Nurs 6991 Advanced Pharmacology II Master’s Degree Program Nurse Practitioner Concentration NURS 6991: Advanced Pharmacology II Spring 2013 COURSE NUMBER NURS 6991 G01 COURSE TITLE Advanced Pharmacology II CREDIT HOURS 2 credit CONTACT HOURS 30 classroom hours, COURSE PLACEMENT Level II COURSE DAYS/TIME Thursdays 7pm-9pm COURSE LOCATION Whitby Hall 4th Floor COURSE FACULTY Del Doherty, PharmD, MPH didoherty@stkate.edu Vicki Ericson, DNP, FNP, ANP Office : WH 112 Phone : 612-229-5452 Email : vlericson@stkate.edu Steve Robak, DNP, RN, PNP Office: Whitby 112 Phone: 651-690-6051 Email: sprobak@stkate.edu Sue Bikkie DNP, GNP, GCNS, APRN-BC Office: Whitby Hall 433 Phone: 651-690-6127 Cell: 651-434-8771 Email: psbikkie@stkate.edu COURSE DESCRIPTION This course examines pharmacological principles including, pharmacokinetics, pharmacodynamics, pharmacotherapeutics, and toxicology across the life span. Major drug classifications are reviewed and factors involved in the assessment of drug-related health problems are identified. COURSE LEARNING OBJECTIVES/OUTCOMES 1. Examine the economic impact of pharmacologic selections. (Context and Environment); “Ethics and Social Justice;” NONPF CC 6,7,8; Essentials VI. Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II 2. Demonstrate knowledge and understanding of major drug classifications and utilizes a systematic framework for the selection of pharmacological agents. (Knowledge and Science) “Discipline-based competency”, Critical and Creative Thinking”; NONPF1, 4. 3. Identify areas for nursing research regarding the impact of pharmacology on clinical practice. (Personal and Professional Development) “Leadership and Collaboration, Purposeful Lifelong Learning;” NONPF CC2, 9; Essentials IX. 4. Demonstrate knowledge of principles of pharmacology, including pharmacokinetics and pharmacodynamics and knowledge of regulations governing prescribing. (Quality and Safety); “Discipline-based competence”; NONPF CC 3,7,8; Essentials II, III. 5. Integrate factors pertinent for patient education. (Relationship-Centered Care); “Effective Communication in a Variety of Modes”; NONPF CC 9; Essentials IX. 6. Employ diverse modes of communication for patient education regarding pharmacological therapy. (Teamwork); “Leadership and Collaboration, Effective Communication in a Variety of Modes”; NONPF CC 2,5; Essentials II, VII. Please note. Course learning objectives/outcomes are related to academic and professional standards in nursing. Please refer to Appendix A for these relationships. Assignments in this course are designed to promote your achievement of the course learning objectives/outcomes (please refer to “Course Assignments and Grading”). TEACHING-LEARNING ACTIVITIES Teaching-learning activities in NURS 6991include (a) class seminars, (b) small group work, (c) online learning activities, (d) individual and/or group presentations, (e) written assignments. Please refer to “Roles and Responsibilities in the Teaching-Learning Process” in the Master’s Degree Program Student Policies. FACULTY EXPECTATIONS As faculty members, our responsibility is to ensure that you receive the best possible education and learning experiences. Therefore, students can expect from faculty members that we… Appreciate the diversity of our campus and respect the rights of each member. Show human concern for each of those with whom we work and study while presenting a positive attitude and professional demeanor. Be on time for class and return from scheduled breaks. Respond to e-mail messages and voice mail messages within 24-48 hours, except on weekends and holidays. Treat the students with courtesy. Refrain from any behaviors that may distract others. Minimize distraction and interruptions. This includes limiting private conversations, and keeping phones and pagers in a vibrate mode. Understand that this class is a dynamic one, where disagreements may occur. Respect diverse opinions and listen politely when others are speaking. Give everyone a chance to contribute and value hearing all voices. Come prepared for the class and having thought about how the day's teaching-learning will unfold. STUDENT EXPECTATIONS To create an optimal respectful learning environment for everyone, your faculty members expect you to… Appreciate the diversity of our campus and respect the rights of each member. Show human concern for each of those with whom you work and study while presenting a positive attitude and professional demeanor. Be on time for class and return from scheduled breaks. Treat the faculty members and fellow students with courtesy. Refrain from any behaviors that may distract others. Minimize distraction and interruptions. This includes limiting private conversations, and keeping phones and pagers in a vibrate mode. Understand that this class is a dynamic one, where disagreements may occur. Respect diverse opinions and listen politely when others are speaking. Give everyone a chance to contribute and value hearing all voices. Accept the challenge of doctorate level studying, thinking, and learning. Anticipate that the level and quantity of work in this course may exceed your prior experiences. Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II Come to class prepared, having read the assignment beforehand and having thought about how you can participate in that day's discussion. COURSE SCHEDULE AND TOPICAL OUTLINE Our course schedule and topical outline includes dates, topics, learning activities, readings and assignments, and what to bring to class. Class topics may be revised to address particular areas of interest related to this course. Sessions that will be conducted in-class (C) and online (O) are included in our course schedule. C/O Session/Date Class Topics Module 1 2/7 Anti infectives ON CAMPUS Module 2 2/14 Upper respiratory ONLINE NO CLASS MEETING Module 3 2/21 Lower Respiratory ON CAMPUS Module 4 2/28 Gastrointestinal and Genitourinary ON CAMPUS Master’s Degree Program Department of Nursing Learning Activities Read case discussion, NO assignment for online posting, We will discuss cases in class! Case # 121 Otitis Media(peds groups) 126 Diabetic foot infection (A/GNP groups) Online case discussion Assignment: (2/7-2/13) Schwinghammer Case # 118 Acute Bronchitis (peds) 119 Community Acquired Pneumonia (A/GNP) Online case discussion assignment: (2/14-2/20) Schwinghammer Case # 29 Chronic Asthma (Peds Groups) 30 COPD (A/GNP groups) No online case discussion Readings/Assignments Please see D2L module for Readings and Assignments Wynne & Woo Chapters: 19: Drugs affecting the immune system 24: Drugs used in treating infectious diseases 42: pneumonia American Academy of Pediatrics Subcommittee on Management of Acute Otitis Media http://pediatrics.aappublications.org/content/113/5/1451.full24: Please see D2L module for Readings and Assignments 26: Durgs used in treating eye and ear disorders 46: Upper respiratory infections, otitis media, and otitis externa Read Adult and Pediatric Treatment Guidelines for Upper Respiratory Infections at: http://www.cdc.gov/getsmart/specific-groups/healthcareproviders.html Please see D2L module for Readings and Assignments Wynne & Woo Chapters 17: Drugs affecting respiratory system 30: Asthma and COPD Review: Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma http://www.nhlbi.nih.gov/guidelines/current.htm Review Global Strategy for Diagnosis Management and Prevention of COPD at: http://www.goldcopd.org/ QUIZ #1 Open 2/21-2/27( Modules 1,2,3) 10 points Please see D2L module for Readings and Assignments Wynne & Woo Chapters 16: Review renal content 20: Drugs affecting the GI system 34; Gastroesophageal reflux and peptic ulcer disease 47: Urinary tract infections MMWR: Managing acute gastroenteritis among children www.cdc.gov/mmwr/PDF/RR/RR5216.pdf GI society position statement on management of GERD http://www.gastrojournal.org/article/S0016-5085%2808%29016065/abstract Nurs 6991 Advanced Pharmacology II C/O Session/Date Module 5 3/7 Class Topics Cardiovascular ON CAMPUS Module 6 3/14 Cardiovascular ON CAMPUS Learning Activities Readings/Assignments Online case discussion assignment: (2/28-3/6) Schwinghammer Case # 21: DVT (Peds Groups) 13 HTN (A/GNP groups) Please see D2L module for Readings and Assignments Wynne & Woo Chapters 14: Drugs affecting the autonomic nervous system 16: Drugs affecting the cardiovascular and renal systems. 40: HTN Review the JNC 7 HTN Guidelines at: http://www.nhlbi.nih.gov/guidelines/index.htm Online case discussion assignment: (3/7-3/13) Schwinghammer Case # 25: Dyslipidemia (Peds Groups) 15: Heart failure systolic dysfunction (A/GNP groups Please see D2L module for Readings and Assignments Wynne & Woo Chapters 28: Chronic stable angina and low-risk unstable angina 36: Heart failure 39: Hyperlipidemia Review: AHRQ Guideline on Management of chronic heart failure. A national clinical guideline, found at: http://guideline.gov/content.aspx?id=10587 Review NIH Clinical Guidelines on Hyperlipidemia: ATP III Guidelines At-A-Glance Quick Desk Reference www.nhlbi.nih.gov/guidelines/cholesterol/atglance.pdf Module 7 3/21 Endocrine ON CAMPUS Online case discussion assignment (3/14-3/20) Schwinghammer Case # 83: type II DM New Onset (All groups) Please see D2L module for Readings and Assignments Wynne & Woo Chapters 21: Drugs affecting the endocrine system 33: Diabetes mellitus 41: Hyperthyroidism and hypthyroidism Review ICSI guidelines on Diagnosis and management of Type II DM in adults http://guideline.gov/content.aspx?id=36905 Review AAFP Management of Type II DM in Yougth at: http://www.aafp.org/afp/2007/0901/p658.html Please see D2L module for Readings and Assignments Wynne & Woo Chapters 14: Drugs affecting the autonomic nervous system 16: Drugs affecting the cardiovascular and renal systems. 40: HTN Review the JNC 7 HTN Guidelines at: http://www.nhlbi.nih.gov/guidelines/index.htm QUIZ 2 (10 points. (Modules 4,5,6,7). Opens 3/21– 3/27) Module 8 3/28 Spring Break Spring Break Spring Break Online case discussion assignment: (3/29-4/3) Schwinghammer Case #65: Generalized Tonic Clonic Seizures (Peds) 71: Migraine (AGNP) Please see D2L module for Readings and Assignments Wynne & Woo Chapters 15: Drugs affecting the central nervous system 35; Headaches 53: Pain management and acute and chronic pain Module 9 4/4 Neurologic Disorders ON CAMPUS Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II Module 10 4/11 Metabolic and Hematologic No online discussion this week! ON CAMPUS Module 11 4/18 Prescription Cost Comparisons ON CAMPUS In class discussion presentations Module 12 4/25 Reproductive QUIZ 3 (10 points on modules 9,10,11,12. opens 5/9-5/15) Online case discussion assignment: (4/18-4/24) Schwinghammer Case # 91: Contraception (All groups) No online case discussion this week! Module 13 5/2 Musculoskeletal/ Derm ON CAMPUS Module 14 5/9 Psychiatric ON CAMPUS Online case discussion assignment (5/2-5/9) Schwinghammer Case # 72: ADHD (Peds Groups) 77: Major depression (A/GNP groups) Please see D2L module for Readings and Assignments Wynne & Woo chapters 18: Drugs affecting the hematopoietic system 27: Anemia Review Anemia on AAFP Website at: http://www.aafp.org/afp/topicModules/viewTopicModule.htm?topic ModuleId=2 Please see D2L module for Readings and Assignments 31: Contraception 44: Sexually transmitted diseases and vaginitis Review NIH Menopausal Hormone Therapy Information at: http://www.nih.gov/PHTindex.htm QUIZ 3 (10 points on modules 9,10,11,12. opens 4/25-5/1) Please see D2L module for Readings and Assignments Wynne & Woo Chapters 23: Drugs affecting the integumentary system 25; Drugs used in treating inflammatory processes 32: Dermatologic conditions 38: Osteoporosis and HRT Review AHRQ guidelines for dx and treatment of Osteoporosis at: http://guidelines.gov/content.aspx?id=13967 Wynne & Woo Chapters 22 Drugs affecting the reproductive system Please see D2L module for Readings and Assignments Wynne & Woo Chapters 14: Review autonomic nervous system 29: Anxiety and depression 43: Smoking cessation Medicines for treating depression in adults: http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guidesreviews-and-reports/?productid=1142&pageaction=displayproduct Review AAP clinical practice guidelines for dx and treatment of ADHD (link to article on D2lL home page) Module 14 5/16 REVIEW ON CAMPUS Review for Final Exam. Module 15 FINAL EXAM Final Exam Online 30 points on all modules. ONLINE Open from 5/16-5/22 Please note. Class sessions will be conducted either in-class (C) or online (O). COURSE ASSIGNMENTS AND GRADING Assignments, assigned points, and due dates will be reviewed during our first class session. Rubrics are used to evaluate course assignments and also address the integrating concepts related to each course assignment. Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II Name of Assignment Classroom Assignments OTC /Rx Drug Cost comparison Online discussions Group Leader Online discussions group participants Exams Quiz #1 Quiz #2 Quiz #3 Final Exam (cumulative) Related Course Objective(s) Total Possible Points 1,2,4,5 1,2,3,4,5,6 1,2,3,4,5,6 __ 10 (15 X 2 ) 30 (Total Points) 25 Total Points __ 10 __ 10 __ 10 30 125____ points % __% __% Due Date 4/15 __% 2/21 - 2/27 __% 3/21 – 3/27 __% 4/25 – 5/1 5/16 – 5/22 100% Assignments: Students are responsible for completing all course assignments and learning activities. Course assignments are due at the beginning of class on the scheduled due date. Please submit written assignments by using the Desire2Learn (D2L) course site. Assignments and papers will be returned at the next class session. Late assignments will not be accepted unless you notify faculty assigned to this course by e-mail or voice mail prior to when the assignment is due. Thank you! Online case discussions. Students will be divided into groups of 5 or 6 for the online case discussions. Each week a case is assigned to groups for online discussion. Group Leaders will be designated for each week. The group leaders will be responsible for posting answers to the case questions, initiating and facilitating the online conversations. Online discussions begin on Thursdays after 9pm and end Wednesday at 9pm. Please answer the assigned case discussion questions (from the Schwinghammer text) as the format for your discussions. Each student is expected to make AT LEAST 2 posts for each week. Faculty will monitor group discussions and add content as needed. The group leader with summarize the discussion and post (in bulleted notes) the main points of the case discussion. before the discussion closes on Wednesday. Group Leader points are weighted The online conversations are enriched by students bringing in additional information from outside readings, through posing thoughtful questions and taking the initiative to research questions posed by others. There should be a minimum of 2 additional sources (other than the textbook) cited for each case study. Group leaders will use the online discussion evaluation rubric to evaluate members. OTC Cost Comparison Assignment: This information will help you in clinical practice when recommending OTC medications Each group will be assigned an OTC drug category. Investigate a retail pharmacy to compare and contrast the number of products available in that category. Use a table format to list the products you found sold in that category. In addition please list the active ingredients and amounts, and pharmacologic actions, Compare costs/ dose for each product. Identify any other important findings in your OTC study as well (advertising, instructions, user friendliness). Prescription Drug Cost Analysis. This assignment will help you understand the variable costs of generic vs brand as well as alternatives to expensive pharmaceuticals. Each group will be assigned three medications from a particular drug classification on which to do a cost analysis. Report the cost of a one month supply of the assigned medication from at least 3 pharmacies. Your group will present to the class your cost analysis findings along with information on the pharmacologic action, metabolism, indications, contraindications, starting dose(s), titration patterns, discontinuation issues, patient education/counseling, and drug interactions. Present this information to the class in a short (10minute) presentation. Grading Policy: NURS 6991must be taken for a grade and must be satisfactorily completed with a minimum grade of B (87% of the total possible points). Each course assignment must be completed with a minimum grade of C (78% of total possible Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II points). Assignments may be resubmitted once if not completed satisfactorily the first time (if evaluation of assignment is <78% possible points). Resubmitted assignments receive a maximum of 78% of total possible points for that assignment. If you have questions about how to complete a particular assignment, please contact faculty assigned to this course Grading Scale: Grades in NURS 6991 are determined as follows: A 96-100% A93-95% B+ 90-92% B 87-89% Passing B84-86% C+ 81-83% C 78-80% C75-77% D+ 72-74% D 69-71% F 68% and below Incomplete Grades: A grade of incomplete is given only when unusual circumstances deem it appropriate. Ordinarily, such circumstances would involve matters that are not wholly within your control, such as illness. If you wish to receive an incomplete grade you must complete a Petition for Incomplete Grade form (available online) no later than the last day of the term in which course requirements are due. You must be making satisfactory progress in the course and you must have completed 75% of the course at the time the petition is filed. Incompletes are awarded at the faculty’s discretion. If granted, the normal deadline for completion of the work is no more than 8 weeks after the last day of classes in the term in which the course is offered. The course faculty may establish a due date after the normal deadline if you request it and special circumstances warrant it. The faculty will submit an alternate grade that will automatically be recorded if you do not complete the requirements for the course by the deadline. If you complete the course requirements in the time allotted, the faculty must submit the final grade by the deadline. Extensions to the due date originally agreed to by you and your course faculty must be approved by the academic dean. COURSE POLICIES Additional policies related to this course may be found in the Master’s Degree Program Student Policies located in the online Nursing Student Handbook. Academic Integrity: Please refer to the “Academic Integrity Policy” in the Graduate Academic Catalog. Accommodations: St. Catherine University is committed to equal access for all and recognizes that disability is an aspect of diversity. The University’s goal is to create learning environments that are usable, equitable, inclusive, and welcoming. If there are aspects of the instruction or design of this course that result in barriers to the learning environment, accurate assessment, or your achievement, please contact me and the Resources for Disabilities office as soon as possible. Access Consultants can be reached in the O’Neill Center at 651.690.6563 to discuss academic adjustments or accommodations. Attendance: The most significant learning activity is attendance and active participation in all class sessions. Taking initiative in learning is a hallmark of advanced nursing practice. This requires preparation for all class sessions, the belief that you have a unique and valuable perspective to offer to class discussions, and the willingness to enter into to our class discussions. Therefore, attendance will be taken and active participation and engagement in class discussions and learning activities will be noted. Regular class attendance is expected and is defined by the format of the course. For online courses, attendance means following the communication requirements and due dates on the syllabus. For in-class learning, attendance means that (a) you arrive at class on time and stay for the duration of the class; and (b) whether present or not, you are responsible for in-class content. For hybrid courses, you must follow both the online and in-class attendance Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II requirements. Failure to attend, for any reason, may be taken into account in the evaluation of your work. First day attendance (for in-class) or first week online communication (for online learning) is required. If you will be late or absent for a class session, please e-mail or call faculty assigned to this class, prior to class. Failure to regularly attend class sessions will result in implementation of the Performance Issue Algorithm/Guided Improvement Plan described in the Master’s Degree Program Student Policies. Course Communication: Please check your St. Kate’s e-mail and D2L regularly for messages and updates related to the course--at least every 23 days. E-mail messages and voice mail messages will be responded to within 24 hours, except on weekends and holidays. You are encouraged to discuss optimal means of communication with course faculty. In the event of severe weather on a planned class day or learning event, please monitor e-mail and D2L closely for alternative assignments or plans. Grades will be posted in the online gradebook on our D2L course site. Evaluation: Evaluation is an essential component of this course. Informal and formal evaluations will be conducted during the course and evaluative data will be used by faculty to improve the course and ensure that learning is being facilitated through teaching-learning activities and course assignments. Online course and faculty evaluations are completed at the end of this course. Information about how to complete these online evaluations will be sent by a staff member in the Department of Nursing, usually before the final class session. Final course evaluations are confidential; only aggregated data are reported to faculty. Inclusivity:1 Nurses are called to promote human dignity. In order to be aware of the ever changing environment in nursing and health care, an open dialogue must be able to occur in a non-threatening environment in which students and faculty can engage in discussions that are taking place, challenge comments that are made, and evaluate aspects of the structural environment that support injustice. Bringing attention to expressions of cultural bias is a way to model against stereotyping. At any time, a moment of consideration can be called. This can and should be called by anyone, student or faculty, in order to facilitate needed conversation around sensitive issues. These moments are times for all of us to learn how to become more sensitive in our language and actions. Such dialogues may pertain to stereotypes related to “race,” sex, religion, gender identity, sexual preference, weight, economic status, and anything that can impact the dignity of persons, including equitable treatment of patients and students. These moments of consideration should be freely addressed in the classroom and are an essential aspect of learning in this course. PROFESSIONAL STANDARDS, WRITING AND TECHNOLOGY REQUIREMENTS Faculty in the Department of Nursing use professional nursing standards in the development, implementation, and evaluation of curricula, as well as to promote and evaluate student learning. In the Nurse Practitioner Concentration of the Master’s Degree Program, professional standards include: Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) Code of Ethics for Registered Nurses (Canadian Nurses Association, 2008 [Canadian]) International Council of Nurses Code of Ethics for Nurses (ICN, 2006 [All]) Core Competencies for Interprofessional Collaborative Practice (Interprofessional Education Collaborative Expert Panel, 2011) The Essentials of Master’s Education in Nursing (AACN, 2011) NLNAC Accreditation Standards and Criteria: Master’s Degree Programs (NLNAC, 2012) National Task Force Criteria for Nurse Practitioner Programs (NTF, 2012) Nurse Practitioner Core Competencies (NONPF, 2012) Nursing: Scope and Standards of Practice, 2nd Edition (ANA, 2010) Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010) Quality and Safety Education for Nurses: Graduate Competencies (QSEN, 2011) Writing and Technology Requirements: The ability to write, use technology, and communicate effectively is essential in advanced nursing roles. Professional nursing standards and competencies for advanced nursing practice specifically address these skills. 1 This statement is based on a statement written by NURS 6790 student, Maria Kludt (Spring 2009). Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II Courses in the Master’s Degree Program in Nursing are designed to provide opportunities for you to learn and develop writing abilities and skills in using technology. In NURS 6991 written assignments will be evaluated by faculty for (a) the logical flow of ideas and organization of content; (b) spelling, grammar, and punctuation; and (c) the use of American Psychological Association (APA) style described in the Publication Manual of the American Psychological Association (American Psychological Association, 2010). If specific concerns are identified, you will be encouraged to seek assistance with your professional writing skills, including the use of APA style. You will also have the opportunity to develop skills in using technology in NURS 6991 Some of these skills include (a) opening and sending attachments using e-mail, (b) using the course management system for accessing course information, (c) accessing articles electronically from the Web and using CLICnet, (d) word-processing skills, and (e) presentation skills using PowerPoint. CONGRUENCE WITH THE ST. CATHERINE UNIVERSITY MISSION NURS6991 advances the “Goals of a Liberal Arts Education” at St. Catherine University by challenging you to incorporate safe pharmacotherapeutics in practice through an understanding of the socioeconomic and ethnic considerations for pharmacotherapy. Each of the “Goals of a Liberal Arts Education” is related to one or more of the course objectives and consistent with the teaching and learning activities used in this course. Appendix A presents these relationships. TEXTBOOKS AND COURSE MATERIALS Required texts for this course include: Required texts for academic writing and use of APA style: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author. Hacker, D., & Sommers, N. (2010). The Bedford handbook (8th ed.). Boston, MA: Bedford/St. Martin’s. LEARNING RESOURCES E-mail and D2L will be used for communication among faculty and class participants and for distribution of class materials. Please go to our D2L course site for course announcements and course learning resources, including course documents, websites related to course content, and other helpful information. Please let faculty assigned to this course know if you have any questions about our course syllabus. Thank you! Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II Appendix A Relationship of Course Objectives to Academic and Professional Standards Integrating Concepts Context and 1 Environment (CE) Related Course Objectives Liberal Arts Goals Ethics and Social Justice Diversity and Global Perspectives Master’s Essentials Essential I: Background for Practice from Sciences and Humanities QSEN (IOMa) Informatics (Informatics) Essential V: Informatics and Healthcare Technologies Interprofessional Nurse Practitioner Competencies Competencies Values/Ethics Scientific Foundation Competencies Interprofessional Communication Technology and Information Literacy Competencies Effective Communication in a Variety of Modes Essential VI: Health Policy and Advocacy Policy Competencies Critical and Creative Thinking Essential VIII: Clinical Prevention and Population Health for Improving Health Essential I: Background for Practice from Sciences and Humanities EvidenceBased Practice Discipline-Based Competence Essential IV: Translating and Integrating Scholarship into Practice (EvidenceBased Practice) Personal and 2,3,5,6 Professional Development (PD) Leadership and Collaboration Essential IX: Master’s-Level Nursing Practice Quality and Safety (QS) Effective Communication Essential II: Organizational and Systems in a Variety of Modes Leadership Knowledge and Science (KS) 1,2,4 1,4,5,6 Teamwork (TW) 3,6 Discipline-Based Competence Leadership and Collaboration Roles/ Responsibilities Ethics Competencies Leadership Competencies Independent Practice Competencies Quality Improvement Safety Roles/ Responsibilities Quality Competencies Health Delivery System Competencies Essential IX: Master’s-Level Nursing Practice (Quality Improvement) PatientCentered Care Essential II: Organizational and Systems Leadership (PatientCentered Care) Teamwork and Collaboration Interprofessional Communication (Inter- Technology and Information Teams/Teamwork Literacy Competencies Effective Communication Essential VII: Interprofessional Master’s Degree Program Department of Nursing Scientific Foundation Competencies Practice Inquiry Competencies Purposeful Lifelong Learning Essential III: Quality Improvement and Safety Relationship- 4,5 Centered Care (RC) ALL ALL Ethics Competencies Independent Practice Competencies Leadership Competencies Nurs 6991 Advanced Pharmacology II Integrating Concepts Related Course Objectives Liberal Arts Goals in a Variety of Modes Master’s Essentials Collaboration for Improving Patient and Population Health Outcomes QSEN (IOMa) disciplinary Teams) Interprofessional Competencies Nurse Practitioner Competencies Health Delivery System Competencies Please note. aLiberal Arts Goals are defined in the table on the following page. bQSEN competencies are related to the IOM competencies described in Health Professions Education: A Bridge to Quality (2003) and identified in parentheses. Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II St. Catherine University: Liberal Arts Themes, Goals, and Outcomes Leadership and Collaboration: The ability to lead and influence for ethical and responsible action and for systemic change; the ability to work well with others, especially in joint intellectual effort. Ethics and Social Justice: The ability to apply ethical standards to judge individual and collective actions; the development of attitudes and behaviors that reflect integrity, honesty, compassion, and justice in one’s personal and professional life. Diversity and Global Perspectives: The ability to understand and analyze the impact of diversity and systems of power and privilege on the individual and society; the ability to decipher and honor multiple and global perspectives in creating mutual understanding; the ability to imagine and take action towards justice. Critical and Creative Inquiry: The ability to gather, analyze and critically evaluate information to develop reasonable arguments, sound judgments, and effective solutions. This ability is founded on a broad knowledge of the achievements of human creativity and of the variety of disciplinary approaches for exploring truths. Discipline-Based Competence**: The ability to demonstrate in-depth knowledge, values and skills in at least one major field of study and to relate disciplinary approaches to those of other fields. Liberal Arts Themes, Goals, and Outcomes Students will demonstrate leadership and collaboration by their ability to: a) act from a strong self-concept; b) transform information into knowledge and knowledge into judgment and action; c) make timely and relevant decisions based on sound reasoning; d) discern consequences, including ethical consequences, of decisions and actions; e) articulate a positive sense of direction and evoke hope; f) work well in teams and work groups of diverse composition, building consensus and integrating conflict resolution strategies. Students will demonstrate a commitment to ethics and social justice by: a) understanding principles of ethics and social justice from multiple perspectives; b) understanding Catholic Social Teaching and the Catholic commitment to social justice; c) applying ethical and justice frameworks to contemporary issues; d) exhibiting personal and academic integrity; e) practicing social responsibility through community engagement, citizenship and advocacy. Students will demonstrate a commitment to diversity and global perspectives by their ability to: a) understand the experiences and contributions of women across history and cultures; b) recognize the historic and current relationships within and among cultural communities, locally, nationally, and globally; c) identify and critically analyze the intersections and impact of race/ethnicity, gender, social class, religion, sexual orientation, age, ability and other differences on identity, experience, and systems of power and privilege; d) understand how economic, social, religious and political systems interact and how those systems vary across societies; e) understand the interrelationships between nature and humans and develop eco-centric perspectives; f) increase critical cultural competencies and cultural responsiveness through engaging with multiple communities; g) take action to dismantle systems of oppression and build a more just world. Students will demonstrate critical and creative inquiry by their ability to: a) locate appropriate information from a variety of sources and evaluate its relevance and reliability; b) organize, describe, interpret, and integrate both qualitative and quantitative information; c) shape ideas and discern meaning from experience, observation, imagination, and passion; d) analyze complex issues and arguments in various intellectual contexts (scientific, aesthetic, philosophical, etc.) and evaluate the validity and soundness of such arguments; e) develop and evaluate action plans for solving significant social and intellectual problems; f) demonstrate breadth of knowledge of the major accomplishments of human endeavors and of the distinct methods of exploring truths (in the natural sciences, social sciences, and the arts and humanities); * g) identify and interpret similarities and differences among various disciplinary approaches and examine the relationships among them. * Breadth of knowledge applies to all degrees except the graduate degrees, where the focus is on in-depth development of disciplinary skills. Students will demonstrate discipline-based competence by their ability to: a) use in-depth knowledge and engage key ideas in at least one field of study; b) exercise disciplinary methods and skills, and carry out research or learn independently in that field; c) develop disciplinary perspective and identity, including an understanding of the route to acquiring knowledge in that discipline; d) identify and analyze similarities and differences between the student’s major field and other disciplinary approaches. **Discipline-Based Competence applies to all degree programs except the Associate of Arts Degree Program. Effective Communication in Students will demonstrate effective communication by the ability to: a Variety of Modes: The a) read, view, and listen with understanding and critical discernment; Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II ability to read, write, speak and listen effectively; the ability to present information in a clear and engaging manner. Purposeful Life-long Learning: The ability to continue personal and professional development based on ongoing selfassessment, feedback from others, and new learning. Master’s Degree Program Department of Nursing Liberal Arts Themes, Goals, and Outcomes b) organize, evaluate, and communicate ideas effectively through writing and public speaking to various audiences; c) prepare and present information visually and through the use of technology; d) find expression in fine, literary, and performing arts; e) develop and put into practice interpersonal, group, and cross-cultural communication skills and listening skills; f) show competency in a second language (applies only to bachelor’s degree). Students will demonstrate a commitment to purposeful life-long learning by: a) assuming responsibility for their own learning; b) engaging in and reflecting on opportunities that prepare for life after college; c) practicing a variety of methods of learning, including reading and research, observing and listening, self assessment and feedback, work and life experience; d) developing knowledge and strategies for maintaining a balance of body, mind and spirit; e) reflecting on and developing a meaningful, purposeful, and spiritual life. Nurs 6991 Advanced Pharmacology II Nurse Practitioner Core Competencies Scientific Foundation Competencies 1. Critically analyzes data and evidence for improving advanced nursing practice. 2. Integrates knowledge from the humanities and sciences within the context of nursing science. 3. Translates research and other forms of knowledge to improve practice processes and outcomes. 4. Develops new practice approaches based on the integration of research, theory, and practice knowledge Leadership Competencies 1. Assumes complex and advanced leadership roles to initiate and guide change. 2. Provides leadership to foster collaboration with multiple stakeholders (e.g. patients, community, integrated health care teams, and policy makers) to improve health care. 3. Demonstrates leadership that uses critical and reflective thinking. 4. Advocates for improved access, quality and cost effective health care. 5. Advances practice through the development and implementation of innovations incorporating principles of change. 6. Communicates practice knowledge effectively both orally and in writing. 7. Participates in professional organizations and activities that influence advanced practice nursing and/or health outcomes of a population focus. Quality Competencies 1. Uses best available evidence to continuously improve quality of clinical practice. 2. Evaluates the relationships among access, cost, quality, and safety and their influence on health care. 3. Evaluates how organizational structure, care processes, financing, marketing and policy decisions impact the quality of health care. 4. Applies skills in peer review to promote a culture of excellence. 5. Anticipates variations in practice and is proactive in implementing interventions to ensure quality. Practice Inquiry Competencies 1. Provides leadership in the translation of new knowledge into practice. 2. Generates knowledge from clinical practice to improve practice and patient outcomes. 3. Applies clinical investigative skills to improve health outcomes. 4. Leads practice inquiry, individually or in partnership with others. 5. Disseminates evidence from inquiry to diverse audiences using multiple modalities. 6. Analyzes clinical guidelines for individualized application into practice. Technology and Information Literacy Competencies 1. Integrates appropriate technologies for knowledge management to improve health care. 2. Translates technical and scientific health information appropriate for various users’ needs. 2a). Assesses the patient’s and caregiver’s educational needs to provide effective, personalized health care. 2b). Coaches the patient and caregiver for positive behavioral change. 3. Demonstrates information literacy skills in complex decision making. 4. Contributes to the design of clinical information systems that promote safe, quality and cost effective care. 5. Uses technology systems that capture data on variables for the evaluation of nursing care. Policy Competencies 1. Demonstrates an understanding of the interdependence of policy and practice. 2. Advocates for ethical policies that promote access, equity, quality, and cost. 3. Analyzes ethical, legal, and social factors influencing policy development. 4. Contributes in the development of health policy. 5. Analyzes the implications of health policy across disciplines. 6. Evaluates the impact of globalization on health care policy development. Health Delivery System Competencies 1. Applies knowledge of organizational practices and complex systems to improve health care delivery. 2. Effects health care change using broad based skills including negotiating, consensus-building, and partnering. 3. Minimizes risk to patients and providers at the individual and systems level. 4. Facilitates the development of health care systems that address the needs of culturally diverse populations, providers, and other stakeholders. 5. Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the environment. 6. Analyzes organizational structure, functions and resources to improve the delivery of care. 7. Collaborates in planning for transitions across the continuum of care. Master’s Degree Program Department of Nursing Nurs 6991 Advanced Pharmacology II Ethics Competencies 1. Integrates ethical principles in decision making. 2. Evaluates the ethical consequences of decisions. 3. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care. Independent Practice Competencies 1. Functions as a licensed independent practitioner. 2. Demonstrates the highest level of accountability for professional practice. 3. Practices independently managing previously diagnosed and undiagnosed patients. 3a). Provides the full spectrum of health care services to include health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, palliative, and end of life care. 3b). Uses advanced health assessment skills to differentiate between normal, variations of normal and abnormal findings. 3c). Employs screening and diagnostic strategies in the development of diagnoses 3d). Prescribes medications within scope of practice 3e). Manages the health/illness status of patients and families over time. 4. Provides patient-centered care recognizing cultural diversity and the patient or designee as a full partner in decisionmaking. 4a). Works to establish a relationship with the patient characterized by mutual respect, empathy, and collaboration. 4b). Creates a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, mutual trust, and respect. 4c). Incorporates the patient’s cultural and spiritual preferences, values, and beliefs into health care. 4d). Preserves the patient’s control over decision making by negotiating a mutually acceptable plan of care. Reference National Organization of Nurse Practitioner Faculties. (2012). Nurse practitioner core competencies. Retrieved from http://www.nonpf.com/associations/10789/files/NPCoreCompetenciesFinal2012.pdf Master’s Degree Program Department of Nursing