EXISTING SYLLABUS College: College of the Health and Human Services School of Nursing Course Number: NUR 333 Course Title: Semester: Credit Hours/Clock Hours: Course Prerequisite: Communication Mental Health Nursing Summer Credit/Clock Hours: 5 credit hours Theory: 3 cr. hrs. (45 clock hours) Clinical/Lab: 2 cr. Hrs. (90 clock hours) Admission to the accelerated nursing program. COURSE DESCRIPTION (NUR 333): Course focuses on developing therapeutic communication skills with clients and other healthcare providers. Additionally, the course will focus on promoting, maintaining, and restoring mental health utilizing therapeutic nursing interventions for clients along the mental health/ disorder continuum. Learning outcomes: Didactic Portion Clinical Practice and Prevention 1. Explores the role of the nurse caring for patients experiencing alterations in mental health. 2. Examines the role of the nurse in promoting optimum level of mental health. Communication 3. Explores the use and application of therapeutic communication with patients having complex communication difficulties. Critical Reasoning 4. Synthesizes knowledge of neurobiology, psychological theory, and nursing theories in order to plan and prioritize nursing care for patients with alterations in mental health. Leadership 5. Describes the specialty practice standards for psychiatric nursing care. Professionalism and Professional Values 1
6. Explores cultural beliefs, practices, and stigmas related to patients suffering from alterations in mental health. Global Health Examines the impact of health equity and social justice on nursing and health care in a variety of settings. Clinical Portion Clinical Practice and Prevention Provides safe, effective nursing care for patients, family, and groups. Implements nursing care using psychiatric nursing body of knowledge, theory and evidence-based research. Communication Integrates psychiatric nursing theories of communication into practice through engaging in clinical interactions with patients having complex communication difficulties. Evaluates patient s mental health status using therapeutic communication individualized to the clinical circumstances. Critical reasoning Synthesizes knowledge of neurobiology, psychological theory, and nursing theories in order to plan and prioritize nursing care for patients with alterations in mental health. Leadership Collaborates with the members of the interdisciplinary mental health care team to plan for and manage patient care through supervision, delegation, coordination, and procurement of available resources. Professionalism and Professional Values Assumes accountability for self by practicing according to the legal and ethical principles of nursing in various clinical and community settings, and by incorporating psychiatric nursing standards into practice. Integrates empathy and therapeutic use of self in the comprehensive care of patients along the mental health/mental disorder continuum. Global Health Collaborates with patients and families to identify mutually agreed upon goals and health care outcomes for culturally reinforcing care. Course Structure/Approach This course is learner centered. The Arizona Board of Regents (ABOR) is committed to providing quality education and programs at Arizona's public universities. This commitment includes placing the student and the learning process at the center of education. The NAU - ABOR link for the definition of Learner Centered Education is as follows: http://www.azregents.edu/specialprogramsandinitiatives/default.aspx NUR 333 will utilize a variety of approaches to meet the course objectives. These instructional methods may include but are not limited to the following: lecture, audiovisual material, guided discussion, group work, demonstration and return 2
Week, Date 1 6/5 2 6/12 3 6/19 demonstration, laboratory experiences, role playing, simulations, self-evaluation, computer programs, decision making exercises, written tests and quizzes, and written assignments. While the faculty will provide guidance and consultation, the student is responsible for identification of learning needs, self-direction, seeking consultation and demonstration of course and clinical objectives. Textbook and Required Materials: Varcarolis, E.M. & Halter, M.J. (2010) Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 6th ed. St. Louis, Missouri: Saunders. Sheldon, L.K., (2009). Communication for Nurses Talking with Patients. Sudbury, Massachusetts: Jones and Bartlett. Nursing Diagnosis Text: Ackley, B.J. & Ladwig, G.B. (2010). Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 9 th ed. St. Louis, Missouri: Mosby Elsevier. *Texts required for concurrent course, Nursing Fundamentals Nursing Reference Texts: Nursing Drug Reference & Lab and Diagnostic Test Manual *Texts required for concurrent course, Nursing Fundamentals NUR 333 Course & Clinical Outline: Didactic Concepts, Assignments Clinical (Wed., Th. or Fri.) Quiz 1 1 2 4 Communication, Therapeutic Relationships, Culture, Boundaries in Health Care, Boundaries in the Mental Health Setting The Peaks Orientation @ 10:30 am Nursing Theory to Practice, Psychiatric Mental Health Nursing and Practice Settings Legal and Ethical Standards of Care and Nursing Process in Mental Health Nursing Stress, Suicide, Anger, Aggression, Violence, Sexual Assault Biological Foundations, Sleep Disorders, Anxiety, Mood, 3 The Peaks Day 1 clinical HRSA Communication The Peaks Day 2 clinical Psychosocial Simulation The Guidance Center (TGC) TGC Orientation: 0745-0900 0700-1600 clinical day Clinical Discussion #1 WIKI opens The Guidance Center (TGC) TGC Day 2 None Quiz #1 Closes @ midnight 6/12 Quiz #2 Closes @ midnight 6/19 Quiz #3 Closes
6/26 5 7/3 6 7/10 2 Personality Disorders Psychiatric Medications Clinical Discussion #2 WIKI, week 1 due Tuesday, 6/26 Exam 1 Exam #1 over s 1 & 2 No Clinical! *Holiday Schizophrenia, Serious Mental The Guidance Center (TGC) Illness, Addictions Post Traumatic TGC Day 3 3 Stress Disorder Clinical Discussion #3 Eating, Somatoform, and WIKI, week 2 due Tuesday, Factitious Disorders, Abuse 7/10 @ midnight 6/26 None Quiz #4 Closes @ midnight 7/10 7 7/17 4 Personality Disorders, Sleep Disorders Specific Populations: ADHD, Autism, Conduct Disorder, Conversion Disorder, AIDs Dementia Complex Disorder, and Alzheimer s Disease The Guidance Center (TGC) TGC Day 4 Clinical Discussion #4 WIKI, week 3 due Tuesday, 7/17 Quiz #5 Closes @ midnight 7/17 8 7/24 9 7/31 10 8/7 Exam 2 Exam #2 over s 3 & 4 Kaplan Exam Final Exam Kaplan Psychosocial exam to be scheduled individually by the student Comprehensive Final Exam: 75 questions, 2 hour time limit per NAU final exam policy The Guidance Center (TGC) TGC Day 5 WIKI, week 4 due Tuesday 7/24 Psychosocial Simulation *WIKI Group Project, Volunteer & Self- Help Meetings Journals due on Friday, 8/3/2012 None EVALUATION METHODS: In order to pass NUR 333, the student must achieve the following: 1. An overall course grade of 78% or higher. 2. A combined average of 78% on all exams and quizzes, except the Kaplan exam; students who do not achieve a 78% exam average will receive an F for the course. 3. A score of three (3) or higher in all elements of the Clinical Evaluation used for the clinical component of the course. 4. Completion of all required clinical requirements, including, but not limited to, clinical hours, simulation experiences and additional assignments required by clinical faculty. 4
Course Assessment of Student Learning Outcomes: 1. 5 Quizzes (graded) 2. 3 Exams (graded) 3. Clinical Discussions (see below #2) 4. Kaplan exam at end of course (5% of total points) 5. Group WIKI project, Psychosocial Chart Review (graded) Clinical Assessment of Student Learning Outcomes: 1. Weekly Clinical Journal and other clinical assignments as determined by clinical faculty (pass/fail) 2. Watch FOUR Independent Film/You-tube videos and attend in-class Discussions (graded) 3. Self-Help Meetings and Volunteer Hours Journal and Verification Form (graded) 4. Final Self Evaluation (pass/fail) 5. Final Clinical Evaluation with clinical faculty (pass/fail) Quizzes Exams Clinical Discussions Kaplan Exam (must achieve mastery to receive the 5%) Group WIKI Quiz #1 = 5 points Quiz #2 = 5 points Quiz #3 = 5 points Quiz #4 = 5 points Quiz #5 = 5 points Quiz Total = 25 points Exam 1 & 2 = 50 points each Exam 3/Final Exam = 75 points Exams Total = 175 points Discussion 1 = 3 points Discussion 2 = 3 points Discussion 3 = 3 points Discussion 4 = 3 points Discussions Total = 12 points 5% of course total = 13 points 20 points Self-Help Meeting Journal & Volunteer Hours Journal Total Points 5 points (2.5 points each) = 250 points Course Grading Scale A = 232+ points B = 209-231 points 5
C = 194-208 points F = <194 *A grade of "C" or above is a passing grade in this course. Both the clinical and lecture portions of the course must be passed in order to pass this course and progress to the next nursing course. The clinical portion of this course, NUR 333L, is PASS/FAIL. Students who do not pass the skills lab/clinical component of NUR 333 will receive an F, regardless of the points earned in the didactic (course) portion of the course. You must pass the NUR 333L (skills lab/ clinical) portion of NUR 333, as well as the lecture portion, in order to pass NUR 333. COURSE POLICIES: Retests/makeup tests: Late assignments will not be accepted unless prior arrangements have been made with the instructor. IF the instructor chooses to accept a late assignments, a 0.5 point reduction will be taken off for each day the assignment is late (unless there is extraordinary circumstances). Exams will be given only on the date and time scheduled. Make-up examinations will be provided only in extraordinary circumstances. Students who are absent from an examination for any reason must call the course coordinator at least 24 hours prior to the examination. Students who do not call before an examination will receive a zero for that examination and will not be eligible to take a make-up examination except for extreme circumstances. Any make-up exam must be completed within two business days of the original exam date or at the discretion of the course coordinator; the final exam must be completed within two business days or by the last day of final exams, whichever comes first or students may receive a zero on the exam. Make up tests may be in any form (oral, written, essay) over the same objectives as the multiple choice exam. The Kaplan cannot be made up. Attendance Policy Under NAU Policy, students are expected to attend every session of class in which they are enrolled. Attendance is considered to be essential to the learning process, as the faculty believes that active participation and engagement facilitate learning. As you will be responsible for the content in the lectures, it is to your advantage to attend classes. You are expected to attend ALL CLINICAL sessions (this includes lab sessions, simulations, and pre/post conferences). Failure to attend clinical will prevent you from meeting clinical course objectives. Failure to notify faculty of absence from clinical (including lab and post conference) prior to missing or being late will be considered as unprofessional conduct and will be handled as such. Being a no call/no show to clinical skills lab or simulation is a serious offense and may lead to failure of the clinical portion of course related to accountability. Withdrawal Policy If a student is unable to attend the course or must drop the course for any reason, it will be the responsibility of the student to withdraw from the course before the withdrawal deadline (see current NAU Schedule of Classes for deadline). Plaiarism All forms of student academic dishonesty, including cheating, fabrication, facilitating academic dishonesty and plagiarism are prohibited and subject to disciplinary action. 6
Cheating means intentionally using or attempting to use unauthorized materials, information or study aids in any academic exercise. Fabrication means intentional and unauthorized falsification or invention of any information or citation in an academic exercise. Plagiarism means intentionally or knowingly representing the words or ideas of another, as one's own in any academic exercise. For further explanation of academic dishonesty refer to the Department of Nursing Undergraduate Student Handbook and Northern Arizona University Student Handbook. Quotation marks should be used to indicate the exact words of another. Each time you paraphrase another author (i.e., summarize a passage or rearrange the order of a sentence and change some of the words), you need to credit the source in the text The key element of this principle is that authors do not present the work of another as if it were their own work. This can extend to ideas as well as written words. If an authors model a study after one done by someone else, the originating author should be given credit. If the rationale for a study was suggested in the Discussion section of someone else s article, that person should be given credit. Given the free exchange of ideas, which is very important to the health of intellectual discourse, authors may not know where an idea for a study originated. If authors do know, however, the author should acknowledge the source; this includes personal communications (APA Publication Manual, 2010, p 15-16). UNIVERSITY POLICIES Review the following policies available on the Northern Arizona University Policy Statement website (http://www2.nau.edu/academicadmin/uccpolicy/plcystmt.html): 1. Safe Environment Policy 2. Students with Disabilities Policy 3. Institutional Review Board Policy 4. Academic Dishonesty Policy (also see http://home.nau.edu/studentlife/handbook/appendix_g.asp 5. Academic Contact Hour Policy 6. Sensitive Course Materials Policy The Impaired Student policy will be strictly adhered to; there will be no tolerance in for any evidence of substance abuse. CLASSROOM MANAGEMENT STATEMENT Membership in the academic community places a special obligation on all members to preserve an atmosphere conducive to a safe and positive learning environment. Part of that obligation implies the responsibility of each member of the NAU community to maintain an environment in which the behavior of any individual is not disruptive. It is the responsibility of each student to behave in a manner which does not interrupt or disrupt the delivery of education by faculty members or receipt of education by students, within or outside the classroom. The determination of whether such interruption or disruption has occurred has to be made by the faculty member at the time the behavior occurs. It becomes the responsibility of the individual faculty member to maintain and 7
enforce the standards of behavior acceptable to preserving an atmosphere for teaching and learning in accordance with University regulations and the course syllabus. At a minimum, students will be warned if their behavior is evaluated by the faculty member as disruptive. Serious disruptions, as determined by the faculty member, may result in immediate removal of the student from the instructional environment. Significant and/or continued violations may result in an administrative withdrawal from the class. Additional responses by the faculty member to disruptive behavior may include a range of actions from discussion the disruptive behavior with the student to referral to the appropriate academic unit and/or the Office of Student Life for administrative review, with a view to implement corrective action up to and including suspension or expulsion. Confidentiality Statement Students must maintain client confidentiality at all times. No discussion regarding clients is acceptable outside the classroom or clinical setting. In clinical conferences and in the classroom references to actual client experiences, do not refer to the patient by name. See the current NAU School of Nursing Student Handbook for additional information http://janus.ucc.nau.edu/~nurse-p/docs/bsn_handbook.pdf 10 PROPOSED SYLLABUS: 8
College of Health & Human Services School of Nursing NUR 333 Communication Mental Health Nursing Course Number: NUR 333 Course Title: Semester: Credit Hours/Clock Hours: Office Address: Primary E-mail: Alternate E-mails: Office Hours: Course Prerequisite: Communication Mental Health Nursing Summer 3/ 45 clock hours Laura Karnitschnig, MN, RN, CPNP Assistant Clinical Professor Nursing Building, Office # 106 Northern Arizona University Northern Arizona University School of Nursing School of Nursing Box 15035 Box 15035 Flagstaff, AZ 86011 Office: 928-523-0687 Cell: 928-379-0990 Please use mail function within Course Shell Laura.Walker@nau.edu By appointment; weekly open office hours to be announced. Admission to the accelerated nursing program, NUR 330. Co-requisites: NUR 319, 319L, 331, 332, 332L 333L COURSE DESCRIPTION: Course focuses on developing therapeutic communication skills with clients and other healthcare providers. Additionally, the course will focus on promoting, maintaining, and restoring mental health utilizing therapeutic nursing interventions for clients along the mental health/ disorder continuum. Learning outcomes: Upon completion of the course, the successful student: Clinical Practice and Prevention 9
1. Explores the role of the nurse caring for patients experiencing alterations in mental health. 2. Examines the role of the nurse in promoting optimum level of mental health. Communication 3. Explores the use and application of therapeutic communication with patients having complex communication difficulties. Critical Reasoning 4. Synthesizes knowledge of neurobiology, psychological theory, and nursing theories in order to plan and prioritize nursing care for patients with alterations in mental health. Leadership 5. Describes the specialty practice standards for psychiatric nursing care. Professionalism and Professional Values 6. Explores cultural beliefs, practices, and stigmas related to patients suffering from alterations in mental health. Global Health 7. Examines the impact of health equity and social justice on nursing and health care in a variety of settings. Course Structure/Approach This course is learner centered. The Arizona Board of Regents (ABOR) is committed to providing quality education and programs at Arizona's public universities. This commitment includes placing the student and the learning process at the center of education. The NAU - ABOR link for the definition of Learner Centered Education is as follows: http://www.azregents.edu/specialprogramsandinitiatives/default.aspx NUR 333 will utilize a variety of approaches to meet the course objectives. These instructional methods may include but are not limited to the following: lecture, audiovisual material, guided discussion, group work, demonstration and return demonstration, laboratory experiences, role playing, simulations, self-evaluation, computer programs, decision making exercises, written tests and quizzes, and written assignments. While the faculty will provide guidance and consultation, the student is responsible for identification of learning needs, self-direction, seeking consultation and demonstration of course and clinical objectives. Textbook and Required Materials: Varcarolis, E.M. & Halter, M.J. (2010) Foundations of Psychiatric Mental Health Nursing A Clinical Approach, 6th ed. St. Louis, Missouri: Saunders. Sheldon, L.K., (2009). Communication for Nurses Talking with Patients. Sudbury, Massachusetts: Jones and Bartlett. 10
Week, Date 1 6/5 Nursing Diagnosis Text: Ackley, B.J. & Ladwig, G.B. (2010). Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 9 th ed. St. Louis, Missouri: Mosby Elsevier. *Texts required for concurrent course, Nursing Fundamentals Nursing Reference Texts: Nursing Drug Reference & Lab and Diagnostic Test Manual *Texts required for concurrent course, Nursing Fundamentals Course Outline: Didactic Concepts, Assignments Quiz 1 Communication, Therapeutic Relationships, Culture, Boundaries in Health Care, Boundaries in the Mental Health Setting The Peaks Orientation @ 10:30 am None 2 6/12 3 6/19 4 6/26 5 7/3 6 7/10 1 2 2 Nursing Theory to Practice, Psychiatric Mental Health Nursing and Practice Settings Legal and Ethical Standards of Care and Nursing Process in Mental Health Nursing Stress, Suicide, Anger, Aggression, Violence, Sexual Assault Biological Foundations, Sleep Disorders, Anxiety, Mood, Personality Disorders Psychiatric Medications Exam 1 Exam #1 over s 1 & 2 None 3 Schizophrenia, Serious Mental Illness, Addictions Post Traumatic Stress Disorder Eating, Somatoform, and Factitious Disorders, Abuse Quiz #1 Closes @ midnight 6/12 Quiz #2 Closes @ midnight 6/19 Quiz #3 Closes @ midnight 6/26 Quiz #4 Closes @ midnight 7/10 7 7/17 4 Personality Disorders, Sleep Disorders Specific Populations: ADHD, Autism, Conduct Disorder, Conversion Disorder, AIDs Dementia Complex Disorder, and Alzheimer s Disease Quiz #5 Closes @ midnight 7/17 8 Exam 2 Exam #2 over s 3 & 4 None 7/24 11
9 7/31 10 8/7 Kaplan Exam Final Exam Kaplan Psychosocial exam to be scheduled individually by the student Comprehensive Final Exam: 75 questions, 2 hour time limit per NAU final exam policy EVALUATION METHODS: In order to pass NUR 333, the student must achieve the following: 1. An overall course grade of 78% or higher. 2. A combined average of 78% on all exams and quizzes, except the Kaplan exam; students who do not achieve a 78% exam average will receive an F for the course. Course Assessment of Student Learning Outcomes: 1. 5 Quizzes (graded) 2. 3 Exams (graded) 3. Kaplan exam at end of course (5% of total points) 4. Group WIKI project, Psychosocial Chart Review (graded) Quizzes Exams Kaplan Exam (must achieve mastery to receive the 5%) Group WIKI Total Points Quiz #1 = 5 points Quiz #2 = 5 points Quiz #3 = 5 points Quiz #4 = 5 points Quiz #5 = 5 points Quiz Total = 25 points Exam 1 & 2 = 50 points each Exam 3/Final Exam = 75 points Exams Total = 175 points 5% of course total = 11 points 20 points = 231 points 12
Grading System A = 232+ points B = 209-231 points C = 194-208 points F = <194 *A grade of "C" or above is a passing grade in this course. Quizzes: ALL quizzes will be open Monday am to Tuesday midnight Quizzes are DUE by midnight on Tuesdays 48 hours will be given for all 5 quizzes o Students have 20 minutes to complete 10 question quizzes on Bb Learn Students are to take all quizzes individually No sharing of questions or answers is permitted. Course policies: Retests/makeup tests: Retests/makeup tests: Make up tests may be arranged for valid reasons such as illness or personal/family emergencies. ARRANGEMENTS TO TAKE A MAKE UP EXAM MUST BE MADE WITH THE FACULTY WITHIN ONE WEEK OF THE EXAM. Make up tests may be in any form (oral, written, essay) over the same objectives as the multiple choice exam. There are no re-tests. Kaplan achievement exam must be taken at assigned time; alternative arrangements for testing schedule cannot be made with vendor. Attendance Policy Under NAU Policy, students are expected to attend every session of class in which they are enrolled. Attendance is considered to be essential to the learning process, as the faculty believes that active participation and engagement facilitate learning. As you will be responsible for the content in the lectures, it is to your advantage to attend classes. Withdrawal Policy If a student is unable to attend the course or must drop the course for any reason, it will be the responsibility of the student to withdraw from the course before the withdrawal deadline (see current NAU Schedule of Classes for deadline). Plagiarism, Cheating, and Academic Dishonesty: Please refer to Appendix G of the NAU Student Handbook (http://home.nau.edu/images/userimages/awf/9476/academic%20dishonesty.pdf) for definitions, policies, penalties, and procedures related to various forms of academic dishonesty. Northern Arizona University, School of Nursing and NUR 333 Course Policies Policies and guidelines in NUR 333 course syllabi apply to all aspects of this course. You are responsible for review and compliance with NUR 333, NAU School of Nursing, and NAU policies. You are also responsible for review and adherence to the professional standards and rules of the Arizona Nurse Practice Act and Board of Nursing, and the American Nurses Association Code of Ethics. All policies are described in the NAU School of Nursing BSN Handbook and the NAU Student Handbook. For full handbook descriptions, visit these websites: 13
Current NAU SON BSN Handbook: http://jan.ucc.nau.edu/~nursep/docs/bsn_handbook.pdf NAU Student Handbook: http://home.nau.edu/studentlife/handbook.asp Arizona Nurse Practice Act: http://www.azbn.gov/nursepracticeact.aspx American Nurses Association Code of Ethics: http://www.nursingworld.org/mainmenucategories/ethicsstandards/codeofethics fornurses.aspx Social Media Guidelines: https://www.ncsbn.org/2930.htm UNIVERSITY POLICIES Review the following policies available on the Northern Arizona University Policy Statement website (http://www4.nau.edu/avpaa/uccpolicy/plcystmt.html): 1. Safe Environment Policy 2. Students with Disabilities Policy 3. Institutional Review Board Policy 4. Academic Integrity Policy (also see http://home.nau.edu/images/userimages/awf/9476/academic%20dishonest Y.pdf 5. Academic Contact Hour Policy 6. Sensitive Course Materials Policy The Impaired Student policy will be strictly adhered to; there will be no tolerance in for any evidence of substance abuse. 14