SAULT COLLEGE OF APPLIED ARTS & TECHNOLOGY SAULT STE. MARIE, ONTARIO COURSE OUTLINE NURSING CONCEPTS 2 NUR 200 NURSING JANUARY NANCY MCCLELLAND

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1 SAULT COLLEGE OF APPLIED ARTS & TECHNOLOGY SAULT STE. MARIE, ONTARIO COURSE OUTLINE Course Title Code No.: Program: Semester: NURSING NUR 200 NURSING FOUR CONCEPTS 2 Date: Author: JANUARY 1985 NANCY MCCLELLAND New: Revision: ^ APPROVED: "CFdlrperson/ "DiT^T] ^

2 YEAR 2 NURSING CONCEPTS NUR200 Course Description; This course continues the analysis of the value base of nursing. Historical and current influences on the nursing profession are examined along with implications for the future development of nursing. The student will continue to develop her own self-awareness as a prospective nurse. Opportunity will be provided to the student to ^formulate her own career plan and realize the importance of continuous and professional growth. Course Objectives: 1- Analyz.e value implications of situations in nursing, 2. A-nalyze various situations applying professional standards. 3. Examine the historical development and influence of history on nursing, 4. Examine issues and trends within society which affect the health care system. 5. Examine opportunities for own. personal and professional development. Method of A-Ssessment; Test #1 - Community Assignment - 2 5% Test #2 - Health Care Team Assignment - 10% Test #3 - Ethics Assignment - 20% Hx of Nr presentation and minitest - 35% Responsible Action, Participation, Attendance - 5% Spot Questions - 5% Bonus Marks - 5% Text: Patients' Rights by J. Storch, McGraw-Hill Ryerson Ltd., Toronto, 1982, 75% of classes must be attended to be eligible to write a supplemental exam in Nursing Concepts. *

3 CROSS REF. LEARNING RESOURCES lav Health Care System-. VI a) Review major categories of health care providers. Federal = ex; - Provincial ~ ex: Local - ex; - Voluntary - Institutions b) Explain the levels of health care within the system. primary health care secondary health care tertiary health care Year 1 Concepts Brunner Text p. Storch: Med. Surg 7, 8, 9, 10 P- 103, 124, c) Differentiate between primary health care and primary nursing. Brunner Storch; P- P- 15, d) Collect information about the funding of health care in Ontario and Canada. ex. cost of hospital bed: - ward - semi-private - private - out of province or out of country ex. alternate health plans: Blue Cross premium assistance welfare ex. health care budget for Ontario ex. budget for 1 hospital - cost of standard equipment used in hospitals Taylor, M.G., Health Insurance and Canadian Public Policy. McGill - Queen's University Press, Montreal, 1978, International Council of Nurses. Focus on the Future. S, Karger, Basel, Switzerland, 1970, p AllentucX, A., Who Speaks for the Patient? Burns and MacEachern Ltd., Don Mills, 1971 p. 50/p, 28

4 3 - CROSS REF. Examine some of the changing factors presently influencing the health care system, a) increasing health care costs h) rationalization of health care services c) increased specialization d) increasing emphasis on preventive health care e) increasing movement away from acute care facilities to community based programs f) trends influencing nursing - ONA - Women's Movement 3. Consider who should access the health care system. ex. 1 dialysis machine and 5 patients who need dialysis today Support your viewpoint with current literature from newspapers, journals, books LEARNING RESOURCES Storch, Chapter 6 & 8 Allentuck, A., p. 504 Fuchs, V.R., Who Shall Live? Health. Economics and Social Choice > Basic Books, New York, text, p Storch, p. 4, 48, 7, 162 Storch, p. 47, 43, 49,129 Henderson, J. "Issues in Rural Health Care Planning,"Canadian Nurse", Vol 7 8, No, 1, January, 1982 pp , Curtin, L. "Is There a Right to Health Care?" American Journal of Nursing. Vol. 30 No. 3, March, text p. 105

5 - 4 CROSS REF. 4, What is the role of government, consumer, nurse and other health care personnel in planning health care. a) identify other health care oersonnel b) give examples of planning health care ex. New Canada Health Act ex. Group Health Centre 5, Become aware and informed of selected community agencies and resources available to promote adaptation of the individual and/or family. a) Examine a copy of Community Directory Information. h) Identify some of the following community agencies as to the type of services provided, ex. material needs, money Social St Family Services ex. physical needs, food Meals on Wheels ex, emotional needs ex. social needs ex. health teaching ex. spiritual c) How would you refer a client to one of these agencies? LEARNING RESOURCES Gordon, I.T. "Inroads in Consumer Participation" Canadian Nurse. Vol. 77, No. 8, September, 19B1 pp Brunner, p. 9,10 Soderstrom, L., The Canadian Health System. Croom Helm Ltd., London, (On Reserve) System Hall Comm, Hastings Report, p. 199, 200 AllentucX, A., p copies on in Library Reserve

6 CROSS REF. LEARNING RESOURCES ' d) VThat services are provided by this agency and by whom? e) ^.-fhat are the costs involved in utilizing this agency? Complete Community Agency Assignment: Handout in Class. B. Health Team ^ Professional Roles and Relationships VI (5) 6. Professional Relationships a) Explain the term "Professional Identity" VII (4) III (2) b) List 3 professional characteristics recognized and expected in nursing. c) state 3 ethical principles that underly the formation of a professional relationship. Curtin, L, and Flaherty, J. Nursing Ethics, Theories ^ Pragmatics. Robert J. Brady Co. Bowie, Maryland, p. 125 Purtito St Cassel Ethical Dimensions in the Health Professions W.B, Saunders, Philadelphia, 1981, p. 35 d) Deduce 3 earned, rights of nurses. Ill (2) (4) e) Suggest how to keep a good working relationship with various members of the Health Care Team. f 7. Cite examples of nurses work' ing in other departments of the hospital. Consider how their role may differ from a staff nurse on a ward.

7 CROSS REF. LEARNING RESOURCES P VI (5) IV (2) V (6) 8," Compare and contrast the role of nurses in selected health care agencies in the community (ie. Nurse Practitioner at Group Health Centre). Health Care Team a) Identify members of a health care team. b) Cite examples of various educational preparation for various positions on the Health Care Team c) Identify the major contribution (role) of each Health Care Team Member. d) Evaluate the usefulness of collaboration with health team members. C. Legal ^ Ethical Situations 10. Review Rights and Responsibilities of Nurses. 11, Discuss the rights and duties of the nurse in the following legal/ethical situations - Clarify your answer. Guest Speaker - G.H.C, M. Murray. Fundamentals of Nursing, 2nd Edition Educational Requirements and Program Locations Health Careers (available in Counselling) Curtin, L. and M.J. Flaherty, Nursing Ethics, Theories and Pragmatics. Robert J. Brady Co Bowie, Maryland, 1932 Purtilo, R.B. and C.K. Cassel. Ethical Dimensions in the Health Professions. W.B. Saunders, Philadelphia, 1981 R724. P, 82 Storch, p. 17+

8 - 7 CROSS REF. IV (6) a) truth-telling b) behaviour control c) decision maxing d) artifical insemination e) abortion f) surrogate motherhood g) sterilization h) human experimentation i) incompetent or unethical colleagues j) allocation of life saving resources k) euthanasia, cessation of treatment LEARNING RESOURCES Surrogate Mother Application Forms Ethics and Nursing. Vol. 1 and 2. Nursing Education Media Project, 1977 & 1979, Vol. 1, chapters 3,7,3 and 9 Pakalnis, L. and J. Makoroto, "Reproduction and the Test Tube Baby", Canadian Nurse, Vol. 73, No. 2, Feb Storch, p. 78 Bernzweig, E.P., The Nurse's Liability for Malpractice. McGraw Hill, New YorX, pp , KF2915. NB384 Maino, M.D. and M. Sequin. The Nurse and the Law. Nursing Education Media Project Toronto, 1978, Chapter 2. "Death" Definition/ Life Supports Bulletin - American College of Surgeons, June, 1983, Vol. 68, No. 6. f 12. Examine legal implications of our nursing practice. ex. surgical consents ex. accountability Rozowsky, L., Canadian Hospital Law: A_ Practical Guide. Canadian Hospital Association. Ottawa, 1979, Chapter 5. Storch, p. 29+

9 - 8 - CROSS REF. WITH PROGAM LEARNING RESOURCES Describe the legal and moral responsibilities of the nurse with regard to consent. Compare refusal to consent and the client who changes their mind. Ethical Behaviour in Nursing, College of Nurses of Ontario. Review Year I Concepts. Sklar, C.L. "Legal Consent and the Nurse", Canadian Nurse. Vol. 74, No. 3, March 1978, pp Sklar, C.L. "Minors in the Health Care System", Canadian Nurse. Vol. 74, No. 9, pp Storch , Consider and explain briefly the following special situations with regard to consent. a) minors b) emancipated minors c) married men and women d) prisoners e) psychiatric patients f) patients judicially declared incompetent V (5) 16. Identify situations where the criteria of a valid legal consent have or have not occurred and identify the appropriate action for the nurse to taxe. Sarner, H. Nurse and The Law, Saunders, Philadelphia, KF2915.N853 Storch - Chapter 7

10 - 9 CROSS REF. WITH PROGAM LEARNING RESOURCES 17v- Examine legislation affecting Nursing. Examine a copy of: Mental Health Act Child Welfare Act Public Hospitals Act Nursing Homes Act Homes for the Aged RozousXy, L.E. The Canadian Patient's BooX of Rights. Doubleday Canada, Toronto, Bill of Rights, p , Hames Ec James Storch, p. 185 College of Nurses of Ontario - The Complaints Procedure HISTORY OF NURSING 18. Given the following broad time periods: a) Ancient Cultures b) Early Christian c) Middle Ages d) Renaissance Period e) Protestant Reformation f) Eighteenth Century g) Nineteenth Century h) Twentieth Century Examine the historical development of nursing considering: 1) philosophical and religious influences 2) military influences 3) political and economic influences 4) scientific and educational influences 19. Document how knowledge of the past should help prepare us for the future. Deloughery, G.L., History and Trends of Professional Nursing. 8th ed., RT 31.D4 C.V, Mosby, St. Louis, Dolan, J., Nursing in Society, a_ Historical Perspective. W.B. Saunders, Philadelphia, RT31.D64 (1973) Gibbon, J.M and M Matthewson, Three Centuries of Canadian Nursing MacMillan Co., Toronto, RT6.A165 Griffin, G.J. and J.K. Griffin. History and Trends of Professional Nursing, 7th ed C.V Mosby, St. Louis, RT3I.D4

11 10 I CROSS REF- WITH PROGAM LEARNING RESOURCES Predict and describe briefly the future of nursing considering "high technology" and computers. Jamieson, E-M. et ai Trends in Nursing History 6 th ed. W.B. Saunders Philadelphia RT31.J3 Pelly, Nursing: Its History, Trends, Philosophy, Ethics, Saunders, Philadelphia, 1964 RT41.P45. Nursing in the Seventies, RT63.R64 t

SAULT COLLEGE OF APPLIED ARTS AND TECHNOLOGY SAULT STE. MARIE, ONTARIO COURSE OUTLINE

SAULT COLLEGE OF APPLIED ARTS AND TECHNOLOGY SAULT STE. MARIE, ONTARIO Sault College COURSE OUTLINE COURSE TITLE: Health and Healing IV NO. : NUR2109 SEMESTER: 4 PROGRAM: AUTHOR: Nursing Linda Chow, Marilyn