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PNUR Clinical Practice IV (Acute and Complex Health Challenges)

Course Code: PNUR 4562
Faculty: Health Sciences
Department: Nursing - Psychiatric
Credits: 5.0
Semester: 15
Learning Format: Clinical
Typically Offered: TBD. Contact Department Chair for more info.
course overview

Students will have the opportunity to integrate specialized psychiatric and medical knowledge and skills in caring for persons, families, groups, and communities across the lifespan experiencing both acute and complex ongoing health challenges within a variety of health settings. Students will have opportunities to work with individuals within the context of family, group, and community. The professional psychiatric nursing role will continue to be developed and strengthened within the context of the health care team. Clinical Group discussions assist to integrate concepts and issues related to the practice settings.

Course Content

In this course, within the context of the Douglas College Psychiatric Nursing’s Philosophy and Conceptual Framework, students will focus on developing the psychiatric nursing role and promoting health in clients/client groups experiencing acute and complex ongoing health challenges in a variety of mental health care settings.  Students will have opportunities to apply knowledge of psychiatric nursing concepts and skills and to establish nurse-client relationships within caring environments.  

Methods of Instruction

In this course, students engage in a variety of learning activities.  Learning activities occur in nursing practice settings, group discussions, and self-study.  Nursing practice experience provides students with opportunities to apply knowledge and use skills related to psychiatric nursing within a holistic context.  Critical reflection through journal writing, practice appraisal and participation in clinical seminars will allow exploration and integration of nursing theory promoting self-directed learning.

Means of Assessment

The course evaluation is consistent with Douglas College evaluation policy.  An evaluation schedule is presented at the beginning of the course.
This is a mastery course.

Learning Outcomes

In this course the student will use the Douglas College Psychiatric Nursing Curricular Threads (Wellness-Illness Continuum, Professional Values, Professional Caring, and Health Care Delivery System); Concepts (Crisis, Comfort, Hope, Loss, Power, Resiliency, Integrity) and Variables (Client Systems, Psychological Variable, Physiological Variable, Sociocultural Variable, Spiritual Variable, Developmental Variable) to integrate knowledge, skills and attitudes related to nursing theory and research, therapeutic relationships, clinical practices, and pharmacological interventions when caring for persons, families, groups, and communities experiencing acute and complex ongoing health challenges within the context of family, group, and community in a clinical setting.  It is the intent of this course to integrate knowledge and skills from the previous semesters. Evidence based practice is integrated throughout seven areas of competency. Students must achieve an expected level of competency based on defined levels of supervisions in each semester. Specific areas of practice that will be addressed are:

1. Therapeutic Relationships and Therapeutic Use of Self

2. Body of Knowledge and Application

3. Collaborative Practice

4. Advocacy

5. Quality of Care and Client Safety

6. Health Promotion

7. Ethical, Professional and Legal Responsibilities

course prerequisites

PNUR 3401, PNUR 3421, PNUR 3430, PNUR 
3341, PNUR 3461

PNUR 3401, PNUR 3421, PNUR 3430, PNUR 3441, PNUR 3462, PNUR 3403


PNUR 4503, PNUR 4521, PNUR 4572, PNUR 

 PNUR 4521, PNUR 4572, PNUR 4573, PNUR 4580, PNUR 4501

curriculum 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 schedule and availability
course transferability

Below shows how this course and its credits transfer within the BC transfer system. 

A course is considered university-transferable (UT) if it transfers to at least one of the five research universities in British Columbia: University of British Columbia; University of British Columbia-Okanagan; Simon Fraser University; University of Victoria; and the University of Northern British Columbia.

For more information on transfer visit the BC Transfer Guide and BCCAT websites.


If your course prerequisites indicate that you need an assessment, please see our Assessment page for more information.