College of Nursing
UNIVERSITY OF CENTRAL FLORIDA
COLLEGE OF NURSING
Fall 2011
Course Number:
NGR 5884
Course Title:
Legal and Professional Behavior in Advanced
Practice Nursing
Credit Hours:
3 (3, 0)
Prerequisites or Co-requisites:
Graduate Standing and Admission to the Graduate
MSN or DNP Program
Mode of Delivery:
Web-based
Faculty
Christopher W. Blackwell, Ph.D., ARNP, ANP-BC, CNE
Office: UT: 453 (hours by appt.)
Office Phone: (407) 823-2517
Personal Cellular Phone: (407) 375-4334
christopher.blackwell@ucf.edu
Catalog Description: Examine legal, ethical, cultural, and political issues related to
professional advanced practice nursing
Purpose:
Explore and analyze issues relating to the legal, ethical, cultural,
and political landscape of advanced practice nurses and examine
the fiscal and cultural implications of advanced practice nursing.
Course Objectives: Upon completion of this course the student will:
1. Analyze the evolving health care system in an historical and cultural context.
2. Explore a variety of advanced practice nursing roles.
3. Describe the centrality of primary care in health care systems and providers.
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4. Analyze fiscal, cultural, and legal issues in advanced practice nursing care.
5. Explore ethical principles which impact advanced practice nursing.
6. Formulate political strategies to influence political and regulatory processes for
influencing health care policies and practice.
7. Begin developing an advanced practice nursing professional portfolio.
Teaching/Learning Strategies:
Contact with political leaders and/or your local state representative and state senator;
communication with professional organization(s), student discussions within groups,
continuing development of professional portfolio, module assignments, Internet
assignments, quizzes.
Units of Instruction: (Note order of content in lecture will vary slightly. See course
schedule)
I. Role Development - The Professional Electronic Portfolio
A. Defining the roles in advanced practice nursing:
- Advanced Nurse Leaders and Managers
- Advanced Registered Nurse Practitioners
- Clinical Nurse Specialists
- Clinical Nurse Leaders
- Nurse Educators
B. Developing a professional curriculum vitae
C. Building the required components of a professional portfolio:
- Professional information and views
- Professional qualifications and activities
- Academic Records
D. Professional certification—state and organizational requirements
II. The Advanced Practice Nurse in the American Healthcare System
A. The American Healthcare System
B. Financial foundations of healthcare
C. The evolution of managed care
D. Development of advanced nursing practice roles:
- Advanced Nurse Leaders and Managers
- Advanced Registered Nurse Practitioners
- Clinical Nurse Specialists
- Clinical Nurse Leaders
- Nurse Educators
III. Advanced Practice Nursing Roles: A Theoretical Perspective
A. Theories of change
B. Theories of leadership and management
C. Theories of educational leadership
D. Theories of clinical management
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IV. Ethical Considerations
A. Major ethical theoretical frameworks:
- Deontological perspectives
- Teleological perspectives
B. Application of ethical theory to advanced practice nursing
C. Case study applications:
- Applied ethics in primary and acute care environments
- Applied ethics in nursing education, management and research
V. Business and Fiscal Issues in Advanced Practice Nursing
A. Marketing the role of professional nursing
B. Designing, assessing, and negotiating professional contracts:
C. Designing and analyzing clinical, education- and research-based, and
management employment position descriptions
D. Professional liability, malpractice, and malpractice insurance
VI. Cultural Competence
A. Principles of cultural competence
B. Diversity and health disparity issues
C. The role of culture in major life events and illness
D. Building multicultural teams and strengthening organizations through diversity
E. Legal aspects and multicultural issues in education and healthcare employment
environments
VII. Political Advocacy
A. The local, state, and federal legislative process
B. The implications of the branches of government on healthcare policy
C. American Nurses Association and Florida Nurses Association legislative
agenda/political strategies
D. Nursing organization and legislative agendas
E. Political strategies to influence nursing-related legislative agendas
F. Selected strategies in advanced practice nursing
Required Texts
Mason, D.J., Leavitt, J.K., & Chaffee, M.W. (2012). Policy and politics in nursing and
health care (6th Ed.). St. Louis, MO: Elsevier.
Stanley, J. (2010). Advanced practice nursing: Emphasizing common roles (3rd Ed.).
Philadelphia, PA: FA Davis.
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Course Schedule
Date
August 22, 2011
August 25, 2011
Content
October 27, 2011
August 22, 2011
August 29, 2011
I. Role Development - The
Professional Electronic
Portfolio
A. Defining the roles in
advanced practice nursing:
- Advanced Nurse Leaders
and Managers
- Advanced Registered
Nurse Practitioners
- Clinical Nurse Specialists
- Clinical Nurse Leaders
- Nurse Educators
B. Developing a
professional curriculum
vitae
C. Building the required
components of a
professional portfolio:
- Professional information
and views
- Professional qualifications
and activities
- Academic Records
Assignment
UCF Classes Begin
Last to Drop/Swap Classes
for Full Refund (11:59 PM)
Last to Withdraw (11:59
PM)
Mason, Leavitt, & Chaffee
(2012):
Unit 4:
- Chapters 49-51
Unit 6:
- Chapters 81-83
Post an introduction to
your classmates and me
during the first week of
class under the discussion
heading provided for this
purpose.
Professional Portfolio
(electronic) must be
submitted by Noon on
Monday November 14th,
2011.
Professional Meeting
D. Professional
Assignment Due within 48
certification—state and
hours of attendance. Final
organizational requirements date of submission is
November 14th, 2011.
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September 5, 2011
September 12, 2011
September 19, 2010
September 26, 2010
II. The Advanced Practice
Nurse in the American
Healthcare System
A. The American
Healthcare System
B. Financial
foundations of
healthcare
C. The evolution of
managed care
D. Development of
advanced nursing practice
roles:
- Advanced Nurse Leaders
and Managers
- Advanced Registered
Nurse Practitioners
- Clinical Nurse Specialists
- Clinical Nurse Leaders
- Nurse Educators
October 3, 2011
III. Advanced Practice
Nursing Roles: A
Theoretical Perspective
A. Theories of change
B. Theories of leadership
and management
C. Theories of educational
leadership
D. Theories of clinical
management
Mason, Leavitt, & Chaffee
(2012):
Unit 2:
- Chapters 13-33
Stanley (2010):
- Chapters 1-3; 5; 1314
American Association of
Colleges of Nursing (2009).
The essential clinical
resources for nursing’s
academic mission.
Available for download
from the American
Association of Colleges of
Nursing Web Site:
http://www.aacn.nche.edu/E
ducation/pdf/ClinicalEssenti
als99.pdf
Post Rough Draft Version
of CV and Philosophy due
by 2355 on September 12,
2011.
Stanley (2010):
- Chapters 4; 9; 15
American Association of
Colleges of Nursing (2009).
The essential clinical
resources for nursing’s
academic mission.
Available for download
from the American
Association of Colleges of
Nursing Web Site:
http://www.aacn.nche.edu/E
ducation/pdf/ClinicalEssenti
als99.pdf
CV due by 2355 on
October 3, 2011.
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October 10, 2011
IV. Ethical Considerations
A. Major ethical theoretical
frameworks:
- Deontological
perspectives
- Telelogical perspectives
B. Application of ethical
theory to advanced practice
nursing
C. Case study applications:
- Applied ethics in primary
and acute care
environments
Mason, Leavitt, & Chaffee
(2012):
Unit 3:
- Chapter 39
- Chapter 42
Unit 4:
- Chapter 53
- Chapter 56
Stanley (2010):
- Chapter 11
Individual Case Studies:
- Nurse Practitioner Track
- Applied ethics in nursing
Students Case Study
education, management and
research
- Clinical Nurse Leader
Track Students Case
Study
- Clinical Nurse Specialist
Track Students Case
Study
- Nursing Management and
Leadership Track
Students Case Study
- Nurse Educator Track
Students Case Study
Midterm Examination
(Covers Content from
Course Units I-III) opens
at 1200 on Monday
October 3, 2011 and closes
at 2355 on Sunday
October 9, 2011.
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October 17, 2011
October 24, 2011
Applied Ethics Case
Study: Each student must
answer one question from
their group’s case. The
posting must be completed
by 2355 on Sunday
October 16, 2011.
V. Business and Fiscal
Mason, Leavitt, & Chaffee
Issues in Advanced Practice (2012):
Nursing
Unit 4:
A. Marketing the role of
- Chapter 47- 48
professional nursing
- Chapter 59- 62
B. Designing, assessing,
and negotiating
professional contracts:
Stanley (2010):
- Chapters 6-8
C. Designing and analyzing
clinical, education- and
research-based, and
management employment
position descriptions
D. Professional liability,
malpractice, and
malpractice insurance
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October 31, 2011
VI. Cultural Competence
November 7, 2011
A. Principles of cultural
competence
B. Diversity and health
disparity issues
Mason, Leavitt, & Chaffee
(2012):
Unit 2:
- Chapter 22
Unit 6:
- Chapter 88
C. The role of culture in
major life events and illness Unit 7:
- Chapters 101-104
D. Building multicultural
teams and strengthening
Stanley (2010):
organizations through
- Chapter 12
diversity
November 14, 2011
November 21, 2011
E. Legal aspects and
multicultural issues in
education and healthcare
employment environments
VII. Political Advocacy
A. The local, state, and
federal legislative process
Mason, Leavitt, & Chaffee
(2012):
Unit 1:
November 28, 2011
B. The implications of the
branches of government on
healthcare policy
C. American Nurses
Association and Florida
Nurses Association
legislative agenda/political
strategies
D. Nursing organization
and legislative agendas
E. Political strategies to
influence nursing-related
legislative agendas
F. Selected strategies in
advanced practice nursing
-
Chapters 1-12
Unit 5:
- Chapters 64-66
- Chapter 68
- Chapter 70
- Chapters 74-75
Stanley (2010):
- Chapter 2; 16
Final Examination
(Covers Course Units IVVII) Opens at Noon on
Saturday, November 26,
2011 and closes at 2355
Monday, December 5,
2011.
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Evaluation Methods
1. Midterm Examination
2. Applied Ethics Case Study
3. Professional CV Development
4. APN Professional Meeting Summary
5. Professional Electronic Portfolio
6. Final Examination
40 points
50 points
20 points
20 points
50 points
40 points
220 points
Grading System: (this is the scale used once all points have been added).
96-100
92-95
87-91
83-86
79-82
75-78
70-74
69 or below
Points
A
210 - 220
A201 - 209
B+
190 - 200
B
182 - 189
C+* 173 - 181
C * 164 – 172
D ** 153 - 163
F** 152 or below
*/** Unacceptable, non-passing grades:
* - Not acceptable for progression in the Doctor of Nursing Practice Program.
** - Not acceptable for progression in the Master of Science in Nursing or DNP
Program.
** All assignments are due on their noted DUE DATE. Late assignments will be
significantly penalized. It is recognized that a student may have an emergency students may request an extension for an assignment. Extensions are negotiated
individually. Vacations are not acceptable reasons for late assignments - students
will need to make provisions for web access. Web Courses assignments are due at
Midnight of Due Date.**
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Summary of Assignments
Midterm and Final Examinations (80 points): A midterm examination (covering Units IIII) and final examination (covering Units V-VII) will consist of 40 total questions each
in multiple choice and/or matching format. The midterm examination will open at 1200
on Monday October 3, 2011 and close at 2355 on Sunday October 9, 2011. The final
examination will open at 1200 on Saturday, November 26, 2011 and closes at 2355 on
Monday, December 5, 2011. Students are NOT permitted to work on the examinations
in groups. Exams undergo statistical analyses to assess for statistically similar responses
to help identify cases of academic dishonesty. Each student is responsible for completing
the examination individually and the use of any other individual to complete the
examination constitutes a breach in academic honesty and will result in a failing grade in
the course.
Applied Ethics Case Study (50 points): Students will be separated into focus groups.
Each group will examine an advanced practice nursing ethical issue presented as a case
study of an ethical dilemma in the primary or acute care setting, nursing management, or
nursing education/ research environment. Students will work as a group to address the
issues within the case study and each member will be responsible for answering one of
the questions within their group’s case study. In addition, students must read the other
focus groups’ case studies along with their own. Post your answer by putting “LAST
NAME—Ethics Question #” in your focus group’s discussion board and “LAST
NAME—Ethics Response” to the focus group discussion you respond to. Grading is
based on the following:
Grading Criteria
Addresses each item in the question appropriately; provides
adequate responses to each item; comprehensively answers each
item in question.
Use of prior research and evidence-based data in the problemsolving approach to the dilemma.
Response to one group’s post in any other focus group:
- Provides 2 evidence-based rationales for either agreeing or
disagreeing with the group’s approach
- Provides 1 additional unique recommendation for the group
Correct use of American Psychological Association (6th Ed.) style
for references.
Points Allocation
15 points
15 points
10 points
10 points
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Professional Curriculum Vitae Development: Students are required to develop their CV's
and post them to the Module 1 discussion board for peer review. Discussion should
center on the importance of the CV and include your ideas about at least two critical
elements of one group member's CV you have read. To ensure each group member's CV
is evaluated, pair-up in groups of two and evaluate each other's CV (you should complete
this task independently ... Dr. Blackwell will not randomly pair students). Your final CV
is to be submitted as an attachment under the Assignments tool in this course by
2355 on October 3rd. Your CV must be in a presentable format and not have errors!
Grading Criteria
Uses appropriate formatting and is aesthetically pleasing, wellarticulated and easy to read and analyze
Contains required subject/ topic areas and is completed
appropriately with adequate artifacts and information
Points Allocation
10 points
10 points
Professional Meeting Summary (20 points): Explore and investigate your APN
organizations and find a local or state group with which it is affiliated. Locate the state or
local group. Attend one of its meetings and provide a summary of the attended meeting.
Examples include the Central Florida Advanced Practice Nursing Council, Sigma Theta
Tau International Honor Society of Nursing (Theta Epsilon), Florida Organization of
Nurse Executives, and the Florida Nurses Association. In your post, include the:
a) the name of organization
b) the date and location of meeting
c) a brief description of its activities and mission (found on most organizational Web
sites)
d) a brief assessment of the meeting
Post the assignment to the Assignments tool in this course under the heading
Professional Meeting Summary.
Note, this assignment MUST be completed within 48 hours (by November 14, 2011)
of meeting attendance to receive credit or an alternate assignment submitted as
described below.
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Alternative Professional Meeting Assignment: As an alternative to attending a
professional meeting, students can opt instead to perform a critical contrast and
comparison of two related professional organizations. Students will provide an overview
of the mission of the organizations, their respective historical foundations, and each
organization’s political strategy on a particular issue. Next, using an evidence-based
approach, students will select the organizational approach he or she agrees with most,
outline an effective strategy the organization can employ to help attain their goal on the
issue, and identify how involvement in this organization might benefit the student’s
professional career. The deadline for this alternative assignment is November 14, 2011.
Again, this is to be posted to the Assignments tool under the Meeting Assignment
heading.
Grading Criteria
Section I: Overview of the Professional Organizations
- Overview of the organizational missions
- Historical Foundations of the organizations
Section II: Political Strategy
- Organizational strategies on a particular issue
- Evidence-based approach to implementing political strategy
Section IIII: Personal Value of the Organizations
- Identifies one attribute of an organization and articulates its
value to his or her professional career
Correct use of American Psychological Association (6th Ed.) style
for references/ grammar.
Points Allocation
6 points
6 points
3 points
5 points
Professional Electronic Portfolio (50 points): Each student will prepare an electronic
(digital) portfolio using the content within Unit I. The portfolio will begin to highlight
professional accomplishments, preparation, and professional development. There are
three main components to the professional portfolio, which must be prepared
electronically. These components include the personal information and views section,
professional qualifications and activities section, and academic records. Grading is based
on the following criteria:
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Grading Criteria: Professional APN Portfolio
Portfolio Components
I.
a.
b.
c.
II.
b.
c.
Personal Information and
Views:
Letter of Introduction
Curriculum Vitae
APN Philosophy
Professional Qualifications
and Activities:
a. APN Documentation:
i.
License
ii.
Malpractice Section
(for clinical tracks)
iii.
National Certification
Section (as applicable)
iv.
Additional
certifications in
practice and specialty
area.
v.
CEU’s achieved over
the last 5 years
(required for licensure,
but also an indication
of additional scholarly
efforts).
APN Position Description (For
clinical specialties with an
independent job placement, this is
very appropriate. For those in
working in an organization with a
defined job description you can
share that ..or preferably, share
your short and long term goals).
Scope of Practice/ Contract (for
clinical specialties this is an
important component of the
portfolio, for others this
component is most likely related
to {b}of above).
Present in
Portfolio?
Grade/ Comments
/10
/20
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d. Political Advocacy Efforts
(reflect course requirements
.. not suggested to place in a
portfolio for potential
employers or for academic
admission): Advocacy for
professional nursing practice
is critical to the advancement
of the profession. Exercise of
advocacy is a personal
responsibility. Please share
how you would go about
exercising that responsibility.
e. Professional Development Plan
III.
Academic Records:
(Many of the requirements in this
section will vary based upon your
professional specialty. Please adapt
as appropriate checking with your
instructor if you have questions.)
a. Preceptor table (clinical tracks) or
a description of experiences under
the direction of a speciality
preceptor, including hours
committed and completed.
b. Graphic presentation of clinical
activities (clinical tracks) or the
course and individualized
objectives related to your
practicum or internship
experience.
c. Professional work product
examples (papers, reports, PPT,
etc.)
d. Abstracts from major academic
papers or publications (NGR
6813 project and others as
applicable.)
e. UCF Degree Audit (the degree
audit attests to your academic
achievements as well as role
specific requirements for
certification and licensure ...
please be careful to use it only to
attest to your accomplishments ...
Black out any personally
/20
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identifying information including
grades, GPA, etc. as appropriate).
Overall Grade on Assignment
/50
Please submit the final portfolio under the Assignments tool in this course labeled
Portfolio.
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Access to the WebCourses On-Line Classroom Environment Site
Required On-line Resources:
1) WebCourses Course Site: WebCourses will be used for communication of class
announcements and correspondence between faculty and students and among class
members. In addition, the WebCourses will be used for lecture enhancements,
discussions, etc. To send a note to the faculty member, choose class mail and choose my
name or instructor. This note will go only to the faculty member the reply will go only to
the student who wrote the initial question. To send a note to the whole class (e.g. to ask
for clarification on a class topic, a question about the paper etc) use the bulletin
board/forum section so the note and answer will go to everyone.
WHAT IS MY NID?
The NID is the “Network ID” used to identify UCF students to several central
computing systems for LAN access (public computer labs), email and web pages
(Pegasus) and WebCourses for web classes. The NID will be the same for each system
but the passwords for each system are maintained by each separate system.
The format of the NID is:
ffnnnnnn
where ‘ff’ is the first two letter of the student’s first name (lowercase), and
‘nnnnnn’ is a six-digit number that is randomly generated. If only one character for the
first name is available, that character will be duplicated for the two letters.
The format of the default (initial) password of the NID is:
PYYMMDD
where ‘P’ is the letter ‘P’ (uppercase) and the remaining information is your
birthdate in ‘YY’ (year) ‘MM’ (month) and ‘DD’ (day) format. You will be able to obtain
the NID from the main PeopleSoft logon screen in the near future.
For example, if a student’s first name is Jim, his birthday is April 19, 1980, and
his random number is 500241 then his NID information would be:
NID: ji500241
Password: P800419
Course Learning Modules/ Class Notes: Each unit within the course has a specific
learning module consisting of an outline of the unit’s material. Students should read
through each and read the required reading for each module to prepare for the unit
examinations and to complete required assignments. The module presentations are
viewable via the WebCourses by clicking on “Modules.”
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Statements, Policies, and Regulations Regarding Academic Honesty/ ADA
Office of Student Rights and Responsibilities
University of Central Florida
YOUR ENROLLMENT STATUS MAY BE AT RISK!
Academic Dishonesty in any form will not be tolerated!!!
The University of Central Florida has recently started an account with turnitin.com., an
automated system which instructors can use to quickly and easily compare each student's
report to billions of web sites, as well as an enormous database of student papers that
grows with each submission. After submission of the paper, instructors receive a report
that states if and how another author's work was used.
Violations of student academic behavior standards are outlined in The Golden Rule, the
University of Central Florida's Student Handbook. See http://www.ucf.edu/goldenrule/
for further details.
1. Cheating whereby non-permissible written, visual or oral assistance including that
obtained from another student is utilized on examinations, course assignments or
projects. The unauthorized possession or use of examination or course related
material shall also constitute cheating.
2. Plagiarism whereby another's work is deliberately used or appropriated without any
indication of the source. Thereby attempting to convey the impression that such work
is the student's own. Any student failing to properly credit ideas or materials taken
from another has plagiarized.
3. A student who has assisted another in any of the aforementioned breach of standards
shall be considered equally culpable.
ACADEMIC ACTION
* Taken by Instructor, Chair, or Dean of College*
1. Counseling
2. Loss of credit for specific assignment, examination or project.
3. Removal from course with a grade of "F" and/or
CONDUCT REVIEW ACTION
*Taken by the Office of Student Conduct*
1. Warning
2. Probation
3. Suspension
4. Expulsion
5. Permanent conduct record with UCF accessible by other institutions by request.
For more information, please contact the Office of Student Conduct at 823-2851.
NUR3825f01.doc
DW/dw 8/8/98
rev 3/11/16
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American Nurses Association
The Code of Ethics for Nurses 2001
Just as our behaviors are held to a University of Central Florida and College of Nursing
ethical standards, we are also held to our standards as professional nurses. The ANA
Code of Ethics does apply to all efforts undertaken as a part of this course. To review
those standards please use the following web link:
http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsf
orNurses.aspx
If you cannot access the document directly, please copy and paste the link into your web
browser.
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Persons With Disabilities: The University of Central Florida is committed to
providing reasonable accommodations for all persons with disabilities. Students who
need accommodations must be registered with Student Disability Services (SDS), Student
Resource Center Room 132, phone (407) 823-2371, TTY/TDD only phone (407) 8232116, before requesting accommodations from the professor. Students who are registered
with SDS and need accommodations in this course must contact the professor at the
beginning of the semester to discuss needed accommodations. No accommodations will
be provided until the student has met with the professor to request accommodations. This
syllabus is available in alternate formats upon request.
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