Minimum Course Hours: 210

Course Description

Learners will have the opportunity to synthesize and integrate the nursing knowledge, skills, and abilities acquired through all previous coursework into their practice. With increasing autonomy and independence, learners will demonstrate how to implement evidence-informed practice and apply critical thinking and clinical reasoning to diverse client situations of increasing acuity and/or complexity. Learners will consolidate their practice capacity while safely managing an increasing client assignment within the realities of the workplace and prepare for transition to licensed practice.

Note: This experience may occur through a variety of experience models, including the preceptorship model, under the immediate supervision of a single fully qualified and experienced LPN, RN, or RPN, and/or within a collaborative learning environment with the learner as a participating team member.

Prerequisites: Successful completion of all coursework and Consolidated Practice Experience 1, 2, 3, and 4

Corequisites: None

Learning Outcomes

Upon successful completion of this course and with faculty guidance and input from the interprofessional health care team, the learner will be able to:

1. Practise within legislation; the current British Columbia College of Nurses and Midwives (BCCNM) LPN Professional Standards, Practice Standards, and Entry-Level Competencies; and facility-specific policy and procedures relevant to the practice setting.
   • 1.1 Demonstrate accountability and responsibility for one’s own decisions and actions.
   • 1.2 Engage in evidence-informed practice by considering a variety of relevant sources of information.
   • 1.3 Articulate one’s own role based on legislated scope of practice, individual competence, and the care context including employer policies.
   • 1.4 Utilize appropriate resources and standards to guide nursing practice.
   • 1.5 Practise within one’s own level of competence.
2. Engage in continuous learning based on one’s desired growth in personal and professional competence.
   • 2.1 Develop and document a learning plan to guide practice in Final Practice Experience.
   • 2.2 Assess implications of one’s own decisions.
   • 2.3 Use self-reflective processes to identify practice areas for improvement.
3. Model cultural safety, cultural humility, and anti-racism in practice, particularly Indigenous-specific anti-racism.
   • 3.1 Take appropriate and required action when observing racist or discriminatory behaviour toward Indigenous Peoples.
   • 3.2 Incorporate Indigenous cultural rights, values, and practices into the plan of care for Indigenous clients (where possible), including ceremonies and protocols related to illness, birth, and death.
   • 3.3 Analyze how practices and protocols in the health care setting contribute to either a negative or positive health care experience for clients, with a focus on the experience of Indigenous clients.
4. Demonstrate the ability to initiate, maintain, and conclude therapeutic relationships when caring for clients in health care settings and/or experiencing a crisis, including clients with a mental health and/or substance use condition.
   • 4.1 Establish collaborative relationships with clients by connecting, sharing, and exploring with them in a caring environment.
   • 4.2 Facilitate the involvement of the client’s family and others as needed and requested.
   • 4.3 Support clients in making informed decisions about their health care and respect their decisions.
5. Collaborate with other members of the health care team to meet the collective needs of clients.
   • 5.1 Participate in interprofessional problem solving and decision making.
   • 5.2 Advocate for and facilitate change reflecting evidence‐informed practice.
   • 5.3 Use conflict resolution strategies to promote healthy relationships and optimal client outcomes.
   • 5.4 Apply the principles of team dynamics and group processes in interprofessional team collaboration.
6. Use critical thinking, clinical judgment, and knowledge of holistic assessment to plan, implement, and evaluate the agreed-upon plan of care.
   • 6.1 Make practice decisions, including about nursing interventions, that are client specific and consider client acuity, complexity, variability, and available resources.
   • 6.2 Apply principles of safe medication administration.
   • 6.3 Incorporate relevant clinical data into one’s nursing practice.
   • 6.4 Evaluate competing priorities to competently respond to clients’ conditions.
7. Provide culturally informed, trauma-informed, relational care across the lifespan that recognizes diversity and respects and the uniqueness of each individual.
   • 7.1 Establish collaborative relationships with clients by connecting, sharing, and exploring with them in a caring environment.
   • 7.2 Adapt practice in response to the spiritual beliefs and cultural practices of clients.
   • 7.3 Preserve the dignity of clients in all personal and professional contexts.
8. Provide leadership, direction, assignment, and supervision of unregulated care providers as appropriate.
   • 8.1 Participate in creating and maintaining a quality practice environment that is healthy, respectful and psychologically safe.
   • 8.2 Foster an environment that encourages questioning and exchange of information.
   • 8.3 Demonstrate formal and informal leadership in practice.
9. Take action to minimize the impact of personal values and assumptions on interactions and decisions.
   • 9.1 Reflect on and strategize how one’s own values, biases, and assumptions may negatively influence care and/or interactions with members of the health care team.
   • 9.2 Demonstrate respect for the values, opinions, needs, and beliefs of others.

Course Concepts

Course outcomes will be met through examination and exploration of the following:

• BCCNM Professional Standards, Practice Standards, and Entry-Level Competencies for LPNs
• Leadership
• Professional communication
• Therapeutic relationship
• Clinical decision making
• Interprofessional approach to practice
• Comprehensive and focused assessments
• Medication administration
• Wound care
• Care planning and discharge planning
• Self‐reflective approach to practice
• Cultural safety, cultural humility, and anti-racism
• Diversity, equity, and inclusion