NURSING 495 COURSE OUTLINE UNIVERSITY OF ALBERTA Faculty of Nursing Undergraduate Programs: BScN COLLABORATIVE PROGRAM Grande Prairie Regional College, Keyano College, Red Deer College, University of Alberta BScN AFTER DEGREE PROGRAMS Edmonton & Camrose RPN TO BScN PROGRAM BScN BILINGUAL PROGRAM BScN HONOURS PROGRAM Winter 2016 UNIVERSITY OF ALBERTA COLLABORATIVE BSCN PROGRAM, 1999 All rights reserved. No part of this course outline may be reproduced in any form or by any means without the publisher s written permission. CALENDAR STATEMENT: NURS 495 Nursing Practice VIII *9 (fi 18) (either term 0-1s-34c in 10 weeks) Comprehensive and consolidated approach to professional practice of nursing. Co- requisite: NURS 494. Available only to nursing students in the Collaborative Program, Honors Program, After Degree Program, and RPN to BScN Program. COURSE HOURS: Lecture: 0 Seminar: 10 Lab: 0 Clinical: 340 COURSE LEAD YEAR 4 COLLABORATIVE/ SR MED-SURG COORDINATOR: Tracey Stephen, RN, MN Dianne Vanderwell, RN, BScN, MScAdmin Office: ECHA 5-381 Office: ECHA 4-187 Phone: (780) 492-3776 Phone: 780-492-9963 Email: tracey.stephen @ualberta.ca Email: dianne.vanderwell@ualberta.ca Appointments Ph: (780) 492-6240 E-mail: yvonne.tse@ualberta.ca
2 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 NURS 495 to occur in an acute care setting. LEVEL OF INDEPENDENCE (There is an expected progression within a course and between levels). The following levels of independence will be utilized (unless otherwise indicated): Levels Level 4, senior 2: Levels of independence (beginning of term end of term) With minimal guidance independently Description (beginning of term end of term) The student requires occasional clarification, prompting and confirmation The student works mostly on his or her own and seeks information, clarification, and consultation as appropriate. Definition of terms: Direction: The faculty member provides the student with step by step instruction. Information: The faculty member provides the student with specific learning content. Clarification: The faculty member, using critical questioning and student feedback, seeks to promote the student's clear understanding of the required knowledge. Prompting: The faculty member uses cues/prompts to strengthen the breadth and depth of the student's knowledge. Confirmation: The faculty member verifies for the student the accuracy of her/his knowledge. Consultation: The faculty member and the student have regular discussion to allow the student to share information, seek direction and ask questions. Occasional: The faculty member provides the student with intermittent direction, promoting and clarification as the student moves towards an expected level of autonomy. Objectives Students are responsible to familiarize themselves with Graduate Competencies and Year-End Outcomes (with Cross Reference to Courses) 2015-2016 (Faculty of Nursing Undergraduate Programs). Attention must be given to the competencies in column "Level 4, Senior 2". Students must regularly refer to the document entitled Graduate Competencies and Year-End Outcomes Condensed Version (Faculty of Nursing Undergraduate Programs). 2015-2016. Attention must be given to the competencies in column "Level 4, Senior 2". This document serves as the basis for the evaluation of students' clinical practice.
3 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 the competencies in column "Level 4, Senior 2"competencies, as described in the document entitled: Graduate Competencies and Year-End Outcomes Condensed Version (Faculty of Nursing Undergraduate Programs) 2015-2016. 3. 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. REQUIRED LEARNING EXPERIENCES In order to pass NURS 495, students must demonstrate safe ethical nursing practice, professional behaviour, and complete the following experiences and assignments. 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. Develop a learning plan that will facilitate learning in assigned clinical setting. REQUIRED RESOURCES: Academic integrity guide for undergraduate students. Retrieved from http://www.osja.ualberta.ca/en.aspx Alberta Health Services. (2010). Code of conduct. Edmonton, Alberta: Author. Retrieved from http://www.albertahealthservices.ca/pub-code-of-conduct.pdf Alberta Health Services (2008). Policies for student nurses in acute care facilities/glenrose Rehabilitation Hospital/Primary Care Division and Public Health Division, October 2008 (Retrieved from eclass Student Resource Site.) American Psychological Association. (2009). Publication manual of the American Psychological Association (6 th ed.). Washington, DC: Author.
4 André, S., & Low, G. (2009). American Psychological Association (APA) 6 th edition: Referencing tips. Edmonton, AB (Retrieved from eclass Undergraduate Programs- Undergraduate Student Resource Site. Click on Writing Resources.) A web-based interactive tool for using the APA referencing guidelines in scholarly writing. College and Association of Registered Nurses of Alberta. (2008). Primary health care. Edmonton, AB: Author. Retrieved from http://www.nurses.ab.ca/content/dam/carna/pdfs/documentlist/guidelines/primaryhealth Care_Sep2008.pdf College and Association of Registered Nurses of Alberta (2010). Ethical decision-making for registered nurses in Alberta: Guidelines and recommendations. Edmonton: Author. Retrieved from http://www.nurses.ab.ca/content/dam/carna/pdfs/documentlist/guidelines/rn_ethicalde cisions_may2010.pdf College and Association of Registered Nurses of Alberta. (2011). Professional boundaries for registered nurses: Guidelines for the nurse-client relationship. Edmonton, AB: Author. Retrieved from http://www.nurses.ab.ca/content/dam/carna/pdfs/documentlist/guidelines/rn_profession alboundaries_may2011.pdf College and Association of Registered Nurses of Alberta. (2013). Entry-to-practice competencies for the registered nurses profession. Edmonton, AB: Author. Retrieved from http://www.nurses.ab.ca/content/dam/carna/pdfs/documentlist/standards/rn_entrypracti cecompetencies_may2013.pdf College and Association of Registered Nurses of Alberta. (2013). Practice standards for regulated members with The Canadian Nurses Association code of ethics for registered nurses. Edmonton: Author. Retrieved from http://www.nurses.ab.ca/content/dam/carna/pdfs/documentlist/standards/practicestandar ds_cna_ethics_2008.pdf Graduate Competencies and Year-end Outcomes (With cross ref. to courses). Faculty of Nursing Undergraduate Programs. 2015-2016. Retrieved from eclass Undergraduate Student Resource Site. Graduate Competencies and Year-end Outcomes Condensed Version (Faculty of Nursing Undergraduate Programs) 2015-2016. Retrieved from eclass Undergraduate Student Resource Site. Policy on Appropriate Clinical Attire (2014). (Retrieved from eclass Undergraduate Student Resource Site.) Undergraduate Nursing Student Manual 2015-2016. (Retrieved from eclass Student Resource Site.) In addition, use resources and textbooks acquired since the beginning of your program. Recommended NCLEX Preparation Resources: Billings, D., & Hensel, D. (2014). Lippincott s Q&A review for NCLEX-RN (11 th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Elsevier Adaptive Quizzing HESI Exit Exam HESI RN Computer Adaptive Test (CAT) Exam
5 LaCharity, L., Kumagai, C., & Bartz, B. (2014). Prioritization, delegation, and assignment Practice exercises for the NCLEX examination (3rd ed). St. Louis: Mosby. Mometrix Exam Secrets Test Prep Team (2014). NCLEX-RN practice questions. Mometrix Media. Lisko, S. (2014). NCLEX-RN questions & answers made incredibly easy! (6 th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Rupert, D. (2014). NCLEX-RN alternate-format questions (5 th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. REQUIRED LEARNING EXPERIENCES: Pyxis and VAX orientations may be necessary prior to the start of NURS 495. Information, time and location will be posted prior to the start of NURS 495. Clinical Hours: consist of the time spent in nursing practice with clients. Reflection on clinical practice will be addressed throughout this course with the preceptor and course tutor. CLINICAL PRACTICE HOURS will begin February 1. To successfully complete NURS 495, the student must complete 340 hours of clinical practice over a period of 10 consecutive weeks. Students are expected to work the same clinical hours as their preceptor. This may include days, evenings, nights, and weekend shifts. Students are to immediately share this schedule with their tutor. Preceptors and the nursing unit are to be notified in advance if the student is unable to attend clinical practice as planned. Tutors are to be notified as soon as possible of changes that occur in this schedule due to illness or any other reason. (Failure to promptly share initial clinical schedules or changes in clinical schedules may result in an unsatisfactory rating under professional responsibility.) Alternate clinical practice must be arranged as needed in order to complete the required number of clinical hours. Note: Students are to adhere to the Faculty of Nursing Policy on Appropriate Clinical Attire at all times while in the clinical setting. PROGRAM EVALUATION: At the end of NURS 495 (the last course of the BScN degree program), all students are asked to attend a Program Evaluation session. This session will occur on April 14 at 1000h in Room TBA. PINNING CELEBRATION: April 14 at 1300h in Room TBA. Pinning is a traditional acknowledgement of the completion of a nursing program. Please join the faculty in this celebration. All students and faculty will receive an invitation via e-mail and eclass.
6 COURSE EVALUATION: In order to pass NURS 495, students must demonstrate safe, ethical nursing practice, professional behaviour, and complete the following experiences and assignments. In this course, students will have a continuous experience which will include: 1. Demonstration of the transition to the graduate role in providing safe nursing care for multiple and complex clients in ambiguous situations. 2. With increasing independence, interact with and develop collaborative partnerships with multiple clients, community members, nurses, and members of other disciplines. 3. Demonstrate beginning leadership, management, and administrative skills (e.g. Case Management, delegation, team leading, case coordination, conflict resolution, crisis management, and utilize research to support change in nursing practice). Students are expected to implement previously learned nursing skills. Mandatory Health and Safety Requirements: Students are required to complete all Health and Safety requirements for each clinical course prior to orientation at the clinical site. These requirements are referenced in the section 133.2 [2] of the University of Alberta Calendar 2015-2016. The Faculty of Nursing outlines specific requirements on the Health and Safety Requirements page of the Faculty of Nursing website: https://uofa.ualberta.ca/nursing/programs/undergraduate-student-resources-andservices/health-and-safety-requirements Students who do not hand in relevant Health and Safety documents and complete additional requirements such as WHMIS, to be completed once a year, and Fire Safety, to be completed by the deadline specified by your instructor, are not permitted to participate in clinical courses. Please contact the Undergraduate Office: nuhealth@ualberta.ca as soon as possible should you anticipate any difficulties meeting the deadline for your program. Evaluation in NURS 495 Evaluation Due Date Value Evaluation of Nursing Practice Midterm and Final Pass/Fail Learning Plan Faculty specific Pass/Fail Clinical Project February 29 50 % Scholarly Reflection Paper March 28 50 % Registration Deadlines - add/delete: Feb 12; 50% refund: Feb 29; and withdrawal: Apr 8 PLEASE NOTE: Upon completion of the clinical practicum, an unsatisfactory rating in any of the categories in the ENP will result in course failure. PLEASE NOTE: A penalty of 10% will be deducted per day for a late assignment unless previous arrangements have been made with the clinical tutor. Requests for extensions, including a rationale for the request, must be submitted and agreed on in writing prior to the due date. PLEASE NOTE: Students must have within the last month successfully passed the Medication Administration Safety Exam (MASS) with a mark of 90% or better. A meeting with the
7 Assistant/Associate Dean of Undergraduate Program will be arranged for students who do not achieve 90% on MASS Rewrite to determine the next steps to be taken. Clinical Performance Unprofessional, incompetent or unsafe practice on the part of the student will result in the Dean withdrawing the student from the clinical placement (refer to University of Alberta Calendar 2015-2016, Section 133.2 (3)). The preceptor is to report to the tutor any concerns re: a) unsafe behaviour b) demonstrated potential for causing harm c) lack of progress in clinical competence d) lack of improvement in practice in response to feedback from preceptor and/or tutor e) ineffective self-evaluation to improve clinical behaviours Required Evaluation in NURS 495 1. Learning Plan (Pass/Fail) - due approximately after the first week of clinical (faculty will assign due date) Students will develop a learning plan to guide their nursing practice in NURS 495. A learning plan is an agreement between the student, the preceptor, and the clinical tutor (use the SMART acronym and Bloom s Taxonomy criteria available on eclass). The learning plan should specify the student s overall learning goals, objectives, strategies and evaluation methods developed for the student to achieve the selected goals. A user-friendly Learning Plan template adapted from the CARNA Learning Plan format is available on eclass. Tutors may give unique instructions that meet the needs of the clinical group. 2. Clinical Project (50%) Due February 29 As a concrete outcome of a major learning goal, each student will complete a project designed to contribute to the student s learning within the practice environment. Consultation with your tutor and preceptor is recommended. Assignment details will be posted on eclass and will be discussed during the Course Orientation Session. Examples: a) In-service on a topic of interest or identified learning need for your unit staff b) Poster presentation or Infographic c) Teaching aid for clients, staff, family and visitors d) Teaching presentation to the population served by your learning unit e) Socio-political action f) Photo voice presentation 3. Scholarly Reflection Paper: (50%) Due March 28 This report is an exploration of the student s holistic transition from nursing student to a competent graduate nurse. In the report, the student will identify and discuss, with depth, breadth and creativity, one area he or she explored for both professional growth and development, and preparation for graduation. Your instructor will share his/her expectations and evaluative criteria.
8 4. Evaluation of Nursing Practice (Pass/Fail) At midterm (the completion of 170 hours) and at the end of the term (340 hours), the student will complete a self-evaluation of nursing practice including comments and examples for each of the six evaluation categories and a self-rating of Satisfactory or Unsatisfactory. The student will share this evaluation with the preceptor who is asked to add comments and assign a Satisfactory or Unsatisfactory rating for each indicator. The third step will be for the tutor to add comments and assign a final rating. All three partners will use the same document to share comments and ratings. Students must receive a rating of Satisfactory in any of the major categories of the Final Evaluation of Nursing Practice in order to pass this course. ASSIGNMENT OF FINAL GRADE: The 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). Due attention is paid to descriptions of grade points according to the 2015-2016 University of Alberta Calendar [Section 23.4(4)]: Excellent A+, A, A- Good B+, B, B- Satisfactory C+, C, C- Poor D+ Minimal Pass D Fail F STUDENT ACCESSIBILITY SERVICES (SAS): 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 Student Accessibility Services, 1-80 Students Union Building (SUB) (phone number: 780-492- 3381; TTY or videophone for deaf and hard-of-hearing callers: 780-492-7269). For exam matters, contact examsas@ualberta.ca, room 215 Central Academic Building (CAB) (phone: 780-492-9816). POLICY STATEMENTS: The course outline acts as an agreement between the student and the tutor of this class regarding the details of the course. Policy about course outlines can be found in Section 23.4(2) of the University Calendar. (GFC, 29 SEP 2003) 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 particularly urged to familiarize themselves with the provisions of the Code of Student Behaviour (online at http://www.governance.ualberta.ca/studentappeals.aspx ) and avoid any behavior which could potentially result in suspicions of cheating, plagiarism, misrepresentation of facts and/or participation in
9 an offence. Academic dishonesty is a serious offence and can result in suspension or expulsion from the University. (GFC, 29 SEP 2004) For further information on plagiarism and cheating, visit the Academic Integrity, University of Alberta page at http://www.tie.ualberta.ca/ Students have the right to appeal course assignment marks, course grades, academic standing and practicum intervention related to their undergraduate degree program. Policies outlining appeal procedures are posted on eclass for each course under the UofA Policies and Information icon. Advice for students on excused absences can be found in the Undergraduate Student Resource site in eclass. Click on the Policies and Information icon on the homepage. Audio or video recording, digital or otherwise, of lectures, labs, seminars or any other teaching environment by students is allowed only with the prior written consent of the instructor or as a part of an approved accommodation plan. Student or instructor content, digital or otherwise, created and/or used within the context of the course is to be used solely for personal study, and is not to be used or distributed for any other purpose without prior written consent from the content author(s). Please note only those items specifically authorized by the instructor may be brought into the exam facility. The use of unauthorized personal listening, communication, recording, photographic and/or computational devices is strictly prohibited 2015-2016 University of Alberta Calendar [Section 23.5.1(2)]. 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 the development of 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. COMMUNICATION: Students must use their University of Alberta e-mail address and include a subject line when communicating with faculty members. The content messages of both e-mail and voice mail must be delivered in a professional manner. Inappropriate messages may be considered harassment. Refer to the Code of Student Behaviour Section 30.3.4(6) d. Inappropriate use of e-mail 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 e-mail etiquette, the link is provided below: http://www.nurs.ualberta.ca/flex/email/email_ettiquette.html The use of social networking sites, 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, Section E-Maintaining Privacy and Confidentiality. https://cna-aiic.ca/~/media/cna/files/en/codeofethics.pdf (copy link to the web browser to open the document)
10 and the University of Alberta Code of Student Behavior, Section 30.3.3 Inappropriate Behaviour in Professional Programs (http://www.governance.ualberta.ca/codesofconductandresidencecommunitystandards/codeofstud entbehaviour/303offencesunderthecode/3033inappropriatebehaviourinpr.aspx) COURSE MATERIAL AND ANNOUNCEMENTS: The Faculty of Nursing creates an eclass site for all undergraduate courses. Students are expected to access and become familiar with their eclass site at the beginning of each term and to access their eclass site on a regular basis throughout the term. Failure to do so may result in students missing important course-related information, resources, instructor feedback, and announcements. General Faculty of Nursing (FON) and Course announcements will be made on: Course eclass TEACHING & LEARNING TECHNOLOGIES FACULTY OF NURSING: Teaching & Learning Technologies (TLT), Faculty of Nursing, provides ongoing support for the integration of teaching and learning technologies to faculty and students. If you need any assistance with Nursing eclass sites, please do not hesitate to contact TLT. Your course contact is listed inside each course site. They will be happy to assist you and answer any questions or concerns you may have regarding the technologies used for course delivery. You can also browse through their website at: http://uofa.ualberta.ca/nursing/about/teaching-and-learning-technologies Please Note: If you do not see a link to a nursing course you are registered in, if you see a link to a course you are not registered in, or if there are any additional nursing sites you need access to, please do not hesitate to contact nutlt@ualberta.ca with your questions.