The University of Texas of the Permian Basin



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The University of Texas of the Permian Basin

BSN Nursing Program

NURS 3320, Section 001, Foundation of Nursing Practice

Spring 2015




Basic Information

Instructor: Jan Tinney
Email: tinney_j@utpb.edu

Office Location: UTPB, Mesa Building

Office Hours: TBA
Phone office: 432-552-2577



NURS 3320.001 Foundation of Nursing Practice



Semester Credit Hours: 3

Course Placement: Spring 2015

Course Pre-requisites: Nursing program acceptance per completion of admission requirements

Course Co-requisites: NURS 3321 Foundation of Nursing Practice Clinical

Class: Three (3) hours class each week

Clinical: 0

Class Schedule : Tuesdays 12 :00pm-3 :00pm

Class Room: TBA

Course Description

Professional nurse role as provider of safe patient-centered, evidence-based, culturally congruent care over the life span, and health care team member and nursing profession member. History of nursing, basic concepts of evidence-based nursing practice, critical reasoning and decision-making; knowledge, judgment, values, and skills in a legal/ethical framework.
Class Objectives/Outcomes: Upon completion of course, the student will be able to:

  1. Describe the physical, financial and regulatory environments in which nursing is practiced.

  2. Define the professional nursing practice roles, standards, and processes.

  3. Describe the steps in the nursing process including nursing diagnoses and nursing interventions.

  4. Describe communications in nursing with patients, other nurses and staff, and other health care professionals.

  5. Describe the ethical and legal environment of nursing practice in creating a safe environment for nursing practice and safe, quality patient care.

  6. Describe the role of clinical/critical reasoning in planning, providing, and evaluating nursing practice and assessing patient status and safety.




Textbook & Materials Required

AACN. (2002) Hallmarks of the professional nursing practice environment. AACN.

ANA. (2010) Code for nurses with interpretive statements. ANA.

ANA. (2010). ANA social policy statement. ANA.

APA Purdue Owl. (2003). Purdue online writing lab. Retrieved from

http://owl.english.purdue.edu/owl/resource/560/01/

Institute of Medicine. (2010), The future of nursing: Leading change, advancing health. National Academies Press. www.nap.gov

Kee, J. and Marshall, S. (2013). Clinical Calculations with application to general and specialty areas. (Seventh Edition). Saunders Elsevier.

Ochs, G. (2013). Fundamentals of nursing: Study guide. (Eighth Edition). Mosby Elsevier.

Potter, G. and Perry, A. (2013). Fundamentals of nursing. (Eighth Edition). Mosby Elsevier.

Texas Nursing Practice Act. Texas Occupations Code. Chapters 301, 303, 304, 305 and Board rules. www.bon.state.tx.us



For reference:

Ebersole, P. and et al. (2012). Toward healthy aging: Human needs & nursing response. (Eighth edition). Mosby Elsevier.

Huether, S, and McCance, K. (2012). Understanding pathophysiology. (Fifth Edition). Mosby Elsevier.

Jarvis. C. (2012). Physical examination & assessment. (Sixth Edition) Saunders Elsevier.

Lehne, R. (2013). Pharmacology for nursing care. (Eighth Edition). Saunders Elsevier.

Sommer, S., Johnson, J., Roberts, K., Redding, S., Churchill, L., Davila, L., …Knippa, A. (2013).

Fundamentals for nursing: Content master series review module (8th ed.). D. Prater, S. Lenox, M. Renner, M. Tallmadge, & K. von Lunen (Eds.). Leawood, KS: Assessment Technologies Institute.

Guidelines

Teaching Strategies:

This course is taught by lecture, seminar, breakout groups, role-playing, group projects, and questions and discussion. Assigned reading is expected to be completed prior to the class.



Course grading:

Quizzes/Standardized tests 10%

Drug Calculations Exams* 10% (* pass is required)

Cultural Diversity Project 10%

Exam 1 15%

Exam 2 15%

Exam 3 15%

Final Exam 25%

Total 100%
Grade Calculation

Letter grades for texts/exam, written assignments and end-of-course grades, etc. shall be:

A = 90.00-100.00

B = 80.00 - 89.99

C = 70.00 - 79.99

D = 60.00 - 69.00

The existing rule of C or better to progress remains in effect; therefore, to successfully complete a nursing course, students shall have a course grade of 70.00 or greater.

Common rounding rule will be used for final grades. Example: 89.5 will be rounded to 90 and 89.4 will be rounded to 89.
Lectures:

You should read the textbook assignments prior to class. Most of the lectures provide expansion of specific textbook topics and guidance on important areas. Face to face lectures will be summaries, elaborations on specific topics, and discussion.



Quizzes/Standardized Testing (10%)

Five pop-quizzes will be given randomly throughout the semester. These will be timed quizzes over content that was addressed prior to the quiz date including readings required prior to lecture.

Some of the quizzes will be given unannounced and if missed, may not be made up. The standardized testing will be announced.
Three exams and a final will be administered during the semester. Exams will be administered in the classroom. Please see Course Schedule for dates. The time will be 2:15 PM - 3:30 PM.
Homework will be assigned weekly and will be relevant to the weekly topic. Five points per calendar day will be deducted for late submission of homework assignments. See course schedule for homework assignments. Should conflicts arise with scheduling, the student should set up an appointment to speak with the instructor as soon as possible. If students have spoken with faculty about scheduling conflicts and come to an agreement, extensions can be arranged.
All quizzes and homework will be graded and returned within one week.
Any changes to this syllabus will be at the discretion of the instructor and will be accompanied with significant notice only.
Drug Calculations Exams* (10%) Must be passed with a 90 or above. After the first failed attempt, student will be referred to the Retention Coach for remediation prior to taking the exam again. All exams will include at least 3-5 calculation problems.

Cultural Diversity Project (10%)

The purpose of this project is to explore an assigned culture within a group atmosphere, allowing the student to become aware of the cultural characteristics that impact health and illness including nutritional aspects, immunizations, beliefs regarding health and illness, religion, etc. This will be a presentation and a 3-4 page paper (APA format) with all members of the group participating. A one page synopsis of how to provide culturally sensitive care to a person of this culture will be distributed to the class. A power point presentation/ handouts/visual exhibits will be required. At least 5 different references will also be required. Please refer to the grading criteria for this project. Due date for this project will be announced.



Exam 1 (15%)

Exam 2 (15%)

Exam 3 (15%)

Please refer to the schedule in the syllabus for the dates for the exams. Exam results will be returned to students within one week of exam date.



Final Exam (25%)

The final exam will be a comprehensive exam over the information presented in class and/or in your book as well as any references used during the semester. The date for this final exam will be announced.



Computer Skills and Other Requirements:

Basic computer skills, ability to use internet, and ability to type. All assignments must be formatted in Microsoft Word or Excel using APA or they will not be accepted.

Critical Dates with Course Schedule:

Critical Dates:
Event Date

Classes begin January 12, 2015

Martin Luther King Day January 19

Last day to add a course January 21

Last day to drop a course without creating an academic record January 28

Spring Break March 9-13

Last day to drop* a course or withdraw** March 25

Last regular Class Day April 30

Final Examinations May 4-7

Semester Ends May 8

Commencement May 9


Course Schedule:




WEEK

CHAPTER

CLASS CONTENT

1

Orientation.

Kee & Marshall Text

Chap 5 Evidence-based Practice

Chap 9 Culture & Ethnicity

Chap 27 Patient Safety

Chap 28 Infection Prevention & Control

Orientation & Course Overview. Calculation Overview, Discussion of Cultural Diversity Project

Chap 5 PICOT Questions, Evidence-Based Nursing

Chap 9 Cultural Influences, Cultural Competence, Cultural Assessment, Significant Values, Interventions

Chap 27 Critical thinking, Restraint Application & Seizure Precautions

Chap 28 Infectious & Nursing Process. Hand Hygiene & Skills as Listed in Text



2


Chap 38 Activity & Exercise

Chap 39 Hygiene


Chap 47 Mobility & Immobility
Chap 29 Vital Signs
Chap 40 Oxygenation

Chap 38 Regulation of Movement, Range of Motion, Activity Tolerance

Chap 39 Personal Hygiene factors, Skills to successfully care for Patients of all

Ages,

Chap 47 Critical Thinking and Nursing Process: Maintaining Proper Body Alignment, Range of Motion



Chap 29 Measuring Vital Signs: Nursing Process, Health Promotion & Vital Signs. Skills as listed in Text

Chap 40 Aspects of Respiratory System as it Related to Oxygenation. Skills as Listed in Text



3


Chap 40 Oxygenation

Chap 30 Health Assessment & Physical Exam

Chap 32 Complementary & Alternative Therapies

Chap 23 Legal Implications in Nursing Practice



Chap 40 Aspects of Cardiac System as it Relates to Oxygenation. Skills as Listed in Text

Chap 30 Health Assessment: Cultural diversity, Health Promotion, Health Teaching, Preventive Screenings. Special Attention to Key Terms in Chapter

Chap 32 Complementary vs alternative. Relaxation, Imagery, Biofeedback, Herbal Therapies

Chap 23 Standard of Care, Nurse’s Role, Standards of Care, Elements needed to Prove Negligence



4


Exam 1 All of class Tuesday

Chapters 5, 9, 23, 27-30, 32, 38-39, 40, 47 (12)
Chap 44 Nutrition

Chap 45 Urinary Elimination

Chap 46 Bowel Elimination

Chap 48 Skin Integrity & Wound Care




Exam 1 All of Class Tuesday. Separate Calculation Exam

Chap 44 Nutrition Assessment, 3 Major Nutrition Problems, Enteral Feedings, And Parenteral Nutrition. Special Attention to Key Terms in Chapter

Chap 45 Process of Urination, Alterations in Process & Urine, Urine Specimen Collection, Diagnostic Testing, Skills Related to this System

Chap 46 Role & Function of GI Organs, Alterations in elimination, Diagnostic Testing, Skills Related to this System

Chap 48 Pressure Ulcer: Formation, Staging, and Normal Healing Process, Acute & Chronic Nursing Implications. Attention to Key Terms in Chapter


5


Chap 26 Documentation & Informatics

Chap 49 Sensory Alterations

Chap 31 Medication Administration


Chap 26 Confidentiality, Standards Purposes, Methods.

Chap 49 Processes in Sensory Stimuli, Alterations, Aging, Sensory Deficit Safety

Chap 31 Nurse Role, Physiological Mechanisms, Patient Education, Medication Variances and Errors6 Rights, Correctly & Safely, Prepare & Administer Meds


6


Chap 41 Fluid, Electrolyte, and Acid-Base Balance

Chap 41 Processes Involved in Regulating Fluid Volume, electrolytes, and Acid-Base Balance, Risk Factors Nursing Process, Complete Process of IV Therapy, Monitoring, & Complications. Attention to Key Terms Listed in Chapter

7


Chap 22 Ethics & Values
Chap 24 Communication

Chap 25 Patient Education



Chap 22 Role of Ethics, Role of Values in Study of Ethics, Personal Values, Philosophies of Health Care Ethics, Ethical Dilemmas, Issues

Chap 24 Communications & Nursing Process, Elements & Forms, Professional

Chap 25 Purposes, Nurse Role, Learning Domains


8


Exam 2 All Class Tuesday

Chapters 22, 24-26, 31, 41, 44-46, 48-49, (11)

Chap 15 Critical Thinking in Nursing Practice

Chap 16 Nursing Assessment
Chap 17 Nursing Diagnosis


Exam 2 All Class Tuesday

Chap 15 Critical Thinking Characteristics, Reflection, Critical thinking Model, Skills, Professional Standards, Nursing Process and Critical Thinking

Chap 16 Critical Thinking in Nursing Assessment, Subjective and Objective Data, Data Collection, Comprehensive, Problem-Oriented, and focused Assessments.

Chap 17 Purpose, Nursing diagnosis vs Medical diagnosis, Steps of Nursing Diagnostic Process, Individualizing a Nursing Diagnosis, ID Nursing Diagnoses from a Nursing Assessment



9


Chap 18 Planning Nursing Care

Chap 19 Implementing Nursing Care


Chap 20 Evaluation

Chap 21 Managing Patient Care



Chap 18 Relationship of Planning to Assessment and Nursing Diagnosis, Setting Goals and Priorities, Goals and Outcomes, 7 Guidelines, Plan of Care, Interventions

Chap 19 Implementation in Nursing Process, Critical Thinking, Protocols & Standing Orders, Plan of Care, 3 Skills, Interventions

Chap 20 Critical Thinking in Evaluation, Standards of Professional Nursing Practice, Relationship: goals, Outcomes, Evaluation, Plan of Care

Chap 21 Nursing Care Delivery Models, Appropriate Delegation of Patient Care



10


Chap 43 Pain Management

Chap 36 The Experience of Loss, Death, and Grief


Chap 50 Care of Surgical patients

Chap 43 Misconceptions, Physiology, Components of Pain, Interventions for Relief, Components of Pain Assessment, Cultural Factors, Individualizing, Pharmacological Approaches, Nonpharmacological, Barriers, Evaluation of Response

Chap 36 Nurse’s Role, Types of Loss, Grief theories, Types of Grief, Characteristics, Variables to Response, Care Plan, Hospice Criteria, Care of Body, Nurse’s own Grief, Self-Care

Chap 50 Concept of Perioperative Nursing Care, Classifications of surgery, types of Anesthesia, Postoperative Exercises, Role in the OR, Ambulatory vs Inpatient Surgery.


11



Chap 33 Self-Concept

Chap 34 Sexuality

Chap 35 Spiritual Health
Chap 37 Stress & Coping

Chap 8 Caring for the Cancer Survivor



Chap 33 Components, Stressors, Developmental Stages and Self-Concept, Identity Confusion, Disturbed Body Image, Low Self-Esteem, Role Conflict, Cultural Considerations

Chap 34 Personal Attitudes, Beliefs, and Biases related to Sexuality, Nurse’s role, Developmental Key Concepts, Dysfunction, Nursing Diagnoses, Risk Factors, Interventions, Outcomes, Community Resources

Chap 35Spiritual Practices and Health of Patient, Relationship: Faith, Hope, and Spiritual Well-Being, Religion and Spirituality, Spiritual Insight, Presence

Chap 37 Three Stages of general adaptation syndrome, Acute Stress Disorder, Posttraumatic Stress Disorder, Stress Theory, Nursing Theories, Techniques, Crisis Intervention, Care Plan

Chapter 8 Concept of Cancer Survivorship, Quality of Life, Family, Nurse Role, Survivorship Care


12


Exam 3 All Class Tuesday

Chapters 8, 15-22, 25, 33-37, 42-43, 50 (15)
Chap 1 Nursing Today
Chap 2 Health Care Delivery System
Chap 3 Community-based Nursing Practice
Chap 4 Theoretical Foundations of Nursing Practice

Exam 3 All Class Tuesday

Chap 1 Development of Professional Nursing roles, Educational Programs, Roles, Influences of Social, Political, and Economic Changes

Chap 2 Financing Health Care, Pros and Cons of Managed Health Care Different Health Care Delivery Settings, Quality & Safety Initiatives

Chap 3 Public Health or Community Health, Community Health Nursing or Community-based Nursing, Roles, Vulnerable populations, Competencies, Community Assessment

Chap 4 Influence of Nursing Theory, types of Nursing Theory, Nursing Theory, Nursing Process, patient Needs, Other Discipline Theories, Selected Nursing Theories, Theory-Based Nursing Practice


13


Chap 6 Health & Wellness
Chap 7 Caring in Nursing Practice
Chap 42 Sleep

Chap 6 Healthy People 2020 Goals, Definition of Health, Patients’ Attitudes, Variables,3 Levels of Preventive Care, 4 types of Risk factors, Impact of Illness

Chap 7 Role of caring, Caring Theories, Patients’ Perception, ethic of Care, Presence & Touch

Chap 42 Mechanisms Regulating Sleep, Stages of Normal Sleep Cycle, Functions of sleep, Disruption & Promotion of Sleep


14


Chap 10 Caring for Families
Chap 11 Developmental Theories

Thanksgiving

Chap 10 Define Family, Family Influence on Health, Roles, Factors, Influence of Nursing Practice

Chap 11 Growth & Development factors, Developmental theories, Freud, Erikson, Piaget, Theories and Interventions, Nursing Implications



15


Chap 12 Conception Through Adolescence

Chap 13 Young & Middle Adults


Chap 14 Older Adults

Chap 12 Health Concerns from Intrauterine to Extrauterine Life, Growth & Development from Unborn to Adolescence, Role of Play. Nurse’s Role

Chap 13 Developmental Theories for Age Group, Developmental Tasks, Changes, Health Concerns

Chap 14 Myths & Stereotypes, Theories of Aging, Tasks, Changes, Interventions


16

Final Date TBA

Chapters 1-4, 6-7, 10-14 42 (12) & Comprehensive

40% Comprehensive & 60% Recent Chapters



Course Policies

Attendance:

Your attendance is expected at every class meeting; attendance will be recorded. This type of course requires participation in all areas for accurate evaluation of performance. Intelligent participation requires that you read your assigned chapters and readings prior to joining the class discussion.

By enrolling in this course, you are indicating that you have arranged your work schedule and family arrangements so that you can attend. Your attendance is expected at every class.
Make-up Assignments:

Refer to the guidelines. There will be no make-up work UNLESS prior arrangements have been made.


Scholastic Dishonesty:

The integrity of a university degree depends on the integrity of the work done for that degree by each student. The University expects a student to maintain a high standard of individual honor in all scholastic work (Rules and Regulations of the Board of Regents).


Scholastic dishonesty includes, but is not limited to cheating, plagiarism, collusion, and the submission for credit of any work or materials that are attributable in whole or in part to another person, any act designed to give unfair advantage to a student, or the attempt to commit such acts. Detailed information on scholastic dishonesty along with disciplinary procedures is outlined in the Handbook of Operating Procedures, Part 5, Section 1, and the Student Guide.
Format for Writing:

All Writing assignments should follow APA format. Please review APA format by visiting



http://owl.english.purdue.edu/owl/resource/560/01/
Be aware that an internet web site will be used which is designed to detect copying of online papers or parts of papers.
Success Services:

UTPB does offer tutoring and assistance services. Services are provided in the Success Center, which is located on the second floor of the Mesa Building. Additional information can be found on the website at http://ss.utpb.edu/success-center/


Referral to Retention Coach:

Any student who holds a grade of 75 or lower will automatically be referred to the Nursing Retention Coach. Remediation will be determined through collaboration with the student, the faculty, and the retention coach.


Cell Phone Use:

All Cell phones and beepers will be placed on silent or turned off during class hours. Cell phones should not be out on desks or table. Rather, they should be inside purses, backpacks, etc. During testing times, cell phones will be placed on the instructor’s desk. At the conclusion of testing, cell phones can be collected.





ADA Policy

Any student who feels that he or she may require assistance for any type of physical or learning disability should consult with me as soon as possible. To request academic accommodations for a disability contact Leticia Madrid, Director of the PASS Office in the Mesa Building Room 1160, 432-552-2631 or email Madrid_l@utpb.edu. Students are required to provide documentation of disability to the PASS Office prior to receiving accommodations.

Group GRADING CRITERIA FOR



Cultural Diversity Project


Criteria

Possible Points

Points Received

Comments

  1. 15 to 20 minutes in length (shorter or longer will result in fewer points received)

10







  1. Religion addressed

5







  1. Nutrition addressed

5







  1. Professional appearance/organized presentation

10







  1. Health and healing issues specific to this culture

10







  1. Family issues/patterns

10







  1. Communication patterns/language

10







  1. Role of nursing care within the culture

10







  1. Role of medicine (traditional or alternative) within the culture

10







  1. Paper 3-4 pages in length with 5 references and in APA format

20







TOTAL:

100










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