Wayland Baptist University San Antonio Campus School of Nursing

Wayland Baptist University San Antonio Campus School of Nursing Wayland Baptist University Mission Statement: Wayland Baptist University exists to educate students in an academically challenging, learning-focused and distinctively Christian environment for professional success and service to God and humankind. Course Name: NURS 4332 Ethical and Legal Issues in Nursing Term, Fall 2015 Instructor: Heather L. Flores, RN, MSN Office phone and email: (719) 235-1257 ok to text / email (best) heather.flores@wayland.wbu.edu Class meeting time and location: virtual campus (Blackboard) COURSE DESCRIPTION: NURSS 4332 - This course helps students identify current ethical issues facing nursing today. It also looks at legal issues that have affected nursing in the past and are currently affecting nursing today. Prerequisites: level III Optional materials: (none) Course Outcome Competencies At the end of this course, the student will be able to: 1. Compare the basis of decision-making in law and ethics as they apply to nursing. 2. Relate specific legal and ethical issues to the State Nurse Practice Act. 3. Discuss strategies that can be employed to address legal and ethical issues in nursing practice. 4. Comprehend component of the preventive law paradigms for health care that serve to prevent legal problems from occurring, becoming larger or resulting in losses. 5. Identify ethical principles that guide health care decision-making. 6. Describe current literature related to legal and ethical nursing practice

dilemmas. 7. Discuss the interaction between professional nursing values and personal values. 8. Use critical thinking, problem solving, and decision making models as they relate to ethical issues in nursing practice Course Outline Section 1: The Law and Nursing Practice (Weeks 1 and 2) Section 2: Liability in Patient Care (weeks 3, 4, and 5) Section 3: Documentation and Regulatory Compliance (Week 6) Section 4: Employment and the Workplace (weeks 7 and 8) Section 5: Ethics (weeks 9 and 10) ***Week 11: final exam (sections I-V) Discussion participation: 20% Assignments & Grading Section I quiz: 10% (chapters 1-10): 2 Sept Section II quiz: 10% (chapters 11-25) 16 Sept Section III quiz: 10% (chapters 26-31) 30 Sept Section IV quiz: 10% (chapters 32-44) 14 October Section V quiz: 10% (chapters 45-53) 21 October *Group Project Presentation (Section V): 15% Due NLT midnight central time 11 October (rubric posted under the Introduction & Course Information, Grading Policy folder) Final Exam chapters 1-53) 15% 28 October Testing Test dates and content will be published in the course syllabi for the students at the beginning of each term. Test dates are found within the Student Calendar. Exam blueprints may be provided by the instructor prior to each exam (midterm and final). The Online Students will continue to use Proctor Secure as the secure mode for testing. Students are required to follow the mandates as identified by Proctor Secure as this is a security camera that videos the student during testing which is then sent to the Dean of Nursing if questionable behaviors are videoed. Refer to the course schedule for testing dates.

In the event a faculty must change a test date, they will notify the students as soon as possible. If the student must miss an exam, they must notify the faculty that they will not be present for the exam and schedule a date for the make-up exam within one week of the date of the exam. Make-up Tests Occasionally a student will miss a test that is scheduled for a class. A student should contact his/her instructor to arrange for the Make-up Exam. Test must be completed within one week from date of missed exam. The Make-up Test may not follow the Test Blue-Print, but will be over content covered for the specific chapters covered for the Unit of Content. Makeup tests are at the discretion of the instructor. Course Schedule Schedule Fall 2015 Weeks/Discussion Topics/ Chapters Reading Assignments (Chapters) 1 Week (August 17-23) Tasks: b. Group: Check-in 1. Legal Environment 2. Regulation of Nursing Practice 3. Nurses in Legal Actions 4. Standards of Care 5. Defenses to Negligence or Malpractice 1-5 Week 2 (August 23-30) b. Group topic due for approval by end of week 6. Prevention of Malpractice 7. Nurses as Witness 8. Professional Liability Insurance 9. Accepting/Refusing Assignment/Pt. Abandonment 10. Delegation to Unlicensed Assistive Personnel 6-10 Week 3 (Aug. 30- Sept 6) b. Section 1 Quiz 2 September c. Group topic assignments should be assigned. 11. Pt. Rights/Responsibilities 12. Confidential Communication 13. Competency and Guardianship 14. Informed Consent 15. Refusal of Treatment 11-15

Week 4 (Sept 6-13) 16. Pain Control 17. Pt. Teaching and Health Counseling 18. Medication Administration 19. Clients with AIDS/HIV Testing 20. Abusive Situations 16-20 Week 5. (Sept 13-20) b. Group: working draft should be well underway. 21. Reproductive Services 22. Restraints 23. Emergency Psych Admissions 24. Organ/Tissue Donation and Transplantation 25. Discharge Against Medical Advice 21-25 Week 6 (Sept. 20-27) b. Section 2 quiz 23 September c. Group: draft for final edit. 26. Medical Record/Documentation Standards 27. Electronic Health Information and Communications 28. Interdependent Nsg. Functions 29. Event Reporting and Compliance 30. Quality and Safety in Nursing Practice 31. Forensic Issues 26-31 Week 7 (Sept. 27- October 4) b. Section III quiz 30 Sept c. Group: SafeAssign with corrections. 32. Employer/Employee Rights 33. Contracts 34. Corporate Liability 35. Employee Contracts and Unionization 36. Employment Status Liability 37. Staffing Issues and Floating 38. ADA 32-38 Week 8 (October 4-11) b. Group Presentations due NLT 11 October 39. Employees with AIDS/HIV and Exposure to BBP 40. Impaired Nurses 41. Sexual Harassment in the Workplace 39-44

42. Violence in the Workplace 43. Intentional Torts 44. Environmental Health and Safety Week 9 (October 11-18) b. Section IV quiz 14 October 45. Ethical Decision Making 46. Professional Boundaries and Patient Relationships 47. Moral Courage and Patient Advocacy 48. Social Media and Online Professionalism 45-48 Week 10 (October 18-25) Team presentations (disc.) b. Section V quiz: 21 October Week 11 (October 25-31) Final Exam Chapters 1-53 ( 25%) 28 October 49. Reporting Illegal, Unethical, or Unsafe Behavior 50. Maternal and Fetal Rights 51. Futility of Care 52. Advanced Directives and End of Life Decisions 53. Assisted Suicide 49-53 Attendance Requirements 1. The student must attend the class(es) for which he/she is enrolled. 2. A student enrolled at Wayland Baptist University should make every effort to attend all class meetings. All absences must be explained to the satisfaction of the instructor, who will decide whether the omitted work can be made up. If enrolled in the online course, weekly online participation to include appropriate academic construction of Discussion Postings is required. Refer to the Discussion Posting Rubric that is contained within this Syllabus. 3. An online Student not engaging in the weekly discussions will be considered absent and thus more than 2 weeks absent of online engagement would be considered a failure for the online course. 4. When a student reaches a number of absences considered by the instructor to be excessive, the instructor will so advise the student and file an

Unsatisfactory Progress Report at the San Antonio Campus. Effective: Summer 2013 The University has adopted a revised online attendance policy which requires students to be actively participating in their online course to be considered in attendance. Policy 8.4.2 Class Attendance (Online Students) Students are expected to participate in all required instructional activities in their courses. Online courses are no different in this regard; however, participation must be defined in a different manner. 1. Student attendance in an online course is defined as active participation in the course as described in the course syllabus. Instructors in online courses are responsible for providing students with clear instructions for how they are required to participate in the course. Additionally, instructors are responsible for incorporating specific instructional activities within their course and will, at a minimum, have weekly mechanisms for documenting student participation. These mechanisms may include, but are not limited to, participating in a weekly discussion board, submitting/completing assignments in Blackboard, or communicating with the instructor. 2. Students aware of necessary absences must inform the professor with as much advance notice as possible in order to make appropriate arrangements. 3. Any student absent 25 percent or more of the online course, i.e., nonparticipatory during 3 or more weeks of an 11 week term, may receive an F for that course. Instructors may also file a Report of Unsatisfactory Progress for students with excessive non-participation. 4. Any student who has not actively participated in an online class prior to the census date for any given term is considered a "no-show" and will be administratively withdrawn from the class without record. To be counted as actively participating, it is not sufficient to log in and view the course. The student must be submitting work as described in the course syllabus. 5. Additional attendance and participation policies for each course, as defined by the instructor in the course syllabus, are considered a part of the university s attendance policy. Any questions regarding this policy may be directed to the Director of the Virtual Campus.

Student Conduct (This is a statement of conduct standards. It is enforced in conjunction with the Discipline Policy and Substance Abuse Policy found elsewhere in the WBU Student Handbook.) Wayland proudly adheres to high standards of intellectual, moral, ethical, and spiritual values. Convinced that self-discipline is more desirable than outside force and that the truly educated person must pursue what is right under all circumstances, Wayland entrusts each student with the solemn obligation of preserving these standards. However, in the light of revelation, reason, and the custom of the Christian community from which Wayland has sprung, certain practices are evaluated: 1. Personal integrity in keeping with New Testament standards is expected of all students. 2. Respect for the property, knowledge, and rights of other people must prevail. 3. The use or possession of alcoholic beverages and/or illegal drugs is forbidden. 4. Gambling, hazing, and the on-campus possession of firearms or deadly weapons are prohibited. BB Guns and Paint Ball Guns are also prohibited. 5. The use of tobacco by students is discouraged, though permitted in certain designated areas of the campus (at least 50 feet from the Alamo University Center Building). In consideration of the rights of others and the requirements of safety, such areas are designated. 6. Follow online etiquette rules whether you are an online student or a face-toface student. Refer to this website: http://online.uwc.edu/technology/onletiquette.asp The authority of the University is exercised over all student groups or organizations bearing the name of the university, or any student enterprises to the extent necessary to safeguard the good name and well-being of Wayland. Specifically, each student is expected to conduct himself in such a manner as to uphold, not detract from, the good name of Wayland Baptist University. If one feels that he/she cannot subscribe to the moral and social practices of the University, he/she will find greater acceptance elsewhere. Netiquette Guidelines Network etiquette or Netiquette is a set of guidelines for online communication. Netiquette covers topics concerning what is proper to post or send, and how to present yourself in an online environment. 1. Be clear

Make sure the subject line (e-mail) or title (web page) reflects your content. Include contact information so others can reply to you. 2. Use appropriate language Don't send or post emotionally charged messages. If you have doubts, do not send the message; save it, and review it later. Remember:no one can guess your mood, see your facial expressions, etc. All they have are your words, and your words can express the opposite of what you feel. Do not use ALL CAPITAL LETTERS - it is equal to shouting or screaming Fonts display differently on different computers. Fonts that look like are difficult to read. Use color sparingly.,,. 3. Be brief If your message is short, people will be more likely to read it. 4. Make a good impression Your words and content represent you; review/edit your words and images before sending. 5. Remember you are not anonymous What you write in an e-mail or web site it can be traced back to you. Assume that e-mail is not secure (unless you know that you are using some form of encryption). Never put in an e-mail message anything you would not put on a postcard. Be selective on the information you include in an e-mail or on a web site: Information on the Internet is very public, and can be seen by anyone in the world including criminals, future employers, and governments. 6. Consider others Try to be forgiving of bad spelling or ignorance. If you think a message you have received, or post you have read violates the law, forward it to your instructor who will contact the appropriate university personnel for follow-up. You may be communicating with people located across the globe. Allow for time zone differences and a chance to respond before assuming your mail did not arrive or that they do not care. Remember that the recipient is a human being whose culture, language, and humor have different points of reference from your own. Remember that date formats, measurements, and idioms may not travel well. Be especially careful with sarcasm.

7. Obey copyright laws Do not use others' images, content, etc. without permission. Do not forward e-mail, or use web site content without permission. Cite others' work as you use it. 8. Use distribution lists appropriately...and with permission. 9. Do not send SPAM, unsolicited e-mail, often advertising messages to a wide audience. (Another way of thinking of it is electronic junk mail.) Forwarded chain letters. If you receive one, notify your instructor. 10. Do not respond to "flames" or personal attacks Contact your instructor for action and/or referral. Adapted from http://www.faqs.org/rfcs/rfc1855.html and http://www.studygs.net/netiquette.htm. Statement on Plagiarism and Academic Dishonesty: Wayland Baptist University observes a zero tolerance policy regarding academic dishonesty. Per university policy as described in the academic catalog, all cases of academic dishonesty will be reported and second offenses will result in suspension from the university. Disability statement: In compliance with the Americans with Disabilities Act of 1990 (ADA), it is the policy of Wayland Baptist University that no otherwise qualified person with a disability be excluded from participation in, be denied the benefits of, or be subject to discrimination under any educational program or activity in the university. The Coordinator of Counseling Services serves as the coordinator of students with a disability and should be contacted concerning accommodation requests at (806) 291-3765. Documentation of a disability must accompany any request for accommodations. Course requirements and Grading Criteria: Students shall have protection through orderly procedures against prejudices or capricious academic evaluation. A student who believes that he or she has not been held to realistic academic standards, just evaluation procedures, or appropriate grading, may appeal the final grade given in the course by using the student grade appeal process described in the Academic Catalog. Appeals may not be made for advanced placement examinations or course bypass examinations. Appeals are limited to the final course grade, which may be upheld, raised, or lowered at any stage of the appeal process. Any recommendation to lower a course grade must be submitted through the Executive Vice President/Provost to the Faculty Assembly Grade Appeals Committee for review and approval. The Faculty Assembly Grade

Appeals Committee may instruct that the course grade be upheld, raised, or lowered to a more proper evaluation. Discussion Posting Grading Rubric INTERPRETATIO N 2 1 0 Weekly Discussion Grade Excellent (A) 100 Minimum (C) 75 Substandard (F) 50 GRADING CRITERIA The comment is accurate, original, relevant, teaches us something new, and is well written. Four pt. comments add substantial learning presence to the course and stimulate additional thought about the issue under discussion. Referencing your postings is a requirement. Student must log on a minimum of three times a week and Post to 4 Discussion Question(s). Additionally, Student must post to a minimum of four student postings a week Initial Postings must be posted within 24-72 hours at the beginning of the business week (Monday) Unless specified as per the Student Calendar The comment lacks at least one of the above qualities, but is above average in quality. A 3 pt. comment makes significant contribution to our understanding of the issue being discussed. Referencing your postings is a requirement. Student must log on a minimum of three times a week and Post to 3 Discussion Question(s). Additionally, Student must post to a minimum of three student postings a week Initial Postings must be posted within 24-72 hours at the beginning of the business week (Monday) Unless specified as per the Student Calendar The comment lacks 2 or 3 of the required qualities. Comments which are based upon personal opinion or personal experience often fall within this category. Student must log on a minimum of two times a week and Post to 2 Discussion

0 0 Unacceptable (F) 25 Unacceptable (F) 0 Question(s). Additionally, Student must post to a minimum of two student postings a week Initial Postings must be posted within 24-72 hours at the beginning of the business week (Monday) Unless specified as per the Student Calendar The comment presents little or no new information. However, 1 pt. comments may provide important social presence and contribute to a collegial atmosphere. Student must log on a minimum of one time a week and Post to 1 Discussion Question. Additionally, Student must post to a minimum of one student posting a week Initial Postings must be posted within 24-72 hours at the beginning of the business week (Monday) Unless specified as per the Student Calendar Student fails to log on to course for the week. 8 CHARACTERISTICS OF A QUALITY ONLINE DISCUSSION POSTING 1. SUBSTANTIAL: Messages should relate to the subject matter and provide information, opinions or questions about that subject matter. They may relate the subject matter to something personal, but they should remain academic in their focus. 2. CONCISE: Studies have shown that messages that are several screens long do not get many replies. To write an effective message, attempt to use a single screen if possible. Try to get the point and focus of your message across so that it is clear what you are saying. 3. PROVOCATIVE: The discussion board is an interactive medium. The more interaction there is between students the better. A good message is one that prompts others to reply or object. A focused and pointed message that produces replies from other learners in that class in moving the discussion forward is having an impact on the learning environment. 4. HERMENEUTICAL: The discussion board is a place where ideas are interpreted and language is explored. To be hermeneutical is to interpret. A good message should explore, explain, or expand on a concept or connection. The message should not simply state something, but rather expand upon an idea. 5. TIMELY: A good message appears in the context of similar messages in the

message log. If you get on irregularly, your message will appeal late and out of context with what is currently happening on the board. Log on regularly and reply to messages in a timely fashion. 6. LOGICAL: A good message that is not a question should contain a logical argument. This means is should contain a clearly stated conclusion of thesis supported by premises, reason, evidence or grounds of belief. 7. GRAMMATICAL: A good, clear, concise message should be well-written and free of typos and sentence fragments and referenced appropriately using AP8. Be Polite to others online. Again, please refer to the website: http://online.uwc.edu/technology/onletiquette.asp BENCHMARKS OF A SUCCESSFUL ONLINE COURSE 1. An online semester BEGINS the same week that an onsite semester begins. Student needs to access and post on the first day of classes in session. 2. To obtain the maximum grade (100) - Every online student should log into the online course no less than three times per week to read instructor and/or student postings and produce no less than four responses to Discussion Questions and four responses to other student postings per week during a thirteen week quarter unless otherwise directed by the Online Instructor (refer to Student Calendar for weeks where student is not required to post). Initial Postings must be posted within 24-48 hours at the beginning of the business week (Monday). 3. At least 90% of the messages in a discussion board should be from learner to learner. It is required that students comment and expand upon the ideas of their virtual classroom peers. This interaction and participation is a huge part of what transpires in the virtual learning environment. Instructors are encouraged to engage themselves more as discussion guides and monitors of discussions and less as lecturers in online classes. 07.2015.hlf