Nursing Leadership and Advanced Roles Course Description The purpose of this course is professional role development related to leadership in advance nursing practice. Major emphasis of the course will focus on effective communication as a member of an interprofessional team; strategies to promote change in the healthcare system; and leadership skills necessary to deliver high quality and culturally competent healthcare to positively affect patient outcomes. Course Objectives At the end of the course, the student will be able to: Analyze own strengths, limitations, and values as a member of a team and impact of own advanced practice role Describe scopes of practice and roles of all healthcare team members and strategies for identifying and managing overlaps in roles Articulate initiatives to sustain effective partnerships with members of nursing and inter-professional teams Explore impact of own communication style on others and preferences among patients and families, advanced practice nurses, and other members of the health team Examine the impact of authority gradients and their influence on team functioning on safety and quality of care Identify system barriers and facilitators of effective team functioning Examine strategies to promote change for improving systems and support team functioning Describe nurse leader characteristics necessary to manage a culturally diverse workforce and the impact of cultural diversity on team functioning Describe the factors that create a just culture and the role of transformational nurse leaders in creating a culture of safety Examine nurse leadership skills necessary to deliver high-quality care and strategies for improving health outcomes including academic/clinical partnerships Explore nursing s image in the media and examine strategies to present a positive image 10/12/2015 NUR 514: Nursing Leadership and Advanced Roles i
Topic Outline 1. Impact of advanced practice role 2. Scopes of practice and roles of all health care team members 3. Initiatives to sustain effective partnerships 4. Team functioning on quality of care 5. Strategies to promote change 6. Impact of cultural diversity 7. Nursing s image in the media Teaching Strategies Assigned Readings Case Studies Collaborative Learning Teams Discussion Boards Guest Speakers Lecture/Discussion Student Presentations Written Projects Evaluation Methods Discussion Board (8 @ 20 points each) 160 Collaborative Ideal Interdisciplinary team paper and presentation 150 Nursing Leadership and Influence paper 150 Advanced Nursing Roles poster presentation 140 Total 600 ii
Final Grade The course grade will be determined by summing the number of points the student receives. Letter grades will be assigned according to the following point accumulations. A 549 600 points A- 537 548 points B+ 525 536 points B 489 524 points B- 477 488 points C+ 447 476 points (passes but on academic probation) Below this level course is failed C F 417 446 points 416 points and below Required Textbooks Publication manual of the American Psychological Association (6th ed.) (2010). Washington, DC: APA. DeNisco, S.M. & Barker, A.M. (2013). Advanced practice nursing: Essential Knowledge for the Profession (3rd ed). Burlington, MA: Jones and Bartlett Sullivan, E. J. (2013). Becoming influential: A guide for nurses (2nd ed.). Upper Saddle River, NJ: Pearson. Classroom Policies Policies regarding attendance, tardiness, examinations, promotion, and written assignments are stated in the School of Nursing Handbook. Students are responsible for knowing these policies and adhering to them. Honor Code Truth has been identified by the profession as a value essential to nursing. To underscore the importance of truth, honesty, and accountability, students, faculty, and staff in the Jacksonville University School of Nursing adhere to the following honor code: I do not lie, cheat, steal, or condone those who do. Egregious academic misconduct will result in dismissal from the School of Nursing. 10/12/2015 NUR 514: Nursing Leadership and Advanced Roles iii
Academic Integrity Misconduct Policy Students are responsible for reading and adhering to the Jacksonville University Academic Integrity Misconduct Policy. This policy can be found in the Jacksonville University Academic Catalog: http://www.ju.edu/files/catalogs/2015-16_ju_academic_catalog.pdf Disability-Related Information Any student with a visible or nonvisible disability who requests reasonable accommodation to his or her condition should provide medical and/or psychological documentation of the disability to the Student Life Office and refer to the information in the JU catalog and Student Online Handbook for additional information regarding student disabilities. A student with a learning disability should weigh carefully with his/her advisor the requirements of the nursing program in order to ascertain its suitability, given the nature of the disability. iv
Discussion Board Participation (8 @ 20 points = 160 Points) A requirement for the class is to post a scholarly, substantive response utilizing APA (6th ed.) citations to each week s Discussion Board by Wednesday at 11:59 p.m. ET and at least four insightful responses to your classmates or instructor by Sunday at 11:59 p.m. ET for a minimum total of five postings each week. The insightful response must be substantive rather than just an I agree response. Students online participation and completion of assigned web-based activities will be tracked by the instructor throughout the duration of the course. Course participation points will be deducted for lack of online participation. Only postings before 11:59 p.m. ET at the end of the week will earn points. Note: There are no make-up provisions for a missed discussion. Prepare for the online classroom by completing all assigned readings and/or activities. Participate in discussions including building on what others contribute. Use assigned readings and other appropriate, relevant literature, together with personal leadership and clinical experience in nursing as a basis for discussion. Discussion Board Assignments are asynchronous learning activities which allow students to research and present pertinent information to the entire class. Each student is expected to post relevant information obtained from peer reviewed journals, Internet sources that are organizations, educational, or governmental (.org/.edu/.gov). Commercial Internet sources are not appropriate unless from reputable news organization, i.e., New York Times, Washington Post, Newsweek, Time Magazine, etc. Failure to participate or to participate in a less than meaningful fashion will result in no points awarded. Students will have points allocated directly related to quality of participation. 14 20 Points Posting of relevant researched information on the specified topic, generating a thoughtful discussion thread and contributing to the discussion at least three times. 8 13 Points Posting of relevant researched information on the specified topic, generating a thoughtful thread and contributing to discussion at least once. 7 Points Minimal to no contribution to discussion. 10/12/2015 NUR 514: Nursing Leadership and Advanced Roles v
Discussion Board Expectations Components Exceeding Expectations Average Expectations Below Expectations Consistency of Responses Frequent and even distribution throughout the module Constant engagement in the discussion Responds in a timely fashion Demonstrates good self-initiative Initiates discussion topics Uneven distribution throughout the module Makes some contributions to the online discussions but not always present Responds most of the time to messages Infrequently initiates discussion topics Uneven and infrequent distribution throughout the module Limited participation Only participates when prompted by the instructor Evidence of Clear that readings Some integration It is not clear that Understanding and course materials of the content of readings or course were accessed and readings and other materials were understood course materials understood or used Issues and knowledge Opinions and ideas in the learner s gained incorporated are stated clearly own knowledge well into responses with occasional lack construction Learner shows of connection to topic Makes irrelevant excellent reflection or readings remarks which on the course content Some evidence of are unrelated to and into their own reflection on own the topic being learning learning discussed Depth of Commentary Examples of learner thoroughly identifying and analyzing issues, implications of the topic, and generating new issues or concerns for consideration Comments offer new insights Some evidence of learner thoroughly identifying issues, offering implications and generating some new concerns for consideration Some postings offer new insights Comments are usually to simply agree or disagree with limited analysis or synthesis No evidence of insight into own learning vi
Degree of Engagement Often presents reflections that become central to the team discussion Interacts freely and encourages others Consistently presents creative reflections on the topic Aware of team needs Frequently prompts further discussion Occasionally makes meaningful reflection of team s efforts Some effort to become involved in the team Somewhat aware of the needs of the team Sometimes prompts further discussion Not actively involved in the online discussion Does not feel the need to belong or participate in team activities Participation only after prompting from the instructor 10/12/2015 NUR 514: Nursing Leadership and Advanced Roles vii
Assignment Guidelines All written assignments must be typed (double-spaced), have an appropriate title sheet, and conform to APA format. References should not be older than five years, except in cases where the reference is considered a classic in the particular field. For due dates on all assignments, please refer to the schedule of classes and assignments. Nursing Leadership and Influence Paper (150 Points) This is an individually written formal paper about nursing leadership and influence. This paper is expected to be five to seven pages in length, excluding title page and reference list. APA formatting is required. Refer to Sullivan s Becoming Influential as well as Chapter 27 of DeNisco. Choose a concept presented in Sullivan (Power, Image, Communication, Politics, Networking, Setting Goals and Negotiation). Describe the concept and why you view it as important to nursing influence. Review the literature on your chosen concept and note your findings. Describe how you, as an Advanced Practice nurse, will develop and utilize this concept in your professional practice to influence health care and advocate for patients. Include in your discussion your goals for the immediate future once you have completed your MSN degree. Nursing Leadership and Influence Points possible Points earned Overview of Nursing Leadership Concept chosen 25 Review of Literature of this concept (a minimum of 8 peer-reviewed articles reviewed within five years of publication) 50 Influencing Health Care and Advocating for Patients 25 Future Goals in Advanced Nursing Practice 25 APA/Grammar 25 Total points 150 Advanced Nursing Role Leadership Presentation (140 points) This is an individual assignment and consists of a poster presentation. Select a case scenario that occurred in your nursing practice. The scenario may involve a direct clinical or an indirect systems (administrative) situation. Explain the case, including what resolution did or did not occur. Perform a literature review of the subject and document your findings. Address the issue from a cultural, quality and safety, and advanced nursing practice role perspective. Include information on the legal and ethical implications of the issue. viii
Students will post their presentation and direct a discussion about the issue and their findings. Each student is expected to pose questions regarding the issue to the class. Additionally they are expected to address all questions or comments that are directed to their poster. Please refer to http://www.makesigns.com/ to download a free template for your poster. Advanced Nursing Role Presentation Points possible Points awarded Presentation of case study 25 Literature Review of case (Six to eight peer-reviewed articles published within five years) Cultural perspective Quality and safety perspective Leadership perspective Legal perspective Ethical perspective 50 Discussion of case to classmates 40 Appearance of poster clarity, formatting, grammar, spelling 25 Total points 140 Collaborative Ideal Interdisciplinary Team Paper and Presentation (150 points) This is a group assignment and involves both a written paper and a PowerPoint presentation. Chose a nursing issue that impacts your practice. The nursing issue may involve a structure, process or outcome. Examples might include an increased number of patient falls, long wait times in the Emergency Department, high staff turnover, poor medication compliance in an outpatient setting. Your team is in charge of establishing a committee to address this issue. Establish membership of your committee, including which disciplines should be represented and what individual responsibilities are. Provide goals and objectives for your committee. Provide a timeline for expected resolution of the issue and dissolution of committee. Provide guidelines for communication among committee members, including resolution of conflict. Describe how you will implement your solution to the issue addressed and measure the effectiveness of your model. Students are expected to interview nursing and other healthcare leaders at their facility to help develop their committee. They are also expected to attend interdisciplinary meetings to gain insight on the workings of teams and apply what they learned to their ideal team. Refer to chapter 30 of De Nisco Student groups will submit one 8 10 page paper for their group. Additionally students will develop a 15 20 slide PowerPoint presentation about their Team and present to classmates. Students are expected to lead the discussion about their ideal team and the issue it is working to solve. 10/12/2015 NUR 514: Nursing Leadership and Advanced Roles ix
Collaborative Ideal Interdisciplinary Team and Presentation Points possible Points awarded Discussion of chosen nursing issue-why it was chosen and significance to nursing practice Development of Team Membership Duties & responsibilities of team members Committee goals and objectives Timeline Communication guidelines Plans for implementation of solution Plans for measuring outcome and success of solution 25 50 APA/Grammar 25 PowerPoint presentation clarity, organization, grammar 25 Leading class discussion 25 Total points 150 x