Broad Exit Level Assessment Criteria:

Elective:
Adult
Child and adolescent

Nursing Dynamics:

Specific Assessment Criteria:

1. The learner will be able to:
Discuss different nursing theories and identify an approach model for psychiatric nursing
Critically discuss current practices and therapeutic approaches in psychiatric nursing
Discuss ethical and legal concerns relating to psychiatric nursing

2. The learner will be able to:
Do a complete nursing audit
Use the results of nursing audits as a basis for staff education and training
Establish and maintain ongoing supervision of staff on an individual and group basis to ensure high standards of nursing practice
Institute a relevant in-service training programme to address quality, legality and professionalism

3. The learner will be able to:
Design a daily activity programme to meet the treatment needs of various age groups
Evaluate effectiveness of the treatment by doing outcomes based research
Make recommendations to institute policy changes in order to establish therapeutic programmes
Act as a leader of a multidisciplinary team in the rendering of appropriate and relevant treatment
Critically evaluate the functioning of established therapeutic milieu and give relevant feedback to designated leaders

Capita Selecta:

Specific Assessment Criteria:

1. The learner will be able to:
Collect and interpret relevant local statistics and compare this to regional and national statistics
Present scientifically based situational analyses relating to mental health services and mental health service needs for all age groups
Collaborate with relevant role players in the establishment of services based on community needs assessments and mental health service needs for all age groups

2. The learner will be able to:
Discuss the factors, which influence policy and the development of psychiatric services
Appropriately refer clients to relevant public, private or non-governmental services depending on the clients` needs
Identify and evaluate factors influencing mental health treatment and rehabilitation

3. The learner will be able to:
Take a full psychiatric history of a client
Evaluate the influence of any relevant factors in the predisposition, precipitation or perpetuation of a psychiatric disorder
Use a conceptual model to describe the patients` situation with insightful use of psychiatric theories in order to develop a psychodynamic formulation
Discuss differential diagnosis based on the clinical picture
Use the DSM IV multi-axial diagnosis and the ICD 10 coding of the diagnosis made

4. The learner will be able to:
Do individual, group and family therapy using different therapeutic models
Evaluate the effectiveness of medication as an adjunct to other treatments
Do psycho-education depending on the clients` or community`s needs
Institute tertiary prevention programmes including relapse prevention, discharge planning, referral and rehabilitation.

Critical Cross-fields:

Exit Level Assessment Criteria:

1.
Utilise effective communication skills/ technology across the cultural spectrum amongst various sectors and the multidisciplinary team.
Give appropriate health related education to individuals, families, groups and communities based on identified health information needs.
Use professional nomenclature in written and verbal communication.
Keep clear, accurate and complete records of patient and/or client care.
Write reports for various audiences.
Disseminate documented information, where appropriate, to colleagues and other relevant stakeholder in an ethical manner.
Confer with and refer to team members about nursing and health concerns.

2. Demonstrate ability to critically reflect on own practice as a nurse by:
Raising and exploring questions
Identifying problems and distinguishing between problems within the scope of practice, including those that need referral
Selecting the best alternative for a problem
Evaluate the results of the alternative implemented together with relevant role players
Apply problem-solving skills related to psychiatric nursing situations, partners in health care, stakeholders and partners in communities (community and environmental issues)

3. Demonstrate ability to:
Collaborate and consult with the multidisciplinary team and other stakeholders including communities in the assessment, diagnosis, planning and evaluation of the nursing care aimed at prevention, promotion, treatment and rehabilitation of individuals, families, groups and communities
Demonstrate understanding of the role of the other stakeholders in health care by establishing and maintaining partnerships with relevant stakeholders and communities in the application of PHC approach and principles in the nursing care of psychiatric patients and communities
Establish inter-professional and inter-sectoral relationships through networking and forming alliances with key players in dealing with community health issues and demands
Assume leadership role as well as function effectively as a team member

4. Demonstrate ability to:
Use a wide range of processes, techniques, tools and materials to gather information, solve problems, create and evaluate products as well as communicate results
Use equipment and technology in health settings safely, appropriately and ethically
Creatively improvise when technology is lacking
Apply/utilize technology appropriate to the identified need of the client(s):
In psychiatry
In midwifery
The broader community

5. Demonstrate ability to:
Identify nursing and health problems on which research is needed
Initiate and design a research plan
Implement planned research activities
Disseminate results – written and verbal presentation
Interpret and facilitate utilization of research-based information in own practice

6. Demonstrate ability to:
Apply principles of advocacy in support and protection of clients = human rights in the provision and facilitation of nursing care
Understand the concepts of clients = rights in the health care settings, including Bill of Rights and SANC policies
Disseminate information about human rights to the clients of nursing
Understand the purpose, functions and characteristics of labour/representative organisations for the protection of the rights and interests of health workers and employers

7. Demonstrate ability to:
Examine own values, strengths, abilities and aspirations in terms of their influence on future options and opportunities
Explore and evaluate available career and professional development opportunities
Voluntarily participate in professional development activities

8. Demonstrate ability to:
Reflect on own learning
Identify own learning needs
Identify, effectively access and utilize resources (literature, technological and human) to meet identified learning needs
Design realistic plans for meeting identified learning needs
Implement plans for meeting identified learning needs
Willingly subject his/her views and learning to validation by others through shared reflection
Critically analyse his/her meaning perspectives about health and illness in order to affirm and/or transform same.

Elective – Psychiatric Nursing Science – Adult Elective:

Exit level assessment criteria:

Provider / Facilitator / Collaborator Role:

1. The learner will present at least 5 case studies which will incorporate:-
A complete psychiatric history
A psychodynamic formulation using developmental theories
A multi-axial diagnosis
A nursing management plan to address identified problems
Relevant referral or involvement of community resources
Appropriate discharge planning and follow-up

2. The learner will act as group facilitator for a minimum of 6 group sessions with a group of clients, which she shall be supervised.

The learner will be able to:-
Critically compare individual and group therapy
Compare verbal and non-verbal approaches to group therapy
Discuss group process and the phases of group development
Critically evaluate the benefits of group psychotherapy

3. The learner will:-
Determine the level of stress experienced by nurses through use of scientific data collection and analysis
Design, implement and support educational programmes to meet the needs established
Advise nursing management and staff acuity and attrition as well as ways of recruiting and retaining staff

4. The learner will:-
Differentiate between physical, emotional and cultural causes for behaviour
Act as patient advocate within the multidisciplinary team
Educate members of the multidisciplinary team on reasons for the patient`s distress and teach appropriate psychiatric interventions
Establish patient support services in general wards
Involve general ward staff in supporting the distressed patient through in-service education or case discussions

5. The learner will:-
Develop a mental health education programme for adults in order for them to identify stresses and early signs of psychiatric illness.
Institute a programme for the teaching of relevant and appropriate coping skills, stress management and lifestyle change

Elective – Psychiatric Nursing Science – Child and Adolescent Elective:

Exit Level Assessment Criteria:

Provider/Facilitator/Collaborator Role:

1. The learner will do at least 10 clinical assessments of children and adolescents, which will incorporate
Play therapy. (The learner will demonstrate insight into the development of play).
Verbal and non-verbal therapies. (The learner will demonstrate insight into language development and usage).
A developmental assessment. (The learner will demonstrate insight into the significance of developmental milestones).
Feedback from significant adults, e.g. parents, caregivers, teachers and other health professionals

2. The learner will present at least 10 case studies which will incorporate:-
A comprehensive psychiatric and physical history
A psychodynamic formulation using developmental theories and other influences on development
A multi-axial diagnosis
A nursing management plan to address identified problems
Relevant referral or involvement of community resources
Appropriate discharge planning and follow-up
Discuss group process and the phases of group development
Critically evaluate the benefits of group psychotherapy

3. The learner will act as group facilitator for a minimum of 6 group sessions with a group of clients, which shall be supervised.
The learner will be able to:-
Critically compare individual and group therapy
Compare verbal and non-verbal approaches to group therapy
Discuss group process and the phases of group development
Critically evaluate the benefits of group psychotherapy

4. The learner will act as facilitator in at least 6 family therapy sessions which will incorporate:-
An assessment of family functioning
Family intervention in order to rebalance the family system
Mental health education of the parents/family
Referral to appropriate community resources if necessary
Involvement of the multidisciplinary team in the treatment process

5. The learner will demonstrate insight into early intervention to prevent the development of psychiatric illnesses by presenting at least 5 health education talks to:-
Parents
Health professionals
Teachers
Children`s homes
Community workers

Continuous assessment:

A variety of methods are used with constructive feedback to assist the learner to master theory and practica skills in order to achieve their maximum potential.
Portfolios
Simulations
Comprehensive evaluation of nursing through assessment at workplace and practica
Written examinations
Case studies and case presentations
Clinical and academic ward rounds
Ward inspections
Clinical work books
Community projects and seminars
Journal assessment and self-evaluation
Peer group and preceptor evaluation
Competency evaluation of clinical skills
Problem-based solving strategies
Community participation

Formative and Summative assessment:

Formative and summative assessment contributes to the final assessment mark.

Summative assessment:

Formal university moderated assessment.