La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 BSN Program Nursing 3115 Family Experiences with Maternal and Newborn Health and Healing Section 1 & 2 Section 1 Sandy Atwal, RN, BSN, MN Office: C516a Telephone: 604.323-5116 Email: satwal@langara.bc.ca Office hours: Mondays, 1230-1430 Section 2 Janita Sidhu Office: B153c Telephone: 604.323-5805 Email: Office hours: Fridays 1130-1330 La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - I know why families were created with all their imperfections. They humanize you. They are made to make you forget yourself occasionally, so that the beautiful balance of life is not destroyed. -- Anais Nin La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 COURSE OUTLINE The core concepts of childbearing and women’s health focus on providing family centered and evidence based care to the client and her family. This nursing course, in conjunction with the practice experience, provides opportunities to develop caring relationships with individuals, families, and groups with an emphasis on prevention. Practical and theoretical learning experiences occur in the nursing care of families and maternal-newborn in a variety of settings including acute and ambulatory care. This is achieved through the application of previously learned concepts, and integration of new and specialized knowledge and skills unique to nursing this population. The integration of the practice of teaching/learning is an essential element. In addition, participants have opportunities to broaden their experience of nurses’ collaborative roles within an interdisciplinary team. PROCESS Participants learn about professional nursing practice, evidence based nursing, critical thinking, and critical reflection. Practice experiences are supported by seminars, which provide opportunities to examine theories and concepts for discussion, exploration, and integration. Praxis involves the examination of the dynamic interplay between theory and practice. The clinical component of the term is actualized by critical reflection, journaling, and active participation in nursing practice seminars. Educators also foster exploration of the role of the nurse in relation to the promotion of health and healing. Nursing 3115 is a weekly 4-hour nursing course. It is delivered in a mixed-mode format; consisting of a three hour face-to-face class component and a one hour online component using Blackboard CE6 learning management system. Classes consist of a variety of methods including but not limited to short lectures, presentations, discussions, individual work, and small and large group work. Guest speakers may be invited to some classes and the simulation laboratory will be used to enhance the courses theoretical concepts. Case scenarios derived from the practice environment are used to enhance participants' decision making ability and to learn nursing. Learning modules have been developed to facilitate participants' self-directed and independent learning. Each learning activity specifies theoretical concepts that are incorporated into the learning outcomes and are designed to encourage learning of the selected theoretical concepts in the context of the whole person and that person's and family's experience with a chronic health challenge. La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - Each week's class includes required preparatory work (in preparation). This may include readings from your textbooks, journal articles, viewing videos or completing worksheets. In order to actively participate and acquire the nursing knowledge necessary, it is essential that participants come to each class prepared. CLASS OR CLINICAL PRACTICE CANCELLATION The nursing department makes every effort to replace a nurse educator when he or she is unable to attend a class or clinical practice. If a nurse educator needs to cancel a class or a clinical practice day, for whatever the reason, information regarding the class cancellation will be posted on Blackboard CE 6 as well as at the Registrar's Office (B-Building). As for the cancellation of clinical practice, individual nurse educators will inform his or her students of how cancellation will be conveyed during orientation week. It is important then to log on to Blackboard the day of class and of clinical practice. LEARNING OUTCOMES Students have the opportunity to meet the Minimal Semester Requirements for Nursing 3115 by: • • • Acquiring a sound knowledge base of the unique characteristics and specialized health care issues of the developing child and women in childbearing and child-rearing stages. In conjunction with practice nursing reflecting increasing competence in the application of necessary skills such as critical-thinking, evidence based nursing, clinical decision-making, collaboration, negotiation, advocacy, clientteaching, communication. Integrate critical and complex concepts, assumptions and principles (e.g. family- centered care, atraumatic care) involved in the care of this vulnerable client population. OVERVIEW OF CONCEPTS The organization of this course is around the philosophical foundations of the curriculum and reflects the following concepts: • • • • • • • Natural sciences (e.g. pharmacology, pathophysiology) Evidence-based practice Epidemiology Prevention (primary, secondary, and tertiary) Community Context/culture Ethical dilemmas in prevention and teaching Teaching/learning challenges Learning theory and strategies Influence of environment on teaching/learning Teaching with different groups Health education from a primary, secondary, and tertiary preventive perspective Decision–making for nursing practice Continuity of care La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - • • • • • • • REQUIRED TEXTS Ricci, S. S. (2009). Essentials of maternity, newborn, and women’s health nursing. 2nd ed. Philadelphia: Lippincott Williams & Wilkins. Brophy, K.M., Scarlett-Ferguson, H. & Webber, K. S. (2008). Clinical Drug Therapy for Canadian Practice. (1st Canadian ed.). Philadelphia: Lippincott. RESOURCES Resources may include: • • Canadian Nurses Association (2008) Code of ethics. Ottawa: Author. College of Registered Nurses of British Columbia. (2008) Professional Practice Requirements. Vancouver, BC: Author. EVALUATION All classroom assignments must be completed and a minimum of 60% is to be achieved for a satisfactory grade. Expectations In order to receive a minimum of 60% or a C or S grade in Nursing 3115, students must complete and submit all classroom assignments. A failing grade will be given if a student does not complete all of the course requirements. According to Nursing Department policy, 60% or a C or S grade is the minimum grade requirement for successful completion of all nursing courses. The grading scale for the Nursing Department is as follows: A+ 95 – 100% B+ 80 – 84% C+ 65 – 69% A 90 -94 % B 75 – 79% C 60 – 64% A- 85 – 89% B- 70 – 74% C- 55 – 59% F 49% or below La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - D 50 – 54% ASSIGNMENTS 1. Evidence Based Nursing Practice Assignment (Section One) The purpose of this assignment is to increase awareness of the significance, utilization, and dissemination of the research process and evidence-based practice. LEARNING OUTCOMES • • • • Engagement with significant practice issues Developing awareness of the research process. Beginning collaboration in the research process. Involvement in dissemination of current research results in the literature. PURPOSE Identifying, discussing, and disseminating nursing research to support an identified aspect of clinical practice in the maternity setting. This includes analyzing this clinical practice issue based on evidence based practice. This process is intended to validate nursing care by highlighting evidence-based practice seen on the unit. This recognizes and acknowledges the work of the nurses on the unit, and builds and supports methods of teaching by evolving nurse educators. GUIDELINES • In collaboration with your clinical peer group and in consultation with the clinical educator, as a group, identify one nursing care issue, procedure, or standard. Groups must be in the same clinical placements and be divided in half. • Within the practice group, retrieve 3-4 current research articles for the identified nursing issue. All should be from nursing journals and should not predate 2004. One, preferably 2 of these references should include Canadian content. Please submit your articles with your brochure/poster. • If using a poster or brochure presentation, ensure that you adhere to relevant policies of the agency or health board where you intend to publicly present your materials. • Ensure all references are listed and submit with your presentation, as well as all group member names. La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - Identify a way to present your material: • • • Collaborate on a poster or brochure to display your evidence based nursing findings. Content can be aimed at nurses, clients, or both. There will be two short presentations. For the first presentation, intended audience for research-result dissemination may be nurses, clients, or both in the clinical area. A second presentation will be done in class to share with fellow classmates (this presentation is limited to 10 minutes/group). Due dates: Identify issue: Week 3 (due to classroom educator) Presentation to class: Week 6 2. Preview/Review Exercises/Quizzes A series of short Preview/Review Exercises will be written throughout the term consisting of material from the current or previous class. Immediate review will be done in class. Marks used for grading will be based on the best 7 Preview/Review Exercise marks, out of the total 9 Review Exercises. Missed Preview/Review Exercises will not be made up. Exercises will be out of 20 possible marks. Typically, exercises will be made up of 5 matching terms, 5 true or false, and 10 multiple choice questions (total/20). 3. Midterm Exam Based on all content (class, readings/prep work, videos) from beginning of course up to class prior to midterm exam day (LA #1-6). Only simple calculators allowed in exam. This content will NOT be included on the final exam. The midterm will consist of approximately 80 multiple choice questions (yes, it will be multiple choice only). 4. Final Exam Based on all content (class, readings/prep work, videos) following the midterm exam through to the final exam (LA # 7-12). New content on the day of the midterm may be included. Only simple calculators allowed in exam. The final exam will consist of approximately 80 multiple choice questions (only). It will take place during the college’s final exam period. SUMMARY OF COURSE ASSIGNMENTS Section One Assignment Mark CLASS minimum of 60% to be achieved to Pass Evidence Based Project (Section One) 0% Due Dates Week 3 topic approval Week 6 presentation and 30% La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - Preview/Review Exercises submission Weekly, except on Exam days and Evidence based project due date Week 7 ______ During Final Exam Period Midterm Exam 35 % Final Exam 35 % SUMMARY OF COURSE ASSIGNMENTS Section Two Assignment Mark Due Dates CLASS minimum of 60% to be achieved to Pass Class discussion 0% Throughout Preview/Review Exercises/Quizzes 30 % Midterm Exam 35 % Final Exam 35 % Weekly, except on Exam days and discussion project due date Week 7 Section 1: ______ Section 2: ______ During Final Exam Period Overall 60% is a requirement of a satisfactory completion of this course. SOCIAL RESPONSIBILITIES Students are expected to have a working knowledge and adhere to the policies of Langara College and those outlined in the Langara College Nursing Department Student Policies and Procedures manual. Students are also required to use appropriate language and APA style for all assignments. Questions relative to the methods of evaluation should be directed to the nurse educator teaching the course section in which students are registered. ATTENDANCE AND PARTICIPATION La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - It is anticipated attendance will correlate with learning outcomes. Regular attendance in all classes, nursing skills sessions, and/or clinical practice experiences is a College and Nursing Department’s expectation. Please see the Academic Conduct Policy F1004 of Langara College and Langara College Nursing Department Student Policies and Procedures manual for further information. If the student is ill and/or unable to come to a class, nursing skills sessions, and/or clinical practice experiences, he or she is to leave a voice or email message for the nurse educator at least 24 hours before the class, nursing skills sessions, and/or practice experiences. If the student misses a class, nursing skills session, and/or practice experience it is the student’s responsibility to acquire the learning material. Participation is critical when learning. Your active involvement in class, by asking questions with a peer will enhance your learning and your enjoyment of the learning process. We want the culture and environment to be positive, safe, non-threatening, nonjudgmental, and fun! We can accomplish this by doing the following: • Be on time • Turn off all cell phones and electronic devices in class. • Encourage everyone to participate. • Have respect for self and others and keep an open mind. • Contribute to group discussions by making relevant contributions. • Be an "active listener". • Be an "empathetic listener". • Take ownership of feelings (i.e.: I feel like…, I feel uncomfortable…, I believe that…) • Be self-aware: be acutely aware of your own beliefs, attitudes and values in class…what you say will reflect them. • Be non judgmental in both verbal and non-verbal communications. • Do not attack the person…challenge the idea respectfully. • Be open to ideas that are different than my own. • Seek clarification of ideas or information you don't understand (i.e.: I understood you to say…was that what you said? Did I understand you correctly when you said … was that what you meant?). • At times, agree to disagree. LATE PENALTIES The dates for submission of assignments are pre-established and outlined in the course syllabus. Completion of all assignments is an expectation and must be La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - submitted by the identified due date and assigned time. There is a late penalty of 5 % (of the total mark for the assignment) per day including weekends and holidays. If the submission of an assignment is on the due date and after the specified time, it is considered one day late. Requests for extensions must be discussed with the appropriate nurse educator at least one week in advance of the due date, or requests will not be given any consideration. Once discussed and agreed upon, a letter stating the new due date and assigned time for the assignment must be written by the student and submitted to the nurse educator within a 24 hour period of the meeting. PROFESSIONALISM & ACADEMIC HONESTY It is an expectation that students conduct themselves in a professional and ethical manner in accordance with the Langara College Academic Conduct Policy, F1004, the College of Registered Nurses of British Columbia, and the Canadian Nurses Association. Students are also expected to consistently demonstrate an understanding of the obligation to be responsible and accountable for his/her actions, words, and language in a class, nursing skills session, and/or practice experience; including the maintenance of Requisite Skills and Abilities. Academic dishonesty is taken very seriously within the college. If a student is found to have cheated or plagiarized on an examination and/or an assignment, that student will be assigned a grade of ‘0’ and additional consequences may occur. In the event of suspected plagiarism, the onus is on the student to prove the uniqueness of the work by providing the original sources used for references and any working notes as required. Any incidence of suspected academic dishonesty and/or unprofessionalism will be referred to the Term Team, the Department Chair, and/or the Dean of Student Support Services. Please see the Academic Conduct Policy F1004 of Langara College and Langara College Nursing Department Student Policies and Procedures manual for further information. According to the Langara College Academic Conduct Policy F1004, cheating is defined as "an act of deceit, fraud, distortion of the truth or improper use of another person's effort to obtain an academic advantage" (p. 1, ¶ 3). Plagiarism is defined as "the presentation of another person's or source's words and/or images and/or ideas as if they were one's own...For plagiarism to occur, intent is not necessary; plagiarism can be either intentional or unintentional. In either case, it is unacceptable" (p.2, ¶5). There will be opportunities to discuss, review, and practice the elements of good writing during the first week of the term. If students have any questions about correct referencing, be sure to ask the course nurse educator before the submission of an assignment. Anticipate a 1-2 week turn around response period from your nurse educator in order to adequately reflect and provide you with feedback to encourage La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - movement in your understanding of the course’s concepts and/or scholarly writing. Any time during the term in clinical practice, a student whose clinical judgment or conduct constitutes a threat to client safety or non-adherence to the CRNBC’s professional practice standards, he or she will not be permitted to continue practice in the clinical area and may receive and Unsatisfactory (U) grade. EXAM SECURITY All students should be prepared to produce their college id/library card. During each examination, all student bags, books, pencil cases and other items are to be left at the front of the class. Students may have a pen/pencil, with them. Cellular phones, calculators, papers, and any audio/visual memory devices are not permitted on the table / desk. Please remember that purposely exposing written examination papers/computer screens to the view of other students is forbidden. The plea of accident or forgetfulness is not acceptable. Students found to be in violation of any of the above or similar dishonest practices will immediately be dismissed from the examination and will be liable to disciplinary action under the Langara College policy F1004. It is not acceptable to audio/video record classes without prior written permission from the nurse educator. WEB NETIQUETTE Please note that adherence to conduct while online is taken very seriously within the college. Please see the Policy B5002 Computer and Computing System Use for further information. Here are some useful tips. • Be respectful of everyone’s contributions • Invest time and effort into participating to make it interesting for the entire group • Be willing to respectfully challenge another’s ideas and opinions and to be challenged in the same manner • While students are encouraged to use good grammar, punctuation and spelling as much as possible, marks will not be deducted for errors made. It is important for students to express their ideas and opinions openly and effectively rather than to worry about proper writing style and formatting. • Follow Web Netiquette guidelines and do be conscious of acceptable conduct. Here are a few links to websites that offer advice regarding Netiquette: o http://wwwlb.aub.edu.lb/~acc/Resources/Internet/internetNetiquette.ht m o http://www.google.com/Top/Computers/Internet/Etiquette/ La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - MISSING A QUIZ, PRESENTATION. SAFE PRACTICE APPRAISAL (SPA), OR EXAM If an illness or other extenuating circumstances prohibit the student from completing a quiz or exam on the scheduled dates, the student must: • Notify the nurse educator as soon as possible. Notification may be via voice or e-mail message. In fairness to all students, missed quizzes, exams, SPAs, and presentations will result in 0% grade for that particular assignment. Until adequate documentation is received, the re-scheduling of a quiz, presentation, SPA. or exam will not occur. Once documentation has been received, students will have one week to complete the quiz, presentation, SPA, or exam. Lack of prior notice that was unavoidable due to circumstances clearly beyond the control of the student will be assessed on an individual basis. Circumstances beyond control of the student include sudden illness or injury, serious personal or family issues, or other acceptable cause. Proof of acceptable cause, such as a physician’s note, may be required. • Arrange an alternate date with the nurse educator to complete the evaluation activity within a week of the originally scheduled date. If the student continues to ill be after a week, he or she must contact the nurse educator to reschedule the evaluation activity. For illnesses, please provide a physician’s note. La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - SCHEDULE Wk Content Learning Activities Wk 1 Introduction of the course (syllabus). (Chap 1&2) #1 Wk 2 - Family centered care, community based perinatal nursing. Anatomy and physiology (Chap. 3) Assignment s #2 Quiz 1 (Chap. 1 & 2) #3 Quiz 2 (Chap.3, 4, 5) #4 Quiz 3 (Chap. 10-12) #5 Quiz 4 (Chap. 13, 14) #6 Quiz 5 (Chap. 15, 16, 17,18) Common reproductive issues (Chap. 4) Wk 3 Wk 4 Wk 5 Wk 6 STIs (Chap. 5) Fetal development (Chap. 10), Maternal adaptation (Chap. 11), Pregnancy (Chap. 12) Labour and birth (Chap.13, 14) Postpartum and newborn care (Chap. 15, 16, 17,18, 20(p. 585590) Infant nutrition Breastfeeding, bottle-feeding, common variations of breastfeeding Mastitis (p.149) Wk 7 35% Midterm Violence and abuse (Chap. 9) #7 Guest Speaker(s) La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 - Wk 8 Substance Use During the Perinatal Period (Chap. 20 (p. 598-609) 24 (p. 719728) Wk 9 Wk 10 Wk 11 Wk 12 Wk 13 Challenges of Labour and Birth (Chap.21 ) Challenges of Pregnancy 1 (Chap. 19) #8 #9 Simulation Learning Experience (1 hour) Challenges of Pregnancy 2 (Chap. 19) Postpartum Challenges (Chap. 22) #10 Quiz 6 (Chapter 21) Quiz 7 (Chapter 19/W10) #11 Quiz 8 (Chapter 19/W11) Challenges of the Newborn (Chap. 23, 24) #12 Simulation Learning Experience (1 hour) Quiz 9 (Chapter 22) Final exam to be announced. /35% La n Su g a m ra m C ar e o ch r 2 lle iv 01 ge ed 0 -