SAN JUAN COLLEGE DEPARTMENT OF NURSING NURS 130 Nursing Concepts and Practice II (5+9p) 8 Cr.

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1 SAN JUAN COLLEGE DEPARTMENT OF NURSING NURS 130 Nursing Concepts and Practice II (5+9p) 8 Cr. COURSE DESCRIPTION: The course introduces students to the specialized care of pediatric and maternity clients and their families. The core constructs of the course are stress and adaptation, caring, and the eight competencies of Associate Degree nurses as they apply to this client population. These constructs and competencies, which are professional behavior, communication, assessment, clinical decision-making, caring interventions, teaching and learning, collaboration, and managing care, are woven throughout the course content. Clinical opportunities are designed to facilitate application of theoretical concepts through care of diverse populations of pediatric and maternity clients and their families in a variety of acute and community health care settings. (Semester offered: Spring) PREREQUISITES COREQUISITES NURS 110, BIOL 258 and HLTH 118 PSYC 230 Common Student Learning Outcomes Upon successful completion of San Juan College programs and degrees, the student will... Learn Think Communicate Integrate Act Students will actively and independently acquire, apply and adapt skills and knowledge to develop expertise and a broader understanding of the world as lifelong learners. Students will think analytically and creatively to explore ideas, make connections, draw conclusions, and solve problems. Students will exchange ideas and information with clarity and originality in multiple contexts. Students will demonstrate proficiency in the use of technologies in the broadest sense related to their field of study. Students will act purposefully, reflectively, and respectfully in diverse and complex environments. 1

2 GENERAL LEARNING OBJECTIVES: 1. To actively and independently acquire, apply and adapt skills and knowledge of maternal, newborn and pediatric nursing to develop competence and a broader understanding of the world as lifelong learners. 2. To begin to think analytically and creatively to explore ideas, make connections, draw conclusions, and solve problems with maternal, newborn and pediatric clients, their families and other health care professionals. 3. To exchange ideas and information with clarity and originality in a variety of maternal, newborn and pediatric health care settings. 4. To demonstrate proficiency in the use of technologies in the classroom and clinical areas related to maternal, newborn and children. 5. To act purposefully, reflectively, and respectfully in diverse and complex environments while caring for maternal, newborn and pediatric clients and their families. CLASS OBJECTIVES STRESS AND ADAPTION: 1. Discuss the basic concept of stress and adaptation, including internal and external stressors and variables that impact the pediatric or maternity client and their family s adaptation, resulting in their position or change in position on the health illness continuum. 2. Describe stressors particular to the Pediatric and Maternity population and strategies to manage stress. 3. Discuss the concept of stress and adaptation as it relates to self stressors caring for the pediatric or maternity client and their families. CARING: Discuss behaviors and attitudes that promote the development of an environment of hope, trust and respect in pediatric and maternity nursing. 2

3 EIGHT CORE COMPONENTS AND COMPETENCIES OF THE ASSOCIATE DEGREE NURSE: 1. PROFESSIONAL BEHAVIORS a. Discuss the ethical, legal and regulatory framework and standards of care in pediatric and maternity nursing. b. Discuss accountability for nursing care given in the pediatric or maternity setting. c. Describe the nurse s role in the acute and community health setting for maintaining standards of practice for pediatric and maternity nursing. d. Describe the nurse s responsibility for life long learning and participation in professional organizations. e. Determine the nurse s role in advocacy for the pediatric and maternity population. 2. COMMUNICATION 3. ASSESSMENT a. Discuss basic therapeutic and professional communication skills when interacting with pediatric or maternity clients and families in achieving positive outcomes and establishing trusting relationships. b. Discuss the use of verbal and written skills to communicate with other members of the health care team, community agencies and members of the profession in pediatric and maternity settings. Discuss the use of basic initial and ongoing assessment, appropriate to the client s position on the health illness continuum, using a holistic approach for pediatric and maternity clients and their families. 4. CLINICAL DECISION-MAKING Discuss the use of basic assessment skills, critical thinking and the nursing process to formulate and modify accurate individualized client care plans (maps) to achieve positive client outcomes for the pediatric and maternity clients and families 5. CARING INTERVENTIONS a. Discuss the application of caring behaviors toward the pediatric or maternity client and family, peers and other members of the health care team in an emotional, cultural, religious and spiritually sensitive environment. b. Discuss the role of the nurse in providing safe care within a legal, ethical and regulatory framework of pediatric or maternity nursing practice. c. Discuss the role of the nurse in assisting the pediatric or maternity client and family to meet developmentally appropriate self-care needs, maintain optimum comfort and functioning, or other desired results while respecting values, beliefs and lifestyle choices. 3

4 6. TEACHING AND LEARNING a. Explain how the basic components of an individualized teaching plan, formulated in conjunction with the pediatric or maternity client and family, and are used to promote health, support self-care activities, decrease health risks or achieve other desired outcomes. b. Discuss reproductive system health education across the life span. c. Discuss the role of the nurse in providing assistive personnel with relevant instruction to support positive client outcomes in the pediatric or maternity setting. 7. COLLABORATION a. Discuss how the nurse, health care team members, pediatric or maternity clients and their families work together, using critical thinking and the nursing process to cooperatively and creatively meet needs and move toward positive outcomes. b. Identify how the nurse utilizes professional and systems communication to demonstrate ethical, legal and professional accountability when working with pediatric and maternity health care team members and relevant community agencies. 8. MANAGING CARE a. Discuss how the nurse uses critical thinking and the nursing process to prioritize and implement care for clients in the maternity and pediatric settings. b. Discuss how the nurse provides cost effective and time efficient care in various pediatric and maternity health care settings. CLINICAL OBJECTIVES STRESS AND ADAPTION: CARING: Identify internal and external stressors and promote positive adaptive responses for the maternity and pediatric clients and their families. Practice basic concepts of caring while working with peers and other members of the health care team to provide culturally sensitive care for clients and families in the maternity and pediatric care settings. 4

5 EIGHT CORE COMPETENCIES OF THE ASSOCIATE DEGREE NURSE: 1. PROFESSIONAL BEHAVIORS Demonstrate professional behavior while care for maternity and pediatric clients and their families. a. Demonstrate nursing care practiced within the legal, ethical and regulatory framework of nursing and standards of care. b. Demonstrate accountability for care given. c. Delegate under supervision and recognize the accountability of the nurse when delegating to others. 2. COMMUNICATION 3. ASSESSMENT Use concepts of therapeutic and professional communication when interacting with clients, families, support people, other health care team members, or nursing professionals in the maternity and pediatric care settings.. Demonstrate the use of initial and ongoing assessment, using a holistic approach, modified for maternity and pediatric clients. 4. CLINICAL DECISION-MAKING Use basic assessment, critical thinking and the nursing process to develop individualized nursing care plans (maps) for maternity and pediatric clients and their families. 5. CARING INTERVENTIONS Provide safe, culturally sensitive nursing care adapted to meet needs of maternity or pediatric clients and their families. 6. TEACHING AND LEARNING a. Provide maternity and pediatric clients and families with information to make choices regarding health, illness and resources available. b. Provides reproductive system health education to individuals across the life span. 7. COLLABORATION Work effectively with others in the maternity or pediatric settings to achieve positive client outcomes. 5

6 8. MANAGING CARE a. Work with nurses to prioritize and provide basic care for clients and families in maternity and pediatrics health care settings. b. Work with nurses to provide cost effective time efficient care for maternity and pediatric clients and their families. COURSE REQUIREMENTS 1. Have required textbooks, workbooks, packets and lab supplies listed under required textbooks. 2. Complete and submit written assignments by announced due dates. 3. Take all examinations and quizzes on the dates administered. 4. Review San Juan College Department of Nursing Student Handbook. 5. Participate in class, laboratory and clinical discussions and activities. 6. Practice procedures and perform skill competencies satisfactorily. 7. Attend all clinical experiences. 8. Prepare for all clinical experiences as directed. 9. Maintain proper appearance and professional dress. 10. Maintain professional behavior. 11. Meet specific objectives for each clinical or laboratory experience consistently. 12. Follow safety procedures and guidelines. 13. Refer to clinical agency policy and procedures as appropriate. 14. Achieve 100% on a math test prior to passing medications in the pediatric or maternity clinical setting. ATTENDANCE POLICY Nursing 130 Attendance Policy: Attendance has been shown to positively correlate with academic success. In NURS 130, 10% of the class grade will be achieved through pop quizzes, case studies and projects and other assigned work. Pop quizzes are given at the beginning of the class period. Students entering the class after quizzes have been distributed will not be allowed to take the quizzes. Any paperwork handed in later than the assigned time will be graded at the discretion of the instructor. Tardy attendance is disruptive not only to the instructor, but to peers. Please be ready to begin class at the designated time. 6

7 METHODS OF INSTRUCTION Lecture Written and Oral Assignments Assigned Reading Audio/Visuals Group Discussions Demonstration Handouts Discussion/Clinical Conferences Lab Practice Role-Playing CD-ROM Written Exams Guest Lectures Clinical Activities Standardized Testing STANDARDIZED TESTING POLICY: Each student must pass the secured ATI pediatric and maternity nursing examinations with a minimum score of the 75 th program percentile. If this score is not achieved, the student will do the individualized remediation and retest until a 95% score is attained. Students unable to successfully pass this test by the beginning of the subsequent semester will be put on academic contract. The contents of the contract will be determined on a case-by-case basis by the nursing faculty. METHODS OF EVALUATION 1. Examinations 2. Faculty observations 3. Lab performance 4. Written and oral assignments 5. Performance in clinical area 6. Skills testing/lab performance 7. Clinical component grades S/U. Must receive Satisfactory to continue to the next nursing course. 8. Clinical simulation examination 9. Standardized test results LETTER GRADES A % B 80-89% C 77-79% D 70-76% F Below 70% 7

8 GRADE DETERMINATION Classroom: Final Grade: 70% Topic Exams 10% Quizzes, Oral and Written Assignments, Group Projects 20% Final Exam 100% TOTAL TOTAL GRADE FROM EXAMS AND PROJECTS: 100% The Nursing 130 student must receive a grade of C or better in the didactic portion of NURS 130. Students must achieve at least a 77% average on exam grades (topic exams and final) in order to pass NURS 130. Pop quizzes, case studies, and/or group project grades will be counted into the final grade once the student has achieved the required exam scores. Students failing to receive the requisite 77% exam average will receive their exam score average as the final grade in NURS 130 INSTRUCTOR CONFERENCE 1. An instructor may request a student conference at anytime. 2. The instructor will be available for student requested conferences as often as the student feels necessary. A.D.A. ACCOMODATIONS Students who believe they may need academic accommodations due to physical, psychiatric or learning disabilities are encouraged to inform their appropriate faculty as soon as possible at the address listed below or during scheduled office hours. If you have special needs for campus emergency situations, please inform us immediately. If you have not already done so, we suggest you contact Jackie McFarland in the Advising/Counseling Center at (505) or at mcfarlandj@sanjuancollege.edu. She will work with you in verifying your disabilities and developing accommodation strategies. 1 st Year Faculty Bonnie Rung rungb@sanjuancollege.edu Karen Duncan duncank@sanjuancollege.edu Melody Smith smithme@sanjuancollege.edu 2 nd Year Faculty Joan Arrowsmith arrowsmithj@sanjuancollege.edu Shawn Byington byingtons@sanjuancollege.edu Nisa Bruce brucen@sanjuancollege.edu 8

9 WE-ADN Faculty Marsha Bouchard Theresa Stimson ACADEMIC HONESTY RULES San Juan College expects all students to adhere to the Academic Honesty Rules as posted on our website, These are the official guidelines for all classes at San Juan College. PLEASE NOTE: Statements about the Academic Honesty Rules are also included in the Student Handbook and Academic Accommodation Statements are also included in each syllabi. 9