UCC/UGC/ECCC
Proposal for New Course
Please attach proposed Syllabus in approved university format.
1. Course subject and number: NUR 350L
2. Units:
See upper and lower division undergraduate course definitions.
3. College:
Health and Human Services
4. Academic Unit:
2
Nursing
5. Student Learning Outcomes of the new course. (Resources & Examples for Developing Course Learning
Outcomes)
Clinical Practice and Prevention
 Provides holistic patient-centered care to families in home and community settings using
family theory, evidence, professional perspectives, and patient preferences.
Communication
 Incorporates effective communication into professional nursing practice during interaction
with the clinical instructor, patients, families, members of the multi-disciplinary team,
referral agencies, and mentoring agencies.
Critical Reasoning
 Synthesizes evidence and nursing knowledge to evaluate and modify clinical nursing
practice in order to provide holistic, safe, comprehensive, patient-centered care in home
and community settings.
Global Health
 Promotes safety and quality of health care outcomes for diverse family populations in the
home and community settings incorporating principles of advocacy, leadership, and
collaboration.
 Participates in collaborative efforts to improve aspects of the environment that negatively
impact the health of patients and families in the home and community setting.
Leadership
 Integrates knowledge and skills in leadership, interdisciplinary care coordination, and
patient safety into nursing care of patients and their families in home and community
settings.
Professionalism and Professional Values
 Incorporates ethical and legal principles and professional standards of nursing practice
into the care of patients and their families in community settings.
 Integrates culture-specific influences and professional nursing values with their associated
behaviors into the practice of nursing care of families in home and community settings.
Effective Fall 2012
6. Justification for new course, including how the course contributes to degree program outcomes,
or other university requirements / student learning outcomes. (Resources, Examples & Tools for Developing
Effective Program Student Learning Outcomes).
The embedded lab is being separated from the lecture per the direction of university
administration.
7. Effective BEGINNING of what term and year?
See effective dates calendar.
Fall 2013
8. Long course title: NURSING CARE OF FAMILIES PRACTICUM
(max 100 characters including spaces)
9. Short course title: NURSING CARE FAMILIES PRCTICM
(max. 30 characters including spaces)
10. Catalog course description (max. 60 words, excluding requisites):
Clinical application of nursing care/case management of families experiencing complex health
transitions within community settings.
11. Will this course be part of any plan (major, minor or certificate) or sub plan (emphasis)?
Yes
If yes, include the appropriate plan proposal.
No
12. Does this course duplicate content of existing courses?
Yes
No
If yes, list the courses with duplicate material. If the duplication is greater than 20%, explain why
NAU should establish this course.
13. Will this course impact any other academic unit’s enrollment or plan(s)?
If yes, include a letter of response from each impacted academic unit.
14. Grading option:
Letter grade
Yes
Pass/Fail
No
Both
15. Co-convened with:
14a. UGC approval date*:
(For example: ESE 450 and ESE 550) See co-convening policy.
*Must be approved by UGC before UCC submission, and both course syllabi must be presented.
16. Cross-listed with:
(For example: ES 450 and DIS 450) See cross listing policy.
Please submit a single cross-listed syllabus that will be used for all cross-listed courses.
17. May course be repeated for additional units?
Effective Fall 2012
Yes
No
16a. If yes, maximum units allowed?
16b. If yes, may course be repeated for additional units in the same term?
Yes
No
NUR 212, NUR 212L, NUR 216, NUR
18. Prerequisites:
216L
If prerequisites, include the rationale for the prerequisites.
19. Co requisites:
NUR 350, NUR 211, NUR 211L
If co requisites, include the rationale for the co requisites.
20. Does this course include combined lecture and lab components?
Yes
No
If yes, include the units specific to each component in the course description above.
Sharon Thompson, MSN, RN;
Autumn Argent, MSN, RN; Kate
Watkins, MSN, RN, CPNP;
Janine Saulpaugh, DNP, RN,
WHNP-BP; Jason Bradley, RN,
21. Names of the current faculty qualified to teach this course: MS, LPC
Answer 22-23 for UCC/ECCC only:
22. Is this course being proposed for Liberal Studies designation?
If yes, include a Liberal Studies proposal and syllabus with this proposal.
Yes
No
23. Is this course being proposed for Diversity designation?
If yes, include a Diversity proposal and syllabus with this proposal.
Yes
No
Scott Galland
Reviewed by Curriculum Process Associate
12/10/2012
Date
Approvals:
Department Chair/ Unit Head (if appropriate)
Date
Chair of college curriculum committee
Date
Effective Fall 2012
Dean of college
Date
For Committee use only:
UCC/UGC/ECCC Approval
Date
Approved as submitted:
Yes
No
Approved as modified:
Yes
No
Effective Fall 2012
Northern Arizona University
College of Health & Human Services
School of Nursing
COURSE NUMBER: NUR 350L
COURSE TITLE: Nursing Care of Families - Practicum
Semester: Fall 2013
Credits: 2 credits/ 90 clinical hours
Clinical Faculty:
Flagstaff:
Sharon Thompson, MSN, RN –Lab section A #3071
Office #217 of Nursing Building (#72)
(928)523-7769 (office phone & voicemail)
Please use Bb Learn course messaging for electronic correspondence during semester.
Autumn Argent, MSN, RN---Lab section B #3072
Office #106 of Nursing Building (#72)
(928)523-6712 (office phone & voicemail)
Office hours: TBA and by appointment*
Please use Bb Learn course messaging for electronic correspondence during semester.
Kate Watkins, MSN, RN, CPNP, CNE - Lab section C #3156
Office #214 of Nursing Building (#72)
(928)523-0279 (office & voicemail)
(928)310-8003 (cell – during clinical hours)
Office hours: TBA and by appointment
Please use Bb Learn course messaging for electronic correspondence during semester.
Tucson:
Janine Saulpaugh, DNP, RN, WHNP-BP - Lab sections 802 # 6428 & 803 #6429
Office: Tucson NAU Campus
(520)879-7954 (office phone & voicemail)
Office hours: TBA*
Please use Bb Learn course messaging for electronic correspondence during semester.
Yuma:
Jason Bradley, RN, BSN, MS, LPC – Lab Section 804 #6802
Office: Yuma Regional Educational Center
(928)336-2919 (office phone & voicemail)
(928)246-3355 (cell)
Office hours: Monday, 4:00pm – 6:00pm and Thursday, 2:00pm – 4:00pm.
Please use Bb Learn course messaging for electronic correspondence during semester.
*Additional contact information and office hours will be provided during clinical orientation.
Effective Fall 2012
Course Prerequisites:
NUR 212, NUR 212L, NUR 216, NUR 216L
Co-requisite:
NUR 350, NUR 211, NUR 211L
CATALOG DESCRIPTION:
Clinical application of nursing care/case management of families experiencing complex health
transitions within community settings.
COURSE DESCRIPTION:
NUR 350L builds on learning from prior adult health and mental health nursing courses and
practicums. It provides opportunity to apply concepts explored in the Nursing Care of Families theory
course to the care of families facing complex medical issues within the home or other community
settings. Issues related to transitioning from acute care to community settings are also addressed.
STUDENT LEARNING OUTCOMES/CLINICAL COMPETENCIES:
Achievement of the following competencies is required during the semester for successful completion
of the clinical portion of the course:
Clinical Practice and Prevention
 Provides holistic patient-centered care to families in home and community settings using family
theory, evidence, professional perspectives, and patient preferences.
Communication
 Incorporates effective communication into professional nursing practice during interaction with the
clinical instructor, patients, families, members of the multi-disciplinary team, referral agencies, and
mentoring agencies.
Critical Reasoning
 Synthesizes evidence and nursing knowledge to evaluate and modify clinical nursing practice in
order to provide holistic, safe, comprehensive, patient-centered care in home and community
settings.
Global Health
 Promotes safety and quality of health care outcomes for diverse family populations in the home
and community settings incorporating principles of advocacy, leadership, and collaboration.
 Participates in collaborative efforts to improve aspects of the environment that negatively impact
the health of patients and families in the home and community setting.
Leadership
 Integrates knowledge and skills in leadership, interdisciplinary care coordination, and patient
safety into nursing care of patients and their families in home and community settings.
Professionalism and Professional Values
 Incorporates ethical and legal principles and professional standards of nursing practice into the
care of patients and their families in community settings.
 Integrates culture-specific influences and professional nursing values with their associated
behaviors into the practice of nursing care of families in home and community settings.
COURSE STRUCTURE/APPROACH:
Clinical experiences in NUR 350L consist of an agency component and work with a family
experiencing a complex health issue for one or more members. Clinical placements will provide
opportunities to apply care coordination activities. A one-to-one weekly conference with your clinical
instructor and a clinical group conference are part of the clinical experience. Students will also be
Effective Fall 2012
introduced to the advanced role of the case manager.
Approximately 75-80% of the clinical hours will be spent working with your clinical agency. Clinical
agencies will include: home health agencies, hospices, teen pregnancy programs, refugee health
agencies, schools, homeless shelters, public health agencies, and clinics. Depending upon your
clinical assignment, you may devote your time working closely with your assigned mentor doing home
health visits or assisting in the clinical setting. During this period of time, you will become familiar with
your agency’s’ policies and procedures, learning about services they provide, as well being
introduced to principles and concepts related to care coordination. You will also spend a day doing
your inpatient case management experience where you will observe and participate in discharge
planning, case management, and utilization review in an inpatient acute care setting. Your clinical
instructor will assist you in making arrangements for the inpatient case management experience.
As soon as possible, with the help of agency personnel and your clinical instructor, you are asked to
select a family with whom you will work over the remaining weeks of your NUR 350 clinical
experience. You will probably meet the family in the course of your regular clinical activities in your
assigned area and then ask them about further meetings and working together. (Families are often
excited to have their “own nurse”!) A consent will be signed if required by your agency (confer with
your clinical faculty regarding this). Your work with the family will entail approximately one-third of the
clinical hours for the course. Select client/family assessments, documentation of care, final
summative charting, and evaluation will be combined and submitted in a whole document. This
written Family Project, described in further detail later, will be based on your work with the family.
Issue-oriented charting (SOAPIER notes) following family visits will be an element of the weekly
clinical journal you will submit to your clinical faculty. The charting will become a part of the Family
Project which will be graded and applied to the overall course grade.
REQUIRED TEXTS:
Friedman, Bowden, Jones. (2003). Family Nursing: Research, Theory, and Practice (5th Ed.) Upper
Saddle River, NJ: Prentice Hall. ISBN# 0-13-060824-6
Ackley, B., & Ladwig, G. (2011). Nursing Diagnosis Handbook – An Evidenced-Based Guide to
Planning Care (9th Ed.). St. Louis: Mosby. ISBN#978-0-323-07150-5
COURSE OUTLINE:
Flagstaff:
WEEK
Topic
1
Clinical Orientation
Clinical Experiences
2
Clinical Experiences
3
Clinical Experiences
4
Clinical Experiences
5
6
7
Effective Fall 2012
Clinical Experiences
Clinical Experiences
Clinical Experiences
ASSESSMENT
Investigation of Community Resources
Journal submission
Journal submission
Journal submission
Family Assessment and Care, Initial
Submission
Journal submission
Journal submission
Journal submission
Family Assessment and Care, Final
Evaluation
Variable
Inpatient Case Management Experience
Tucson and Yuma:
WEEK
1
2
3
4
5
6
7
Topic
Clinical Orientation
Clinical Experiences
Clinical Experiences
Clinical Experiences
Clinical Experiences
Clinical Experiences
Clinical Experiences
Clinical Experiences
8
9
10
11
12
Clinical Experiences
Clinical Experiences
Clinical Experiences
Clinical Experiences
Clinical Experiences
13
14
Clinical Experiences
Clinical Experiences
Variable
Inpatient Case Management Experience
Submission
Family Project - Summary
Journal submission
Final Evaluation
Inpatient Case Management Experience
Paper
ASSESSMENT
Investigation of Community Resources
Journal submission
Journal submission
Journal submission
Journal submission
Journal submission
Journal submission
Family Assessment and Care, Initial
Submission
Journal submission Midterm Evaluation
Journal submission
Journal submission
Journal submission
Journal submission
Family Assessment and Care, Final
Submission
Journal submission
Journal submission
Family Project - Summary
Journal submission
Final Evaluation
Inpatient Case Management Experience
Paper
ASSESSMENT OF STUDENT LEARNING AND GRADING SYSTEM:
Clinical performance in the agency, the written documentation of care in the weekly journal, the
Family Project and other select written documents, weekly clinical conferences, and self-evaluations
provide the basis for the assessment of learning and demonstration of clinical competence.
Successful completion of NUR 350L requires:
Effective Fall 2012
1) A PASS on weekly journal submissions.
2) A final evaluation score of three (3) or higher in all elements of the Clinical Evaluation tool.
Students who do not achieve a three (3) in all elements of the Clinical Evaluation will receive
an F for the course regardless of course points achieved.
3) A 78% or greater calculated total score on point-given written assignments.
Weekly clinical journal submissions will consist of:



Log of clinical hours/activity for the week using either the Excel Clinical Hours Tracking
Spreadsheet, or both the Weekly Clinical Hour Log and Family Activity Log forms(see select
forms in following section).
Reflection (see template in following section).
Weekly issue-oriented charting (SOAPIER notes) on selected patient/family.
The Family Case Management Project (overview follows) consists of a holistic family assessment,
weekly entries of charting, and evaluation/reflection. These elements demonstrate achievement of
selected competencies. This is an ongoing work that develops across the weeks of your clinical
experience and will involve guidance from clinical faculty for revisions and improvement.
The student will have the opportunity to complete self-evaluations at the middle and/or end of the
clinical experience. These self-evaluations will be compared with the instructor’s evaluation and
placed in the student’s permanent file. If there is a significant need for improvement, a written
contract may be implemented delineating the areas for improvement.
At the end of the clinical practicum, all of the clinical learning outcomes should be met at a
satisfactory level in order to pass NUR 350L. Satisfactory is based on the level of performance
expected at the end of this semester. In the practicum’s final evaluation, the student must receive at
least a 3 in each of the required behavioral competencies to receive a satisfactory evaluation. See
“Self Evaluation Form” provided later in this Clinical Course Pack.
Your letter grade in this course will be earned from the following sources of your work:
Source of work
Possible
Points
Investigation of Community Resources
5
Inpatient Case Management Experience
5
Family Assessment and Care, Initial Submission
5
Family Assessment and Care, Final Submission
60
Family Project – Summary
25
Total Course Points
100
Grades are not rounded up or down.
Using the standard NAU School of Nursing grading scale, grades will be calculated as follows:
 93-100 points =
A
 84-92 points =
B
Effective Fall 2012


78-83 points =
<78 points =
C
F; must repeat and cannot progress in Nursing courses
CLINICAL SUPERVISION:
During this clinical experience, your clinical faculty will not be with you in the clinical agency at all
times, but is available always by cell phone or pager, and will visit the clinical site regularly. Clinical
instructors are ultimately responsible for the overall supervision of students at selected agencies
during the assigned clinical day. Faculty may plan joint home visits with students as requested and
indicated. Also, selected nurses will serve as mentors at your assigned community health agency or
school. Clinical faculty or agency nurses will also supervise clinical skills in the home and clinic
settings as appropriate.
At the clinical sites or other designated areas, you will individually meet with your clinical
instructor for 20-30 minutes each week. These individual sessions are designed to mentor you in
learning new clinical roles and SOAPIER charting skills, and to provide guidance in managing your
patient/families problems/issues. Come to these sessions prepared with your written questions and
concerns so faculty can address them. Clinical faculty will review and discuss your clinical progress
on a weekly basis through the individual conferences and clinical journal review/comment.
GROUP CLINICAL CONFERENCES:
You are required to attend and participate actively in weekly group clinical conferences as
scheduled by your clinical instructor. Various activities in the groups conferences assist students
to meet clinical competencies; may include pertinent clinical topics; will encourage collaborative
problem-solving of complex care issues; will provide opportunity to share resources and evidence;
and will provide support to students in the ongoing work of the Family Project.
Any absence must be negotiated and approved in advance with your clinical instructor.
Unexcused absences include non-emergent situations that conflict with scheduled clinical activities.
Unexcused absences may result in disciplinary action.
FAMILY CASE MANAGEMENT PROJECT:
Family Case Management Project - Assignment Overview
The Family Project is an ongoing work that will demonstrate your application of the nursing process to
a family unit. While the emphasis is on the holistic assessment of the family, you are also expected
to:
 identify relevant problems in the form of a problem list worded as nursing diagnoses.
 present mutually-agreed upon goals for health promotion/maintenance/improvement stated as
nursing outcomes.
 suggest and implement interventions toward achieving those evidence-based practice
resources (Practice Guidelines, the Nursing Diagnosis Handbook, etc.)
 evaluate the effectiveness of the interventions, and suggest a revised plan for achieving the
goal(s).
The Family Project is graded and constitutes 90% of the course grade. You will work with your
clinical instructor and agency personnel to assess, diagnose, plan, implement, and evaluate.
**Please see detailed guidelines for completion of each portion of the Family Project in the Family
Project folder on Bb Learn’s Course Content page.**
Effective Fall 2012
Grading of the Family Project – Total project value = 90 of 100 course points.
Family Assessment and Care, Initial Submission: Due on dates indicated or as negotiated with
clinical faculty member. Flagstaff clinical groups: Due September 16, 2013. Tucson and Yuma
clinical groups: Due October 7, 2013. (Point value = 5)
Family Assessment and Care, Final Submission: Due on dates indicated or as negotiated with
clinical faculty member. Flagstaff clinical groups: Due October 7, 2013. Tucson and Yuma
clinical groups: Due November 12, 2013. (Point value = 60)
Family Project – Summary: Due on dates indicated or as negotiated with clinical faculty member.
Flagstaff clinical groups: Due October 11, 2013. Tucson and Yuma clinical groups: Due
November 25, 2013. (Point value = 25)
Grading Rubrics are provided in the Bb Learn course shell and can be reviewed in advance of
submission of any of the three reviews of the Family Project.
INPATIENT CASE MANAGEMENT CLINICAL EXPERIENCE:
During the semester, you will spend time with a hospital inpatient nurse case manager, observing and
assisting as described. Contact information to set up your time with the in-patient case manager, or a
sign- up sheet will be given you by your clinical faculty.
Inpatient nurse case managers identify patients appropriate for care management based on predefined conditions and/or severity of illness and resource utilization. They are actively involved in
collaborative planning, care coordination, and intervention within the boundaries of the hospital, and
outside with insurance companies. Inpatient nurse case managers also act as discharge planners
who coordinate services and supplies for those being discharged to home or to an extended care
facility. By participating in this clinical experience, you will have the opportunity to explore and
analyze the case manager role in the acute care setting as they assist with the successful transition
of the hospitalized patient back to the community setting.
In the theory portion of the course, Lesson 6 provides a foundation for this experience by means of
student learning outcomes, readings, and resources. If you are assigned a clinical day with the
inpatient case manager prior to this lesson, please prepare with those readings/resources in
advance of your clinical day.
Activities:
 You will work with a nurse case manager for a partial or complete work shift (depending on
your location) and will participate, as the opportunity arises, in activities such as:
collaboration with team members, chart reviews, coordination with community agencies,
location of agency resources and durable medical equipment (DME), and facilitation of
referrals.
 You may participate in screening new patients, determining need for case management,
and participating in planning for patient discharge using the Blaylock Risk Assessment
Screen (To find: NUR 350 Home Page>Course Content> Family Project Guidelines and
Resources>Health Assessment Tools.)
 You will attend any opportunity for interdisciplinary conferencing and utilization review
meetings during the clinical time.
Clinical journal assignment: For the week of your inpatient case management experience,
complete your clinical hour log and weekly reflection, as usual. In addition, submit a report of
Effective Fall 2012
your hospital experience labeled, Inpatient Case Management (There is a template found under
the Clinical Forms tab). Submit this assignment via its own assignment box
COURSE POLICIES:
Assignment Due Dates:
For any work due in NUR 350L, it is expected that it will be submitted on the date specified in the
course calendar, assignment box, or syllabus. Prior arrangements must be made with course
faculty to negotiate alternate due dates. A late penalty of 5% per day will be applied to all
assignments. Be sure to contact your instructor if you are not able to meet the defined
timeline for an assignment! Assignments may be turned in early.
Attendance Policy: Under NAU Policy, students are expected to attend every session of class in
which they are enrolled. Attendance at all clinical sessions is mandatory. If missing a clinical
session is unavoidable, you must inform your instructor and agency prior to the start time of
the clinical session. Make-up sessions will be determined by your instructor. Missing more than 9
hours may put the student at high risk for not having sufficient opportunity to successfully meet
clinical competencies at the expected level of mastery as defined in this document and may result in
a failing grade.
Last minute cancellations by the student for scheduled agency activities/client visits are not
acceptable except in emergencies. Faculty must be notified immediately when cancellations occur,
or as soon as possible when the situation permits. You must also make arrangements to notify your
patient/family if you are unable to keep a home visit appointment and make contingency plans with
the agency contact person.
Academic Integrity: Any student participating in acts of academic dishonesty, including, but not
limited to, copying the work of other students, using unauthorized crib notes, plagiarism, stealing
tests, falsifying clinical hours or forging an instructor’s signature will be subject to the procedures and
consequences outlined in NAU’s Student Handbook:
http://www4.nau.edu/stulife/handbookdishonesty.htm
Confidentiality Statement: See the Nursing Student Handbook for details related to confidentiality.
http://www.nau.edu/nursing/docs/BSN_Handbook_08-09.pdf. This includes the policy that you may
not remove any copied medical or nursing records from the health agency. Also, in order to ensure
family privacy and confidentiality during home visiting, you should not travel with family, friends or
anyone not employed by the agency or not a nursing faculty or student involved with NUR 350.
Clinical Policies and Requirements: See the Nursing Student Handbook for details related to
general policies and requirements for clinical experiences.
http://www.nau.edu/nursing/docs/BSN_Handbook_08-09.pdf. Your Health Record and other relevant
clinical documents must be current as determined by Student Services, School of Nursing. Also,
Effective Fall 2012
remember, you may be administratively withdrawn from the course if all clinical requirements are not
current for the full semester.
Dress: Students must follow agency requirements in addition to NAU standard dress policies.
Retests/Makeup tests: There are no exams in this course. Students receiving a grade of C, or less,
on the final and summary graded submissions of the family project assignment may request to have a
“second reader” for that assignment. The second reader will be another faculty member in the
course, designated by the course leader. The grade assigned by the second reader will be the grade
awarded for the work. To avoid the need for re-grading of assignments, please review the associated
grading forms/rubrics.
Plagiarism, Cheating, and Academic Dishonesty:
Please refer to Appendix G of the NAU Student Handbook
(http://home.nau.edu/images/userimages/awf/9476/ACADEMIC%20DISHONESTY.pdf) for
definitions, policies, penalties, and procedures related to various forms of academic dishonesty.
Professional Conduct: A student will be removed from a clinical experience for unsafe clinical
practice and/or unprofessional conduct as determined by the clinical faculty according to School of
Nursing policies, Arizona State Board of Nursing regulations, and/or Code of Ethics.
http://www.nau.edu/nursing/docs/BSN_Handbook_08-09.pdf
Students are not allowed to transport patients or their family in any vehicle.
Failure to adhere to these guidelines will result in disciplinary action up to and including
dismissal/probation/suspension from the School of Nursing.
UNIVERSITY POLICIES
Review the following policies available on the Northern Arizona University Policy Statement website
(http://www2.nau.edu/academicadmin/UCCPolicy/plcystmt.html):
1. Safe Environment Policy
2. Students with Disabilities Policy
3. Institutional Review Board Policy
4. Academic Integrity Policy (also see
http://home.nau.edu/images/userimages/awf/9476/ACADEMIC%20DISHONESTY.pdf
5. Academic Contact Hour Policy
6. Sensitive Course Materials Policy
The Impaired Student policy will be strictly adhered to; there will be no tolerance in for any evidence
of substance abuse.
Effective Fall 2012
Effective Fall 2012