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NURS428 Long-term Condition Management (Advanced)

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Principles of ongoing, culturally appropriate long-term condition management, including implementation of illness prevention, patient self-management approaches, integrated care, end-of-life care, population-based approaches, and change management processes.

This paper emphasises the application of skills in the clinical setting. It also explores long-term conditions that occur from the "cradle to the grave", encouraging students to determine how they can support clients and their families/whānau through critical periods, as well as a key focus on self-management skills.

The Flinders model of client-care planning is taught within this paper, and on successful completion the student will receive the Flinders University Certificate of Competence in Chronic Condition Self-management.

Paper title Long-term Condition Management (Advanced)
Paper code NURS428
Subject Nursing
EFTS 0.2500
Points 30 points
Teaching period Not offered in 2019, expected to be offered in 2020
Domestic Tuition Fees (NZD) $2,693.75
International Tuition Fees (NZD) $9,869.50

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(NURX 427 or NURS 427) or (GENX 709 or GENA 709)
GENX 711, GENA 711, NURX 428
Limited to
MHealSc, PGCertHealSc, PGDipHealSc
The applicant will:
  • Have registration as a nurse from a three-year programme or course, congruent with the Health Practitioners Competence Assurance (HPCA) Act 2003
  • Hold a current Practising Certificate
  • Prerequisites apply
Teaching staff
Centre for Postgraduate Nursing Studies
Paper Structure
The paper has a professional and personal focus. The paper focuses on self-management strategies and quality of care, and there is an emphasis on working with a team and personal resiliency. Other aspects of the paper involve clinical work relating to long-term conditions.
Teaching Arrangements
Two 3-day study blocks
Ministry of Health documents on long-term conditions (also termed chronic diseases), as well as research pertaining to the care and management of this population group

A selected reading list is updated annually.
Graduate Attributes Emphasised
Global perspective, Interdisciplinary perspective, Lifelong learning, Scholarship, Communication, Critical thinking, Cultural understanding, Ethics, Information literacy, Research, Self-motivation, Teamwork.
View more information about Otago's graduate attributes.
Learning Outcomes
At the successful completion of this paper, nurses will have the knowledge and skills to work in a multidisciplinary team in a manner that is culturally sensitive and responsive. In particular the nurse will be able to
  1. Demonstrate an understanding of the different factors that determine the risk of developing long-term conditions
  2. Identify and assist people to adopt behaviour and activities that reduce their own and others' risk of long-term conditions
  3. Undertake a structured process that allows assessment of client self-management behaviours, collaborative identification of problems and goal setting leading to the development of individualised client care plans
  4. Assist people to understand the possible consequences (ie what might happen and the chance of it happening) of failing to make life-style changes
  5. Articulate the range of services available locally and nationally for people who need information and support in making changes in behaviour and how to access services
  6. Participate effectively in multidisciplinary teams to support the identification of individuals' needs and the planning, implementing and review of individualised care
  7. Prioritise groups and individuals to be assessed and managed, taking account of risk factors and financial, technological and human resources available
  8. Monitor and evaluate the effectiveness of management strategies and programmes for populations and individuals through audit and other quality measures
  9. Understand the role for nurses in long-term management and how their role relates to other team members
  10. Reflect on their own approach to supporting clients in self-management and developing services appropriately

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Not offered in 2019, expected to be offered in 2020

Teaching method
This paper is taught through Distance Learning
Learning management system