GREAT BASIN COLLEGE
ASSOCIATE OF APPLIED SICENCE NURSING PROGRAM
NURS 273 Spring 2011
ROLE OF THE ASSOCIATE DEGREE NURSE MANAGER
SECOND YEAR
3 CREDITS (1 theory (15 hours) credits and 2 Clinical (90 hours) credits
I. GENERAL INFORMATION
A. A. Catalog Description: The nursing management process as it relates to the associate degree nursing student will be introduced and utilized within the nursing process. One credit theory and two credits clinical, which includes a preceptorship. Offered Spring Semester only. Prerequisite: Admission to the Nursing Program.
B. Instructors Theory and Clinical:
Heidi Johnston RN, MSN 753-2000 (Office)
397-3808 (Cell)
C. Office Hours:
Monday and Friday 9:00-12:00 PM and Wednesday 1:00-4:00 or by
appointment.
D. Schedule:
Theory
Classroom: Monday: Time and days vary- see theory schedule
Dates: March 28, 2011– May 16, 2011
Clinical: Varied
II. REQUIRED TEXTS:
v Zerwekh, J. and Claborn, J.C. (2009) Nursing Today: Transition and Trends. 6th ed. Philadelphia: W.B. Saunders Co.
III. REQUIRED VIDEOS:
v Critical Thinking, Coping, and Communication in Nursing: A Video Orientation for Survival in the Workplace
v Legal, Ethical, and Professional Concepts
v Delegation Dilemmas
IV. ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours. Come to class prepared to share insight into scheduled topics. Points will be earned based on a positive, respectful attitude, and participation.
(See Student Handbook page 35)
V. METHOD OF INSTRUCTION:
Lecture, discussion, case studies, cooperative learning, reading, writing, speaking, listening and interacting with others will be used in the theory portion of the class. Some power point information may be used and open discussion is encouraged. Outside of class the student learns by reading, writing, speaking, listening and discussing. Each student will spend 90 hours in a clinical setting working with another registered nurse to expand understanding of nursing management and the care of a select number of clients. During the preceptor/mentorship, students will participate in online discussions using WebCampus format.
VI. THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course outcomes this will be evaluated with classroom participation, in class change presentation; I made a difference paper, and three online discussion responses. Questions will be based on utilization of critical thinking skills and application of knowledge acquired in this, as well as previous courses. Students are expected to attend all classroom and clinical hours. Come to class prepared to share insight into scheduled topics. Points will be earned based on a positive, respectful attitude, participation, and attendance.
See the Outcome and Assessment area at the end of the syllabus for further specific information.
VII. CLINICAL EVALUATION:
Clinical evaluation is done mutually by student, preceptor, and instructor throughout the 90 hours of clinical. Actual clinical performance and written assignments include: Mentorship Essential Skills and Performance during Preceptor/Mentorship will be used to determine clinical competency and the ability to generalize and transfer theory outcomes to the clinical settings. Safe clinical practice and demonstration of personal and associate degree nursing practice attributes at the fourth semester level are mandatory for graduation of the program.
*See the Outcome and Assessment area at the end of the syllabus for further specific information.
VIII. GRADING POLICY AND CRITERIA FOR NURS 257:
Course grade will be based on a percentage of total possible points according to the following scale:
100 94 = A 76 = C (needed to pass)
93 90 = A- 75 70 = C-
89 87 = B+ 69 67 = D+
86 84 = B 66 64 = D
83 80 = B- 63 60 = D-
79 77 = C+ Below 60 = F
The classroom course work must be completed on time and with a 76% or better to pass the course. All clinical rotation paperwork must be completed on time and with either a Pass or an average of 76% or better to pass the course. Refer to the ADN Handbook for information on grading of late assignments or missed clinical rotations. Classroom assignments will account for 100% of the total grade and clinical evaluation of student progress is on Satisfactory/Unsatisfactory basis.
Class participation = (5 points/day for total of 20 points)
In-class Change Presentation = 30 Points (Peer Evaluation)
I made a difference paper = 100 Points
Online Discussion Response #1 = 50 Points
Online Discussion Response #2 = 50 Points
Online Discussion Response #3 =50 Points
All completed assignments = 300 total points
IX. PROCALC EXAM:
· No ProCalc exam to be completed in this course.
X. ACADEMIC HONESTY:
Great Basin College considers academic honesty one of its highest values. A student who obtains academic credit for work that is not the product of his or her own effort is being dishonest and undermining the academic integrity of the college. Students are expected to be the sole authors of their work. Use of another’s ideas must be accompanied by specific citation and reference. In addition, a learner may not submit the same work for credit in more than one course. The disciplinary consequences of plagiarism and other forms of academic dishonest include non-acceptance of work submitted, a failing grade in the course, and/or or other disciplinary action as outlined in Great Basin College’s Student Conduct Policy.
XI. ACCOMMODATIONS FOR DISABILITIES:
GBC supports providing equal access for students with disabilities. An advisor is available to discuss appropriate accommodations with students. Please contact the ADA Officer (Julie Byrnes) in Elko at 775.753.2271 at your earliest convenience to request timely and appropriate accommodations
XII. ATTENDANCE POLICY
See page 35 of the GBC Associate Degree Nursing Handbook
GREAT BASIN COLLEGE
ASSOCIATE OF APPLIED SCIENCE IN NURSING PROGRAM
The following essential skills and critical behaviors are key constructs that are derived from GBC’s conceptual framework. They provide the theoretical underpinnings for all nursing action and roles in the associate degree nursing program.
ESSENTIAL SKILLS
ES 1-COMMUNICATION ABILITIES
The ability to effectively employ therapeutic communication techniques and appropriate interpersonal relationship skills during interactions with faculty, individuals, family members, health care team members, peers and supervisors. The use of information and technology to communicate, manage knowledge, mitigate error and support decision making.
ES 2-CRITICAL THINKING
A reasoned, interactive and reflective process focused on deciding what to believe or do.
· The ability to identify and challenge assumptions.
· The ability to explore and imagine alternatives.
The ability to make judgments based on evidence (fact), rather than conjecture
(guesswork).
ES 3-EVIDENCE-BASED PRATICE
An informed approach to one’s practice that uses problem-solving methods
that integrates best research evidence, reflection, client preference and values,
and clinical expertise.
ES-4 CULTURAL COMPETENCE
The provision of nursing care that meets the individual’s valued life patterns
and set of meanings.
CRITICAL BEHAVIORS
CB 1-ACCOUNTABILITY
Being answerable to self, individual, organization and/or profession for something one has done
· Exercises judgment when undertaking assigned tasks
· Applies knowledge when undertaking assigned tasks
· Accepts responsibility for actions
· Is able to answer the following questions in relation to nursing care provided:
§ Why was this done?
§ How did I come to the decision to do this?
§ What makes this the most effective course of action?
CB 2-COLLABORATION
Intentional act of professionals working together toward a common goal.
· Treats others with mutual respect
· Identifies potential areas where conflict might arise and works toward
reducing/eliminating its occurrence.
· Works cooperatively and interdependently with all members/levels
of health care team.
CB 3-SELF-LEADERSHIP
The ability to regulate, manage, direct and/or control one’s own behavior.
· Continually identifies strengths and weaknesses in relation to one’s
knowledge, performance, behavior and attitude.
· Sets realistic goals for self.
· Recognizes internal/external factors which contribute to and/or reduce stress
levels.
CB 4-SAFETY
A priority in the provision of nursing care for individuals and includes protecting individuals from physical and emotional injury through ongoing assessment and elimination of safety hazards.
CB 5- CARING INTERVENTIONS
Nursing behaviors and actions that assist individuals in meeting their health care
needs. Caring behaviors are nurturing, protective, compassionate, and person-
centered.
PROGRAM AND LEVEL OUTCOMES
NURS 273
ROLE OF THE ASSOCIATE DEGREE NURSE MANAGER
ADN PROGRAM OUTCOMES / NURS 273EXPECTED LEVEL OUTCOMES
As a Provider of Care:
The student will demonstrate caring and critical thinking skills by assisting the individual, family or group to identify and meet basic health needs in a wide variety of settings across the continuum of care. The student will assist in the coordination of cost-effective quality care using a culturally competent, collaborative and interdisciplinary approach. / As a Provider of Care:
1. Differentiate between the needs of individuals, families and groups based upon the influence of cultural, religious beliefs, values and practices.
2. Ensures the safe and effective application of evidence based nursing interventions which promotes adaptation of the individual, the family or group with complex health problems.
3. Adapts the implementation and performance of nursing interventions as appropriate to compliment and enhance cultural, religious beliefs and values.
4. Evaluates the effectiveness of nursing interventions in meeting basic human needs and expectations of care that are congruent with cultural and religious beliefs and practices.
5. Promotes the delivery of quality and cost effective health care for individuals,
families, and groups.
6. Demonstrates effective use of therapeutic communication skills when interacting with individuals, families and groups based upon their level of comprehension and understanding.
As a Teacher, the student will provide individual, family, or group-based education in a variety of settings to promote, maintain, and restore health from birth through death. The student will promote a caring environment in which culturally appropriate learning activities and effective use of resources and current technology exist. / .
As a Teacher
7. Adapts and modifies the environment to create an effective teaching/learning
milieu to utilize all teaching opportunities for the benefit of the individual and the family.
8. Assesses the learning needs of the individual and the family and develops a
comprehensive, individualized teaching plan.
9. Objectively evaluates the learning of the individual and the family and identifies continuing teaching needs and opportunities.
As a Manager of Care, the student will work collaboratively with all members of the health care team to achieve a cost-effective, quality care that is customer focused and in keeping with the organizational goals and mission of the settings in which that care is provided. / As a Manager of Care
10. Examines the role of the nurse in the delivery of quality and cost effective care in the health care setting and identifies areas of improvement.
11. Formulates and implements a collaborative plan of care that is focused on the positive adaptation of the individual and family and reflects the principles of safe and effective evidence based nursing practice.
12. Evaluates the collaborative plan of care and revises as appropriate based upon the response of the individual/family.
As a Future Member of the Profession, the student will be accountable for the ethical, legal, and professional responsibilities related to nursing practice. / As a Future Member of the Profession
13. Analyzes the ethical, legal and professional role, accountability and responsibility of the Associate Degree Nurse within a variety of health care settings.
14. Demonstrates accountability for self in the role of the student nurse and future member of the profession.
As an Advocate for Others, the student will promote a climate in which individuals, families, or groups may act in their own interest, including accessing available resources, and intervenes when they are unable to act in their own interest. / As an Advocate
15. Serves as an advocate for individuals, families, and groups to promote an active and informed participation in their healthcare; intervenes as appropriate when they are unable to act in their own best interest.
COURSE SCHEDULE
DATE / READING ASSIGNMENT / ACTIVITIES/TEST DATEDATE / READING ASSIGNMENT / ACTIVITIES/TEST DATE
Monday March 28th
0930-1530 / Unit I: Nursing Management
Zerwekh, J. & J.C. Claborn (2009)
Chapter 10:
Challenges of Nursing Management
Chapter 12:
Effective Communication and Team Building
Chapter 13:
Conflict Management
Chapter 14:
Delegation in the Clinical Setting / Review syllabus and WebCampus
Videos:
§ Critical Thinking, Coping, and Communication in Nursing: A Video Orientation for Survival in the Workplace
§ Legal, Ethical, and Professional Concepts
§ Delegation Dilemmas
§ Case Studies 1, 2, 3, 4, 5
§ Exercise 1
Saturday April 9th / Online Discussion Question #1 Due by 2330
Monday April 11th
0930-1530 / Unit II: Current Issues in Health Care
Zerwekh, J. & J.C. Claborn (2009)
Chapters 15:
The Health Care Organization and Patterns of Nursing Care Delivery
Chapter 16:
Economics of the Health Care Delivery System
Chapter 20:
Legal Issues / § Group 1 students to present change presentations
§ The One Minute Manager
§ Leadership-Guiliani
§ Telephone/Verbal Order Policy
§ Case Studies 6, 7, 8, 9, 10
Saturday April 16th / Online Discussion Question #2 Due by 2330
Monday April 25th
0930-1130 / Unit III: Contemporary Nursing Practice
Zerwekh, J. & J.C. Claborn (2009)
Chapter 22:
Quality Client Care
Chapter 24:
Using Nursing Research in Practice / § Group 2 students to present change presentation
§ Aggression Continuum
§ One Minute Apology
§ Guidelines for Expressing Conflict
§ Handling Complaints
§ Case Study 11
Saturday April 30th / Online Discussion Question #3 Due by 2330
Monday May 9th
0930-1130 / Unit III cont:
Zerwekh, J. & J.C. Claborn (2009)
Chapter 25:
Workplace Issues / § Group 3 students to present change presentation
§ Scope of Practice
§ Handwriting on the Wall
§ Developing Your Professional Image
Monday May 16th / Exit Exam HESI - TBA / Exit Exam HESI
YOU MUST MEET WITH ME AFTER TAKING THE HESI TEST WITH YOUR SCORE!!!
“I Made a Difference” Paper due 5/15/11
Preceptorships to be started April 4 -May 13th
LEARNER OUTCOMES AND MEASUREMENT
UNIT I: Nursing Management
Theory Readings, Lecture, and Class Discussion: