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LOCATION:
COURSE SYLLABUS
NURS 200 – Informatics for the Nurse COURSE:
CREDIT: 1 Semester Unit
FACULTY: Willa Fields, DNSc, RN, FHIMSS
PREREQUISITES: None
Adams Humanities 2108
Thursdays, 10:00 to 10:50 AM
COURSE DESCRIPTION
Basics of informatics, electronic health records, ethics and legal aspects. Electronic communication.
Database searches.
COURSE OUTCOMES
Upon completion of the course, the student will be able to:
5,9 1 Compare and contrast appropriate and inappropriate factors in electronic communication.
2 Compare and contrast electronic and paper based health records.
3 Discuss the ethical considerations of health information technology.
6,9
3,6,7
4 Discuss the legal aspects of health information technology.
5 Delineate aspects of HIPAA which directly concern nurses.
6 Demonstrate the ability to search a scholarly database for
6,10a
5,7
2,9,10b,13 literature.
7 Discuss safety implications of health information technology. 6,9
8 Identify applications of social media in nursing and health care. 10a, 13
9 Apply beginning steps of evidence-based practice (EBP). 2, 5,6,8,9, 10b
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Level I
Upon completion of the second semester the student:
1 Relates liberal educational experiences to core competencies in professional nursing practice
2. Utilizes selected scientific professional and contextual knowledge in the application of the nursing process.
3. Understands human diversity as it applies to health and illness
Level II
Upon completion of the 4 th semester the student:
1. Recognizes the application of liberal education experiences into professional nursing practice
2. Analyzes selected scientific, professional, contextual knowledge in the application of the nursing process with families and groups
3. Uses knowledge of human diversity in planning care for individual and families
4. Begins to demonstrate fundamental nursing care based on the central professional value of caring.
5. Demonstrates critical thinking, communication, assessment, and technical skills in the provision of nursing care.
6. Develops an awareness of one’s ability to perform as a professional nurse and seek assistance when necessary
4. Incorporates the central professional value of caring in planning care for individuals and families
5. Integrates critical thinking, communication, assessment, and technical skills in the planning of care for individuals and families
6. Demonstrates and accepts responsibility for contributing to one’s own learning and critically appraises ability to perform as a professional nurse.
7. Demonstrates in clinical practice professional values, behaviors and standards
7. Develops an awareness of the professional values of altruism, autonomy, human dignity, integrity and social justice as the foundation for professional practice.
8. Develops an understanding of teaching learning theory in its application to patient care.
9. Develops an awareness of research based knowledge from nursing and the sciences as the foundation for professional nursing practice.
8. Incorporates teaching learning theory in the delivery of nursing care to individuals and families.
9. Analyzes the relationship of research based knowledge to the delivery of nursing care.
Level III - Final Student learning outcomes
Upon completion of the program the student:
1. Applies an integrated liberal educational experience in developing clinical judgment.
2.
3.
4.
Demonstrates the central professional value of caring
Uses the nursing process, scientific and contextual knowledge in the delivery of nursing care.
Demonstrates the ability to deliver nursing care in a variety of settings among diverse populations. by delivering compassionate, appropriate and culturally sensitive care.
5.
Consistently uses critical
6.
7.
8.
thinking, communication, assessment, and technical skills in the delivery of nursing care.
Demonstrates accountability for nursing practice.
Incorporates professional values and standards of practice as the foundation for nursing practice.
Uses teaching-learning theory appropriately in nursing practice.
9. Incorporates research
10.
findings as a foundation for evidence-based practice.
Accepts responsibility for professional growth and life-
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10.a) Develops an awareness of the roles of the professional nurse
As provider of care, designer/manager/coordinator of care and member of the profession.
10.b) Recognizes the practice of professional nursing requires a commitment to life long learning
11. Identifies the role of the professional nurse and the various members of the health care team and describe their functions.
10. Demonstrates an understanding of the present and emerging role responsibilities of the professional nurse. long learning in consonance with the emerging role of the nurse in a changing society.
12. Recognizes the leadership role in the nursing profession
13. Gains awareness of health care resources available within the community
Approved by faculty June 2005
11. Participates as a team member in providing health care to patients utilizing the knowledge and principles of interdisciplinary models of health care delivery.
12. Develops beginning leadership skills in clinical settings
13. Identifies social, economic, and political agendas affecting the delivery of health care.
11.
Collaborates with patients and interdisciplinary health care teams to plan, manage, and influence health care, methods, and systems.
12.
Demonstrates leadership behaviors within one’s scope of practice
13.
Supports agendas that enhance awareness of the social, economic, and political factors that influence health care delivery.
FACULTY APPOINTMENTS AND COMMUNICATION
Faculty may be contacted by phone or e-mail listed below. All meetings are by appointment and can be scheduled directly with the professor. Students are encouraged to use Blackboard Discussion or e-mail for communicating with the professor between regularly scheduled class meetings.
Dr. Willa Fields
Office Hours: By appointment
Phone Number:
Email Address:
Home/Work: 858-756-5642
Mobile: 619-925-0450 willa.fields@sbcglobal.net
Blackboard Discussion or Email is the preferred method of initial communication.
Do NOT text instructor.
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TEACHING METHODS
This is a lecture/discussion course. Students are expected to come to class prepared to discuss the topic of the day.
Some class sessions will be on-line. During these sessions there may be readings and exercises for you to complete.
REQUIRED SOFTWARE

Nursing Central. Applications to include Grasp, Davis Drug Guide, Davis Lab & Diagnostics
Tests, Diseases and Disorders, Drug Interaction Facts, Nurses’ Pocket Guide, RNotes,
Taber’s Dictionary, Nurses’ Handbook of Health Assessment. The SDSU bookstore price includes the annual renewal fees while you are enrolled in the School of Nursing. Prices from other sources are for a one year subscription, may not include all of the required titles, and will require additional annual fees.

Security system (e.g. McAfee) for computer system.

E-mail system

Microsoft Word

Microsoft PowerPoint

High-speed connection to the Internet
REQUIRED HARDWARE

You are strongly recommended to have a laptop computer. At a minimum, you will need access to a Windows or Macintosh multimedia computer, preferably one that meets the SDSU minimum computing standards (see http://www-rohan.sdsu.edu/~mwssls/nws.html
).

Handheld computer/smartphone for Nursing Central. Nursing Central is available for iTouch®, iPhone®, BlackBerry®, and Android™. Nursing Central does not currently work on Windows Mobile®. Please see http://nursing.unboundmedicine.com/nursingcentral/ub for further details.
 iClicker

Minimum 1 GB Flash drive for copying files.

Backup system for computer files (external drive or off-site backup system).
Blackboard Student Support: http://www-rohan.sdsu.edu/dept/its/blackboard/student/
Netiquette: http://www-rohan.sdsu.edu/dept/its/blackboard/student/gettingstarted/netiquette.html
REQUIRED TEXTBOOK
Sewell, J., & Thede, L. (2013). Informatics and Nursing: Opportunities and Challenges (4 rd
ed.).
Philadelphia: Wolters Kluwer Lippincott Williams & Wilkins.
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STUDENT DISABILITY SERVICES
If you are a student with a disability and believe you will need accommodations for this class, it is your responsibility to contact Student Disability Services at (619) 594-6473. To avoid any delay in the receipt of your accommodations, you should contact Student Disability Services as soon as possible. Please note that accommodations are not retroactive, and that I cannot provide accommodations based upon disability until I have received an accommodation letter from Student
Disability Services. Your cooperation is appreciated.
COURSE REQUIREMENTS AND GRADE DETERMINATION
For successful completion of NURS 200, students are required to complete the course requirements listed below. The grade on written assignments will be dropped 5 POINTS for each day late unless prior faculty approval for an extension has been obtained. Assignments received after 10:00 AM on the due date will be considered late.
QUIZZES, EXAMS, and ASSIGNMENTS
Quizzes and exams will be conducted online on Blackboard for a set amount of time or in class with a scantron or clicker. Online quizzes and exams must be completed in one sitting. Please do not wait until the end of the time to begin the quiz or exam – an instructor may not be available for troubleshooting. Any cheating on quizzes or exams will result in a grade of F (0%).
No provision is made for missed quizzes and exams because of unexcused absences.
Unless a prior arrangement for an excused absence is obtained, a grade of F (0%) will be given for the quiz or exam that is missed. Make-up quizzes and exams may differ from the original one and may be of a different nature (e.g. essay, short answer, matching, etc.). During test reviews, neither writing nor recording are allowed.
All assignments are due by 10:00 AM. Assignments submitted on the due date and after 10:00 AM will be considered late. Five points will be deducted from grade for each day late.
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GRADING SCALE
A = 90-100 B = 80-89 C = 70-79 D = 60-69 F = 0-59
Rounding points are at the instructor’s discretion.
REQUIREMENT iClicker/class participation
PERCENT OF GRADE
10%
DUE DATE ongoing
Literature Search I
Quiz I
Literature Search II*
Quiz II
20%
25%
20%
25%
3/13
3/27
4/10
5/9
* For those who earn a minimum of 90% on the first Literature Search assignment, it is optional to submit the second Literature Search Assignment. If you choose not to submit the second assignment, you will earn the same grade on the second assignment as you did on the first one.
For those who earn below a 90% on the first Literature Search assignment, you are required to submit the second assignment.
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DATE
1/23
1/30
2/6
2/13
2/20
2/27 online
3/6



Nursing Central Overview
Literature Searching Demo

Staying safe on the internet

Email etiquette

Search engines and strategies.

Evaluating web health information
Privacy, confidentiality, security

HIPAA
WEEKLY SCHEDULE
ASSIGNMENTS TOPIC

What is this course about?

What is Nursing Informatics?





Nursing Central exercise
Evidence-Based Practice
PICO Question Review
Evidence Based Practice
Literature Searching
Register iClicker on Blackboard before class meets
Bring iClicker to all class sessions
Bring handheld computer/smart phone with Nursing Central loaded to class
Chapters 1, 17
Bring handheld computer/smart phone with Nursing Central loaded to class
Chapter 12
Bring handheld computer/smart phone with Nursing Central to class
Chapter 10
PICO Assignment (bring to class)
Chapters 9,11
Chapters 9,11
View session slides (voice over
PowerPoint)
Review website: http://stopthinkconnect.org
View tutorial at http://www.nlm.nih.gov/medline plus/webeval/webeval.html
Google: Top 10 email advice on etiquette
Chapters 2-5
Chapters 13, 20, 25
TEACHER
Dr. Fields
Nursing
Central
Representative
Dr. Fields
Dr. Fields
M. Hall
Dr. Fields
Dr. Fields
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DATE
3/13
3/20
3/27
Online
Quiz
4/10
4/17
4/24
5/1
5/8
5/9
Online quiz
TOPIC ASSIGNMENTS

Privacy, confidentiality, security

HIPAA

Lit Search Review

Electronic Health Records

Quiz 1 o Quiz content: All class sessions through 3/13
Chapters 13, 20, 25
Lit Search I Assignment due
Chapters 15,16,18,19,20,21
Quiz 1 available from 10:00
AM to 10:00 PM on
Blackboard (Assignment Tab)

Electronic Health Records Chapters 15,16,18,19,20,21
Lit Search II Assignment due

Electronic Health Records
Chapters 15,16,18,19,20,21

Personal Health Records
Chapter 14

Social Media in Healthcare Google: Top 10 Nursing Blogs
Websites to review:
 http://www.cdc.gov/SocialMedi a/Tools/guidelines/
 https://www.ncsbn.org/Social_
Media.pdf

Catch Up

Quiz 2 o Quiz content: All class sessions from 3/27:
Electronic Health
Records
Quiz 2 available from 10:00
AM to 10:00 PM on
Blackboard (Assignment Tab)
TEACHER
Dr. Fields
Dr. Fields
Dr. Fields
Dr. Fields
Dr. Fields
Dr. Fields
Dr. Fields
Dr. Fields
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1.
Influenza
2.
Cardiac disease
3.
Asthma
4.
Skin cancer
5.
Chronic pain
6.
Type II Diabetes
7.
Alzheimer’s
8.
Fertility treatments for women
Your topic assignment will be posted on Blackboard. Read about your assigned topic in your texts,
Nursing Central, and on the internet before completing your PICO question or literature search.
In this assignment you will write a PICO question based on your assigned topic. Since this is the question you will use for your other assignments it is important that you have a well written question.
Your first action should be to do some basic research into the topic. Use Nursing Central [especially the Signs and Symptoms book], your med/surg book, and the internet to gain basic knowledge about the topic. This will help you to narrow your topic.
Pick some aspect of the topic that interests you. Write a PICO question that will help you find out more about that aspect. Then put the major words in a PICO format:
Question:
P =
I =
C =
O =
Please bring a printed copy of your assignment to class and a classmate will critique your question in class.
You will use your PICO question from this assignment for your lit search assignments. You do not submit your PICI question until the Lit Search I assignment.
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The purpose of the lit search assignments is for you to learn the process of retrieving scholarly articles on a clinical topic. You will not write a paper on your assigned topic.
The lit search assignment is about writing a question (PICO format), separating the question into its component parts (P-I-C-O), creating a table of related terms, and then conducting a scholarly literature search per the process taught in class. You will write up an evaluation of the exercise per the instructions below.
1.
Conduct a literature search in CINAHL to find answers to your PICO question. Carefully follow the instructions given by Dr. Fields and Prof. Hall. Points will be deducted if you do not follow the instructions given in class. You must follow the process presented in class.
2.
Save and print your search history, including the number of results in each search. This should include your entire search experience. You will stop the search when you are satisfied that you have focused successfully on your topic.
3.
Save and print your first 10 results from your the last step of your search. These are the first
10 articles that appear for your final search. Include the abstracts.
4.
In a Word document (use a 10 point font or larger): a.
Type your name at the top of each page, followed by N200, date, and topic. b.
Type your PICO question and your P, I, C, O. c.
Type your brainstorming table with search terms as taught in class. If you are unfamiliar with your topic, you may need to look it up in your textbooks. Construct a brainstorming table per the demonstration in class. This table must be typed. d.
Rationale for Search (heading for write-up) i.
Describe how you did your search and discuss why you conducted the search as you did – describe the steps you took and your rationale. Why did you choose the terms you did? Why did you search in the order you did? Why did you limit or expand your search as you did? When and why did you apply limiters? e.
Discussion of Results (heading for write-up) i.
Discuss each of the first 10 articles in terms of the relevance to your PICO question. Did you find what you needed? Were any of the results not relevant? If so, why do you think they appeared? Why do you think you got the results that you did? f.
Evaluation (heading for write-up) i.
Evaluate this search experience. Compare and contrast this search experience with previous ones. Describe how you previously searched for information. What databases and other sources did you use? Did you think you were successful in the past? Were you successful this time? Why do you think so? What did you learn? g.
Future Searches (heading for write-up) i.
Describe what you would do differently the next time you conduct a search.
5.
You will hand a hard copy of the grading rubric, your write-up, search history, and first 10 results with abstracts.
Print ALL pages on one side of the paper only. Do not staple your pages, paper clip the pages together.
6.
Please follow these directions exactly. Up to 5 points may be deducted for not following the directions.
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Student Name:
Assigned Topic:
Grading Criteria
PICO Question
Literature Search 1 Grading Rubric
Points possible
5
Points earned
Brainstorming table 5
Search History
Rationale for search

Describe steps taken and rationale.

Why did you choose your terms?

Why did you search in the order you did?

Why did you limit or expand your search as you did?

When and why did you apply limiters?
First 10 Results with abstracts
Discussion of results

Relevance to your PICO question

Did you find what you needed?

Were any of the results not relevant? If so, why do you think
 they appeared?
Why do you think you got the results you did?
Evaluation

Compare and contrast this search experience with previous ones.
Describe how you previously searched for information.

What databases and other sources did you use?

Do you think you were successful in the past?

Were you successful this time? Why do you think so?

What did you learn from this exercise?
What would you do differently in your next search? Why?
Followed directions
TOTAL
20
20
10
15
20
5
(-) 5
100
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Comments
12




Conduct a search of Medline through EBSCO designed to find answers to your PICO question.
Carefully follow the instructions given in class.

Save and print your search history. This should include your entire search experience, including the number of results in each search. You will stop the search when you are satisfied that you have focused successfully on your topic.

Save and print your first 10 results from your the last step of your search. These are the first 10 articles that appear for your final search. Include the abstracts.

In a Word document (use a 10 point font or larger): a.
Type your name at the top of each page, followed by N200, date, and topic. b.
Type your PICO question and your P, I, C, O. Based on the results from Lit Search 1, you may use the same question or you may refine your PICO question. c.
Type your brainstorming table with search terms as taught in class. Based on Lit Search 1 your brainstorming table for this assignment may be the same or different from Lit Search 1. d.
Rationale for Search (heading for write-up) i.
Describe how you did your search and discuss why you conducted the search as you did – describe the steps you took and your rationale. Why did you choose the terms you did?
Why did you search in the order you did? Why did you limit or expand your search as you did? When and why did you apply limiters? ii.
If you refined your PICO question or changed your search terms from Lit Search 1, explain your rationale for doing so. e.
Discussion of Results (heading for write-up) i.
Discuss each of the first 10 articles in terms of the relevance to your PICO question. Did you find what you needed? Were any of the results not relevant? If so, why do you think they appeared? Why do you think you got the results that you did? f.
Evaluation (heading for write-up) i.
Evaluate this search experience. Compare and contrast this search experience with your
CINAHL search. What are the similarities of this search with the CINAHL search?
Differences? If you have different results, why do you think that happened? ii.
Compare and contrast CINAHL and Medline. What did you find helpful about each data base? What was not helpful? iii.
What new skills did you learn with Medline? What are the advantages of using Medline for your search? Disadvantages? iv.
Which search was more successful? Why? What did you learn? g.
Future Searches (heading for write-up) i.
Describe what you would do differently the next time you conduct a search. ii.
When would you use CINAHL? Medline? Why?
You will hand your entire Search 1 assignment with the grading sheet, a hard copy of the Lit Search II grading sheet, your Lit Search 2 write-up, search history, and first 10 results with abstracts.
Place all documents in a large envelope with your name printed on the outside and N200.
Please follow these directions exactly. Up to 5 points may be deducted for not following the directions.
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Brainstorming table
Literature Search II Grading Rubric
Student Name:
Assigned Topic:
Grading Criteria
Points possible
5
Points earned
20 Search History
Rationale for search

Describe steps taken and rationale.

Why did you choose your terms?

Why did you search in the order you did?

Why did you limit or expand your search as you did?

When and why did you apply limiters?

Explain rationale if you changed your PICO question or search terms
First 10 Results with abstracts
Discussion of results

Relevance to your PICO question

Did you find what you needed?

Were any of the results not relevant? If so, why do you think they appeared?

Why do you think you got the results you did?
Evaluation

Compare and contrast this search experience with previous ones, including your CINAHL search.
Similarities? Differences? If you have different results, why do you think that happened?

Compare and contrast CINAHL and Medline
(advantages and disadvantages of each). What did you find helpful about each data base? What was not helpful?

What new skills did you learn with Medline?

What are the advantages of using Medline for your search? Disadvantages?

Which search was more successful? Why?

What did you learn this time?
Future Searches

What would you do differently in your next search?

When would you use CINAHL? Medline?
Followed directions
TOTAL
20
10
15
20
10
(-) 5
100
Comments
14
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