NURS 8500 Syllabus 1 Department of Nursing Doctor of Nursing Practice Program (DNP) NURS 8550: Underpinnings of the Discipline of Nursing Fall 2013 “We are learners and make no claim to have final answers, but rather a voice among many…. And offer this work, always in progress, To you… to deepen your understanding and as inspiration to your own thoughts and actions.” - Peggy Chin and Maeona Kramer Course Number NURS 8500 Course Title Underpinnings of the Discipline of Nursing Credit Hours 4 credits (Classroom) Contact Hours Course Placement 60 classroom hours First DNP Course Course Days/Time Fridays 5-9 p.m. & Saturdays 9 a.m.-4 p.m. Sept 6-7, Oct 11-12, Nov 1-2 & Dec 6-7 Fall 2013 Course Location Course Faculty Whitby Hall September 6-7: October 11-12: November 1-2: December 6-7: WHIT 121 WHIT 324 WHIT 121 WHIT 324 Judy Peters, DNP, RN, MSN Whitby Hall Phone: 651-690-6596 E-mail: judithpeters@stkate.edu Course Description Using an iterative, interactive, and innovative approach, students explore in this foundational DNP course the nature of knowledge development as it relates to the discipline of nursing. Emphasizing analysis and evaluation, investigatory frameworks are used to critically appraise knowledge in nursing and other disciplines. Integration of nursing science with knowledge from principles of social justice; ethics; and the biophysical, psychosocial, analytical, and organizational sciences leads to the development, implementation, and evaluation of new practice approaches. Using a wide array of knowledge, students will propose actions and strategies in nursing practice to enhance health. Prerequisites: Admitted to the DNP Program. Course Goals To articulate the nature of knowledge as it relates to the discipline of nursing, examine the teachings of social justice and ethics in our practice, and synthesize the learning’s to identify the role of the DNP and the work of a system’s level change project. Course Learning Outcomes Upon completion of this course, you will be able to: Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 2 Student Learning Outcomes Integrating Concepts Utilize essential criteria for evaluating the adequacy of disciplinary and interdisciplinary knowledge that informs nursing practice. Context and Environment Assessment Methods Theoretical Underpinnings Presentation Social Justice Presentation Demonstrate critically reflective thinking about scientific knowledge as it relates to disciplinary and interdisciplinary knowledge and principles of social justice. Knowledge and Science Articulate the nature of scientific knowledge as it relates to the discipline of nursing. Personal and Professional Development Identify areas for practice improvement based on disciplinary and interdisciplinary knowledge and evidence. Quality and Safety Theoretical Underpinnings Presentation Theoretical Underpinnings Presentation Social Justice Presentation Theoretical Underpinnings Presentation Systems Change Discussion Vision of DNP Role Analyze the expanding knowledge base that informs the DNP role. Relationship-Centered Care Theoretical Underpinnings Presentation Social Justice Presentation Vision of DNP Role Integrate disciplinary and interdisciplinary knowledge to evaluate new practice Teamwork Systems Change approaches. Discussion Please note. Student learning outcomes are related to academic and professional standards in nursing. Please refer to Appendix A for these relationships. Assignments in this course are designed to promote your achievement of these learning outcomes (please refer to “Course Assignments and Grading”). Teaching-Learning Activities Teaching-learning activities in NUR 8500 include (a) face to face and online class seminars, (b) small group work, (c) other online learning activities, (d) individual and/or group case studies, (e) written assignments, and (f) other collaborative learning activities. Please refer to “Roles and Responsibilities in the TeachingLearning Process” in the Doctor of Nursing Practice Program Student Policies. Faculty Expectations As faculty members, our responsibility is to ensure that you receive the best possible education and learning experiences. Therefore, students can expect from faculty members that we . . . Appreciate the diversity of our campus and respect the rights of each member. Show human concern for each of those with whom we work and study while presenting a positive attitude and professional demeanor. Be on time for class and return from scheduled breaks. Respond to e-mail messages and voice mail messages within 24-48 hours, except on weekends and holidays. Treat the students with courtesy. Refrain from any behaviors that may distract others. Minimize distraction and interruptions. This includes limiting private conversations, and keeping phones and pagers in a vibrate mode. Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 3 Understand that this class is a dynamic one, where disagreements may occur. Respect diverse opinions and listen politely when others are speaking. Give everyone a chance to contribute and value hearing all voices. Come prepared for the class and having thought about how the day's teaching-learning will unfold. Student Expectations To create an optimal respectful learning environment for everyone, your faculty members expect you to… Appreciate the diversity of our campus and respect the rights of each member. Show human concern for each of those with whom you work and study while presenting a positive attitude and professional demeanor. Be on time for class and return from scheduled breaks. Treat the faculty members and fellow students with courtesy. Refrain from any behaviors that may distract others. Minimize distraction and interruptions. This includes limiting private conversations, and keeping phones and pagers in a vibrate mode. Understand that this class is a dynamic one, where disagreements may occur. Respect diverse opinions and listen politely when others are speaking. Give everyone a chance to contribute and value hearing all voices. Accept the challenge of doctorate level studying, thinking, and learning. Anticipate that the level and quantity of work in this course may exceed your prior experiences. Come to class prepared, having read the assignment beforehand and having thought about how you can participate in that day's discussion. Course Schedule and Topical Outline Our course schedule and topical outline includes dates, topics, learning activities, readings and assignments. Class topics may be revised to address particular areas of interest related to this course. There are sessions to complete before class meeting time and there will be additional online discussion shared through D2L. Please note this is NOT a self-study course rather it requires extensive interactions with classmates and must be paced in a timely fashion to allow for colleagues interactions. The topical outline for this course will address the following content areas: Session Topic Readings & Assignments Please see D2L for Before View Before Class Being Known Assignment; submit via September Syllabus (Online) D2L by Thursday, September 5th. Class Writing Basics Achieving Focus in Writing; details in D2L. please bring your work with you to class on Saturday September 6th The Doctoral Role of Advanced Practice Nursing Read by Sept 6th and 7th Weekend 1 Friday September 6th 5-9 pm “The larger the island of knowledge, the longer the Creation of a scholarly community and The Role of the DNP 5-5:30 pm Welcome and Introduction Faculty and Students Doctor of Nursing Practice Program Department of Nursing ANA (2010). Guide to Code of Ethics for Nurses. American Association of Colleges of Nursing’s 2006 Essentials of Doctoral Education for Advanced Practice Nurses. http://www.aacn.nche.edu/DNP/pdf/E ssentials.pdf Doneley (2010) Nursing, Social Justice, NURS 8500 Syllabus 4 Session shoreline of wonder”. -Ralph Sockman Topic 5:30-7:00 pm Dinner Dialogue: Connecting with your advisors 7:30- 8:45 pm Large group discussion: “Unpacking NUR8500”, “the lived experience”, the nurse journey, leadership, change, and more Wrap-up (8:45-9:00 pm) Readings & Assignments and the Market Place Dreher, H. & Glasgow, M. (2011). Role Development for Doctoral Advanced Nursing Practice. Chapters 1-4. New York: Springer. Institute of Medicine (2010). The Future of Nursing: Leading change, Advancing Health. Report Recommendations. http://www.iom.edu/~/media/Files/Repo rt%20Files/2010/The-Future-ofNursing/Future%20of%20Nursing%202 010%20Recommendations.pdf Heath, C. & Heath, D. (2010). Switch: how to change things when change is hard. New York: Random House, Inc. NOTE: Your choice; you may substitute any of the Gladwell or Lennick books from the recommended text list for the reading of Heath and the work we will do in class related to the text. Reed, P. & Shearer, N. (2011). Nursing Knowledge and Theory Innovation. Advancing the Science of Practice. Chapters 1-3, 5 & 6. New York: Springer. Vincent, D., Johnson, C., Velasquez, D., & Rigney, T. (2010). DNP-prepared nurses as a practitioner-researchers: Closing the gap between research and practice. The American Journal for Nurse Practitioners, 14(11/12), 28-34. 1 Saturday September 7th 9am-4 pm 9-9:15 am Check-in, Questions, Discussion In class activities: 9:15-10:30 am Evolution of the discipline of nursing and the development of nursing knowledge; Being Known 1. Part 1: Writing Basics. Presenter Professor Pamela Fletcher. The recommended text(s) are: Publication manual of the American Psychological Association (7th ed.). Washington, DC. The Bedford Handbook (8th ed.) by Hacker and N. Somers. 10:45- noon Guest Speaker- Professor Pamela Fletcher-Part 1 Writing Basics Noon-12:45 pm (lunch) 12:45 – 2:00 pm Envisioning Practice Change: The Role of the DNP and Action Research to Improve Practice. Doctor of Nursing Practice Program Department of Nursing 2. The role of the DNP Watson, J. (2005). Guest editorial: What, may I ask is happening to nursing knowledge and professional practices? What is nursing thinking at this turn in human history? Journal of Clinical Nursing, 14, 913-914. Available from: http://pearl.stkate.edu/login?url=http://se arch.ebscohost.com/login.aspx?direct=tru NURS 8500 Syllabus 5 Session Topic 2:00-2:15 pm (break) Readings & Assignments e&db=rzh&AN=2009029778&site=ehost -live 2:15-3:30 pm Ways of Knowing and the Theoretical Underpinnings of the Discipline of Nursing 3. Reviewing literature Valente, S. (2003) Critical analysis of Research Papers. Journal for Nurses in staff Development, 19(3), 130-142. 3:30 – 4:00 pm Points of Possibilities 4. Fishbone Story Map and/or Mind Map for envisioning change as a DNP 5. Reflective Journal and the DNP Online Before October Class What is your lived experience that informs your practice vision as a DNP? Exploring theory that guides practice and change. Dreher, H. & Glasgow, M. (2011). Role Development for Doctoral Advanced Write a 3-5 page paper synthesizing your findings on the DNP role. Include a vision of your future role as a DNP. Submit via D2L by Saturday, September 21st . Chinn, P. & Kramer, M. (2011). Integrated theory and knowledge development in nursing (8th ed.). St. Louis: Mosby. (1) Choose a theory from the discipline of nursing and from another discipline that guides your practice and/or may serve to guide your systems change project. (2) Critique the theories using the criteria in Chinn & Kramer (2011) Chapter 8: Description and Critical Reflection of Empiric Theory. (3) Prepare a PowerPoint presentation to present in class Saturday October 12th on the learning’s derived from the theories you are choosing for your practice change. Submit via D2L. Reviewing literature and your annotated bibliography. Valente, S. (2003) Critical analysis of Research Papers. Journal for Nurses in staff Development, 19(3), 130-142. Weekend 2 Nursing Theory and Innovation Friday October 11th 5-9 pm 5:00-5:15 pm Check in In Class Activities: 1. Small group work- reviewing literature 2. Group Presentation-Peer Evaluation 3. Guest Speaker: Dr. Hunt 4. Other activities TBD 5:15 -6:30 pm Clarifying the concepts “Love to wonder, that is the seed of science” -Ralph Waldo Emerson DNP role development Knowledge and evidence that supports the role; critiquing theory and research for evidenced-based practice Paradigms and patterns 6:30-7:15 pm Break Doctor of Nursing Practice Program Department of Nursing Readings: Picard, C. & Henneman, E.A. (2007). Theory-guided evidence-based reflective practice: Nursing Science Quarterly, 20 (1), 39-42. Go to: http://dx.doi.org.pearl.stkate.edu, then enter doi:10.1177/0894318406296783 Purkis , M. & Bjornsdottir, K. (2006). Intelligent nursing: Accounting for NURS 8500 Syllabus 6 Session Topic 7:15-8:45 pm Discussion and small group activity Wrap-up (8:45-9:00 pm) 2 Saturday October 12th 9-4 pm “Wisdom begins in wonder” -Socrates 9-9:30 am Check-in, Questions, Discussion 9:30 am - noon Theory overview and presentations Noon – 12:30 pm Lunch 12:30-2:00 pm Determinants of health Guest Speaker: Dr. Roberta Hunt, Associate Professor of Nursing Break-(2:15 pm-2:30 pm) 2:30 -3:30 pm Discussion and activity What theoretical concepts might you identify that could be helpful in building theory to address the same health problems across different patients? Care gaps and practice paradigm, is there a connection? How do these entities inform change? How might you use the partnership approach to develop ideas for knowledge or theory development in your area of research and practice? Doctor of Nursing Practice Program Department of Nursing Readings & Assignments knowledge as action in practice, Nursing Philosophy, 7, 247-256. Go to: http://dx.doi.org.pearl.stkate.edu, then enter DOI: 10.1111/j.1466769X.2006.00283.x Reed, P.G. (2008). Practitioner as theorist: A reprise. Nursing Science Quarterly, 21(4), 315-321. Go to: http://dx.doi.org.pearl.stkate.edu, then enter doi:10.1177/0894318408324318 Reed, P.G. & Lawrence, L.A. (2008). A paradigm for the production of practicebased knowledge. Journal of Nursing Management, 16, 422-432.Available at: http://web.ebscohost.com.pearl.stkate.ed u/ehost/detail?vid=3&hid=9&sid=bfc19 81a-e42d-4d37-87d639e69737d5fd%40sessionmgr13&bdata =JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3 d#db=rzh&AN=2009893813#db=rzh& AN=2009893813 Read prior to October 12th class time and be prepared to discuss the following perspectives Leininger, M. (2007). Theoretical Questions and Concerns: Response From the Theory of Culture Care Diversity and Universality Perspective. Nursing Science Quarterly, 20 (9), 9-13. Wallace, B. (2008). Toward Equity in Health a new global approach to health disparities. New York: Springer. Chapters 2, 3, 4, 6 Rolfe, G. & Gardner, L. (2005). Towards a nursing science of the unique: Evidence, reflexivity and the study of persons. Journal of Research in Nursing, 10(3), 297-310. Go to: http://dx.doi.org.pearl.stkate.edu, then enter doi:10.1177/174498710501000306 Wilkinson, R. & Pickett, K. (2010). The Spirit Level: Why Greater Equality Makes Society Stronger. New York: Bloomsbury Press. Go to: www.gapminder.org, In the Video section, watch Hans Rosling’s presentation on “The seemingly impossible is possible.” Look at Gapminder World; choose different indicators on the x and y axes and follow them over time for select countries. Bring NURS 8500 Syllabus 7 Session Topic What ideas do you have about potential innovations or strategies in health care settings (your own or envisioned) that would support your activities as a knowledge producer in practice? What do you perceive are some potential benefits of practice based knowledge production in advancing patient care? Readings & Assignments your insights about data presentation to class. 3:30-4:00 pm Points of Possibilities Over the next month Continue to identify and engage key stakeholders in the identification of the problem to be addressed and ideal components of your system change project Continue your literature review and critique; annotated bibliography work underway Begin to think about evaluation in your project Reed, P. & Shearer, N. (2011). Nursing Knowledge and Theory Innovation. Advancing the Science of Practice. Chapters 7-12. New York: Springer. Submit a 2-3 page Brief that reflects your thinking on the underpinnings of nursing knowledge. Submit via D2L by November 1st. Reed & Shearer may be used as a resource. Consider at least three of the following concepts in your reflection: Epistemology, patterns of knowing… The ontology of nursing…. Nursing Praxis, philosophy, and knowledge development (existing or what might be possibly)… What worldview or philosophic views seem congruent with your practice … How do you use theory, conceptual models, and evidenced in your practice, and/or, how might you use them in your systems change project… Online Before November Class Exploration into the relationship of ethics, theory, practice and research in the discipline of nursing. Readings Wallace, B. (2008). Toward Equity in Health a new global approach to health disparities. Chapters 5, 13, 17 & 31. New York: Springer. Ethics articles in D2L Writing Basics (Part II) Doctor of Nursing Practice Program Department of Nursing Achieving Focus in Writing; details in D2L. please bring your work with you to class on Saturday November 2nd, 2013 NURS 8500 Syllabus 8 Session Topic Weekend 3 Friday November 1st 5 – 9 pm Ethics, Nursing Science, Practice and the “Participants” “There is no greater agony than bearing an untold story inside you.” -Maya Angelou Readings & Assignments 5:00-5:15 Check In This weekend in class activities: 1. Guest Speakers 2. Writing for publication and systems change preparation 3. View: “A Hole in the Head: A Life Revealed” 5:15-6:45 pm Guest Speaker Dr. Margaret Dexhemier-Pharris, Associate Dean of Nursing, SCU Readings Chinn, P. & Kramer, M. (2011). Integrated theory and knowledge development in nursing (8th ed.), Chapter 4. St. Louis: Mosby. What unique roles may practicing nurses have in nursing scholarship and knowledge development? In thinking about the term “evidenced based nursing”, what do you consider to be most useful and valuable resources of evidence for your own practice? In considering the above, how have you considered the patterns of knowing when making clinical ethical decisions; describe a situation and how the various patterns were reflected 7:00-8:30 pm Book talk and reflections- “A Hole in the Head: A Life Revealed” Institutional Review Board and Guiding Principles for the Protection of Human Participants Resilience of the human spirit Lessons learned from our past Dreher, H. & Glasgow, M. (2011). Role Development for Doctoral Advanced Nursing Practice. Chapters 10, 13, 16, 18. New York: Springer. Milton, C. (2007). Information and Human Freedom: Nursing Implications and Ethical Decision-Making in the 21st Century. Nursing Science Quarterly, 20 (1), 33-36. Reed, P. & Shearer, N. (2011). Nursing Knowledge and Theory Innovation. Advancing the Science of Practice. Chapters 4 & 10. New York: Springer. Washington, H.A. (2006). Medical apartheid: The dark history of medical experimentation on Black Americans from colonial times to the present. New York: Harlem Moon. Watson, J. (2005). Caring Science: Belonging Before Being as Ethical Cosmology. Nursing Science Quarterly, 18(4), 304-305. 8:30- 9:00 pm Wrap up Saturday November 2nd 9 am – 4 pm 9:00-9:15 Check in 9:15-10:45 Guest Speaker Professor Pamela Fletcher- Part 2: Writing for publication and writing that builds for systems change project 11:00- 12:15 pm Continuing the conversation on Doctor of Nursing Practice Program Department of Nursing Publication manual of the American Psychological Association (7th ed.). Washington, DC. The Bedford Handbook (8th ed.) by Hacker and N. Somers. Crigger, N. J. (2008). Towards a viable and just global nursing ethic. Nursing Ethics, 15(1), 17-27. NURS 8500 Syllabus Session 9 Topic nursing as a caring science and the readings Readings & Assignments International Council of Nurses’ Code of Ethics 12:15 -1:00 pm Lunch International Council of Nurses (2006). The ICN Code of Ethics for Nurses. Available at: www.icn.ch/ethics.htm 1:00 – 3:00 pmLarge Group Exercise Considerations of worldview, ethics and philosophical paradigms for nursing practice Sagor,R. (1992). How to conduct collaborative action research. Alexander, Virginia: Association for Supervision and Curriculum Development (pp. 1-27- through problem formulation, & pp.46-47, the role of a critical friend). Storch, J.L., Rodney, P., Paul, B., Brown, H. & Starzornski, R. (2002). Listening the nurse’s moral voice: building a quality health environment. CJNL, 15(4), 7-16. Online Before December Class “Words mean more than what is set down on paper. It takes the human voice to infuse them with deeper meaning.” -Maya Angelou Social Justice/catholic social teaching and nursing will be explored throughout our learnings this month. Reflection on historical roots of structural violence and the impact of racism on health to inform DNP leadership. Do an online search of social justice/catholic teaching and nursing. Prepare a brief power point (incorporate the readings). Reflect on what social factors shape inequality as it relates to your project, and discuss your projects role in reducing and/or eliminating health disparities. Post your PowerPoint via D2L under Discussion Board: “Social Justice and CST” by Dec. 6, 2013 (Leadership) Your choice pick: select any one option below; the work would be seeking to share insight on methods to expand our connection, thought, and dialogue giving voice and foundation of possibilities for informed system change that considers the concepts of social justice/ catholic social teachings and ethics... Weekend 4 Friday December Social Justice and Determinants of Health Doctor of Nursing Practice Program Department of Nursing Farmer, P. (2005). Pathologies of power: health, human rights and the new war on the poor. University of California Press. Skloot, R. (2010). The immortal life of henrietta lacks. New York: Random House. A favorite poem, piece of literature, text, etc. that gives voice and discussion to the impact of racism on health In class activities this weekend: 1. Small/large group activity 2. View: Unnatural Causes-In sickness and NURS 8500 Syllabus Session 6th 5-9 pm 10 Topic 5:00-6:30pm Structural violence and health inequities: Implications for the discipline of nursing 7-8:45pm Social Justice, the corner stone of practice. Exercises to: Know the community, Facilitate difficult questions, discussion, and dialogue. Honor the table Readings & Assignments In Wealth 3. Guest Speaker(s): Dr. Amata Miller , TBD 4. Presentation on social justice: Peer Evaluation 5. Student option Readings Wallace, B. (2008). Toward Equity in Health a new global approach to health disparities. New York: Springer. Chapters 1, 9, 10, 11, 12, 16, 18 &22 Wrap-up (8:45-9:00 pm) 4 Saturday December 7th 9 am – 4 pm “We ourselves feel that what we are doing is just a drop in the ocean. But the ocean would be less because of that missing drop.” -Mother Theresa 9:00 -9:15 am 9:15- 11:00 am Guest Speaker: Dr. Amata Miller, IHM, Professor of Economics and Director of the Myser Initiative on Catholic Identity: Laying the foundation to envision just system change-the lens of social justice and catholic social teaching. 11:15 – 12:30 pm Social Justice: Analyzing Historical Roots of Structural Violence and Impact of Racism on Health to Inform DNP Leadership; Presentations on social justice Donley, R. (2010, May-June). Nursing, social justice, and the marketplace. Health Progress, 91(3),35-37.Available at: http://www.chausa.org/2010_annual_in dex.aspx Marmot, M., Friel, S., Bell, R., Houweling, T.A.Newman, & Taylor, S. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet, 372(9650), 1161-1097. Go to: http://dx.doi.org.pearl.stkate.edu, then enter: doi:10.1016/S01406736(08)61690-6 Satcher, D. (2010). Include a social determinants of health approach to reduce health disparities. Public Health Reports, 125(Supplement 4), 6-7. PDF available through SCU library, Freely Accessible Science Journals View Unnatural Causes: In Sickness and In Wealth 12:30 -1:15 pm Lunch 1:15 – 2:45 pm Guest Speaker How do we practice? What is our voice? .... Shall we dance? 3:00 – 3:45 pm Small Group Project Presentations on social justice Doctor of Nursing Practice Program Department of Nursing Submit through D2L on or before December 13th 1. A brief summary of your major insights and areas of growth related to the Underpinnings of Nursing Knowledge as evidenced in your reflective journal; APA format NURS 8500 Syllabus 11 Session Topic Readings & Assignments 2. Annotated bibliography 3:45 – 4:00 pm Onward Share the learning, the questions and the joy! Please note. The topical outline may be revised to address emergent issues and/or particular areas of interest related to the course topic. Potential revisions will be posted on the D2L course site. Class content may also be modified for online sessions based upon learning needs of course participants and considerations related to course objectives. Course Assignments and Grading Course assignments, assigned points, and due dates are available for first class session. Assignments are designed to facilitate your achievement of the course learning outcomes and ability to demonstrate specific professional standards and competencies. Rubrics are used to evaluate course assignments. Assignments Percent Grade Assignments for NUR8500 Discernment, Reflection, and Vision on the Role of the DNP Theoretical Underpinnings Presentation and Brief (Leadership) Social Justice Presentation (Leadership) Seminar Participation Online Discussions Initiate and maintain course journal, Major Insights on the Underpinnings of Nursing Knowledge, and annotated bibliography Total 15% 20% 15% 20% 15% Points 15 points 20 points 15 points 20 points 15 points 15% 15 points 100% 100 points Due Date September 21st October 12th ppt November 1st Brief December 6th As assigned As Assigned in D2L December 13th 2013 Assignments: Students are responsible for completing all course assignments and learning activities. Course assignments are due at (11:59 PM) on the scheduled due date. Please submit written assignments by using the Desire2Learn (D2L) course site. Assignments and papers will be returned on the specified date. Late assignments will not be accepted unless you notify Dr. Peters by e-mail (judithpeters@stkate.edu) or call (651-690-6596) prior to when the assignment is due. Thank you! Additional comments on assignments Discernment, Reflection and Vision on the DNP Role Purpose: To demonstrate the student’s ability to write a scholarly review of the literature as it relates to the DNP role. Through that writing, the student will articulate how the role will enhance the student’s professional practice. Responsibilities: Each student will do a search of the literature on the DNP role, analyze the findings, and write a brief scholarly paper synthesizing the findings. Papers will be written following APA (2010) format. The specific focus of the paper will be determined by the student and will end with an articulation of the student’s enhanced role. (Paper) Theoretical Underpinnings Presentation and Brief Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 12 Purpose: To give student a medium to present on their critical reflection of nursing theory and other theories that guide the student’s practice now or are possibilities for use in their system change project. The student will provide insight to DNP colleagues on the synthesis of their learning on theory, philosophy, knowledge development, world views as foundations of system change. Responsibility: Using PowerPoint, the student will deliver the course content on the above topic. This leadership activity includes (1) critiquing the adequacy of the scientific theory and nursing knowledge addressed in the readings, (2) utilizing the readings to engage peers in dialogue, and (3) demonstration of the incorporation of the application into practice and/or a practice perspective (PowerPoint/ Brief). Social Justice Presentation Purpose: To give space for each student’s voice on social factors that shape inequality within their practice, and to explore possibilities in reducing and/or eliminating health disparities. Responsibility: Each student will review the literature on social justice/Catholic Social teachings, health disparities, and ethics in practice. Through the readings, their understanding, and practice focus deliver a presentation to their DNP colleagues articulating (1) what social factors shape inequality as it relates to your work and, (2) the vision you have for the reduction and/or elimination of health disparities through your work/system change project (PowerPoint). Seminar Participation and Leadership Purpose: To articulate the nature of knowledge as it relates to the discipline of nursing and engage in ethical analysis by participating in the class session dialogue and presentation. Responsibility: Participation for each student is (1) class room discussion each session, (2) completion of readings as assigned for the session, and (3) the use of criteria to evaluate the adequacy of the theoretical knowledge addressed in the readings for the session. Demonstrate active voice with seminar questions by providing clinical application examples or perspectives germane to the topic. Online Discussion Purpose: To provide a medium for conversations, ideas, and possibility with and for advance learning on the topics of NUR8500. Responsibility: Each student will participate in online discussions, reading and assignment work throughout the semester as assigned. Reflective Journal, Practicum log, and Major Insights on the Underpinnings of Nursing Knowledge Purpose: To provide space for self-reflection on readings, learning’s, discussion, speakers, and possibilities for system change. To capture practicum component experience that informs system change work. Responsibility: Each student maintains their journal space throughout the semester. The student will write a brief executive summary of the transformation in their learning and collegiate experiences in NUR8500. Annotated Bibliography Purpose: To create a collection of sources that informs the student’s critical thinking on their research topic for system change. To provide a perspective of what the literature states on the topic for discernment and application in your work. Responsibility: The student creates a bibliography with annotations that summarize findings, assess the quality, and possibly reflect the learning’s from the research. The student will use their annotations to guide their system change work. In conjunction with NUR8500, the student is enrolled in evaluation and practicum course work. Students collaborate with their DNP project advisors in designing their projects. Dialogue and work completed in NUR8500 correlates and supports discussions the student will engage in with his/her advisor in preparation for their system change project work and writing. For the Practicum component of this course, each student is to spend a minimum of 60 total hours on the system change project; the details of that work will be reviewed by each student’s advisor. For accountability purposes, each student will initiate and maintain a log (found in the DNP project handbook) of project hours and activities. Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 13 Grading Policy: NURS 8500 must be taken for a grade and must be satisfactorily completed with a minimum grade of B (87% of the total possible points). A minimum grade of C (78% of total possible points) must be achieved for each course assignment. Assignments may be resubmitted once if not completed satisfactorily the first time (if evaluation of assignment is <78% possible points). Resubmitted assignments receive a maximum of 78% of total possible points for that assignment. If you have questions about how to complete a particular assignment, please contact Dr. Peters. Grading Scale: Grades in NURS 8535 are determined as follows: A 96-100% B+ 90-92% A- 93-95% B 87-89% Passing B- 84-86% C+ 81-83% C 78-80% C- 75-77% D+ 72-74% D 69-71% F 68% and below Incomplete Grades: A grade of incomplete is given only when unusual circumstances deem it appropriate. Ordinarily, such circumstances would involve matters that are not wholly within your control, such as illness. If you wish to receive an incomplete grade you must complete a Petition for Incomplete Grade form (available online) no later than the last day of the term in which course requirements are due. You must be making satisfactory progress in the course and you must have completed 75% of the course at the time the petition is filed. Incompletes are awarded at the faculty’s discretion. If granted, the normal deadline for completion of the work is no more than 8 weeks after the last day of classes in the term in which the course is offered. The course faculty may establish a due date after the normal deadline if you request it and special circumstances warrant it. The faculty will submit an alternate grade that will automatically be recorded if you do not complete the requirements for the course by the deadline. If you complete the course requirements in the time allotted, the faculty must submit the final grade by the deadline. Extensions to the due date originally agreed to by you and your course faculty must be approved by the academic dean. Course Policies Additional policies related to this course may be found in the Doctor of Nursing Practice Program Student Policies located in the online Nursing Student Handbook. Academic Integrity: Please refer to the “Academic Integrity Policy” in the Graduate Academic Catalog. Accommodations: St. Catherine University is committed to equal access for all and recognizes that disability is an aspect of diversity. The University’s goal is to create learning environments that are usable, equitable, inclusive, and welcoming. If there are aspects of the instruction or design of this course that result in barriers to the learning environment, accurate assessment, or your achievement, please contact me and the Resources for Disabilities office as soon as possible. Access Consultants can be reached in the O’Neill Center at 651.690.6563 to discuss academic adjustments or accommodations. Attendance: Regular class attendance is expected and is defined by the format of the course. For online courses, attendance means following the communication requirements and due dates on the syllabus. For in-class learning, attendance means that (a) you arrive at class on time and stay for the duration of the class; and (b) whether present or not, you are responsible for in-class content. For hybrid courses, you must follow both the online and in-class attendance requirements. Failure to attend, for any reason, may be taken into account in the evaluation of your work. First day attendance (for in-class) or first week online communication (for online learning) is required. If you will be late or absent for a class session, please e-mail or call Dr. Peters prior to class (judithpeters@stkate.edu or call (651-690-6596). Failure to regularly attend class sessions will result in Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 14 implementation of the Performance Issue Algorithm/Guided Improvement Plan described in the Doctor of Nursing Practice Program Student Policies. Course Communication: Please check your St. Kate’s e-mail for messages and updates related to the course frequently (at least every 2-3 days). Faculty will respond to e-mail messages and voice mail messages within 24-48 hours, except on weekends and holidays. You are encouraged to discuss optimal means of communication with course faculty. Grades will be posted in the online grade book on the D2L site. Evaluation: Evaluation is an essential component of this course. Informal and formal evaluations will be conducted during the course and evaluative data will be used by faculty to improve the course and ensure that learning is being facilitated through teaching-learning activities and course assignments. Online course and faculty evaluations are completed at the end of this course. Information about how to complete these online evaluations will be sent by the Department of Nursing staff, usually during the final week of the term or before the final class session. Please note. Final course evaluations are confidential, only the Department of Nursing staff have access to individual responses; only aggregated data are reported to faculty. Inclusivity:1 Nurses are called to promote human dignity. In order to be aware of the ever changing environment in nursing and health care, an open dialogue must be able to occur in a non-threatening environment in which students and faculty can engage in discussions that are taking place, challenge comments that are made, and evaluate aspects of the structural environment that support injustice. Bringing attention to expressions of cultural bias is a way to model against stereotyping. At any time, a moment of consideration can be called. This can and should be called by anyone, student or faculty, in order to facilitate needed conversation around sensitive issues. These moments are times for all of us to learn how to become more sensitive in our language and actions. Such dialogues may pertain to stereotypes related to “race,” sex, religion, gender identity, sexual preference, weight, economic status, and anything that can impact the dignity of persons, including equitable treatment of patients and students. These moments of consideration should be freely addressed in the classroom and are an essential aspect of learning in this course. Professional Standards Faculty in the Department of Nursing use professional nursing standards in the development, implementation, and evaluation of curricula, as well as to promote and evaluate student learning. In the Doctor of Nursing Practice Program, professional standards include: Code of Ethics for Nurses with Interpretive Statements (ANA, 2001) Core Competencies of Nurse Educators (NLN, 2005) International Council of Nurses Code of Ethics for Nurses (ICN, 2012) Core Competencies for Interprofessional Collaborative Practice (Interprofessional Education Collaborative Expert Panel, 2011) The Essentials of Doctoral Education for Advanced Nursing Practice (AACN, 2006) NLNAC Accreditation Standards and Criteria: Clinical Doctorate Programs (NLNAC, 2013) Nursing: Scope and Standards of Practice, 2nd Edition (ANA, 2010) Nursing Professional Development: Scope and Standards of Practice (NNSDO & ANA, 2010) Nursing’s Social Policy Statement: The Essence of the Profession (ANA, 2010) Quality and Safety Education for Nurses: Graduate Competencies (QSEN, 2012) Writing and Technology Requirements 1 This statement is based on a statement written by NURS 6790 student, Maria Kludt (Spring 2009). Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 15 The ability to write, use technology, and communicate effectively is essential in nursing. Professional nursing standards and competencies for nursing practice specifically address these skills. Courses in the Doctor of Nursing Practice Program in Nursing are designed to provide opportunities for you to learn and develop these abilities. In NURS 8500, written assignments will be evaluated by faculty for (a) the logical flow of ideas and organization of content; (b) spelling, grammar, and punctuation; and (c) the use of American Psychological Association (APA) style described in the Publication Manual of the American Psychological Association (American Psychological Association, 2010). If specific concerns are identified, you will be encouraged to seek assistance with your professional writing skills, including the use of APA style. Congruence with the Mission of St. Catherine University NURS 8500 advances the “Goals of a Liberal Arts Education” at St. Catherine University by challenging you to examine the teachings of social justice and ethics in your practice, and synthesize the learning’s to identify the role of the DNP and the work of a system’s level change project. . Each of the “Goals of a Liberal Arts Education” is related to one or more of the course objectives and consistent with the teaching and learning activities used in this course. Appendix A presents these relationships. Textbooks and Course Materials Required texts for this course include: All text below will have assigned readings this semester, except for those indicated by (*). Those indicated by (*) will be used as a reference text in NUR8500 and in subsequent DNP courses. American Nurses Association. (2001). Code of ethics for nurses and interpretive statements. Washington, D.C.: Author. (*) American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, D.C.: Author. (*) Chinn, P. & Kramer, M. (2011). Integrated theory and knowledge development in nursing, 8th edition. St. Louis: Mosby. ISBN: 9780-323-0778-7. Dreher, H. & Glasgow, M., (2011) Role development for doctoral advanced nursing practice. New York: Springer. Hacker, D. & Sommers, N., (2010). The bedford handbook (8th ed.). Beford: St. Martins. (*) Heath, C. & Heath, D. (2010). Switch: how to change things when change is hard. New York: Random House, Inc. ISBN: 978-0-385-52875-7. Reed, P. & Shearer, N. (2011). Nursing knowledge and theory innovation, advancing the science of practice. New York: Springer. ISBN: 978-0-8261-0815-9. Wallace, B. (2008). Toward Equity in Health a new global approach to health disparities. New York: Springer. Washington, H.A. (2006). Medical apartheid: The dark history of medical experimentation on Black Americans from colonial times to the present. New York: Harlem Moon. ISBN-13: 9780767915472 Required Readings: American Association of Colleges of Nursing (2006). Essentials of Doctoral Education for Advanced Practice Nurses. Available at: http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf Crigger, N. J. (2008). Towards a viable and just global nursing ethic. Nursing Ethics. 15(4), 17-27. Donley, R. (2010, May-June). Nursing, social justice, and the marketplace. Health Progress, 91(3),35-37.Available at: http://www.chausa.org/2010_annual_index.aspx Institute of Medicine (2010). The Future of Nursing: Leading change, Advancing Health. Report Recommendations. http://www.iom.edu/~/media/Files/Report%20Files/2010/The-Future-ofNursing/Future%20of%20Nursing%202010%20Recommendations.pdf International Council of Nurses (2006). The ICN Code of Ethics for Nurses. Geneva, Switzerland: Author. Available at: http://www.icn.ch/images/stories/documents/about/icncode_english.pdf Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 16 Institute of Medicine (2010). The Future of Nursing: Leading change, Advancing Health. Report Recommendations.http://www.iom.edu/~/media/Files/Report%20Files/2010/The-Future-ofNursing/Future%20of%20Nursing%202010%20Recommendations.pdf Leininger, M. (2007). Theoretical Questions and Concerns: Response From the Theory of Culture Care Diversity and Universality Perspective. Nursing Science Quarterly, 20 (9), 9-13. Marmot, M., Friel, S., Bell, R., Houweling, T.A.Newman, & Taylor, S. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Lancet, 372(9650), 1161-1097. Go to: http://dx.doi.org.pearl.stkate.edu, then enter: doi:10.1016/S0140-6736(08)61690-6 Milton, C. (2007). Information and Human Freedom: Nursing Implications and Ethical Decision-Making in the 21st Century. Nursing Science Quarterly, 20 (1), 33-36. Picard, C. & Henneman, E.A. (2007). Theory-guided evidence-based reflective practice: Nursing Science Quarterly, 20 (1), 39-42. Go to: http://dx.doi.org.pearl.stkate.edu, then enter doi:10.1177/0894318406296783 Purkis , M. & Bjornsdottir, K. (2006). Intelligent nursing: Accounting for knowledge as action in practice, Nursing Philosophy, 7, 247-256. Go to: http://dx.doi.org.pearl.stkate.edu, then enter DOI: 10.1111/j.1466769X.2006.00283.x Reed, P.G. (2008). Practitioner as theorist: A reprise. Nursing Science Quarterly, 21(4), 315-321. Go to: http://dx.doi.org.pearl.stkate.edu, then enter doi:10.1177/0894318408324318 Reed, P.G. & Lawrence, L.A. (2008). A paradigm for the production of practice-based knowledge. Journal of Nursing Management, 16, 422-432.Available at: http://web.ebscohost.com.pearl.stkate.edu/ehost/detail?vid=3&hid=9&sid=bfc1981a-e42d-4d37-87d639e69737d5fd%40sessionmgr13&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzh&AN=200989381 3#db=rzh&AN=2009893813 Rolfe, G. & Gardner, L. (2005). Towards a nursing science of the unique: Evidence, reflexivity and the study of persons. Journal of Research in Nursing, 10(3), 297-310. Go to: http://dx.doi.org.pearl.stkate.edu, then enter doi:10.1177/174498710501000306 ^Sagor, R. (1992). How to conduct collaborative action research. Alexandria, Virginia: Association for Supervision and Curriculum Development (1-27& 46-47). Satcher, D. (2010). Include a social determinants of health approach to reduce health disparities. Public Health Reports, 125(Supplement 4), 6-7. PDF available through SCU library, Freely Accessible Science Journals Valente, S. (2003) Critical analysis of Research Papers. Journal for Nurses in staff Development, 19(3), 130-142. Vincent, D., Johnson, C., Velasquez, D., & Rigney, T. (2010). DNP-prepared nurses as practitionerresearchers: Closing the gap between research and practice. The American Journal for Nurse Practitioners, 14(11/12), 28-34. Watson, J. (2005). Guest editorial: What, may I ask is happening to nursing knowledge and professional practices? What is nursing thinking at this turn in human history? Journal of Clinical Nursing, 14, 913-914. Available from: http://pearl.stkate.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2009029 778&site=ehost-live Watson, J. (2005). Caring Science: Belonging Before Being as Ethical Cosmology. Nursing Science Quarterly, 18(4),304-305. ^faculty will provide article Resource Texts (not required) - opportunity may present for student to use a text below as part of reader’s choice options for discussion café’s or independent presentation work…. Garrard, J. (2011). Health sciences literature review made easy: The matrix method (3rd ed.). Sudbury, MA: Jones and Bartlett. ISBN-13: 9780763771867 Gladwell, M. (2008). Outliers: the story of success. New York: Little, Brown and Company. ISBN: 9780-316-01792-3. Gladwell, M. (2005). Blink: the power of thinking without thinking. New York: Little, Brown and Company. ISBN: 978-0-316-17232-4. Gladwell, M. (2002). The tipping point: how little things can make a big difference. New York: Little, Brown and Company. ISBN: 978-0-316-31696-2. Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 17 Farmer, P. (2005). Pathologies of Power: Health, human rights and the new war on the poor. University of California Press. ISBN: 9780520235502 Lennick, D. & Kiel, F. PhD. (2008). Moral intelligence: Enhancing business performance and leadership success. New Jersey: Pearson-Prentice-Hall. ISBN-10: 0132349868 Skloot, R. (2010). The immortal life of henrietta lacks. New York: Random House. Weinberger, D. (2012). Too Big to Know: Rethinking Knowledge Now That the Facts Aren't the Facts, Experts Are Everywhere, and the Smartest Person in the Room Is the Room. New York: Basic Books. ISBN: 978-0-465-02142-0. Learning Resources Parker, M. & Smith, M.E. (2010). Nursing theories and nursing practice (3rd ed.). Philadelphia, PA: F.A. Davis. ISBN-13: 978-0-8036-2168-8 Masters, K. (2012). Nursing Theories: a framework for professional practice. Sudbury, MA.: Jones & Bartlett Learning. ISBN: 9781449626013. E-mail and D2L will be used for communication among faculty and class participants and for access and distribution of class materials. Please go to our D2L course site for course announcements and course learning resources, including course documents, websites related to course content, and other helpful information. Please let me know if you have any questions about our course syllabus. Thank you! Dr. Peters Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 18 Appendix A Relationship of Student Learning Outcomes to Academic and Professional Standards Integrating Concepts Context and Environment (CE) Knowledge and Science (KS) Personal and Professional Development (PD) Quality and Safety (QS) Related Student Learning Outcomes ¹Liberal Arts Goals ²Essentials of Doctoral Education Utilize essential criteria for evaluating the adequacy of disciplinary and interdisciplinary knowledge that informs nursing practice. Phenomena of Nursing Essential I: Scientific Underpinnings for Practice Ethics and Social Justice DisciplineBased Competence Demonstrate critically reflective thinking about scientific knowledge as it relates to disciplinary and interdisciplinary knowledge and principles of social justice. Articulate the nature of scientific knowledge as it relates to the discipline of nursing. Critical Thinking Critical & Creative Inquiry Ethics and Social Justice Essential I: Scientific Underpinnings for Practice Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice Communication Critical & Creative Inquiry Ethics and Social Justice Essential IV: Information Systems/Technology and Patient Care Technology Essential VIII: Advanced Nursing Practice Identify areas for practice improvement based on disciplinary and interdisciplinary knowledge and evidence. QSEN (IOMb) Evidence-Based Practice (Evidence-Based Practice) Interprofessional Competencies Nurse Practitioner Core Competencies Values/Ethics Ethics Interprofessional Communication Scientific Foundation Competencies Health Delivery System Systems Diversity and Global Perspectives; Leadership and Collaboration; Evidence-Based Practice ALL (Evidence-Based Practice) Evidence-Based Practice; Informatics (Evidence-Based Practice; Informatics) Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking Essential V: Health care policy for advocacy in health care Essential VII: Clinical prevention and population health for improving the nation’s health Quality Improvement Safety Scientific Foundation Competencies Practice Inquiry Competencies Roles/ Responsibilities Leadership Competencies Technology and Information Literacy Competencies Ethics Practice Inquiry Roles/ Responsibilities Quality Competencies Health Delivery System Competencies (Quality Improvement) Policy Independent Practice RelationshipCentered Care (RC) Teamwork (TW) Analyze the expanding knowledge base that informs the DNP role. Integrate disciplinary and interdisciplinary knowledge to evaluate new practice approaches. Role(s) Ethics and Social Justice Leadership and Collaboration Therapeutic Interventions Discipline-Based Competence; Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking Essential V: Health care policy for advocacy in health care Essential VI: Interprofessional collaboration for improving patient and population health outcomes Patient-Centered Care Essential II: Organizational and Systems Leadership for Quality Improvement and Systems Thinking Essential VI: Interprofessional Collaboration for Improving Patient and Population Health Outcomes Essential VII: Clinical prevention and population health for improving the nation’s health Essential VIII: Advanced nursing practice Teamwork and Collaboration ALL (Patient-Centered Care) Leadership Independent Practice Competencies Ethics Leadership (Inter-disciplinary Teams) Interprofessional Communication Teams/Teamwork Health Delivery System Leadership Competencies Health Delivery System Competencies Core Competencies of Nurse Educators II. Facilitate Learner Development and Socialization VII. Engage in Scholarship VIII. Function within the Educational Environment I. Facilitate Learning VII. Engage in Scholarship V. Function as a Change Agent and Leader VI. Pursue Continuous Improvement in Nurse Educator Role VII. Engage in Scholarship III. Use Assessment and Evaluation Strategies IV. Participate in Curriculum Design and Evaluation of Program Outcomes VI. Pursue Continuous Quality Improvement in Nurse Educator Role I. Facilitate Learning II. Facilitate Learner Development and Socialization VI. Pursue Continuous Quality Improvement in Nurse Educator Role V. Function as a Change Agent and Leader VIII. Function within the Educational Environment Please note. ¹Liberal Arts Goals are defined in the table on the following page. A description of each ²essential is found at http://www.aacn.nche.edu/DNP/pdf/Esential Doctor of Nursing Practice Program Department of Nursing NURS 8500 Syllabus 19 St. Catherine University: Liberal Arts Themes, Goals, and Outcomes Leadership and Collaboration: The ability to lead and influence for ethical and responsible action and for systemic change; the ability to work well with others, especially in joint intellectual effort. Ethics and Social Justice: The ability to apply ethical standards to judge individual and collective actions; the development of attitudes and behaviors that reflect integrity, honesty, compassion, and justice in one’s personal and professional life. Diversity and Global Perspectives: The ability to understand and analyze the impact of diversity and systems of power and privilege on the individual and society; the ability to decipher and honor multiple and global perspectives in creating mutual understanding; the ability to imagine and take action towards justice. Critical and Creative Inquiry: The ability to gather, analyze and critically evaluate information to develop reasonable arguments, sound judgments, and effective solutions. This ability is founded on a broad knowledge of the achievements of human creativity and of the variety of disciplinary approaches for exploring truths. Liberal Arts Themes, Goals, and Outcomes Students will demonstrate leadership and collaboration by their ability to: a) act from a strong self-concept; b) transform information into knowledge and knowledge into judgment and action; c) make timely and relevant decisions based on sound reasoning; d) discern consequences, including ethical consequences, of decisions and actions; e) articulate a positive sense of direction and evoke hope; f) work well in teams and work groups of diverse composition, building consensus and integrating conflict resolution strategies. Students will demonstrate a commitment to ethics and social justice by: a) understanding principles of ethics and social justice from multiple perspectives; b) understanding Catholic Social Teaching and the Catholic commitment to social justice; c) applying ethical and justice frameworks to contemporary issues; d) exhibiting personal and academic integrity; e) practicing social responsibility through community engagement, citizenship and advocacy. Students will demonstrate a commitment to diversity and global perspectives by their ability to: a) understand the experiences and contributions of women across history and cultures; b) recognize the historic and current relationships within and among cultural communities, locally, nationally, and globally; c) identify and critically analyze the intersections and impact of race/ethnicity, gender, social class, religion, sexual orientation, age, ability and other differences on identity, experience, and systems of power and privilege; d) understand how economic, social, religious and political systems interact and how those systems vary across societies; e) understand the interrelationships between nature and humans and develop eco-centric perspectives; f) increase critical cultural competencies and cultural responsiveness through engaging with multiple communities; g) take action to dismantle systems of oppression and build a more just world. Students will demonstrate critical and creative inquiry by their ability to: a) locate appropriate information from a variety of sources and evaluate its relevance and reliability; b) organize, describe, interpret, and integrate both qualitative and quantitative information; c) shape ideas and discern meaning from experience, observation, imagination, and passion; d) analyze complex issues and arguments in various intellectual contexts (scientific, aesthetic, philosophical, etc.) and evaluate the validity and soundness of such arguments; e) develop and evaluate action plans for solving significant social and intellectual problems; f) demonstrate breadth of knowledge of the major accomplishments of human endeavors and of the distinct methods of exploring truths (in the natural sciences, social sciences, and the arts and humanities); * g) identify and interpret similarities and differences among various disciplinary approaches and examine the relationships among them. * Breadth of knowledge applies to all degrees except the graduate degrees, where the focus is on in-depth development of disciplinary skills. Students will demonstrate discipline-based competence by their ability to: Discipline-Based Competence**: The ability to a) use in-depth knowledge and engage key ideas in at least one field of study; demonstrate in-depth knowledge, b) exercise disciplinary methods and skills, and carry out research or learn independently in that field; values and skills in at least one c) develop disciplinary perspective and identity, including an understanding of the route to acquiring knowledge in that major field of study and to relate discipline; disciplinary approaches to those d) identify and analyze similarities and differences between the student’s major field and other disciplinary approaches. of other fields. **Discipline-Based Competence applies to all degree programs except the Associate of Arts Degree Program. Students will demonstrate effective communication by the ability to: Effective Communication in a Variety of Modes: The ability to a) read, view, and listen with understanding and critical discernment; read, write, speak and listen b) organize, evaluate, and communicate ideas effectively through writing and public speaking to various audiences; effectively; the ability to present c) prepare and present information visually and through the use of technology; information in a clear and d) find expression in fine, literary, and performing arts; engaging manner. e) develop and put into practice interpersonal, group, and cross-cultural communication skills and listening skills; f) show competency in a second language (applies only to bachelor’s degree). Students will demonstrate a commitment to purposeful life-long learning by: Purposeful Lifelong Learning: The ability to continue personal a) assuming responsibility for their own learning; and professional development b) engaging in and reflecting on opportunities that prepare for life after college; based on ongoing self-assessment, c) practicing a variety of methods of learning, including reading and research, observing and listening, self-assessment feedback from others, and new and feedback, work and life experience; learning. d) developing knowledge and strategies for maintaining a balance of body, mind and spirit; e) reflecting on and developing a meaningful, purposeful, and spiritual life. Doctor of Nursing Practice Program Department of Nursing