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                             Saint Francis Xavier University

                                    School of Nursing

                            Nursing 355 – Perinatal Nursing

                                   January – April 2012




N 355 is based on the philosophy and principles of family centered health care and the

promotion of self-care for childbearing families. Students will explore the childbearing

experience through the lens of the social determinants of health, social justice, diversity,

spirituality, and the physiological and psychological dimensions of pregnancy. The

course will concentrate upon the normal, healthy perinatal and neonatal experience,

with an introduction to a range of complications.


The course includes classroom instruction over 13 week period and 72 hours of clinical

nursing experience over a six week period. Students will have the opportunity to learn
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about perinatal nursing through classroom lectures, interactive discussions, quizzes,

clinical experiences, and assignments. (Three credit course).


Course Professor

      Marion Alex RN MN

      Email: malex@stfx.ca

      Phone: (902) 867-5173

      Office: M 101



Clinical Instructors

      Lara MacDonald RN BScN        (Aberdeen Hospital)

      Email lmacdona@stfx.ca

      Phone (902) 867-2461



      Ann Marie Murdock, RN, BScN, IBCLC (Aberdeen Hospital)

      Email: annmarie.murdock@pcha.nshealth.ca

      Unit Phone: (902) 752-7600 Ext. 2530



      Patricia MacKenzie, RN, BScN, HBCE, SANE (St. Martha’s Hospital)

      Email: pmackenz@stfx.ca

      Phone: (902) 867-4923

      Unit Phone: (902) 867-4200
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Textbook


       Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2010).       Maternal

child nursing care (4th Ed.). Maryland Heights, MI: Mosby Elsevier.


Supplementary resource for Canadian data


       Canadian Perinatal Health Report. (2008).


http://www.phac-aspc.gc.ca/publicat/2008/cphr-rspc/pdf/cphr-rspc08-eng.pdf




Objectives for third year nursing. The student will

        Demonstrate the ability to engage in evidence-informed professional nursing

         practice that is directed towards health and wellness, preventing illness,

         managing disease processes, restoring optimal function, and alleviating suffering

         in clients across the lifespan in a variety of settings and in accordance with the

         Standards of Nursing Practice (CRNNS, 2004), the Entry-Level Competencies

         (CRNNS, 2009), and the CNA Code of Ethics (2008).

        Demonstrate the ability to incorporate and promote the principles of primary

         health care (accessibility, public participation, health protection, health

         promotion, illness and injury prevention, appropriate use of technology,

         intersectoral cooperation) and population health.

        Demonstrate the ability to address the determinants of health throughout all

         phases of the nursing process.
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   Demonstrate the increasing ability to apply professional, ethical/moral, and legal

    standards in decision-making with respect to health and health care delivery.

   Demonstrate increasing ability to act and interact in a caring and professional

    manner.

   Demonstrate accountability and responsibility in all nursing actions and

    interactions.

   Demonstrate the ability to implement nursing practice models that promote the

    principles of self-care and societal responsibility.

   Demonstrate the ideals of social justice, inclusivity, and equity through

    respectfulness, cultural safety, and cultural competence.

   Demonstrate the ability to support interdisciplinary and multisectoral

    collaborative participation in health care delivery and research.

   Demonstrate the ability to use facilitative and deliberate interaction in client

    encounters.

   Demonstrate the ability to employ leadership and advocacy skills to positively

    impact on population health and health care policy.

   Participate in activities that foster personal growth and continuing competence.

   Demonstrate the ability to exemplify professional nursing practice that is

    proactive and responsive to the changing health needs of society.

   Demonstrate the application of critical thinking, flexibility, and creativity in

    unpredictable and complex situations.
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Grading


Classroom component                                Practicum component


Test #1 (February 1, 2012)    25%                          Pass/ Fail


Test #2 (February 29, 2012 ) 25%


Final exam (April 2012)       50%




Policies


    Students must attain a minimum grade of 60% in the classroom component of the

course and a pass in the practicum component of the course to obtain a passing grade in

N355 and be eligible to continue in the BScN program.


    Student behavior is governed by C N A (2008) Code of Ethics and CRNNS

Standards of Nursing Practice.


    Academic integrity is expected. Plagiarism, impersonating others such as during

attendance checks, or other forms of fraud will be dealt with according to StFXU

university policy (see University Calendar, p. 13-14)


    Attendance is mandatory; absences must be explained in writing (email) to the

relevant instructor.


    All written work must be submitted within stated deadlines.
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    No electronic devices during class or practicum (without documented reason such

as perceptual disabilities and the like). See School of Nursing policy.


    Absolutely no sharing of client data or related practicum experiences on email,

Facebook or other social media. Such is considered profoundly inappropriate

professional conduct and constitutes a breach of ethics.




    Any information you share as a professional nurse must be based on the best

available science. In teaching childbearing women and their families, and in written

work, references must be current and peer-reviewed (e.g Journal of Obstetric,

Gynecologic, and Neonatal Nursing, dated 2007-2012).


    Acceptable websites include those of regulated professional associations or

National/International government health authories such as


     Health Canada


     Centers for Disease Control Atlanta (CDC)


     World Health Organization (WHO)


     Society of Obstetricians and Gynecologists of Canada (SOGC)


     Association of Women’s Health, Obstetric, and Neonatal Nursing (AWHONN)


     Canadian Association of Midwives (CAM)
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     American College of Nurse Midwives (ACNM)


Please do NOT use non-refereed “advice” websites, popular magazines, and the like


Reference using APA format.




Class schedule

January 4, 2012. INTRODUCTION
     Reading: Chapters 1, 2, and 5 of textbook
     Review/know A&P of female and male reproductive systems (N251/252)
Introduction to course
Philosophy of family-centered care
Historical evolution of maternal/newborn/family care in context of culture


January 11, 2012. PRENGANCY AND FETAL DEVELOPMENT 1
       Reading: Perry et al, Chapters 7, 8, and 12
       Review maternal and newborn nutrition (HNU 261/263)
Conception and fertility
Fetal development


January 18, 2012 PREGNANCY AND FETAL DEVELOPMENT 2
      Reading: Perry et al, Chapters 9, 10, and 11
 Maternal psychophysiological changes in Pregnancy
Antepartal assessment
Nursing care during pregnancy


January 25, 2012 PREGNANCY AND FETAL DEVELOPMENT 3
      Reading: Perry et al, Chapters 13 and 14
Pregnancy at risk


February 1, 2012   2:15 - 3:30pm   Test #1
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February 1, 2012 4:00 – 5:00 LABOR AND BIRTH 1
       Reading: Perry et al, Chapter 15
Anatomy & physiology of labor & birth
Stages of labor


February 8, 2012 LABOR AND BIRTH 2
      Reading: Perry et al, Chapter 16, 17, 18
      Romano, A.M., & Lothian, J.A. (2008). Promoting, protecting, and supporting normal
      birth: A look at the evidence. Journal of Obstetric, Gynecologic, and Neonatal
       Nursing, 37(1), 94-105.
Nursing care and support during normal labor and birth


February 15, 2012 LABOR AND BIRTH 3
       Reading: Perry et al, Chapter 19
At-risk labor and birth


February 29, 2012. 2:15 – 3:30 Test #2


February 29, 2012. 4:00 – 5:00 POSTPARTUM/ NEWBORN CARE 1
      Reading: Perry et al, Chapter 20
Maternal psychophysiological changes in the immediate postpartum


March 7, 2012 POSTPARTUM/NEWBORN CARE 2
      Reading: Perry et al, Chapter 21
Assessment and care of healthy postpartum women and their families


March 14, 2012 POSTPARTUM/NEWBORN CARE 3
       Reading: Perry et al, Chapter 23
Postpartum complications


March 21, 2012 POSTPARTUM/ NEWBORN CARE 4
      Reading: Perry et al, Chapter 24 and 25
      Henderson, A. (2011) Understanding the breast crawl: Implications for Nursing
      Practice. Nursing for Women’s Health, 15(4), 296-307.
Neonatal transition to extrauterine life
Newborn assessment and care
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March 28, 2012 POSTPARTUM/ NEWBORN CARE 5
        Reading: Perry et al, Chapter 26
Infant feeding
Lactation


April 4, 2012 POSTPARTUM/ NEWBORN CARE 6
        Reading: Perry et al, Chapter 27 and 28
Caring for preterm babies
Ill neonates (infections, trauma, effects of toxic exposures, anomalies)




Clinical Practicum          (pass/fail)


To obtain a pass, students are required to:

      Participate in all assigned practicum experiences. This includes full attendance

       for six preparation days and six practicum days, active participation in all pre-

       and post-clinical conferences, and completion of the following written

       assignments: weekly assessment forms, weekly pre/post conferences, weekly
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       reflective journals, and one extensive assessment of a selected childbearing

       family, and other assignments (e.g. review of medications, review of a clinical

       issue) as described by clinical instructor as relevant to clinical situations and

       contexts.

      Any time missed due to illness or other reasons must be made up at the

       discretion of the relevant clinical instructor.

      Demonstrate a knowledge base informed by theory and research findings

      Demonstrate an enthusiasm for learning.

      Demonstrate evidence of safety regarding medication administration, and

       psychomotor skills.

      Demonstrate evidence of safety when caring for and working with infants,

       mothers, and childbearing families.

      Demonstrate nursing practice guided by the Canadian Nurses’ Association Code

       of Ethics.

      Demonstrate preparedness for all clinical assignments.

      Satisfactory completion of all assignments.



Written assessments and care plans

   1. Each student will complete a “daily worksheet” for each clinical assignment to

       be submitted to his/her clinical instructor

   2. Each student will complete one “major assessment” (N355-specific form will be

       provided) and one care plan, inclusive of references and inclusive of at least one
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        (included) peer-reviewed journal article, to be submitted to his/her clinical

        instructor



Guidelines for Clinical Reflective Journals

       Clinical learning journals are an opportunity for students to reflect on and

articulate the events that unfold in clinical practice. An entry is required for each

clinical practicum day. These may be handwritten as long as the writing is legible. The

journals are also an opportunity to state learning goals and reflect on the development

of learning and strengths as these evolve.

       Your journals should be an account of the events that took place with the family

you were assigned to during the clinical day:

       Background history of the mother
       Background history of the infant
       Significant others in the family
       Assessments you made
       Interactions engaged in with family
       Clinical issues/objectives
       Evaluation strategies

As you reflect, think about the following poem written by Suzanne Gordon: all to often
nurses cannot articulate what they have done to improve the health of those in our care.
In your journal, please describe what you did or could have done to positively influence
or affect the health of the family you were assigned.

Then write your reflective journal telling how you as ‘just a nurse’ could make a
difference in families’ lives.

       Examining the issue of importance.
       Examining your assumptions.
       Examining your feelings
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   Describing how this experience affirmed or challenged your prior experiences
    and knowledge.
   Describing how nursing practice met or needs to be changed in order to enable
    childbearing aged people to live their life to the fullest.

Please submit a dated journal entry of about 3-4 pages in length to your clinical

instructor within three days of completing each practicum day.

				
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