SOUTHWESTERN MICHIGAN COLLEGE SCHOOL OF NURSING AND HUMAN SERVICES Dowagiac, Michigan

COURSE SYLLABUS Winter Semester 2012

COURSE TITLE: Foundations of Nursing-Theory COURSE NO.: NURS 164-T SECTION NO.: 1253

CREDITS/CONTACTS: Credit Hours: 2 Lecture hours/weekly: 4 Laboratory hours/weekly: 0 Weekly Contact Hours: 4

Final Exam Information: Refer to SMC online schedule for final exams

INSTRUCTOR: Beverly Houck, RN, BSN, MSN Office: CSBG 1614A Office Telephone: 269-782-1243 Wireless Telephone: 574-903-1370 (9a-9p only) E-mail: [email protected] OFFICE HOURS: Vary; posted on SMC Wired & outside office.

PREREQUISITE: Acceptance into the Nursing Program

COURSE DESCRIPTION: This course provides the theoretical and practical application of concepts, principles and skills needed for identifying and meeting patient care needs. Emphasis is placed on utilization of the nursing process and effective communication skills.

COURSE OUTCOMES: By the end of this course, students are expected to be able to:  Recognize roles and responsibilities of the nurse and the client within the nurse-client relationship.  Identify purposes and goals for each phase of the nurse-client relationship.  Apply principles of effective communication to facilitate therapeutic nurse-client interactions.  Identify and prioritize basic human needs.  Recognize human responses to stress and adaptation.  Discuss the interrelationships of the five components of the nursing process.  Apply ethical, cultural, and spiritual considerations to nursing process.

1  Identify subjective and objective data in a nursing assessment.  Describe how to gather health history information, including symptom investigation.  Explain proper sequencing of techniques, landmarks, and expected normal findings for physical assessment.  Apply basic principles of diagnostic reasoning to make nursing diagnoses or refer client issues to the appropriate discipline.  State three methods to use when prioritizing nursing care for a client.  Utilize guidelines and principles to determine appropriate client- centered outcomes and avoid common errors.  Describe the three categories of client outcomes.  Utilize guidelines and principles to determine appropriate nurse- initiated interventions and avoid common errors.  Provide rationale for nursing interventions and actions utilizing knowledge, concepts, and principles from nursing, liberal arts, and science.  Identify guidelines and principles for implementation of plan of care.  Describe the steps involved in evaluating an individual plan of care.  Apply principles and guidelines for effective documentation and avoid potential legal problems.  Recognize the nurse’s role in communicating with other members of the healthcare team.  Compare the teaching-learning process to the nursing process.  Describe the role of the nurse as counselor in providing client care.  Discuss the nurse’s role in promoting health and preventing illness.  Describe the nurse’s role in providing care to clients and families experiencing loss and grief.  Explain the anatomy and physiology relevant to sleep, sensory stimulation, and pain.

2  Apply nursing process in identifying, preventing, and treating common problems related to sleep, sensory stimulation, and pain.

METHOD OF INSTRUCTION: This course utilizes a variety of learner-focused instructional strategies. The course will include use of CD-ROM and online resources accompanying the texts, as well as in-class review and application of concepts.

EVALUATION METHOD: Quizzes 15% Tests 60% Final Examination 25% Total 100%

All assignments, graded and ungraded, are mandatory. All assignments must be completed to successfully pass the course. See Student Handbook for specific information regarding tests, etc.

NOTICE: Representative student work will be used as a part of SMC’s on-going curriculum assessment program.

GRADING SCALE: The following grading scale will be in effect for this course in accordance with the School of Nursing Student Handbook guidelines:

A 96.0 – 100% A- 93.0 – 95.9% B+ 90.0 – 92.9% B 87.0 – 89.9% B- 84.0 – 86.9% C+ 81.0 – 83.9% ______C 78.0 – 80.9%______C- 75.0 – 77.9% D+ 72.0 – 74.9% D 69.0 – 71.9% D- 66.0 – 68.9% Below 65.9% = F

PROGRESSION POLICY: Progression in the Nursing Program without interruption is determined academically by achieving a minimal grade of "C" (78.0%) without extra credit or rounding up. GRADES BELOW 78.0% ARE NOT CONSIDERED PASSING!

ATTENDANCE POLICY: Attendance is mandatory. Excessive absenteeism may result in course failure. It is the responsibility of the student to contact the instructor as soon as possible when an absence occurs. See the School of Nursing Student Handbook for specific guidelines.

3 TESTING POLICY: Students are expected to take all examinations in the classroom as they are scheduled. Make-up policy is at the discretion of the instructor and described in the School of Nursing Student Handbook. Special learning needs, including testing modifications, need to be documented and on file with Academic Services.

OTHER COURSE EXPECTATIONS: The student is expected to have read the material and completed pre-class assignments completed PRIOR to each class.

Examinations will cover material from resources and activities relevant to meeting objectives. The student is expected to utilize available resources to meet unit objectives and course outcomes.

There will be a short oral review of the exam the first 10-15 minutes of class; other review must be scheduled as an office appointment. There will be no review of exams the day before or the day of the final exam.

Students are expected to frequently access SMC Wired for course grades and communications from the instructor.

GUIDELINES FOR WRITTEN WORK: 1. Assignments are neatly typed, with proper grammar and spelling, following college level requirements for written work. Written work that is below a college level of performance regarding grammar, punctuation, spelling, or sentence structure will be unacceptable. 2. Written work that requires referencing use the Publication Manual of the American Psychological Association (APA), 6th edition, second printing for correct formatting of assignments. 3. Assignments are due on the day designated, or before if preferred. See the School of Nursing Student Handbook for the rules regarding late written assignments. 4. The final evaluation is the responsibility of the instructor in assessing the student’s achievement of the course objectives.

Level 1 TERMINAL COMPETENCIES: 1. Provides direct care, based on the nursing process, for clients with common well-defined nursing diagnoses within a structured health care setting, under the supervision of an experienced registered nurse, doctor, or dentist. 2. Utilizes basic therapeutic communication skills when interacting with clients, families, and other health care team members along the continuum of care. 3. Implements and modifies standard teaching plans for clients under the supervision of a registered nurse. 4. Organizes basic aspects of care for clients with common health needs within structured health care settings. 4 5. Demonstrates responsibility and accountability to the profession of nursing as well as utilizing nursing research findings.

ACCEPTABLE USE OF PERSONAL COMMUNICATION TECHNOLOGY

All phones, iPods, Black Berries, palm pilots, pagers, laptops and other technological devices including devices capable of taking photographs must be turned off and may not brought out during quizzes, exams, or evaluative class time. During other class times devices are to be off or placed on vibrate mode. If you are expecting or receiving an urgent call, you are required to leave the classroom before answering. Violation of this policy will result in your removal from the classroom for the class period. Multiple violations of this policy will be referred to the appropriate dean for disciplinary action. Further details or ramifications of violations may be found elsewhere in this syllabus. The instructor has the right to modify this policy to meet the needs of this course.

HONESTY POLICY: Cheating or plagiarizing will absolutely not be tolerated at Southwestern Michigan College. Any student found cheating or plagiarizing material in any manner may be assigned a failing semester/session grade in this course. A second such incident while at SMC could result in suspension or expulsion from the institution. A student found in violation of this section of the syllabus will not be allowed to drop this course. For more detailed information consult the SMC Student Code of Conduct.

CIVILITY STATEMENT: "Students are expected to assist in maintaining a classroom environment that is conducive to learning. In order to assure that all students have the opportunity to gain from time spent in class; students are prohibited from engaging in any form of distraction. Inappropriate behavior in the classroom shall result, minimally, in a request to leave class."

NOTICE: Information in this syllabus is, to the best knowledge of the instructor, considered correct and complete when distributed for use at the beginning of the semester. The instructor, however, reserves the right, acting within the policies and procedures of Southwestern Michigan College, to make changes in course content or instructional techniques.

TEXTBOOK(s)*: Required

*Ackley, B., & Ladwig, G. (2009). Nursing diagnosis handbook: A guide to planning care. St. Louis,

MO: Mosby.

Ignatavicius, D. D., & Workman, M. L. (2010). Medical-surgical nursing: Critical thinking for

collaborative care (6th ed.). St. Louis, MO: Elsevier Saunders.

*bundled with the Ignatavicius “Iggy” VCE book from the bookstore.

5 Kaplan Integrated Resources – Paid Voucher to Cathy McNeil for your nursing file.

Online NCLEX based study resources.

*Pagana, K. D., & Pagana, T. J. (2006). Mosby’s manual of diagnostic and laboratory tests (3rd ed.).

St. Louis, MO: Mosby.

Smith, S., Duell, D., & Martin, B. (2012). Clinical nursing skills basic to advanced (8th ed.). Upper

Saddle River, NJ: Pearson.

Taylor, C., Lillis, C., & LeMone, P. (2011). Fundamentals of nursing: The art and science of nursing

care (7th ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins.

*MyNursingLab bundle required from SMC bookstore.

See your my courses page for log in information.

*2012 Nurse’s Drug Guide as a drug reference book

*Medical dictionary of choice.

*These required resources may be purchased as a memory card software bundle, with or without a PDA. Inquire at the SMC bookstore for details.

Highly Recommended

Alfaro-LeFevre, R. (2010). Applying nursing process: A tool for critical thinking (7th ed.).

Philadelphia, PA: Lippincott, Williams, & Wilkins.

Saunders 2011-2012 NCLEX-RN Comprehensive Review book

Optional

Ignatavicius, D. D. & Workman, M. L. (2010). Critical thinking study guide to accompany medical-

surgical nursing Critical thinking for collaborative care (6th ed.). St. Louis, MO: Elsevier

Saunders.

Taylor, C., Lillis, C., LeMone, P. & LeBon, M. (2011). Study guide to accompany fundamentals of

nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott, Williams,

& Wilkins. 6 Additional resources as indicated in learning strategies and suggested by instructor via class or SMC Wired, My Courses, NURS 164-T.

Written work that requires referencing using APA formatting, access the following website for guidelines in APA format: http://owl.english.purdue.edu/owl/resource/560/01/ NURSING 164 FOUNDATIONS OF NURSING UNIT OBJECTIVES-THEORY

The following unit objectives are available within the texts, on the CD-ROMs, and via the on-line sites for the texts, except where written or modified by the instructor. ~Use the objectives to guide your reading and study of course content to prepare for classes.

Topic Text Objectives Basic Needs Taylor Ch. 4 – 1, 2 Ch. 41 – 1-7 Ch. 45 – 4, 5, 7, 9, 10 Nurse-Client Relationship Taylor Ch. 21 – 1-9 Culture & Spirituality Taylor Ch. 46 – 1-3, 5-8 Ch. 2 – 1-5 Ignatavicius Ch. 4 – 2, 4, 7, 9 Stress & Adaptation Taylor Ch. 42 – 1-7 Nursing Process Taylor Ch. 11 – 1-12 Assessment Taylor Ch. 12 – 1-11 Physical Assessment Taylor Ch. 25 – 1-8 (excluding percussion & deep palpation) Diagnosis Taylor Ch. 13 – 1-6 Outcome Identification & Taylor Ch. 14 – 1-9 Planning Implementation Taylor Ch. 15 – 2-8 Evaluation Taylor Ch. 16 – 1-7 Documentation, reporting, Taylor Ch. 17 – 1-9 informatics Health Promotion, Taylor Ch. 3 – 1-5 Teaching, & Counseling Ch. 22 – 1-11 Loss, Grief, & Dying Taylor Ch. 43 – 1-10 Ignatavicius Ch. 9 – 1-15 Rest & Sleep Taylor Ch. 34 – 1-8

Sensory Functioning Taylor Ch. 34 – 1-7 Pain Taylor Ch. 35 – 1-6, 8-9 Ignatavicius Ch. 5 – 1, 3-7, 12, 15, 16

7 NURSING 164 FOUNDATIONS OF NURSING SUPPLEMENTAL LEARNING STRATEGIES – THEORY

The chapter readings in the Taylor text and the Ignatavicius text, as indicated in the unit objectives, are primary resources. The following strategies are supplemental. They are provided to clarify, reinforce, or strengthen student learning, as needed by the individual student. It is not the expectation that every resource needs to be accessed by every student.

To enhance unit objective learning: Taylor Study Guide and Ignatavicius Study Guide: A variety of exercises associated with each chapter of the primary texts; focus on knowledge, comprehension, and application.

To supplement assessment learning: Ignatavicius text: Chapters 30, 36, 42, 44, 49, 51, 53, 56, 65, 69, 72, & 76. Each chapter focuses on a bodily system; provides review of anatomy and physiology, relevant history and physical assessment, and pertinent medical labs and diagnostics.

To enhance nursing process learning: Alfaro-LeFevre text: Chapter 1 – Nursing Process Overview Chapter 2 – Assessment Chapter 3 – Diagnosis Chapter 4 – Planning (outcomes and interventions) Chapter 5 – Implementation (includes documentation and some reporting) Chapter 6 – Evaluation (outcome achievement and quality improvement) This provides many visuals, tips, guidelines, and critical thinking exercises with example responses.

Supplemental resources available via SMC Wired Library tab – Alphabetical Listing of Databases – Gale Virtual Reference Library (from the listing of publications after logging in)

Multicultural Studies: Gale Encyclopedia of Multicultural America Nation and World: Countries and Their Cultures Religion: Encyclopedia of Religion Worldmark Encyclopedia of Religious Practices Social Sciences: Death and Dying – End-of-Life Controversies Health Care System Health and Wellness: Illness Among Americans

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