1 Michigan State University College of Nursing NUR 450: Level III Integrative Seminar Fall 2007 Credits: 1 Lecture/Recitation/Discussion Hours: 2 1(2-0) Prerequisites: Level I and II courses Co requisites: NUR 440 and NUR450 Faculty: Connie Powe-Watts Linda Spence Phone Number 353-4748 353-8684 Office Number A130 Life Sciences Building A102 Life Sciences Building Office Hours By appointment By appointment E-mail powe@msu.edu lindas@msu.edu Seminar Meeting Day, Time, Location: Thursdays from 12:40pm to 2:30pm B219 Clinical Center Course Description This seminar is an extension of advanced beginning level concepts and theories. Content includes integration of the concepts into intermediate/advanced level nursing practice. The dynamic interrelationships between professionals, BSN Scholarly nursing practice, and health and wellness of diverse families, from childbearing through adolescence will be the focus of case studies and presentations. Level Outcomes and The CON has defined the following competencies that must be achieved by all students in Level III before progressing onto Level IV. At the end of Level III, all students will achieve the objectives and competencies listed below, as well as the bolded indicators specific to this course. All
indicators, as well as the overall grade for the course, must be at 75% to proceed on to the next level. 2 NURSING THERAPEUTICS III Evaluate data in the planning and delivery of targeted nursing care to persons and populations. 1. Uses evidence and outcomes; critically evaluates effectiveness of the Nursing Care Plan and revises care to improve outcomes ILLNESS AND DISEASE MANAGEMENT III Analyzes and evaluate theories and principles in coordinating the care necessary for the management of illness and disease. 1. Anticipates and manages complexities of patient care and health care system that impact coordinated and efficient care 2. Promote achievement of client outcomes by coordinating delivery of care PROFESSIONAL LEADERSHIP III Assumes responsibility for the effective delivery of nursing care for individuals and groups within evolving health care systems. 1. Coordinates care in collaboration with faculty and agency staff including supervision of ancillary staff in providing care to a selected group of patients ETHICAL PRACTICE III Uses ethical problem-solving methods to effectively advocate for vulnerable persons, groups and populations. 1. Analyze ethical problems related to the health care for vulnerable population 2. Engage in respectful and reasoned dialog with colleagues related to the health care needs for a vulnerable populations Indicators 1. Analyze ethical issues in nursing care of the childbearing and childrearing families, demonstrating thoughtful consideration of competing/conflicting perspectives. Each individual will participate in 2 group role play scenarios. Each student will turn in two short papers describing the group discussion/process. This ex post facto description should describe the axes of conversation that evolved in the role play in terms of the ethical vocabulary e.g. who is the patient?, competence, informed consent, pediatric assent, mature minor, evidence-based medicine, probability of success, etc. It should summarize any consensus suggestions or points on which there was notable lack of consensus COMMUNICATION III Competently engage in interpersonal relationships with person, populations, and colleagues 1. Initiates effective written and verbal communication with persons, populations, and colleagues to affect patient care. 2. Evaluate group communication skills. HEALTH PROMOTION AND RISK REDUCTION III Demonstrate skill in the development and implementation of health promotion plans for persons and populations 1. Uses National and State datasets to examine the health of a vulnerable population
2. Applies strategies to a special and vulnerable populations 3 GLOBAL AND CULTURAL COMPETENCE III Plan and implement care for persons and populations to address relevant global, cultural, and socioeconomic factors that influence health and illness. 1. Systematically investigate the interaction between social and cultural determinants 2. Using culturally specific data develop plan for care of culturally diverse vulnerable populations. CRITICAL THINKING III Analyze and synthesize information from nursing science into nursing practice with families, children, and communities. 1. Critique and value the impact of her/his critical thinking process used in their nursing practice 2. Formulates and defends an argument. EVIDENCE-BASED PRACTICE III Evaluate the application of theory and research to nursing practice. 1. Evaluate selected research and theory as relevant to a client and family of choice. Course Objectives At the end of this course the student will: 1. Critically examine the application of complex communication strategies in relationships with dynamic families and communities and colleagues (communication) 2. Evaluate the use of critical thinking processes in their nursing practice with families, children and communities (critical thinking) 3. Analyze data in the planning and delivery of targeted nursing care with families, children and communities (nursing therapeutics) 4. Demonstrate the development and implementation of health promotion plans in collaboration with families, children and communities (health promotion/risk reduction) 5. Apply theories and principles in coordinating the wellness and illness care with families, children and communities (illness and disease management) 6. Formulate professional leadership approaches that promote optimal health outcomes for with families, children and communities in varied health care settings (professional leadership) 7. Articulate ethical nursing practice and advocacy for the self-determination for the health and wellness of families, children and communities (ethical practice) 8. Critique and value the application of theory and research to nursing care of families, children and communities (evidence-based practice) 9. Plan and implement care for families, children and communities that addresses the global, cultural and socioeconomic factors that influence their health and wellness (global and cultural competence) Required/Suggested Text All required text from current and previous College of Nursing curricula. Instructional Model Seminar will utilize a case study format, other interactive learning methodologies to facilitate synthesis of level content and previous learning. Completion of assignments prior
to seminar is necessary to assimilate concepts and participate in seminar discussion. Assignments will include recommended review material. 4 Evaluation/Grading Scale This course is a Pass/Fail course, however, rubrics are supplied for each assignment and the seminar is evaluated utilizing the standard College of Nursing grading scale. This means that if you do not achieve a grade of 75% on any assignment, you will not pass that assignment. Note: A cumulative course grade of 75% on all assignments, as well as passing grade on seminar indicators, annotated bibliography and reflective summary is required for progression to Level IV. All assignments are due in class on the dates that are assigned. Faculties may require up to two weeks returning assignments depending upon the complexity of the assignment. Components of the course and their respective weights are listed below. NUR450 Components Weight Due Date Annotated Bibliography 40% Due date to be announced Preparatory work 40% Prior to Class 2, 3, 5, 6, 9, 10, 14 Class Participation and group work 20% To be announced Level Components Seminar indicator Pass Class 2 Reflective Summary Pass Class 14 Portfolios Pass Class 4 & 15 BSN Scholarly Project documents Pass Class 9 & 14 ERI examinations Pass See calendar Preparatory work will consist of analysis of knowledge and information prior to the case study discussion. All prep work must be typed with name and date in upper right hand corner. Pages must be stapled. References, in APA format, to be included. This work will provide a springboard for discussion and integration of concepts during seminar. The first preparatory work will be evaluated and feedback provided to students. All preparatory work will be collected. Two will be randomly graded for course credit. Students without completed preparatory work will receive a deduction of 1 point from their final grade for this assignment for each week that preparatory work is not received.
5 Class participation will be evaluated at mid-semester and at the completion of the semester. The first evaluation will constitute 10% of total grade, and the final will represent the average of the mid-semester and second half of the semester grades. The combined score will represent 20% of the final grade. Seminar Indicator will include the examination of an ethical problem for a specific population. The indicator assignment will be posted on Angel by Bioethics faculty. Reflective summary and ERI examinations/remediation is required by all students. Reflective summaries will be completed at the end of each level, synthesizing and reflecting on selected College of Nursing concepts. The reflective summaries will be evaluated on competencies for the level and growth in the major. Students may refer to elements in their portfolios for examples of growth and development. Student portfolios will be monitored and evaluated in the Integrative Seminar. Required portfolio items for successful completion of the semester will include all Level I and Level II portfolio items and the following level III items: Reflective Summary Pediatric Grand Rounds presentation evaluation (NUR440 Indicator) Ethical assignment (NUR 450 Indicator) OB Group Research Project (NUR435 Indicator) ERI Exams: Mental Health, Growth and Development, Critical Thinking Process Test and Clinical Calculations and Classifications Students are responsible for all portfolio data. If you are missing an item from a previous course, it is your responsibility to contact that faculty to obtain the necessary item for inclusion in the portfolio. The BSN Scholarly project begins in Level I and is completed by Level IV. At this level, students will continue work on topic of interest, completing a literature review, and developing an annotated bibliography by midterm. The objectives with an outline, timeline and plan, including CON faculty mentor and choice of nursing theorist, are due the second to the last week of class. Students will work with seminar faculties to facilitate their analysis, research, preparation, and presentation of their selected topic. All projects will be presented as poster presentations at the end of Level IV, at the College of Nursing Scholarship Day. ERI (Educational Resources, Inc.) Examinations are a course requirement. The examinations will be scheduled and available on the ERI website (eriworld.com). Students receiving below national average composite scores or in Nursing Topics areas will be required to complete remediation materials. All documentation and scores for ERI examinations will be maintained by students in their portfolio and monitored by Integrative Seminar faculty. Level 3 NUR 450 Nursing of Children Online audio/video review of deficit topic area/s followed by practice test, passed at 75% 2 hour exam Maternity Nursing Growth & Development Online audio/video review of deficit topic area/s followed by practice test, passed at 75% Online audio/video review of deficit topic area/s followed by practice test, passed at 75% 1 hour 40 minute exam 1 hour exam
Course Evaluation Students are expected to complete the course and instructor evaluation forms during class. These evaluations can be accessed through www.msu.edu/evaluation.asp. The process is monitored through the University and is strictly anonymous. See attached evaluation tools for portfolios, indicators, preparatory work, annotated bibliography and reflective summary. University, CON, and Course Policies A. Refer to MSU Spartan Life Handbook and College of Nursing BSN Handbook for Policies regarding: 1. Academic Dishonesty 2. Taping and communication devices 3. Weather 4. Protection of property/computers 5. Protection of Scholarship and grades 6. SIRS 7. Clinical Attire/dress code 8. Disabled Student B. Attendance 1. Attendance for seminar is required. All completed assignments must be emailed to faculty prior to class, in the event of an absence. Typed assignments are due at the beginning of the class period on the date specified. Any conflicts are to be discussed with faculty as soon as possible. A healthcare provider s note will be requested. All overdue assignments will receive grade deduction per CON policy and as indicated in syllabus. Communication 1. Faculty can be reached through e-mail or via office phone (see front page). All e- mail will receive a response within 3 working days. Students are expected to refer to the syllabus, Angel website, text, or peers for previously provided class information, posted schedules, and general updates prior to contacting faculty. Urgent messages can be forwarded through the College of Nursing office, A117 Life Sciences, 517-353-4827, if faculty cannot be reached. Examples of urgent needs include personal or family serious illness requiring an absence. 2. Students are responsible for announcements and information sent electronically via Angel. Student Faculty Relationship It is expected that a professional, courteous, positive demeanor will be exhibited to peers, faculty and College of Nursing staff with each encounter. It is expected that you will be on time to class. If for some reason you have to be late or leave early, the faculty should be notified prior to disruption, and plans will be made so you will not disturb the entire class. Talking, reading the newspaper and sleeping are examples of unacceptable behaviors. Faculties are open to feedback, ideas, and concerns. For in-depth discussions, a scheduled meeting is encouraged 6
7 Class Date Content Highlights Concepts Assignment 1 8/30/07 Introduction of Level III Seminar Syllabus Case studies expectations and format Portfolio Checklist Seminar Indicator Senior Scholarly Project Orientation to course and content PL 2 9/6/07 Case study 1: The Perez Family; Pediatric Growth and Development Introduction to family and health promotion issues in children HPRR, GCC Preparatory worksheet (Graded without application to course grade) 3 9/13/07 Case study 1: Continues Health care in relation to cultural issues GCC, COM, PL Preparatory worksheet 4 9/20/07 *BSN Scholarly Project work 1 hour Case study 1: Continues Focus on early childhood and adolescent developmental issues COM, EBP, GCC Portfolio review 5 9/27/07 Case study 2: Highrisk antepartum and antenatal testing Risk assessment during pregnancy NT, COM, HPRR, ERI Exam Pediatric Growth and Development opens 8am on 9/24 Preparatory worksheet 6 10/4/07 Case study 2: Continues Evaluation of fetal well-being during high-risk pregnancy GCC, EBP ERI Exam Pediatric Growth and Development closes at 5pm on 10/1. Preparatory
worksheet 8 7 10/11/07 9 10/18/07 Case study 2: Case continues Delivery of infant with chronic conditions *BSN Scholarly project 1 hour Case Study 2B: Introduction to implications of child with chronic condition and associated complications High-risk pregnancy followed by high-risk labor and delivery of at-risk neonate Systemic and family issues with chronic conditions NT, COM, HPRR, GCC, EBP, IDM, EP, EBP Preparatory worksheet BSN Scholarly Project annotated bibliography due 8 10/25/07 10 11/1/07 11 11/8/07 Ethical Issues in obstetric and pediatric nursing Case Study 2B: Further development of case study of child with chronic conditions Ethical issues in pediatrics and obstetrics 12 11/15/07 BSN Scholarly Project 13 11/22/07 Happy Thanksgiving! 14 11/29/07 Case study 3: Adolescent Pregnancy Process, positions and perspectives Process, positions, and perspectives Growth and developmental stages of adolescence and conflict with pregnancy At-risk pregnancy and special needs of this population during the EP, EBP EP, IDM, NT EP PL, COM, CT, EBP, NT NT, EP, COM, HPRR, GCC, EBP, PL Ethics assignment due 10/25 (Level Indicator) Preparatory worksheet Ethics assignment due 11/15 (Level Indicator) ERI Exam Maternity Nursing opens on 11/12 at 8am ERI Exam Pediatric Nursing opens on 11/26 at 8am. ERI Exam Maternity Nursing closes at 5pm on 11/26. Preparatory worksheet
antepartum Reflective summary due today. 9 BSN Senior Scholarly Project information due 15 12/6/07 Case study 3: Case continues Intrapartum and postpartum issues: decision making power; bonding with newborn and family issues NT, EP, COM, HPRR, GCC, EBP ERI Examination Opens Friday, April 13th, 8am to Friday, April 20th, 5pm. ERI Exam Pediatric Nursing closes on 12/3 at 5pm. Portfolio review. BSN Scholarly Project
10 Michigan State University College of Nursing Integrative Seminar Case Preparation Assignment Evaluation Tool Name Score Criteria 4 Accomplished Content Accurately and identification comprehensive ly identifies & distinguishes all key content Structure of content Format Responses are clear, organized, and concise Document is typed with appropriate grammar, terminology, and format APA references included 3 Proficient Accurately identifies& distinguishes most (>80%)key content Most (>80%) responses are clear and organized Document is typed with minimal grammatical, terminology or format errors 2 Developing Accurately identifies & distinguishes some (>50%) key content Some (>50%) responses are unclear and/or disorganized, lacks concise articulation Document has many grammatical errors, misuse of terminology, and lack of format 1 Novice Inaccurate or superficial responses to most items Most responses are unclear and lack any organization Document is handwritten or lack of format and content is consistent throughout Score 12 = 100% 9 = 75% Adapted from document by MAK by C. Powe-Watts 8/07
11 Michigan State University College of Nursing Integrative Seminar Student Participation Evaluation Tool Criteria Score* Listens attentively and respectfully without interruption or disruption Participation adds to, elaborates on, or clarifies points in discussion Demonstrates professional responsibility and accountability *Key 4 Accomplished = almost always exhibits 12 = 100% 3 Proficient = very often exhibits 9 = 75% 2 Developing = sometimes exhibits 1 Novice = rarely exhibits NA = not applicable MAK.6/05
12 Michigan State University College of Nursing Integrative Seminar NUR 450 BSN Senior Scholarly Project Evaluation Tool: Level III Names: Date: Criteria 4 Accomplished Definition Topic clearly and identified with interpretation scholarly application of topic of evidence. Faculty mentor utilized as resource for project development 3 Proficient Topic identified with appropriate use of evidence Faculty mentor identified and used as reference for project development 2 Developing Topic identified with basic interpretation or minimal evidence Faculty mentor identified, although minimal input into project 1 Novice Topic is poorly or inappropriately identified or interpreted Lack of faculty mentor input Score Depth and focus Paper demonstrates scholarly depth and focus: Nursing theorist clearly and appropriately identified; synthesis of theory with research appropriately demonstrated Project choice demonstrates thorough application of content; poster presentation is exemplary and is accompanied by intervention Appropriate focus, could be in more depth: Nursing theorist identified; many concepts of theory applied throughout project Project choice represents good application of content; poster presentation is above average and may be accompanied by intervention Some attempt to focus; depth of research is lacking Nursing theorist inappropriate for topic or inappropriately applied Project choice is adequate, however lacks appropriate depth Not at all focused and/or very superficial; Inappropriate use of nursing theorist or absence of theorist in content Project choice is inappropriate for topic Research articles All research is relevant and current evidence which supports conclusions minimum of 10 references in annotated bibliography >50% references are nursing research Majority of research articles are relevant, current, and support conclusions 10 references in annotated bibliography with <50% demonstrating nursing research Lack of rigor in identification of scholarly research (choice Some research is either relevant, current, or support conclusions Less than 10 references utilized <50% nursing research utilized Research selection demonstrates lack of focus in topic Most research articles are irrelevant, outdated, or inappropriate <10 references in annotated bibliography <50% nursing research utilized Research selection is haphazard or does not reflect
of articles, year published, etc) the topic content 13 Structure of content Format/ Mechanics Clear introduction, smooth transitions between topics, and thoughtful conclusion Annotated bibliography is summarized with scholarly knowledge of research Plan for Level IV completion of project is clearly demonstrated Plan for poster presentation is logically structured with appropriate topic headings Intervention if chosen is appropriate choice for application of topic Sentences well formed and appropriately varied in length and style Few if any spelling, grammatical, or APA format errors Project has demonstrated timely progression throughout semester Introduction, transitions, and conclusions present, could be more clear and smooth Annotated bibliography is summarized with adequate knowledge of research Plan for completion of project in Level IV is articulated, but could be more polished Plan for poster presentation is logically structured with appropriate topic headings Most sentences are well formed, with occasional awkwardness; Some spelling or grammatical errors, but paper understandable Project has demonstrated progression throughout semester Evident which topics are being discussed, but no introduction, conclusion, or transitions Annotated bibliography does not reflect adequate understanding and use of research The plan for Level IV completion is poorly understood or presented Plan for poster presentation represents lack of structure Some sentences poorly constructed but generally understandable; Some spelling or grammatical errors which increase difficulty in understanding content Project has demonstrated progression with faculty input only Unclear which topics are being discussed and when; transitions non-existent Incomplete or poorly written annotated bibliography; annotated bib does not reflect appropriate use of research Plan for Level IV completion of project is absent or inappropriate Many sentences poorly constructed, incomplete, and/or awkward; Many spelling or grammatical errors, which present significant barrier to understanding Lack of project progression demonstrated throughout semester 20= 100% 16=75% Adapted from document by MAK.8/05 by C. Powe-Watts 12/06
Michigan State University College of Nursing Reflective Summary Evaluation Tool 14 Criteria Concept Development Personal Growth in concepts Application 4 Accomplished Specifically and completely defines each concept as related to experiences and provides an example of accomplishment for each Provides specific evidence of personal growth in each of the selected concepts Adequately describes using specifics the application of the 9 concepts into daily clinical practice Goal Areas Identifies at least 4-5 specific areas for growth and develops a realistic growth plan to achieve mastery in each area Structure and Format Sentences well formed and appropriately varied in length and style; Few if any spelling, grammatical, or APA format errors Clear introduction, smooth transitions between topics, and thoughtful conclusion 3 2 Proficient Developing Specifically and completely defines each concept as related to your experiences and provides examples for 7-8 concepts Provides specific evidence of personal growth in 4 concepts Adequately describes using specifics the application of the 7-8 concepts into daily clinical practice Identifies at least 3 specific areas for growth and develops a realistic growth plan to achieve mastery in each area Most sentences are well formed, with occasional awkwardness; Some spelling or grammatical errors, but paper understandable Introduction, transitions, and conclusions present, could be clearer or smoother Minimally defines each concept as related to your experiences and provides examples of 5-6 concepts Provides specific evidence of personal growth in 3 concepts Adequately describes using specifics the application of the 5-6 concepts into daily clinical practice Identifies at least 2 specific areas for growth and develops a realistic growth plan to achieve mastery in each area Some sentences poorly constructed but generally understandable; Some spelling or grammatical errors, making paper difficult to understand in places Evident which topics are being discussed, but no introduction, conclusion, or transitions 1 Novice Does not adequately define concepts and provides few examples Provides specific evidence of personal growth in 2 concepts Describes using vague generalities or adequately describes using specifics the application of less than 5 concepts into daily clinical practice Identifies growth areas in vague generalities and/or has no realistic plan to achieve mastery Many sentences poorly constructed, incomplete, and/or awkward; Many spelling or grammatical errors, which present significant barrier to understanding Unclear which topics are being discussed and when; transitions non- existent Score Level Performance Grading Scale % Level I Level II Level III Level IV 100% 12 15 18 20 75% 9 11 14 15
Michigan State University College of Nursing Ethical Indicator Evaluation Tool 15 Name: Total Score: Criteria 4 Accomplished Identification Present and of ethical participates in question group role play for both OB and Pediatric Population cases Application of ethical question Structure of content Format/ Mechanics Appropriately identifies pertinent ethical issues using ethical language Applies two conflicting arguments to identified ethical question from role play with depth and understanding. Opposing arguments are clearly identified as conflicting or dilemmatic Clear introduction, smooth transitions between topics, and thoughtful conclusion. Interesting and clear to reader. Sentences well formed and appropriately varied in length and style; Few if any spelling, grammatical, or APA format 3 Proficient 2 Developing 1 Novice Not applicable Not applicable May identify an inappropriate ethical issue e.g. a legal issue that is not an ethical dilemma It is obvious that content is unclear to writer Applies one Applies Concept absent ethical argument insufficient or inappropriate. to identified argument to Clearly lacking ethical question identified ethical depth and with sufficient question. There is understanding of understanding and insufficient ethical question depth. understanding and supportive and depth of arguments. ethical question. Introduction, transitions and conclusions present but could be verbalized more professionally Most sentences are well formed, with occasional awkwardness; Some spelling or grammatical errors, but paper understandable Evident which topics are being discussed, but no introduction, conclusion or transitions Some sentences poorly constructed but generally understandable; Some spelling or grammatical errors, making Unclear which topics are being discussed and when; transitions non-existent. Many sentences poorly constructed, incomplete, and/or awkward; Many spelling or grammatical errors, which Score
errors. portions of paper difficult to understand. present significant barrier to understanding. 16 16= 100% 12= 75% passing for indicator assignment