Nursing Department Course Syllabus Course Instructor Credits Term Class Time Location NURS 318 Child Health Nursing Ann L. Smith, Ph.D., CPN-PC, CNE, RN / Lisa Logan, MSN, CPNP-PC, RN 4 Credit Hours (3 Class & 1 Clinical) Fall 2022 Wednesday, 1:00 – 4:00 PM / Simulation Lab 4:00 – 6:00 as scheduled Moore Classroom 105 Instructor’s Contact Information: Dr. Smith Phone 817-237-2003 (messages) Email asmith@swau.edu Office Hours By Appointment Syllabus The Professor reserves the right to adjust the syllabus and assignments as Changes needed. You are responsible for noting the changes in your document. To best facilitate this, please log in regularly to Canvas to receive the most recent information/changes/announcements. Instructor’s Contact Information: Professor Logan Phone 830-370-8595 (text messages) Email llogan@swau.edu Office Hours By Appointment Syllabus The Professor reserves the right to adjust the syllabus and assignments as Changes needed. You are responsible for noting the changes in your document. To best facilitate this, please log in regularly to Canvas to receive the most recent information/changes/announcements. Preferred communication with faculty is via e-mail copying both faculty members on any communication. COVID-19—Please visit the SWAU website for up-to-date information and FAQs. https://swau.edu/prepared-pursue Students who feel ill are encouraged to contact Student Health Services by emailing Nurse Rivera at grivera@swau.edu or calling (817) 202-6425 or Dean The as soon as possible. Students may be asked to present documentation from a health provider to be excused from class due to illness. A student must communicate with their professor before any absence or within 24 hours from a missed class. Course Description & Information Course Description This course builds on the concepts of previous nursing courses with emphasis on utilizing the nursing process in dealing with child health from infancy through adolescence. Students will explore the concepts of health promotion, disease prevention, and alterations in health related to infants, children, and adolescents. Emphasis is on whole-person care of children and families. Management and planning of the nursing process will include concepts from a variety of culturally diverse settings and nursing in the community. 2 Prerequisite Textbook(s) NURS 212, 221, 313, 315 & 317 REQUIRED TEXTBOOK(S): Hockenberry, M. J., Wilson, D., Rodgers, C. C. (2022). Wong's essentials of pediatric nursing (10th ed.). St. Louis, MO: Mosby/Elsevier. RECOMMENDED RESOURCES: ATI resources APA format: Publication Manual of the American Psychological Association, 7th edition Interactive class discussion; Written assignments; Audiovisuals; Required reading; Clinical experiences & Clinical Log; Student Presentations; Games; Nursing Care Maps; Reflective Journaling; Simulations, and Case Studies. Course Methodologies Student Learning Outcomes 1 PG/ EoPO# SLO WPW, PCC, SQ, EBP, CRJ, IPC, IT, PL Integrate scientific, conceptual, and nursing practice competencies from the natural, behavioral, and nursing sciences; spiritual domain; and humanities in providing patient-centered care in a variety of pediatric care environments. Written Reading Outlines Interactive Class Discussion Concept Care Maps Simulation Lab Case Studies Clinical Experience Evaluation Clinical Simulation Evaluation Periodic Proctored Written Examinations PCC, SQ, PL Assume accountability for safe, quality, patient-centered care for pediatric patients in a variety of healthcare and community settings Written Reading Outlines Interactive Class Discussion Concept Care Maps Simulation Lab Case Studies Supervised Clinical Experience Supervised Clinical Experience Clinical Experience Evaluation Interactive Class Discussion Concept Care Maps Simulation Lab Case Studies Supervised Clinical Experience Collaborate with the class group to plan one worship thought opening for class during the semester Supervised Clinical Experience Periodic Proctored Written Examinations Periodic Proctored Written Examinations Midterm Written Paper on selected topics IT Engage in the appropriate and safe use of informatics and patient-care technology. WPW, Design a plan for use of wholePCC person wellness concepts in providing patient-centered care. Teaching/Learning Method PL Demonstrate Christian/nursing values within legal, ethical, and professional standards. Assessment Process Clinical Experience Evaluation Clinical Simulation Evaluation Periodic Proctored Written Examinations 3 EBP, CRJ Utilize clinical reasoning and judgment using evidence as a basis for professional practice. SQ, IPC, PL PL WPW, PL Engage with patients, families, and members of the interprofessional healthcare team to achieve quality patient care. Utilize nursing knowledge and skills as provider of care, patient safety advocate, and member of the profession with pediatric patients in a variety of practice settings. Participate in health care-related service-learning activities. Course Policies Late Work Class Attendance & Participation Interactive Class Discussion Concept Care Maps Simulation Lab Case Studies Supervised Clinical Experience Interactive Class Discussion Concept Care Maps Simulation Lab Case Studies Supervised Clinical Experience Interactive Class Discussion Concept Care Maps Simulation Lab Case Studies Supervised Clinical Experience Variety of opportunities throughout the semester Clinical Experience Evaluation Clinical Simulation Evaluation Periodic Proctored Written Examinations Clinical Experience Evaluation Clinical Simulation Evaluation Periodic Proctored Written Examinations Clinical Experience Evaluation Clinical Simulation Evaluation Periodic Proctored Written Examinations Review of Student Clinical Log Late submission of an assignment will result in a 10% deduction of points for the achieved grade for each business day past the due date. Class Participation: Attendance and Active Participation in the course is vital for success. Students are expected to attend all classes and actively participate in discussions, be on time for all class/clinical/skills/ simulation appointments, submit assignments in a timely manner, and regularly check SWAU email and Canvas for communication from the course professor and the Department of Nursing. Reading Assignments are required. It is not possible to present all necessary information regarding this course in class. If you have any questions regarding the textbook or course material, please contact the professor. Communication with professors is vital. To view the University’s Attendance Policy visit https://catalog.swau.edu/attendance-policy or pages 24-25 of the bulletin. Cell Phone Use Plagiarism & Academic Integrity Cell phones may only be used for an in-class assignment, as announced by the instructor. Otherwise, cell phones are to be turned off/silenced and put away during class time. To view the University’s official and most recent Academic Integrity Policy visit https://catalog.swau.edu/academic-integrity or pages 31-32 of the bulletin. 4 Disability Accommodations Severe Weather Protocol Grading Scale A AB+ B BC+ C CD+ D DF 93-100 90-92 87-89 84-86 80-83 78-79 75-77 72-74 68-71 64-67 60-63 Below 60 Southwestern Adventist University complies with the provisions set forth in Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, and the ADA Amendments Act of 2008, “…offering reasonable accommodations to qualified students with documented disabilities.” In keeping with Southwestern Adventist University policy, any student with a disability who requires academic accommodations will need to call the Disability Services Office at 817-2026255 or email: sargeant@swau.edu, to arrange a confidential appointment with the Director of Disability Services during the first week of classes. To review the University’s disability accommodations visit https://www.swau.edu/disability-services. In the rare event of severe weather, an announcement will be made on 88.3 KJRN, NBC5 KSAS TV, www.nbc5i.com, www.swau.edu or the University Text Alert System. 5 Assignments – 10% Reading Outlines / One per week Midterm Paper (See assignment instructions) Sub-Total Points Due Dates 50 50 100 See weekly schedule October 19 @ 10:00 PM 10 20 10 20 40 October 5, 4:00 – 6:00 PM October 12, @ 10:00 PM Nov 30, 4:00 – 6:00 PM Dec 7, @ 10:00 PM Dec 7, 4:00 – 6:00 PM ATI 10% Practice Assessment A Practice Assessment A f/u ATL’s (Minimum of 5) Practice Assessment B Practice Assessment B f/u ATL’s (Minimum of 5) Proctored Child Health Nursing Exam Level 2 or above (L3+2.5 PTS) Repeat Proctored Exam if 1st x <Level 2: L2=30, L1-12 Sub-Total Exams - 80% Reading Quizzes / One per week Unit Exams 3 @ ~ (50 questions) Final Exam- (75 questions / 4 points @) Sub-Total Dec 14, Time TBD 100 50 450 300 800 1000 Weekly See Course Calendar Dec 14, Time TBD Total (Total is subject to change) ~1000 An average of 75% or greater must be attained on combined quizzes and exams to pass a required nursing course. Other points, such as for class assignments, ATI templates, etc., are added to the grade only when the exam/quiz grade is 75% or greater. If a student does not pass the exam/quiz portion of the course with an average of 75%, a final grade of C-, D+, D, D- or F will be assigned for the course based on the percentage achieved from the exam/quiz average without the additional assignment points added to the final grade. Exams Exams are to be taken at the scheduled time. In the event of an emergency and a student is unable to take an exam at that time, it is the student’s responsibility to contact the instructor at least one hour prior to the scheduled exam time. Make-up exams for excused illness/family emergencies will be scheduled at the professor’s discretion. Make-up exams may not be the same as the one given on the scheduled exam day. There will be no make-up exams for any exam missed due to an unexcused absence; a grade of zero (0) will be recorded for the exam. Final exams will only be administered as scheduled. Travel plans must be made to avoid conflict. Note: 10% of the achieved test grade will be deducted for late exam attendance regardless of the reason for missing the scheduled testing start time unless prior arrangements are made with the instructor. Be on time for all exams! Assignments All assignments, unless otherwise noted, are to be turned in through Southwestern Adventist’s Learning Management System (LMS) Canvas. 6 Clinical Performance In order to pass a clinical nursing course, the student must pass clinical as well as theory components. Criteria for successful achievement are based on course and clinical/simulation/skills objectives and requirements as identified in the syllabus and clinical evaluation. Consistent unsatisfactory clinical performance will result in course failure regardless of the theory component grade. Each student is expected to be prepared for clinical, simulation, and skills assignments according to the written clinical guidelines and objectives. The student will not be allowed to participate in the clinical/simulation/skills experience if preparation is not adequate. Clinical performance is graded on a pass/fail basis. Written clinical assignments/work is graded according to the syllabus. An average of 75% must be achieved on clinical paperwork to pass the clinical and the course, although the final course grade does not include points for clinical paperwork. Failure to achieve a 75% on the Final Simulation will result in a course failure. Service Learning Service-Learning opportunities usually take place in a structured environment that promotes further refinement of nursing skills. The student's Service-Learning commitment requires a minimum of two hours each semester and a reflection on their activity by filling out the Service-Learning form and submitting it online. Grades may be withheld for students who have not completed their Service-Learning hours for the semester. See Nursing Student Handbook for full-Service Learning policy. Nursing Policies See Nursing Student Handbook for policies on Continuation and progression, academic integrity, ATI, student rights and appeals, attendance, exams, grading, professional appearance, clinical guidelines, accountability, skills lab and simulation, social media, honor code, and other important policies. SWAU Nursing Program Concepts, Goals, and Outcomes Program Concepts Clinical Judgment Evidence-Based Practice Informatics, Technology& Security Interprofessional Collaboration Person-Centered Care CJ EBP Professionalism, Personal & Professional Leadership Population and Global Health PPL PGH ITS Safety and Quality SQ IC Service Excellence SE PCC Whole Person Wellness WPW 7 Program Goals (Essentials & DECS) End-of-Program Outcomes 1. Provides a broad-based liberal arts education in the natural, behavioral, and nursing sciences; spiritual domain; & humanities in a Christian environment. 1. Integrate scientific, conceptual, systems, and nursing practice competencies from the natural, behavioral, and nursing sciences; spiritual domain; and humanities in providing person-centered care in a variety of environments. AACN I, V DECs II-A, H; IV-E CJ; PCC; PPL, WPW Domain 1, 7 2. Prepares competent graduates with core nursing knowledge, skills, and judgment to meet the needs of diverse clients. 2. Assume accountability for evidence-based, safe, legal, quality, person-centered care for diverse clients in a variety of local and global settings. AACN II, IX DECs II-B, C, D, F, H III A, B IV-C CJ; EBP; PPC; PPL; SQ Domain 2 QSEN: PPC 3. Fosters the integration of whole person wellness concepts into health promotion, risk reduction, disease and injury prevention and illness in the management of health care delivery. 3. Design strategies for providing care across the lifespan that is equitable, diverse, inclusive, and compassionate with consideration of the influence the determinants of health on well-being for the individual and populations. AACN VII DECs II-E, G; III-C CJ; PCC; PGH; WPW Domain 3, 4 QSEN: PPC 4. Facilitates the development of professionalism, scholarship, and values, consistent with standards and leadership roles. 4. Demonstrate professional nursing values, scholarship, and leadership competence within legal, ethical, and professional standards for advocacy, design, and coordination of care. AACN VIII DECs I-A, B, C, D IC; PPL Domain 9, 10 QSEN: T & C 5. Promotes the discipline of nursing through person-centered care, evidencebased practice, research, and clinical judgment. AACN III, IV DECs II-A, C, D, F, H Domain 8 QSEN: EBP/QI 5. Demonstrate competence in clinical judgment and quality improvement based on best evidence. CJ; EBP; SQ 6. Fosters the development of effective communication skills, interprofessional collaboration, and a just culture for quality, nursing practice. 6. Collaborate with members of the interprofessional health care team to achieve quality client care and healthy, civil work environments. AACN IV, VI Domain 6 DECs II-D; QSEN: T & C/QI IV-A, B, C, D, E, F, G; III-F IC; SQ; PGH 7. Promotes safe and effective use of information management to communicate and support decision-making. 7. Engage in the appropriate and secure use of information technology. AACN IV, VI DECs II-F, H; III-C; IV-D Domain 8 QSEN: Informatics CJ; ITS; SQ 8 Program Goals (Essentials & DECS) End-of-Program Outcomes 8. Strengthen commitment to service excellence within the workplace and community. 8a. Utilize best practice to support integration of health promotion policy to enhance healthcare. AACN VIII DECs I-B, C Domain 9 QSEN: Informatics 8b. Engage in community service. IC; PPL; PGW Weekly Objectives Week 1 Orientation to Course & Adult Learning Identify characteristics of various levels of learner maturity. Discuss characteristics of selected types of learning. Analyze challenges in collaboration among various types of adult learners Week 2: Health Assessment of Children Describe a systematic approach to the health assessment of children. Identify variations in the health assessment of children compared with adults. Accurately communicate both orally and in writing findings resulting from the health assessment of children. Week 3: Normal Growth & Development: Physical Describe the normal progression of physical growth & development from birth to adolescence. Recognize deviations from normal physical growth & development from birth to adolescence. Select nursing interventions in support of normal physical growth & development. Provide relevant guidance to parents of infants, children and adolescents experiencing deviations from normal physical growth & development Week 4: Normal Growth & Development: Cognitive & Psychosocial Development Demonstrate understanding of cognitive and psychosocial development from birth to adolescence. Analyze clinical presentation of behavioral signs and symptoms for deviations from normal cognitive and psychosocial development from birth to adolescence. Select nursing interventions in support of normal cognitive and psychosocial development. Provide relevant guidance to parents of infants, children and adolescents experiencing deviations from normal cognitive & psychosocial development. 9 Week 5: Normal Growth & Development: Moral & Spiritual Development Discuss the progression of moral and spiritual development in children from infancy to adolescence. Recognize patterns in children’s behavior reflective of deviations from sound moral and spiritual development. Select interventions in support of sound moral and spiritual development Provide relevant guidance to parents of infants, children and adolescents experiencing deviations from sound moral & spiritual development Week 6: Family, Socio-cultural & Religious Influences on Child Health & Healthcare Discuss selected theories of family function. Examine social, political, and economic influences on child health & healthcare. Explore the potential impact of religious beliefs and customs on child health & healthcare Discuss nursing interventions in support of healthy family function Week 7: Health Promotion / Illness & Injury Prevention in Infants & Toddlers Recognize factors contributing to illness & injury in infants and toddlers. Describe the role of the pediatric nurse in the delivery of wholistic family-centered care to infants and toddlers. Select specific nursing interventions directed at prevention of illness & injury in infants and toddlers. Week 8: Health Promotion / Illness & Injury Prevention in Preschool & Early School-age Recognize factors contributing to illness & injury in pre-school and early school-age children. Describe the role of the pediatric nurse in the delivery of wholistic family-centered care to pre-school and early school-age children. Select specific nursing interventions directed at prevention of illness & injury pre-school and early school-age children. Week 9: Health Promotion / Illness & Injury Prevention in Later School-age & Adolescents Recognize factors contributing to illness & injury in later school-age children and adolescents. Describe the role of the pediatric nurse in the delivery of wholistic family-centered care to later school-age children and adolescents. Select specific nursing interventions directed at prevention of illness & injury in later schoolage children and adolescents. 10 Week 10: Common Child Health Problems: HEENT & Integumentary Systems Describe nursing responsibilities related to immunizations in the prevention of infectious disease. Select specific nursing interventions relevant to the care of children experiencing an infectious disease Relate appropriate nursing interventions to care of children with non-infectious illness or injury in the HEENT or Integumentary Systems Week 11 Common Child Health Problems: Respiratory, Musculoskeletal & Gastrointestinal Systems Discuss the etiology, pathophysiology, and nursing care of common gastrointestinal illnesses in children. Select specific nursing interventions for common gastrointestinal problems in children Discuss the etiology, pathophysiology, and nursing care of common respiratory illnesses in children. Select relevant nursing interventions for children experiencing common musculoskeletal problems. Select relevant nursing interventions for children experiencing common neuromuscular problems Week 12: Common Child Health Problems: Renal, Neurological & Endocrine Systems Describe the pathophysiology, diagnostic evaluation, and nursing care of common renal system disease in children. Distinguish appropriate from inappropriate nursing interventions in children with selected seizure disorders. Contrast the clinical presentation, complications, and therapeutic management of Type 1 & Type 2 diabetes mellitus. Week 13: Complex Child Health Problems: Respiratory & Neurological Problems Discuss the pathophysiology, clinical manifestations, and nursing interventions in children with cystic fibrosis. Discuss the clinical manifestations in children experiencing cerebral injury from trauma, submersion, or infection. Describe nursing interventions for children experiencing cerebral injury from trauma, submersion, or infection. 11 Week 14: Complex Child Health Problems: Hematological Disorders & Childhood Cancer Discuss the pathophysiology and clinical manifestations of selected hematological disorders in children. Discuss the characteristic presentation of common types of cancer in children. Describe the nursing care for selected common types of cancer in children. Distinguish relevant nursing interventions in the prevention and management of selected types of anemia in children. Week 15: Complex Child Health Problems: Cardiovascular Problems Analyze variations in hemodynamics of common congenital cardiac anomalies Recognize clinical manifestations of significant cardiovascular problems in children. Discuss the nursing management of common cardiovascular problems in children. Week 16 – Final Exam Clinical Objectives Unit I Demonstrate the ability to interact with children and families respecting physical, cognitive, psychosocial, moral, and spiritual developmental stages. Accomplish and document assessment of physical, cognitive, psychosocial, moral, and spiritual development. Provide appropriate guidance to children and families in support of physical, cognitive, psychosocial, moral, and spiritual development. Clinical Activity: Accomplish & document a physical, cognitive, psychosocial, moral, and spiritual assessment of a normal child/adolescent. Unit II Demonstrate the ability to assess risk for illness/injury congruent with the developmental stages of children and adolescents. Provide appropriate guidance to children and families to promote health and prevent illness and injury. Clinical Activity: Identify a child/adolescent and provide health promotion/illness and injury prevention education on a specific topic. The activity may be documented in a “storybook”, poster, etc. (Feel free to be creative) 12 Unit III Provide developmentally appropriate nursing care to children/adolescents and their families experiencing common childhood illness/injuries. Safely administer and evaluate the therapeutic efficacy of medications in children and adolescents. Clinical Activity: In the simulation lab, virtual lab, or clinical unit effectively collaborate in and document the care of an infant, child, or adolescent experiencing a common childhood illness or injury. Unit IV Provide developmentally appropriate nursing care to children/adolescents and their families experiencing complex childhood illness/injuries. Collaborate with interdisciplinary colleagues to support wholistic development in children and families experiencing complex childhood illness/injury. Clinical Activity: In the simulation lab, virtual lab, or clinical unit effectively collaborate in and document the wholistic care of an infant, child, or adolescent experiencing a complex childhood illness or injury.