WINONA STATE UNIVERSITY PROPOSAL FOR NEW COURSES Department: Nursing_______________________________________________ 12.22.08 Date Refer to Regulation 3-4, Policy for Changing the Curriculum, for complete information on submitting proposals for curricular changes. _NURS 343_____________________ Course No. This proposal is for a(n) Applies to: for USP ___5__________ Credits _____X_ Undergraduate Course ___X___ Major __X___ Required _____ Elective Prerequisites Professional Practice I Course Title ______ Minor ______ Graduate Course ______ University Studies* ______ Not _____ Required _____ Elective Admission to the Generic Option________________________ Grading method ___X___ Grade only ______ P/NC only ______ Grade and P/NC Option Frequency of offering Every Semester___________________________ *For University Studies Program course approval, the form Proposal for University Studies Courses must also be completed and submitted according to the instructions on that form. Provide the following information: A. Course Description 1. Catalog description. Provides an introduction to the profession of nursing in the context of foundational concepts important to medical-surgical nursing. Focus is on developing knowledge, beginning clinical judgment skills, and the application of therapeutic interventions for adult patients and their families in acute care settings. 2. Course outline of the major topics and subtopics (minimum of two-level outline). I. Theoretical foundations of nursing practice a. Domains of nursing b. What factors influence contemporary nursing practice (trends in society, trends in nursing) II. Critical thinking/clinical judgment/clinical reasoning a. Theoretical Knowledge: knowing why i. What is critical thinking ii. Why is critical thinking important to nursing (complex situations, patients unique, apply knowledge for holistic care) iii. What are the different kinds of nursing knowledge b. Practical knowledge: knowing how i. Nursing process ii. Nursing process & critical thinking iii. Concept mapping iv. Collaborative problems III. Caring a. Defined/Theory b. Caring for self; others; profession; community; global c. Uncaring practices IV. Concept of Health & Illness V. Acute Health Care a. History hospital nursing, types of hospitals b. Client admissions, post acute care c. Role of nurse in hospitals (provider care, educator, researcher, manager) d. Ensuring Quality health care delivery (safety outcomes, patient rights, quality care, acuity systems) VI. Foundations of Medical Surgical Nursing a. Patients with Fluid Imbalances (dehydration, overload, water intoxication, third spacing, sodium imbalances b. Patients with Electrolyte imbalances (potassium, calcium, phosphate, magnesium) c. Acid-base balance VII. Skin integrity and wound healing a. Factors affecting skin integrity b. Wounds, pressure ulcers c. Patients with wounds VIII. Promoting Asepsis and preventing infection a. Supporting host defenses b. Factors increasing risk for infection c. Infection control for healthcare workers IX. Promoting Safety a. Factors affecting safety b. Safety hazards in healthcare facility X. Facilitating hygiene a. Hygiene and self care b. Care of skin, feet, nails, hair, eyes, ears, nose c. Patient environment XI. Pain management a. Patients with pain XII. Sleep & rest a. Physiology sleep b. Factors affecting sleep c. Common disorders d. Patients with Sleep & Rest Disorders and fatigue XIII. Nutrition a. What must you know about energy balance b. Factors affecting nutrition (developmental stage, lifestyle choice, ethnicity, culture, disease) c. What are special diets d. Improving appetite, alternative feeding methods XIV. Patients with Nutritional disorders a. Assessment of nutrition and digestive system b. Management of patients with malnutrition XV. Promoting activity & exercise a. Body mechanics b. Exercise c. Factors affecting mobility and activity d. Hazards of immobility XVI. Urinary and Bowel elimination a. Normal patterns b. Factors affecting elimination XVII. Management of patient with ingestive disorders i. Oral disorders ii. Disorders of salivary glands iii. Dysphagia XVIII. Patients with Elimination Disorders a. Assessment b. Management patients with intestinal disorders i. General clinical manifestations (hemorrhage, pain, N/V, distention, diarrhea, constipation, abnormalities in fecal content) ii. Inflammatory disorders 1. Viral and bacterial infections: gastroenteritis 2. Parasitic infection 3. Appendicitis 4. Peritonitis c. Neoplastic disorders (benign tumors of bowel, cancer of small bowel, colorectal cancer) d. Other disorders of large and small bowel i. Herniations ii. Diverticular disease iii. Intestinal obstruction iv. Celiac disease e. Disorders of anorectal area i. Hemorrhoids ii. Fissures/fistulas/abscess iii. Incontinence iv. Cancer XIX. Management of Patients with Urinary disorders a. Infectious and inflammatory disorders (cystitis, urethritis, ureteritis, urosepsis, interstitial cystitis) b. Obstructive Disorders i. Bladder cancer ii. Urinary calculi iii. Urinary reflux c. Voiding disorders i. Urinary retention ii. Urinary incontinence iii. Neurogenic bladder d. Traumatic disorders (bladder, urethral, ureteral trauma) e. Congenital anomalies XX. Perioperative Nursing a. Perioperative care b. Intraoperative care c. Postoperative care d. Patients having surgery: promoting positive outcomes Perioperative nursing XXI. Managing Patients with Integumentary disorders a. Common Skin disorders (pruritus, eczema, dermatitis, psoriasis, acne, pressure ulcers) b. Precancerous changes in skin c. Skin cancer d. Infectious disorders (cellulitis, herpes zoster) e. Plastic surgery and other cosmetic restorative procedures f. Nail disorders XXII. Information Management a. Documenting and reporting i. SBAR ii. QSEN b. Information literacy XXIII. Informatics a. Electronic health record b. Online literature searches c. Computer skills including basic software, spreadsheet, healthcare databases XXIV. Advocacy XXV. Advanced Directives 3.a Instructional delivery methods utilized: (Please check all that apply). Lecture: Auditorium ITV Online Web Enhanced Lecture: Classroom X Service Learning Travel Study Laboratory Other: (Please indicate) Practicum Web Supplemented Internship/Practicum 3.b. MnSCU Course media codes: (Please check all that apply). None: 3. Internet 6. Independent Study 1. Satellite 4. ITV Sending 7. Taped 2. CD Rom 5. Broadcast TV 8. ITV Receiving 9. Web Enhanced X 10. Web Supplemented 4. Course requirements (papers, lab work, projects, etc.) and means of evaluation. Course Expectations/Requirements: Attend class and lab/practicum and notify the professor of absences Participate in class discussions and activities Complete assignments on time Evaluation of Learning Exams/Quizzes Writing Assignments Course Projects Practicum Performance Grading scale: 92-100% = A 83-91 % = B 74-82 % = C 65-73 % = D 5. Course materials (textbook(s), articles, etc.). Black, J. M. & Hokanson-Hawks, J. (2009). Medical-surgical nursing: Clinical management for positive outcomes (8th ed.). St. Louis: Saunders. Ackley, B. J. & Ladwig, G. B. (2008). Nursing diagnosis handbook: An evidenced-based guide to planning care. St. Louis: Mosby. Wilson, B. A., Shannon, M. T., & Shields, K. M. (2009). Nurse’s drug guide 2009. Upper Saddle River NJ: Prentice Hall. Pagana, K. & Pagana, T. J. (2006). Mosby’s manual of diagnostic and laboratory tests (3rd ed.). St. Louis: Mosby. 6. 7. Assessment of Outcomes Classroom assessment techniques (CAT) Rubrics Quizzes/Exams Practicum Assessment Tools List of references. Black, J. M. & Hokanson-Hawks, J. (2009). Medical-surgical nursing: Clinical management for positive outcomes (8th ed.). St. Louis: Saunders. Ackley, B. J. & Ladwig, G. B. (2008). Nursing diagnosis handbook: An evidenced-based guide to planning care. St. Louis: Mosby. Wilson, B. A., Shannon, M. T., & Shields, K. M. (2009). Nurse’s drug guide 2009. Upper Saddle River NJ: Prentice Hall. Pagana, K. & Pagana, T. J. (2006). Mosby’s manual of diagnostic and laboratory tests (3rd ed.). St. Louis:Mosby B. Rationale 1. Statement of the major focus and objectives of the course. Provides an introduction to the profession of nursing in the context of foundational concepts important to medical-surgical nursing. Focus is on developing knowledge, beginning clinical judgment skills, and the application of therapeutic interventions for adult patients and their families in acute care settings. Student learning outcomes/objectives: The student will: 1. Use evidence based practices to guide nursing care (applying standards, information seeking, and logical reasoning. 2. Engages in reflection about personal beliefs and values as they relate to professional practice 3. Apply knowledge of social and cultural factors to the care of diverse populations. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. Use written, verbal, non-verbal, and emerging technology methods to communicate effectively. Demonstrate beginning skills in using patient care technologies, information systems, and communication devices that support safe nursing practice. Use standardized technologies in a care environment that reflects nursing’s unique contribution to patient outcomes Create a safe care environment that results in high quality patient outcomes. Manage care to maximize health, independence, and quality of life for individuals that approximates a Term 1 nursing student. Deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences. Engage in caring and healing techniques that promote a therapeutic nurse/patient relationship. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan. Monitor patient outcomes to evaluate the effectiveness of psychobiological interventions. Assume responsibility for active participation in the learning process and value the ideal of lifelong learning to support excellence in nursing practice Uphold ethical standards related to data security, confidentiality, and patient’s right to privacy Recognize the role of information technology in improving patient care outcomes and creating a safe care environment. Engage in ethical reasoning and actions to provide leadership in promoting advocacy, collaboration, and social justice as a socially responsible citizen. Examine the impact of socio-cultural, economic, legal, and political factors influencing healthcare delivery and practice 2. C. Specify how this new course contributes to the departmental curriculum. It is a new course in the revised curriculum, which addresses societal and healthcare trends and accreditation standards related to foundational preparation of students to care for patients and families in acute care settings. 3. Indicate any course(s) which may be dropped if this course is approved. NURS 330 Role Development I Impact of this Course on other Departments, Programs, Majors, or Minors 1. Does this course increase or decrease the total credits required by a major or minor of any other department? If so, which department(s)? No 2. Attach letter(s) of understanding from impacted department(s). Department Contact Person for this Proposal: Martha Scheckel_____________________________________ Name (please print) Ext: 2232 Phone mscheckel@winona.edu e-mail address [Revised 7/5/07]