ࡱ> jmig /bjbj** BqHibHib': : 8tU:     9999999$;>99  :CCC  9C9CCh35 H2vgh49%:0U:4\??O??0558??6C99OU:??: B |:  GROSSMONT COLLEGE Official Course Outline NURSING 235 PRECEPTORED PATIENT CARE MANAGEMENT 1. Course Number Course Title Semester Units Semester Hours NURS 235 Preceptored Patient 3 1 hour lecture: 16-18 hours Care Management 6 hours lab: 96-108 hours 32-36 outside-of-class hours for lecture 144-162 total hours 2. Course Prerequisites A C grade or higher in Nursing 230 or equivalent. Corequisite None. Recommended Preparation None. 3. Catalog Description This advanced course addresses nursing leadership, professional, legal, and ethical aspects of nursing, and current issues in nursing and health care delivery. Concurrent clinical experience is with a registered nurse preceptor in selected health care facilities. The clinical focus is on assuming the registered nurse role. This is a required course for the Nursing Program. 4. Course Objectives The student will: Knowledge Evaluate nursing roles in assuring coordination, integration, and continuity of care for multiple patients. (N) Analyze how the safety, quality, and cost effectiveness of health care can be improved through the active involvement of patients and families.(N, P, E) Analyze differences in communication style preferences among patients and families, nurses, and other members of the health team when caring for multiple patients. (N, P) Analyze approaches for conflict resolution among patients, families, nurses, and other members of the health care team. (N, P, E) Describe examples of the impact of team functioning on safety and quality of care. (N) Describe the benefits and limitations of selected safety-enhancing technologies in the clinical setting. (N, E) Discuss aspects of transitioning from a student nurse to a licensed registered nurse in a variety of health care settings. (N, E) Skills a. Manage patient care under the direct supervision of a registered nurse preceptor focusing on prioritizing, planning, delegating and evaluating patient care. (N) b. Communicate care provided and needed at each transition in care. (N) c. Collaborate with preceptor, patient and other members of the health care team and plan nursing care for the daily patient assignment. (N) d. Communicate with team members, adapting own style of communicating to needs of the team and situation (N, P) NURSING 235 PRECEPTORED PATIENT CARE MANAGEMENT Page 2 4. Course Objectives: Skills (continued) e.. Construct individualized care plan based on patient values, clinical expertise and evidence. (H, N, P) f. Intervene competently and safely for groups of health care consumers in complex patient situations utilizing a multidisciplinary approached to patient care. (N) g. Collaborate with the preceptor to make complex clinical decisions that support health care consumer advocacy based upon the ethical and legal principles as described in the California Nurse Practice Act and the American Nurses Association code of ethics. (N, P, E) h. Develop time management skills to provide care for a number of patients realistic for an entry-level practitioner in the assigned patient care area. (N) i. Utilize standards of professionalism and accountability to maintain and support patient advocacy. (N, P) j. Critique own strengths and areas for growth and develop strategies for improvement where needed. (N) Attitudes a. Seek learning opportunities with patients who represent all aspects of human diversity. (N, E) b. Value active partnerships with patients or designated surrogates in planning, implementation, and evaluation of care. (N, P) c. Appreciate the risks associated with handoffs among providers and across transitions in care. (N, E) d. Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills. (N) e. Appreciate caring in relationships with patients and families. (N, P) KEY: Concept Objective H = Health Domain L N = Nursing Domain A, B, C, D, E, F, G, H, I, J, K, L, M, N, O, P, Q, R, S, T, U, V P = Person Domain B, C, D, K, L, N, P, Q, S, V E = Environment Domain B, D, E, F, G, L, N. R, T 5. Instructional Facilities a. Standard classroom. b. Computer laboratory. c. Selected clinical facilities. 6. Special Materials Required of Student a. ڰAPP nursing student uniform with embroidery. b. ڰAPP photo ID name badge. c. Bandage scissors. d. Watch with second hand indicator. e. Stethoscope. f. Penlight. g. Reliable transportation to clinical facilities. 7. Course Content Legal issues in nursing. (1) Delegation. (2) Physician orders. (3) Consents. Ethical issues in nursing. (1) End of life. (2) Patient autonomy in health care. NURSING 235 PRECEPTORED PATIENT CARE MANAGEMENT Page 3 7. Course Content (continued) Conflict resolution. (1) Patients and families. (2) Healthcare providers. (3) Nursing colleagues. (4) Interdisciplinary team. Role transition (1) Burnout and reality shock. (2) Career development (3) Professional interviews. (4) Promoting a health work environment. (5) Professional portfolio. 8. Method of Instruction a. Lecture. b. Discussion. c. Multimedia resources. d. Case studies. e. Student presentations. f. Supervised nursing care. 9. Methods of Evaluating Student Performance a. Quizzes. b. Discussion participation. c. Computerized final examination. d. Verbal questioning. e. Supplementary assignments. f. Student self-evaluation of clinical objectives g. Clinical midterm and final evaluations. h. Professional portfolio. 10. Outside Class Assignments a. Development and evaluation of learning objectives for clinical preceptorship. b. Tracking and documentation of clinical hours on time sheets. c. Video viewing of topics such as legal and ethical issues in nursing and role transition. d. Assigned readings from nursing textbooks and reference articles related to topics such as conflict resolution, role transition, and legal and ethical issues in nursing. e. Development of professional portfolio. f. Supplementary assignments such as case studies related to legal and ethical issues in nursing. g. NCLEX practice questions. h. Board of Registered Nursing Disciplinary hearings attendance, if available. 11. Texts a. Required Text(s): (1) Weiss,S.A. and R.M. Tappen. Essentials of Nursing Leadership and Management. 6th Edition. Philadelphia, PA: F.A. Davis, 2015. (2) Nursing 235 Team. Preceptor Handbook, Preceptored Patient Care Management, Nursing 235. El Cajon, CA: ڰAPP, 2016. (3) ڰAPP Nursing Student Handbook, 2016-2017. (4) Irwin, B.J. NCLEX RN Content Review Guide. 4th edition. Kaplan, Inc. 2016 NURSING 235 PRECEPTORED PATIENT CARE MANAGEMENT Page 4 11. Texts (continued) b. Supplementary texts and workbooks: None. Addendum: Student Learning Outcomes Upon completion of this course, the students will be able to do the following: a. Integrate knowledge of biopsychosocial theories and concepts when providing patient care by: (1) applying knowledge of nursing practice utilizing biopsychosocial theories and concepts in performing the professional nursing role, and by (2) formulating a holistic comprehensive plan of care for acute and chronic patients utilizing the nursing process, principles of health promotion and illness prevention, patient teaching and end of life care for patients throughout their lifespan. b. Integrate the skills and attitudes necessary to perform as an associate degree nurse in the professional nursing roles of: (1) Provider of Care, (2) Manager of Care, and (3) Member within a Discipline by satisfactorily performing the complex roles, skills, and responsibilities of a second-year student in the categories of Provider of Care, Manager of Care, and Member within a Discipline. c. Implement critical thinking skills in the implementation of the nursing process while providing safe patient care and meeting the needs of culturally diverse patients within multidisciplinary health care systems by intervening competently and safely for groups of health care consumers in complex patient care situations within a multidisciplinary healthcare system. d. Select evidence-based research to provide quality health care, initiate change and improve nursing practice by: (1) Implementing evidence-based research in the planning and implementation of complex nursing care for individuals, families, and groups of health care consumers. (2) Evaluating the importance and effectiveness of evidence-based research in nursing practice. e. Effectively employ the use of informatics and effective communication skills to manage and coordinate care for the health care consumer in collaboration with other health care professionals by: (1) Integrating communication skills (verbal, nonverbal, interpersonal, and communication technology) into the practice of the professional nursing role. (2) Collaborating with other health team members to organize, manage, delegate and coordinate patient care for the health care consumers and family members across the life span. f. Distinguish the role of the professional nurse as defined by the California Nurse Practice Act and standards of nursing practice by: (1) Assuming responsibility and accountability for the students nursing action(s) as they undertake the role of the professional nurse. (2) Making complex clinical decisions that support health care consumer advocacy based upon the ethical and legal principles as described in the California Nurse Practice Act and the American Nurses Association code of ethics. g. Support the importance of life-long learning and quality improvement as part of their professional commitment to the nursing profession by assuming responsibility and commitment for lifelong learning in the areas of evidence-based healthcare, informatics, practice-based learning, self-reflection and assessment as the student undertakes the role of the professional registered nurse. 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