School of Health and Social Studies
Perioperative nursing student´s competence
Jaana Perttunen MSc, RN, Lecturer&
Marjo Palovaara MNSc, RN, Senior Lecturer
School of Health and Social StudiesJyväskylä University of Applied Sciences
Jyväskylä, Finland
Perttunen & Palovaara 2008Finland and Jyväskylä in Europe
Perttunen & Palovaara 2008Map of Jyväskylä
Perttunen & Palovaara 2008Finnish Education System
UNIVERSITIES OFAPPLIED SCIENCES
Perttunen & Palovaara 2008JAMK Educational Provision
• 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
Perttunen & Palovaara 2008Schools of Jyväskylä University of Applied Sciences
• 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 challengeDegree: Bachelor of Health Care and Social Services
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
Perttunen & Palovaara 2008Postgraduate Degrees
• 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.
Perttunen & Palovaara 2008
INFORMATION of APPLICANTS
Applicants to the Programmes (Youth's education spring 2008)
Starting places Primary applicants Total
Nursing (tuition English) 15 189 346Nursing (Finnish) 42 243 664Public Health Nursing 17 141 459Midwife 17 141 453
Perttunen & Palovaara 2008Nurse Education in JAMK
• 210 ects• 1 ects= 27 hours of students
work• 1/3 practice in different health
care settings• 2/3 theoretical studies
Perttunen & Palovaara 2008The Structure of the Degree Programme
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
Perttunen & Palovaara 2008The Structure of the Degree Programme
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
Perttunen & Palovaara 2008Nursing in different health care settings
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
School of Health and Social Studies
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
Professional optional studies: Perioperative nursing
Perttunen & Palovaara 2008Objectives for theoretical studies
• 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.
Perttunen & Palovaara 2008Theoretical studies
Perttunen & Palovaara 2008Theory lessons
• 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
Perttunen & Palovaara 2008Skill labs at school
School of Health and Social Studies
Skill labs at hospital
Perttunen & Palovaara 2008
Perttunen & Palovaara 2008Superviced practical training
Perttunen & Palovaara 2008Perioperative practice I
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.
Perttunen & Palovaara 2008Perioperative practice II
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.
Perttunen & Palovaara 2008Perioperative practice III
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
Perttunen & Palovaara 2008
Perttunen & Palovaara 2008
Perioperative nursing student´s competence
how the perioperative nursing student’s competence develops during studies and a year after graduation.
Perttunen & Palovaara 2008The research method
Questionnaire
1. Before studies of perioperative nursing
2. After theory studies of perioperative nursing
3. Graduating
4. One year after graduating
Perttunen & Palovaara 2008The competences
1. Competence related to ethics and values
2. Competence in clinical nursingA. Competence in decision making
B. Competence in clinical nursing
C. Competence in nursing management
3. Competence in health promotion
4. Competence in development of perioperative nursing
5. Social and multicultural competence
6. Competence in encounters and collaboration
7. Development competence
Perttunen & Palovaara 2008The scale (1-5)
1. Does not describe activities at all
2. Seldom describes activities
3. Describes activities to some extent
4. Describes activities well
5. Describes activities very well
Perttunen & Palovaara 20081 Competence related to ethics and values
• Recognizing• Reflecting• Discussing• Acting• Decision making
Perttunen & Palovaara 20082A Competence in decision making
• Utilizing patient's recourses• Prioritizing• Evidence based nursing• Consulting• Evaluation
Perttunen & Palovaara 20082B Competence in clinical nursing
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
Perttunen & Palovaara 20082C Competence in nursing management
• Organizing• Improving the quality of nursing• Economic• Team
Perttunen & Palovaara 20083 Competence in health promotion
• Patient counselling and motivation• Guiding patients to self care• Situational sensitivity• Patient security
Perttunen & Palovaara 20084 Competence in development of perioperative nursing
• Following the development of perioperative nursing
• Quality and development issues in nursing practise
• Participating in the development assignments
Perttunen & Palovaara 20085 Social and multicultural competence
• Patient’s social and cultural background
• Challenges of perioperative nursing• Multicultural work community
Perttunen & Palovaara 20086 Competence in encounters and collaboration
• Interaction skills• The significance of family• The significance of teamwork• Observing own professionality and resources
Perttunen & Palovaara 2008 7 Development competence
• Motivation in learning and professional developing• Responsibility• Critical thinking• Feedback
Perttunen & Palovaara 2008The analyses
1. Before the studies 352. After the theory studies 183. Graduating 54. One year after graduating 3
Total 61
SPSS statistical software
School of Health and Social Studies
The variation of the self evaluated competences in three phases of studies
School of Health and Social Studies
The differences in the competences
Phases 1 & 2
Phases 1 & 3
Phases 2 & 3
Perttunen & Palovaara 2008Conclusions
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
Perttunen & Palovaara 2008Conclusions
Student
TeacherMentor
Perttunen & Palovaara 2008SOCRATES – free translation
To become conscious one’s own ignorance is
the highest level of knowledge.
School of Health and Social Studies
