Nurs 4211 Current Issues in Nursing Winter Term 2013 course description



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NURS 4211 Current Issues in Nursing

Winter Term 2013

COURSE DESCRIPTION: This course will take a look at all the current issues that are presently affecting the Nursing Profession today. This course will follow a writing intensive and seminar type class. Students will be able to present current issues and, by using critical thinking, will be able to voice their opinions concerning the issues. As part of this course and in preparation for NCLEX-RN students will be required to take a comprehensive assessment exam and will be required to pass this exam prior to graduation from the nursing program.
CREDIT: 2 Credit Hours (3 hrs. class/week)
PROGRAM LEVEL: III
TEXTBOOKS:

American Psychological Association (2001). Publication Manual of the American Psychological Association. (5th Edition). Chicago: APA

Cowen, P. S. & Moorhead, S. (2011). Current Issues in Nursing. (8th Edition). St. Louis: Mosby.
Course Coordinator: , BS, BSN, MSN, RN

mcarson.antoon@gmail.com, (409) 651-2510 (TEXT ONLY between 9 am and 4 pm CST M-Th)
Office hours: online by appointment
COURSE OBJECTIVES: At the end of this course, the student will be able to:


  1. Define roles and responsibilities of staff nurses in hospitals, clinical nurse specialists, nurse practitioners, nurse executives, nursing faculty, and nurse researchers.

  2. Identify nursing education in transition, the future of nursing education, and educational challenges.

  3. Discuss the changes occurring in nursing practice today.

  4. Discuss the changes occurring in health care to include: quality improvement, governance, health care systems, and health care costs.

  5. Look at current issues facing nursing and discuss their viewpoint and back them up with references.

  6. Identify an issue facing nursing and the health care field and present them to the class for debate purposes.



Class Participation: This course has a strong seminar approach allowing all students equal time to present their views and opinions to the discussions occurring in the classroom. All students are expected to participate in all discussions.
Current Issue Paper: Each student will write a paper on a current issue. The student may choose an issue that is of interest to them with final approval from the instructor. This paper will describe the issue, discuss the history of the issue, tell the pros and cons of the issue, and summarize with the students position on the issue. This paper is worth 50% of your grade and your grade is not based on your stance on the issue.
Grading Criteria for Current Issue Paper:
Description of the issue 25%

Description of the history of the issue 25%

Description of the Pros and Cons 25%

Description of your position 15%

Grammar and punctuality 5%

APA Format 5%

Total 100%
Current Issue Presentation: Each student will present their issue covered in their paper to the class in the designated discussion forum. In addition to uploading your paper to the discussion forum, the student will encourage and stimulate discussion regarding the pros and cons, as well as the students position on the topic with the rest of the class. This presentation is worth 25% of your grade and your grade is not based on your stance on the issue.


Grading Criteria for Current Issue Presentation:
Description of the issue 25%

Description of the pros and cons 25%

Discussion of your position 25%

Summary of the issue 15%

Presentation 10%

Total 100%




Grading for Discussion Forums:

25% of your grade will be based on your substantial participation in the discussion forums each week. Students are required to log in a minimum of 3 days a week and participate by adding new, documented research, or by challenging an existing contribution to the discussion forum.



Week

Date









Orientation & Unit 1: Definitions of Nursing






Unit 2: Changing Education






Unit 3: Changing Practice






Unit 4: Governance






Unit 5: Health Care Systems






Unit 6: Role Challenges, Collaboration, and Conflict






Unit 7: Cultural Diversity






Unit 8: International Nursing






Presentations






Presentations






Presentations

NOTE: Class schedule may be adapted/changed for faculty, school, or Dean needs.

Class Attendance


  1. The student must attend the class(es) for which he/she is enrolled. Attendance will be taken through the students participation in the discussion forums. Each student is expected to interact substantially in the discussion forums by posting new and interesting, well researched, information, or by challenging an existing thought.

  2. A student enrolled at Wayland Baptist University must log in and participate in the discussion forums at least 3 days per week.

  3. Final Grades will be determined by class participation and current issue paper/presentation


Course Outline
Unit 1: Definitions of Nursing

Unit 2: Changing Education

Unit 3: Changing Practice

Unit 4: Governance

Unit 5: Health Care Systems

Unit 6: Role Challenges, Collaboration, and Conflict

Unit 7: Cultural Diversity

Unit 8: International Nursing



Unit 1: Definitions of Nursing


Unit Objectives

Student Assignments

Learning Activities

  1. Discuss what is nursing as viewed by the public, the legal system and the discipline.

  2. Define staff nurses working in hospitals, who they are, what they do, and what are their challenges.

  3. Define clinical nurse specialists, who they are, what they do, and what their challenges are.

  4. Define nurse practitioners, who they are, what they do, and what are their challenges.

  5. Define nurse executives and the challenges they face in a rapid changing health care system.

  6. Discuss the nursing faculty shortage, the graying of the profession, and the decline in interest in an academic career.

  7. Examine the significant and dynamic changes in society that create a challenge for nurse educators when preparing nurses to practice in today’s world.

  8. Define nurse researchers, who they are, what they do, and what are their challenges.



Read Cowen, Chapter 1, pp 5-10, Chapter 2, pp 11-16, Chapter 3, pp 17-23, Chapter 4, pp 24-32, Chapter 5, pp 33-37, Chapter 6, pp 37-44, Chapter 7, pp 45-53.

Lecture and discussion

Case studies.





Unit 2: Changing Education


Unit Objectives

Student Assignments

Learning Activities

  1. Discuss the future of nursing education.

  2. Describe the current educational models.

  3. Discuss the current educational models in relation to being sufficient for future health care needs.

  4. Describe the current nursing shortage.

  5. Focus on whether society should be looking on the number of nurses or the level of education of the nurse.

  6. Discuss quality and safety in relation to care for patients.

  7. Identify tow new models of nursing: the Clinical Nurse Leader, and the Doctor of Nursing Practice.

  8. Examine the educational challenges facing nursing and the quality of the graduate nurse produced.

  9. Understand the international graduate nursing education and where it was and where it is now.

  10. Define critical thinking and how faculty should evaluate critical thinking of their students and graduates.

  11. Discuss the Collaborative Nursing Program and the key collaborative participants and the characteristics.

  12. Explore partnership development between an established academic nursing program and two separate, service-based clinical programs housed within a neighboring university and a large health care service provider organization.

  13. Understand how standardized terminologies and integrated information systems foster the development of nursing knowledge.

  14. Identify some of the challenges and opportunities facing those involved in nursing education in the area of using online learning to provide quality education.

  15. Provide evidence that supports the growth of on-line learning to summarize the best practices in Web-based education.

  16. Examine satisfaction and quality of online courses.

Read Cowen, Chapter 8, pp 57-67, Chapter 9, pp 68-85, Chapter 10, pp 86-92, Chapter 11, pp 93-99, Chapter 12, pp 100-104, Chapter 13, pp 105-111, Chapter 15, pp 123-133, Chapter 16, pp 134-138, Chapter 17, pp 139-145.

Lecture and discussion.

Case studies.





Unit 3: Changing Practice


Unit Objectives

Student Assignments

Learning Activities

  1. Describe how the delivery of health care has moved from the hospital to the home.

  2. Discuss the issues involved in moving health care out of the hospital and into the home or community.

  3. Explore the interrelationships of universal and intraagency issues and their impact on the practice of adult health nursing.

  4. Examine the recent changes and current issues in the use of alternative and complementary therapies.

  5. Identify definitional aspects of the ambulatory care nursing role and identify several of the issues facing nurses in this practice field.

  6. Understand the recent changes and current issues occurring in Gerontological nursing.

  7. Understand the recent changes and current issues occurring in hospice and palliative care.

  8. Understand the recent changes and current issues occurring in hospice and palliative care.

  9. Understand the recent changes and current issues occurring in hospice and palliative care.

  10. Understand the recent changes and current issues occurring in hospice and palliative care.

  11. Understand the recent changes and current issues occurring in Perioperative nursing care.

  12. Understand the recent changes and current issues occurring in Psychiatric nursing care.

  13. Understand the recent changes and current issues occurring in Forensic nursing.

  14. Describe briefly the disease management industry, identify common core competencies needed to perform disease management, and determine strategies for preparing nurses for this demanding new profession.




Read Cowen, Chapter 18, pp 146-158, Chapter 19, pp 1159-166, Chapter 20, pp 167-170, Chapter 21, pp 171-182, Chapter 22, pp183-191, Chapter 23, pp 192-197, Chapter 24, pp 198-203, Chapter 25, pp 204-211, Chapter 26, pp 212-218, Chapter 27, pp 219-224, Chapter 28, pp 225-234, Chapter 29, pp 235-251, Chapter 30, pp 252-259.

Lecture and discussion.

Role playing





Unit 4: Governance


Unit Objectives

Student Assignments

Learning Activities

  1. Discuss the use of unalicensed assistive personnel to deliver patient care.

  2. Understand the ever changing transitions that occur in leadership in acute care hospitals.

  3. Describe nursing employment issues: unions, mandatory overtime, and patient/staff ratios.

  4. Identify shared governance models in nursing and discuss what is shared, who governs, and who benefits.

Read Cowen, Chapter 37, pp 322-331, Chapter 38, pp 332-339, Chapter 39, pp 340-347, Chapter 40, pp 348-361.

Lecture and discussion.


Unit 5: Health Care Systems


Unit Objectives

Student Assignments

Learning Activities

  1. Describe how the health care delivery system could go from a medical care system for a few to a comprehensive health care system for all.

  2. Understand how emerging business coalitions within and related to the delivery, financing, and shaping of health care for the coming years affect nurses individually and collectively.

  3. Discuss the Corporatization of Health care through mergers and acquisitions.

  4. Discuss the pros and cons of contracting for nursing services.

  5. Describe the ideology of magnet designation and the gold standard for nursing excellence.

  6. Identify issues surround how to control health care costs and determine if there is an answer.

  7. Understand managed care, prospective payment, and reimbursement trends and it’s impact and implications for nursing.

  8. Discuss the cost of home health care and the changes and challenges that it faces.

  9. Describe the impact of the Health Insurance Portability and Accountability Act.

Read Cowen, Chapter 41, pp 362-370, Chapter 42, pp 371-380, Chapter 44, pp 390-399, Chapter 46, pp 407-411, Chapter 47, pp 412-415, Chapter 48, pp 418-428, Chapter 49, pp 429-448, Chapter 50, pp 449-454, Chapter 52, pp 469-474.

Lecture and discussion.


Unit 6: Role Challenges, Collaboration, and Conflict


Unit Objectives

Student Assignments

Learning Activities

  1. Discuss collaboration issues between nurses and physicians.

  2. Focus on the role of feminism in nursing and reclaiming the vision of Florence Nightingale.

  3. Analyze the factors that suppress nurses’ voice and of the significance of the choice nurses make with regard to making their voices heard.

  4. Explore collaboration within the context of health professions education and describe the evolution of long-term collaborative relationships at East Tennessee State University among health professions faculty and students and with regional communities.

  5. Reflect on conflict resolution in Nursing and the implications of negotiating at an uneven table.

Read Cowen, Chapter 54, pp 482-483, Chapter 55, pp 499-505, Chapter 56, pp 506-511, Chapter 57, pp 512, Chapter 58, pp 520-531.

Lecture and Discussion.



Unit 7: Cultural Diversity


Unit Objectives

Student Assignments

Learning Activities

  1. Examine the complexity of racism in American social history and the educational environment in which nursing professionals learn and develop.

  2. Explore minority representation in Nursing and discuss whether cultural competency in Nursing is achievable and if so when.

  3. Discuss men in nursing.

  4. Discuss blacks in nursing.

  5. Discuss Asians and Pacific Islander in Nursing.

  6. Discuss Hispanics/Latinos in nursing.

  7. Discuss American Indians in nursing.

Read Cowen, Chapter 59, pp 532-543, Chapter 60, pp 544, pp 544-558, Chapter 61, pp 559-568, Chapter 62, pp 569-577, Chapter 63, pp 578-585, Chapter 64, pp 586-592, Chapter 65, pp 593-607.

Lecture and discussion.


Unit 8: International Nursing


Unit Objectives

Student Assignments

Learning Activities

  1. Describe nursing in Southern Africa including an overview of Health Care, Nursing Education, and Practice.

  2. Describe nursing in Canada including an overview of Health Care, Nursing Education, and Practice.

  3. Describe nursing in Britain including an overview of Health Care, Nursing Education, and Practice.

  4. Describe nursing in Japan and how this country has met the health care challenges of the Twenty-First Century.

  5. Describe nursing in Latin America including an overview of health care, Nursing Education, and Practice.

  6. Describe nursing in Russia including an overview of health care, Nursing Education, and Practice.

  7. Describe nursing in the Gambia including an overview of health care, Nursing Education, and Practice.

Read Cowen, Chapter 85, pp 784-787, Chapter 86, pp 788-795, Chapter 87, pp 796-803, Chapter 88, pp 814-820, Chapter 89, pp 821-827, Chapter 90, pp 828-842, Chapter 91, pp 843-851.

Lecture and discussion.


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