UNIVERSITY OF ALBERTA COLLABORATIVE BACCALAUREATE NURSING PROGRAM Grande Prairie Regional College Keyano College Red Deer College University of Alberta Nursing 390 Course Outline Fall 2015 Associate Dean: Date: August 25, 2015 1
COURSE DESCRIPTION: NURS 390 Nursing in Context C (6-4S-3) 7 weeks Within the context of primary health care focus is on restoration, rehabilitation and support of clients experiencing more acute variances in health. Discussion related to health promotion and disease prevention continues. Advanced health assessment and nursing skills will be introduced. Prerequisites: NURS 215, 274, 381, 384, 385. COURSE HOURS: 6 hours of Tutorial, 3 hours of Lab, up to 3.0 hours of FRS per week x 7 weeks. LEVELS OF INDEPENDENCE In evaluating outcomes, the following levels of independence will be used: With assistance: The student requires direction and information. With minimal assistance: The student requires occasional direction and information. With guidance: The student requires clarification, prompting and confirmation. With minimal guidance: The student requires occasional clarification, prompting and confirmation. Independently: The student works mostly on his or her own and seeks information, clarification and consultation as appropriate. Direction: Tutor tells the student what to do, about what steps to take. Information: Tutor tells the student specifics about a concept or topic. Clarification: Tutor, through questioning and feedback assists the student to state their information in a different and clearer way, often with more details. The student asks questions to increase their understanding; questions asked demonstrate a sound knowledge base. Prompting: Tutor provides the student with a cue that answer is incomplete or incorrect and how to resolve the lack of information. A prompt is broader than a hint. Prompting is generally used to add breadth or depth. Confirmation: Tutor provides positive feedback for correct information and direction provided by the student. Consultation: The student provides tutor with information and/or direction and asks specific questions about the information or direction which the instructor confirms. Occasional: The clinical tutor provides input every now and then. 2
COURSE OUTCOMES Overarching statement: Students are responsible to familiarize themselves with Graduate Competencies and Year-End Outcomes (with Cross Reference to courses) 2015-2016. Attention must be given to the competencies that are identified as being relevant to NURS 390. 1. Demonstrate, independently, self-directed learning, critical thinking, and group process skills in utilizing context-based learning, in all learning activities. 2. Apply, independently, the nursing process to scenario clients experiencing acute and complex variances in health. 3. Demonstrate understanding of the client as individuals, families, and groups. 4. Demonstrate increasing knowledge and understanding of nursing as a discipline and as a profession. 5. Demonstrate, with minimal guidance, the ability to use professional and/or therapeutic communication skills in all learning activities. 6. Demonstrate knowledge of primary health care, health promotion, and disease prevention as applied to clients experiencing more acute and complex variances in health across the lifespan. 7. Demonstrate understanding and the ability to perform advanced health assessment and nursing skills. 8. Demonstrate increasing understanding of the concepts of restoration, rehabilitation as applied to clients experiencing more acute and complex variances in health. 9. Integrate the knowledge generated from working through the course scenarios, and be able to apply this knowledge to other situations. 10. Integrate the knowledge and skills acquired in all learning environments and be able to apply them in other situations. MATERIAL AND SPECIAL FEES: $40.00 (see RDC Academic Calendar) These fees are in addition to regular tuition rates that reflect extra costs associated with offering the courses such as travel, supplies, and materials. 3
IMPORTANT DATES: Last day to add or drop courses: Fall I September 14, 2015 Fall II October 30, 2015 Last day to withdraw without academic penalty: Fall I October 22, 2015 Fall II December 10, 2015 CHANGES TO COURSE OUTLINE: Changes to the course outline will be made with the consent of the course tutors and students. Changes will be reviewed by the Associate Dean for consistency with College policies. ATTENDANCE: Attendance and participation is required of all students in tutorials and labs. Occasionally labs may be scheduled during FRS hours attendance is required for these labs. FRS s are an additional resource and it is strongly recommended that students attend all FRS s. All concepts presented in FRS s are important and thus information from FRSs will be tested in final exams. ABSENCES AND LATE ASSIGNMENTS: The faculty of the University of Alberta Collaborative BScN Program believe that students are committed to their program and learning experiences. However, it is understood that there are times when students may be absent from those experiences. Absence for any reason may cause a potentially serious disruption of learning and impact the student s ability to achieve the learning objectives necessary to pass the course. If a student is absent, he/she is required to notify the tutor and or lab instructor as soon as possible prior to tutorial and/or lab. Any absence from a lab requires a plan for make-up. Refer to the lab information sheet on Blackboard for the process to be used to makeup if lab time is missed. Failure to notify the instructor/group indicates a breach of professional and ethical conduct and can be noted on the TAG. Students who miss an exam or quiz will receive a zero unless they have notified their tutor of illness or personal emergency prior to the scheduled exam or quiz. Extensions for assignments require a minimum of 24 hours notice and are at the discretion of the instructor. 4
POLICIES AND STUDENT SERVICES: This course may be eligible for Prior Learning Assessment. Students should refer to the RDC Course Calendar for a list of excluded courses Learning resources may be available to students in alternative formats. It is the student s responsibility to discuss learning needs with their instructor. Students should be aware that Personal Counselling, Career, Learning and Disability Services are provided at RDC. Inquire about locations at Information Desk. It is the student s responsibility to be familiar with the information contained in the Course Outline and to clarify any areas of concern with the instructor. Students should refer to the Student Dispute, Appeal and Misconduct Processes Policy and Standard Practice should questions or concerns about the Course Outline that cannot be resolved directly with the instructor. Safe Assign is the plagiarism detection tool used in this course. Students should refer to the Academic Misconduct Policy to become familiar with what constitutes academic misconduct, as well as the consequences. Plagiarism is a key issue and it is necessary students understand that plagiarism involves submitting others work in a course as if it were the student s own work. It may involve the act of submitting work in which some or all of the phrasing, ideas, or line of reasoning are alleged to be the submitter s own but in fact were created by someone else. Nursing Faculty considers plagiarism/cheating as serious offenses and related directly to the graduate outcome of demonstrating integrity. A student charged with plagiarism may: Be given a reduced mark or no mark (i.e. a mark of 0) Be expelled from the course and given a grade of F https://rdc.ab.ca/sites/default/files/uploads/documents/2132/student-misconductacademic-and-non-academic-policy_0.pdf Important Note: Students of Red Deer College must adhere to the Academic Policies as outlined in the 2015-2016 Academic Calendar. Please refer to the RDC calendar for detailed information regarding academic policies. 5
BLACKBOARD: All students will have access to N390 on Blackboard. Course documents, assignments, grades and course communication are shared on Blackboard. The Course Outline, course schedule, course learning packages, and the Tutorial Assessment Guide (TAG) will be posted on Blackboard. All marks will be posted on Blackboard 390 Central. It is the student s responsibility to be familiar with the use of Blackboard and to regularly access the site (at least daily during the school week,) to receive information. Failure to do so may result in students missing important course-related information, resources, messages, instructor feedback and announcements. If students are unable to access Blackboard, it is the student s responsibility to contact the RDC IT HELP desk at 403-342-3580 to address access issues. PLEASE NOTE: Urgent messages for tutors should be communicated by telephone, not Blackboard, to ensure they are received in an appropriate and timely manner. TECHNOLOGY GUIDELINES: The Nursing Department at Red Deer College recognizes that the use of technology in nursing has the potential to enhance learning and communication. We also recognize our obligation to use this technology responsibly and in a way that complies with the standards outlined by Red Deer College and by professional organizations such as CARNA and UNA. We are also aware of our obligation to represent nursing in a professional manner outside of the Red Deer College context. Students are asked to review the technology guidelines that are included in their student handbook. In addition, all students should be aware of the Health Services Code of Conduct as it applies to nurses: http://www.albertahealthservices.ca/pub-code-of-conduct.pdf 6
REQUIRED TEXTBOOKS: Please note: All texts used in Years One and Two of the Nursing Program are also going assist you in 390. American Psychological Association. (2010). Publication manual of the American Psychological Association. (6 th ed.). Washington, DC: American Psychological Association. Elsevier Adaptive Quizzing/HESI Exam** REQUIRED for course orientation Hockenberry, M. J. & Wilson, D. (Eds.) (2015). Wong s nursing care of infants and children (10 th ed.). Toronto, ON: Mosby Loiselle, G.G., Profetto-Mcgrath, J., Polit, D.F., & Beck. C.T. (2011). Canadian essentials of nursing research (3 rd ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Oberle, K., & Raffin, S.R. (2009). Ethics in Canadian nursing practice: Navigating the journey. Toronto, ON: Pearson. Wagner, K., & Hardin-Pierce (2014) High acuity nursing (6 th ed.) Upper Saddle River, NJ: Pearson The purchase of a lab kit from the Bookstore is mandatory for all lab courses. **An online NCLEX prep resource is available for students to purchase at the bookstore, which will assist them with preparing for writing the RN registration exam. This resource will provide students with a 2 year online review/prep course to use as they progress through 4th year 3 and 4 of the BSCN program as well as 3 NCLEX style prep exams to complete in the last 3 months of their 4 th year. OPTIONAL TEXTBOOKS: Aschenbrenner, D.S., Cleveland, L. W., & Venable, S. J. (2011). Drug therapy in nursing (4 rd ed.). Philadelphia, PA: Lippincott. A textbook on dosage calculations to support materials covered in lab Please note that a mental health, pediatric, maternity, and/or medical-surgical textbook may be required for the Clinical Reasoning Assignment. 7
Tutorial and Lab Tutors Contact Information: Tutor Tutorial Lab Section Section Office Phone Email Jody Alluri B 1208 Jody.alluri@rdc.ab.ca Amar Burchha C & I 03 & 07 1226 Amarpreet.burchha@rdc.ab.bca Sara Conway A & G 1210 Sara.conway@rdc.ab.ca Nancy Goddard D 1208 Nancy.goddard@rdc.ab.ca Carly Legault H 08 1507-B Carly.legault@rdc.ab.ca Kala Streibel F 1217 403-342-3191 Kala.streibel@rdc.ab.ca Andrea Tannahill 01, 02, 05, 06 1327 403-343-4087 Andrea.tannahill@rdc.ab.ca Lorraine Way J 1208 Lorraine.way@rdc.ab.ca Instructor schedules vary depending on the courses and labs they are teaching, office hours will vary. Students are to contact their instructor directly to set up meeting dates and times. Class Times Fall One Fall Two Section Times & Location Section Times & Location A 1100-1350 F 1100 1350 Monday & Thursday Room 2216 Monday & Thursday Room 1205 B 1100-1350 G 1100 1350 Monday & Thursday Room 2207 Monday & Thursday Room 2220 C 1100-1350 H 1100-1350 Monday & Thursday Room 2206 Monday & Thursday Room 2216 D 1400-1650 I 0800 1050 Tuesday & Friday Room 2304 Tuesday & Friday Room 913A J 0800 1050 Tuesday & Friday Room 2401 FRS 1530-1650 FRS 1400-1520 Tuesday & Thursday Room 1303 Monday & Wednesday Room 2600 Lab Times Fall One 01 1100 1350 Tuesday Room 1325 02 0800 1050 Tuesday Room 1325 03 1100-1350 Wednesday Room 1325 Fall Two 05 0800-1050 Thursday Room 1330 06 0800 1050 Tuesday Room 1325 07 1100-1350 Tuesday Room 1325 08 1400-1650 Thursday Room 1330 8
Fixed Resource Sessions: A number of FRSs have been left open for students to determine how the time might be best used. In order for faculty to facilitate an FRS, faculty must be notified at least 1 week in advance of the topic and proposed date and more than 50% of students committed to attending. It is encouraged that FRS topic choices and dates correlate with the scenario being studied. The classroom will remain available to students during FRS time even if there is no formal FRS; you may use this space for self-study, group study, etc. Please note that all content that is covered in FRS is testable. 9
METHODS OF EVALUATION: Note: ALL EVALUATIVE COMPONENTS MUST BE COMPLETED AND A PASS MARK ON THE TAG ACHIEVED IN ORDER TO PASS THE COURSE. 1. Assessment of Clinical Reasoning Value: 20% The purpose of this assignment is for students to demonstrate critical thinking and clinical reasoning. Students will be provided with a clinical situation, where students will demonstrate their understanding of what clinical data and knowledge are most relevant or salient to the situation and then identify and prioritize the assessments and needed interventions. This is an open book assignment done in class. Students may use resources from their textbooks and on-line resources. Students will have 2 hours to read the clinical situation, search for information to answer the questions provided with the scenario and then provide written answers to the questions. A sample template will be posted on Blackboard for students to practice answering the questions as they relate to the scenarios in the tutorials. Note: Students will need to bring a lap top computer to class for this assignment. A limited number are available to borrow from the Library Fall One Thursday, September 24 1530-1730 Fall Two Monday, November 16 1400-1600 Room TBA Room TBA 2. Pediatric Health Assessment Value: 20% Fall I Fall II due Friday Oct 9 at 0900 hours due Friday Nov 27 at 0900 hours The Pediatric Health Assessment assignment is an opportunity to interview and assess a well-child within the context of the family. Please refer to Blackboard for a detailed description of the assignment. The marking rubric and consent will also be posted on Blackboard. The consent must be complete (including phone number) and submitted with the assignment or the assignment will not be marked. The assignment is to be submitted through safe-assign found on Blackboard. Note: Three (3) marks/20 will be deducted for each day that the assignment is late without an approved extension. Extensions are at the discretion of the instructor and require a minimum notice of 24 hours. Only one submission of this assignment will be permitted. 10
NOTE: It is an expectation that students will do an independent review prior to meeting with the child and their family regarding expected norms appropriate for the child s age. The student needs to be able to discern whether the child is meeting expected developmental milestones and overall physical development. Students should use their lab manual and their pediatric textbook as resources. 3. Final Exam Value: 25% Fall I Oct. 26 0800-1100, Room TBA Fall II Dec. 14 Time & Place: TBA (subject to RDC final exam schedule) The final exam is comprehensive and includes a combination of multiple choice and short answer questions. The final exam will evaluate the student s understanding of content learned in tutorials, labs and FRS s for the entire course. Grades will be posted on Blackboard. The RDC final exam policy will be followed for all final exams. https://rdc.ab.ca/sites/default/files/uploads/documents/52219/final-examinationspolicy.pdf ** Please note that for exam security reasons the Final Exam will not be reviewed with students. 4. Final TAG Value: 25% There will be a shared instructor/student verbal evaluation of CBL process and course objectives at mid-term. A written midterm evaluation MAY be required of the student. At the end of N390, students receive a written evaluation from the instructor. Students need to show evidence and rationale that they have met course objectives, with clear, concise and detailed examples using professional language (correct grammar and spelling) of how they are meeting the objectives. Students are expected to self-evaluate throughout the entire N390 course to support their evaluation. Note: Students must achieve a pass mark of 50% or 12.5/25 marks in the TAG to successfully pass the N390 course. 11
5. Calculations for Safe Nursing Practice Exam (1 attempt permitted) Value: 10% The calculations for Safe Nursing Practice Exam is an opportunity for students to demonstrate mastery of application of advanced medication calculations. The pass mark is 90%. Please refer to the chart below for conversion of percentage earned to a mark. Fall 1 October 6 1530 1650 Room 1303 Fall 2 November 25 1400 1520 Room 2600 Numerical Ranges for Medication Calculations Exam Percentage Marks Percentage Marks 100% 10 84% 3.5 99% 9.5 83% 3.25 98% 9 82% 3 97% 8.5 81% 2.75 96% 8 80% 2.5 95% 7.5 79% 2.25 94% 7 78% 2 93% 6.5 77% 1.75 92% 6 76% 1.5 91% 5.5 75% 1.25 90% 5 74% 1 89% 4.75 73% 0.75 88% 4.5 72% 0.5 87% 4.25 71% 0.25 86% 4 70% 0 85% 3.75 <70% 0 12
FINAL GRADE: Marking/Grading Procedure: The total marks for the course add up to 100 marks, with the weighting of each evaluative component as described earlier in this outline. At the end of the course, the total mark out of 100 will be used to determine the final letter grade based on the following table: Range of Raw Scores Grade Grade Point Descriptor 86.05-100 A+ 4.0 Exemplary 83.05-86 A 4.0 Excellent 80.05-83 A- 3.7 76.05-80 B+ 3.3 71.05-76 B 3.0 Good 68.05-71 B- 2.7 65.05-68 C+ 2.3 59.05-65 C 2.0 Satisfactory 55.05-59 C- 1.7 51.05-55 D+ 1.3 50-51 D 1.0 Pass <50 F 0 Fail 13
Labs: Lab time provides students the opportunity to learn and practice nursing skills related to nursing practice. CARNA Nursing Practice Standards require all nurses to practice professionally and with competence. It is an expectation that students actively participate in labs. This includes coming to the lab having done the required preparation. Lab time is considered to be a part of the tutorial experience and will be evaluated as such on the TAG. Communication of performance in lab may occur between the lab instructor and the student s tutor. Make up lab time is required to obtain experience in nursing skills/assessments and to ensure students practice with confidence and competence. Demonstration of knowledge of missed content will be required, as determined by the instructor. The lab must be made up within 7 days of the student s return to N390. A student will be given an incomplete grade until he/she has followed the lab makeup time process. Process for lab makeup time: 1. The student s instructor will notify the lab coordinator of the required lab content/topic the student will be practicing and demonstrating. 2. The student will notify the lab coordinator to arrange for practice time. 3. The student will be required to prepare for the lab and to demonstrate the skill. 4. The lab coordinator will communicate to the student and instructor to inform both of the satisfactory, competence lab skill(s) the student demonstrated in the makeup lab. Students are expected to have viewed the orientation video on Blackboard Lab Central prior to experiences in the High Fidelity simulation lab. 14