NURS 224 Professional Role Transition by wuyunyi



                           NURS 224 Professional Role Transition
                              Section: 8391 Winter Quarter 2010
                               Pierce College, Puyallup Campus
Credit Hours: 3
Time: Wednesday, 0900 - 1200
Location: L-234
Instructor: Gwendolyn Darks, RN, MSN
Phone: Office 253-864-3182
Office: L120 Office Hours: Monday 8:00 am – 2 pm

                                Tuesday 8:00 am – 11:00 am

                                Wednesday by Appointment – Hours as posted on office

Teaching Methods: Lecture, Class Activities, Multiple Choice/Multiple Select
Examinations, and Written Assignments
Course Description
Synthesis of advanced nursing concepts in nursing practice, according to the Roy Adaptation
Model Physiological and Psychosocial Modes. Nursing law, ethical responsibilities, and cultural
awareness will be explored. Basic leadership skills in working with groups and critical thinking
strategies are emphasized, with a focus on self-care to optimize professional performance. The
service-connected learning project will culminate in a student teaching project at the end of the

Course Objectives
       1. Demonstrate knowledge of advanced nursing concepts to promote adaptation for the
          patient/family throughout the life cycle.
       2. Perform registered nursing skills such as maintenance of central lines administration
          of blood transfusions and IV push medications, according to safe practice protocol.
          (Covered in critical care and advanced med/surg courses).
       3. Develop strategies to deliver holistic, competent nursing care in a variety of settings
          that meet the needs of the client/family and involve members of a multidisciplinary
          health care team.
       4. Identify appropriate actions incorporating cultural, ethical, legal and professional
          nursing values and employ them to meet the needs of the client/family in a variety of

       5. Identify legal and ethical issues that may affect the client and family across the life
           cycle and could influence nursing care decisions.
       6. Identify the ethical, moral and legal responsibilities of the nurse leader as an integral
           member of the health care team.
       7. Demonstrate basic leadership skills for working effectively with groups in the
           healthcare environment.
       8. Evaluate personal abilities and limitations and identify individual needs of growth.
       9. Identify sources of conflict between yourself and others and take steps to eliminate
           this disharmony.
       10. Demonstrate use of digital/electronic communication to present ideas and thoughts in
           an organized professional manner.

Pierce College Mission Statement

We are a community of learners open to all. Our community is built on a foundation of respect
and openness to change. Together, we strive to meet the needs of our diverse community and
develop each member’s abilities. Our commitment to quality education and teaching excellence
prepares learners to live and work successfully in an ever-changing world.

Pierce College Core Abilities

At Pierce College, we prepare students to live and work in a dynamically changing world by
emphasizing whole student development and the five core abilities. Developing these abilities
together will help us all meet the Pierce College Mission Statement.

Critical, Creative & Reflective Thinking (CT)

       A critical, creative reflective thinker will question, search for answers and meaning,
       evaluate ideas and information, and develop beliefs that leads to action.

Effective Communication (EC)

       The effective exchange of messages in a variety of contexts using multiple methods.

Information Competency (IC)

       Seeks, finds, evaluates and uses information to engage in lifelong learning.

Multiculturalism (M)

       Valuing open-mindedness, inclusion, multicultural perspectives and multiple ways of
       knowing, thinking and being.


       Responsibility is the ability to respond by examining the relationship between self.
       Community, and environments, evaluating potential impacts and consequences of
       actions, and making choices and contributions based on that examination and evaluation.

Accommodation for Students with Disabilities

Students with disabilities who believe they may need academic adjustments, auxiliary aids or
services to fully participate in course activities or meet course requirements are encouraged to
register with the Access and Disability Services (ADS) Office, Room N115 in the Sunrise
Building. You may also call the ADS Office at (253) 964-6460 or 964-6526 to make an
appointment. Students requesting accommodations must obtain the “Approved Quarterly
Academic Adjustments, Auxiliary Aids or Services” (green) form provided by ADS.
Pierce College Nursing Program Mission Statement

The Pierce College Associate Degree Nursing program forms a community of learners
committed to the discipline of nursing. Our specialized community is built on a foundation of
respect and openness to change. Together, we strive to meet the needs of our diverse community
for qualified registered nurses and develop each nursing student’s abilities in nursing. Our
commitment to quality nursing education and teaching excellence prepares learners to live and
work successfully as registered nurses in an ever-changing health-care environment.

Vision Statement

Our vision is to promote a multicultural, humanistic nursing program that provides excellence in
nursing education through the scholarship of teaching and learning.

                                  Nursing Program Outcomes

Nursing Process The graduate will demonstrate a beginning competence in critical, creative &
reflective thinking within the nursing process that serves to provide the foundation for safe,
effective care delivery in a wide variety of health care settings.


The graduate will demonstrate effective communication through the exchange of messages in a
variety of contexts using multiple methods.

Professional Role

The graduate will demonstrate responsibility in the registered nurse role by participating as a
member of a team to promote holistic, ethical, and compassionate care while functioning within
the scope of practice for the registered nurse.

Cultural competence

The graduate will demonstrate multicultural competency by valuing open-mindedness, inclusion,
multicultural perspectives and multiple ways of knowing, thinking and being for clients,
families, and colleagues in health care.

Information Competency

The graduate will seek, find, evaluate and use information in health care to support evidence
based practice and engage in lifelong learning for nursing practice.

Potential Methods and Tools for Assessment

Exams (multiple choice or essay)
Professional Presentation of Nursing Values (Group)
In-class Discussion/Participation
Written Assignments – Care Plan

Policies and Procedures
Refer to your Pierce College Nursing Program Student Handbooks. Additional policies include:
Extra credit will be offered at the instructor’s option/discretion, ALL LATE assignments will
receive a 5% deduction from the earned grade for each day it is late, missed classes will result in
a deduction of points from the total participation grade, Displays of unprofessional behavior i.e.
lack or professional courtesy (not allowing one person to speak at a time, etc.), rudeness,
disrespect, arguing rather than discussion (there is a difference) WILL be reflected in your
cumulative grade (up to a 10% deduction).

Course Specific Policies
Assignments are due at the beginning of class on the due date unless otherwise specified. Late
assignments will receive reduction in grade of 5 % per day. All assignments must be completed
to pass the course. Absences from class do not alter established due dates. No assignment is
considered collaborative unless so designated by the instructor.
                                        Class Attendance
Class/Lecture attendance is highly recommended. The student is responsible for all material
covered in lectures including announcements, schedule/assignment and/or syllabus changes.
Such changes are made at the instructor’s discretion. Missed lecture notes must be obtained from
fellow students.

                                        Class Preparation
Come to class prepared to answer questions and offer intelligent comments and participation that
is both subject/topic related for that week.

                                          Exam Policy
You must notify the instructor before an exam if you are unable to take the exam at the
scheduled time. It is expected behavior that exams are taken on time. Rare exceptions must be
discussed with the instructor. Failure to do so may result in a reduced grade or a zero for that
exam. The accepted policy is to speak to or email the instructor at least 24 hours before the
scheduled exam. Final exams must be taken as scheduled. Do not make plans to leave early or
return late for any break or to leave before the end of finals week.

                                     Professional Behavior
Criteria used to evaluate professional behavior include but are not limited to:
   -   Preparation for class
   -   Punctuality
   -   Respect and civility in all relationships including appropriate classroom behavior
   -   Responsibility and accountability for commitments
   -   Professional demeanor and appearance

                                          Academic Integrity
Violations of academic integrity include but are not limited to: cheating, lying, plagiarism, and
misrepresentation of information in oral or written form, (presenting material as though it was
yours alone when in fact it is all or partially someone else’s work). Please realize that both the
receiving of information from others and the giving of information to others inappropriately is
dishonest. Breaches in academic integrity can significantly alter your course grade or result in a
failure of the course. Faculty members determine grades within a course but issues of academic
integrity are frequently referred to program or college level committees.

Required Text – None
Required Readings
Darks, G. K. (September/October, 1998). Why don’t more African Americans go into
       Nursing? One Experience. The American Nurse, (30) 5.       (Handout in Class)

Sign up for this list serve

Additional Materials Required:

Page 7 of the Nursing Student Handbook – Pierce College School of Nursing Theoretical


Collaborative Work

Weekly mini presentation. At the beginning of each class your assigned group will give a brief
5-min verbal report on an agreed upon relevant issue/characteristic/topic found in a nursing
article of your choice. This article should cover the topic of discussion for the week as found in
the schedule in this syllabus. DO NOT DO LEADERSHIP!!! = 10 points

Professional/formal presentation. Groups will present one of the 9 Provisions of the Code of
Ethic for Nurses or the American Nurses Association (ANA) and one group will present the
history of the Code of Ethics for ANA. Each presentation should be no more that 10 minutes for
the entire group. The goal is for you to present to the faculty, staff, and students here at Pierce
College. = 30 points

1 Nursing plan of care: = 60 points

       This will be a complete plan of care for a 55 year old female Nursing Corporate
       Operations Officer with 2 college age children, a disabled husband, who the sole income
       for the family of 4. Diagnosis is CVA. The CVA occurred during a large board meeting
       and she was an emergent transport.
       Consist of standardized nursing language
       Nanda, NIC, and NOC
       Short and long term goals
       To cover the timeframe starting from ED to, ICU, PCU, MS, Rehab, then home with
       Latent effects of minimal right hemiparesis and issues associated with a left brain stroke.
1 Mid-Term Examination = 100 points
1 Final Examination = 100 points

Participation = 25 points

Total Possible Points = 325

Activity                                                                Points      My Grade
   - Meaningful and significant contributions                           15
   - Group Selection                                                    10
Collaborative Work Assignments
   - Group class presentation                                           10
   - Professional/formal presentation                                   30
Nursing Plan of Care                                                    60
Mid-Term Examination
Final Exam – Basic Leadership, Test Taking Strategies,
Benner: Novice to Expert Final Exam                                     100

Grading Breakdown
Grade earned is determined by dividing the total points earned by the total points possible.

96-100% = 4.0            89% = 3.6                85% = 3.2                 81% = 2.8
94-95% = 3.9(A)          88% = 3.5 (A-)           84% = 3.1                 80% = 2.7
92-93% = 3.8             87% = 3.4 (B+)           83% = 3.0 (B)             79% = 2.6
90-91% = 3.7             86% = 3.3                82% = 2.9                 78% = 2.5 (B-)

Please note that the minimum passing grade for the nursing program is 80%. As such, the grade
breakdown is only provided up to that point. Other grades, based on a percentage below 78% are
assigned per the Pierce College Grading System Policy.

                              Professional Role Transition
                                    Course Outline

Pierce Nursing Program Outcomes                 Course Outcomes
       I.     Communication                     1.     Advanced Nursing Concepts
       II.    Nursing Process                   3.     Holistic Competent Nursing Care
       III.   Professional Role                 4.     Cultural, ethical, legal nursing values
       IV.    Cultural Competence               5.     Legal, ethical nursing decisions
       V.     Information Competency            6.     Ethical, moral, and legal nursing
                                                       Responsibilities of the nurse leader
                                                7.     Working effectively in groups
                                                8.     Evaluate personal abilities and
                                                9.     Identify sources of conflict and
                                                       Take steps to eliminate disharmony
                                                10.    Present ideas and thought in a
                                                       Professional manner

Week/Date   Topic                       Objectives        Outcomes Reading/Activity

Week 1      Introduction, Review of     Grasp required    I, 1         Review attestation
1/6/10      Syllabi and Class           course work                    and signature

            Prioritization              Begin to build    III, 8, 9
                                        on learned
                                        experiences for
                                        self management
                                        and task

            Profession,                 Evaluate and      I, III, 1,  Group Selection
            Professionalism,            understand what   7, 8, 9, 10 Presentation Topic
            Professional Behavior,      it is to be a
            Collaboration               member of a                    Read Nursing
                                        profession                     standards article at

            Social Context of Nursing   Identify social, V, 9          Read the articles on
                                        political,                     Lateral Violence on
                                        economic factors               the website links
                                        and trends that


                                      Describe the
                                      impact of social
                                      violence on

Week 2                                                    III, 7       Mini Presentation
1/13/10                                                                Group I
          Critical Thinking           Define and
                                      understand how      I,V, 8, 9
                                      CT works for

          Behavioral Domains and      Describe            I, V, 10
          Hierarchies of Learning     characteristic
                                      behaviors of the
                                      categories in the
                                      domain of

          Theoretical foundation of   Analysis and        III, V, 1,
          learning                    comprehension       10
                                      of learning

          Test Taking Strategies      Comprehension       III, V, 1    Review of Med/Surg
                                      and analysis of                  Mid-term exam and
                                      NCLEX style                      rationales from Fall
                                      questions                        Quarter

                                                                       Pierce College
                                                                       Nursing Student
                                                                       Handbook pp 30-34

Week 3                                                   III, 7       Mini Presentation
1/20/10                                                               Group II
          Theoretical Nursing         Be on familiar   III, V, 10
          foundation                  terms with                      Read/review page 7
                                      Pierce College                  of the Nursing
          Roy Adaptation Model        theoretical                     Student Handbook
                                      foundation - Roy
          Benner Novice to Expert     Identify how
                                      nurses develop
                                      clinical skills

          Florence Nightingale –      Grasp              I, 10
          the scientist               connection
                                      between science
                                      and nursing

          American Nurses             Comprehension      III, 3, 5, 6 Review websites
          Association                 of the                          listed in required
                                      Professional                    reading
          Code of Ethics for Nurses   Nursing role
                                                                      Sign up for the list
          Registered Nurse Scope                                      serve
          of Practice

Week 4                                                   III, 7       Mini Presentation
1/27/10                                                               Group III

          Diversity in Health Care:   Describe the       III, V, 4,   Read article by
          Real or Imagined            struggles and      5, 6         Darks, G.K.
                                      contributions of
                                      African-                        Review link to
                                      Americans &           
                                      Men in Nursing
                                                                      In class PPT
                                                                      Disparities Quiz

          Legal, Ethical Issues in    Begin to           IV, V, 5
          Nursing                     formulate
                                      strategies to
                                      speak to “moral

          Nursing as a Practice     Describe the
          Discipline                components of a
                                    model nurse
                                    practice act

          Legal Risks in            Explain the
          Professional Nursing      conditions that
                                    must be present
                                    for malpractice
                                    to occur
Week 5                                                 III, 7        Mini Presentation
2/3/10                                                               Group IV & V

          Safe Nursing Practice     Understand and     V, 1, 6, 8, Joint Commission
                                    demonstrate safe   9           Website – National
          First Do No Harm          patient care                   patient safety goals
                                    standards as a
          National Patient Safety   professional                     Review patient safety
          Goals                     nurse                            website

          Work Environment –
          Safety Measures                                            Review of Case
                                                                     Studies in class
          Quality Control &
          Occurrence Reports

Week 6    Group Presentations                          I, III, 4,    Formal Presentation
2/10/10   1100 - 1400                                  5, 6, 7
Week 7                                                 III, 7        Mid-Term Exam
2/17/10                                                              Mini Presentation
                                                                     Group VI

          Evidence Based Practice   Define evidence- I, V, 1
                                    based practice

                                    research has
                                    made to nursing
                                    practice and
                                    health care

          Clinical Judgment         Define clinical    I, II, III,
                                    judgment in        V, 3, 6,
                                    nursing practice   10

                                     and explain how
                                     it is developed

          Nursing Process            Describe          II
                                     Evaluation in the
                                     nursing process

          Nanda, NOC, NIC            Understand the     II, III, IV, Begin and complete
                                     Nanda              1, 3, 10     the assigned care plan
                                     Classification                  by the scheduled date
Week 8                                                  III, 7      Mini Presentation
2/24/10                                                             Group VII

          Communication and          Explain the        I, III, V
          Collaboration in Nursing   difference
                                     and dependent
                                     nursing actions

                                     Demonstrate and

          Delegation                 Recognize the      III, 6
                                     role of the
          What is leadership         nurse

          Educational Pathways to    Distinguish
          becoming a Nurse           traditional and    III, V, 6
                                     alternative ways
                                     of becoming a
                                     registered nurse
          Licensure and

          Challenges in Nursing
Week 9                                                     III, 7         Mini Presentation
3/3/10                                                                    Group VIII
          Illness, culture, and caring Distinguish         I, III, IV,
                                       internal and        V, 1, 3, 4,
                                       external            5
                                       influences on
                                       illness behavior

          Illness impact on patients,    Discuss how
          families, and nurses          family
                                        functioning is
                                        altered during

          Self Care for nurses          Explain the        I, III, 1, 6
                                        necessity of and
                                        strategies for
                                        self-care by
Week 10                                                    III, 7         Mini Presentation
3/10/10                                                                   Group IX & X

          Potpourri – Nursing           Understand the     I, III, V,     Nursing Care Plan
          practice: AD, BSN,            role of nursing    1, 6, 8, 9,    Due Today
          MSN/MN, DNP, PhD              practice at all    10
                                        levels                            Instructor Evaluations
          BSN preferred institutions    Answer the
                                        question “Is my
                                        employer a BSN

          Problem-solving with          Cite examples of
          peers, Roles, Use of          sources of both
          Power                         personal and

          Political Activism of         Differentiate
          Nursing                       between politics
                                        and policy

                                        Explain why

                                      professions have

          Safe Patient Handling Act   Understand how
          of Washington State         this policy
          Review for final exam
Week 11
3/17/10   Final Exam                                     Final Exam


Ackley, B.J., & Ladwig, G.B. (2008). Nursing Diagnosis Handbook: an evidence-based guide to

       Planning Care, (8th ed.). St Louis, MO: Mosby Elsevier.

American Nurses Association (2004). Nursing: Scope and Standards of Practice, (2nd ed.).

       Silver Spring, MD: American Nurses Association.

American Psychological Association, (2009). Publication Manual of the American

       Psychological Association, (6th ed.). Washington, DC: American Psychological


Benner, P. (2001). From Novice to Expert: Excellence and Power in Clinical Nursing Practice.

       Upper Saddle River, NJ: Prentice-Hall, Inc. (Original work published 1984).

Benner, P.E., Malloch, K., & Sheets, V. (Eds.). (2010). Nursing Pathways for Patient Safety.

       (National Council of State Boards of Nursing). St Louis, MO: Mosby Elsevier.

Chitty, K.K., & Black, B.P. (2007). Professional Nursing: Concepts and challenges, (5th ed.).

       St Louis, MO: Saunders Elsevier.

Committee on Quality of Health Care in America-Institute of Medicine (2003). Crossing the

       Quality Chasm: a new health system for the 21st Century. Washington, DC: National

       Academy Press. (Original work 2001).

Fowler, M.D.M. (Ed.). (2008). Guide to the Code of Ethics for Nurses: Interpretation and

       Application. (American Nurses Association). Silver Spring, MD: American Nurses


Kohn, T.L., Corrigan, J.M., & Donaldson, M.S. (Eds.). (2003). To Err is Human: Building a

       Safer Health System. Washington, DC: National Academy Press. (Original work 2001).

Nugent, P.M., & Vitale, B.A. (2008). Test Success: Test-Taking Techniques for Beginning

       Nursing Students, (5th ed.). Philadelphia, PA: FA Davis.

O’Connor, A.B. (2006). Clinical instruction and evaluation: A teaching resource, (2nd ed.).

       (pp 35-60). Sudbury, MA: Jones & Bartlett Publishers.

Page, A. (Ed.). (2004). Keeping Patients Safe: Transforming the Work Environment of Nurses.

       Washington, DC: National Academies Press.

Pauly, B., Varcoe, C., Storch, J., & Newton, L. (2009). Registered Nurses’ Perceptions of Moral

       Distress and Ethical Climate. Nursing Ethics, 16(5), 561-573.

            Student Agreement of Syllabus and Class Expectations

I have read and understand the syllabus for NURS 224. I have a clear understanding of
what is expected of me, including didactic and clinical attendance, homework
assignments, preparation for exams, and outside of class/lab study time. I also agree to
follow the guidelines outlined in the Pierce College Nursing Student Handbook and
understand my rights as a student.

Printed Name: __________________________________________________

Signature: ______________________________________________________

Date: __________________________________________________________

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