Include evidence-based interventions, theoretical concepts, and critical thinking skills, with an emphasis on the application to professional nursing practice. The focus is on multicultural populations which are experiencing physical, psychological, social, or spiritual imbalances. The student, working with a preceptor, will facilitate the delivery of health care to diverse cultures in various specialized settings.
Co requisites: NUR 4827 NUR 4636, NUR 4636L
Learning Outcomes Statement:
This course provides intentional learning experiences that address the following College Learning Outcomes marked by an asterisk (*):
- *Communicate effectively using listening, speaking, reading and writing skills.
- Use quantitative and analytical skills to evaluate and process numerical data.
- *Solve problems using critical thinking and scientific reasoning.
- Formulate strategies to locate, evaluate, and apply information.
- Demonstrate knowledge of diverse cultures, including global and historical perspectives.
- *Create strategies that can be used to fulfill personal, civic and social responsibilities.
- Demonstrate knowledge of ethical thinking and its application to issues in society.
- *Use computer and emerging technologies effectively.
- Demonstrate an appreciation for aesthetics and creative activities.
- Describe how natural systems function and recognize the impact of humans on the environment.
Assessment and Evacuation Method: The Advanced Nursing Concepts Practicum Clinical Evaluation Tool addresses all Core Components (See clinical tool).
ACCESS: By providing a variety of services that address a spectrum of disabilities, the ACCESS department works to ensure equal access and opportunity throughout the college experience. Students with a documented disability are encouraged to contact the campus ACCESS (Disability Services) Department in advance for information on appropriate policies and procedures for obtaining assistance. Retroactive auxiliary aids and services cannot be provided. The ACCESS department is located in Building 1, Room 1113, and can be reached at (305) 237-4027. Please note, it is the student’s responsibility to self-identify at each campus where they are taking courses and seeking services.
Benjamín León School of Nursing (BLSON) RN-BSN Program Outcomes:
Program Outcome 1: Apply integration of theoretical and scientific knowledge from nursing and related disciplines to provide quality, culturally competent healthcare to multicultural clients and communities based at multifaceted healthcare levels.
Program Outcome 2: Create analysis of ethical, legal, and socioeconomic issues to develop unique nursing strategies to improve healthcare delivery in a global community.
Program Outcome 3: Incorporate application of appropriate evidence-based findings to change and improve nursing practice and emerging nursing specialties.
Program Outcome 4: Develop analysis of theories and concepts from nursing and related disciplines in nursing practice.
Program Outcome 5: Integrate utilization of professionalism, communication interdisciplinary collaboration, and creative leadership and management to enhance healthcare for diverse populations.
Program Outcome 6: Foster integration of professional nursing knowledge, abilities, and skills in the provision of complex and unique nursing care to a variety of diverse populations.
Benjamín León School of Nursing RN-BSN Program Competencies:
Competency 1: Upon successful completion of this course, students will be able to operationalize ethical and legal principles when providing multi-culturally based healthcare at local, state, national levels by:
a. Demonstrating culturally competent care in practice.
b. Applying ethical decision-making in practice.
c. Utilizing strategies to improve multicultural patient care outcomes.
d. Applying legal aspects of nursing care in the practice setting.
e. Comparing leadership health models at various primary care health facilities.
f. Exhibiting cultural humility in caring for diverse populations.
g. Developing plans of care for specified populations based on a global perspective.
h. Examining ethical, legal and political issues as they relate to health care.
Competency 2: Upon completion of this course, students will be able to evaluate current forces and trends influencing trans-disciplinary nursing by:
a. Utilizing advanced assessment techniques to determine strategies that promote, maintain, and restore health.
b. Examining the progression of nursing as a profession in a global community.
c. Implementing and evaluating nursing strategies to promote, maintain and restore health.
d. Comparing and contrasting various types of healthcare delivery systems.
e. Demonstrating knowledge of policies and finances that impact local and global healthcare delivery systems.
f. Providing safe and effective nursing care to individuals, families and local agencies.
g. Adhering to critical elements regarding asepsis communication, safety, professional behaviors, and standard precautions.
h. Utilizing critical thinking and evidence-based practices when providing and managing care of patients and families.
i. Collaborating with agencies or seeking assistance from preceptor and/or faculty to develop and implement strategies to resolve an identified need.
Competency 3: Upon successful completion of this course, students will be able to incorporate the awareness of emerging nursing specialties, which reflect the growth, research, and evolution of professional nursing by:
a. Expanding beyond acute care practice settings into community.
b. Selecting practice sites that foster growth.
c. Implementing their personal philosophy of nursing into their practice.
d. Applying concepts of selected nursing theorists into their practice.
e. Applying evidence-based practice strategies and other research findings in the work setting.
f. Critiquing various methods of research (Qualitative, Quantitative, and Mixed).
g. Identifying researchable problems in various health care settings for accomplishing improved outcomes.
h. Utilizing research findings to develop scholarly paper and presentation.
i. Designing a practicum project that incorporates evidence-based practice.
Competency 4: Upon successful completion of this course, students will be able to value cultural diversity, spiritual, and religious beliefs of diverse populations by:
a. Using nursing theoretical concepts which demonstrate acceptance and caring.
b. Providing nursing care that recognizes the individual as a holistic being.
c. Complying with policies and guidelines of MDC, Benjamín León School of Nursing (BLSON), and affiliating agencies.
d. Treating others with respect while maintaining dignity, privacy, confidentiality, and portraying a positive attitude to patients, families, and /or communities.
e. Adhering to legal, ethical, and professional boundaries.
f. Arriving on time and departing as agreed upon with the preceptor and faculty.
g. Accepting responsibility for individualized work, learning, and applying safe principles in promoting health of clients.
h. Displaying cultural competence in all encounters with diverse populations and communities.
i. Attending and participating in all seminar activities and generating reflective journals.
Competency 5: Upon successful completion of this course, students will be able to recognize the need for the nurse to be politically and professionally involved, and an advocate for the healthcare consumer by:
a. Demonstrating culturally sensitive and timely verbal and non-verbal therapeutic communication techniques.
b. Engaging in political and professional activities that enhance the image of nursing.
c. Collaborating with other healthcare professionals to achieve optimal healthcare outcomes.
d. Using nursing expertise, political and professional activism to advocate for the healthcare consumer.
e. Keeping abreast of current trends and practices in healthcare through the use of technology.
f. Enriching the discipline of nursing by contributing to the body of knowledge through authentic nursing practice and commitment to life-long learning.
g. Maintaining professional appearance by wearing the BLSON lab coat, appropriate attire, and MDC ID during the clinical experience and as indicated.
h. Maintaining reflective journals as a means of communication for both seminars and clinical setting throughout the semester. Please see page 30 of the NUR 4945C Handbook.
i. Utilizing appropriate channels of communication within respective clinical agencies.
j. Writing, speaking, and exchanging information in a clear, concise, and appropriate manner.
k. Accessing healthcare information to educate patients and families from various relevant sources.
l. Maintaining current attendance log/sign-sheets.
m. Communicating with the healthcare team members in an effective manner to enhance patient outcomes.
Competency 6: Upon successful completion of the course, students will be able to enhance evidence-based critical thinking abilities while providing professional nursing care by:
a. Utilizing APA 7th edition format, evidence-based process in the reflective journaling, seminar overview, scholarly paper, e- poster and/or PowerPoint presentations.
b. Utilizing critical thinking abilities with documentation and communicational situations during the clinical experience.
c. Maintaining a positive and helpful demeanor during the clinical experience.
Recommended Text
Marquis, B., (2017). Leadership roles and management functions in nursing (10th ed).
https:://doi.org/987654321
American Psychological Association. (2010). Concise guide to APA Style (7th ed.)
https://doi.org/10.1037/0000173-000
Note: Capstone experience encourages any textbook used in the program.
Course Work Requirements:
To complete this course successfully, the student should complete the following requirements:
- Practicum Experience – Will be replicated by the online experience discussed with your clinical faculty based upon the scholarly proposal. Examples listed in document.
- Practicum hours – Ninety-six (96) clinical hours must be completed at the close of the semester with documentation and the student shall not participate in practicum when MDC is officially closed i.e. hurricane, weather alerts or other related reasons.
- Scholarly Proposal – Based on identification of a problem at your site, the student will create a proposal for change using evidence-based practice.
- Scholarly Practicum Proposal will include the following:
• Problem Statement
• Two goals
• Three behavioral objectives
• Teaching strategies may include:
o Poster board
o PowerPoint presentation
o Other visual aids
• Action Plan/Evaluation tool methods
• Implication for Nursing Practice
• 4-6 Evidence Based References
Goals must be related to the course objectives and the area of your practicum experience. The objectives should be specific and measurable. The plan of action should include step-by-step process to meet the objectives. The implications for nursing practice should be evidence-based.
- Scholarly Paper – The practicum project will be a research paper (See rubric). Collaborative agreement of the appropriateness of the topic with faculty, preceptor and student are required prior to initiating the project.
- Practicum Project – An e- poster, PowerPoint presentation or related item of the scholarly paper. The practicum project may be presented at the clinical site with the approval of your clinical faculty. Collaborative agreement of the appropriateness of the topic with the clinical faculty and the preceptor is required prior to initiating the project.
- Practicum experience and journals – Students will submit written journals as per your clinical faculty requests. The journals will be submitted according to your clinical faculty’s directions and as outlined in practicum handbook.
- Professional resume and cover letter – Must be submitted to your clinical faculty by the assigned due date.
- Seminars – The seminars may be coordinated by your clinical faculty. It consists of an online Albizu course which meets the required sixteen hours of seminar are mandatory for the course.
- Self/Instructor Midterm and Final Clinical Evaluations. See your clinical faculty for dates, times and place.
- Punctuality/Dress Code – Students must adhere to Miami Dade College policy on attendance and punctuality. Students must also adhere to the course policies.
- All documents for the course completion will be placed in the LiveBinder portfolio and uploaded in Blackboard.
Overall Grading Criteria: The table below indicates the criteria used to evaluate the overall clinical experience.
Your clinical faculty may impose a penalty for each late assignment.
Mandatory Orientation with faculty • 5%
Cover Letter / Resume • 10%
Scholarly Paper / Research Proposal
• 20 %
Practicum Project (PowerPoint or Poster presentation) • 15%
Presentation/Participation/ Completion of Seminars (16 hours) • 15%
Clinical hours (96 hours) • 25%
Self / Preceptor/ Faculty Evaluations • 10%
Total
• 100%
- Grading Scale:
• 93-100 A
• 85-92 B
• 77-84 C
• 69-76 D
• 68 & Below F
Miami Dade College Policies
Students’ Rights and Responsibility Handbook:
The purpose of this addition to the syllabus is to enumerate the essential provisions for how students may participate responsibly in the college community. To learn more about policies addressing services for students with special needs, religious observations, grade appeals, code of conduct, and many other areas, please review the Student’s Rights and Responsibilities Handbook.
Academic Dishonesty:
Academic dishonesty of any form will not be tolerated in this course. Any academic dishonesty, including plagiarism, may result in a failing grade on an assignment.
You commit plagiarism when you present the work or ideas of someone else as your own. Plagiarism is theft. It is illegal. It is important to cite your sources accurately and correctly, both in the body of a paper and in the list of works cited at the end of the paper as per APA 6th edition. Neglecting to cite sources is an act of plagiarism, and the paper may receive a grade of “F”.
Please review the Academic Dishonesty policies in the Student’s Rights and Responsibilities Handbook.
Assessment and Evaluation Method: The Advanced Nursing Concepts Practicum experience will be evaluated using the Clinical Evaluation Tool, which address all Core Components (see clinical tool), rubrics for specific assignments, and overall grading criteria.
Withdrawing from a Course:
After registering, students may change their schedules during the drop/add period for the course. The dates for this period are listed on the Academic Calendar that may be found as a link on the Miami Dade College homepage.
If, for whatever reason, you decide to drop this course and you desire a full refund, you must do so before the last day to withdraw with a full refund (see College Academic Calendar for date). All students enrolled in this course after the last day to withdraw will be assigned a grade. If you fail to withdraw officially with the Registrar’s Office and stop attending class, you will find an “F” on your transcript for this course or the instructor may withdraw you for non-activity.
The instructor of a class may withdraw a student who is not active in the class. The instructor checks on students who have become inactive before the instructor withdraw date by asking for a response via email and/or a phone call. If the student does not respond in the amount of time allotted, the instructor may drop the student. Once a student is withdrawn, course access will be denied. The following are reasons for being withdrawn from a class:
• Failure to attend classes/seminars.
• Failure to maintain required participation and complete assignments once in the course
Incomplete Grades:
A grade of incomplete may be given only in extreme circumstances where the student has documented medical problems that would prevent completing the course, a death in the family, or other documented problem. Most instructors expect their students to have successfully completed at least 75 percent of the course requirements before considering a grade of Incomplete.
An Incomplete grade is issued when the instructor and the student both enter into a contract which will dictate what and when required coursework must be done. Failure to fulfill the terms of the contract will result in the final grade being changed to an “F”.
NOTE: An Incomplete grade is issued solely at the discretion of the instructor. Faculties are not obligated to grant a request for a grade of Incomplete.
For more information on Incomplete Grades, please review the Student’s Rights and Responsibilities Handbook.
Hurricane and Other Natural Disasters:
Call the MDC hot line 305-237-7500 for class and college closure during an emergency.
Online Clinical Course Information – Summer 2020
Please see the following statement which is mandated by the Commission on Collegiate Nursing Education (CCNE) as accredited by Benjamín Léon School of Nursing (BLSON) RN-BSN Program for online education:
“Due to the present situation, the faculty will be implementing distance learning methods to allow students the continuity of their clinical experiences. A virtual clinical practicum will provide learning resources utilizing direct and indirect learning simulation experiences for the student’s successful attainment of overall program objectives. These experiences include virtual scenarios in which the student will be exposed to a variety of situations to gain knowledge and the skills to make complex decisions. Students in this course will also participate in synchronous and asynchronous sessions that will include written exercises, skills training, skills demonstration by students, and debriefing in order to evaluate course competencies”
MANDATORY:
The weekly course practicum activities are listed below. Students will be meeting with their faculty member at a mutual time during the upcoming weeks to ensure the student will have completed their mandatory 96 clinical course hours.
In addition, the practicum interactive modules will satisfy the 16 Seminar Hours necessary for the course. This assignment addresses Program Outcomes #1, #4, #5 and #6.
The practicum activities will address the following Program Outcomes:
Interactive modules and video case studies -BLSON RN-BSN Program Outcomes 1, 2, 5 and 6.
Discussion Questions for weekly discussions- BLSON RN-BSN Program Outcomes 3 and 5.
In addition, students must complete 16 Seminar Hours to complete the course. Students will be invited to register for an interprofessional health care program that is online provided by Albizu University. All names have been sent for registration. You must submit the certificate of completion by the end of the course. This assignment addresses Program Outcomes #1, #4, #5 and #6.
All readings will be obtained from the following resources:
Marquis and Huston: Leadership Roles and Management Functions in Nursing, 9th edition eBook,
Bessie L. Marquis and Carol J. Huston
ISBN#: 978-1-4963-4979-8
Interactive Modules will be obtained from Lippincott CoursePoint, 9th edition.
Each week’s completed course assignments will be worth 96 clinical hours
reflected in the completed weekly assignments.
APA 7th edition format will be expected for any written assignment. The assignment should include at least one reference. https://libraryguides.mdc.edu/apa/7
The student should review course Library guide for details. https://libraryguides.mdc.edu/nur4945c
Please your Blackboard course for additional documents and information necessary for completion.
Unit 1: The Critical Triad: Decision Making, Management and Leadership
Week 2: September 7, 2020
Course orientation and Syllabus Review
Chapter 1- Decision Making, Problem Solving, Critical Thinking and Clinical Reasoning: Requisites:
o E-book Chapter
o Leadership Module 1.03: Nurse as Leader and Manger
o Leadership Module 8.01: Elements of Decision Making, Problem Solving and Critical Thinking
o Leadership Module 8.04: Effective Group Decision Making: June
o Leadership Module 8.02: Tools for Decision Making
o Journal Article: Collaborative Decision making: Empowering nurse leaders
o Two-page APA 7th edition reflective response which answers all the questions in the case with at least two references.
Week 3: September 14, 2020
Chapter 3- Twenty-First Century Thinking About Leadership and Management:
o E-book Chapter
o Leadership Case Study: Leadership Succession and Creating a Motivating Climate
o Journal Article: Reexamining Nurse Manager Span of Control with a 21st Century Lens
o Two-page APA 7th edition reflective response which answers all the questions in the case with at least two references.
Unit 2: Foundation for Effective Leadership and Management, Ethics, Law and Advocacy
Week 4: September 21, 2020
Chapter 4 Ethical Issues
o E-book Chapter
o Leadership Module 10.02: Ethical Issues
o Leadership Case: Ethics and End-of-Life Care
o Journal Article: The Ethic-Advocacy Connection
o Two-page 7th edition reflection which answers all question in the case with at least two references.
Week 5: September 28, 2020
Chapter 5- Legal and Legislative Issues
o E-Book Chapter
o Leadership Module 10.01: Nurse Practice Act and Legal Liability
o Leadership Module 10.03: Patient Rights, Privacy, and Informed Consent
o Leadership Module 10.04: Introduction to Legal Terminology
o Leadership Module 10.05: Nursing Legislation
o Leadership Module 10.06: Legal Safeguards
o Journal Article: Sharing Supervision and Liability as a Nurse Manager
o Two-page APA 7th edition reflection which answers all questions in the case with at least two references.
Unit 3: Roles and Functions in Planning
Week 6: October 5, 2020
Chapter 8- Planned Change
o E-Book Chapter
o Leadership Module 6.01: Lewin’s Change Theory
o Leadership Module 6.02: Strategies for Leading Change
o Leadership Module 6.04: Steps to Implement Change
o Leadership Case Study: Change Management
o Journal Article: Strategic Leadership for Organizational Change: Lewin’s Theory of Planned Change as a Strategic Resource
o Two-page APA 7th edition reflection which answers all questions in the
case with at least two references
Week 7: October 12, 2020
Chapter 7- Organizational Planning
o E-Book Chapter
o Leadership Module 1.02: Organizational Factors that Shape Nursing Leadership
o Journal Article: Examining the Impact of Successful Management Practices on Organizational Performance: A National Study of U.S. Hospitals
o Two-page APA 7th edition reflection which answers all questions in the case with at least two references.
Week 8: October 19, 2020
Chapter 10- Fiscal Planning and Health-Care Reimbursement
o E-Book Chapter
o Leadership Module 9.01: Balancing Cost Control and Quality Care
o Leadership Module 9.02: Budgetary Process Steps
o Leadership Module 9.03: Calculating NCH/PPP
o Leadership Module 9.04: Four Approaches to Budgeting
o Journal Article: Constructing a Nursing Budget using a Patient Classification System
o Follow the outline of the article and construct a Nursing Budget
o Two-page reflection in APA 7th edition format which answers all questions in the case study and include at least two references.
Unit 4: Roles and Functions in Organizing
Week 9: October 26, 2020
Chapter 14- Organizing Patient Care
o E-Book Chapter
o Leadership Module 3.01: Interprofessional Collaboration
o Leadership Module 3.02: Factors Contributing to Successful Teams
o Journal Article: Healthcare Multidisciplinary Teams: The Sociotechnical Approach for an Integrated System-wide Perspective
o Two-page reflection in APA 7th edition format when answering all questions of the case study and include at least two references.
Week 10: November 2, 2020
Chapter 16: Educating and Socializing Staff in a Learning Organization-page
o E-Book Chapter
o Leadership Module 11.01: Theories of Adult and Social Learning
o Leadership Module 11.02: Assessing Staff Needs
o Leadership Module 11.03: Strategies for Teaching Staff
o Leadership Module 11.04: Evaluating Effectiveness of Staff Development
o Leadership Case Study: Team Building for Less Stress and Better Care
o Two-page reflection in APA 7th edition format when answering all questions of the case study include at least two references.
Week 11: November 9, 2020
Chapter 15: Employee Recruitment, Selection, Placement and Indoctrination
o E-Book Chapter
o Leadership Case Study: Interviewing and Hiring
o Generate the two-page reflection in APA 7th edition when answering all questions of the case study and include at least two references.
NUR 4945C Practicum Scholarly Paper
With the assistance of your clinical faculty member, your selected scholarly assignment will be based upon a remote intervention deemed necessary. The following are examples.
Remote (Indirect) Care Hours:
• Evaluate patient education materials for cultural and linguistic appropriateness.
• Educate other healthcare providers regarding the safe and effective use of new technology
• Write a policy and work with stakeholders to have the policy approved by the state board of nursing
• Work with a provider to develop a disaster/emergency preparedness plan for a healthcare agency
• Work with staff to write an administrative policy that will improve communication among the units in the facility Conduct a mock root cause analysis on a near miss and share results with staff or shared governance council.