GREAT BASIN COLLEGEASSOCIATE OF APPLIED SCIENCE DEGREE NURSING PROGRAM

NURS 261 SPRING 2011NURSING TRENDS

COURSE SYLLABUS1 CREDIT ONLINE THEORY COURSE

I. GENERAL INFORMATIONA. Catalog Description: Focuses on transition from student to registered nurse and the

role of the associate degree nurse as a member of the nursing profession. Legal and ethical aspects will be discussed as well as present and future trends in nursing service and education.

One credit theory. Offered spring semester only. Prerequisites: Admission to the nursing program.

B. Instructor:Tamara Gailey,MSN, RN 753-2004 (O)

934-7432 (C)tamarag@gwmail.gbcnv.edu

Office: Health Science Building Room 118

I will be checking my email daily, and will respond to most emails within 24 hours. On weekends or holidays, however, my response may take longer than 24 hours.

C. Office Hours:TBA

Available by appointment, also.

D. Schedule:Theory course: January 24 – March 20, 2011

II. REQUIRED TEXTS

o Zerwekh, J. & Claborn, J. (2009). Nursing today: Transition and trends. (6th ed.) St. Louis, MO: Saunders/Elsevier.

III. REQUIRED VIDEOS

NONE

IV. ATTENDANCE POLICY

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Students are expected to interact with classmates online in a discussion format on a weekly basis. If any guest speakers are scheduled for course enhancement, students are also expected to attend these forums.

V. METHOD OF INSTRUCTION

This course uses an online (WebCampus) format consisting of primary and secondary discussion postings. All work is based on required textbook reading assignments and journal article research made available through the GBC library or through the Internet.

Students will have a total of eight (8) weeks to complete eight (8) Learning Modules. Students are expected to finish each Learning Module by contributing a brief summary of 200-300 words regarding a chosen journal article relating to the topic of each module (i.e., Primary Response). Students are also expected to contribute at least ONE substantive response to someone else’s summary (i.e., Secondary Response). All articles must be referenced in APA format.

VI. EVALUATION

A. Participation/Contribution 200 Total Points PossibleThe primary and secondary responses are graded according to the Online Discussion rubric posted on Web Campus. Up to 25 points per module can be earned based on research article choice, substance of primary response, APA format, and substance of secondary response.

The topics of discussion related to nursing trends have no right or wrong answers but will give us the opportunity to discuss issues you will encounter as a registered nurse. We will focus on positive aspects of topics in order to develop strategies that you can use as proactive ways of dealing with issues.

B. Nursing ArticlesA portion of your weekly points is based on research article choice and summary. Use recent nursing periodicals only (2006-2011). For Unit II and III, non-nursing current periodicals may be used. Please, do your own research and article selection each week. The article topics can be determined by reading the required Zerwekh chapters listed in each Unit of your syllabus. Citation of your chosen article in correct APA format is required.

C. Written Assignments 300 pointsA resume (150 points) and cover letter (150 points) will be completed by each student. See the guidelines for each on the Nursing Trends WebCampus site. The standard for this assignment is very high. You are a professional and you need to

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define your own personal and career goals. A resume and letter will project your image and illustrate your educational background, previous employment, and accomplishments to your potential employer.

V. GRADING POLICY AND CRITERIA FOR NURS 261:

The course grade will be based on a percentage of total possible points (500) earned according to the following scale:

A = 100 – 94.00 C = 76.00-76.99A- = 93.99 – 90.00 C- = 75.99 – 70.00B+ = 89.99 – 87.00 D+ = 69.99 – 67.00B = 86.99 – 84.00 D = 66.99 – 64.00B- = 83.99 – 80.00 D- = 63.99 – 60.00C+ = 79.99 – 77.00 F = Below 60.00

Nursing students must maintain a final course grade of 76 or better to remain in the program. It is the student’s responsibility to know his/her grade point average throughout the semester. Refer to Student Handbook for nursing program policies.

Due dates and times: ALL primary responses are due by 11:59 pm, Thursday of each week. All secondary responses are due by 11:59 pm, Sunday of each week. Due dates for your Resume assignments are as followed:

Cover letter and Resume Rough draft: February 13, 2011Cover letter and Resume Final draft: March 6, 2011

**All assignments are due on the date specified by the instructor. Late assignments will be worth 50% of the actual grade. If an assignment is more than one week late, a zero will be given for the assignment. Late assignments are required to be completed and turned in to the instructor. (See Student Nurse Handbook)

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.

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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

GREAT BASIN COLLEGEASSOCIATE 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.

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 PRATICEAn informed approach to one’s practice that uses problem-solving methods that integrate best research evidence, reflection, client preference and values, and clinical expertise.

ES-4 CULTURAL COMPETENCEThe provision of nursing care that meets the individual’s valued life patterns and set of meanings.

CRITICAL BEHAVIORS

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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-COLLABORATIONIntentional 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-LEADERSHIPThe 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 261

NURSING TRENDS

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ADN PROGRAM OUTCOMES

NURS 261 EXPECTED 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. Utilize the nursing process and knowledge of basic human needs to promote adaptation for individuals, family or groups in the changing healthcare system.2. Employ therapeutic communication techniques when interacting with individuals, family or groups and members of the health care team to understand changes in the healthcare system.3. Formulate culturally appropriate interventions that assist the individual, family or groups when dealing with healthcare issues.

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:

4. Provide information for the individual, family or groups utilizing critical thinking and appropriate content and teaching strategies when dealing with healthcare issues.

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

As a Manager of Care:

5. Work in collaboration with members of the healthcare team to plan, provide and evaluate individual care.6. 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.

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keeping with the organizational goals and mission of the settings in which that care is provided.

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:

7. Analyzes the ethical, legal and professional role, accountability and responsibility of the Associate Degree Nurse within a variety of health care settings.8. Demonstrates accountability for self in the role of the student nurse and future member of the profession through competency in the ability to access available resources for continued learning.

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:

9. Serves as an advocate for individuals, families, and groups to promote an active and informed participation in their healthcare.10.Analyzes appropriate resources when individuals, families, and groups are unable to act in their own best interest.

NOTE: The instructor reserves the right to change certain aspects of the course syllabus, such as the schedule of assignments, grading procedures, or course materials. However, no changes will be made without informing class members in a timely and clear manner It is not anticipated that there will be major changes in the content of this syllabus.

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GREAT BASIN COLLEGEASSOCIATE DEGREE NURSING PROGRAM

COURSE SCHEDULE

DATE ASSIGNMENT DISCUSSION TOPICUNIT 1

January 24 – 30, 2011

Zerwekh, Nursing Today, (6th Ed). “Historical Perspectives: Influence of the Past” – Chapter 6

Zerwekh, Nursing Today, (6th ed.) “Image of Nursing” – Chapter 9

Zerwekh, Nursing Today, (6th Ed). “Nursing Informatics” – Chapter 23

Choose from one or more of the following for discusion:

o Historical versus present nursing perspectives

o Historical versus present influences on the nursing profession

o Contemporary nursing roles and image

o Predictions of future methods of healthcare delivery

o Past, present, future impacts of informatics in healthcare

UNIT II

Janurary 31 – February 6, 2011

Zerwekh, J., Nursing Today; “Employment Considerations: Opportunities, Resumes, and Interviewing” – Chapter 4

Choose from one or more of the following for a topical article and discussion:

o The important elements of a resume and why they are important

o The job interviewo Reasoning for a particular

job

UNIT III

February 7 – 13, 2011

Zerwekh, J. Nursing Today, “Challenges of Nursing Management” Chapter 10

Zerwekh, J. Nursing Today, “Effective Communication and Team Building” - Chapter 12

Cover Letter and Resume rough drafts due February

13th.

Choose from one or more of the following for a topical article and discussion:

o The characteristics and skills of a good leader and why

o Current &/or past trends related to workplace conflict, teamwork, teamwork in healthcare, effective workplace, and/or communication

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UNIT IV

February 14 – 20, 2011

Zerwekh, Nursing Today; “Ethical Issues”- Chapter 19

Recommended video:Video – Code Gray: Ethical Dilemmas in Nursing – 30 minutes – Optional (available at GBC Health Sciences Dept.)

Reference:www.leg.state.nv.us

Choose from one or more of the following for a topical article and discussion:

o Ethical issues in healthcare

o Role of nurse in ethical care issues

o Ethical decision-making process

UNIT V

February 21- 27, 2011

Zerwekh, Nursing Today, “Nursing Education” – Chapter 7; “NCLEX – RN and the New Graduate” – Chapter 5

References:www.nursingboard.state.nv.us

www.nsna.org

www.ana.org

Choose from one or more of the following for a topical article and discussion:

o Career laddero Duties of the NSBNo Nurse Practice Acto Mutual recognition of

your registered nursing license.

UNIT VI

February 28 - March 6, 2011

Zerwekh, Nursing Today, “Collective Bargaining: Traditional and Non-Traditional Approaches” – Chapter 18

Reference:http://www.seiu.org/index.cfm

Zerwekh, J. Nursing Today, “Political Action in Nursing” – Chapter 17

Choose from one or more of the following for a topical article and discussion:

o unionization/collective bargaining in nursing or healthcare

o political influences in health care &/or nursing.

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Final versions of Cover Letter and Resume due

March 6th.UNIT VII

March 7 – 13, 2011

Zerwekh, Nursing Today; “Legal Issues” - Chapter 20

Reference:www.leg.state.nv.us

Choose from one or more of the following for a topical article and discussion:

o Sources of and differences between certain law types

o Negligence and malpractice

o Potential nursing risks and at risk behaviors

UNIT VIII

March 14 – 20, 2011Zerwekh, J. Nursing Today; (6th ed.) “Role Transitions” - Chapter 1

Zerwekh, J. Nursing Today; “Personal Management: Time and Self-Care Stategies” – Chapter 2

Zerwekh, J.; Nursing Today; “Mentoring and Preceptorships” – Chapter 3

Choose from one or more of the following for a topical article and discussion:

o Student, graduate nurse, registered nurse transitions

o Promotional methods for transitions

o Self-care considerationso Mentoring and mentoring

relationships

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LEARNER OUTCOMES AND MEASUREMENT

UNIT I: OVERVIEW OF NURSING: PAST- PRESENT- FUTURE

Required Readings and References:

Zerwekh, Nursing Today: “Historical Perspectives: Influence of the Past” – Chapter 6 Zerwekh, Nursing Today: “Image of Nursing” – Chapter 9

Zerwekh, Nursing Today: “Nursing Informatics” – Chapter 23

Applicable Course Outcomes: 1, 2, 3, 4, 8, 9

Assessment, Measurement, & Evaluation of Learner Outcomes:

Online DiscussionTopical Article Selection

Learning Objectives:

1. Summarize major events, developments, and struggles in nursing history.2. List major factors influencing healthcare and provision of nursing services since World War

II.3. Discuss contemporary nursing roles and the image of nursing in the 21st century.4. Make some predictions about the delivery of healthcare in the 21st century.5. Discuss Pavalko’s eight dimensions to describe a profession.6. Describe the image of nursing as portrayed in art, media, and literature.7. Identify nursing actions that convey a negative image of nursing.8. Suggest strategies that would enhance the image of nursing.9. Identify your image of nursing.10. Create an individualized plan to promote a positive image of nursing in practice.11. Define nursing informatics.12. Discuss future trends in nursing informatics.

UNIT II: YOUR NURSING CAREER: PREPARING FOR THE FUTURE

Required Readings and References:

Zerwekh, Nursing Today: “Employment Considerations: Opportunities, Resumes, and Interviewing” – Chapter 4

Applicable Course Outcomes: 2, 5, 7, 8

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Assessment, Measurement, & Evaluation of Learner Outcomes:

Online DiscussionTopical Article SelectionResume and Cover letter assignment

Learning Objectives:

1. Describe important parts of a resume.2. Review primary aspects of obtaining employment.3. Describe the essential steps involved in the interviewing process.4. Discuss typical questions asked by interviewers.5. Analyze your own priorities and needs in a job.6. Identify your own short-term career goals.

UNIT III: THE CHALLENGES OF NURSING MANAGEMENT

Required Readings and References: Zerwekh, J. Nursing Today:“Challenges of Nursing Management” Chapter 10 Zerwekh, J. Nursing Today: “Effective Communication and Team Building” - Chapter 12

Applicable Course Outcomes: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10

Assessment, Measurement, & Evaluation of Learner Outcomes:

Online DiscussionTopical Article SelectionResume and Cover letter assignment

Learning Objectives:

1. List characteristics of a good leader.2. Identify the characteristics of effective working groups.3. Identify individual leadership skills and approaches.

4. Discuss how current trends will affect your future nursing practice.5 Discuss team building and group problem solving.

UNIT IV: ETHICAL ISSUES

Required Readings and References: Zerwekh, Nursing Today:M “Ethical Issues”- Chapter 19

Recommended video:

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o Code Gray: Ethical Dilemmas in Nursing – 30 minutes – Optional (available at GBC Health Sciences Dept.)

Reference: www.leg.state.nv.us

Applicable Course Outcomes: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10

Assessment, Measurement, & Evaluation of Learner Outcomes:

Online DiscussionTopical Article SelectionResume and Cover letter assignment

Learning Objectives:

1. Define terminology commonly used in discussing ethical issues.2. Analyze personal values that influence approaches to ethical issues and decision making.3. Distinguish between the three commonly used systems of ethical decision making.4. Discuss the moral implications of the American Nurses Association and International

Council of Nurses Codes of ethics.5. Discuss advance directives and how they pertain to clients’ rights.4. Discuss the role of the nurse in ethical health care issues.6. Apply the steps in the ethical decision-making process in your nursing practice.

UNIT V: REQUIREMENTS FOR NURSING PRACTICE

Required Readings and References:

Zerwekh, Nursing Today: “Nursing Education” – Chapter 7; Zerwekh, Nursing Today: “NCLEX – RN and the New Graduate” – Chapter 5 References:

o www.nursingboard.state.nv.us

o www.nsna.org

o www.ana.org

Applicable Course Outcomes: 7, 8, 9, 10

Assessment, Measurement, & Evaluation of Learner Outcomes:

Online DiscussionTopical Article SelectionResume and Cover letter assignment

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Learning Objectives:

1. Compare and contrast the types of educational preparation for nurses.2. Discuss educational mobility in the nursing profession.3. Discuss advanced-practice nursing.4. Discuss the composition of the Nevada State Board of Nursing and it’s specific duties and

responsibilities.5. Relate the nurse practice act to the governance of your profession.6. Define mutual recognition R/T RN licensure.7. Review the process for NCLEX-RN testing and licensure.

UNIT VI: NURSING UNIONIZATION AND COLLECTIVE BARGAINING

Required Readings and References:

Zerwekh, Nursing Toda: “Collective Bargaining: Traditional and Non-Traditional Approaches” – Chapter 18

Zerwekh, J. Nursing Today: “Political Action in Nursing” – Chapter 17 Reference:

o http://www.seiu.org/index.cfm

Applicable Course Outcomes: 2, 5, 6, 7

Assessment, Measurement, & Evaluation of Learner Outcomes:

Online DiscussionTopical Article Selection

Learning Objectives:

1. Identify and discuss milestones in the history of collective bargaining.2. Compare traditional and nontraditional collective bargaining.3. Identify conditions that may lead nurses to seek traditional or nontraditional collective

bargaining.4. Identify and discuss the positive and negative aspects of traditional and nontraditional

collective bargaining.5. State rationale for individual and group involvement in the political process.6. List strategies needed to affect laws that govern the practice of nursing and the health care

system.UNIT VII: LEGAL ISSUES

Required Readings & References:

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Zerwekh, Nursing Today: “Legal Issues” - Chapter 20 Reference:

o www.leg.state.nv.us

Applicable Course Outcomes: 1, 2, 5, 6, 7, 8, 9, 10

Assessment, Measurement, & Evaluation of Learner Outcomes:

Online DiscussionTopical Article Selection

Learning Objectives:

1. Identify three major sources of laws.2. Explain the differences between various types of laws.3. Differentiate between negligence and malpractice.4. Explain the difference between an intentional and unintentional tort.5. Explain how standards of care are used in determining negligence and malpractice.6. Incorporate understanding of legal risks into your nursing practice and recognize how to

minimize these.7. Participate as a professional when dealing with nurses who are impaired or functioning

dangerously in the work setting.

UNIT VIII: THE TRANSITION FROM STUDENT TO GRADUATE TO REGISTERED NURSE

Required Readings & References:

Zerwekh, J. Nursing Today; “Role Transitions” - Chapter 1 Zerwekh, J. Nursing Today; “Personal Management: Time and Self-Care Strategies” –

Chapter 2 Zerwekh, J.; Nursing Today; “Mentoring and Preceptorships” – Chapter 3

Applicable Course Outcomes: 5, 6, 7, 8

Assessment, Measurement, & Evaluation of Learner Outcomes:

Online DiscussionTopical Article Selection

Learning Objectives:

1. Discuss the concept of transitions.2. Recognize the role transition from student to graduate to registered nurse.3. Identify the characteristics of reality shock.4. Identify times in your life when you have experienced a reality shock or role transition.

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5. Discuss methods to promote a successful transition.6. Discuss how burnout affects nurses.7. Identify strategies for self-care.8. Formulate a plan of care for yourself that is based on identified deficits in self-care.9. Describe the difference between mentoring, coaching, and precepting. 10. Identify characteristics of effective mentors.11. Discuss the types of mentoring relationships.

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