Technical Standards
One goal of the College of Nursing is preparation
for the professional practice of nursing through programs of
undergraduate and graduate education. Graduates of the degree
programs must demonstrate competencies in those intellectual,
physical, and social tasks that together represent the
fundamentals of nursing practice. Applicants and students will be
judged not only on their scholastic ability and achievement, but
also on their intellectual, physical, and emotional capacities to
meet the full requirements of the respective curricula.
The standards of admission to the undergraduate and graduate
programs are established by the faculty and reflect the
achievements, skills, and abilities needed for the practice of
professional and advanced nursing. Respective faculty groups
recommend the admission of applicants to the appropriate deans
based upon information in the application, and where applicable,
letters of recommendation and personal interviews.
Nationally recognized organizations that accredit various programs
in the College require the development of broad knowledge and
specialized skills and behaviors to prepare for delivering general
or advanced nursing care. This educational process enables
students to become self-directed learners, pursue further
education, and deliver competent nursing care. Courses in nursing
and the basic sciences provide a core of knowledge necessary for
clinical practice, while clinical courses include diverse
experiences in inpatient and outpatient settings that lead to
competence in the practice of nursing at a basic or advanced
level.
The following technical standards specify those attributes the
faculty believes are necessary for completing the educational
programs in nursing. These standards describe the essential
functions students must demonstrate to fulfill the requirements of
the degree programs in nursing and thus are prerequisites for
entrance, continuation, and graduation.
The University of Kentucky College of Nursing will consider for
admission any applicant who demonstrates the ability to perform,
or to learn to perform, the skills listed in this document.
Applicants are NOT required to disclose the nature of any
disability, but an applicant with questions about these technical
requirements is strongly encouraged to discuss the issue with the
dean for the particular program of study. If appropriate, and upon
the request of the applicant, student, or faculty, reasonable
accommodations for a disability will be provided.
Certain chronic or recurrent illnesses and problems that interfere
with patient care or safety may be incompatible with nursing
education or practice. Other illnesses may lead to high likelihood
of student absences and should be carefully considered.
Deficiencies in knowledge, judgment, integrity, character, or
professional attitude and demeanor may jeopardize patient care,
and thus become grounds for course failure and possible dismissal
from a nursing program.
Students must possess aptitude, abilities, and skills in five
areas: (a) observation; (b) communication; (c) sensory and motor
coordination and function; (d) conceptualization, integration, and
quantification; and (e) behavioral and social skills, abilities,
and aptitude. These areas are described in detail below.
Observation
Students must be able to observe a patient accurately, at a
distance and close-at-hand, noting nonverbal as well as verbal
signals. Specific visual tasks include, but are not limited, to
the following: observing skin and anatomic structures and body
movements, reading written and illustrated material, seeing class
and clinical demonstrations, discriminating numbers and patterns
associated with patient care instruments and tests (such as
sphygmomanometers, electrocardiograms, urine output).
Communication
Students must be able to relate effectively and sensitively to
patients and families, conveying a sense of compassion and
empathy. Students must be able to elicit information from
patients; accurately describe changes in mood, activity, and
posture; and perceive verbal and nonverbal interactions.
Communication includes reading and writing as well as speaking and
listening. Students must be able to communicate quickly,
effectively, and efficiently in oral and written English with
members of the health care team. Specific requirements include,
but are not limited, to the following: eliciting pain levels from
patients, providing patient teaching, and reporting changes in
patient states to other members of the health care team. Students
must learn to recognize and appropriately respond to emotions such
as sadness, worry, fear and anger in patients. Students must be
able to read and record observations and plans legibly,
efficiently, and accurately in documents such as the patient
record. They must be able to prepare and convey concise, but
complete, summaries of brief and prolonged encounters with
patients. Students must be able to complete forms according to
directions in a timely fashion.
Sensory and Motor
Students must have sufficient sensory and motor function to
perform a physical examination using palpitation, auscultation,
percussion, and other diagnostic maneuvers. In general, this
requires sufficient exteroceptive sense (touch, pain,
temperature), proprioceptive sense (position, pressure, movement,
stereognosis, vibration), physical strength, and motor function.
Students should be able to execute motor movements to provide
general care and to competently use patient care equipment (such
as intravenous monitors, sterile equipment, catheters). They must
be able to respond promptly to urgencies within a health care
setting, and must not hinder the ability of co-workers to provide
prompt treatment and care. Students must be able to learn to
perform basic laboratory tests, diagnostic and therapeutic
procedures, and patient care procedures (such as fingerstick,
dressing changes, intravenous insertions). Examples of emergency
treatment reasonably required of nursing students include
responding quickly when called, initiating appropriate therapeutic
procedures, administering intravenous medication, applying
pressure to stop bleeding, and performing cardiopulmonary
resuscitation.
Intellectual-Conceptual
These abilities include measuring, calculating, reasoning,
analyzing, judging, recognizing numbers, and synthesizing. Problem
solving, a critical skill demanded of nurses, requires all of
these intellectual abilities, and must be performed quickly,
especially in emergency situations. Students must be able to
identify significant findings from history, physical, and
laboratory data, and recall and retain information. They must be
able to arrive at a nursing diagnosis, plan and evaluate care, and
evaluate the outcomes of care. Students must be able to provide
reasoned explanations for their diagnoses, learn to prescribe
therapies (which may include medications), and become skilled in
managing time, people, and resources according to their level of
educational preparation. The ability to collaborate with other
health care professionals, and to incorporate new information from
patients, families, peers, teachings, and literature into decision
making is essential. Discriminating judgments in patient
assessment, care planning and evaluating are mandatory. Students
must be able to identify and communicate the limits of their
knowledge to others when appropriate. Students must be able to
interpret graphs describing relationships and to use other modes
of data presentation.
Behavioral Attributes
Empathy, integrity, honesty, concern for others, interpersonal
skills, interest, and motivation are personal qualities required
of all nurses. Students must possess the emotional health required
for the full use of their intellectual abilities, the exercise of
good judgment, the prompt completion of responsibilities attendant
to the care of patients, and the development of mature, culturally
sensitive, and effective relationships with patients. These
attributes require the ability to be aware of, and appropriately
react to, one's own immediate emotional responses and biases.
Students must be able to develop professional relationships with
patients, providing comfort and reassurance when appropriate,
while protecting patient confidentiality. Students must possess
adequate endurance and strength to function effectively under
stress and for extended periods. Students must be able to adapt to
changing environments, display flexibility, and learn to function
under conditions of uncertainty inherent in the clinical problems
of many patients. Students are expected to accept appropriate
suggestions and criticisms, and respond by modifications of
behaviors when necessary.

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