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SYKI107 Nursing in Complex Patient Conditions and Disease Assessment in the Municipal Health Service in Home Based Care with a M

Course description for academic year 2023/2024

Contents and structure

Patients in home care are a heterogeneous group of people. The group`s common feature is that all patients have functional status sufficient to live in their own home supplied with home care services.

This course is a guided practice study that includes person-centred nursing care for people with complex patient conditions and diseases in the municipal health and care service with a particular focus on patients and relatives in the home nursing service.


Use of the nursing process is central in the practice, with a particular focus on treatment, rehabilitation and relief in interaction with the patient, relatives and other health personnel.


Emphasis is placed on interdisciplinary collaboration, technology and health, patient safety and user participation and professional management.


The course also focuses on the following topics:

  • Documentation and journal system
  • Applicable authority requirements
  • Medicine handling and billing


International students will also receive an introductory course about the Norwegian health care system, with teaching related to the Scandinavian welfare system, laws, and regulations particularly related to the municipal health service, as well as patient safety.


The subject's scope of work is calculated at 486 hours. 270 of these hours are linked to direct patient-directed work. The remaining hours are linked to compulsory learning activities (work requirements), self-study and lectures.


Time frame: From week 38 until week 50 (with reservation that there might be changes).


Clinical placement is only offered according to availability. Availability varies from semester to semester.

Professional nursing care in home care service requires a high degree of autonomy and collaboration with patients, their families, the general practitioner and additional inter-professional cooperation.


There is a requirement of 90% participation in the course.


Maximum number of students in the course: 8 students

Learning Outcome

A student who has completed the course must have the following total learning outcomes defined in knowledge, skills and general competence.


The student…

  • can describe the importance of the nurse`s areas of responsibility and functions in home care services
  • is familiar with national and international research and development in the field
  • can understand the position of home care services in relation to specialist health services
  • can give an account of how nurses in home care services gives advice and collaborate with patients and caregivers
  • can protect the individual patient’s integrity and rights in accordance with laws and regulations
  • can follow the home care services guidelines for medication management
  • can understand the importance of inter-professional learning and inter-professional cooperation in the care of patient and the caregiver


Skills: The student...

  • can assesses the service needs from the patients and caregivers understanding of their situation.
  • can apply professional judgment in performing assigned tasks and assess the users’ needs for help
  • can ensure professional nursing as expert in another person's home with respect for the patient and family`s habits and wishes
  • can participate in interdisciplinary cooperation in home care services
  • can make observations of deteriorating health, disease, illness or injury
  • can make observations of effects and side-effects of medical treatment and report these observations
  • can administer medicine in responsible manner


General competence: The student...

  • can communicate the patients' legal rights in home care and reflect on competition in nursing and care services
  • can reflect on nursing and home care services professional and political premises and the relationship with responsible professional practice
  • is familiar with the possibilities and limitations of the documentation system
  • has insight into communication, professional development and innovation
  • can assess the service provision in view of the patient`s understanding of their own situation and the possibility of self help
  • can evaluate service provision decisions in view of the patient`s need for assistance
  • can apply professional judgment in performing assigned tasks
  • can assess the patient`s needs for assistance and takes appropriate action
  • has insight into documents in accordance with current laws and regulations and reflects on the possibilities and limitations of the documentation system
  • can plan and manage own work and the work of others



Entry requirements

  • Student at a partner institution which Bachelor of Nursing at HVL has an agreement with
  • 60 ECTS / first year of nursing studies
  • Minimum one period of placement experiences in hospital (8 weeks)
  • Minimum level B2 in English (Common European Framework of Reference for Languages, CEFR)
  • Negative MRSA testing: You will not be allowed to start clinical placement if the test is positive for MRSA so we advice you to take a test before you leave for Norway. You will also be tested in Norway before you start your placement - Information about testing for tuberculosis and MRSA

Teaching methods

The course consists of the following student activities:

  • Work in groups
  • Multimodal resources
  • Communication from students
  • Skills training
  • Simulation
  • Guidance
  • Fellow student response
  • Self-assessment
  • Task solving
  • Written work
  • Self-study
  • Lectures

Compulsory learning activities

The following compulsory learning activities must be approved before the candidate can start in clinical placement:


Compulsory participation in teaching related to the Norwegian welfare state, practical training, skills training and simulation.


Practical study is assessed as pass/fail after a final assessment of the candidate's performance during the practical period. To pass the clinical placement, the candidate must have reached the learning outcomes and fulfilled the requirement of 90% participation in the course.

Examination support material


More about examination support material