NUR 4748 Section 3410 Systems of Care 4 Syllabus Fall 2012 finaCONWEBSITEl1

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					                                          UNIVERSITY OF FLORIDA
                                           COLLEGE OF NURSING
                                            COURSE SYLLABUS
                                                FALL 2012

COURSE NUMBER                       NUR 4748 - Section 3410

COURSE TITLE                        Systems of Care 4: Multi-system Care

CREDITS                             4

PLACEMENT                           BSN Program: 4th Semester Upper Division

PREREQUISITE                        Systems of Care 3: Restoration of Wellness

COREQUISITE                         None

FACULTY                                        OFFICE             PHONE          OFFICE HOURS

Amber L. Pena, MSN, ARNP                        HPNP        352-273-6401         Wed & Thurs:
PMHNP-BC, FNP-BC                                4219                             Immediately after class
apena13@ufl.edu                                                                  & by appointment
Course Coordinator

Deborah Popovich, MSN, ARNP                     HPNP        352-273-6342
popovdm@ufl.edu                                 2223                             Tuesday 1-3

DEPARTMENT CHAIR

Joyce Stechmiller, PhD                         HPNP         352-273-6394         By Appointment
ACNP-BC, FAAN                                  3230
Associate Professor
stechjk@ufl.edu

COURSE DESCRIPTION
          The purpose of this course is to examine multi-system alterations in equilibrium across
 the lifespan. Emphasis is on identification of principles from the science of nursing used to
 support safe and effective management of clients with multi-system illnesses in a variety of
 settings. Focus is on synthesis of knowledge from multiple sources to influence client-centered
 outcomes.

 COURSE OBJECTIVES                  Upon completion of this course, the student will:

     1. Evaluate the healthcare needs of clients with multi-system alterations in equilibrium
        across the lifespan.




 NUR 4748 – Section 3410 – Fall 2012 – FINAL
 COURSE OBJECTIVES (continued)

     2. Synthesize relevant knowledge from multiple sources in development of plans of care for
        clients with multi-system alterations.

     3. Generate plans of care to facilitate individual and family transition to end of life.

     4. Justify interprofessional plans of care to achieve optimal healthcare outcomes.

     5. Establish priorities for interventions with clients having multi-system illness.

COURSE SCHEDULE
      DAYS                                     TIME                 ROOM

Wednesday                             8:30am– 12:35 pm               G114

Thursday                              8:30am – 12:35pm               G114

          E-Learning in Sakai is the course management system that you will use for this course. E-
 Learning in Sakai is accessed by using your Gatorlink account name and password at
 http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login
 site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send
 email to helpdesk@ufl.edu.
          It is important that you regularly check your Gatorlink account email for College and
 University wide information and the course E-Learning site for announcements and notifications.
          Course websites are generally made available on the Friday before the first day of
 classes.

 ATTENDANCE
     Students are expected to be present for all scheduled classes, other learning experiences, and
 assessments. Students who have extraordinary circumstances preventing attendance should
 explain these circumstances to the course instructor prior to the scheduled class or as soon as
 possible thereafter. Instructors will then make an effort to accommodate reasonable requests. A
 grade penalty may be assigned for late assignments, including assessments.
     It is the students’ responsibility to act in a professional manner. Students are not to use
 cell phones, iPods’ or other electronic devices during class unless necessary for assignments.
 If a student is engaged in texting or using electronic devices outside of assigned activities, they
 will be excused from class and may receive a deduction of points from their overall
 participation grade.
     There will be no make-ups for missed readiness assessments. If a student misses an
 individual or group assessment, the score for that missed assessment will be an average of the
 other individual or group assessments.

  ACCOMMODATIONS DUE TO DISABILITY
        Each semester, students are responsible for requesting memorandum from the Disability
 Resource Center to notify faculty of their requested individual accommodations. This should be
 done at the start of the semester.

 NUR 4748 – Section 3410 – Fall 2012 – FINAL
 UNIVERSTY COUNSELING AND MENTAL HEALTH SERVICES
 http://www.counseling.ufl.edu/cwc/ (352) 392-1575

 STUDENT HANDBOOK
        Students are to refer to the College of Nursing Student Handbook for information about
 University & College of Nursing policies, Academic Honesty, and professional behavior.

 TOPICAL OUTLINE

 Care of clients with multi-system alterations in health, including but not limited to:

 1.   Trauma
 2.   Cardio-pulmonary
 3.   Geriatric syndrome
 4.   Immune
 5.   Psychosocial
 6.   End of life

TEACHING METHODS
          Team-based learning activities, interactive real-time response assessments, case study
 exemplar presentations and analysis, class discussion, lecture, expert presentations, web-based
 activities, and integration of previous learning.

LEARNING ACTIVITIES
       Participation in team, group and class discussions; case presentation and analysis, End of
 Life Module, health care bundle and web-based assignments.

EVALUATION METHODS/ COURSE GRADE CALCULATION

Case study presentations (indv)                 20%
End-of-life module (indv)                       10%
Individual readiness assessments                25%
Group readiness assessments (Team)              30%
Health care bundle (Team)                       10%
Group-rated participation (indv)                 5%
                                               100%

GRADING SCALE/QUALITY POINTS

 A        95-100 (4.0)              C          74-79* (2.0)
 A-       93-94 (3.67)              C-         72-73 (1.67)
 B+       91- 92 (3.33)             D+         70-71 (1.33)
 B        84-90 (3.0)               D          64-69 (1.0)
 B-       82-83 (2.67)              D-         62-63 (0.67)
 C+       80-81 (2.33)              E          61 or below (0.0)   * 74 is the minimal passing grade



 NUR 4748 – Section 3410 – Fall 2012 – FINAL
REQUIRED TEXTS

 Ackley, B., & Ladwig, G. (2011). Nursing diagnosis handbook: An evidence-based guide to
        planning care (9th ed.). St. Louis: Mosby/Elsevier.
 Deglin, J. H., Vallerand, A. H., & Sanoski, C. A. (Eds.). (2011). Davis's drug guide for nurses (12th
         ed.). Philadelphia: F. A. Davis Co.
 Jarvis, C. (2008). Pocket companion for physical examination and health assessment (5th ed.). St.
         Louis: Saunders/Elsevier.
 Kee, J. L., Hayes, E. R., & McCuistion, L. E. (Eds.). (2009). Pharmacology: A nursing process
         approach (6th ed.). St. Louis: Saunders Elsevier.
 Lewis, S.L., Dirksen, R.F., Heitkemper, M.M., Bucher, l., & Camera, I.M. (2011).
         Medical-surgical nursing: Assessment and management of clinical problems (8th ed.).
         St. Louis: Mosby.
 McCance, K. L., & Huether, S. E. (2010). Pathophysiology: The biologic basis for disease in adults
      and children. (6th ed.). St. Louis: Mosby/Elsevier.

 Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010). Maternal child nursing
         care (4th ed.). Maryland Heights, MO: Mosby.
 Schuster, P., & Nykolyn, L. (2010). Communication for nurses: How to prevent harmful events
       and promote patient safety. Philadelphia: F.A. Davis
 Townsend, M. C. (2011). Essentials of psychiatric mental health nursing: Concepts of care in
       evidence-based practice (5th ed.). Philadelphia: FA Davis.
 Van Leeuwen, A. M., & Poelhuis-Leth, D. J. (2009). Davis’s comprehensive handbook of
       laboratory and diagnostic tests with nursing implications (3rd ed.). Philadelphia: F.A. Davis


 RECOMMENDED TEXTBOOKS AND RESOURCES

 Agency for Healthcare Research and Quality. (n.d.). http://www.ahrq.gov/
 Centers for Medicaid and Medicare Services. (n.d.). http://www.cms.gov/
 National Guideline Clearinghouse. (n.d.). http://www.guideline.gov
 PubMed.gov. (n.d.). http://www.ncbi.nlm.nih.gov/pubmed/


 All other texts from supporting courses.




 NUR 4748 – Section 3410 – Fall 2012 – FINAL
               Description and Criteria for Evaluation of Case Study Presentations

Objectives:

This assignment is meant to help the student focus on the complexity of care by identifying
healthcare needs of clients with multi-system illness. They will identify realistic health
outcomes, justify interprofessional plans of care to achieve optimal healthcare outcomes and
establish priorities for interventions with clients having multi-system illness. Students will also
be expected to identify potential preventable complications and how the problems could be
prevented.

Description of Case Study Presentation:
Students will work in pre-assigned teams for the entire semester. The team will be responsible
for producing a Health Care Bundle for each case. One student from each team will represent
their team for the daily case study presentation. Team representatives will be divided into two
presentation groups to respond to selected questions. The interactive, oral presentations will be
approximately 20-minute in length and will be related to the assigned case study and questions.
Students are expected to present this analysis of the exemplar to faculty and peers for
constructive feedback and questions. This oral presentation should be cohesive, concise, and
evidence-based. References should be included. No audiovisuals or handouts are required.

Students will be given the case studies and class objectives a week in advance. Required readings
will also be assigned, expected to serve as foundational knowledge to the topic. It is then expected
that each team member will find evidence-based sources for presentation material. The team will be
responsible for creating their overall Health Care Bundle, a compilation of each team member’s
evidence-based journals and resources.

Description and Criteria for Evaluation of Student Presentations:
Student presentations are essential for demonstration of critical thinking related to the course
content. This assignment is meant to enhance the students’ critical thinking in nursing practice
by applying previously learned concepts and evidence-based practice to a variety of clients with
multi-system illness.

During the course, students will be selected a minimum of one time to present the case study.
Evaluation of student performance will be calculated as the average of the student’s total
presentations.

This will be evaluated as follows:




NUR 4748 – Section 3410 – Fall 2012 – FINAL
      Rating                                         Presenter Criteria
                        Implements at least 3 comprehensive, appropriate and current evidence-
Outstanding              based sources from journals in presentation of case study exemplars.
91-100%                 Analyzes appropriateness of selected evidence-based, client-centered
                         outcomes for the plan of care.
                        Develops a prioritized, interprofessional plan of care for the case study
                         exemplar client system.
                        Applies evidence-based client-centered outcomes to the plan of care.
                        Identifies potential preventable complications and how the problems
                         could be prevented.
                        Applies concepts from the case study exemplar to other clients
                         presenting from other populations, stage of life AND with similar illnesses.
                        Encourages classmate participation and responds to comments by
                         classmates and faculty, applying to case study presentation.
                        Utilizes at least 3 appropriate and current evidence-based references for
Good                     presentation of the case study exemplars.
81-90%                  Discusses appropriateness of selected evidence-based client-centered
                         outcomes for the plan of care.
                        Develops an interprofessional plan of care for the case study exemplar
                         client system.
                        Identifies evidence-based client-centered outcomes for the plan of care.
                        Identifies some of the potential preventable complications and how the
                         problems could be prevented.
                        Applies concepts from the case study exemplar to other clients from other
                         populations.
                        Responds to comments by classmates and faculty, applying to case
                         study presentation.
                        Verbalizes two or more references for presentation of the case study
Satisfactory             exemplars.
74-80%                  Satisfactory analysis of appropriateness of selected evidence-based
                         client-centered outcomes for the plan of care. Do WE Need
                        Develops a plan of care for the case study exemplar client system.
                        Applies outcomes to the plan of care.
                        Identifies some complications.
                        Listens to comments made by classmates.
                        Verbalizes inappropriate, non-current or no references for presentation of
Unsatisfactory           case study exemplar.
0-73%                   Vague or inappropriate plan of care for client system.
                        Unable to recognize differences in the plan of care for client systems
                         across the life span.
                        Does not appropriately identify client-centered outcomes for plan of care.
                        Does not identify preventable complications and how problems could be
                         prevented.
                        Rarely dialogues with classmates during presentation.




NUR 4748 – Section 3410 – Fall 2012 – FINAL
                                        WEEKLY CLASS SCHEDULE


Students will examine multiple alterations in equilibrium across the lifespan. Each class
will focus on the health care needs and safe and effective nursing and interprofessional care
of clients with multi-system illnesses. Class discussion will apply principles learned in
previous classes and from examination of current evidence to the case study exemplars and
to other clients with similar alterations and a variety of settings in order to provide safe
and effective care.

Students are expected to review required content in their textbooks and resources given by
faculty and previous class materials related to the class topics and case study exemplars in
preparation for class. They will also select appropriate evidence-based current journal
articles for discussion of the case exemplars. Additional directions for case study
presentations will be posted on the E-Learning Sakai website.

     Date                                         Topic                                   Faculty
Wed Aug 22           Class focus: Orientation to course; In-class examples on
                                                                                       Professor
                     understanding Team-Based Learning, practice individual and
                                                                                       Pena
                     group readiness assurance tests.
Thurs Aug 23         Class Focus: Care giving across the lifespan.
                                                                                         Professor
                     Case study exemplar: An older adult with multisystem                Pena
                     alterations in function requiring a caregiver.
Wed Aug 29           Class Focus: Caring for clients across the lifespan with
                     multisystem alterations in equilibrium related to tissue integrity.
                                                                                         Professor
                     Case study exemplar: Children and adults with thermal trauma. Popovich

                     **END OF LIFE MODULE due-must be completed before
                     class**
Thurs Aug 30         Class Focus: Care of clients with chronic multisystem
                     illnesses and disabilities across the life span.                  Professor
                                                                                       Popovich
                     Case study exemplar: Children and adults with multisystem
                     alterations in equilibrium related to heart and lung disease.
Wed Sept 5           Class focus: Care of older adults with multiple alterations in
                     equilibrium causing common geriatric syndromes.
                                                                                       Professor
                                                                                       Pena
                     Case study exemplar: An older adult exhibiting multisystem
                     alterations in function commonly associated with aging.
Thurs Sept 6         Class Focus: Care of clients with alterations in fluid volume
                     across the life span.                                             Professor
                                                                                       Popovich
                     Case study exemplar: Children and adults with decreased
                     circulating fluid volume due to hospital-acquired infections.
Fri Sept 7           HESI – Exam #1
                     Location to be announced.                                         Dr. Bradley



NUR 4748 – Section 3410 – Fall 2012 – FINAL
Wed Sept 12          Individual Readiness Assurance Test (IRAT)
                     Group Readiness Assurance Test (GRAT)                           Professor
                     on Aug 29-Sept 6th classes                                      Pena
                     Class review on content of all previous classes

Thurs Sept 13        Class Focus: Caring for clients across the life span with
                     multisystem changes in relationship patterns due to differences
                     in sexuality.                                                   Professor
                                                                                     Pena
                     Case study exemplars: Adults and children with significant
                     gender dysphoria.
Mon Sept 17          1st Peer Evaluation due at 5pm on Sakai
Wed Sept 19          Class Focus: Caring for clients across the lifespan who have
                     multisystem alterations in equilibrium related to altered
                     nutrition.                                                      Professor
                                                                                     Pena
                     Case study exemplar: Children with multisystem illnesses
                     related to poor nutritional intake.
Thurs Sept 20        Class Focus: Caring for clients across the lifespan with
                     multisystem illnesses related to alterations in immunity.
                                                                                     Professor
                     Case study exemplar: An older woman with acquired immune
                                                                                     Pena
                     deficiency syndrome.
Fri Sept 21          HESI – Exam #2
                     Location to be announced.                                       Dr. Bradley

Wed Sept 26          Class Focus: Caring or clients across the lifespan who have
                     multisystem alterations in equilibrium related to violence.     Professor
                                                                                     Pena
                     Case study exemplars: Adults in abusive relationships.
Thurs Sept 27        Individual Readiness Assurance Test (IRAT)
                     Group Readiness Assurance Test (GRAT)                           Professor
                     on Sept 13th/-Sept 26th classes                                 Pena
                     Review content of all previous classes

Wed Oct 3            Class Focus: Caring for clients across the life span with
                     pervasive developmental disorders that affect client
                     psychosocial patterns of relationships.                         Dr. Elder

                     Case study exemplar: A child within a family with autistic
                     spectrum disorder.
Thurs Oct 4          Class Focus: Care of clients across the lifespan with chronic
                     altered perceptions of reality.                                 Professor
                                                                                     Pena
                     Case study exemplar: A young adult client with an altered
                     perception of reality that affects relationships with others.
Friday Oct 5          HESI #3 (if needed)
                      Location to be announced                                       Dr. Bradley




NUR 4748 – Section 3410 – Fall 2012 – FINAL
 Wed Oct 10           Class Focus: Care of clients with altered cognitive function
                      across the life span
                                                                                     Professor
                      Case study exemplar: An older adult at risk or experiencing    Pena
                      decreased cognitive function affecting the multi-systems and
                      psychosocial patterns of relating.
 Thurs Oct 11         Individual Readiness Assurance Test (IRAT)
                      Group Readiness Assurance Test (GRAT)
                      on Oct3rd-Oct 10th classes                                     Professor
                      Review content of all previous classes                         Pena
                      2nd Peer Evaluations


* See additional information for case study presentations and discussions, evaluation, health
care bundle and the End of Life assignment on the NUR 4748 course E-Learning Sakai
website.

 Approved:      Academic Affairs Committee:            09/09
                General Faculty:                       09/09
                UF Curriculum Committee:               10/09




 NUR 4748 – Section 3410 – Fall 2012 – FINAL

				
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