REGULATIONS FOR THE DEGREE OF
BACHELOR OF NURSING (BNurs)

(See also General Regulations, pp. 1 to 16)

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Bachelor of Medicine and
Bachelor of Surgery (MBBS) (Part 1)

Bachelor of Medicine and
Bachelor of Surgery (MBBS) (Part 2)

Bachelor of Nursing (BNurs)

Bachelor of Nursing (Part-time) (BNurs)

Bachelor of Science in Biomedical Sciences (BSc[BiomedSc])

Bachelor of Science in Nursing Studies (BSc[NursStud])

Master of Medical Sciences (MMedSc)


N 1 A candidate for admission to courses in the Faculty of Medicine must adduce evidence satisfactory to the Board of the Faculty of Medicine of his ability to understand and profit from the course he proposes to follow.


N 2 To be eligible for admission to the degree of Bachelor of Nursing, a candidate shall

(a)

comply with the General Regulations; and

(b)

complete the curriculum and satisfy the examiners in the First and Final Examinations.

N 3 The curriculum shall extend over at least eight academic semesters and such intervening vacations as may be prescribed, and shall include two examinations, the First and Final Examinations, each held twice annually, and continuous and practicum assessments.


N 4

(a)

The courses in the first and second years of the curriculum shall be nursing therapeutics; clinical nursing; behavioural sciences; life science; and nursing practicum.

(b)

The First Examination comprising Clinical Nursing, Nursing Therapeutics, Behavioural Sciences, and Life Sciences shall be held twice annually, at the end of the Second Year of the curriculum and in the following September.

N 5

(a)

The courses in the third and fourth years of the curriculum shall be nursing therapeutics; clinical nursing; current issues in health care; nursing practicum; nursing research; and nursing electives.

(b)

The Final Examination comprising
  (i) Clinical Nursing and Nursing Therapeutics shall be held twice annually, at the end of the fourth year of the curriculum and the following December; and
  (ii) one research project to be submitted before the end of the fourth year of study.

N 6 A candidate who is unable because of illness or other acceptable reason to be present for any paper or papers of any subject or subjects of an examination other than the Final Examination may apply for permission to present himself at the next subsequent examination in the appropriate paper or papers. Any such application shall be made on the form prescribed within two weeks of the first day of the candidate's absence from any examination.


N 7

(a)

Before he may present himself for examination, a candidate shall complete the courses of study and instruction leading to the examination and shall achieve a satisfactory standard in the class work prescribed in the syllabuses.

(b)

A candidate who has failed to satisfy the examiners may be required to discontinue his studies (under General Regulation G 12) or may be permitted to present himself again for such part or parts of the examination as may be determined by the Board of the Faculty of Medicine.

(c)

A candidate who has failed to satisfy the examiners and who is permitted to present himself again for examination may be required to repeat the whole or any part of the courses prescribed for any semester (and the intervening vacations) preceding the examination before presenting himself again for the examination.

N 8 The examiners in any subject may take into consideration written or practical work required of candidates during the course of study.


N 9 The degree of BNurs may be awarded with Honours but a candidate shall not be eligible for Honours if he has presented himself more than once in any part of the Final Examination.


SYLLABUSES FOR THE DEGREE OF
BACHELOR OF NURSING

FIRST YEAR

10112. Nursing therapeutics

Introduction to the concept of health; influences of health at individual and societal levels; prevention of ill health; communication in health cares; health promotion and education; partnership in health care; community initiatives in health care; alternative approaches to health.

Introduction to the professional role of the nurse; nursing basis; nurses' role in health promotion; awareness of research methods pertinent to nursing.


10111. Clinical nursing

Basic general nursing skills such as observation and analysis of vital signs; health assessment skills for physical and psychosocial problems; principles and techniques for health assessment; assessment of the needs in different care settings.

Relevance of communication skills and social interaction to health care practice; social context of human interaction and communication; nature and development of communication skills; factors affecting communication in health care; relationship with clients and lay carers; self awareness and assertiveness; communicating with clients with mental health problems or with children; therapeutic communication.


10104. Behavioural sciences

Methods and measurement; normality and abnormality; neuropsychological processes; sensory systems; perceptual processes; learning; cognitive subsystems in information processing; emotion and feeling; personality and behaviour: attribution, motivation; consciousness and sleep; attachment; exploration, play and growth; language; childhood and adolescent social behaviour; gender, sexuality and sexual behaviour; adulthood; later life, intellect; demands, resources, prediction and control; threats and challenges; information, adaptive coping and support; barriers to adaptation and maladaptation; happiness and sadness; helplessness, hopelessness and depression, anxiety and associated behaviour; dependency behaviours; behaviour change; demography; population structures and the distribution of disease; patterns of disease; making decisions about health; disease prevention; sociological perspectives; family; social construction and cultural diversities in health and illness; life chances and life style; socio -economic position; gender and ethnicity; hospital organization; role relationships in hospital and other health care settings.


10113. Life sciences

Introduction to anatomy; cell and tissues; introduction to body systems including integuments, skeletal systems and joints; muscular systems; cardiovascular and Iymphatic systems; nervous system.

Introduction to thorax (excluding vertebral column); respiratory system ¡X gross anatomy and microanatomy; the heart and great vessels in the thorax; histology of the blood and vascular system.

Introduction to abdomen; gross anatomical organization of the digestive system; the anatomy of chewing and swallowing; peritoneum; blood vessels and nerves of abdomen; histology of the gastrointestinal tract; urinary system; histology of the urinary system and reproductive system; the anatomy of the pelvis.

Bones and joints of the limbs; muscles of the upper and lower limbs; nerve supply to the upper and lower limbs; blood supply and lymphatic drainage of the limbs; hands as a functional unit; the foot and gait.

The hierarchy of structural and functional organization; the concept of homeostasis and internal stability; components of a homeostatic system; negative and positive feedback mechanisms; homeostatic imbalance.

Membrane transport; membrane potential and action potential; conduction of nerve impulse; synapses and neuromuscular transmission; muscle contraction; skeletal, cardiac and smooth muscles.

Composition and functions of blood; haemopoiesis; blood groups and blood transfusion; blood coagulation.

Excitation of heart and electrocardiogram; cardiac pump and cardiac cycle; hemodynamics; arterial and venous system; microcirculation and lymphatics; control of the heart; control of the vascular system; special circulations.

Mechanics of breathing; compliance and airway resistance; lung volumes and capacities; alveolar ventilation and dead space; ventilation and perfusion inequality; gas diffusion and gas transport; regulation of breathing.

Fluid compartments; renal circulation and glomerular function; tubular functions; regulation of blood volume and osmolality; ion and water excretion; acid-base balance; micturition.

Mastication and swallowing; gastrointestinal motility; gastrointestinal secretions; liver and biliary system; digestion and absorption; defecation.

Metabolism and energetics; thermoregulation, nutrition.

Molecules; ionizable groups; covalent and weak interactions; solubility; acidity.

Major biomolecules; molecular structures in relation to chemical and cellular function with emphasis on catalysis, signal transduction, strength and support.

Roles of ATP; electron transfer in mitochondria; oxidative phosphorylation.

Formation and utilization of glycogen; sucrose and fructose; anaerobic conditions; Krebs cycle; formation and utilization of fat; amino acids as fuels; control mechanisms.

Nitrogen balance; ammonia; urea; urate; bilirubin.


10108. Nursing practicum

A total of eight weeks on: introduction to the health care system; visits to facilities on primary health care: Well Woman Clinic, Families Clinics, Occupational Health Centres, Child Assessment Centres, Rehabilitation Center, Community Centres for the Elderly.


SECOND YEAR

10212. Nursing therapeutics

Care of specific groups; partnership care in families and children; different approaches to health screening and health surveillance; managing children with special needs, physical or learning disabilities.


10211. Clinical nursing

Introduction of the role of the nurse in assessing planning, implementing and evaluating care in different settings; health care needs of children; paediatric community nursing; maternity.


10214. Behavioural sciences

Impact of acute and chronic illness; facilitation and inhibition of adaptation to chronic illness; impact of hospitalization and treatment; pain problems and pain management e.g. coronary heart disease, cancer, renal failure; dying and bereavement; health policy; rationing health services; roles of government and industries in health care delivery; health behaviour; models of illness behaviour, utilization patterns.


10213. Life sciences

Vitamins and other supplements; drugs used in anaemia; anti-histamines and allergic emergencies; drugs used on the skin; non-steroidal anti-inflammatory drugs; anti-inflammatory steroids; endocrine pharmacology; fertility agents and contraceptives; drugs used on the eye; drugs acting on the gastro intestinal tract; drugs for the treatment of respiratory diseases; sedative/hypnotics; drugs used in mental health disorder, neurological disorder, drugs of abuse; drugs used in treating drug/substance dependence; beneficial and adverse effects in the use of drugs in the clinical setting; medication errors /incidence; drug audit.

Introduction to the head and neck and nervous system; development of the central nervous system; meninges, cerebrospinal fluid and blood supply; spinal cord and reflex arc including receptors and effectors ending; structure and functional localization of the cerebral cortex; peripheral nervous system; ascending(sensory) system; descending (motor) system; special sensory system; autonomic nervous system.

Skin and wound healing; nonspecific cellular and chemical defenses; the immune system; hypothalamus and pituitary gland; thyroid and parathyroid glands; adrenal gland; pancreatic hormones and glucose metabolism.

Sex development, puberty and menopause; male and female reproduction; pregnancy, parturition and lactation; fetal and neonatal physiology.

Receptor physiology; reflexes; cutaneous, deep and visceral sensations; special senses (vision, hearing, smell and olfaction); vestibular function; motor system; cerebral functions; limbic system; reticular formation; control of posture and movement; autonomic nervous system.

Mendelian inheritance; DNA structure and replication; transcription; translation; regulation of gene expression.

The effects of aging on the physiology of the human body; disorders of cells and tissues; disorders of blood cells; heart failure; shock and peripheral circulatory failure; hypertension; jaundice and hepatic failure; respiratory failure; renal failure; disorders of fluid and electrolyte balance; endocrine and metabolic defects; neurological disorders.

Drug discovery and drug development; legal aspects of drug use and prescriptions; Pharmacokinetics: absorption, distribution, metabolism and excretion; drug administration, drug formulation and bioavailability; calculation of drug dosage and drug dispensing; principles of drug action; drugs acting on the autonomic nervous systems; drugs acting on the cardiovascular system; drugs acting on the central nervous system; principles of chemotherapy; drug toxicity; adverse drug reactions.

Microbial classification, structure, physiology and genetics; antimicrobial agents, disinfection and sterilization; infection and immunity; bacterial and viral pathogens; medically significant fungi and parasites; infections of various body systems and hospital-acquired infections; laboratory diagnosis, safety and quality in specimen collection; hospital epidemiology and infection control; protective isolation and immunization.

10210. Nursing practicum

A total of fourteen weeks of clinical training on: mental health with patients needing acute and continuing care; subacute general nursing which includes low technology ward nursing and introduction to care of the elderly; maternity care.


THIRD YEAR

10312. Nursing therapeutics

Uses of conceptual models in nursing practice aspects; attitudes in caring adult clients undergoing medical tests and surgery; nursing assessment of clients experiencing distressing diseases such as myocardial infarction, stroke, cancer, liver and other common diseases in Hong Kong.

Drugs for diseases of the cardiovascular system; diuretics; hypolipemic agents; anticoagulants and thrombolytic agents; drugs used in the treatment of infections; metabolic and malignant diseases.

Psychiatric nurse as a therapeutic agent and management of the therapeutic relationship; conceptual models in mental health nursing practice; ethical issues related to the practice of mental health nursing; history and philosophy of mental health nursing; social context of mental disorder; mental health problems and social institutions; social problems and mental health; society's policy response to mental health problems; the parameters of mental health, human distress and mental illness, social and psychological perspectives; mental health classification and the language of psychiatry; neurotic disorders; altered conduct/impulse processes or problems with social interaction; altered feeling states and self-concept and processes; rehabilitation studies; physical health and mental health problems; DSM-4 (depressive disorder; psychosis; anxiety related disorders; conduct disorders; developmental disorder; dependency disorders; family breakdown and abuse).


10311. Clinical nursing

Application of nursing assessment; intervention and evaluation of clients undergoing surgery; care of impaired mobility related to diseases; continuity of care; aseptic techniques and infection control; oxygen therapy and airway management; safe drug administration.


10304. Current issues in health care

Introductory lecture on the principles and techniques of public speaking; seminars or debates on current issues in health presented by students.


10305. Nursing practicum

A total of eighteen weeks on: clinical training in acute nursing in general medical and surgical wards; peri-operative observation and operating theatre visit; distribution of drugs; aseptic techniques.


FOURTH YEAR

10412. Nursing therapeutics

Pre-hospital care; paramedic contribution; coronary ambulance; principles and procedures of emergency room management; pre-specialist care; communication skills applied to critical care; nurse's role in the multidisiplinary decision making process; effects of critical illness and the stress reaction on tissue and organ perfusion; sepsis and other forms of shock; multiple organ failure; professional, ethical and moral issues; critical care nursing in special Units; psycho-social effects of acute illness and impacts, reactions and needs of patients and their family; long term effect of acute illness on quality of life.

Drugs used in ear-nose-throat, control of pain, anaesthesia, emergency, cardiac arrest and resuscitation, intensive care, treatment of poisoning, extremes of age; prostaglandins and oxytocics; preparation of drugs for intravenous drip.

Care of people with psycho-social or mental health problems.


10411. Clinical nursing

Principles of patient assessment to include observational skills, medical tests and investigations, and principles of triage; issues of health and chronic illness in relation to critical care nursing; ethical and legal issues; resuscitation: issues, provision of services, practical skills; counselling skills; monitoring skills such as the use of intravenous line, computerize axial tomography, ultra-sound, electrocardiogram; catheterization techniques; maintenance of haemodynamic, aeration and neurologic support, total patient management; co-ordination of care.


10404. Nursing research

Critical review of the literature; formulation of research projects; collection, biostatistics, analysis and interpretation of data; writing up of a dissertation and its presentation.

The students will be required to undertake a research project during the fourth academic year, e.g. comprehensive review of literature on a nursing topic, planning and carrying out a practical project. The finding will be written up as a dissertation.


10405. Nursing elective

Quality assurance in nursing care; effective learning and teaching in nursing; nurse specialist in Intensive Care Unit, Operating Theatre, Transplantation Unit.


10406. Nursing practicum

A total of twenty weeks: ten weeks in general nursing, six weeks in mental nursing, four weeks in community nursing.