NUR 216L - nau.edu - Northern Arizona University

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UCC/UGC/ECCC

Proposal for Course Change

FAST TRACK

(Select if this will be a fast track item. Refer to Fast Track Policy for eligibility)

If the changes included in this proposal are significant, attach copies of original and proposed syllabi in approved university format .

1. Course subject and number: NUR 216L 2. Units:

See upper and lower division undergraduate course definitions .

2

3. College: Health and Human Services

5. Current Student Learning Outcomes of the course.

Clinical Practice and Prevention

Provides safe, effective nursing care for patients, family, and groups.

Implements nursing care using psychiatric nursing body of knowledge, theory and evidence-based research.

Communication

Integrates psychiatric nursing theories of communication into practice through engaging in clinical interactions with patients having complex communication difficulties.

 Evaluate patient’s mental health status using therapeutic communication individualized to the clinical circumstances.

Critical Reasoning

Synthesizes knowledge of neurobiology, psychological theory, and nursing theories in order to plan and prioritize nursing care for patients with alterations in mental health status.

Leadership

Collaborates with the members of the interdisciplinary mental health care team to plan for and manage patient care through delegation, coordination, and procurement of available resources.

Professionalism and Professional Values

Assumes accountability for self by practicing

4. Academic Unit:

Show the proposed changes in this column (if applicable). Bold the proposed changes in this column to differentiate from what is not changing, and Bold with strikethrough what is being deleted . ( Resources & Examples for

Developing Course Learning Outcomes )

UNCHANGED

Nursing

Effective Fall 2012

according to the legal and ethical principles of nursing in various clinical and community settings, and by incorporating psychiatric nursing standards into practice.

Integrates empathy and therapeutic use of self in the comprehensive care of patients along the mental health/mental disorder continuum.

Global Health

Examines the impact of health equity and social justice on nursing and health care in a variety of settings.

6. Current title, description and units . Cut and paste, in its entirety, from the current on-line academic catalog * http://catalog.nau.edu/Catalog/ .

NUR 216L PSYCHIATRIC/MENTAL

HEALTH NURSING PRACTICUM (3)

Description: Supervised clinical experiences working with individuals with mental health and/or psychiatric diagnoses, simulations, and clinical conferences provide a variety of opportunities to apply theory into practice with this population. The emphasis is placed upon using nursing strategies for promoting, maintaining, and restoring mental health utilizing therapeutic communication and nursing interventions for patients along the mental health/disorder continuum. Letter grade only.

Units: 2

Show the proposed changes in this column

Bold the proposed changes in this column to differentiate from what is not changing, and

Bold with strikethrough what is being deleted.

NUR 216L 349L PSYCHIATRIC/MENTAL

HEALTH NURSING PRACTICUM (3)

Description: Supervised clinical experiences working with individuals with mental health and/or psychiatric diagnoses, simulations, and clinical conferences provide a variety of opportunities to apply theory into practice with this population. The emphasis is placed upon using nursing strategies for promoting, maintaining, and restoring mental health utilizing therapeutic communication and nursing interventions for patients along the mental health/disorder continuum. Letter grade only.

Units: 2

Prerequisite: NUR 345, NUR 345L, NUR

390W

Co requisite: NUR 347, NUR 347L, NUR

349

* if there has been a previously approved UCC/UGC/ECCC change since the last catalog year, please copy the approved text from the proposal form into this field.

7. Justification for course change.

NUR 216 and NUR 216L are required in the third semester of the professional program

(second semester junior year). Course number change to upper division better reflects the course content and how it is currently offered.

8. Effective BEGINNING of what term and year?

FALL 2015

See effective dates calendar .

IN THE FOLLOWING SECTION, COMPLETE ONLY WHAT IS CHANGING

Effective Fall 2012

CURRENT

Current course subject and number:

NUR 216L

Current number of units:

Current short course title:

Current long course title:

PROPOSED

Proposed course subject and number:

NUR 349L

Proposed number of units:

Proposed short course title (max 30 characters):

Proposed long course title (max 100 characters):

Current grading option: letter grade pass/fail or both

Current repeat for additional units:

Current max number of units:

Current prerequisite:

NONE

Current co-requisite:

NONE

Current co-convene with:

Current cross list with:

Proposed grading option: letter grade pass/fail or both

Proposed repeat for additional units:

Proposed max number of units:

Proposed prerequisite (include rationale in the justification):

NUR 345, NUR 345L, NUR 390W

Proposed co-requisite (include rationale in the justification):

NUR 347, NUR 347L, NUR 349

Proposed co-convene with:

Proposed cross list with:

9. Is this course in any plan (major, minor, or certificate) or sub plan (emphasis)? Yes No

If yes, describe the impact. If applicable, include evidence of notification to and/or response

from each impacted academic unit.

Nursing; B.S.N.

10. Is there a related plan or sub plan change proposal being submitted? Yes No

If no, explain.

11. Does this course include combined lecture and lab components? Yes No

If yes, include the units specific to each component in the course description above.

Answer 12-15 for UCC/ECCC only:

12. Is this course an approved Liberal Studies or Diversity course? Yes No

If yes, select all that apply. Liberal Studies Diversity Both

13. Do you want to remove the Liberal Studies or Diversity designation? Yes No

If yes, select all that apply. Liberal Studies Diversity Both

14. Is this course listed in the Course Equivalency Guide ? Yes No

15. Is this course a Shared Unique Numbering (SUN) course? Yes No

Effective Fall 2012

FLAGSTAFF MOUNTAIN CAMPUS

Scott Galland

Reviewed by Curriculum Process Associate

Approvals :

Department Chair/Unit Head (if appropriate)

Chair of college curriculum committee

Dean of college

For Committee use only:

UCC/UGC Approval

Approved as submitted: Yes No

Approved as modified: Yes No

EXTENDED CAMPUSES

Reviewed by Curriculum Process Associate

Approvals:

Academic Unit Head

Division Curriculum Committee (Yuma, Yavapai, or Personalized Learning)

Division Administrator in Extended Campuses (Yuma, Yavapai, or Personalized

Learning)

Faculty Chair of Extended Campuses Curriculum Committee (Yuma, Yavapai, or

Personalized Learning)

Date

Date

Date

Date

Date

1/12/2015

Date

Date

Date

Date

Date

Effective Fall 2012

Chief Academic Officer; Extended Campuses (or Designee)

Approved as submitted: Yes No

Approved as modified: Yes No

CURRENT/PROPOSED SYLLABUS

Date

Course Title:

Semester:

Credits:

Instructor:

College of Health and Human Services

School of Nursing

Syllabus

Fall 2014

NUR 216L 349L Psychiatric Mental Health Nursing

Fall or Spring

2 credits (90 clock hours)

Jason Bradley

Laura Karnitschnig

Enid Rossi

Office address:

Phone:

Northern Arizona University

P O Box 15035

Flagstaff, AZ 86011

Office Hours: by appointment

Course Prerequisites: NUR 208, NUR 208 L, NUR 390W NUR 345, NUR 345L, NUR 390W

Course co-requisites: NUR 216, NUR 212, NUR 212L

NUR 347, NUR 347L, NUR 349

Course Description: Supervised clinical experiences working with individuals with mental health and/or psychiatric diagnoses, simulations, and clinical conferences provide a variety of opportunities to apply theory into practice with this population. The emphasis is placed upon using nursing

Effective Fall 2012

strategies for promoting, maintaining, and restoring mental health utilizing therapeutic communication and nursing interventions for patients along the mental health/disorder continuum.

Course Structure and Approach: NUR 216L 349L clinical practicum offers a variety of clinical experiences with psychiatric and substance abuse clients. These include: psychiatric acute care, recovery units, outpatient, service learning and community experiences. Clinical assessment assignments and planned group clinical conferences provide the opportunity to fully apply psychiatric and substance abuse body of knowledge in nursing and interdisciplinary practice.

Student Learning Outcomes:

Upon completion of the course, the successful student

Clinical Practice and Prevention

 Provides safe, effective nursing care for patients, family, and groups.

 Implements nursing care using psychiatric nursing body of knowledge, theory and evidencebased research.

Communication

 Integrates psychiatric nursing theories of communication into practice through engaging in

 clinical interactions with patients having complex communication difficulties.

Evaluate patient’s mental health status using therapeutic communication individualized to the clinical circumstances.

Critical Reasoning

 Synthesizes knowledge of neurobiology, psychological theory, and nursing theories in order to plan and prioritize nursing care for patients with alterations in mental health status.

Leadership

 Collaborates with the members of the interdisciplinary mental health care team to plan for and manage patient care through delegation, coordination, and procurement of available resources.

Professionalism and Professional Values

 Assumes accountability for self by practicing according to the legal and ethical principles of nursing in various clinical and community settings, and by incorporating psychiatric nursing standards into practice.

 Integrates empathy and therapeutic use of self in the comprehensive care of patients along the mental health/mental disorder continuum.

Global Health

 Examines the impact of health equity and social justice on nursing and health care in a variety of settings.

Required Textbooks:

Kneisl & Trigoboff. Contemporary Psychiatric-Mental Health Nursing , 3rd Ed (2009). Pearson.

Recommended Textbooks:

Lipson & Dibble (Eds.). ( 2005). Culture and Clinical Care. School of Nursing, University of California,

San Francisco Press.

Effective Fall 2012

Students should have appropriate nursing reference textbooks, less than 5 years old, including medical-surgical, nursing diagnosis, nursing intervention, and nursing outcome references.

Course Outline

Week 1: Clinical Orientation

Week 2: Relaxation techniques: Mental Status Assessment Simulation

Week 3: Anxiety Disorders

Week 4: Psychotic Disorders: Abnormal Involuntary Movement (AIM) Simulation

Week 5: Suicide Risk Assessment/Crisis Intervention: Comprehensive Suicide Assessment

Simulation

Week 6: Major Depressive Disorders

Week 7: Bipolar Disorders

Week 8: Alcohol Addiction: Clinical Institute Withdrawal Assessment (CIWA) Simulation

Week 9: Drug Addiction

Assessment of Student Learning

Assignment

Clinical Case Study #1

Clinical Case Study #2

Process Communication Recording

Post Patient Interaction Interview

Observation and Participation in Two 12-Step Groups with a written reflection required for both.

Simulation & Skills Building Activities: Suicide

Assessment and Safety Plan; Mental Status Exam;

CIWA Assessment for Alcohol Detoxification; and

Psychiatric Drugs Side Effects Assessment.

Points

30 points

30 points

25 points

15 points

P/F

P/F

Attendance, preparation & engagement in all clinical post conference activities. Must pass Clinical

Evaluation with 3 or greater in all categories.

Additional clinical experiences may be selected by the clinical instructor, for example volunteering at a shelter, viewing motivational interviewing

(psychotherapy) videos.

P/F

P/F

All P/F assignments must be Passed to pass the course.

Total 100 points

Methods of Assessment

1. Two Clinical Case Studies (with the option of a third if one grade is at C or less. The top two grades will then be posted): Each Clinical Case Study will feature a different psychiatric diagnosis and is worth a possible 30 points each. The total possible points are 60.

2. Process Communication Recording : This clinical assignment includes an initial process recording and individual consultation with clinical instructor. If the process recording is graded C or less, a second one will be required and posted as the final grade. For B grades, it is optional to complete a second process recording. The total possible points are 25.

3. Post Patient Interaction Interview by Clinical Instructors : While students are in the psychiatric acute care unit, clinical instructors will work with students using the clinical practice rubric in a formative assessment manner to enhance students’ success. This will be followed by a summative, graded assessment with no cueing provided by the instructor. The total possible points are 15.

Effective Fall 2012

Due dates for specific clinical assignments will be determined by individual clinical faculty as clinical rotations vary greatly.

Grading System: The NAU SON grading scale is as follows. No rounding.

93-100% A

84-92% B

78-83%

<78 %

C

F (failing)

Course Policies

There is strict adherence to every part of the NAU Student Handbook and the School of Nursing

Undergraduate Student Handbook

Attendance Policy

1. You are expected to attend all clinical sessions (this includes lab sessions and all conferences).

Failure to attend clinical will prevent you from meeting clinical course objectives. Failure to notify faculty of absence from clinical (including lab and group clinical conferences) prior to missing or being late will be considered as unprofessional conduct and will be handled as such. Notification must be made by phone (we do not have access to e-mail at the clinical sites).

Confidentiality Statement

2. Students must maintain client confidentiality at all times. No discussion regarding clients is acceptable outside the classroom or clinical setting. In clinical conferences and in the classroom references to actual client experiences, refer to the client by their initials only.

3. Do not leave cell phones on and/or use cell phones in any clinical setting. In particular, it is a violation of confidentiality to take any pictures through cell phones including pictures of fellow students.

4. You may not remove from the clinical setting ANY part of a medical record that staff may tell you is “extra” and “you just have to cross out their name” (i.e. medication administration record back copies). These forms contain other identifying information on them and therefore should stay in the facility to avoid violating patient confidentiality. Too, please be careful what you say in halls, elevators and bathrooms while in clinical.

5. Client records are not to be photocopied under ANY circumstances.

6. Failure to adhere to this policy can result in removal from the clinical experience, the course, and/or referral in accordance with the communication of concerns process in the NAU School of

Nursing Student Handbook.

7. All assignments must be submitted by the due date and time. Late assignments will not be accepted. All assignments will be due on Sundays at Midnight. Failure to complete assignments on time could result in failure to meet course objectives.

8. Students who have a catastrophic or emergency event which may prevent submission of an assignment by the deadline may request, in writing, to the faculty, as far in advance as possible, but no later than 24 hours before, permission to submit a late assignment. Approval of any such request is at the discretion of the faculty.

9. All assignments are to be completed by each student individually without the help of others unless specifically identified as a group project or the student has been directed to seek help from a designated NAU tutor or teaching assistant.

10. Wikipedia is not considered an acceptable, valid, or reliable resource for use in any School of

Nursing coursework. One purpose of this course is to help students identify, appraise, and utilize valid and reliable professional resources. Wikipedia does not meet these criteria.

Makeup tests and retests

Effective Fall 2012

There are no quizzes or exams in this course.

Academic Dishonesty/Plagiarism:

All forms of student academic dishonesty, including cheating, fabrication, facilitating academic dishonesty and plagiarism are prohibited and subject to disciplinary action. Cheating means intentionally using or attempting to use unauthorized materials, information or study aids in any academic exercise. Fabrication means intentional and unauthorized falsification or invention of any information or citation in an academic exercise. Plagiarism means intentionally or knowingly representing the words or ideas of another, as one's own in any academic exercise. For further explanation of academic dishonesty refer to the School of Nursing Undergraduate Student Handbook and Northern Arizona University Student Handbook .

University Policies

Review the following policies available on the Northern Arizona University Policy Statement website http://www4.nau.edu/avpaa/UCCPolicy/plcystmt.html

:

1. Safe Environment Policy

2. Students with Disabilities Policy

3. Academic Contact Hour Policy

4. Academic Integrity Policy (also see http://home.nau.edu/images/userimages/awf/9476/ACADEMIC%20DISHONESTY.pdf

)

5. Research Integrity Policy

6. Sensitive Course Materials Policy

7. Classroom Disruption Policy (also see http://nau.edu/uploadedFiles/Administrative/EMSA_Sites/Folder_Templates/_Forms/Classroo m_Disruption_Policy.pdf

)

Effective Fall 2012

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