School of Health &
Community Services
Development of Self II
2014 - 2015
Program
Year
Practical Nursing
Semester
2
4
Course code:
NURS 4520
Con. Ed. code:
NURS 4550
Course hours:
42
GPA weighting:
3
Prerequisite:
NURS 1520, NURS 3515
Corequisite:
N/A
Prepared by:
Joanna Gallacher/Jean Jackson
Delivery:
In class
Online
Hybrid
Authorized by (Dean):
Date: August 14, 2013
Professor contact information:
NAME
EMAIL
PHONE
OFFICE LOCATION
Joanna Gallacher
joanna.gallacher@durhamcollege.ca
X2478
SW205
Durham College Course Outline – NURS 4520 – 2014-2015
Page 1 of 11
Course Description
This course will build on the concepts introduced in Development of Self I and will focus on more
advanced aspects which influence the professional practice of nursing. Leadership, change, and conflict
management theories will be applied to nursing professional practice. Current issues in the health care
field will be presented. This course will also explore the CNO’s legal, ethical and professional
expectations including self-regulation, quality assurance, using an ethical framework and professional
conduct. Students will learn the role of the unregulated care provider (UCP) and the RPN’s responsibility
related to working with UCPs and the interprofessional team. Students will be supported in their
preparation for the CPNRE and employment in nursing.
Subject Eligibility for Prior Learning Assessment & Recognition
(PLAR)
Prior Learning Assessment and Recognition (PLAR) is a process a student can use to gain college
credit(s) for learning and skills acquired through previous life and work experiences. Candidates who
successfully meet the course learning outcomes of a specific course may be granted credit based on the
successful assessment of their prior learning. The type of assessment method (s) used will be determined
by subject matter experts. Grades received for the PLAR challenge will be included in the calculation of a
student’s grade point average.
Candidate eligibility is outlined in http://www.durhamcollege.ca/assets/Section~specific/Continuing~Education/documents/plar.pdf
Yes
No
Durham College Course Outline – NURS 4520 – 2014-2015
Page 2 of 11
Course Learning Outcomes
Course Specific Outcomes
Essential Employability Outcomes
Students receiving a credit for this course will have
demonstrated their ability to:
Students receiving a credit for this course will have
demonstrated their ability to:
1. Apply legal, professional and regulatory
standards to various advanced professional
practice issues in nursing
8. Communicate clearly, concisely and correctly in
the written, spoken, and visual form that fulfills
the purpose and meets the needs of the
audience.
2. Analyze ethical dilemmas using an ethical
decision making model
3. Relate principles of leadership, management,
change theory as they apply to quality
workplaces and nursing practice.
4. Apply conflict resolution skills to nursing case
studies.
9. Analyze, evaluate, and apply relevant
information from a variety of sources.
10. Show respect for the diverse opinions, values,
belief systems, and contributions of others.
11. Interact with others in groups or teams in
ways that contribute to effective working
relationships and the achievement of goals.
5. Describe the role of the Practical Nurse as it
relates to the interprofessional healthcare
team.
12. Manage the use of time and other resources
to complete project.
6. Explore trends and issues in nursing practice
and the nurse’s role in political action.
13. Take responsibility for one’s own actions,
decisions, and consequences.
7. Develop personal and professional
competencies, in accordance with College of
Nurses and professional standards.
CNO Entrance to Practice Competencies
(2009)
8, 9, 11,13, 22, 24, 25, 43, 44, 46, 48, 51, 53, 57,
58, 59, 61, 65, 66, 67, 69, 75, 80, 84, 85, 88. 91,
93, 96. 97, 99, 100, 109, 111, 113, 114, 118,121
Course Learning Outcomes contribute to the achievement of Program Learning Outcomes.
For a complete list of Vocational/Program learning outcomes and Essential Employability Skills
please refer to the current program guide.
Durham College Course Outline – NURS 4520 – 2014-2015
Page 3 of 11
Sequence of Instruction
Evidence of Learning
Week
Intended Learning
Resources and References
Week 1
Welcome & Course Overview

Review course learning outcomes and
their relevance to the program
learning outcomes & the CNO Entry to
Practice Competencies (ETPC) for the
RPN.
Self- Regulation and Professionalism

Describe Self-regulation & CNO
regulatory functions

Review RHPA, Nurse’s Act

Review scope of practice, controlled
acts, professional standards, ETPC
Week 2
Self-Regulation and Professionalism (continued)

Differentiate between Authorizing
Mechanisms

Apply the 3 factor framework

Review Quality Assurance Program
Text: 1378-1379
http://www.cno.org/en/learn-aboutstandards-guidelines/publicationslist/standards-and-guidelines/
CNO documents:
1. Entry to Practice Competencies for
ON RPNs
2. An Introduction to the Nurse’s Act
3. RHPA: Scope of Practice &
Controlled Acts Model
4. Professional Standards
5 Quality Assurance Program
Requirements
6. RNAO Best Practice Guideline: Summary Professionalism in Nursing
-Additional resources DC Connect
DC Connect
CNO Documents:
1. Authorizing Mechanisms
2. Decisions about Procedures &
Authority
3. RN & RPN Practice: The Client, the
Nurse and the Environment
Week 3
Legal Issues in Nursing

Discuss Canadian law

Identify legal liability issues in nursing
practice, including negligence,
incompetence, incapacity, misconduct

Review relevant legal terms, including
Advance directives, Substitute
decision maker
Durham College Course Outline – NURS 4520 – 2014-2015
Text: Chapter 8
DC Connect
CNO Documents:
1. Professional Misconduct
Best practice Guideline: -Preventing &
managing violence in the workplace
-Additional resources course DC
Connect
Est. Class
Hours
Learning
Outcomes
References
Intended Learning Activities
Assessment
Lecture/PP
CNO Learning modules:
Professional Standards
Group Discussion
Group Work
Introduce Portfolio assignment
Group Activities
Group Discussion
1,7
Lecture/PP
CNO Learning modules:
Utilization of RNs & RPNs
Quality Assurance
Program Self -Assessment
Group Discussion
Group Work
Group Activities
Group Discussion
1, 7
Lecture/PP
Group Discussion
Group Work
CBC VIdeo
Case Studies – The Standard
Group Activities
Group Discussion
3
1,7
3
3
Page 4 of 11
Evaluation and
Weighting
Evidence of Learning
Week
Week 4
Intended Learning
Legal Issues in Nursing (Continued)

Review Discontinuing nursing
services/refusing assignments

Describe the CNO discipline process

Examine CNO Mandatory Reporting

Recognize CNO requirements for
Professional liability protection
Resources and
References
DC Connect
CNO Documents:
1. Disagreeing with the Plan of
Care
2. Refusing Assignments and
Discontinuing Nursing Services
4. Incapacity
5. Professional Misconduct
Est.
Class
Hours
3
Learning
Outcomes
References
1,7
Job readiness – Cover Letters and Resumes
Week 5
Ethics in Nursing

Discuss the ethical foundation of nursing
practice

Review the CNO ethical framework and
the Lakeridge Health ethical framework

Apply Ethical Decision-making process
Week 6
Ethics in Nursing (Continued)

Discuss the ethical foundation of nursing
practice

Review the CNO ethical framework and
the Lakeridge Health ethical framework

Apply Ethical Decision-making process
Week 7
Nurse’s Working with the Interprofessional Team & the
Unregulated Care Provider [UCP]

Identify “Who is the interprofessional team”
– roles, competencies, communication

Describe collaborative practice

Discuss the role of the RPN

Review the concepts: supervising,
assigning, delegating, teaching and
evaluating UCP

Providing feedback to interprofessional
health team members
Durham College Course Outline – NURS 4520 – 2014-2015
Text: Chapter 7
DC Connect
CNO documents:
1.
Ethics Standard
Lakeridge Health Ethical Principles
Document
-Additional resources course DC
Connect
Text: Chapter 7
DC Connect
CNO documents:
1.
Ethics Standard
Lakeridge Health Ethical Principles
Document
-Additional resources course DC
Connect
DC Connect
CNO documents:
1. Working in different roles
2. Working with Unregulated Care
Providers
Best practice guideline:
-Interprofessional Team work in
health care
--Collaborative Practice Among
Nursing Teams
-Additional resources course DC
Connect
Intended Learning Activities
Lecture/PP
Group Discussion
Group Work
Case Studies – The Standard
Career centre speaker – cover letters
and resumes
Lecture/PP
CNO learning module - ethics
Group Discussion
Group Work
Case Studies
Assessment
Group Activities
Group Discussion
3
2,9,10,12,13
3
2,9,10,12,13
Lecture/PP
Group Discussion
Group Work
Case Studies
Introduce ethics paper
Group Activities
Group Discussion
3
5
Lecture/PP
Group Discussion
Group Work
Case studies
Guest Speaker – Role of PSW
Portfolio
Group Activities
Group Discussion
Page 5 of 11
Evaluation
and
Weighting
Test #1
Group Activities
Group Discussion
25%
15%
Evidence of Learning
Week
Intended Learning
Resources and
References
Est.
Class
Hours
Learning
Outcomes
References
Intended Learning Activities
Assessment
Week 8
Transfer of Accountability and Transcribing
Physician’s orders

Discuss Accountability/Transfer of
accountability

Review reporting/documentation and apply
SBAR

Identify relevant legal issues

Dealing with critical client information and
critical incidents
Text: pp.205- 226
DC Connect
CNO documents:
1.Documentation Standard
-Additional resources course DC
Connect
3
1, 8
Group Work
Group Discussion
Group Activities
Group Discussion
Week 9
Nurse Role in Influencing Change

Discuss evidence informed practice

Review the change process & theories

Identify and apply strategies for change

Discuss the nurse as change agent,
including Political Action and Lobbying

Discuss Trends in Nursing/Health Care
Text: pp. 26-27
Additional resources course DC
Connect
3
3
Lecture/PP
Group Discussion
Group Work
Case Studies
Group Activities
Group Discussion
Job readiness - Interviews
Week 10
Professional Conduct: Conflict Resolution

Identify sources of conflict in healthcare

Discuss styles of conflict resolution

Apply conflict resolution techniques

Review Participative Resolution Process
(CNO)
Durham College Course Outline – NURS 4520 – 2014-2015
DC Connect
CNO documents:
1. Conflict prevention &
Management
2. Therapeutic Nurse-Client
Relationship
2. Refusing Assignments and
Discontinuing Nursing Services
3. Disagreeing with the Plan of
Care
4. Resolution Process: A Guide for
Nurses
Best Practice Guidelines:
-Managing conflict in health care
teams
-Additional resources course DC
Connect
3
1,4
Guest Speaker – Career Centre Interviews
Group Discussion
Group Work
Case Studies
Self-Assessment
Page 6 of 11
Ethics Assignment
Group Activities
Group Discussion
Evaluation
and
Weighting
15%
Evidence of Learning
Week
Intended Learning
Resources and
References
Est.
Class
Hours
Learning
Outcomes
References
Intended Learning Activities
Assessment
Week 11
Nurse as Leader

Review Leadership styles, qualities, skills

Discuss Leadership role of RPN

Differentiate between leader vs manager

Discuss the importance of Organizational
culture and Quality workplaces
3
3
Lecture/PP
Group Discussion
Group Work
Case Studies
Group Activities
Group Discussion
Week 12
Group Presentations
Chapter 10
DC Connect
RNAO – Best Practice Guidelines:
-Summary Developing &
Sustaining Nurse Leadership
- Summary of Recommendations –
Workplace, Health & Safety &
Wellbeing of Nurse
-Additional resources course DC
Connect
Student handouts
3
3, 6, 8, 9, 10, 11,
12, 13
Group Work
Presentation
Group Presentation
(Groups 1-4)
15%
Week 13
Group Presentations
Student handouts
3
3, 6, 8, 9, 10, 11,
12, 13
Group Work
Presentation
Group Presentation
(Groups 5-8)
15%
Week 14
Course Conclusion

Preparing for the CPRNE/comprehensive
exam

Review the New Graduate Initiative

Introduction to Bridging RPN – BScN

Questions/discussion final exam
3
1
Lecture/PP
Group Discussion
Group Work
Case Studies
Guest Speakers
CNO quizzes related
to Standards
available on DC
Connect course
page.
Week 15
Final Exam
DC Connect
1. CNO- Preparing to Write RN &
RPN exam
2. Examination & Initial
Registration Handbook for
Graduates
-Additional resources course DC
Connect
Exam Week
Final Exam
(to be scheduled in
exam week
Schedule found on
My Campus)
Evaluation
and
Weighting
30 %
Course outlines are planning guidelines; actual delivery of content may vary with circumstances. Students will be notified in writing of
changes that involve the addition or deletion of learning outcomes or evaluation, prior to changes being implemented as specified in the
Course Outlines Policy http://www.durhamcollege.ca/about-us/corporate-links/governance/policies.
Professors are responsible for following this outline and facilitating the learning as detailed in this outline.
Durham College Course Outline – NURS 4520 – 2014-2015
Page 7 of 11
Evaluation Criteria:
(A full description of the Academic Appeals Process can be found in your Student Handbook.)
Week 5: Test
25%
Week 7: Portfolio Assignment
15%
Week 10: Ethics Assignment
15%
Week 12/13: Group Presentations
15%
Week 15: Final Exam (in exam week)
30%
Total
100%
Evaluation Notes:
1. Test –Closed book, multiple choice test. It may contain short answer questions. The teacher will confirm the
format before the test. The test date is tentative. The place where the test will be written will be confirmed in
class. Tests may include questions covering all in class work, readings, preparation, articles, hand-outs,
power points, movies, and guest speakers. Test policies outlined in the Program Guide will be followed.
Missed Tests
All students who miss a test(s) during a semester in all courses will be completed at a scheduled predetermined time booked in the Test Centre during Week 7. The specific date will be announced at the
beginning of each semester. There will only be one opportunity to complete accumulated missed tests. A
student who is absent for a missed test in the pre-determined time will receive a grade of zero for that test.
As per the Program Guide, students must notify the teacher, including a reason for missing the test, within
24 hours.
2. Assignments
Nurses must follow instructions, pay attention to detail and keep excellent notes. Thus, written assignments
must adhere to the expectations found in the Program Guide. The expectations for each assignment will be
discussed in class and can be found on the DC Connect page. Assignments must be handed on the due
date, within the 1st 10 min. of class, to be considered to be on time with no late penalty. See the PN
Program Guide for penalties. The Durham College’s current Library APA Citation Guide will be used for
marking the references/citations in these assignments.
3. Turnitin – The Ethics Assignment and the written portion of the Group Assignment will be submitted to
Turnitin automatically with electronic submission to DC Connect (Prior to submission of the hard copy in
class). At Durham College, plagiarism is taken very seriously. The student is advised to read and follow
the information about plagiarism at the DC Library http://guides.library.durhamcollege.ca/citation/academicintegrity-plagiarism. Please seek assistance from the professor prior to handing in the assignment as
needed.
4. Final Exam – Week 15
The final exam is closed book, consisting of multiple choice questions and short answer or case study
questions. The professor will brief the class about the exam in Week 14. The final exam will be written in
exam week and will cover all units of this course.
Durham College Course Outline – NURS 4520 – 2014-2015
Page 8 of 11
Feedback
Providing students with feedback on their progress on an ongoing basis is highly valued by the Practical
Nursing team. The program offers multiple formal and informal student feedback opportunities including:
group work, written papers, in-class assignments and activities, peer feedback, feedback for course in the
Health Care Learning Centre, tests, exams and weekly practicum feedback. Students can familiarize
themselves with the grading criteria for each of their courses through their course outline. It is strongly
suggested that students pick up their marked assignments in order to use the feedback to improve their
work. Students may connect with a professor by e-mail, phone, during office hours or set up an
appointment if they require additional feedback on their progress.
As marking a student’s paper and providing individual feedback takes time the student can expect the
marked papers back within three weeks of submission of the paper.
Required Text(s) and Supplies:
Ross – Kerr, J.C., & Wood, M.J. (Eds). (2014). Canadian fundamentals of nursing (5th ed.). Toronto: Mosby.
Students may chose to buy the e-book OR the the hard copy text.
Canadian Fundamentals of Nursing 5th edition – Revised Reprint – Pageburst Digital book (Retail Access Card)
College of Nurses of Ontario at http://www.cno.org/en/learn-about-standards-guidelines/publicationslist/standards-and-guidelines/ you may download all the standards and guidelines to a CD or to your computer. It
is strongly recommended the student download these documents as they will be used extensively in this course.
Best Practice guidelines – found at www.rnao.ca
Recommended Resources:
Binder, dividers.
Durham College Course Outline – NURS 4520 – 2014-2015
Page 9 of 11
Policies and Expectations for the Learning Environment:
General Policies and Expectations:
General College policies related to
General Program policies related to

Acceptable Use of Information Technology

attendance

Academic Policies


Academic Honesty
absence related to tests or assignment due
dates

Student Code of Conduct

excused absences

Students’ Rights and Responsibilities
can be found on-line at
http://www.durhamcollege.ca/academicpolicies

writing tests and assignments

classroom management
can be found in the Program Guide at
www.durhamcollege.ca
Course Specific Policies and Expectations:
Policies and Expectations for the Learning Environment:
The College of Nurses of Ontario sets the expectations of professional behaviour for nurses in Ontario.
This includes respect for others, including but not limited to, respecting diversity and boundaries. The
expectations of this course model the professional behaviour and work ethic expected in the workplace.
This course acknowledges that each individual is distinct and unique. As professionals we will work with a
diversity of clients. Thus classroom work, discussions and attitudes should avoid comments or behaviour
which may offend others and work to develop tolerance, empathy and the celebration of differences.
Students must conduct themselves with consideration for their classmates, inside and outside the
scheduled classroom hours. All students are entitled to enjoy a quiet learning environment free of
distractions and disturbances. Any disruptive/disrespectful behaviour in the classroom may result in the
student being asked to leave. Students causing disturbances or creating unnecessary noise include but
are not limited to talking, being late to class, and coming and going during class time. The student will be
issued an Academic Alert and will be asked to leave the classroom and to make an appointment to meet
with the professor before returning to class.
It is recommended the student attend all classes. It is advisable to make all appointments outside of class
time. Consistent, punctual attendance has been linked to student success and is highly recommended. If
the student is absent from class, it is her/his responsibility to learn what was missed prior to the next
class. Students are responsible for all material covered in class, whether they attend or not. If a student
misses a class, it is her/his responsibility to contact another student and obtain what has been missed
e.g. class assignments, handouts, notes or changes in schedule. Handouts will not be available in
subsequent classes. Attendance will be monitored.
This course requires self-motivated study beyond the hours for formal instruction. Students are expected
to complete at least the same number of hours on their own, completing homework, researching and
reading as hours indicated on the timetable. Each week the learner prep will be outlined on the course
DC Connect page. It is expected the student will complete the prep before class and will bring it to class.
The student should check weekly for new material which may be added to the DC Connect periodically.
The textbook should be brought to all classes.
Durham College Course Outline – NURS 4520 – 2014-2015
Page 10 of 11
The professor is available via e-mail – DC Connect, voice mail or in posted office hours. If sending an email, only messages from the student’s Durham College e-mail address will be read or responded to be
the professor. [no personal e-mail addresses] Students are expected to check their e-mail messages
daily. Office hours are posted on the DC Connect course page.
The use of technology during class time is appropriate only when it relates to classroom related work.
Using laptops for any other purpose will result in the loss of laptop privileges. Similarly the use of cell
phones and/or personal digital devices for non-class work during class is not permitted. Students who
persist in using these devices will be asked to leave the classroom and not return until they have met with
the professor outside of class time. Emergency use of cell phone technology may be discussed with the
professor before each relevant class. Taking any kind of picture, audio recording or using any electronic
device in the classroom, at any time without the consent of the professor is prohibited.
Please refer to the Practical Nursing Program Guide and Durham College Policies and Procedures for a
full description of student’s responsibilities.
General Course Outline Notes:
1.
Students should use the course outline as a learning tool to guide their achievement of the learning
outcomes for this course. Specific questions should be directed to their individual professor.
2.
The college considers the electronic format (i.e. MyCampus, DC Mail and DC Connect) as the primary
channel of communication. Students should check the sources regularly for current course information,
etc.
3.
Professors are responsible for following this outline and facilitating the learning as detailed in this outline.
4.
Course outlines should be retained for future needs (i.e. university credits, transfer of credits etc.)
5.
A full description of the Academic Appeals Process can be found at http://durhamcollege.ca/gradeappeal.
6.
Faculty are committed to ensuring accessible learning for all students. Students with permanent
disabilities who require academic accommodations in accordance with the Ontario Human Rights Code
should register with the Centre for Students with Disabilities (CSD) to initiate in-class
accommodations. The CSD is located in room SW116, Oshawa Campus (or room 180, Whitby
Campus). Call 905-721-3123.
7.
Durham College is committed to the fundamental values of preserving academic integrity. Durham College
and faculty members reserve the right to use electronic means to detect and help prevent plagiarism.
Students agree that by taking this course all assignments could be subject to submission either by
themselves or by the faculty member for a review of textual similarity to Turnitin.com. Further information
about Turnitin can be found on the Turnitin.com website.
Outline Template v12.2.2014
Durham College Course Outline – NURS 4520 – 2014-2015
Page 11 of 11