Course Outline Winter 2016

Transcription

1 University of Alberta Collaborative BScN Nursing Program at Red Deer College Course Outline Winter 2016 Associate Dean: Date: January 8,

2 Nursing Nursing Practice VIII Course Outline Calendar Statement: NURS 495 Nursing Practice VIII *9 (fi 18) (either term, 1-34c-0 in 10 weeks). Comprehensive and consolidated approach to professional practice of nursing. Co-requisite: NURS 494. Note: Course is for Collaborative Program, After Degree Program and Post-RPN Program students only. Course Hours: LEC: 0 SEM: 10 CLINICAL: 340 LAB: 0 (8 hr = 44 shifts; 12 hr = 31 shifts) Course Description: Management and care of clients in an area of special interest to the students is the focus of this clinical course. This experience, continuous over a block of time, could occur in a particular setting where clients with stable, predictable, or unstable, unpredictable disruptions of health are found. Students are expected to practise with increasing independence under the supervision of a registered nurse or other designated preceptor. NOTE: In select student situations where NURS 491 occurred in a community setting; this would necessitate that NURS 495 occur in an acute care setting. Course Objectives: Levels of Independence In evaluating objectives, the following levels of independence will be used: With assistance: The student requires direction and information. With minimal assistance: The student requires occasional direction and information. With guidance: The student requires clarification, prompting and confirmation. With minimal guidance: The student requires occasional clarification, prompting and confirmation. Independently: The student works mostly on his or her own and seeks information, clarification and consultation as appropriate. Direction: Clinical tutor tells the student what to do, about what steps to take. Information: Clinical tutor tells the student specifics about a concept or topic. Clarification: Clinical tutor, through questioning and feedback, assists the student to state their information in a different and clearer way, often with more details. The student asks questions to increase their understanding; questions asked demonstrate a sound knowledge base. Prompting: Clinical tutor provides the student with a cue that answer is incomplete or incorrect and how to resolve the lack of information. A prompt is broader than a hint. Prompting is generally used to add breadth or depth. Confirmation: Clinical tutor provides positive feedback for correct information and direction provided by the student. Consultation: The student provides clinical tutor with information and/or direction and asks specific questions about the information or direction which the instructor confirms. Occasional: The clinical tutor provides input every now and then. 2

3 Objectives Overarching statements: Students are responsible to familiarize themselves with Graduate Competencies and Year Outcomes (with Cross Reference to courses) Attention must be given to the competencies that are identified as being relevant to NURS 495. Students must regularly refer to the document entitled Graduate Competencies and Year-End Outcomes Condensed Version Attention must be given to the Year 4 Column. This document serves as the basis for the evaluation of students' clinical practice. All students must practice in a manner that is consistent with: CARNA Nursing Practice Standards (2013) and all other CARNA standards The CNA Code of Ethics for Registered Nurses (2008). 1. Demonstrate, independently, the processes of self-directed learning and critical thinking in all learning activities. 2. Demonstrate, independently, the ability to practice in accordance with Year 4 competencies, as described in the document entitled: Graduate Competencies and Year-End Outcomes Condensed Version Demonstrate, independently, the ability to provide competent nursing care to clients in a clinical environment. 4. Demonstrate, independently, the ability to manage health promotion and prevention activities using advanced therapeutic/interpersonal communication skills, health counselling skills, and teaching and learning principles. 5. Demonstrate, independently, the ability to engage in evidence-based practice. 6. Demonstrate knowledge of primary health care and of its relevance to all areas of practice. 7. Demonstrate the ability to integrate knowledge into clinical practice. Students are also expected to implement previously learned nursing skills. Important Dates: Last day to drop course (delete only tuition refund) Feb. 16/16 Last day to drop with 50% tuition refund Feb. 29/16 Last day to withdraw without academic penalty Apr. 8/16 3

4 Tutor Information: Sherry Poncsak office: (w) (c) (Course Leader) Ashna Rawji Office: 1507-a (403) (w) Dr. Nancy Goddard Office (w) (c) Kala Streibel Office: (w) Sara Daniels Office: (w) Sarah Malo Office: (w) Office Fax: Instructor Availability: Students are invited to contact their instructor by telephone to arrange appointments at any time over the term, as required. Appointments may also be arranged during instructor visits to the clinical area. Attendance: Attendance/participation is required of students in all components of the course (clinical, conferences, course summary/wrap-up). Students must complete the required clinical hours (either 8 or 12 hour shifts), as indicated, in order to successfully complete the clinical practice requirements for graduation from the nursing program. Any student who will be late or absent for any class or clinical time must notify the instructor and the agency prior to the beginning of the experience and will be required to make up the missed time. All students are required to make up all missed clinical time. Clinical time is made up as complete shifts (either 8 or 12 hours) there is no mixing of 8 and 12 hour shifts. Changes to clinical schedules must be communicated to and approved by tutor prior to next shift. Tutorials/Conferences: Two clinical conferences will be held during the course of the term. All students are expected to come prepared to participate in the discussions and share experiences from their clinical practice. Students will attend a morning or afternoon session, as designated by their instructor. All students are required to attend the course summary/wrap-up. See course schedule. Textbooks and Resources: Students are expected to use the library and other information sources to enhance their learning. No additional textbooks are required for this course. Students may find it helpful to purchase a study guide for the RN Exams. These are available through the RDC bookstore. Specialized Support and Disability Services: Students who require accommodations in this course due to disability affecting mobility, vision, hearing, learning, or mental or physical health are advised to discuss their needs with Specialized Support and 4

5 Disability Services, Room 215 Central Academic Building (CAB), (phone number: ; TTY or videophone for deaf and hard-of-hearing callers: ). Changes to the Course Outline: The course outline is an agreement between the student and the instructor of this class regarding the details of the course. Changes to the course outline will be made with the consent of the course instructors and students. Policy about course outlines can be found in Section 23.4(2) of the University Calendar. (GFC, 29 SEP 2003) Policy Statements: The University of Alberta is committed to the highest standards of academic integrity and honesty. Students are expected to be familiar with these standards regarding academic honesty and to uphold the policies of the University in this respect. Students are urged to familiarize themselves with provisions of the Code of Student Behaviours ( to avoid any behaviour which could potentially result in suspicions of cheating, plagiarism, misrepresentation of facts and/or participation in an offence. Academic dishonesty is a serious offence and can result in suspension or expulsion from the University. (GFC, 29 SEP 2004) Please be familiar with what constitutes academic misconduct, as well as the consequences. For further information on plagiarism and cheating, visit the Academic Integrity, University of Alberta page at The Faculty of Nursing is committed to providing an environment of equality and respect for all people within the University community, and to educating faculty, staff, and students in developing teaching and learning contexts that are welcoming to all. The Code of Student Behaviour also identifies inappropriate behaviours such as disruption, discrimination, or violations of safety and dignity towards members of the University community. The Faculty of Nursing recommends that students and staff use inclusive language to create a classroom atmosphere in which students experiences and views are treated with equal respect and value in relation to their gender, sexual orientation, and racial and ethnic background. Grading Policy: Grades are assigned using the University of Alberta Grade Point Conversion System. Descriptor Letter Grade Excellent A+, A, A- Good B+, B, B- Satisfactory C+, C, C- Failure F Assignments are marked as raw scores according to the percentage weight assigned to each. At the end of the course, all scores are totalled for a term summary mark in the course. The final course grade is based on a combination of absolute academic achievement (an individual student s term summary mark) and relative performance (a comparison of a student s term summary mark to all students term summary marks achieved in the class). Due attention is paid to descriptions of grade points according to the University of Alberta Calendar [Section 23.4(5)]. 5

6 Students have the right to appeal course assignment marks, course grades, academic standing, and practicum interventions related to their undergraduate degree program. Policies outlining appeal procedures are available online at This course may use an electronic plagiarism detection tool. Communication: Students must use the Red Deer College address or Blackboard messages, and include a subject line when communicating with faculty members. The content messages of both and voice mail must be delivered in a professional manner. Inappropriate messages may be considered harassment. Refer to the Code of Student Behaviour, Section (6)d. Inappropriate use of sent to fellow students and members of the Faculty of Nursing and University community will result in disciplinary action. Please refer to the Faculty of Nursing s guidelines for etiquette, at: The use of social networking services, such as but not limited to, Facebook, MySpace, internet messaging, blogs and wikis, are subject to the professional and ethical responsibilities outlined in the: Canadian Nurses Association (2008) Code of Ethics for Registered Nurses, Part I Nursing Values and Ethical Responsibilities, and E Maintaining Privacy and Confidentiality, and the University of Alberta Code of Student Behaviour, Section Inappropriate Behaviour in Professional Programs. The Faculty of Nursing at RDC creates a Blackboard site for all courses. Students are expected to access and become familiar with the Blackboard site at the beginning of each term; failure to do so may result in students missing important course-related information, resources, instructor feedback, and announcements. Required Learning Experiences: 1. During this course, students will have a continuous experience in an area of nursing practice. 2. Participate in nursing practice under the direct guidance of a registered nurse with experience in assigned clinical setting. 3. Participate in learning situations which facilitate gradual acquisition of the new graduate role. 4. Write 4 reflective journals that will facilitate reflection in the assigned clinical setting (as per Methods of Evaluation). Students are expected to implement previously learning nursing skills. Please Note: It is the student s responsibility to be familiar with the information contained in the Course Outline and to clarify any areas of concern with their instructors. 6

7 Methods of Evaluation: In order to pass Nursing 495, students must: Consistently demonstrate safe, ethical nursing practice Consistently display professional behaviour Consistently adhere to the CNA Code of Ethics for Registered Nurses (2008) Consistently adhere to the CARNA Standards of Nursing Practice (2003) and all other CARNA standards Complete 340 hours of clinical practice (minimum) Successfully complete the following assignments/requirements Clinical Performance 60% Reflective Journals (4 - worth 10% each) 40% 1. Clinical Performance Students are expected to practice with increasing independence under the supervision of a Registered Nurse preceptor in order to demonstrate transition to the graduate nurse role. Observations will be made by the preceptor and clinical instructor and may be supplemented with input from peers, staff in the practice setting, and patients/clients. Students are expected to receive ongoing feedback about their clinical practice. Preceptors and students will meet at mid-point in the course to discuss strengths and areas for growth. A mid-term ENP may be used to complete this. Instructors may attend these mid-term evaluations. At the end of the preceptorship, the preceptor will meet with the student to provide the student with a written clinical evaluation, using the ENP format. It is expected that preceptors and students will review this feedback together. The evaluation is to be given to the clinical instructor. Instructors may be in attendance at these sessions. Preceptors are not responsible for assigning a clinical grade. The clinical practice feedback will be used by the instructor to assist in determining a clinical practice mark. The ENP can be found on Blackboard. Declaration of Clinical Hours Worked: Students are required to submit a Declaration of Clinical Hours Worked (see page 10) to their Clinical Instructor at the end of the term; failure to accurately record hours/shifts may result in clinical consequences up to and including course failure. Professional Development: During N495 students may attend two professional development activities and use clinical time in lieu. No more than two clinical shifts may be used for this. All professional development activities must be approved prior to the activity, by the course instructor. 7

8 2. Reflection Journal Individual nurses, as members of a self-regulating profession are responsible for: Demonstrating commitment to continuing competence through life-long learning, reflective practice and integrating learning into nursing practice; (CNA, 2004, p.1) Purpose: Reflection is an essential part of nursing practice. Formal and informal reflection will guide your nursing practice throughout your nursing career. Formal reflection is required as part of the annual practice renewal process; while Informal reflection serves to guide your daily practice. The Reflective journal provides an opportunity for you to continue to grow your nursing practice reflection skills. Journal Structure: Themes: Length: Your journal discussion should be focused around your clinical experiences. You can select experiences that were either positive or negative for you. A general outline of the discussion is included below: Clear and concise description of the clinical event What went well or didn t go well. Basing the discussion around one of the themes identified below. Why is this event meaningful for you and how will it impact your future nursing practice Your reflection journal is an opportunity to reflect on your nursing practice, and the experiences that are significant to your learning and development as a nurse. You are expected to write about the following 2 themes. Priority setting and Decision making o Provide evidence on how you are setting priorities of care and of the decisions you are making in your nursing practice Nursing Theory o Identify a nursing theory from your nursing textbook and provide information on how you are implementing this theory into your nursing practice. o For the remainder 2 journals you may choose from any of the following themes, one for each of your 2 remaining reflection journal entries. Research o Provide evidence of how you are incorporating research or literature into your practice. How is evidence informing your practice? Overriding issues you are seeing in your clinical practice o What challenges are the nurses or patients experiencing in your clinical area. These challenges could be due to funding, social or political issues, health determinants, area specific issues etc. Your transition o How are you and/or your nursing practice changing through this practicum Leadership o How are you demonstrating leadership in your practice? o You can refer to the RNAO document: Developing and Sustaining Nursing Leadership Best Practice Guideline 2 nd edition for examples of leadership at the point of care The recommended length is words each 8

9 Frequency & Due Dates: You are required to write 4 journal entries The journals can be submitted at any time during the course, but must be submitted at least 1 week apart. The final Journal is to be submitted 7 days before the last date of the course. See the course schedule for exact dates. Evaluation: The evaluation criteria (rubric) is found on Blackboard Late Assignments: Journals submitted past the due date will be subject to the loss of 1 mark per day. Extensions may be available, contact your tutor for more information. APA: All work submitted for evaluation must be referenced according to the APA 6 th edition. The Faculty of Nursing has a zero tolerance policy on plagiarism. Professional Writing: It is an expectation that students will adhere to standards of professional writing (ie. no abbreviations or use of charting format when submitting clinical logs and objectives. Failure to adhere to standards of professional writing will result in marks being deducted from each of the assignments. Drug Calculations Policy Calculations required for safe nursing practice are an important nursing skill and will be the focus of teaching learning activities across the program. Calculation exams may be used to assess student abilities and to plan for additional learning sessions. Student progress through the program will not be dependent on the results of calculation exams; however, student progress may be jeopardized if (s)he is unable to complete required calculations safely and competently in the practice setting. Course Schedule: Please see Blackboard for the course schedule. Students who have not completed the required clinical hours by the last date of the course or, who require make-up time or additional practice time (as determined by the Course Instructor in consultation with the preceptor) will have their date of completion extended 9

10 Declaration of Clinical Hours Worked I declare that I have worked the outlined (31 or 44) X hour (8 or 12) shifts required to complete my final clinical practicum and have attached the schedule of shifts I have completed. These hours are subject to verification and I understand that failure to accurately report hours/shifts may result in clinical consequences up to an including course failure. Student Signature: Please attach schedule of clinical hours/shifts. To be turned in with final self-evaluation after all clinical shifts have been completed. Required Number of Shifts: Students working 8 hour shifts must complete a total of 44 shifts. Students working 12 hour shifts must complete a total of 31 shifts. Up to two (2) clinical shifts may be used for Professional Development activities that have been pre-approved by the Course Instructors. 10

11 Reference List Canadian Nurses Association (CNA) Position Statement: Promoting Continuing Competence f Registered Nurses. Retrieved May 29, 2015 from 11