Jane Doe Program of Study – Page 1 As of 7/22/2011 Program of Study Course Descriptions and Student Outcomes (93 total credits required) Dissertation Supervisory Committee Dede Hayton, PhD, RN - Chair Sally F. Brown, PhD - GSR Wendy Park, PhD, RN - Member Lucy N. Taylor, PhD - Member Larry S. Young, PhD, GNP – Member Jane Doe University of Washington, School of Nursing This Program of Study is hereby approved by: Committee Chair: Dede Hayton Signature: Date: Committee Member: Wendy Park Signature: Date: Committee Member: Lucy N. Taylor Signature: Date: Committee Member: Larry S. Young Signature: Date: Submit this approved Program of Study, including this completed signature page, to Academic Services (Room T-310) immediately following approval. Jane Doe Program of Study – Page 2 As of 7/22/2011 Theory and Domain of Knowledge: Core Courses – 41 credits required/ 63 credits attained Core Courses: 20 credits required/ 20 credits attained Faculty Credits Date Schroeder 3 Autumn 20XX NURS 588 Philosophical Basis of Nursing Inquiry Course Emphasis: Overview and critical analysis of historical and contemporary views of knowledge development and of science, with particular emphasis on the ways these views influence approaches to nursing inquiry. Emphasis on analyzing the underlying epistemological and ontological assumptions and implications of diverse approaches to knowledge generation in nursing. Student Outcomes: Completed four reflection papers related to various aspects of assigned readings (feminism, critical theory, interpretive); participated in group project/presentation of Zen “ways of knowing;” and completed a scholarly paper titled: Positivism and Post-Positivism Philosophies. This course assisted me with how I will think, rethink and approach my doctoral education by gaining new insights and appreciation to a myriad of approaches for conducting research. Belza 2 Autumn 20XX NURS 587 Role Transition Seminar Course Emphasis: Emphasizes the transition to doctoral study and eventual post-graduate roles. Includes information to clarify expectations and skills to facilitate success: various forms of scholarly and interpersonal communication, principles of scholarly collaboration, giving and receiving critiques, development of a program of study, and other topics developed by participants. Student Outcomes: Developed program of study, portfolio and resume. Fine tuned computer search skills for funding, guidelines, and instrument database. Completion of two reflection papers: (1) strategies for handling my own personal life transitions (2) experience with mentored relationships. Landis 3 Winter 20XY NURS 589 Theoretical Perspectives in Nursing Science Course Emphasis: Critical analysis of theory development, including evaluation of relationships among theories, evidence, and explanation. Diverse approaches used to appraise historical and contemporary milestones in the development and evaluation of nursing knowledge. Emphasis on process and implications of theory development for nursing research, practice, education, and systems. Student Outcomes: Completed a critical analysis and draft Letter to the Editor re: a 2003 article that presents theory-generating research for Reconceptualizing the Nurse Patient Interpersonal Relationship; completed a concept analysis of the term ‘surveillance monitoring systems’ within the context of infectious disease and tertiary hospital settings using the Wilson Method; presented a power point group project on the Wilson Method of Concept Analysis. Booth-LaForce 5 Autumn 20XY NURS 590 Ecology of Human Health Course Emphasis: Provides conceptual foundation for the study of human health ecology within nursing science. Frameworks for understanding human health as an outcome of individual, family, and group interactions and transactions with environments are applied. Provides the basis for evaluation and developing therapeutic approaches to improve health. Student Outcomes: Completed (1) health position paper that explored a construct of health for the critically ill intubated patient population; (2) humanness position paper that explored a construct for humanness with regards to the critically ill; (3) environment position paper that explored external ecological Jane Doe Program of Study – Page 3 As of 7/22/2011 factors that influence care delivery in the critically ill; & (4) poster presentation that integrated constructs of health, humanness, and environment for the critically ill and health care providers within a framework of Bronfenbrenner’s (1979) ecological model; and (5) provided a group presentation on the concept of culture, specifically addressing the HIV Male Population as a culture. Magyary 4 Spring 20XY NURS 592 The Science of Nursing Therapeutics Course Emphasis: Addresses the state of the science of nursing therapeutics. Students examine the practices of nursing to promote, maintain, and restore human health from an ecological perspective. Therapeutics considered from the perspectives of the individual, family, and community systems. Student Outcomes: Presented a power point presentation ‘State of the Science Paper’ addressing oral care hygiene practices for the critically ventilated ill. Presented a legislative persuasive research argument for funding purposes. Course focus on oral presentations and not papers. Landis 3 Winter 20XY NURS 595 Synthesis of Nursing Science Course Emphasis: Advanced seminar for critical analysis, integration, and synthesis of material for a research proposal. Focus includes discussion of research integrity and ethics including scientific conduct, risk management related to scientific misconduct and negligence. Student Outcomes: Synthesized first year course work of the doctoral program. Wrote reflection papers on nursing knowledge and nursing science concepts. Group project developed health promotion and disease prevention graduate course curricula. Graduate Nursing Courses: 9 credits minimum/24 attained (*from 2005 UW Masters Program) Landis 1 Autumn 20XX NURS 599 C Selected Readings in Nursing Science Course Emphasis: Analysis of synthesis of selected readings with faculty mentor. Student Outcomes: Exposed to a variety of faculty and their research methods and endeavors as well as utilized a journal club format for this BNHS Training Grant. Networked with student cohorts ahead of me. NURS 599 A Selected Readings in Nursing Science Course Emphasis: Analysis of synthesis of selected readings with faculty mentor. Student Outcomes: I was exposed to a variety of faculty research methods and endeavors. Lentz 1 Autumn 20XX NURS 599 A Selected Readings in Nursing Science Course Emphasis: Analysis of synthesis of selected readings with faculty mentor. Student Outcomes: I was exposed to a variety of faculty research methods and endeavors. Lentz 1 Winter 20XY Kurth 1 Winter 20XY NURS 504 Clinical Nursing Therapeutics Course Emphasis: Critical analysis of therapeutic modalities to assist patients with a variety of responses to health problems. Includes selected therapies such as suction/drainage, positioning to address responses in critical, life threatening, and chronic/continuing health states. Varying credits assigned for modules covering particular therapies. Jane Doe Program of Study – Page 4 As of 7/22/2011 Student Outcomes: Contributed to EPost discussions about a variety of infectious disease and infection control current issues; (2) completed a presentation on prevention of VAP in the critical care for HOB^ positioning at 30 degrees and oral care practices. Gallucci 2 Spring 20XZ NURS 599 A Selected Readings in Nursing Science Course Emphasis: Analysis of synthesis of selected readings with faculty mentor. Independent reading and study of microbiology concepts with the following objectives: 1. Discussed key concepts of pathogenesis of infections, infectivity, and virulence as a framework for 3 organisms: 2 gramnegative [Strep pneumoniae & Pseudomonas aeruginosa] and 1 gram-positive [Staphlyococcus aureus] organisms that are common in VAP per the literature. 2. Analyzed molecular strategies for identification and measurement of bacteria. 3. Discussed how the virulence of bacteria affects the patient's risk for development of VAP. 4. Determined how biofilm figures into the pathogenesis of VAP. Delineated how oropharyngeal hygiene impacts the pathogenesis of VAP. Student Outcomes: Conducted one on one discussion sessions for fundamental microbiology concepts focused on molecular strategies for VAP identification. Mitchell 3 Winter 20XZ NURS 599 Selected Readings in Nursing Science Course Emphasis: Independent reading and study for general exam and proposal preparation Student Outcomes: Plan to conduct one on one discussion sessions for general exam questions, proposal development and new committee approval. Bridges 1 Winter 20XA NURS 599 Independent Study Course Emphasis: Critically appraise the oral care literature in the critically ill. Student Outcomes: Weekly article readings, completed 5 minute drill, and developed oral care literature synthesis spreadsheet. Attended VAP lecture conference on 1 FEB in NURS 539. Drafted Chapters I and II of dissertation proposal. 20AB UW Masters Course Emphasis: Critical analysis of therapeutic modalities to assist patients with a variety of responses to health problems. Includes selected therapies such as suction/drainage, positioning to address responses in critical, life threatening, and chronic/continuing health states. Varying credits assigned for modules covering particular therapies. Get from course syllabus. Student Outcomes: Completed a variety of case scenarios/exemplars which continues to build upon my doctoral work for clinical application components of research. NURS 504 Clinical Nursing Therapeutics; Respiratory Module* Laurent-Bopp 1 Jane Doe Program of Study – Page 5 As of 7/22/2011 20AB UW Masters Course Emphasis: Critical analysis of nature and theoretical bases of care systems management practice. Concepts of nursing and organization science foundations to person-provider transaction management and leadership in context of economic, political, and social environments and health outcomes. Student Outcomes: Completed a paper and power point presentation on my personal leadership & management style related to health outcomes in the military setting, which will further enhance and build my doctoral education for systems and organization thinking. NURS 524 Care Systems Management* Mitchell 3 20AB UW Masters Course Emphasis: Optimizing person-provider clinical therapeutic transactions at multiple levels of care systems complexity and population aggregation. Emphasis on designing, managing and evaluating clinical effectiveness and efficiency within care systems. Student Outcomes: Evaluated an open heart teaching program and clinical pathway development for the delivery of care in the critically ill. NURS 525 Management of Clinical Effectiveness* 3 20AB UW Masters Course Emphasis: Theoretical rationale for curriculum development, study of curricular problems in nursing in relation to the elements of the curriculum as described in a curricular design. Student Outcomes: Obtained understanding of how to complete a course curriculum for novice critical care nurses for respiratory and cardiac systems. This course work enhances my skill sets to potentially develop a 3-5 day course on nosocomial infections, prevention and treatment modalities. These skills are utilized in the doctoral program and will enhance my thinking and teaching as a potential department of education course director for the military overseeing several credentialed programs. NURS 519 Curriculum Development* 4 20AB UW Masters Course Emphasis: Guided experience in selected teaching-learning situations in nursing, in both classroom and clinical situations. Identification, analysis, and solution of teaching-learning problems in clinical nursing. Minimum of seven hours of guided experience weekly. Student Outcomes: Taught (respiratory, cardiac emergencies, guillian barre syndrome) and observed teaching methods in the Army’s Critical Care Nursing Course at Madigan Army Medical Center. These skills are utilized in the doctoral program and will enhance my thinking and teaching as a potential department of education course director for the military overseeing several credentialed programs. NCLIN 509 Practice Teaching Physiologic Nursing* 3 Related Fields 12 credits required / 19 credits attained (*from 2005 UW Masters program; projected 11 credits total) ‘Biobehavioral Interventions within Health Systems’ Lara, Traxler 3 Fall 20XX MICROM 410 Fundamentals of General Microbiology I Course Emphasis: Survey of the microbial world, metabolism, biosynthesis, regulation, growth, structure, and function. Required for students majoring in Jane Doe Program of Study – Page 6 As of 7/22/2011 microbiology; recommended for students majoring in biology. Student Outcomes: Obtained fundamental understanding of microbiology concepts with application of microbiologic agents geared towards nosocomial infections. Beaton, Bridges 1 Fall 20XY UCONJ 445 Bioterrorism Awareness for Health Professionals Course Emphasis: Provides content in bioterrorism awareness for students in the health professions. First in a two-course interdisciplinary sequence focusing on awareness level training designed to enhance recognition of an injury of illness potentially arising as a result of exposure to select chemical and biological agents. Student Outcomes: Participated in weekly EPost class discussions and group project to critically evaluate the WHO emergency response website. HSERV 528 Critically Appraising and Applying Evidence in Health Care** Wolf 3 Winter 20XZ Course Emphasis: Literature appraisal skills for various articles (therapy effectiveness, diagnostic tests, literature reviews, clinical measurement, prognosis, quality of care, decision analysis, causation/etiology, guidelines, and economic evaluation). Appraisal of clinical information from literature, strengths/weaknesses of data, analyses, study design/applicability to a current patient's problem. Student Outcomes: Sharpened my skills at critiquing & critically appraising research reports, studies, and evidence. Used CASP outlines for weekly research article critiques. Conducted and presented a systematic review about oral care practices for the intubated critically ill. Wicks 1 Winter 20XZ MED 565 -The Healer's Art: Awakening the Heart of Medicine Course Emphasis: Encourages cultivation of human dimensions in practice of medicine while strengthening personal commitment to medicine as a life's work. Facilitates student recognition of commonality of personal concerns among peers and student response to the dimension of mystery in the experience of illness as well as development the capacity for awe. Student Outcomes: Participated in large and small group discussions about the dimensions of mystery (death, grief, loss, miracles etc...). Wrote a one week journal on daily surprises, touched and inspired me. Wrote a 2 page reflection paper on what I learned in this course. 3 20AB UW Masters Course Emphasis: Analysis of issues that impact the assessment, prescription, and evaluation of pharmacotherapeutic regimes for patients who are acutely or critically ill. Current research, clinical contextual considerations, and pharmacotherapeutic principles are emphasized as the basis for decisions relevant to the management of pharmacotherapy in acute care clinical practice. Student Outcomes: Wrote case scenarios and successfully completed exams. These skills are utilized in the doctoral program to enhance my thinking and teaching for hospital acquired infections and antibiotic use in VAP prevention & treatment. PHARM 515 Pharmacology of Acute and Critical Illness* 20AB UW Masters Course Emphasis: Intensive coverage of physiology through lectures, conference. Autumn Quarter: excitable tissue, skeletal muscle; spinal reflex; PBIO 405 Human Physiology I* Wordeman 4 Jane Doe Program of Study – Page 7 As of 7/22/2011 cardiovascular, respiratory physiology; acid base balance; autonomic nervous system; temperature regulation. Student Outcomes: Completed 3 exams on the human physiology response for musculoskeletal, cardiac and respiratory systems. 20AB UW Masters Course Emphasis: Intensive coverage of physiology through lectures, conference. Winter Quarter: renal, body fluids; neuroendocrinology; reproductive, gastrointestinal, neurophysiology. Student Outcomes: Completed 3 exams on the human physiology response for the renal, neuro, endocrine, GI, and reproductive systems. PBIO 406 Human Physiology II* Hlastala 4 Scholarly Inquiry: 52 credits required / 60 credits attained Scholarly Inquiry: Core Methods Courses – 11 credits required / 11 credits attained Courses Faculty Credits Date Thompson 4 Spring 20XX NMETH 579 Research Design and Methods in Nursing Science Course Emphasis: Focuses on elements of rigorous research designs and methods commonly used in nursing science; including descriptive, explanatory, predictive and experimental and quasi-experimental designs, concepts of validity and reliability, and integration of design with analytical approaches for clinical research. Student Outcome: Synthesized a myriad of methodologies rooted in philosophical approaches applied to research designs. Developed research questions, consent form, budget, and draft proposal of a contemporary empiricist methodological perspective with physiologic measures as methods for culture swabbing. Completed a power point presentation on the methodological proposal developed. Peer reviewed a qualitative grounded theory proposal; instructor assigned on alcohol abuse and the elderly. Swanson 3 Winter 20XX NMETH 580 Methodological Perspectives in Nursing Inquiry Course Emphasis: Allows students to translate philosophical and theoretical perspectives into research methodologies. Foci will include: the relationship of theoretical perspectives to methodologies; the methodological issues among and between varying schools of thought (including contemporary empiricist, interpretive, and critical/postmodern); and how the methodologies influence choices of research design and methods. Student Outcome: Synthesized a myriad of methodologies rooted in philosophical approaches applied to research designs. Developed research questions, consent form, budget, and draft proposal of a contemporary empiricists methodological perspectives with physiologic measures as methods for culture swabbing. Completed a power point presentation on the methodological proposal developed. Peer reviewed a qualitative grounded theory proposal; instructor assigned on alcohol abuse and the elderly. Lewis 4 Autumn 20XX NMETH 591 The Science of Therapeutics: Design and Outcomes Course Emphasis: Synthesizes advanced strategies to evaluate the short- and long-term outcomes of clinical therapeutics with special emphasis on feasibility, pilot studies, and randomized control trials. Includes analysis of completed studies as well as the design of a randomized control trial of a clinical therapeutic. Student Outcomes: Obtained skills for evaluating and critiquing methods and designs of health outcomes with emphasis on randomized controlled clinical Jane Doe Program of Study – Page 8 As of 7/22/2011 trials. Presented a 30 minute oral care RCT presentation. Led a class on efficacy and effectiveness concepts related to RCT designs. Scholarly Inquiry: Design/Methods/Analysis Sequence – 14 credits required/ 22 credits attained (projected 18 credits total) Courses Faculty Credits Date Schepp 2 Winter 20XZ NMETH 600 Survey Methodology Course Emphasis: Critically review survey designs; Critically review the use of the survey as a technique to collect data; and Construct a DRAFT survey as a tool to collect data on oral care practices in the critically ill Student Outcomes: Read, discuss & critically analyze assigned readings every 2 weeks with one-on-one discussion with Dr. Schepp. Conducted extensive literature searches on survey design, methods and techniques. Created a DRAFT oral care practice survey for oral care practices in the ICU. Thompson 2 Winter 20XY NMETH 592 Clinical Outcome Research II Course Emphasis: Application and evaluation of philosophical, methodological, and analytical concepts and issues examined in 591. Two modules are offered: a) case study and small-n studies and b) large-n studies. Students demonstrate application of decision-making process involved in development of clinical outcome study. Student Outcomes: Obtained general understanding of study designs and methods with small and large sample studies. Developed a 10 page data analysis proposal; completed weekly SPSS data analysis assignments with foci on repeated measures, ANOVA, SEM etc. Schepp 4-Audited Summer 20XY NMETH 586 Instrument Development and Testing** Course Emphasis: Includes measurement theory, reliability, validity, level of measurement, and the process of scale development, modification, or translation. Students learn to evaluate, develop, modify, translate, and test instruments for use in research. Student Outcomes: Broadened my research methodology perspectives. Audited course. Theiss 4 Spring 20XY NMETH 584 Methods: Physiologic Measures Course Emphasis: Exploration of the measurement of physiologic functioning in human and animal models. Examples include biochemical and biophysical measure. Students develop beginning skills with one physiologic measure. Student Outcome: Synthesized general understanding of measuring physiologic functioning in humans. Developed a paper and presentation about microbiological assays to identify oral and tracheal aspirate organisms. Simpson 5 Summer 20XX NMETH 600 Independent Study TSNRP Grant Camp Course Emphasis: Course presentations will cover Principles for Success; Fatal Flaws; Conceptual Framework; Developing Research Objectives; Research Design & Methodology; Measurement & Statistical Analysis; Timelines; Grantee Organizations; IRB Issues; Budgeting & Personnel; Packaging the Proposal; and much more. Sessions will consist of lectures, round-table discussions, and one-on-one consultations with faculty. RESEARCH PLAN required. Phase II: Mock scientific review. Participants must submit a complete GRANT APPLICATION applying lessons learned in Phase I. Each Jane Doe Program of Study – Page 9 As of 7/22/2011 participant will experience first-hand the scientific review process, serve as peer reviewer, and learn the key criteria used for scoring. Student Outcomes: Complete VAP research plan & TSNRP Grant Application; attend Phase I of Grant Writing Camp MAY 04 in Bethesda; Attend Phase II MOCK scientific review AUG 2004 in San Diego. Obtain grant writing skills for TriService Nursing Research Program (TSNRP) funding. Loan 2 Summer 20XX NMETH 600 Military Nursing Research Service Internship Course Emphasis: Exposure to military nursing research service, Tri-Service Research program, research teams, and ongoing research studies. Goals yet to be determined. Student Outcomes: Obtain understanding of military nursing research processes, top military research priorities, myriad of methods and designs and application of research for utilization tour. Prepared, critically read > 20 proposals and attended three 4 ½ hour scientific and human use committee meetings Simpson 3 Autumn 20XX NMETH 600 Independent Study Course Emphasis: Reading independent study for VAP and infectious disease in the critically ill. Student Outcomes: Write chapters 1-3 of proposal. Presented VAP proposal to committee FALL 04; prepared for Winter General Exams 3-4 topics, answer questions from methodological and substantive approaches. Scholarly Inquiry: Statistics – 10 credits required/ 15 credits attained Courses Sheppard 4 Autumn 20AB BIOST 511 Medical Biometry I Course Emphasis: Presentation of the principles and methods of data description and elementary parametric and nonparametric statistical analysis. Examples are drawn from the biomedical literature, and real data sets are analyzed by the students after a brief introduction to the use of standard statistical computer packages. Statistical techniques covered include description of samples, comparison of two sample means and proportions, simple linear regression and correlation. Student Outcomes: Obtained general understanding of statistical techniques including description of samples, comparison of two sample means and proportions, simple linear regression and correlation. Completed 8 weekly homework assignments and 1 midterm exam and a final exam. Barlow 4 Winter 20XX BIOST 512 Medical Biometry II Course Emphasis: Multiple regression, analysis of covariance, and an introduction to one-way and two-way analyses of variance: including assumptions, transformations, outlier detection, dummy variables, and variable selection procedures. Examples drawn from the biomedical literature with computer assignments using standard statistical computer packages. Student Outcomes: Obtained general understanding of multiple regression, analysis of covariance, and an introduction to one-way and two-way analyses of variance. Completed 6 weekly homework assignments with STATA, 1 group project Midterm, 2 midterms and 1 Final exam. Hughes 4 Spring 20XX BIOST 513 Medical Biometry III Course Emphasis: Analysis of categorical data including two sample methods, sets of 2 x 2 tables, R x C tables, and logistic regression. Classification and Jane Doe Program of Study – Page 10 As of 7/22/2011 discrimination techniques. Survival analysis including product limit estimates and the Cox proportional hazards model. Student Outcomes: Obtained general understanding of logistic regression, survival analysis, odds ratio and relative risks. Lentz 3 Spring 20XX NMETH 590 Special Topics in Nursing Research SPSS Course Emphasis: Examination of a specific research method, with evaluation of appropriateness, efficiency, rigor of measurement, and potential for inference for nursing research. Student Outcomes: Obtained skills for the SPSS statistical package for utilization during data analysis of dissertation data. Dissertation: -27 credits required / 12 credits attained (projected 42 total credits) Hayton NMETH 800 Course Emphasis: Take general exam. Complete dissertation proposal Student Outcome: Passed written and oral candidacy exams. Proposal approved for scientific merit by full committee 6 Spring 20XZ NMETH 800 Course Emphasis: Complete proposal and submit to UW IRB and human subjects. Student Outcome: Human Subject forms submit to UW. Hayton 6 Summer 20XZ NMETH 800 Course Emphasis: Distribute survey and collect data. Student Outcome: Start data collection Hayton 10 Fall 20XZ NMETH 800 Course Emphasis: Finish data collection and start data analysis. Student Outcome: Complete data collection. Hayton 10 Winter 20XB NMETH 800 Course Emphasis: Complete data analysis and draft final chapters. Student Outcome: Draft final dissertation write up, appoint reading committee (flexible quarter). Hayton 6-10 Spring 20XB Hayton 6 Summer 20XB NMETH 800 Course Emphasis: Complete dissertation. Student Outcome: Submit dissertation to committee 2 weeks before final exam; final exam; revise dissertation and turn into upper campus. Draft manuscript for publication for a peer reviewed journal (eg AJCC)