Clinical nursing for nurse prescribers (4cr)

Evaluation scale

Pass/Fail

Content scheduling

1. lecture in February 2025
2. lecture in March 2025
3. lecture in September 2025
Learning assignment 1. in February
Learning assignment 2. in May
Learning assignment 3. in September

Objective

The purpose of the course is to learn to apply comprehensive and advanced evidence-based methods required in independent limited prescribing of medications in the assessment of the patient's care needs, diagnosis, implementation of nursing care, as well as monitoring and evaluating the effects of treatment.

Competencies of the study module
Clinical expert competencies

Learning objectives
You apply, combine, and critically assess information from clinical medicine and pharmacology in clinical nursing practice while ensuring safe prescribing and medication management as a member of a multidisciplinary team.

You know how to document the basis for decision-making, including the medical history, clinical findings, diagnosis, follow-up actions, as well as the implementation of medication management and nursing care.

You have control over the scope of practice in prescribing in health promotion, disease prevention, treatment, guidance, and monitoring in the nurse's appointment.

You regularly update your knowledge and skills related to diagnostics and new medications in your area of expertise.

You recognize the boundaries of your own area of responsibility and competencies and consult other professionals as needed.

Content

Systematic information retrieval and treatment recommendations
Decision-making process based on patient interviews, clinical examinations, and evidence
Health promotion, disease prevention, and monitoring
Management of medication therapy and supporting adherence to medication
Documentation

Location and time

1. lecture in February 2025
2. lecture in March 2025
3. lecture in September 2025
The course is 100 % online

Materials

Dimitrow, M., Leikola, S., Kivelä, S.-L., Airaksinen, M., Mykkänen, S. & Puustinen, J. 2013. Iäkkäiden hoidossa vältettävät lääkkeet: katsaus suosituksiin. Lääketieteellinen Aikakauskirja Duodecim 129(11):1159-66. 7s. http://www.terveysportti.fi/xmedia/duo/duo11010.pdf

Holopainen, A., Junttila, K., Jylhä, V., Korhonen, A., Seppänen, S. 2013. Johda näyttö käyttöön hoitotyössä. Hel-sinki, Fioca. Kappale 3, sivut 79-117. 38 s.

Koskiniemi, S., Sund, R., Liukka, M. & Härkänen, M. 2023. Readmissions after appointments with nurse prescribers: A register-based study. Journal of Clinical Nursing

Vänskä, K. 2012. Ohjauksen osaajat – miten he sen tekevät? Jyväskylän ammattikorkeakoulun julkaisuja 132. Sivut 13-36 ja 55-116. 84 s

Suositeltava tukimateriaali:

King-Dailey, K., Frazier, S., Bressler, S. & King-Wilson, J. 2022. The Role of Nurse Practitioners in the Management of Heart Failure Patients and Programs.

Harju, E., Korpela, T., Naukkarinen, H., Saaranto, E-M. & Salomaa, S. 2020. Aikuisten virtsatieinfektioiden ehkäisyn omahoito. Hoitotyön suositus. https://www.hotus.fi/wp-content/uploads/2020/11/suositus-final.pdf

Heikkinen K, Kaistila T, Knaapi-Junnila S, Kukkonen M, Pohju A, Siltanen H, Juusela M. 2018. Keuhkoahtaumatautia sairastavan omahoidon ohjauksen sisällöt. Hoitotyön suositus. https://www.hotus.fi/keuhkoahtaumatautia-sairastavan-omahoidon-sisallot-hoitosuositus/

Kemppainen V, Kiema M & Kvist T. (2018). Omahoidon ohjauksen sisällöt sydämenvajatoimintapotilaan hoitotyössä. Hoitotyön suositus. https://hotus.fi/wp-content/uploads/2019/03/sydan-pitkafinal.pdf

Paakkari, P & Forsell, M. Vanhusten lääkehoito. https://www.oppiportti.fi/op/dvk00032/avaa (Toimiakseen linkki vaatii kirjautumisen Terveysporttiin Janetin kautta)

Vartiainen, A-K. 2018. Iäkkäiden lääkehoito: vältettävien lääkkeiden käyttö ja kustannukset kotihoidossa. Suomen Lääkärilehti 73(32), 1677-1679, 3 s. https://www.laakarilehti.fi/tyossa/laakeinfo/iakkaiden-laakehoito-valtettavien-laakkeiden-kaytto-ja-kustannukset-kotihoidossa/?public=e6b15937c397889ca7ed3b03389c734e

Virtanen, H., Marin, K., Hiltunen, A-M., Kaila,A., Kajula, O. & Kesänen, J. 2022. Etäyhteydellä toteutettava pitkäaikaissairautta sairastavan omahoidon ohjaus. Hoitotyön suositus. https://www.hotus.fi/wp-content/uploads/2022/12/etaohjaus-hoitosuositus.pdf

Teaching methods

Three contact lectures to be announced at the beginning of the studies
Three learning assignments

Student workload

Lectures 6 h
Learning assignments and independent learning online 102 h

Assessment criteria, approved/failed

The course is approved when the student demonstrates the ability to apply, integrate, and critically evaluate multidisciplinary knowledge in clinical nursing when prescribing medications and implementing medication treatment. They recognize the boundaries of their scope of practice and competencies and actively seek evidence-based information to support their decision-making. The student masters the areas of medication prescribing concerning health promotion, disease prevention, care, guidance, and monitoring in the nurse's office. The student is able to document the anamnesis, clinical findings, diagnosis, and further actions that form the basis for decision-making, as well as the implementation of medication treatment and nursing care.

Further information

The course is assessed on a scale of pass / fail
Completion of the course consists of the approved completion of three written learning assignments.