UCC/UGC/ECCC Proposal for New Course Please attach proposed Syllabus in approved university format. 1. Course subject and number: NUR 216L 2. Units: See upper and lower division undergraduate course definitions. 3. College: Health and Human Services 4. Academic Unit: 2 Nursing 5. Student Learning Outcomes of the new course. (Resources & Examples for Developing Course Learning Outcomes) Clinical Practice and Prevention Provides safe, effective nursing care for patients, family, and groups. Implement 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. Evaluates 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. Global Health Examines the impact of health equity and social justice on nursing and health care in a variety of settings. Leadership Collaborates with the members of the interdisciplinary mental health care team to plan for and manage patient care, incorporating 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. 6. Justification for new course, including how the course contributes to degree program outcomes, or other university requirements / student learning outcomes. (Resources, Examples & Tools for Developing Effective Program Student Learning Outcomes). The embedded lab is being separated from the lecture per the direction of university administration. Effective Fall 2012 7. Effective BEGINNING of what term and year? See effective dates calendar. Fall 2013 8. Long course title: PSYCHIATRIC/MENTAL HEALTH NURSING PRACTICUM (max 100 characters including spaces) 9. Short course title: PSYCH/MENTAL HLTH PRACTICUM (max. 30 characters including spaces) 10. Catalog course description (max. 60 words, excluding requisites): 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. 11. Will this course be part of any plan (major, minor or certificate) or sub plan (emphasis)? Yes If yes, include the appropriate plan proposal. No 12. Does this course duplicate content of existing courses? Yes No If yes, list the courses with duplicate material. If the duplication is greater than 20%, explain why NAU should establish this course. 13. Will this course impact any other academic unit’s enrollment or plan(s)? If yes, include a letter of response from each impacted academic unit. 14. Grading option: Letter grade Yes Pass/Fail No Both 15. Co-convened with: 14a. UGC approval date*: (For example: ESE 450 and ESE 550) See co-convening policy. *Must be approved by UGC before UCC submission, and both course syllabi must be presented. 16. Cross-listed with: (For example: ES 450 and DIS 450) See cross listing policy. Please submit a single cross-listed syllabus that will be used for all cross-listed courses. 17. May course be repeated for additional units? 16a. If yes, maximum units allowed? 16b. If yes, may course be repeated for additional units in the same term? Effective Fall 2012 Yes No Yes No 18. Prerequisites: NUR 208, NUR 208L If prerequisites, include the rationale for the prerequisites. 19. Co requisites: NUR 212, NUR 212L NUR 216 If co requisites, include the rationale for the co requisites. 20. 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. Lorraine Bartlett-Sung, Flagstaff Jason Bradley, Yuma Abbe King, Flagstaff Laura Karnitschnig, Flagstaff Elizabeth Kinsworthy, Tucson 21. Names of the current faculty qualified to teach this course: Enid Rossi, Flagstaff Answer 22-23 for UCC/ECCC only: 22. Is this course being proposed for Liberal Studies designation? If yes, include a Liberal Studies proposal and syllabus with this proposal. Yes No 23. Is this course being proposed for Diversity designation? If yes, include a Diversity proposal and syllabus with this proposal. Yes No Scott Galland Reviewed by Curriculum Process Associate 12/10/2012 Date Approvals: Department Chair/ Unit Head (if appropriate) Date Chair of college curriculum committee Date Dean of college Date Effective Fall 2012 For Committee use only: UCC/UGC/ECCC Approval Date Approved as submitted: Yes No Approved as modified: Yes No Effective Fall 2012 NORTHERN ARIZONA UNIVERSITY School of Nursing Clinical Syllabus Course Number and Title: NUR 216L/Psychiatric-Mental Health Nursing Semester Offered: Fall and Spring Credit/Clock Hours: Clinical/Lab: 2 cr. Hrs. (90 clock hours) Clinical Faculty: Lorraine Bartlett-Sung, Flagstaff Jason Bradley, Yuma Abbe King, Flagstaff Laura Karnitschnig, Flagstaff Elizabeth Kinsworthy, Tucson Enid Rossi, Flagstaff Course Prerequisites: NUR 208, NUR 208L, NUR 390W Course Co-requisites: NUR 212, NUR 212L, NUR 216 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 strategies for promoting, maintaining, and restoring mental health utilizing therapeutic communication and nursing interventions for patients along the mental health/disorder continuum. Student Learning Expectations/Outcomes Following completion of Nursing 216L the student will be prepared to: Clinical Practice and Prevention Provides safe, effective nursing care for patients, family, and groups. Implement 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. Evaluates 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. Global Health Effective Fall 2012 Examines the impact of health equity and social justice on nursing and health care in a variety of settings. Leadership Collaborates with the members of the interdisciplinary mental health care team to plan for and manage patient care, incorporating 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. Course Structure/Approach NUR 216 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. Required Text: Kneisl and Trigoboff. Contemporary Psychiatric-Mental Health Nursing, 3rd Ed (2009). Pearson. Recommended Text: Lipson and Dibble, Eds. ( 2005). Culture and Clinical Care. School of Nursing, University of California, San Francisco Press. Students should also have a medication handbook, laboratory handbook and nursing diagnosis handbook as required in previous nursing courses. Content Outline for Weekly Group Clinical Conferences Preparation and active participation in each group clinical conference is required for passing the clinical practicum. Each discussion focus will incorporate application of theory to nursing practice. Role playing communication approaches will be featured. The exact schedule of topics covered will be provided by individual clinical faculty. Topics to be discussed in clinical conferences include, but are not limited to: Week 1: Clinical Orientation Week 2: Relaxation techniques Week 3: Anxiety Disorders Week 4: Depressive Disorders Week 5: Bipolar Disorder Week 6: Psychotic Disorders Week 7: Alcohol/Drug Addiction & Withdrawal Week 8: Crisis Risk Assessment/Suicide Risk Assessment & Safety Planning Week 9: Mental Health & the Legal System Effective Fall 2012 Assessment of Student Learning Outcomes NUR 216L clinical practicum will be graded with a letter grade using the following weighting for each clinical assignment. Total points possible are 100. Clinical Assignment Points Possible Clinical Case Study #1 25 Clinical Case Study #2 25 Process Communication Recording 20 Simulation & Skills Building 16 Focused Therapeutic Observation 14 Total 100 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 and/or substance abuse diagnosis and is worth a possible 25 points each. The total possible points are 50. 2. Process Communication Recording: This clinical assignment includes an initial process, individual consultation with clinical instructor, and a second submission with revised specific, alternative communication approaches provided. The total possible points are 20. 3. Simulation & Skills Building Activities: Activities related to the following topics will be graded: Suicide Assessment and Safety Plan; Mental Status Exam; CIWA Assessment for Alcohol Detoxification; and Psychiatric Drugs Side Effects Assessment. Each simulation/skills building session is worth a possible 4 points for a total of 16 possible points. 4. Focused Therapeutic Observations 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 14. Due dates for specific clinical assignments will be determined by individual clinical faculty as clinical rotations vary greatly. Grading System The clinical course is assessed using the following School of Nursing grading scale: Effective Fall 2012 A= 93-100% B= 84-92% C= 78-83% - Required for passing F= below 78% In addition, the student must pass the following pass/fail clinical assignments. Each has a guideline with specific criteria to achieve. Observation and Participation in Two 12-Step Groups with a written reflection required for both. Outpatient/Crisis Intake Clinical Reflection on Nursing Role with a written reflection required for each experience. Attendance, preparation & engagement in all clinical post conference activities. Additional clinical experiences may be selected by the clinical instructor, for example volunteering at a shelter. NAU STUDENT CLINICAL EVALUATION CLINICAL PERFORMANCE EVALUATION CRITERIA PERFORMANCE RATINGS MUST BE 3 OR ABOVE IN ALL CLINICAL EVALUATION AREAS TO RECEIVE A PASSING GRADE FOR THE COURSE. FAILURE TO MEET THIS REQUIREMENT WILL RESULT IN FAILURE OF 216L. See Criteria Below on Last Page of Syllabus NAU, School of Nursing and NUR 216L Course Policies: Important Notice: There is strict adherence to every part of the NAU Student Handbook and the NAU School of Nursing Undergraduate Student Handbook. Attendance Policy Under NAU Policy, students are expected to attend every session of class in which they are enrolled. Attendance is considered to be essential to the learning process, as the faculty believes that active participation and engagement facilitate learning. As you will be responsible for the content in the lectures, it is to your advantage to attend classes. You are expected to attend ALL CLINICAL sessions (this INCLUDES LAB SESSIONS AND PRE/POST CONFERENCES). Failure to attend clinical will prevent you from meeting clinical course objectives. Failure to notify faculty of absence from clinical (INCLUDING LAB AND POST CONFERENCE) 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). Academic Integrity The university takes an extremely serious view of violations of academic integrity. As members of the academic community, NAU’s administration, faculty, staff and students are dedicated to promoting an atmosphere of honesty and are committed to maintaining the academic integrity essential to the education process. Inherent in this commitment is the belief that academic dishonesty in all forms violates the basic principles of integrity and impedes learning. Students are therefore responsible for conducting themselves in an academically honest manner. Effective Fall 2012 Individual students and faculty members are responsible for identifying instances of academic dishonesty. Faculty members then recommend penalties to the department chair or college dean in keeping with the severity of the violation. The complete policy on academic integrity is in NAU’s Student Handbook. Plagiarism All forms of student academic dishonesty, including cheating, fabrication, facilitating academic dishonesty and plagiarism are prohibited and subject to disciplinary action. For further explanation of policies related to academic dishonesty refer to the School of Nursing Undergraduate Student Handbook and Northern Arizona University Student Handbook. Confidentiality Statement 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. 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. Client records are not to be photocopied under ANY circumstances. 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. You can access the NAU Student Handbook via the following link: http://www4.nau.edu/stulife/handbookmanagement.htm You can access the NAU School of Nursing Student Handbook via the following link: http://nau.edu/uploadedFiles/Academic/CHHS/Nursing/BSN_Handbook.pdf You can access University policy statements via the following link: http://www4.nau.edu/avpaa/UCCPolicy/plcystmt.html Effective Fall 2012