The University of Texas at El Paso Collect of Health Sciences: Graduate Nursing Program Course Syllabus: N5339 Nursing Administration Residency

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1 The University of Texas at El Paso Collect of Health Sciences: Graduate Nursing Program Course Syllabus: N5339 Nursing Administration Residency Course: Place in Curriculum: Pre-requisites: Credits: N5339 Nursing Administration Residency Graduate level N5370, N5310, N5338, N5300, N5335, N5337, N5366, N credits (1,0,6), 15 hours theory and 90 hours practicum Course Description: Students develop competencies as a nurse manager/nurse executive under the guidance of a preceptor. Focus is on analysis and evaluation of management policies, issues, and challenges to include providing culturally competent care though managing a culturally diverse work force. Synthesizing knowledge from previous courses, students complete a comprehensive assessment of an aspect of the health care organization, design and, where possible, implement change strategies. Course dates: May 10, 2004 July 29, 2004 Course Objectives: Upon completion of this course, the student should be able to: 1. demonstrate concepts and skills related to the practice of nursing and the management of health care system, fiscal, and information resources. 2. negotiate for resources necessary to accomplish individual learning objectives related to the management/administration of nursing services. 3. collaborate with members of the health care agency's administrative team to plan, develop, and complete an administrative project. 4. analyze the influence of current health care trends and issues on the management/administration of nursing services in a specific health care system. 5. implement appropriate change based on the synthesis of a comprehensive organizational analysis of a selected health care system/department/division/ unit and valid research findings. 6. assess ability to function in the role of a beginning nurse manager/executive. 7. advance the practice of nursing administration with professional behaviors reflective of autonomy, intellectual independence and curiosity, and accountability. Classroom: Room 615, CHS Teaching Methods: Lecture, discussion, group and individual presentations, computer assisted learning, class and clinical practicum, journals, power point presentations and others.

2 Evaluation and grading: A. Grading scale: A = B = C = < 70 = D or F B. Graded Assignments: 1. 20% - Residency critical analysis journal 2. 40% - Residency project paper 3. 20% - Residency project presentation 4. 20% - Professionalism associated with administrative residency and course obligations. C. Incomplete grades: University policy is that students have up to one year following assignment of course grade to complete course assignments. Students who expect to take an Incomplete must develop with the professor a written plan including a time line for completing the course assignments. Required Text: American Psychological Association. (2001). Publication manual of the American Psychological Association. Washington, DC: American Psychological Association. American Nurses Association. (1995). Scope and standards for nurse administrators. Washington, DC: American Nurses Publishing. Refer back to all texts used in the graduate nursing program to include core and specialty course texts. Student Responsibilities: Students are to notify the professor if there are problems that interfere with their ability to fulfill the obligations of the course. Issues, problems, challenges with meeting responsibilities should be discussed in advance of assignment due dates. Nursing 5339 has an administrative practice or residency component of a minimum of 90 hours. Students are required to be IN residency sites for this number of hours. Outside preparation for the practicum is in addition to the 90 hours in residency. The residency is designed as administrative practice not clinical. Students will not be involved in clinical (hands on) practice with patients. communications in the course will be used as the primary communication method. Students must check their WEBCT and UTEP a minimum of twice per week. The professor will use WEBCT when messages need to be sent to the total class. If you do not have a WEBCT or UTEP account, go to the ILC and have one set up immediately. Academic Honesty: Students are accountable for all work that is submitted or presented for evaluation. While collaboration with others prior to completing an assignment is encouraged, unauthorized collaboration will be considered cheating or plagiarism. Use of information from publications or media productions without proper acknowledgement and citation is also considered plagiarism. Penalties for plagiarism and/or cheating will be imposed according to the regulations of the College of Nursing and UTEP. See your student handbook and graduate catalog for specific details. Americans with Disabilities Act: Students who require accommodations for class or clinical assignments due to disabilities should initiate and maintain the processes as designated by university policy. Accommodations will not be made until these procedures have been followed. Call Disabled Student Services (ext.5148) for additional information.

3 Course Calendar: Date/Location Activity May 11, :00 2:00, room 301 May 26, 2004 Room 301 June 3, 2004 June 10, :00 3:00, Room 615 June 17, :00 3:00, Room 301 July 1, 2004 July 8, 2004 July 15, 2004 July 22, 2004 Orientation to Course Submit all materials for approval of clinical site. Leave materials at front desk with professors name clearly identified Approval for clinical project by professor: Individual meeting Discussion of journal in class and practicum progress Discussion of capstone project (paper and presentation) with professor Discussion of Scope and Standard for Nurse Administrators Class Discussion: Special Topics Class Discussion: Special Topics Class Discussion: Special Topics July 28, 2004 Student Presentations; papers due 2:00 3:30, Room 301 Course Evaluation Requirements/Guidelines for 90 Hour Residency Experience: N5339 is a 3-credit course that includes 15 hours of theory and 90 hours in a residency site. The student will need to plan additional time to prepare for both the class room and practicum portions of the course and the course requirements. This is a time-consuming capstone course. In the course you must do an integrative, capstone, scholarly project utilizing all of the knowledge, skills and values learned through the curriculum. You may do the 90 hours in any time frame you desire, e.g., a block of 2 + weeks or 1 day per week. Often time the 1 day per week format works because students have to prepare for practicum activities which may stretch over the semester. As you begin to think about your residency experience, please keep in mind the following guidelines: Approval: The course professor must approve in writing your - setting - preceptor the preceptor must have an advanced degree in nursing administration or have certification as a CNAA,BC (Board Certification as Certified Nurse Administrator) or CAN,BC (Board Certified Nurse Administrator). You must include your preceptors resume. - individual objectives for the practicum (see below for description of the format) - projected schedule before any hours of the residency are started.

4 - Note: You should prepare a statement of the setting, preceptor, individual objectives and schedule and submit to the professor so that she can sign off on the statement. Have your residency plan approved in writing by the professor. Do not begin you residency until you have the plan approved in writing by the professor. If student s start earlier that the professor s approval date, the hours will not count toward the 90 hour residency. Setting: You may not complete the residency in the health care system where you are currently employed. The exception to this rule is if you are doing the residency in one of the School of Nursing practice sites, e.g., Student Health Center, Community Partnership Clinics or are working with a university faculty on a faculty-lead research project. Preceptor: The preceptor should have an advanced degree in nursing administration or be certified in nursing administration by the AACN. Physicians do not qualify unless they are also nurse administrators. Select a preceptor who has a position at least one level above your current level of operating in your employment setting. For example, if you work as a coordinator, select a nurse manager. If you are a director, select an executive. If you select a preceptor at your level, probably you will not stretch your knowledge sufficiently. On the other hand, if you select a preceptor too far above your current level of functioning, probably, you will have skipped an entire knowledge and experience stratum that you need to optimize learning. Submit a resume from your preceptor with you packet of materials for residency approval. Affiliation Agreement: Check with Beverly Scarborough whether or not there is an active affiliation agreement with the residency site. If there is not, you will need to have Beverly Scarborough initiate a contract. Notify the professor as soon as possible as you cannot start the residency until the agreement is initiated. Objectives: The residency course has objectives; however, you need to develop 3 4 individual objectives. The objectives should be individualized to allow you to focus on acquiring further information (knowledge, skills and attitudes) in your program of study. These objectives are not the same as you residency project objectives. Rather they give you the opportunity to further learn about nursing administration. Think about what you did not get from your nursing administration or something you want to know more about. Write objectives centered on these goals. Set the objectives up in three columns: 1) objective, 2) method of achieving the objective to including resources needed to achieve, and 3) way you will evaluate whether or not you achieved the objectives. At the end of the semester you will add a fourth column describing how you met the objectives. Clinical Clearances: Prior to going into the administrative residency, students must submit to Beverly Scarborough ( ), the Secretary of the Graduate Program in the School of Nursing, evidence of the following: 1) clinical health clearances per School policy, 2) current CPR card, 3) evidence of malpractice insurance, 4) evidence of attendance at City-wide Orientation within the last year. There is a City-wide orientation on May 4, 2004 at El Paso Community College Administration Building (off Viscount). Contact Beverly Scarborough for other dates of Citywide Orientation. Schedule: Submit a projected schedule of when you will be in the site working with your preceptor. Of course these projected times may change. When they do, notify the professor of changes in the projected schedule. The library/internet time that you need to research your project is not included in the 90 hours of on-site practicum. Capstone/integrative project: The written project should demonstrate an integration of all of the MS core courses and administrative specialty courses.

5 NOTE: At least 5 work days before the meeting, submit to the professor written documentation of your: 1) setting, 2) preceptor and resume, 3) individualized objectives, 4) projected scheduled hours in the learning site, 4) plans for a capstone project and 5) verification from the secretary that all clinical clearances have been completed. NOTE: After the course professor has approved your plan, take it to the Beverly Scarborough, Graduate Program Secretary. She will type a Preceptor Agreement Form for you. After the Preceptor Agreement Form is signed, you may start the practicum/residency. The original of the signed formed must be submitted to the course professor. Description of Graded Assignments: 1. 20% - Residency critical analysis journal. This assignment is crucial to successfully completing the residency and must be completed in detail using critical thinking. The expectation is for the student to show evidence of synthesis, analysis, translation, etc (all critical thinking skills) in selected residency practicum experiences that are heralded in a journal. A simple narrative of what you have done in the residency site and when is not passing work. The journal should be submitted weekly beginning week 3 of the practicum and continued through week 15 of the course unless you have identified other than a weekly format for the residency. If you are using other than a weekly format, submit your journal every 8 hours of on-site time. This assignment and the timeliness of its submission cannot be ignored. Please submit the journal on Monday of the week following the experience or as often as needed to meet the time frame for writing journals. In the journal identify the number of hours you were in the residency site the preceding week. Write the overall residency objectives that you developed in the journal so that you and the professor can continue to refer to them as the semester proceeds % - Residency project and paper. This project requires you to use various aspects of the nurse manager/executive role to implement the action plan and produce a usable solution to an administrative problem. During early encounters with your preceptor, you may wish to mention this project so that he/she can give some thought to any administrative needs that may be appropriate for you to address through this project. Your professor needs to also approve this project. Conduct an analysis of the nursing organization in the assigned residency site conceptualizing the organization from the perspectives of its structure, human resources, politics, and symbolic culture. The attached guide delineates the critical questions within each of the four frames to be addressed. From the organizational assessment identify an administrative problem. Provide some theoretical and/or research literature that supports the administrative significance of the problem. Report the structural, human resource, political, and symbolic data that is pertinent to your identified problem. Design recommendations and a plan to solve the problem. Make sure your recommendations and plan emerge from the analyzed need/problem. Your plan should include the strategies you will use to carry out your recommendations. Provide some theoretical and research literature that supports your recommendations and plan. Share the findings, recommendations, and plan with your preceptor. Make modifications where necessary. Request permission to proceed with the implementation of your plan to solve the problem. Be prepared to discuss the outcome(s) of your effort or provide a method for evaluating the outcome(s) of your efforts. Finally, what other alternatives did you consider and why did you decide against them?

6 Give special attention to the various aspects of administrative role you employed (or would employ) while implementing your plan. Why were (would) these aspects of the role (be) critical to the success or failure of your plan? Write a paper about this project and be prepared to give an oral presentation of this project. See attached Residency Paper Grading Form % - Practicum project presentation see attached Residency Paper Grading Form % - Professionalism associated with administrative residency and course obligation. This portion of the grade is associated with how well the student follows through on the obligations outlined in the residency course syllabus and subsequent follow-up directions provided by the professor. All of these activities must occur in a timely manner. Optimal performance occurs when students perform the activities outlined in the syllabus paying strict attention to: Requirements/Guidelines for 90 Hour Residency Experience. Students are also expected to attend all classes and be on time for same. Nursing Administration Residency Paper EVALUATION CRITERIA Evaluation Criteria % To Be Earned % Awarded Problem Analysis/Assessment 20 Recommendations for Solution 10 (Goals and Objectives) Theoretical Support 10 Implementation of Project 20 Outcomes/Results Analysis 10 Alternatives Considered but not Used and Why 10 Aspects of the Manager or Executive Role that were Critical to the Success or Failure of the Plan 10 APA Format 10 TOTAL

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8 Nursing Administration Residency Presentation EVALUATION CRITERIA Evaluation Criteria % To Be Earned % Awarded Problem Analysis/Assessment 20 Recommendations for Solution 10 (Goals and Objectives) Theoretical Support 10 Implementation of Project 20 Outcomes/Results Analysis 10 Alternatives Considered but not Used and Why 10 Aspects of the Manager or Executive Role that were Critical to the Success or Failure of the Plan 10 Style, format of presentation 10 TOTAL