Nursing Practice: Complex Health Challenges

Health Sciences
Course Code
NURS 4513
Semester Length
Max Class Size
Method Of Instruction
Typically Offered
To be determined


Course Description
In this nursing practice course, students have the opportunity to provide safe, competent, compassionate, and evidence-informed nursing care in a variety of acute, complex medical surgical settings. Grounded in professional integrity, participants practice with a greater level of autonomy. Using critical inquiry, reflection, and analytical reasoning processes that are informed by multiple sources, students make nursing practice decisions that promote the health and well-being of individuals. Students have the opportunity to utilize the expertise of a variety of health team members and demonstrate leadership and interprofessional collaboration.
Course Content

In this experiential course, nursing practice with adult clients experiencing acute, complex health challenges is emphasized.  Building on previous learning, nursing practice experiences reflect the concepts and essential content from all courses in the semester and the core curriculum concepts. This nursing practice experiences occur in a variety of acute medical and/or surgical settings. 

Nursing Process

  • Assessment
  • Diagnosis
  • Planning
  • Implementation
  • Evaluation

Professional Standards

  • Responsibility and accountability
  • Knowledge-based practice
  • Client-focused provision of service
  • Ethical practice

Role of the Nurse

  • Evidence-informed practice
  • Holistic health assessment
  • Collaboration with clients
  • Interprofessional collaboration
  • Nursing practice decision-making
  • Care planning
  • Ensuring client safety
  • Reflective practice
  • Scope of practice
  • Practice standards
Methods Of Instruction

It is the intent of faculty to facilitate student learning, and promote critical inquiry, reflection and analytical reasoning through a variety of learning processes such as decision-making analysis, group discussion, and reflection on practice.

Means of Assessment

The course evaluation is consistent with Douglas College Evaluation Policy.  A course evaluation schedule and other course evaluation information are provided on the Instructor’s Course Outline which is available to students at the beginning of each semester.  A nursing practice assessment form is used to guide nursing practice course evaluation.  This form includes indicators of successful nursing practice at the end of the semester.  Nursing practice congruent with these indicators is an essential component of successful completion of this course.  This is a mastery course. 

Learning Outcomes

At the end of this course, successful students will be able to:

  • Demonstrate a greater level of autonomy in the provision of safe, competent, compassionate, and evidence-informed nursing care for clients experiencing acute, complex medical surgical health challenges.
  • Use multiple sources of knowledge to formulate client-centered nursing practice decisions that promote health through critical inquiry, reflection, and analytical reasoning.
  • Use a relational perspective and an ethic of caring to engage with individuals and families in acute medical surgical settings to promote health and well-being.
  • Demonstrate leadership qualities that promote and support interprofessional collaboration, advocacy and change.
Textbook Materials

Textbooks and Materials to be Purchased by Students:

A list of recommended textbooks and materials is provided on the Instructor’s Course Outline which is available to students at the beginning of each semester. 


Course Guidelines

Course Guidelines for previous years are viewable by selecting the version desired. If you took this course and do not see a listing for the starting semester / year of the course, consider the previous version as the applicable version.

Course Transfers

These are for current course guidelines only. For a full list of archived courses please see

Institution Transfer Details for NURS 4513
There are no applicable transfer credits for this course.

Course Offerings

Summer 2022

There aren't any scheduled upcoming offerings for this course.