UNIT I: THE HEALTH CARE DELIVERY SYSTEM

COURSE OUTCOMES:

Upon completion of this course, the student will be able to:

1. Use nursing knowledge, skills and established protocols to perform dependent, interdependent and independent nursing measures according to needs demonstrated by the individual, family or group.

2. Establish and maintain therapeutic relationships with the individual, family or group with varying levels of development and differing cultures.

8. Promote ethical, legal and professional awareness and responsibility in self and others as an associate degree nurse and as a member of the health care delivery team.

DATE / STUDENT OBJECTIVES / THEORY / LAB/CLINICAL / EVALUATION
4/3/06 /
  1. Discuss Healthy People Nevada 2010.
  2. Analyze challenges occurring in the health care delivery system.
  3. Examine trends affecting the health care delivery system.
  4. Examine patterns of nursing care delivery systems/models.
  5. Analyze how patient classification systems work.
  6. Consider ways to structure nursing services to improve care while reducing costs.
  7. Define economics and health care economics.
  8. Describe what is meant by fiscal responsibility in clinical practice
  9. Analyze allocation of health care.
  10. Determine the impact that quality improvement activities have on nursing practice and patient care outcomes.
/ Lecture and Class Discussion
Required reading:
Healthy People Nevada 2010-handout
ANA Standards of Practice-Handout
Zerwekh- Chapter 15
Chapter 16
Case Study I
Zerwekh – Chapter 20, pp492-494, Chapter 22 Quality Review Report
Case Studies II, III / Identify trends, organization structures, nursing delivery and activity systems in clinical setting
Determine quality improvement indicators and their relationship to patient outcomes in clinical setting. / Clinical Evaluation Tool

UNIT II: THE NURSING MANAGEMENT PROCESS

COURSE OUTCOMES:

Upon completion of this course, the student will be able to:

3. Provide culturally appropriate learning activities, effectively utilizing resources and current technology.

4. Coordinate, organize, prioritize and modify care provided for the individual, family or group to ensure quality care is given.

5. Assign and delegate care appropriately.

6. Use effective interpersonal communication, conflict management and team building skills to promote a positive work environment.

9. Serve as an advocate for the individual, family or groups of all ages.

DATE / STUDENT OBJECTIVES / THEORY / LAB/CLINICAL / EVALUATION
4/3/06 /
  1. Differentiate between management and leadership
  2. Compare the various types of management.
  3. List characteristics of a good leader.
  4. Compare various leadership styles.
  5. Analyze characteristics of today’s workforce.
  6. Compare power and authority.
  7. *Apply problem-solving strategies (nursing process) to clinical management situations.
  8. *Use effective decision-making in clinical situations.
  9. Determinecharacteristics of effective work groups.
  10. Discuss the change process.
/ Lecture and Class Discussion
Required reading:
Zerwekh – Chapter 10
Case StudyIV
Nursing Management practice NCLEX exam / Identify and evaluate management strategies, group process activities and problem-solving approaches used during preceptorship. / Online Discussion Question # 1 due 4/14 midnight and #3 by 5/12 midnight
Clinical Evaluation Tool

UNIT II: THE NURSING MANAGEMENT PROCESS (con’t)

DATE / STUDENT OBJECTIVES / THEORY / LAB/CLINICAL / EVALUATION
4/3/06
4/4/06 /
  1. *Apply the basic components of the communication process.
  2. #Apply effective ways of communicating with other health care workers.
  3. Analyze an assertive communication style.
  4. *Apply effective communication skills in common nursing activities.
  5. Compare different types of groups and group process.
  6. Analyze group member roles.
  7. Discuss team building and group problem solving.
  8. *Apply components of assertive communication.
  9. Analyze common factors in the health care setting that lead to interpersonal conflict.
  10. Determine five methods to resolve conflict.
  11. Examine techniques used in dealing with difficult or disruptive individuals.
  12. Analyze solutions and alternatives in dealing with anger.
/ Lecture and Class Discussion
Required reading:
Zerwekh – Chapter 11
Case Studies, VI, VIII, IX
Case Study V
Zerwekh – Chapter 12 / Be an active team member in the clinical setting.
Develop and implement a teaching plan for patients during preceptorship.
Transcribe orders and give change of shift report during preceptorship in a safe, orderly manner.
Review facility policy for sexual harassment and work place violence during preceptorship. / Discussion Question #2 due by 4/28 midnight and # 3 by 5/12 midnight
Clinical Evaluation
Tool

UNIT II: THE NURSING MANAGEMENT PROCESS (con’t)

DATE / STUDENT OBJECTIVES / THEORY / LAB/CLINICAL / EVALUATION
4/4/06 /
  1. Identify situations of sexual harassment in the workplace and discuss possible solutions.
  2. *Communicate effectively with team members to provide optimal care to a group of clients.
  3. Describe and analyze your individual time styles.
  4. Determine strategies that increase organizational skills.
  5. *Apply time management and priority-setting strategies.
/ Zerwekh – Chapter 13
Case Study VI, X / Be an active team member in the clinical setting.
Develop and implement a teaching plan for patients during preceptorship. / Discussion Question #3 by 5/12 midnight
Clinical Evaluation Tool

UNIT II: THE NURSING MANAGEMENT PROCESS (con’t)

DATE / STUDENT OBJECTIVES / THEORY / LAB/CLINICAL / EVALUATION
4/4/06 /
  1. Define delegation, supervision, and accountability.
  2. Apply “five C’s” of initial direction for clear understanding of your expectations.
  3. *Review and apply use of job descriptions for all nursing staff in clinical setting.
  4. *Delegate tasks successfully based on outcomes.
  5. *Provide reciprocal feedback for the effective evaluation of the delegate’s performance.
  6. Identify the steps in the process of research use.
  7. Discuss the difference between conducting research and research use.
  8. Identify resources for evidence-based nursing practice.
/ Lecture and Class Discussion
Required reading:
Zerwekh – Chapter 14
Case Study, XI.
Zerwekh – Chapter 24 / View Videos:
1. Principles of Delegation – 24 minutes
2. Professional Accountability & Legal – 32 minutes
3. Strategies for Successful Delegation – 31 minutes / Clinical Evaluation Tool
Complete Nursing Management practice NCLEX exam April 17-28, 2006

UNIT III: SELF-LEADERSHIP

COURSE OUTCOMES:

Upon completion of this course, the student will be able to:

7. Demonstrate flexibility and effectively influences the change process.

8. Promote ethical, legal and professional awareness and responsibility in self and others as an associate degree nurse and as a member of the health care delivery team.

9. Serve as an advocate for the individual, family or groups of all ages, and the nursing profession.

DATE / STUDENT OBJECTIVES / THEORY / LAB/CLINICAL / EVALUATION
4/5/06 /
  1. Analyze what is meant by the image of nursing.
  2. Describe different sociologic models that characterize “professionalism.”
  3. Discuss the impact of change on self and others.
  4. Identify potential threats to your health and well-being.
  5. Identify strategies for self-care.
  6. Formulate a plan of care for yourself that is based on identified deficits in self-care.
  7. Discuss collective bargaining.
  8. Identify positive and negative aspects of collective bargaining.
  9. Analyze conditions that may lead nurses to seek collective bargaining.
/ Lecture and Class Discussion
Required reading:
Zerwekh – Chapter 9
Blanchard (1998). Who Moved My Cheese?
Zerwekh – Chapter 25
Zerwekh – Chapter 18 / Discuss potential or real threats to personal health and well-being in journal entries.
Reflect on self-care strategies in journal entries. / Unit III Online
Discussion Question #1
due by 4/14 midnight
In class Change Presentation4/5/06
“I Made a Difference” Paper due 5/17/06
Clinical Evaluation Tool

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NURS273/06Revised 1/11/2019