NURS 480 Advanced Medical Surgical Nursing: Promoting Wellness in the Critically Ill 202201SPI VR- 6T

Section A: I. Instructor’s Contact Information, Course Pre and Co-Requisites Instructor Information: See Virtual Office Course Prerequisites: NURS 201 and NURS 211L Course Co-requisites: NURS 480 II. Mission and Outcomes University Mission: At West Coast University, we embrace a student-centric learning partnership that leads to professional success. We deliver transformational education within a culture of integrity and personal accountability. We design market-responsive programs through collaboration between faculty and industry professionals. We continuously pursue more effective and innovative ways through which students develop the competencies and confidence required in a complex and changing world. Institutional Learning Outcomes: Institutional learning outcomes are designed by the University as a whole, taking into account the role that both instruction and student services play in contributing to a student’s success. Institutional learning outcomes assume achievement of the stated programmatic learning outcomes of one’s discipline. Upon graduating from a degree program offered by West Coast University, students will be able to: 1. Implement intellectual and practical problem solving skills through information assessment and critical thinking. 2. Demonstrate effective written communication skills. 3. Demonstrate effective oral communication skills. 4. Demonstrate computer proficiency and information literacy. 5. Describe ethical standards and legal guidelines associated with one’s chosen career field. 6. Explain why knowledge of and respect for the societal contributions of diverse cultures and perspectives is an important quality in one’s discipline. 7. Articulate the importance of working collaboratively with other healthcare providers in support of the client/patient. Program Mission: The mission of the College of Nursing is to provide evidence-based and innovative nursing education to culturally diverse learners; preparing nurses to provide quality and compassionate care that is responsive to the needs of the community and the global society. II. Mission and Outcomes Program Philosophy: The philosophy of the College of Nursing is that education is a continuous process occurring in phases throughout an individual’s lifetime. Nurses are lifelong learners and critical thinkers. Program Learning Outcomes: 1. Support professional nursing practice decisions with concepts and theories from the biological, physical, and social sciences. 2. Plan preventative and population focused interventions with attention to effectiveness, efficiency, cost, and equity. 3. Support therapeutic nursing interventions for patients and families in a variety of healthcare and community settings using evidence based practice. 4. Apply nursing process and critical thinking when providing holistic, patient centered nursing care to diverse populations. 5. Design health care education for individuals, families, and communities. 6. Comply with the professional standards of moral, ethical, and legal conduct in practice. 7. Develop an effective communication style to interact with patients, families, and the interdisciplinary health team. 8. Model leadership when providing safe, quality nursing care; coordinating the healthcare team; and when tasked with oversight and accountability for care delivery. 9. Use patient care technology and information systems when providing nursing care in a variety of settings. III. Course Information Class Length: 9 weeks Credit Hours: 3 semester credits/15 contact hours per week/135 hours per term. A minimum of 75% in direct patient care and maximum of 25% in non- direct patient care which may include: simulation, skills lab, ATI Learning Resources, and/or community experience as directed by faculty. For every 1 hour in a skills lab or clinical class, it is expected that students complete 1 hour of study in preparation for class. For this course; it is expected that a minimum of 15 hours of study, outside of class, is completed each week. Class Required Texts, Learning Resources: No new text required Class Required Texts, Learning Resources from Previous term(s): ATI Dosage & Calculations and Safe Medication Administration in the ATI Learning Systems modules. American Psychological Association. (2009). Publication manual of the American Psychological Association. (6th ed.). Washington, DC: Author. Carpenito-Moyet, L. J. (2017). Nursing diagnosis: Applications to clinical th practice (15 ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Fischbach, F. (2014). A manual of laboratory & diagnostic tests (9th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. III. Course Information Lewis, S. L., Heitkemper, M. M., Dirksen, S. R., O’Brien, P. G., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby Elsevier. Assessment Technologies Institute, LLC (2013). Adult medical-surgical nursing RN 9.0: Content mastery series review module. Overland Park, KS: Author. Class Recommended Texts, Learning Resources: N/A Course Catalog Description: Experience in helping critically ill persons effectively negotiate a transition to wellness, or to lower level acuity nursing care, or to a long-term nursing facility. Clinical practice of critical care nursing occurs in a variety of settings. This course allows for comprehensive examination of all aspects of critical care nursing. Settings with invasive procedures and/or peri- operative nursing are employed. Course Learning Outcomes: • Course outcomes are comprised of the knowledge, skills, values and/or behaviors that students should be able to demonstrate upon completion of the course. • Course outcomes map to the Program Learning Outcomes • Must be assessed in the course to determine if learning outcomes are met On conclusion of the course, in order to provide nursing care to promote wellness in culturally diverse populations, the student will be able to: 1. Describe the practitioner, leader, educator, and researcher roles of the nurse in the management of critically ill patients experiencing transitional health states. 2. State the clinical significance of age-related physiologic changes and expected nursing considerations or interventions used in caring for the older critical care patient. 3. Evaluate coping mechanisms and support systems utilized by culturally diverse individuals and families in crisis situations where altered roles, altered family processes, powerlessness, and self-care deficits become considerable areas of concern. 4. Determine appropriate nursing management of acutely ill patients by integrating knowledge from pharmacology, pathophysiology, and nursing and other healthcare disciplines 5. Use the nursing process to formulate appropriate nursing diagnoses based on clinical assessment findings with specific interventions and outcome criteria for various health states of the acutely ill patient. 6. Analyze the rationale behind various collaborative management interventions that focus on the psychosocial needs of acutely ill patients and their families including; pharmacological approaches, nutritional considerations, pain management, ethical issues, and discharge planning. 7. Analyze evidence based nursing practice related to a specific health care issue, through a review of the literature, and determine its’ utilization in the management of acutely ill patients. III. Course Information 8. Evaluate the clinical application of evidence-based research related to the management of patients experiencing complex acute and critical transitional health problems. AACN Essentials for Baccalaureate Education For Professional Nursing Practice: The purpose of this section of the syllabus is to guide the student in understanding how the AACN 9 Essentials are incorporated into their education and to provide guidance to them in developing their individual portfolios. These AACN Essentials noted below meet the criteria for the portfolio and once completed should be placed in the portfolio under the designated essential and outcome. The Essentials that are met in NURS 481L Integration of Nursing Practice include the following: Essential I, Liberal Education for Baccalaureate Generalist Nursing Practice • Outcome 3, Use skills of inquiry, analysis, and information literacy to address practice issues.  Use research databases and other resources to review and analyze evidence based nursing practice. • Outcome 4, Use written, non-verbal, and emerging methods to communicate effectively  Explore different methods of communication between patients and nurses used in health care systems with special emphasis on therapeutic communication.  Use various methods of clinical documentation.  Practice professionally communication with peers and members of the interdisciplinary health care team. • Outcome 5, Apply knowledge of social and cultural factors to the care of diverse populations.  Apply concepts to the care of diverse patient populations.  Report on social and cultural factors impacting patient care in written care plans.  Discuss case studies, analyzing the influence of social and cultural factors on decision making regarding nursing care of critically ill patients. • Outcome 6, Engage in ethical reasoning and actions to provide leadership in promoting advocacy, collaboration, and social justice as a socially responsible citizen.  Collaborate with the interdisciplinary team, applying concepts of ethics, advocacy, and social justice when giving care.  Discuss cases with ethical issues and advocacy needs and propose solutions and interventions. III. Course Information • Outcome 8, Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the health care system.  Manage dynamic patient situations effectively.  Discuss trends and issues in the health care delivery system and how they impact the nursing profession and patient care. Essential II, Organizational & Systems Leadership • Outcome 1, Apply leadership concepts, skills, and decision making of high quality nursing care, health care team coordination, and the oversight and accountability for care delivery in variety of settings.  Prioritize patient care, and delegate to and supervise the interdisciplinary team to ensure that patients receive evidence based quality care.  Use case studies to discuss care priorities and coordination with the multidisciplinary health care team, including the various roles of health care team members and appropriate delegation, and nursing accountability in the delivery of care to the acutely ill patient. • Outcome 5, Participate in quality and patient safety initiatives, recognizing that these are complex system issues, which involve individuals, families, groups, communities, populations, and other members of the health care team.  Provide care in accordance with patient safety initiatives, communicating issues appropriately when they occur.  Discuss patient quality and safety initiatives related to the course content, nursing responsibilities regarding safety, and the importance of involving the families and other health care team members. Essential III, Scholarship for Evidence-Based Practice • Outcome 5, Participate in the process of retrieval, appraisal and synthesis of evidence in collaboration with other members of the health care team to improve patient outcomes.  Use hospital resources to ensure delivery of evidence based care.  Use the research databases (i.e. PUBMED, CINAHL) and other resources to obtain evidenced to guide care planning.  Demonstrate use of evidence based information for medication administration via a presentation.  Integrate evidence, clinical judgment, inter-professional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care. III. Course Information  Evaluate patient care and outcomes considering patient physiologic and psychological responses, and revise care as needed to achieve optimal outcomes.  Discuss effectiveness of care using case studies and elements enhancing or impeding it.  Collaborate in the collection, documentation, and dissemination of evidence.  Present patient cases, discussing pharmacological and non- pharmacologic therapies used to manage patients with acute illnesses. Essential IV, Information Management and Application of Patient Care Technology • Outcome 1, Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice.  Discuss technologies and resources used to ensure evidence based care and good communication among disciplines and across the continuum. • Outcome 3, Apply safeguards and decision making support tools embedded in patient care technologies and information systems to support safe practice environments for both patients and health care workers.  Use safety measures in practice with technologies, such as automated medication administration systems. • Outcome 5, Use standardized terminology in a care environment that reflects nursing’s unique contribution to patient outcomes.  Maintain APA format and professional terminology as the accepted standard for all written assignments.  Identify nursing focused patient problems and NANDA to formulate nursing diagnoses.  Use professional terminology when documenting patient care. • Outcome 8, Uphold ethical standards related to data security, regulatory requirements, confidentiality, and patient’s right to privacy.  Uphold patient privacy in the acute care setting. Essential V, Health Care Policy, Finance, and Regulatory Environments • Outcome 5, Describe state and national statutes, rules, and regulations that authorize and define professional nursing practice.  Discuss the Nurse practice Act and how it applies to different levels of nursing practice in the acute care setting.  Discuss patient’s rights and statutory regulations and how they relate to the provision of nursing care for the acutely ill patient. III. Course Information  Discuss professional models for care and nursing practice (i.e. AACN). • Outcome 8, Discuss the implications of healthcare policy on issues of access, equity, affordability, and social justice in health care delivery.  Discuss patient issues related to obtaining health care  Demonstrate education of patients to optimize their understanding of the health care system, knowledge of resources, and self-care. • Outcome 9, Use an ethical framework to evaluate the impact of social policies on health care, especially for vulnerable populations.  Discuss nursing advocacy roles and responsibilities and methods of assisting vulnerable patients to obtain access to affordable, equitable care.  Apply the American Nurses Association’s ethical standards when caring for patients. Essential VI, Interpersonal Communication and Collaboration for Improving Patient Health • Outcome, 2 Use inter and intra-professional communication and collaborative skills to deliver evidence-based, patient centered care.  Apply concepts of teamwork in the acute care setting and methods of effective, professional communication. • Outcome 4, Contribute the unique nursing perspective to inter- professional teams to optimize patient outcomes  Contribute nursing knowledge when collaborating with the interdisciplinary team.  Discuss the different roles and responsibilities of nurses caring for acutely ill patients. • Outcome 5, Demonstrate appropriate teambuilding and collaborative strategies when working with inter-professional teams  Work effectively with the interdisciplinary team when providing care to critically ill patients.  Discuss the contributions of members of the healthcare team Essential VII, Clinical Prevention & Population Health • Outcome 3, Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.  Determine health /illness beliefs and practices of individuals and families and discuss how they impact health and management of illness. • Outcome 10, Collaborate with others to develop an intervention plan that takes into account determinants of health, available