ANGELO STATE UNIVERSITY. MASTER of SCIENCE in NURSING NUR6317. HEALTH POLICY & ETHICS Fall Fall Wrennah L. Gabbert, PhD, RN CPNP, FNP-BC

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1 ANGELO STATE UNIVERSITY MASTER of SCIENCE in NURSING NUR6317 HEALTH POLICY & ETHICS Fall Fall 2014 Wrennah L. Gabbert, PhD, RN CPNP, FNP-BC Kathryn E. Artnak, PhD, RN, MA, CNS, CNE ANGELO STATE UNIVERSITY Department of Nursing 1

2 COURSE NUMBER NUR6317 COURSE TITLE Health Policy & Ethics CREDITS Three Semester Credit Hours (3 0 0) Online Class: Meets completely online using Blackboard PREREQUISITE Graduate Standing CO REQUISITES None PRE REQUISITE SKILLS Accessing internet web sites, use of ASU Library resources, and proficiency with Microsoft Word and/or PowerPoint are an expectation of on line course delivery. Collaborative management programs such as PBwiki may be used for group projects. Computer access requirements are further delineated in the Graduate Handbook. Tutorials for ASU Library and for Blackboard are available through RamPort. The ASU Graduate Nursing Handbook should be reviewed before taking this course. COURSE DELIVERY This is an online course offering. BROWSER COMPATIBILITY CHECK It is the student s responsibility to ensure that the browser used to access course material on his/her computer is compatible with ASU s Blackboard Learning System. The faculty reserve the right to deny additional access to course assignments lost due to compatibility issues. Students are responsible for reviewing the guidelines posted in this course regarding accessing Blackboard assignments. Problems in this area need to be discussed with faculty at the time of occurrence, either via a phone call (preferred) during posted acceptable hours for calling, or via notification during times outside those posted for calls. Be sure to perform a browser test. Select the Support tab from the Blackboard homepage ( Select Test your Browser option. Please see technical requirements for MSN classes at this link: FACULTY Dr. Wrennah Gabbert, Professor, Program Chair, Department of Nursing (W) wrennah.gabbert@angelo.edu; (H) wrennah@yahoo.com (W) FAX: Dr. Kathryn E. Artnak, Professor Department of Nursing; WED Center (W) katie.artnak@angelo.edu 2

3 OFFICE HOURS Virtual Office hours (telephone or ) by arrangement with instructor COURSE DESCRIPTION This course prepares students as effective agents of change by building leadership capacity in health care policy development, implementation and evaluation. Ethics content promotes self care and active advocacy. Based on baccalaureate content, student understanding of local, national, and global factors is expanded to facilitate clinical reasoning and collaborative engagement with all healthcare professionals in redesigning systems to achieve equity, safety, and quality for better healthcare outcomes. COURSE OVERVIEW This course is designed to stimulate critical thinking and promote reflective discussion on the myriad of complex factors affecting healthcare service and delivery in contemporary care settings. As part of the core curriculum in the master s program it builds and expands on content received at the baccalaureate level to prepare advanced practice registered nurses to engage in a higher order of nursing practice and leadership in health care policy development, implementation, and evaluation. This course prepares advanced practice registered nurses to intervene effectively at the system level by employing advocacy strategies to influence health and the health care policy based on a deeper understanding of technologic, economic, political, and sociocultural factors both national and global. MSN PROGRAM OUTCOMES Upon program completion, the graduate will be prepared to: 1. Integrate nursing and related sciences into the delivery of advanced nursing care to diverse populations. 2. Apply organizational and systems leadership skills. 3. Design and implement quality improvement initiatives 4. Integrate best research evidence to improve health outcomes. 5. Utilize informatics, healthcare technology and information systems. 6. Advocate through system level policy development. 7. Employ effective communication in inter professional teams 8. Synthesize the impact of health determinants for provision of culturally relevant health promotion/disease prevention strategies. 9. Practice at the level of a Master s prepared nurse. STUDENT LEARNING OUTCOMES Student Learning Outcome By completing all course requirements, students will be able to: 1. Critically evaluate the economic, legal, political, and historical influences on the structure and function of the health care delivery system and advanced practice nursing. Assessment(s) or activity(ies) validating outcome achievement: Group Project: Political Action Tool Kit, Position Paper, Reflection Paper, Discussion Boards Mapping to MSN Program Outcomes Mapping to AACN Essentials 1,2,6 1.1, 2.3, 6.4, Mapping to NONPF Competencies 1.2, 1.3, 3.2, 3

4 2. Examine the role of advanced practice registered nursing in the development of health care policy and the promotion of nursing excellence Group Project: Political Action Tool Kit, Position Paper, Discussion Boards 2,6,9 2.1, 6.2, , 3.4, 6.1, 3. Articulate current initiatives in healthcare policy. Group Project: Political Action Tool Kit, Position Paper, Reflection Paper, Discussion Boards 2,6,7 2.1, , 2.6, 4. Applies ethical principles in the development and implementation of health care policy regionally, nationally, and globally Group Project: Political Action Tool Kit, Position Paper, Reflection Paper, Discussion Boards 1, 4,7 6, 9 1.4, 4.4, 7.1, 6.2, , 3.3, 6.3, 6.6, 8.1, Advocate for health care policies that improve the health of the public and advance the profession of nursing. Group Project: Political Action Tool Kit, Position Paper, Reflection Paper, Discussion Boards 6, 7, 9 6.1, 6.5, 7.1, 9.3, , 2.7, 6.2, 6. Contributes to the development and evaluation of healthcare policy, including the ethical consequences of policy decisions. Group Project: Political Action Tool Kit, Position Paper, Discussion Boards 1,6,9 1.4, 6.1, 6.2, 6.3, , 6.5, 8.2 REQUIRED TEXTS AND MATERIALS 1. Case Studies in Nursing Ethics [4 th edition] by Sara Fry, Robert Veatch, & Carol Taylor [2011]. Jones & Bartlett Publishers ISBN: [pbk] 2. Policy & Politics [6 th edition]. By Diana J. Mason, Judith K. Leavitt & Mary W. Chaffee [2012]. Elsevier/Saunders. ISBN: Mama Might Be Better Off Dead by Laurie K. Abraham [1993]. University of Chicago Press, Chicago. ISBN: Landmark: The Inside Story of America's New Health Care Law and What It Means for Us All by the Staff of the Washington Post [2010].Public Affairs / Member of the Perseus Books Group. ISBN: Publication Manual of the American Psychological Association ( 6 th ed) ISBN 10: [spiral bound]. Publisher: American Psychological Association / Washington, DC OTHER REQUIRED MATERIALS Computer with MAC or Windows Operating System. Note: Blackboard is designed for optimum functioning with Windows Operating Systems. High Speed Internet Access Webcam (Logitech highly recommended) Logitech USB microphone headset Refer to Angelo State University s Distance Education website for further technology requirements: RECOMMENDED TEXTS 4

5 1. Elements of Style [4 th ed] by W. Strunk & E.B. White [2000]. Longman Publishers, New York. ISBN: X [paperback] TOPIC OUTLINE Please refer to the Weekly Sessions tab on the vertical menu in Blackboard for specific details. The topics are differentiated into factors affecting the structure and function of health care service and delivery with a particular view to the impact of social and environmental factors. The interface of personal, professional, and organizational ethics is explored as a dynamic element in these processes. Using a research based approach, specific factors are examined for their effect on the development and implementation of health care policy, with a focus on strategies for facilitation, collaboration, communication, coalition building, and effective changes. These include but are not restricted to: 1. Politics, Advocacy, and the Policy Development Process 2. Government Legislation and Regulation 3. Political Analysis and Strategies 4. Health Care Delivery: Finance 5. Workforce and Workplace Policy & Politics 6. Translating Research into Policy 7. Professional Associations, Interest Groups, and Community Politics GRADING SYSTEM Course grades will be dependent upon completing course requirements and meeting the student learning outcomes. The following grading scale is in use for this course: A = percent B = percent C = percent F = <70 percent EVALUATION AND GRADES Position Paper 30% Group Project 25% Online Discussion Board Participation 25% Summary Reflection Paper 20% TOTAL:100% TEACHING STRATEGIES 5

6 This course is taught online through the internet using the Blackboard learning platform. It employs a variety of teaching learning methods including lecture notes, online workgroups, discussion forums, selfdirected learning activities, and individual student presentations. Web based technology is also used to provide additional sources of information, prepare and submit student assignments, provide ongoing student faculty and student student interaction and dialogue, and facilitate peer support. Students are expected to be active learners. It is a basic assumption of the instructor that students will be involved (beyond the materials and content presented in the course) discovering, processing, and applying the course information and demonstrating acquired knowledge in submitted assignments and active participation in online discussion forums. Students are expected to be active learners. It is a basic assumption of the instructor that students will be involved (beyond the materials and lectures presented in the course) discovering, processing, and applying the course information using peer review journal articles, researching additional information and examples on the Internet, and discussing course material and clinical experiences with their peers. A Discussion Board is provided in Blackboard specifically for students ( Student Lounge ) to share websites, articles, apps, and clinical experiences relevant to the course topics. ASSIGNMENT DESCRIPTIONS *Please note: Rubrics for all assessments are located at the end of this syllabus. There are 4 major assignments in this course: 1] Writing a Position Paper, 2] Participating meaningfully in a Group Project, 3] Writing a Summary Reflection Paper, and 4] Participating meaningfully in Online Discussions. Position Paper: A position paper presents an arguable opinion about an issue. The goal of a position paper is to convince the reader [audience] that your opinion is valid and ideally persuasive enough to cause others to agree with your view or modify their position to be more sympathetic towards yours. Your paper is to present all sides to the argument to demonstrate your thorough consideration and understanding of the issue. You will support both your argument and the counterargument with sufficient evidence, including ethical principles and moral values, to convince your audience that you are knowledgeable about all sides and to justify claims. Group Project: This is an academic exercise but one with practical value. Your group will work collaboratively on a health policy issue and compose an action plan tool kit [to influence the policy] that can be given to any group/organization for immediate use. 6

7 Discussion Board Activities: Discussion Boards provide an avenue for synthesis of material / information. A Discussion Board is provided in this course as a way to help students process course materials, express thoughts, and engage others opinions and ideas in a healthy and productive learning environment. Students are expected to respond to all discussion board assessments using the Online Discussion Rubric to support individual answers to the assigned questions throughout this course. Summary Reflection Paper: This assignment is in lieu of a Final Examination and will be a focused self assessment of individual learning related to student completion of course objectives. GENERAL POLICIES RELATED TO THIS COURSE All students are required to follow the policies and procedures presented in the following documents: Angelo State Student Handbook located on the ASU website ASU Graduate Catalog located on the ASU website and University Graduate Nursing Handbook, located on the Nursing website IMPORTANT UNIVERSITY DATES August 25 September 1 November 27 & 28 December 8-12 December 13th First Day of Class Labor Day Holiday Thanksgiving Holiday Final Exams Week Graduation SUDENT RESPONSIBILITY & ATTENDANCE This class is asynchronous, meaning you do not have to be on line at a certain time. There are readings which you will have to complete to be able to adequately participate in individual and group assessments. In order to complete this course successfully, you do have to participate in all course activities i.e. discussion boards, course projects, reflective logs, etc. Students are expected to engage in course activities and submit work by due dates and times. The hope is that students will make substantive contributions which reflect integration of assigned materials as well as any outside readings as appropriate. Scholarly contribution is an expectation. For planning purposes, this class will probably require a minimum of 6 9 study hours per week on average. 7

8 COMMUNICATION The primary method of communication between faculty and students in this course is through and the Announcements page for this course in Blackboard. It is the students responsibility to make it a habit to check messages and the Course Announcements page on a regular basis. A daily check is recommended. Every attempt will be made to respond to and/or telephone messages within 24 hours during working hours Monday through Friday. Weekend messages may not be returned until Monday. Written communication via Blackboard: It is an expectation of this class that you use formal writing skills giving appropriate credit to the source for your ideas. Follow APA (2010) 6 th edition (2 nd Printing or higher only) guidelines for referencing. Written communication via All private communication will be done exclusively through your ASU address. Check frequently for announcements and policy changes. Virtual communication: Office hours may be done with the assistance of the telephone and online. Use Good "Netiquette": Check the discussion frequently and respond appropriately and on subject. Focus on one subject per message and use pertinent subject titles. Capitalize words only to highlight a point or for titles. Otherwise, capitalizing is generally viewed as SHOUTING! Be professional and careful with your online interaction. Proper address for faculty is by formal title such as Dr. or Ms./Mr. Jones unless invited by faculty to use a less formal approach. Cite all quotes, references, and sources. When posting a long message, it is generally considered courteous to warn readers at the beginning of the message that it is a lengthy post. It is extremely rude to forward someone else's messages without their permission. It is fine to use humor, but use it carefully. The absence of face to face cues can cause humor to be misinterpreted as criticism or flaming (angry, antagonistic criticism). Feel free to use emoticons such as J or :) to let others know you are being humorous. (The above "netiquette" guidelines were adapted from Arlene H. Rinald's article, The Net User Guidelines and Netiquette, Florida Atlantic University, 1994, available from Netcom.) ASSESSMENT SUBMISSION In this class, all assessments need to be submitted through the Assessments link in the Blackboard course site. This is for grading purposes. Issues with technology use arise from time to time. If a technology issue does occur regarding an assessment submission, me at wrennah.gabbert@angelo.edu and attach a copy of what you are trying to submit. This lets your faculty know you completed the assessment on time and are just having problems with the online submission feature in Blackboard. Once the problem is resolved, resubmit your assessment through the appropriate link. This process will document the problem and establish a timeline. Be sure to keep a backup of all work. LATE WORK POLICY The course is set up on weekly modules. The week begins on Monday and ends on Sunday. Assignment due dates are shown on the calendar/schedule and are posted within Blackboard. 8

9 Late assignments are not accepted without prior approval of faculty. Faculty reserve the right to deduct points for late assignments that are accepted past the original due date. Any student anticipating a problem in meeting a posted deadline should contact the instructor immediately. ACADEMIC HONESTY Academic honesty is expected on all work. Students are expected to maintain complete honesty and integrity in their online experiences. Any student found guilty of any form of dishonesty in academic work is subject of disciplinary action and possible expulsion from ASU. The Nursing Department adheres to the academic honesty statement as set forth in the Angelo State University Student Handbook ( ) The University "faculty expects all students to engage in all academic pursuits in a manner that is above reproach and to maintain complete honesty and integrity in the academic experience both in and out of the classroom setting and may initiate disciplinary proceedings against a student accused of any form of academic dishonesty, including but not limited to, cheating on an examination or other academic work, plagiarism, collusion, and the abuse of resource materials." PLAGIARISM Plagiarism at ASU is a serious topic. The Angelo State University s Honor Code gives specific details on plagiarism and what it encompasses. Plagiarism is the action or practice of taking someone else's work, idea, etc., and passing it off as one's own. Plagiarism is literary theft. In your discussions and/or your papers, it is unacceptable to copy word for word without quotation marks and the source of the quotation. We use the APA Style Manual of the American Psychological Association as a guide for all writing assignments. Quotes should be used sparingly. It is expected that you will summarize or paraphrase ideas giving appropriate credit to the source both in the body of your paper and the reference list. Papers are subject to be evaluated for originality via Bb Safe Assignment or Turnitin. Resources to help you understand this policy better are available at the ASU Writing Center STUDENTS WITH DISABILITIES 1. Angelo State University is committed to the principle that no qualified individual with a disability shall, on the basis of disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of the university, or be subjected to discrimination by the university, as provided by the Americans with Disabilities Act of 1990 (ADA), the Americans with Disabilities Act Amendments Act of 2008 (ADAAA), and subsequent legislation. 2. Student Contact: The Student Life Office is the designated campus department charged with the responsibility of reviewing and authorizing requests for reasonable accommodations based on a disability, and it is the student s responsibility to initiate such a request by contacting the Student Life Office, Room 112 University Center, at (325) or (325) (TDD/FAX) or by at Student.Life@angelo.edu to begin the process. Reasonable accommodations will be made for students determined to be disabled or who have documented disabilities. INCOMPLETE GRADE POLICY (OP Grading Procedures) 9

10 It is policy that incomplete grades be reserved for student illness or personal misfortune. Please contact faculty if you have serious illness or a personal misfortune that would keep you from completing course work. Documentation may be required. STUDENT ABSENCE FOR OBSERVANCE OF RELIGIOUS HOLY DAYS 1. A student who intends to observe a religious holy day should make that intention known in writing to the instructor prior to the absence. Please see ASU Operating Policy COPYRIGHT POLICY Students officially enrolled in this course should make only one printed copy of the given articles and/or chapters. You are expressly prohibited from distributing or reproducing any portion of course readings in printed or electronic form without written permission from the copyright holders or publishers. SYLLABUS CHANGES The faculty member reserves the option to make changes as necessary to this syllabus and the course content. If changes become necessary during this course, the faculty will notify students of such changes by , course announcements and/or via a discussion board announcement. It is the student s responsibility to look for such communications about the course on a daily basis. WEBLINKS: Board of Nursing for the State of Texas MSN Graduate Student Resources COURSE EVALUATION Students are provided the opportunity, and are strongly encouraged to participate in a course evaluation at the end of the semester. Areas on the IDEA evaluation include: Gaining factual knowledge (terminology, classifications, methods, trends) Learning to apply course material (to improve thinking, problem solving and decisions) RUBRICS FOR ASSESSMENTS Online Discussion Criteria** Unacceptable 0 Points Acceptable 1 Point Good 2 Points Excellent 3 Points Frequency Participates not at all Participates by the deadline given and 1 2 times on the same day Participates by the deadline given and 2 times; postings must be distributed throughout the Participates by the deadline given AND 3-4 times throughout the week 10

11 week. Initial Posting Assignment Posts no response Posts adequate assignment with superficial thought and preparation; does not address all aspects of the task Posts well developed assessment that addresses all aspects of the tasks; lacks full development of concepts Posts well developed & referenced assignment that fully addresses and develops all aspects of the task. Follow up Postings Posts no follow up response to others Posts shallow contribution to discussion[ e.g., agrees or disagrees]; does not enrich or extend the discussion Elaborates on an existing post with further comment or observation Demonstrates analysis of others posts; extends the meaningful discussion by building ion previous posts. Content Contribution Posts information that tis off topic, incorrect, or irrelevant to the discussion Repeats but does not add substantive information to the discussion. Posts information that is factually correct; lacks full development if concept or thought Posts factually correct, reflective, and substantive contribution; advances the discussion References & Support Includes no references or supporting experience Uses personal experience but no references to readings or research Incorporates some references from literature and personal experience Uses references to literature, readings, or personal experiences to support comments to peers. Clarity & Mechanics Posts long, unorganized or rude content that may contain multiple errors or may be inappropriate Communicates in friendly, courteous and helpful manner with some errors in clarity or mechanics Contributes valuable information to discussion with minor clarity or mechanics errors Contributes to discussion with clear, concise comments formatted in an easy to read style that is free of grammatical or spelling errors ** Criteria [Quality] To earn maximum points in these categories you must: Frequency: Post by the stated deadline for your initial post and have at least 1 post in each forum [not thread] Follow up Postings: Have at least 2 follow up posts to another s comments spaced at least 24 hours apart Content Contribution: Must demonstrate incorporation of assigned reading/activity for the week into responses. Score: 11

12 Position Paper RUBRIC PLEASE SEE BELOW 1] Introduction [10 points] Expresses its purpose clearly and persuasively; begins and ends effectively. Is directed toward and meets the needs of a defined audience 2] Counter Argument [20 points] Provides adequate supporting arguments, evidence, examples, and details 3] Your Argument [40 points] Provides adequate supporting arguments, evidence, examples, and details. 4] Plan of Action [20 points] 5] Mechanics [5 points] Is free of errors in grammar, punctuation, word choice, spelling and APA format. Is well organized and unified; uses appropriate direct language. 6] Submit Draft to Safe Assign [5 points] OVERALL EVALUATION [total points] Points Comments Comments: 12

13 Group Project Rubric Response to the Assignment Criteria Score Comment[s] Introduction [25 points] States the topic/issue Outlines concerns Provides rationale Recommends action States/supports authority on topic/issue Political Environmental Scan [30 points] Timing Relationships/Reputation Resources Communication Plan [20 points] Media Strategy 3 distinct; 1 must use social media Talking points I Page Summary [15 points] Include at least 2 3 important fact sheets or resource articles [evidence] Names/credentials/contact information listed Mechanics 10 Is well organized and unified; Uses appropriate direct language; Correctly acknowledges and documents sources; Is free of errors in grammar, punctuation, word choice, spelling and APA format. OVERALL EVALUATION Comments: 13