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UNIVERSITY OF Faculty of Nursing Undergraduate Programs BScN COLLABORATIVE PROGRAM Grande Prairie Regional College Red Deer College Bilingual Nursing Program RPN to BScN Nursing Program After Degree Nursing Program

Fall 2020

NURS 351 ACUTE CARE THEORY I THEORY COURSE OUTLINE

University of Alberta BScN Collaborative Program

Date: August 25th, 2020

©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. Approved: Shireen Bell

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ACADEMIC CALENDAR ENTRY: The primary focus is the theoretical foundation for the client-centered care of adults and elderly clients and their families experiencing variations in health (acute and chronic illnesses). Comprehensive assessment and best practice interventions are addressed within the context of a primary health care framework and a nursing model.

COURSE DESCRIPTION: The primary focus is the theoretical foundation for the client-centered care of adults and elderly clients and their families experiencing variations in health (acute and chronic illnesses). Comprehensive assessment and best practice interventions are addressed within the context of a primary health care framework and a nursing model.

CREDIT HOURS: NURS 351 (2-3-0) (2 hours of lecture, 3 hours of small group seminar, 0 hours of lab per week) (15-week term).

Pre-requisites: Co-requisites: NURS 239, NURS 240, NURS 308 NURS 352

COURSE SCHEDULE: Lecture Instructor Class Time Room # A Michael Metzger Monday 0900 – 1050 Online MST

Classroom Small Group Seminar Seminar Instructor Class Time

51 Friday 1200-1450 MST Online Thursday 1200-1450 52 Juliet Onabadejo Online MST Tuesday 0800-1050 54 Michelle Hauenstein Online MST Tuesday 1200-1450 55 Lisa Rancier Online MST

Please note: A detailed course schedule is posted on blackboard.

INSTRUTOR CONTACT INFORMATION Instructor Email Michael Metzger [email protected] Michelle Hauenstein [email protected] Lisa Rancier [email protected] Dr. Juliet Onabadejo [email protected]

INSTRUCTOR OFFICE HOURS Individual instructors will communicate office hours during the first week of class.

PREFERRED CONTACT INFORMATION Instructors will inform students of preferred contact method (e.g. email) Sample: - Please allow 2 business days for a response. Include “NURS 351” in your subject line. - Professional and respectful communication is expected.

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COURSE LEARNING OUTCOMES Upon successful completion of this course, students will be able to: 1. Select concepts of safety related to acute care practice 2. Interpret interprofessional competencies related to planning client care 3. Explain issues related to the delivery of health care in and the implications for professional nursing practice 4. Describe the roles of Registered Nurses in providing care to individuals with acute and chronic illnesses within the context of primary health care 5. Examine the use of the nursing process in planning care 6. Analyze models and theories that guide nursing care 7. Demonstrate professional and therapeutic communication skills 8. Access and evaluate information to guide nursing practice 9. Describe concepts related to recovery, rehabilitation and palliation 10. Integrate concepts related to cultural, legal, social, and ethical implications for clients in acute care

UNIVERSITY OF ALBERTA COURSE OBJECTIVES 1. Describe, understand and articulate an understanding of theory related to key patient safety concepts including communication, teamwork, environmental and human factors, safety risks and adverse events disclosure. 2. Describe, understand and articulate an understanding of theory related to patient centered care and interdisciplinary practice. 3. Demonstrate, with guidance, the processes of self-directed learning, critical thinking, and group process skills in utilizing inquiry-based learning, in all learning activities. 4. Identify and discuss, with minimal assistance, issues related to the delivery of health care in Canada and the implications for professional nursing practice. 5. Discuss, with minimal assistance, the roles and functions of registered nurses in providing client- centred care to clients (adult and elderly) with selected commonly occurring acute and chronic illnesses within the context of primary health. 6. Demonstrate, with minimal assistance, knowledge of selected assessment skills and selected best practice interventions. 7. Organize, with minimal assistance, nursing knowledge according to selected models and theories. 8. Demonstrate beginning competence in using information technology. 9. Demonstrate, with minimal assistance, effective verbal and written communication skills in small and large group situations. 10. Integrate the knowledge generated from working through the course scenarios and be able to apply this knowledge to other situations. 11. Integrate the knowledge and skills acquired in all learning environments and be able to apply them in other situations. Demonstrate, with assistance, the processes of self-directed learning, critical thinking, and group process skills in utilizing inquiry learning in all activities.

COURSE TOPICS Pre/Post-operative care Rehabilitation Frail older adult Depression and Delirium vs Dementia Culture; Ethnicity Cerebrovascular Accident (CVA) Teaching and Learning Inter-provincial differences Chronic and acute diseases Client decision-making regarding treatment options, Uncertainty of diagnosis Clinical trials, Screening Complementary health & Support Groups Palliative Care, Ethics: End-of-life 3

Caregiver burden Nutrition

LEARNING ACTIVITIES Learning activities will be presented in a variety of formats (cognitive, affective and psychomotor learning modalities). Small group discussions Role playing Group discussions, Self-reflection Lectures, guest speakers

SMALL GROUP SEMINAR EXEMPLARS Learning package #1 Mrs. Snow Learning package #2 Celine Turcotte Learning package #3 Janice Kay Learning package #4 Pierre Dupont Learning package #5 Janet

COURSE RESOURCES: Required: All textbooks and other print resources required in the first year of the program and in N239, N240, N304, and N308 are also required for N351/352. In addition, the following new resources will be required:

Alligood, M. (2017). Nursing theorists and their work (9th ed.). St. Louis, MO: Elsevier.

Pagana, K., Pagana, T., & Pike-MacDonald, S. (2019). Mosby’s Canadian manual of diagnostic and laboratory tests (2nd ed.). St. Louis, MO: Elsevier.

Wagner, K., Hardin Pierce, M., Welsh (2018). High Acuity Nursing (7th ed). Pearson.

The following resources and equipment are also required: • CARNA resources online • Exemplar packages

MATERIAL AND SPECIAL FEES There are no extra fees for this course.

ACADEMIC SCHEDULE DATES Fall 2020: September 3rd First day of classes September 15th Last day to add or drop courses October 12th Thanksgiving; College closed. October 13th - 16th Reading Break --- no classes. November 2nd Midterm November 11th Remembrance Day; College closed December 9th Last day of classes; Last day to withdraw from courses and receive a WD December 14th First day of final exams

CHANGES TO THE COURSE OUTLINE Changes to the course outline will be made with the consent of the course instructor and students. Changes will be reviewed by the Associate Dean of the School for consistency with College policies.

OVERARCHING STATEMENT Students are responsible to familiarize themselves with the Graduate Competencies and Year-End 3

Outcomes Condensed Version 2017-2018. Attention must be given to the competencies that are identified as being relevant to NURS 351 (Level 2, Junior 2).

All students are also responsible to practice in a manner that is consistent with:

• CARNA Requisite Skills and Abilities for Becoming a Registered Nurse in Alberta (2011) • CARNA Nursing Practice Standards (2013) and all other CARNA standards • The CNA Code of Ethics for Registered Nurses (2017). • Red Deer College Policies regarding student conduct. • University of Alberta Policies regarding student conduct.

LEVELS OF INDEPENDENCE* In evaluating objectives, the following levels of independence will be used. Note that there is an expected progression within a course and between levels.

Level Levels of independence Description (beginning of term →end of term) (beginning of term→ end of term) Level 2, Junior 2 With minimal assistance → The student requires occasional With guidance direction and information →The student requires clarification, prompting and confirmation.

Definitions 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: Faculty tells the student what to do, about what steps to take. Information: Faculty tells the student specifics about a concept or topic. Clarification: Faculty, 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 to demonstrate a sound knowledge base. Prompting: Faculty 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: Faculty provides positive feedback for correct information and direction provided by the student. Consultation: The student provides faculty with information and/or direction and asks specific questions about the information. Occasional: indicates that input is provided by faculty now and then.

ASSESSMENT OF STUDENT PERFORMANCE

Assignment/Task Weight Description Due Date

Small group 25% 5% student self-reflection November 30 – evaluation tool 20% instructor feedback December 9, 2020 (SGET) Instructor will give specific date Writing assignment 25% 5%-part A October 4 (noon) 20%-part B November 15 (noon) 3

Elsevier Adaptive 15% Students are required to answer questions October 23 Quizzing (EAQ) on EAQ related to medical and surgical (midnight) content to reach mastery (level 2 or higher) in at least 5 of the 9 Med/Surg content areas. Midterm exam 10% On Blackboard on personal laptop October 19 during computer, Respondus Lockdown Browser. class time Final Exam 25% On Blackboard and written during exam During final exam week on personal laptop computer, week Respondus Lockdown Browser. Exam will be the same format as the midterm. Final exam will not be cumulative.

For complete assignment descriptions and assessment details, please refer to your assignment folder in Blackboard.

COURSE PROCEDURES & CONSEQUENCES:

EXAMS See Assessment of Student Performance

MIDTERM FEEDBACK See Grading System

PARTICIPATION & PROFESSIONAL CONDUCT

PARTICIPATION Learning is enhanced by actively engaging in the course material. While attendance is the first step towards your success in this course, your active participation in learning activities during class time and outside of class is also necessary. It has been found that students who actively participate in class activities learn more and achieve higher grade than those who don’t. Please remember that you get out of a course what you put in.

PROFESSIONAL CONDUCT It’s important that all course participants exhibit professional behaviour in the classroom/lab at all times to optimize the teaching and learning experience for everyone. This includes the instructor(s) and students. Non-negotiable expectations of behaviour for all course participants include: - Arrive on time, be prepared and remain for the duration of the class/lab. - Cell phone use in class/labs is limited to learning activities led by the instructor. If a student or the instructor needs to use a cellphone during class (not related to class activities), this should be communicated ahead of time. - Use of laptops and tablets are welcome but are only to be used only for notetaking or class activities. - Communicate respectfully with others at all times. - Maintain a positive learning environment by listening to others, providing constructive suggestions, asking questions, and providing comments that are relevant to the topic. - Written communication (e.g. email) should always be professional, respectful, clear and grammatically correct.

TECHNOLOGY GUIDELINES Students will be required to bring appropriate technology (laptop, mobile device, etc.) to scheduled classes in order to complete the learning activities and exams. Cellphones are to remain off unless used for class activities.

The BScN Program at Red Deer College recognizes that the use of technology in nursing has the 3

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 Computer Requirements

BLACKBOARD Blackboard will be used for email, document submission, and general communication at Red Deer College. Students are responsible for accessing Blackboard for their course. Course information, important notices, course content and correspondence relating to all students in the course will be posted on the course Blackboard site.

It is the student’s responsibility to be familiar with the use of Blackboard and to access their Blackboard site on a regular basis throughout the term. Failure to do so may result in missing important course- related information, resources, instructor feedback, and announcements. If students are unable to access Blackboard to receive and send their ENPs, correspondence, etc., it is the student’s responsibility to contact the RDC Computer HELP desk to address this issue.

STATEMENT ON AUDIO-VISUAL RECORDING 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).

ACADEMIC POLICIES As a student at RDC, you have rights and responsibilities. It is your responsibility to be familiar with the information contained in this Course Outline and to clarify any areas of concern with the instructor. Travel to and from clinical sites is the responsibility of the student. You may consider working with your group members to arrange for car-pooling or sharing travel responsibility. It is also your responsibility to be familiar with RDC Policies. Please take the time to familiarize yourself with the policies that might impact you while you are here: Final Exam Policy Student Academic Integrity & Misconduct Student Misconduct - Non-Academic Student Appeals

FINAL EXAM POLICY only for courses with a final exam over 20%>

The RDC Final Examination Policy will be followed with respect to Final Examinations. Please review this document to ensure you understand the contents and implications of the policy.

Final Exams *This course has a final exam scheduled by the Registrar. You must be available for the entire final exam period and deferrals will not be granted unless there is serious cause.* Following the Final Examinations Policy, exams written in the last 7 days of classes are weighted at less than 20% of the final mark and scheduled final exams have a weighting of at least 20% and no more than 50% of the final grade. If you have questions or concerns, please talk to me as soon as possible.

ACADEMIC & NON-ACADEMIC MISCONDUCT Academic misconduct in all its forms is a serious offence. Academic misconduct is the giving, taking, or 3

presenting of information or material that unethically or dishonestly aids oneself or another on any work which, under normal circumstances, is to be considered in the determination of a grade or the compilation of academic requirements or the enhancement of that student’s record or academic career. The two key areas of academic misconduct are plagiarism and cheating. Please read the definitions that follow.

Plagiarism: The use of close imitation of language, paintings, films, prototypes and ideas of another author and representation of them as one’s own original work. The most common forms of plagiarism are: copying or paraphrasing another author’s work without proper acknowledgement, using the ideas or lines of reasoning of another author’s work without proper acknowledgement, submitting work to which someone else has made substantial improvements to the content, and submitting the same work for multiple courses without approval. Plagiarism can be judged to have occurred if the instructor has both the submitted material and original source that was copied, or if the student is unable to explain the terminology or ideas of a submission.

Cheating: Any attempt to give or obtain unsanctioned assistance in a formal academic exercise (e.g. examination). Some examples of cheating are unauthorized cheat sheets in a test or exam, the unauthorized use of electronic devices during exams, and copying from another student.

Cheating Tool: Respondus lockdown browser with webcam feature (Respondus Monitor) will be used for all quizzes and exams in this course, unless otherwise specified. It is the responsibility of the student to ensure that all components (ie. Computer, webcam) are charged, working and up to date prior to the exam. Specific instructions, including directions for completing a required practice quiz beforehand to ensure that all equipment is working properly, will be sent out prior to the exam through Blackboard. It is strongly recommended that students log in to the class early to receive any additional instructions for quiz/exam completion. Many quizzes and exams will have a limited time for completion. Students will not be given a time extension for technology issues or delayed entry to the quiz or exam. Please see BScN student handbook for further information.

If applicable: Note: a plagiarism detection tool is used in this course.

Plagiarism Tool: Having easy access to the internet and other technology can make it easy and enticing to use other someone else’s work as one’s own. Because of the high incidence of plagiarism in post-secondary education, assignments in the course may be submitted through SafeAssign on Blackboard. SafeAssign compares your work to a global repository of student work at RDC and to published work online. You are able to access the Originality Report in Blackboard. If you have concerns with your Originality Report, please come and see me to discuss what it means.

Please note: non-academic misconduct as described in the Student Misconduct Guidebook is also addressed at Red Deer College. Students should be familiar with this term and potential consequences and disciplinary actions that may result.

RECOGNITION OF PRIOR LEARNING This course may be eligible for prior learning assessment and recognition. Please refer to the RDC Academic Calendar for a list of excluded courses. Prior Learning Assessment & Recognition

STUDENT SERVICES Students are encouraged to explore the Services that RDC has to support them on the RDC Website, in Blackboard, and on the Loop. Student Services

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Students should be aware that Personal Counselling, Career Counselling Services, Learning and Disability Services are provided at RDC. Inquire about locations at Information Desk. It is the student’s responsibility to discuss their specific learning needs with the appropriate service provider.

RDC offers several learning support services: course-based peer tutoring, the Math Learning Centre, the Writing Skills Centre, and help with general learning strategies (e.g., time management, study skills, exam preparation and writing). RDC also offers services for students with disabilities. To access any of these services, visit the Learning Support desk in the Library, call (403) 357-3629, or email either [email protected] or [email protected].

Classroom learning resources may be available to students in alternative formats. It is the student’s responsibility to discuss learning needs with their instructor.

BScN PROGRAM SPECIFIC

CROSS MARKING PROCESS Cross marking is one strategy used in this course for selected assessments to enhance consistency of marking expectations across the teaching team. Please see student handbook that is posted on the course Blackboard site for marking and grading practices in the BScN program.

ASSESSMENT OF STUDENT PERFORMANCE CON’TD If a student is sick or will be missing an in-class or “real time” assessment, notification of the instructor must occur at least one hour prior to the start of the assessment. If sufficient notification is not provided, a mark of zero will be given on the assessment.

If an assessment is submitted 10 or more days after the established due date, a zero will be given on the assessment with no opportunity to re-do the assessment.

The assessments in all courses are linked to the overall course outcomes. Vital information is learned through the completion of assessments. Any missed or uncompleted assessments will impact overall learning and may impact students’ ability to meet the minimal course grade in-program requirement.

LATE ASSIGNMENTS A 10%-mark reduction per calendar day will be applied to all late assignments unless the instructor has given prior consent. Submit extension requests directly to the instructor at least 24 hours prior to the due date.

GRADING SYSTEM

Theory Courses: By the midterm feedback date as per academic calendar, following the academic schedule, students will be able to access their letter grade standing in the course with 30% of their grade completed. Students will be able to see this through the weighted total column in Blackboard.

Each assessment is marked and given a score that is a portion of the final grade. All assessment marks are added together and equate to a final raw score out of 100 points. This final score is then translated into a letter grade, which correlates with a grade point for the final course grade.

Final Grade Distribution for

Letter Grade Percent A+ 95 – 100 A 91 – 94 A- 87 – 90 3

B+ 83 – 86 B 79 – 82 B- 75 – 78 C+ 71 – 74 C 67 – 70 C- 63 - 66 D+ 59 – 62 D 55 – 58 F 0 - 54 NOTE: any grade that is 0.5 or above will around to the next whole number.

STRUGGLING STUDENTS LEARNING CONTRACT Students at risk of failure in the course due to unsafe, unprofessional, or unethical behaviours in the clinical environment may be placed on a learning contract. The learning contact will outline strategies and conditions for student success in the clinical course.

FITTNESS TO PRACTICE From the CARNA website: Fitness to practise (FTP) is "all the qualities and capabilities of an individual relevant to their capacity to practise as a registered nurse, including but not limited to, freedom from any cognitive, physical, psychological or emotional condition and dependence on alcohol or drugs that impairs his or her ability to practise nursing" (The Canadian Nurses Association, 2017). When students experience health concerns that affect their skills, abilities and judgement they may not be able to provide safe, competent and ethical nursing care in the best interest of the public and patient safety.

HOW TO MEET THIS REQUIREMENT All students must: 1. Declare their Fitness to Practice at the beginning of each year of their nursing program. Once they have signed the personal declaration form and submitted it to their nursing instructor, they will be able to go into their clinical placement. 2. Be aware that, when presenting themselves to class, lab or clinical, they are declaring their Fitness to Practice to their instructor.

Be aware that, should their Fitness to Practice change during the term, they must immediately inform their instructor. See the student handbook for further FTP processes and guidelines.

SIMULATION: Simulated learning experiences (i.e. high fidelity manikins, standardized patients, virtual simulations and/or virtual games) may be used throughout the course term to practice critical thinking, clinical reasoning and judgement, psychomotor skills, communication, and teamwork in theory, lab and/or clinical settings. Assessment of learning from the simulation experience may be graded as indicated in the assessment section of the course outline. Specific dates are contingent upon resource availability and will be stated in the course schedule posted on the Blackboard course site.

OTHER EQUIPMENT . Stethoscope . Professional and appropriate dress (see student handbook) . RDC Nametag . Smart phones with appropriate apps may be useful but are not required The purchase of a lab kit from the Bookstore is mandatory for all lab courses. 3

STATEMENT ON AUDIO-VISUAL RECORDING 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 a minimum of 24 hours prior to the class. 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).

STUDENT HANDBOOK Please check course blackboard for reference to the BScN Student Handbook

SPECIAL CONSIDERATIONS Privacy: All students and instructors have obligations under the Health Information Act (2001/2018) and Alberta. Electronic Health Record Regulation (2010) related to the “collection, use, disclosure, and security of health information that protects the privacy and confidentiality of individuals and their health information” (CARNA 2020, Privacy & Management of Health Information Standards, p.2). Students are accountable for ensuring that they follow all relevant privacy legislation and policies and understand the privacy requirements that apply to their nursing practice. Secure access and handling of health information, along with mandatory reporting of potential or actual breaches are required of students and faculty.

COVID: Due to the ongoing COVID global pandemic and the potential of unanticipated public health requirements, course components may be shifted from the originally stated modality within the semester to accommodate completion of course objectives. All attempts will be made to ensure student progression is not affected, wherever possible.

Use of Online and/or Electronic Resources: Students are responsible for the legitimate access and academic integrity in using any online resources such as extra exam-like questions and learning activities, including appropriate distribution according to copyright guidelines. Any questions related to use of online or electronic study resources should be forwarded to the course instructor.

Notification of Online Recording

Please be aware that lectures, exams, and other online educational services, may be recorded during online delivery.

Red Deer College takes the protection and privacy of student information seriously. We recommend students ensure that no other people are in the room and there is nothing identifiable or sensitive in scope of the camera/recording view (personal belongings, records, photographs, medications, etc.) prior to the commencement of an online course delivery or exams. The information collected will only be used for the purposes of delivery and administration of remote exam processes, and educational training and services. This information is collected under the authority the Freedom of Information and Protection of Privacy Act of Alberta, section 33(c). For general questions about the collection, use, or disclosure of information, please contact the Access & Privacy Coordinator, Red Deer College, Telephone: 403-356-4987, [email protected]. For specific questions on how the recordings will be used or disclosed, please contact your instructor.