UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
Fall 2011
COURSE NUMBER
NGR 6247 Section 1187
COURSE TITLE
Complex High Prevalence Illnesses of Adults
CREDITS
04
PLACEMENT
DNP Program: Adult Nurse Practitioner Track
PREREQUISITES
NGR 6244:
Complex Adult Health Problems
NGR 6244L: Adult Nurse Practitioner 2
CO-REQUISITES
NGR 6247L: Adult Nurse Practitioner 3
FACULTY
Cynthia Figueroa-Haas, PhD, ANPBC
Clinical Assistant Professor
cindiarn@ufl.edu
HPNP 3239
Gainesville
(352) 273-6424
Tuesday 1300-1500 &
By Appointment
HPNP 3230
Gainesville
(352) 273-6394
By Appointment
3rd Floor
LRC-HSC
Jacksonville
244-5172
By Appointment
DEPARTMENT CHAIR
Joyce Stechmiller, PhD, ACNPBC,FAAN
Stechjk@ufl.edu
JACKSONVILLE CAMPUS DIRECTOR
Andrea Gregg, DSN, RN
gregga@ufl.edu
COURSE DESCRIPTION: This course provides the students with in depth knowledge of the
advanced nursing practice management of complex high prevalence illnesses in the United
States. The emphasis is on use of evidence based practice guidelines and comprehensive
treatment programs for aggregates of adults with congestive heart failure, stroke, cancer,
chronic pulmonary disorders, diabetes, chronic wounds and infectious diseases. This course
prepares the student to optimize client outcomes in both acute care and out-patient settings.
NGR6247Fall2011Haas8-12-11FINAL
COURSE OBJECTIVES
Upon completion of this course, the student will be able to:
1. Analyze current knowledge from health, physiological, psychological, social, and nursing
sciences as a basis for comprehensive treatment programs to care for adult populations
from diverse backgrounds with the most prevalent complex illnesses.
2. Critique and translate research findings to guide development and evaluation of
comprehensive treatment programs for adults with high prevalence complex illnesses.
3. Formulate plans for development and evaluation of treatment program models to
enhance outcomes for clients with selected high prevalence complex illnesses.
4. Critique current technologies to advance the quality and accessibility of care with
emphasis on safety, cost, invasiveness, simplicity, and efficacy in the care of adults with
complex illnesses.
5. Analyze ethical, legal, fiscal, quality improvement, and other intervening variables that
affect desired client outcomes.
6. Analyze leadership and inter-professional collaboration to enhance desired client
outcomes.
7. Evaluate accessibility and quality of care for diverse, underserved and vulnerable client
populations with high prevalence chronic and complex illnesses.
COURSE SCHEDULE
This is a web-based course. Course material and schedule are posted on the related
course website.
E-learning in Sakai is the course management system that you will use for this course.
E-Learning is accessed by using your Gatorlink account name and password at
http://lss.at.ufl.edu. There are several tutorials and student help links on the Sakai login
site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP
or send email to helpdesk@ufl.edu.
It is important that you regularly check your Gatorlink account email for College and
University wide information and the course E-Learning site for announcements and
notifications.
Course websites are generally made available on the Friday before the first day of
classes.
ATTENDANCE
Students are expected to participate in the activities and presentations as listed in the
course syllabus and on the course web-site. Timeframes for the posting and receiving of
materials are listed in the course materials on the course web-site.
ACCOMMODATIONS DUE TO DISABILITY
Each semester, students are responsible for requesting a memorandum from the Office
for Students with Disabilities to notify faculty of their requested individual
accommodations. This should be done at the start of the semester.
NGR6247Fall2011Haas8-12-11FINAL
STUDENT HANDBOOK
Students are to refer to the College of Nursing Student Handbook for information about
College of Nursing policies, honor code, and professional behavior.
TOPICAL OUTLINE
A. General Approach
Complex health problems in each general area listed below are addressed using the
following approach:
1. Therapeutic Plans for advanced nursing practice
a.
Evidence-based Practice guidelines
b.
Comprehensive Model Treatment Programs
c.
Safety, invasiveness, simplicity, efficacy
2. Cost /benefit
3. Evaluation of Treatment Results (accessibility; quality improvement, outcomes)
4. Use of Interdisciplinary Collaboration and Referral
5. Ethical principles
6. Legal requirements
7. Special considerations for older adults
8. Health disparities
9. Genomics
B. Complex Health Problems
1. Complex Cardiovascular disorders (heart failure)
2. Cancers
3. Complex pulmonary disorders
4. Diabetes
5. Chronic wounds
6. High Prevalence Infectious Diseases (e.g. MRSA)
7. Depression
TEACHING METHODS
Lecture, instructional media presentations, case studies, assigned readings, case
discussions and student projects.
LEARNING ACTIVITIES
Focused group discussions and case analyses, completion of online offerings, writing
scholarly papers, reviewing and analyzing scholarly works congruent with class topics
and assignments.
EVALUATION METHODS
ASSIGNMENT
Midterm Exam
Final Exam
Treatment Program-EB Presentation (Voiceover PPT)
Written Assignment (Treatment Program Analysis)
Online Quizzes (7)
Participation (discussion board responses to presentations)
Total
NGR6247Fall2011Haas8-12-11FINAL
PERCENTAGE
20%
20%
30%
20%
5%
5%
100%
*Students are required to submit all written documents through the “turn-it-in” website site prior
to posting them on E-learning.
*An approximate turnaround grading/feedback time is 2-7 days from the time the assignment is
due.
*Refer to the Sakai website for specific instructions on presentations & written assignments.
Exams:
The objective exams will be offered through the Elearning Sakai Course Website under the Tab
of “Test & Quizzes”. Midterm & final exams are non-cumulative. Material tested for each will
include assigned readings, quizzes, lectures & presentations offered prior to the exam day.
Students may come on campus and take exams in the Nursing Resource Center, 1st floor,
HPNP building in Gainesville or in the Borland Library, 2nd floor, HSB, LRC in Jacksonville on
the scheduled dates and at scheduled times (See Course Schedule).
Students who would rather not take exams on campus may elect to take exams on scheduled
exam days off campus at any commercial learning center with prior approval/scheduling
through faculty. Off campus proctored exams are available for a fee. For example, Sylvan
Learning Center and Huntington Learning Center will proctor the exam for a cost per exam of
approximately $50.00 to $100.00. If you elect this type of off-campus testing, please discuss
with Dr Haas. Off-campus testing must occur on the same date as the scheduled exam.
*Failure to take an exam on the scheduled day and/or time will result in a re-weighting of the
final exam to include the percentage from the exam that was not taken.
GRADING SCALE/QUALITY POINTS
A
AB+
B
BC+
95-100 (4.0)
93-94 (3.67)
91- 92 (3.33)
84-90 (3.0)
82-83 (2.67)
80-81 (2.33)
C
CD+
D
DE
74-79* (2.0)
72-73 (1.67)
70-71 (1.33)
64-69 (1.0)
62-63 (0.67)
61 or below (0.0)
* 74 is the minimal passing grade
* Must earn a minimum average examination score of 80% (includes midterm, final and quizzes)
REQUIRED TEXTS
Institute of Medicine, (2001). Crossing the quality chasm: A new health system for the 21st
century. Committee of Quality of Health Care in America, Institute of Medicine National
Academics Press.
*Can purchase hard copy or view full-text online at:
http://www.nap.edu/openbook.php?record_id=10027&page=1
ONLINE RESOURCES (required)
Online CME Assignments: www.mycme.com
NGR6247Fall2011Haas8-12-11FINAL
Infectious Diseases Society of America: http://www.idsociety.org/
Heart Failure Society of America: http://www.heartfailureguideline.org/?gclid=CI_K17KkZACFQiaPAodxEKOBg
Oncology Clinical Practice Guidelines: http://www.nccn.org/
American Lung Association: http://www.lungusa.org/site/pp.asp?c=dvLUK9O0E&b=22542
American Diabetes Association: http://www.diabetes.org/support-the-cause/make-adonation.jsp?WTLPromo=googleGR_association%20diabetes
Strokes: http://www.strokecenter.org/prof/guidelines.htm
and
All texts from previous and current required courses in current graduate program
Approved:
Academic Affairs Committee:
Faculty:
UF Curriculum:
NGR6247Fall2011Haas8-12-11FINAL
12/07
01/08
10/08
WEEKLY CLASS SCHEDULE
DATE
Week 1
August 22-25
TOPIC/EVALUATION
ASSIGNMENTS/
READINGS
Orientation &
Complex Health Problems:
CMDT Related Topics
Evidence-Based Practice
Guidelines, Comprehensive Model
Treatment Programs: General
Approach
IOM Text
Online CEU
Assignments/Examination
Dates/Due Dates
Instructions for accessing CEU Quiz:
Go to www.mycme.com site (must
be registered 1st to obtain CEU’s) search space. Copy & paste subject
titles, adding “quote” marks around
title once pasted. Hit search…review
content & take post test. Most of these
assignments will offer you FREE
CEU’s. Follow site instructions…
Attach final results on appropriate
“assignment quiz” Sakai site.
ALL CEUs & Written Assignments
Due by Friday
@ 12 NOON
Week 2
Aug.29-Sept. 2
Oncology Part 1
Week 3
Sept. 6-9
Oncology Part 2
Week 4
Sept. 12-16
Cardiac (CHF)
Part 1
CMDT Related Topics
IOM Text
CMDT Related Topics
*9/5 Holiday
IOM Text
CMDT Related Topics
IOM Text
Case, R, Haynes, D., Holaday,
B., & Parker,V. (2010).
Evidence-Based Nursing:
The Role of the Advanced
Practice Registered
Nurse in the Management of
Heart Failure
Patients in the Outpatient
Setting. Dimensions of
Critical Care Nursing. 29(2),
57-62.
Week 5
Sept. 19-23
Online CEU #1 Quiz Due
Cardiac (HTN/Strokes)
Part 2
NGR6247Fall2011Haas8-12-11FINAL
CMDT Related Topics
IOM Text
Online CEU #2 Quiz Due
DATE
Week 6
Sept.26-30
TOPIC/EVALUATION
Pulmonary (COPD)
Part 1
ASSIGNMENTS/
READINGS
CMDT Related Topics
Online CEU
Assignments/Examination
Dates/Due Dates
Online CEU #3 Quiz Due
IOM Text
http://www.nhlbi.nih.gov/healt
h/public/lung/copd/campaignmaterials/pub/providercard.pdf
Week 7
Oct. 3-7
Pulmonary (Asthma)
Part 2
CMDT Related Topics
IOM Text
National Heart, Lung, and
Blood Institute National
Asthma Education and
Prevention Program
Expert Panel Report 3:
Guidelines for the Diagnosis
and Management of Asthma
Full Report 2007.
http://www.nhlbi.nih.gov/guid
elines/asthma/asthgdln.pdf
Midterm Exam
October 3rd
9:00AM-10:00AM
http://www.nhlbi.nih.gov/healt
h/public/lung/copd/campaignmaterials/pub/providercard.pdf
Week 8
Oct. 10-14
Diabetes Part 1
CMDT Related Topics
Online CEU #4 Quiz Due
IOM Text
National Diabetes Education
Program: Diabetes TeamCare
Comprehensive Lifetime
Management for Diabetes
http://ndep.nih.gov/media/Tea
mCare.pdf
Week 9
Oct. 17-21
Diabetes Part 2
CMDT Related Topics
IOM Text
ADA (2009). Executive
Summary: Standards of Medical
Care in Diabetes-2009.Diabetes
Care, 32, 1, S6-12.
NGR6247Fall2011Haas8-12-11FINAL
Written Assignment Due
DATE
TOPIC/EVALUATION
ASSIGNMENTS/
READINGS
Online CEU
Assignments/Examination
Dates/Due Dates
Week 10
Oct. 24-28
Chronic Wounds
Part 1
CMDT Related Topics
IOM Text
Week 11
Oct. 31-Nov.4
Chronic Wounds
Part 2
CMDT Related Topics
IOM Text
Week 12
Nov.7-11
Infectious Disease
Part 1 HIV
CMDT Related Topics
IOM Text
Week 13
Nov. 14-18
Infectious Disease
Part 2 MERSA
CMDT Related Topics
IOM Text
Week 14
Nov. 21-25
Depression Part 1
CMDT Related Topics
IOM Text
*24th & 25th Holiday
Week 15
Nov. 28-Dec. 2
Depression Part 2
CMDT Related Topics
IOM Text
Online CEU #7 Quiz Due
Week 16
Dec. 5-7
Comprehensive Treatment
Programs:
Cardiopulmonary,
Cancers, Diabetes, Chronic
Wounds, Infectious
Diseases & Depression
CMDT Related Topics
IOM Text
Classes End Dec. 7, 2011
FINAL EXAM
NGR6247Fall2011Haas8-12-11FINAL
Online CEU #5 Quiz Due
Online CEU #6 Quiz Due
December 12, 2011, 9:00 AM – 10:00 AM