2008 As a student • I act independently in clinical interventions • I can utilize technology in nursing not forgetting patient security • I am able to guide patients/clients individually • I master the maintaining and observing of vital functions of a patient • I understand the importance of infection control in nursing • I apply the principles of asepsis in nursing • I observe critically the aseptic behavior of work community • I master safe medical care (medicines) • I master drug calculations

33. 2C Competence in nursing management Perttunen & Palovaara 2008 • Organizing • Improving the quality of nursing • Economic • Team

34. 3 Competence in health promotion Perttunen & Palovaara 2008 • Patient counselling and motivation • Guiding patients to self care • Situational sensitivity • Patient security

35. 4 Competence in development of perioperative nursing Perttunen & Palovaara 2008 • Following the development of perioperative nursing • Quality and development issues in nursing practise • Participating in the development assignments

36. 5 Social and multicultural competence Perttunen & Palovaara 2008 • Patient’s social and cultural background • Challenges of perioperative nursing • Multicultural work community

37. 6 Competence in encounters and collaboration Perttunen & Palovaara 2008 • Interaction skills • The significance of family • The significance of teamwork • Observing own professionality and resources

38. 7 Development competence Perttunen & Palovaara 2008 • Motivation in learning and professional developing • Responsibility • Critical thinking • Feedback

39. The analyses Perttunen & Palovaara 2008 • Before the studies 35 • After the theory studies 18 • Graduating 5 • One year after graduating 3 Total61 SPSS statistical software

40. The variation of the self evaluated competences in three phases of studies School of Health and Social Studies

41. The differences in the competences Phases 2 & 3 Phases 1 & 3 Phases 1 & 2 School of Health and Social Studies

42. Conclusions Perttunen & Palovaara 2008 Most advanced competences • Competence in decision making • Competence in health promoting • Competence related to ethics and values Little or no change • Competence in nursing management • Social and multicultural competence

43. Conclusions Perttunen & Palovaara 2008 Student Teacher Mentor

44. SOCRATES – free translation Perttunen & Palovaara 2008 To become conscious one’s own ignorance is the highest level of knowledge.

45. Thank you! School of Health and Social Studies