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Course Work. Care Quality Management - Development of Care Documentation

Study Course Description

Course Description Statuss:Approved
Course Description Version:2.00
Study Course Accepted:18.01.2021
Study Course Information
Course Code:MDAK_329LQF level:Level 6
Credit Points:2.00ECTS:3.00
Branch of Science:Medicine; Health CareTarget Audience:Nursing Science
Study Course Supervisor
Course Supervisor:Inita Stūre-Stūriņa
Study Course Implementer
Structural Unit:Department of Nursing and Midwifery
The Head of Structural Unit:Kristaps Circenis
Contacts:Riga, 26a Anninmuizas boulevard, mdakatrsu[pnkts]lv, +371 67061568
Study Course Planning
Full-Time - Semester No.1
Lectures (count)6Lecture Length (academic hours)2Total Contact Hours of Lectures12
Classes (count)10Class Length (academic hours)2Total Contact Hours of Classes20
Total Contact Hours32
Study course description
Preliminary Knowledge:
Philosophy of Care and Process Model; Clinical Care; Leadership and Effective Management; Pedagogy in Health Care; Philosophy and Medical Ethics; Patient Safety and the Work Environment; Legal Aspects of Health Care.
Achieve understanding about the management of quality of patient care and the significance of the patient care documentation for nurses on the process of health care. Develop skills in writing and developing health care documentation which is based on the current scientific proof and meets the requirements of international standards of quality.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Introduction to the course; course overview, interim evaluations and evaluations. Course work development – thesis and selection of the supervisor. Documentation and responsibilities of a nurseLectures1.00auditorium
2Introduction to the health quality management in healthcare (patient security, audits, guidelines, methods, control sheets, quality indicators, accounting work in healthcare, systems of patient classification, training programs for patients and personnel)Lectures1.00auditorium
3Documentation for patient care. Types, structures, terminology, indicators of quality, requirements. Electronic documentation of the patient care.Lectures2.00auditorium
4Development of the documentation for patient care: definition of the aim and topicality, researching scientific proof and selection, approbation, implementation into practice. Audit of training of the personnel and processesLectures2.00auditorium
5Course work development – thesis and selection of the supervisor (guidelines, methods, descriptions, control sheet, indicators of quality, patient classification systems)Classes2.00auditorium
6Development of the documentation for patient care: definition of the aim and topicality, researching scientific proof and selectionClasses2.00auditorium
7Development of the documentation of patient careClasses2.00auditorium
8Approbation, implementation into practice. Audit of training of the personnel and processesClasses2.00auditorium
9Presentation of the course work projectClasses2.00auditorium
Unaided Work:
Summary and analysis of the theoretical material. Get acquainted with the advised and recommended sources of literature while preparing for the classes. Prepare the corresponding work assignment for the lectures.
Assessment Criteria:
All those who have been present in all of the lectures and have received credit for the seminar – "Presentation of the course work project – aims and topicality" – will be able to participate in the defence of the course work. Study works compliance with the methodical guidelines of RSU. Quality of the works content – development of documentation for quality of patient care, that are reasoned and based in scientific literature and is prepared for use in practice for improvement of security of patient care. Presentation of the study work. The defence of the students course work is open. The academic group is present. During the presentation students must hand in a 5–7 min long report about the written course work which must include: assessment of the significance of the course work topic, achieved results, conclusions. Presentation includes visual materials (a PowerPoint presentation is recommended). After the presentation, the author of the coursework answers questions from members of the commission and attendants. After the commission has seen presentations from all of the participating students, a decision about the assessment will be made (assessments are given in a 1–10 point system) for each student. The assessment is then written in the student's report card and in the attachment for the diploma.
Final Examination (Full-Time):Defence (Semester paper)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:Acquired knowledge after the student has completed the course: Level of comprehension: Human factors that influence patient security. Influence of the system on patient security. Clinical risks and management. Level of use: Quality of patient care, principles of patient security.Infection control and prevention. Safe management of medication. The risks of invasive procedures in the context of patient security. Processes of standardization. Professional guidelines and recommendations. Clinical standards and guidelines. Clinical audits. Processes and meaning of systems of quality. System of healthcare. Patient/client satisfaction. Quality of the patient care practice.
Skills:Have the ability to perform data analysis, summarize and be able to express their own opinion about scientific theories. Be able to draw conclusions about the written course work. Understand and maintain the basic principles of patient security, influence of human factors on patient security and the influence of healthcare systems on patient security when developing the documentation of patient care. Understand clinical risks and use of methods for improving patient care. Understand procedures for infection control and prevention, risks of invasive procedures, risks of administering medication in the context of patient security. Cooperate in the development and implementation of recommendations for professional guidelines and processes of quality assurance. Participate in the development, implementation and improvement of systems for patient care. Participate in implementation of innovations. Improve nurses' practice.
Competencies:Have the ability to present and defend the written course work as well as be able to state one's own opinion about the questions asked.
Required Reading
1Ārstniecības iestāžu visaptverošas kvalitātes vadības sistēmas metodika. Pieejams no:…
2Appraisal of guidelines for research & evaluation II. Available from:…
3Pacientu aprūpes standartu lietošana ārsniecības personu izglītībā un praksē / Jana Ankrava, Karīna Kurtiša; Juridisko personu apvienība: Latvijas Universitātes Rīgas Medicīnas koledža un Latvijas Ārstu biedrība; [galvenā redaktore Maija Šetlere].
4Developing guidelines, Paul G Shekelle, Steven H Woolf, Martin Eccles, Jeremy Grimsha. Available from:…
Additional Reading
1Introduction to Health Care Quality: Theory, Methods, and Tools. Available from:…
2Moorhouse, M., & Doenges, M. (1990). Nurse's clinical pocket manual: Nursing diagnoses, care planning, and documentation / Mary Frances Moorhouse, Marilynn E. Doenges. Philadelphia]: F.A. Davis Company
3Carpenito-Moyet, L. (1991). Nursing care plans and documentation : Nursing diagnoses and collaborative problems / :. New York etc.: J.B.Lippincott Company.
4Aprūpes diagnozes definīcijas un klasifikācija 2018-2020, 11. izdevums, Rīgā, medicīnas apgāds, 2020.
5Moen, H., Hakala, K., Peltonen, LM. et al. Assisting nurses in care documentation: from automated sentence classification to coherent document structures with subject headings. J Biomed Semant 11, 10 (2020).