Course: Clinical reasoning and arguing A propaedeutic level 1 credits: 20
- Course code
- HVMP26BVZA1
- Name
- Clinical reasoning and arguing A propaedeutic level 1
- Study year
- 2026-2027
- ECTS credits
- 20
- Language
- Dutch, with parts in English
- Coordinator
- A.C. de Vries
- Modes of delivery
-
- Action learning
- Assignment
- Guest lecture
- Lecture
- Project-based learning
- Tutorial
- Assessments
-
- BVZa - N1 - Nursing Process and Communication - Portfolio assessment
Learning outcomes
1. Clinical reasoning and arguing– Level 1
LOL 1.1 – BVZ-A – N1 – Authentic (DT)
The student justifies and provides care, partly under supervision, in moderately complex authentic care situations, in accordance with the prevailing nursing philosophy and based on clinical reasoning within the nursing process. This is carried out in accordance with the methods, guidelines and (legal) frameworks provided, whilst encouraging the care recipient’s self-management in a manner appropriate to the situation.
LOL 1.2 - BVZ - N1 - Authentic (VLPs & DT)
The student uses, partly under supervision, the communication tools provided to communicate in a person-centred and professional manner with the care recipient, their relatives and other healthcare professionals within a moderately complex authentic situation, in order to encourage self-management.
Indicators
Description
1.2 Works in accordance with standards, guidelines and protocols (BN2030).
1.1 Establishes the nursing process based on provided theories and classifications relating to clinical reasoning, and makes decisions based on the steps of EBP and relevant legislation and regulations (BN2030).
1.3 Supports care recipients in vulnerable situations in promoting self-management, drawing on provided models, theories and tools (BN2030).
1.4 Provides care based on a provided nursing philosophy (BN2030).
1.5 Applies provided models and methodologies to communication within the nursing process (BN2030).
1.6 Communicates during conversations at both the content and relationship levels (BN2030).
1.7 Assesses the effects of their own verbal and non-verbal expressions during conversations (BN2030).
Content
The course begins with an introduction to the nursing profession. Key topics include: the history of nursing, the nursing code of practice, the nursing philosophy, the nursing professional profile, relevant legislation and regulations, and collaboration with other disciplines. The aim is for students to be able to describe what nursing entails, how the nursing profession differs from other disciplines, and what this means for their own development as a nurse.
Subsequently, in this course, students develop skills within the nursing process to strengthen self-management among care recipients and their loved ones. Students learn to apply methodologies and classifications, such as NANDA-I and the Omaha system, in their own practice, and systematically combine this with information gathered during their work. Students will learn how to assess a care recipient’s self-management. They will also explore each phase of the nursing process through self-study, teaching sessions and workplace learning, during which they will learn to make the right choices and implement them in practice.
Students develop the basic communication skills required to build a relationship with the care recipient and gather relevant information through teaching sessions involving simulated conversations, with a focus on person-centred communication and the use of ICT.
During the sessions, students gain insight into their own learning process and the steps they need to take to achieve the learning outcome. This is achieved, amongst other things, by giving and receiving feedback.
Competence Proficiency Level 1 (CBN, 2022)
At the first level, the context is of medium complexity, with the focus on the methodical application of knowledge and skills in accordance with guidelines and protocols in varying but similar situations. The nature of the task is structured, involving the application of familiar methods.
The student learns to manage their own learning (self-direction) in terms of planning, motivation and reflection. Reflection is aimed at knowledge and understanding, with a focus on innovation.
The guidance provided here is aimed at increasing self-direction.
Assessment:
In this course, students’ competences are assessed on the basis of specific learning outcomes, with the indicators serving as a guide and support for the assessment. The assessment consists of a portfolio assessment. Feedback is provided on the individual pieces of evidence for the portfolio. The portfolio assessment is marked using a rubric with a grade and must be passed.
- TEST 01 – BVZa – N1 – Nursing Process and Communication
Evidence for the assessment
Orientation to the nursing profession
Individual assignment
- Using a format of their own choosing (e.g. vlog, recorded presentation), the student demonstrates that they have explored the development of the nursing profession, the nursing code of practice, the nursing philosophy and relevant legislation and regulations, and what this means for their own development as a nurse.
- Feedback from the tutor
The Nursing Process
Individual assignment
- The student has fully explained the nursing process to a care recipient at their own work-based learning placement and translated this into a care record using a classification system (e.g. NANDA-I or the Omaha System). In doing so, attention has been paid to how the care recipient’s self-management capabilities can be identified.
- In practice, the student collects at least one practice evaluation demonstrating that, within a moderately complex situation and under supervision, the student determines the nursing process for a care recipient based on clinical reasoning, in accordance with the prevailing nursing philosophy.
- Practical supervisor’s declaration of authenticity
- Lecturer’s feedback
Simulated professional (care) consultation
Individual assignment
- A recording of a (simulated) anamnesis consultation or evaluation consultation, together with the student’s self-assessment
- Feedback from fellow students and the lecturer on communication skills
- In practice, the student collects at least two brief practice evaluations demonstrating that they communicate in a person-centred and professional manner with the care recipient, their relatives and other healthcare professionals within a moderately complex situation, in order to encourage self-management