NMHS42740 Child with Specific Needs

Academic Year 2023/2024

This module incorporates several diverse areas, including:
Care of the vulnerable child/adolescent presenting to PED.
Care of the child/adolescent exhibiting challenging behaviour in PED.
Care of the child/adolescent with defined social, psychological, mental health, or spiritual needs, presenting to PED.
The clinical component is designed to provide the graduate student with clinical opportunities to develop and enhance their assessment skills in caring for the child/adolescent with particular needs in ED and to optimise care through the application of relevant theory to practice.
The principles of best, evidence-based practice and multidisciplinary team working will be explored and promoted; Best national and international evidence-based practice guidelines will underpin this module.

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Curricular information is subject to change

Learning Outcomes:

On completion of this module the student will be able to:
1. Demonstrate comprehensive understanding and application of best practice professional knowledge, skills, and values in care of the vulnerable child and his/her family presenting to PED - including initial assessment, critical analysis, clinical decision making and communication skills.
2. Apply defined relevant best practice understanding in care of the vulnerable child in PED - including current local and national policies.
3. Make evident a sense of professional awareness, commitment, responsibility, accountability, and effective interdisciplinary team working and/or public patient involvement, in delivering optimum PED care to the vulnerable child who presents to the children’s emergency setting.
4. Critically examine a practice issue and contribute to service improvement.
5. Integrate and apply learning from other modules.

Indicative Module Content:

This module incorporates several diverse areas, including:
Care of the vulnerable child/adolescent presenting to ED;
Care of the child/adolescent exhibiting challenging behaviour in ED;
Care of the child/adolescent with defined social, psychological, mental health, or spiritual needs, presenting to ED;
Care of the vulnerable older adolescent/young adult presenting to ED;
The clinical component is designed to provide the graduate student with clinical opportunities to develop and enhance his/her assessment skills in caring for the child/adolescent with particular needs in ED, and to optimise care through the application of relevant theory to practice;
The principles of best, evidence-based practice and multidisciplinary team working will be explored and promoted;
Best national and international evidence-based practice guidelines will underpin this module

Student Effort Hours: 
Student Effort Type Hours
Lectures

30

Practical

75

Specified Learning Activities

20

Autonomous Student Learning

125

Total

250

Approaches to Teaching and Learning:
Large group teaching is delivered lecture-style, as well as in small group to facilitate student engagement.
Students are supported by preceptors and clinical coordinators in the clinical settings in order to fulfill the clinical competencies required in this module. 
Requirements, Exclusions and Recommendations
Learning Requirements:

Registration with An Bord Altranais as Registered Children's/Sick Children's or General Nurse; Minimum of one years experience in emergency care.


Module Requisites and Incompatibles
Equivalents:
Care of Child/Specific Needs (NMHS40820), Care of the Child / Adolescent (NURS40820)


 
Assessment Strategy  
Description Timing Open Book Exam Component Scale Must Pass Component % of Final Grade
Assignment: Evidence-Based Practice Implementation Project (Abstract) Unspecified n/a Alternative non-linear conversion grade scale 50% Yes

20

Project: Evidence-Based Practice Implementation Project ( Design and Presentation) Unspecified n/a Alternative non-linear conversion grade scale 50% Yes

80


Carry forward of passed components
No
 
Remediation Type Remediation Timing
In-Module Resit Prior to relevant Programme Exam Board
Please see Student Jargon Buster for more information about remediation types and timing. 
Feedback Strategy/Strategies

• Feedback individually to students, post-assessment

How will my Feedback be Delivered?

Full formative and summative feedback and guidance offered to every student on an individual basis

American Academy of Paediatrics (2016) Evaluation and management of children and adolescents with acute mental health or behavioral problems. Part I: Common clinical challenges of patients with mental health and/or behavioral emergencies. Available at: https://pediatrics.aappublications.org/content/pediatrics/138/3/e20161570.full.pdf

American Academy of Paediatrics (2016) Evaluation and management of children and adolescents with acute mental health or behavioral problems. Part II: Recognition of clinically challenging mental health related conditions presenting with medical or uncertain symptoms. Available at: https://pediatrics.aappublications.org/content/pediatrics/138/3/e20161573.full.pdf


Bauer, MS. And Kirchner, J. (2020) ‘Implementation Science: What is it and why should I care?’, Journal of Psychiatry Research, (283).

Barker, J. (2010) Evidence-Based Practice for Nurses. Los Angeles: Sage.

Benner, P., Tanner, C., and Chesla, C. (1996) Expertise in Nursing Practice: Caring Clinical Judgment and Ethics. New York: Springer.

Eldh, A.C., Rycroft‐Malone, J., van der Zijpp, T., McMullan, C. and Hawkes, C. (2020), Using Nonparticipant Observation as a Method to Understand Implementation Context in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 17: 185-192. doi:10.1111/wvn.12449

Fineout-Overholt, E., Berryman, D. R., Hofstetter, S. and Sollenberger, J. (2010) Finding relevant evidence to answer clinical questions. In: Melnyk, B. M. and Fineout-Overholt, E., eds. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice, 2 nd ed. Philadelphia: Wolters Kluwer.

Fulton, S. and Krainovich-Miller, B. (2010) ‘Gathering and appraising the literature, in LobiondoWood, G. and Haber, J. (eds.) Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice, 7 th ed. St Louis Missouri: Mosby Elsevier, pp. 56-84.

Grol R, Grimshaw J. From best evidence to best practice: effective implementation of change in patients’ care. Lancet 2003;362:1225-30.

How to Improve: Improvement Methods. Institute for Healthcare Improvement. http://www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove/

LoBiondo-Wood, G. and Haber, J. (2010) Nursing Research: Methods and Critical Appraisal for Evidence Based Practice. St. Louis, Missouri: Mosby.
National Clinical Programme for Paediatrics and Neonatology (2016) A National Model of Care for Paediatric Healthcare Services in Ireland. Chapter 13: CAMHS. Available at: https://www.hse.ie/eng/services/publications/clinical-strategy-and-programmes/child-andadolescent-mental-health-services.pdf

National Institute for Health and Care Excellence (2013) Autism spectrum disorder in under 19s: support and management [CG170]. Available at: https://www.nice.org.uk/guidance/cg170/evidence/autism-management-of-autism-in-childrenand-young-people-full-guideline-248641453

NICE Guideline: NG 76 Child Abuse and Neglect Published October 2017.

NICE Guideline: NG 89 Child maltreatment: when to suspect maltreatment in under 18’s. Published 22nd July 2009. Last updated 09th October 2017.

Kemp AM, Maguire SA, Nuttall D, et al. Bruising in children who are assessed for suspected physical abuse Archives of Disease in Childhood 2014;99:108-113.

Maguire S. Which injuries may indicate child abuse? Archives of disease in childhood -Education & practice edition, 6 December 2010, Vol.95(6), p.170

The Child Protection Companion. Last published December 2017. Available on RCPCH website and Paediatric Care Online.
http://www.londonpaediatrics.co.uk/resources
https://www.rcpch.ac.uk/resources/growth-charts
National Clinical Programme for Paediatrics and Neonatology (2016) A National Model of Care for Paediatric Healthcare Services in Ireland. Chapter 13: CAMHS. Available at: https://www.hse.ie/eng/services/publications/clinical-strategy-and-programmes/child-andadolescent-mental-health-services.pdf

National Institute for Health and Care Excellence (2013) Autism spectrum disorder in under 19s: support and management [CG170]. Available at: https://www.nice.org.uk/guidance/cg170/evidence/autism-management-of-autism-in-childrenand-young-people-full-guideline-248641453

NICE Guideline: NG 76 Child Abuse and Neglect Published October 2017.

NICE Guideline: NG 89 Child maltreatment: when to suspect maltreatment in under 18’s. Published 22nd July 2009. Last updated 09th October 2017.

Kemp AM, Maguire SA, Nuttall D, et al. Bruising in children who are assessed for suspected physical abuse Archives of Disease in Childhood 2014;99:108-113.

Maguire S. Which injuries may indicate child abuse? Archives of disease in childhood -Education & practice edition, 6 December 2010, Vol.95(6), p.170

Melnyk, B.M. and Fineout-Overholt, E. (2005) ‘Making the case for evidence-based practice’, in Melnyk, B.M. and Fineout-Overholt, E. Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice. Philadelphia: Lippincott, Williams & Wilkins, pp. 3-37.
Olson, A, Oudshoorn, A. Knowledge translation: A concept analysis. Nurs Forum. 2020; 55: 157– 164. https://doi-org.ucd.idm.oclc.org/10.1111/nuf.12410

Poe, Stephanie S., and Kathleen, M. White. Johns Hopkins Nursing Evidence-Based Practice: Implementation and Translation, Sigma Theta Tau International, 2010. ProQuest Ebook Central, https://ebookcentral.proquest.com/lib/ucd/detail.action?docID=3383906.

Polit, D.F. and Beck, C.T. (2012) Nursing Research. Generating and Assessing Evidence for Nursing Practice, 9 th ed. Philadelphia: Wolters Klumer Lippincott Williams & Wilkins.

Pronovost PJ, Berenholtz SM, Needham DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ. 2008 Oct 6;337:a1714.

Rebar, C.R., Gersch, C.J., Macnee, C.L. and McCabe, S. (2011) Understanding Nursing Research. Using Research in Evidence-Based Practice, 3 rd ed. Philadelphia: Wolters Klumer Lippincott Williams & Wilkins.

Ryan, F., Coughlan, M. and Cronin, P. (2007) 'Step-by-step guide to critiquing research. Part 2: qualitative research, British Journal of Nursing, 16(12), 738-744.

Rycroft-Malone, J., Seers, K., Titchen, A., Harvey, G., Kitson, A., and McCormack, B. (2004) 'What counts as evidence in evidence-based practice', Journal of Advanced Nursing, 47(1), 81- 90.

Sackett, D.L., Straus, S.E., Richardson, W.S., Rosenberg, W. and Haynes, R.B. (2000) Evidence-Based Medicine. How to Practice and Teach EBM, 2 nd ed. Edinburgh: Churchill Livingstone.

The Child Protection Companion. Last published December 2017. Available on RCPCH website and Paediatric Care Online.
http://www.londonpaediatrics.co.uk/resources
https://www.rcpch.ac.uk/resources/growth-charts



Name Role
Laura Currivan Lecturer / Co-Lecturer
Ms Linda Farren Lecturer / Co-Lecturer
Mr Jim Hickson Lecturer / Co-Lecturer
Mrs Martina Kennedy Lecturer / Co-Lecturer
Ms Susan Roe Lecturer / Co-Lecturer
Dr Suja Somanadhan Lecturer / Co-Lecturer
Timetabling information is displayed only for guidance purposes, relates to the current Academic Year only and is subject to change.
 
Spring
     
Practical Offering 1 Week(s) - 31 Tues 08:00 - 15:50