Unit rationale, description and aim

Neurological conditions present complex clinical, psychosocial, and cultural challenges that require nurses to apply advanced knowledge and evidence-based practice. As care options evolve, neuroscience nurses must critically analyse clinical information, integrate bioscience concepts, and deliver people-centred care that supports patients and families across the continuum of health and illness. This unit prepares students to meet these demands through deeper expertise and strengthened clinical decision-making skills.

This unit equips students with advanced knowledge and clinical reasoning skills essential for neuroscience nursing practice. It emphasises the integration of bioscience concepts and evidence-based approaches to support informed decision-making in complex neurological care. Students will critically examine the role and scope of the neuroscience nurse in optimising patient outcomes, while exploring the physical, psychosocial, and cultural dimensions of illness and comorbidities. Through analysis of preventative, curative, palliative, and rehabilitative strategies, learners will develop the ability to design, justify, and evaluate people-centred care, tailored to diverse health status variations, ensuring safe, ethical, and effective management of neurological conditions. 

The aim of this unit is to strengthen students’ advanced knowledge, critical analysis, and clinical reasoning in neuroscience nursing, enabling them to apply evidence-based and people-centred approaches that improve outcomes for people with complex neurological conditions.

2027 10

Campus offering

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  • Term Mode
  • ACU Term 2Online Unscheduled

Prerequisites

NRSG546 Concepts in Advanced Clinical Nursing

Incompatible

NRSG536 - Neuroscience: Principles of Care

Learning outcomes

To successfully complete this unit you will be able to demonstrate you have achieved the learning outcomes (LO) detailed in the below table.

Each outcome is informed by a number of graduate capabilities (GC) to ensure your work in this, and every unit, is part of a larger goal of graduating from ACU with the attributes of insight, empathy, imagination and impact.

Explore the graduate capabilities.

Critically apply advanced knowledge of bioscience ...

Learning Outcome 01

Critically apply advanced knowledge of bioscience concepts and evaluate evidence-based practice when making clinical decisions as a neuroscience nurse.
Relevant Graduate Capabilities: GC1, GC2, GC7, GC8, GC9, GC10, GC11, GC12

Critically reflect on the role and scope of the ne...

Learning Outcome 02

Critically reflect on the role and scope of the neuroscience nurse in improving patient outcomes.
Relevant Graduate Capabilities: GC1, GC3, GC10, GC11, GC12

Analyse the physical, psychosocial, and cultural i...

Learning Outcome 03

Analyse the physical, psychosocial, and cultural impact of illness and comorbidities on neurological patients and their families.
Relevant Graduate Capabilities: GC1, GC2, GC7, GC11

Analyse evidence-based approaches to preventative,...

Learning Outcome 04

Analyse evidence-based approaches to preventative, curative, palliative and rehabilitative care in the management of complex neurological conditions.
Relevant Graduate Capabilities: GC1, GC2, GC7, GC9, GC11

Apply advanced clinical reasoning to design, justi...

Learning Outcome 05

Apply advanced clinical reasoning to design, justify, and evaluate evidence-based, people-centred care in response to variations in health status in neuroloscience patients.
Relevant Graduate Capabilities: GC1, GC2, GC3, GC7, GC8, GC9, GC11

Content

Topics will include:

  • Professional Identity in Advanced Neuroscience Nursing Practice 
  • Definition and clinical relevance of professional identity  
  • Role and scope of the neuroscience nurse 
  • Clinical decision making and accountability  
  • Professional standards and frameworks
  • Family centred care and culturally responsive care 
  • Review of Neuroscience Bioscience Concepts 
  • Brain anatomy and physiology 
  • Neurons and glial cells 
  • Cranial nerves overview 
  • Cerebral circulation: Circle of Willis, regulation of CBF (cerebral blood flow) 
  • Protection and support: CSF (cerebrospinal fluid), meninges, BBB (blood brain barrier), ventricular system  
  • Neurological assessment: physical exam, diagnostics, imaging, cerebral oxygenation 
  • BOC (behaviours of concern): sensory changes, memory, attention, communication challenges 
  • Intracranial Dynamics and Neuroprotective Strategies 
  • Intracranial hypertension, compliance, elastance 
  • Volume pressure curve, Monroe-Kellie hypothesis 
  • Cerebral oedema: types and treatments 
  • Hydrocephalus: manifestations and management  
  • Neuroprotective strategies: airway, PaCO2, perfusion pressure, fluids, sedation, seizure and glucose control 
  • Traumatic Brain Injury and Acute Neurological Disorders 
  • TBI: Primary vs secondary injury, mechanisms 
  • Ischaemia & hypoxia, abnormal autoregulation 
  • Post traumatic amnesia 
  • Herniation, autoregulation, compensation 
  • Surgical interventions: EVD, VP shunts, lumbar drains 
  • Postoperative nursing assessment and management  
  • Degenerative and Structural Neurological Disorders 
  • CNS malformations: Myelomeningocele 
  • Degenerative disorders: Parkinson’s, MS (multiple sclerosis), MND (motor neuron disease), Huntington’s, CJD (Creutzfeldt-Jakob disease), Guillain-Barré, Myasthenia Gravis 
  • Medical and nursing assessment and management 
  • Space-occupying lesions: gliomas, astrocytomas, pituitary tumours 
  • Endocrine complications: DI (diabetes insipidus), SIADH (syndrome of inappropriate anti-diuretic hormone) 
  • Cerebrovascular Disorders – SAH, Aneurysms, AVMs 
  • Subarachnoid haemorrhage and aneurysms: types, causes, pathophysiology 
  • Arteriovenous malformations: diagnosis and management 
  • Post-op care and complications 
  • Stroke care: nursing and medical assessment and management 
  • Subdural and epidural haematomas: classifications, diagnostics, management 
  • Spinal Neuroscience and Surgical Management  
  • Spinal surgery: indications, types, minimally invasive techniques 
  • Pre- and post-operative nursing care 
  • Spinal and neurogenic shock 
  • Spinal precautions and technological advancements 
  • Professional concepts in post-op care 
  • Disorders or Consciousness and Cranial Nerve Dysfunction 
  • Coma: pathophysiology, manifestations, assessment, management  
  • Brain death: criteria, ethical considerations  
  • Cranial nerve disorders: Bell’s Palsy, Trigeminal Neuralgia  
  • Communication and escalation strategies with patients, families, and teams 
  • Seizure Disorders and Emergency Neurological Management  
  • Seizures: ILAE classification, aetiology 
  • Epilepsy: diagnosis, medical and surgical management 
  • Emergency seizure management 
  • Integration of neuroprotective strategies in acute seizure care 

Assessment strategy and rationale

To pass the unit, students must demonstrate achievement of every unit learning outcome and obtain a minimum mark of 50% in graded units.

The assessment strategy is designed to scaffold learning and progressively build students’ advanced knowledge and application of clinical and evidence-based practice with a focus on the care of complex neuroscience patients and their families.

Through the undertaking of two assessment tasks, students will critically reflect their role as a specialist neuroscience nurse in improving patient outcomes, apply advanced bioscientific knowledge of complex health conditions and demonstrate clinical reasoning while applying holistic care principle. The second assessment task requires students to independently produce original work that integrates advanced bioscience knowledge, evidence-based practice, and patient-centred clinical decision-making. Both assessment tasks promote analytical thinking, reflection, and evaluation of people-centred care.

Overview of assessments

Assessment Task 1: Digital Presentation The stud...

Assessment Task 1: Digital Presentation

The student will critically reflect on their role as a specialist neuroscience nurse in improving patient outcomes across neuroscience healthcare settings, demonstrating the ability to critically apply advanced bioscience knowledge and evaluate evidence-based practice to inform clinical decision-making.

Weighting

30%

Learning Outcomes LO1, LO2
Graduate Capabilities GC1, GC2, GC3, GC7, GC8, GC9, GC10, GC11, GC12

Assessment Task 2: Written Assignment Enables st...

Assessment Task 2: Written Assignment

Enables students to critically apply advanced knowledge and clinical reasoning through analysis and evaluation of the evidence-based, people-centred care provided to a complex neuroscience case study patient with a variation in health status and demonstrate critical reflection on their role as a specialist neuroscience nurse.

Weighting

70%

Learning Outcomes LO1, LO2, LO3, LO4, LO5
Graduate Capabilities GC1, GC2, GC3, GC7, GC8, GC9, GC11

Learning and teaching strategy and rationale

This unit is offered in online mode and uses an active and collaborative learning approach to support students to analyse and critically evaluate approaches to providing evidence-based, ethical nursing care for neurological patients. Students will engage in readings and reflections, e-Learning activities and opportunities to collaborate with peers in an online environment. This can involve, but is not limited to, online discussion forums, guided reading and webinar sessions. In addition, e-Learning and links to electronic readings will be provided to guide students’ reading and extend other aspects of online learning.

Through an online learning platform, students will have the opportunity to reflect on the complexity of delivering person-centred care to neuroscience patients. Online learning in this unit will be supported by the provision of opportunities for students to attend online webinar sessions that allow synchronous exchange of information and facilitate responses to queries generated by students in relation to unit content. For those unable to participate in synchronous webinar sessions, recordings will be available.

Students are required to complete online activities and assessments to demonstrate the application of knowledge. The learning and teaching strategy used in this unit allows flexibility for students while ensuring they have expert support. These modes of delivery assist students to link knowledge and skills to the neuroscience nursing context, and to develop shared meanings through online reflections and discussions.

Representative texts and references

Representative texts and references

Brown, D., Buckley, T. C. T., Aitken, R. L., & Edwards, H. (Eds.). (2024). Lewis’s medical-surgical nursing : assessment and management of clinical problems (6th, Australia and New Zealand edition. eds.). Elsevier Australia. 

Bullock, S., & Hales, M. (2024). Principles of pathophysiology (Third edition. ed.). Pearson Australia.

Clarke, S., & Santy-Tomlinson, J. (2014). Orthopaedic and trauma nursing: An evidence-based approach to musculoskeletal care. Wiley Blackwell.

Greenhalgh, T., Bidewell, J., Crisp, E., Lambros, A., Warland, J., & Dermody, G. (2024). Understanding research methods for evidence-based practice in health (Third edition.). John Wiley & Sons Australia, Ltd.

Hickey, J. (2020). The clinical practice of neurological and neurosurgical nursing (8th ed.). Wolters Kluwer

Hoffmann, T., Bennett, S., & Del Mar, C. (2024). Evidence-based practice across the health professions (Fourth edition.). Elsevier.

Huether, S. E., & McCance, K. L. (2020). Understanding pathophysiology (Seventh edition. ed.). Elsevier.

Knights, K. M., Darroch, S., Rowland, A., & Bushell, M. (2023). Pharmacology for health professionals (6th edition. ed.). Elsevier Australia.

Mei, N. (Ed.). (2025). Nursing Management of the Neurosurgical Patient: An Interprofessional Approach (First edition.). Elsevier.

Odom-Forren, J. (2024). Drain’s perianesthesia nursing : a critical care approach (8th ed.). Elsevier.

Rothrock, J., & McEwen, D. (2023). Alexander's Care of the Patient in Surgery (17th ed.). Elsevier.

Ryan, D. (2019). Handbook of neuroscience nursing: Care of the adult neurosurgical patient. Thieme Medical Publishers, USA.

Zerwekh, J. G., & Garneau, A. Z. (2023). Nursing today: transition and trends (Eleventh edition.). Elsevier Inc.

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