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University of Maine School of Nursing

NUR 103 Foundations of Nursing Practice II

Spring 2018

Course Description:

This course will introduce students to foundational concepts of professional nursing practice. Students will begin to develop the knowledge, skills and attitudes required to meet selected core competencies as identified by the Quality and Safety Education for Nurses (QSEN) initiative. These core competencies include patient-centered care, quality improvement, evidence-based practice, interprofessional teams, and informatics. Standards of professional nursing practice are incorporated into the course including those from the American Nurses Association (ANA); the American Association of Colleges of Nursing (AACN) and the Maine State Board of Nursing (MSBN). Theoretical discussions and case studies will be used to assist students in acquiring the knowledge to develop clinical decision-making skills.

Credits: 3 credits

Prerequisites: Nursing major, minimum cumulative GPA of 2.5, and no less than a grade of “C” in BIO 100 or BMB 207 and 209

Faculty: Nilda T. Cravens, RN, MSN, Lecturer,

Dunn Hall, Room 222

Tel: 581-2593

Email:

Office hours: Monday, 11AM- 3:00 PM EST

Teaching Assistant: Haley Kay, RN, BSN

Email:

Required Text:

Finkelman, A. & Kenner, C. (2016) Professional Nursing Concepts: Competencies for Quality Leadership. 3rd Edition. Boston: Jones & Bartlett Publishers.

There is a copy of this book in the Learning Resource Center (LRC) in Dunn Hall, first floor, for students to use. The book cannot be signed out of the LRC.

Course Infrastructure & Access:

This class will be taught through the Blackboard system. Every effort will be made to make the course accessible to those with dial-up connections. A list of University of Maine System sites with free computer access can be provided on request

Computer Literacy Requirements:

Basic computer skills are required. Students will require reliable access to a computer, know how to turn the computer on and reboot when necessary. They will know how to use the Internet and how to access Blackboard. They will know how to send and retrieve e-mail messages and send attachments via e-mail. Course information will be transmitted using the Blackboard course site.

Hardware, Software and Bandwidth Requirements:

Students will need reliable access to a reasonably fast computer (i.e. one purchased or upgraded within the last 2 – 3 years), software programs that provide access to the Internet and Blackboard, and an Internet connection at 300K broadband speed or higher allowing you to view the video streaming podcasts.

Course Location:

The course is offered online through Blackboard. The course website is:

Technical Support:

Call Help Line 1-877-947-4357 or 207-581-4591during the following hours: Monday-Thursday 8 AM-7PM; Friday 8AM- 5PM. Nights, weekends, school breaks and holidays -Please send email to

Importance of Time Management:

Unlike courses that meet in an on-campus lecture hall or laboratory, on-line courses offerstudents flexibility. Good time management skills are particularly important for an on-line course.

Involvement and participation is vital to your individual success and to the success of the course. Involvement requires regular (at least weekly) access to the course website and active engagement in the part of the students. Each week will have assignments that are due by Sunday at midnight.

Student Learning Outcomes: After successful completion of this course, students will be able to:

1.Define holistic and patient-centered nursing care.

2.Become familiar with the national health objectives and Healthy People 2020.

3.Identify primary, secondary and tertiary disease prevention strategies.

4.Identify the relationship between self-care and professional role.

5.Obtain greater understanding of culture and its impact on health and healthcare delivery.

6.Define health literacy and begin to develop strategies to address health literacy.

7.Describe the role of the nurse as a patient advocate.

8.Discuss the importance of health policies in promoting population health.

9.Define informatics and examine its application in nursing.

10.Define the concept of quality improvement.

11.Describe the roles of the inter-professional health care team.

12.Explore basic concepts of global health and identify the eight Millennium Developmental Goals.

Grading and Course Expectations

Determination of Course Grade: Percent of Total Grade

  1. Participation in Discussion Board (total of 5 graded) 20%
  2. Knowledge check quizzes (total of 5) 20%
  3. Exam (total of 3) 60%

Description:

  1. Participation in the Discussion Board: Students will be divided into groups for the Discussion Board starting in Week 2. There will be a total of 5 graded Discussion Board forums. Week 1 introduction is not graded. Participation is graded by submitting work on time (Sunday by midnight), answering fully the prompt questions and by responding to two peers. Students will have up to Tuesday (midnight) of the following week to respond to two peers.Appendix A has the rubric for grading the Discussion Board.
  1. Knowledge Check Quizzes: There are 5 knowledge check quiz, each worth 4 points. The quiz are short answer questions. Student must complete the quiz by Sunday midnight of the assigned week (see Course Contentin pages 5-7). If a student fails to complete the quiz by the assigned date or time, he/she will automatically receive a 0 grade.
  1. Exams: The exams will be available online and will be available to students from 8 AM to 10 PM on the assigned date. See Course Content for dates of exams.

Faculty should be notified as soon as possible if a student is unable to take the exam at the assigned date or time. If there is a medical reason, or a family emergency (such as a family funeral or a ER visit by a spouse or child) that the student can provide proof of, the faculty will offer an alternative date and time to take the exam. Otherwise, there will be no make-up exams if a student fails to take the exam at the assigned date and time, and a grade of “0” will be awarded resulting in failure of the course.

Blackboard will randomly select questions for each student from a pool of questions. Each student will have a different exam and it is expected that students will take the exam individually and not a group. The exams are not open book and students are expected to adhere to the academic honesty policy below.

In order to pass the course, students must obtain an average of 77 when all 3 exams grades are combined.

Late Assignments:

All due dates for assignments are due on Sunday by midnight. Guidelines and due dates for assignments are set forth belowin the course content. It is the student’s responsibility to keep track of due dates for assignments and quizzes.

Any students having difficulty with the content or due date for assignments is encouraged to meet with the course faculty to develop a mutually agreed plan to meet course requirements.

Academic honesty:

Academic honesty is very important. It is dishonest to cheat on exams, to copy term papers, to submit papers written by another person, to fake experimental results, or to copy or reword parts of books or articles into your own papers without appropriately citing the source. Students committing or aiding in any of these violations may be given failing grades for an assignment or for an entire course, at the discretion of the instructor. In addition to any academic action taken by an instructor, these violations are also subject to action under the University of Maine Student Conduct Code. The maximum possible sanction under the student conduct code is dismissal from the University.

Accessibility statement:

If you have a disability for which you may be requesting an accommodation, please contact Student Accessibility Services, 121 East Annex, 581.2319, as early as possible in the term. Students who have already been approved for accommodations by SAS and have a current accommodation letter should meet with the faculty (Nilda Cravens) privately as soon as possible.

Sexual violence policy:Sexual Discrimination Reporting

The University of Maine is committed to making campus a safe place for students. Because of this commitment, if you tell a teacher about an experience of sexual assault, sexual harassment, stalking, relationship abuse (dating violence and domestic violence), sexual misconduct or any form of gender discrimination involving members of the campus, your teacher is required to report this information to the campus Office of Sexual Assault & Violence Prevention or the Office of Equal Opportunity.

If you want to talkin confidence to someone about an experience of sexual discrimination, please contact these resources:

For confidential resources on campus: Counseling Center: 207-581-1392 or Cutler Health Center: at 207-581-4000.

For confidential resources off campus:Rape Response Services: 1-800-310-0000 or Spruce Run: 1-800-863-9909.

Other resources:The resources listed below can offer support but may have to report the incident to others who can help:

For support services on campus: Office of Sexual Assault & Violence Prevention: 207-581-1406, Office of Community Standards: 207-581-1409, University of Maine Police: 207-581-4040 or 911. Or see the OSAVP website for a complete list of services at

Course Schedule Disclaimer:

In the event of an extended disruption of normal classroom activities, the format for this course may be modified to enable its completion within its programmed time frame. In that event, you will be provided an addendum to the syllabus that will supersede this version of the syllabus.

Coursecontent:

Week / Concept / Readings/Assignments
Week 1 (Jan. 22-28) / Course Overview;
Patient -Centered Care / Read:
  1. Textbook: Finkelman & Kenner: Chapter 1 (read only pages 8-10 on Florence Nightingale), and Chapter 9 (read only pages 270-282 on patient- centered care and consumerism)
  2. Journal article:“Expanding our Nightingale Horizons: Seven Recommendations for 21st Century Nursing Practice”.
Watch lecture recording: Week 1
Knowledge check quiz
Discussion Board- Introductions
Week 2 (Jan. 29- Feb 4) / Cultural Competence / Read:
  1. Textbook: Finkelman & Kenner, chapter 9 (read only pages 282 -287)
  2. Journal article: “Broaden your cultural base” and “Cultural Competent Nursing Care and Promoting Diversity in Our Nursing Workforce”.
Watch lecture recording: Week 2
Discussion Board: Case study #1
Week 3 (Feb. 5-11) / Health Literacy / Read:
  1. Textbook: Finkelman & Kenner, chapter 9 (read only 292-295 start at Self-Management of Care)
  2. Journal article: “Help your patient ‘get’ what you just said: A health literacy guide.”
Watch: Health Literacy and Patient Safety: Help Patients Understand”
Watch lecture recording: Week 3
Knowledge check quiz
Week 4 (Feb. 12-18) / Health Promotion and Disease Prevention / Read:
  1. Textbook:Finkelman & Kenner, Chapter 7 ( read only pages 197-218)
Watch Lecture recording: Week 4
Discussion Board
Week 5 (Feb. 19-25) / Professional Role: Self Care of the Nurse / Read :
  1. Journal articles: “Creating a Caring Work Environment and Fostering Nurse Resilience”
Watch lecture recording: Week 5
Watch TED talks: “Why we all need to practice emotional first aid”, and “How to make stress your friend”
EXAM 1: Friday, Feb. 23rd
Week 6 (Feb. 26- Mar. 4) / Ethical and Legal Concerns of Nursing Practice / Read:
  1. Textbook: Finkelman & Kenner, Chapter 6 (pages 173-191)
  2. Journal article: “Nursing Students Use of Electronic and Social Media: Law, Ethics and E-Professionalism”
  3. NSNA Code of Academic and Clinical Conduct.
Watch lecture recording: Week 6
Discussion BoardCase study #2
Week 7 (Mar. 5-11) / Nurses Role in Patient Advocacy and
Health Policy / Read:
  1. Textbook: Finkelman & Kenner, Chapter 5 (pages 149-165)
Watch video: “Health Insurance Explained- the You Toons have it covered”
Watch lecture recording: Week 7
(March 12-18) / SPRING BREAK
Week 8 (Mar. 19- 25) / Healthcare Delivery System / Read:
  1. Textbook: Finkelman &Kenner, Chapter 8 ( pages 233-261)
Watch videos: “Accountable Care Organizations: The Pioneer ACO model”; “Patient Centered Care Model”.
Watch lecture recording: Week 8
Knowledge check quiz
Week 9 (Mar. 26-Apr. 1) / Interprofessional Team and Delegation
(Teamwork and Collaboration) / Read:
  1. Textbook: Finkelman & Kenner, Ch. 10 (pages 307-339)
Watch lecture recording: Week 9
Watch theyoutube videos: “Collaboration Across Professions Improves Patient Outcomes”, “SBAR”, and “Team Stepps”
Discussion Board Case Study #3
Week 10 (Apr. 2-8) / Evidence-Based Practice / Read:
  1. Textbook: Finkelman & Kenner, Chapter 11 ( pages347-369)
  2. Journal article: Bias in Research
Watch lecture recording: Week 10
Watch the video: “ Viva la Evidence”; “How to use the PICO question to form a clinical question”
EXAM 2: Friday, April 6
Week 11 (Apr. 9-15) / Quality Improvement and Safety / Read:
  1. Textbook: Finkelman & Kenner, Ch. 12 ( pages377-406)
Watch you tube videos:
“Why nurses are key to preventing never events”
“Sentinel event sparks action: John Hopkins case study”
“Quality improvement in healthcare”
Watch lecture recording: Week 11
Week 12 (Apr. 16-22) / Nursing Informatics / Read:
  1. Textbook: Finkelman & Kenner, Chapter 13 (pages 417-442)
Watch lecture recording: Week 12
Watch the video “Health IT For You: Giving You Access to Your Medical Records”; “The path to Interoperability”
Knowledge check quiz
Week 13 (Apr 23-29) / Global Health: / Read:
1. “ Nursing and Global Health”
Watch lecture recording: Week 13
Watch videos: “A look at the Sustainable Developmental Goals”; “We the People for the Global Goals”
Discussion Board: Case Study 4
Week 14 (Apr 20- May 4) / Nursing Workforce / Read:
  1. Textbook: Finkelman & Kenner, Chapter 14 ( pages 451-481)
Watch lecture recording: Week 14
Watch videos: “The Future of Nursing: Campaign for Action”; “I am a Nurse”
Knowledge check quiz
Week 15 / Final’s Week / EXAM 3: Wed., May 9

Appendix A

Rubric for participation in Discussion Board

Levels of Achievement / Needs improvement / Competent
Reflection
Total points: 2 / Points: 0-1
Student’s response answers the prompt partially. Response demonstrates minimal reflection.
Writing is unclear, and disorganized. / Points: 1-2
Student’s response fully answers the prompt question. Response demonstrates reflection and insight.
Writing is clear and organized.
Response to peers
Total points: 1 / Points: 0- .5
Does not respond to peers within the group assigned (0 point) or responds to one peer only within the time frame assigned (.5 point) / Points: 1
Responds to two peers within the time frame assigned.
Timeliness
Total points: 1 / Points: 0-1
.5 points deducted/day. / Points: 1
Submit works by due date