NURS 4211 Current Issues in Nursing

NURS 4211 Current Issues in Nursing

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 using critical thinking will be able to voice their opinions concerning the issues.

CREDIT: 2 Credit Hours

PROGRAM LEVEL: III

TEXTBOOKS:

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

Cowen, P. S. & Moorhead, S. (2006). Current Issues in Nursing. (7^th Edition). St. Louis: Mosby.

Faculty: Marilyn Lynch-Goddard MSN, BSN, RN

Faculty contact: Office: Room 109

(210) 826-7595

marilyn.lynchgoddard@wbusa.wbu.edu

COURSE OBJECTIVES:

At the end of this course, the student will be able to:

Define roles and responsibilities of staff nurses in hospitals, clinical nurse specialist, clinical nurse leader, nurse practitioners, nurse executives, nursing faculty, and nurse researchers.
Identify current issues facing nursing and discuss their viewpoint and back them up with references.
Identify an issue facing nursing and the healthcare field and present them to the class for debate purposes.
Discuss the changes occurring in nursing practice today.
Discuss the changes occurring in healthcare to include; quality improvement, governance, health care systems, and healthcare costs.

EVALUATION AND GRADING: A point system will be used to determine the grade in Current Issues in Nursing.

A = 90-100

B = 80-89

C = 75-79 An average of 75 or better is required to pass Nursing courses

D = 70-75

F = 69 and below

COURSE GRADE

Debate1 on Current Issues 15%

Debate 2 on Current Issues 15%

Debate 3 on Current Issues 15%

Class Participation 15%

Current Issue Presentation 15%

Current Issues Paper 25%

Total 100%

Debate on Current Issues: Identify a topic in the text and find five evidence-based scholarly, peer-reviewed articles written within the last five years to support the article. Defend or oppose your views/opinions with clarity using supporting evidence. Presentation follows rubric criteria

Class Participation: This class 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 Issues Paper: A 10-page paper introducing and discussing a current issue in nursing in your text. Use the text and supporting research literature: at least five evidence-based scholarly, peer-reviewed articles written within the last five years to present your topic. Use an introduction, description of the issue, the results of the research literature, your position, and a summary of the issue.

Current Issues Paper Presentation: Upon completion of the current issue paper, a formal class presentation is expected using the rubric criteria.

Class Attendance

The student must attend the class (es) for which he/she is enrolled.
A student enrolled at Wayland Baptist University should make every effort to attend all class meetings. All absences must be explained to the satisfaction of the instructor, who will decide whether the omitted work can be made up.
A student who misses twenty-five percent (25%) or more of the regularly scheduled class meetings will receive a grade of “F” for that class.
When a student reaches a number of absences considered by the instructor to be excessive, the instructor will so advise the student and file an Unsatisfactory Progress Report at the San Antonio Campus.
Three tardies count as one absence.
If an instructor fails to appear or fails to send notification of arrival within the first fifteen minutes of a class period, the student may leave without incurring an absence.

Disability Services: It is University policy that no otherwise qualified disabled person be excluded from participation in, be denied the benefits of, or be subject to discrimination under any educational program or activity.

Standards of Professional Nursing Practice (BON 213.27, 217.11, 217.12)

1. Knows rationale for side effects of medications and treatments, and correctly administers same 217.00 (1) (C).

2. Documents nursing care accurately and completely, including signs and symptoms, nursing care rendered medication administration. Contacts health care team concerning significant events in patient health 217.11 (1) (D).

3. Implements a safe environment for patients and/or others, i.e., bed rails up, universal precautions 217.11 (1) (B).

4. Respects client confidentiality 217.11 (1) (E).

5. Accepts assignments commensurate with educational level, preparation, experience and knowledge 217.11(1) (T).

6. Obtains instruction and supervision as necessary when implementing nursing procedures or practices 217.11(1) (H).

7. Notifies the appropriate supervisor when leaving an assignment 217.11(1) (I).

8. Recognizes and maintains professional boundaries of the nurse/patient relationship 217.11(1) (J).

9. Clarifies orders, treatments, that nurse has reason to believe are inaccurate, non-effective or contraindicated 217.11(1) (N).

10. Able to distinguish right from wrong 213.27(b) (2) (A).

11. Able to think and act rationally 213.27(b) (2) (B).

12. Able to keep promises and honor obligations 213.27(b) (2) (C).

13. Accountable for own behavior 213.27(b) (2) (D).

14. Able to promptly and fully self-disclose facts, circumstances, events, errors and omissions when these disclosures will enhance health status of patients or protect patients from unnecessary risk or harm 213.27(b) (2)(G).

Please refer to the Board of Nursing at www.BON.state.tx.us for any additional information regarding the Texas Nursing Practice Act.

COURSE OUTLINE:

Unit 1: Definitions of Nursing

Unit II: Changing Education

Unit III: Changing Practice

Unit IV: Quality Improvement

Unit V: Governance

Unit VI: Health Care Systems

Unit VII: Healthcare Costs

Unit VIII: Role Challenges, Collaboration, and Conflict

Unit IX: Cultural Diversity

Unit X: Ethics, Legal, and Social Issues

Unit XI: Violence Prevention and Care: The Role of Nursing

Unit XII: International Nursing

Unit 1: Definitions of Nursing

Unit Objectives

Reading

Assignments

Learning

Activities

1. Discuss the view of nursing by the public, the legal system, and the discipline

2. Define the role of staff nurses working in the hospital setting: who are they? What they do, and what challenges they face.

3. Define Clinical Nurse Specialists (CNS): Who are they? What they do, and what challenges they face.

4. Define Nurse Practitioners (NP): Who are they? What they do, and what challenges they face.

5. Define Nurse Executives and the challenges they fae in a rapidly changing healthcare system.

6. Discuss 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 are they? What they do, and what challenges they face.

Read Cowen:

Chapter 1

Chapter 2

Chapter 3

Chapter 4

Chapter 5

Chapter 6

Chapter 7

Lecture

Discussion

Case Studies

Unit II: Changing Education

Unit Objectives

Reading

Assignments

Learning

Activities

1. Discuss the future of nursing education.

2. Describe the current educational models, and in relation to being sufficient for healthcare needs.

3. Describe the current nursing shortage.

4. Determine whether society’s focus should be on the number of nurses or the level of nursing education

5. Discuss quality and safety in relation to patient care.

6. Identify two new models of nursing: the Clinical Nurse leader (CNL) and the Doctor of Nursing Practice (DNP).

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

8. Understand the international graduate nursing education: Where it was, and where it is now.

9. Define critical thinking and how faculty should evaluate the critical thinking of students and graduates.

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

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

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

13. Provide evidence that supports the growth of online learning to summarize the best practices in Web-based education.

Chapter 8

Chapter 9

Chapter 10

Chapter 11

Chapter 12

Chapter 13, & 14

Chapter 16

Chapter 17

Lecture

Discussion

Case Studies

Unit III: Changing Practice

Unit Objectives

Reading

Assignments

Learning

Activities

1. Describe how the delivery of health care has moved from hospital to the home and community and the issues involved.

2. Explore the interrelationships of universal and intra-agency issues and their impact on the practice of adult health nursing.

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

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

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

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

7. Understand the recent changes and current issues occurring in Perinatal nursing.

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

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

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

Chapter 18

Chapter 19

Chapter 20

Chapter 22

Chapter 23

Chapter 25

Chapter 26

Chapter 27

Chapter 28

Chapter 29

Lecture

Discussion

Case Studies

Unit IV: Quality Improvement

Unit Objectives

Reading

Assignments

Learning

Activities

1. Explore the Institute of Medicine (IOM) recommendations regarding quality and standards of nursing care.

2. Identify nursing care priority areas for patient safety.

3. Discuss leadership resources for nurses involved in health system process improvement.

4. Identify nursing care priority areas for disease prevention and the challenges of Healthy People 2010.

5. Identify nursing care priority areas for chronic disease conditions.

6. Identify nursing care priority areas for frailty, palliative care and end of life conditions.

Chapter 31

Chapter 32

Chapter 33

Chapter 34

Chapter 35

Chapter 36

Lecture

Discussion

Case Studies

Unit V: Governance

Unit Objectives

Reading

Assignments

Learning

Activities

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

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

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

4. Identify share governance Shared Governance Models in Nursing: What Is Shared, Who Governs, and Who Benefits

Chapter 37

Chapter 38

Chapter 39

Chapter 40

Lecture

Discussion

Case Studies

Unit VI: Health Care Systems

Unit Objectives

Reading

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 incorporation of health care through mergers and acquisitions, politics and health care reform.

4. Understand managed care, prospective payment, and reimbursement trends and the impact/implication on/for nursing.

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

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

Chapter 41

Chapter 42

Chapter 43, 44

Chapter 45

Chapter 46

Chapter 47

Lecture

Discussion

Case Studies

Unit VII: Health Care Costs

Unit Objectives

Reading

Assignments

Learning

Activities

1. Identify issues surrounding the control of health care costs: Is there an answer?

2. Understand managed care, prospective payment, and reimbursement trends and the impact/implication on/for nursing.

3. Discuss the cost of home health care, and the changes and challenges it faces.

4. Discuss reimbursement for alternate providers

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

6. Explore the possible implications regarding the cost of medications.

Chapter 48

Chapter 49

Chapter 50

Chapter 51

Chapter 52

Chapter 53

Lecture

Discussion

Case Studies

Unit VIII: Role Challenges, Collaboration, and Conflict

Unit Objectives

Reading

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. Explore the factors suppressing nurses’ voices, and the significance of the nurses’ decisions to be silent.

4. Discuss the collaboration within the context of health professions education and the effects 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 for negotiating at an uneven table.

Chapter 54

Chapter 55

Chapter 56

Chapter 57

Chapter 58

Lecture

Discussion

Case Studies

Unit IX: Cultural Diversity

Unit Objectives

Reading

Assignments

Learning

Activities

1. Discuss the diversity and minority representation in nursing.

2. Discuss men in nursing and African Americans in nursing.

3. Discuss Asians and Pacific Islanders, Hispanics/Latinos and American Indians in nursing

Chapter 59, 60

Chapter 61, 62

Chapter 63, 64, 65

Lecture

Discussion

Case Studies

Unit X: Ethics, Legal, and Social Issues

Unit Objectives

Reading

Assignments

Learning

Activities

1. Discuss the ethics of health care reform: should health care be rationed?

2. Explore the nurse as patient advocate: is there a conflict?

3. Identify ethical issues and resources for nurses across the continuum

4. Define Sexual Harassment and the implications for the health care professional.

5. Examine health care for the poor and underserved: is there a difference?

6. Evaluate the legal, ethical, and moral considerations in caring for individuals with Alzheimer’s Disease.

7. Understand the advance directives: Promoting self-determination or hampering autonomy?

8. Explore Managed Care and violation of ethical principles: Research Vignettes.

9. Discuss clinical ethics and the nurse

Chapter 66

Chapter 67

Chapter 68

Chapter 69

Chapter 70

Chapter 71

Chapter 72

Chapter 73

Chapter 74

Lecture

Discussion

Case Studies

Unit XI: violence Prevention and Care: The Role of Nursing

Unit Objectives

Reading

Assignments

Learning

Activities

1. Discuss the development and health effects of child maltreatment.

2. Discuss the pivotal role of nursing in the prevention of child neglect

3. Describe the care of African American women survivors of intimate partner violence.

4. Examine the nursing care for victims of violence in elder mistreatment.

5. Identify strategies used in nursing care to promote gun safety and during terrorist events.

6. Discuss nursing practice in Homeland Security.

7. Examine nursing in wars.

8. Discuss bioterrorism and emerging infections: Emergency preparedness for nurses.

9. Examine nursing care in combat: Jungles to deserts.

Chapter 75

Chapter 76

Chapter 77

Chapter 78

Chapter 79, 80

Chapter 81

Chapter 82

Chapter 83

Chapter 84

Lecture

Discussion

Case Studies

Unit XII: International Nursing

Unit Objectives

Reading

Assignments

Learning

Activities

1. Discuss nursing in South Africa: An overview of health care, nursing education, and practice.

2. Discuss nursing in Canada: An overview of health care, nursing education, and practice.

3. Discuss nursing in Britain: an overview of health care, nursing education, and practice.

4. Discuss nursing in Japan: Meeting the health care challenges of the twenty-first century.

5. Discuss nursing in Latin America: An overview of health care, nursing education, and practice.

6. Discuss nursing in Russia: An overview of health care, nursing education, and practice.

Chapter 85

Chapter 86

Chapter 87

Chapter 88

Chapter 89

Chapter 90

Lecture

Discussion

Case Studies

COURSE AGENDA

Week	Unit	Activity
Wk 1: 05/25/09		Orientation and course overview
Wk 2: 06/01/09	Unit 1, 2	Lecture, discussions, and case studies ASSIGN DEBATE DATES
Wk 3: 06/08/09	Unit 3, 4	Lecture, discussions, and case studies
Wk4: 06/15/09	Unit 5	Lecture, discussions, and case studies DEBATE 1
Wk 5: 06/22/09	Unit 6, 7	Lecture, discussions, and case studies
Wk 6: 06/29/09	Unit 8	Lecture, discussions, and case studies DEBATE 2
Wk7: 07/06/09	Unit 9, 10	Lecture, discussions, and case studies
Wk 8: 07/13/09	Unit 11	Lecture, discussions, and case studies DEBATE 3
Wk 9: 07/20/09	Unit 12	Lecture, discussions, and case studies
Wk 10: 07/27/09	PRESENTATIONS	Final presentations
Wk 11: 08/03/09	PRESENTATIONS	Final presentations

Grading Rubric for Debate

REQUIREMENTS	POINTS WORTH	POINTS EARNED
Description of the issue	25
Description of the history of the issue	25
Description of the Pros and Cons	25
Description of your position and why	15
Grammar	5
Professional Attire	5
TOTAL	100

GRADING RUBRIC FOR CURRENT ISSUE PAPER

REQUIREMENTS	POINTS WORTH	POINTS EARNED
Description of the issue	25
Description of the history of the issue	25
Description of the Pros and Cons	25
Description of your position and why	15
Grammar and Punctuation	5
APA Format	5
TOTAL	100

Grading Rubric for Current Issue Presentation

REQUIREMENTS	POINTS WORTH	POINTS EARNED
Description of the issue	25
Description of the history of the issue	15
Description of the Pros and Cons	15
Description of your position and why	15
Summary of the issue	10
Handouts, power points	10
Grammar	5
Professional Attire	5
TOTAL	100