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Effective: Late Spring 8-Week, 2017/2018

NURS 310: Professional Nursing Practice

Course Description

The focus of this course is to transition the licensed registered professional nurse to reflective nursing practice. Personal values, philosophy and goals are examined as part of the process of creating a professional portfolio. Content includes: historical, ethical, legal and theoretical foundations of nursing, social justice and diversity, and professional nursing issues and trends. This course is writing intensive. 

Prerequisite: Admission to the RN to BSN program

Proctored Exams: None



Syllabus Contents

Textbooks

Required

  • American Nurses Association. (2015). Scope and standards of practice.Silver Spring, MD:
    • [ISBN-978-1-55810-619-2]
  • Huston, C. J.. (2016). Professional issues in nursing; Challenges & Opportunities - With Access (4th). Philadelphia, PA: Wolters Kluwer Health.
    • [ISBN-978-1-4963-3439-8]
  • Marquis, B. L. & Huston, C. J.. (2017). Leadership roles and management functions in nursing: Theory and Application - With Access (9th). Lippincott Williams & Wilkins.
    • [ISBN-978-1-4963-4979-8]

MBS Information

Textbooks for the course may be ordered from MBS Direct. You can order

For additional information about the bookstore, visit http://www.mbsbooks.com.


Course Overview

The Professional Nursing Practice (NURS 310) course in the RN to BSN program is intended to provide the necessary baccalaureate competencies related to professional nursing practice, including professional communication and writing and development or maintenance of quality systems and processes. This course is writing intensive and the student will examine and compare the differences between the associate and baccalaureate nursing degrees. With the trend towards more baccalaureate nurses in direct patient care to ensure patient safety, the professional nurse practice involves additional responsibilities and obligations and the importance of working to the full capabilities of your license. Current issues and resources imperative to effectively practice as baccalaureate professional nursing will be explored. 


Technology Requirements

Participation in this course will require the basic technology for all online classes at Columbia College:
  • A computer with reliable Internet access
  • A web browser
  • Acrobat Reader
  • Microsoft Office or another word processor such as Open Office

You can find more details about standard technical requirements for our courses on our site.

Add-ons necessary to view websites, YouTube, Facebook and to conduct scholarly research and resources such as RefWorks will be helpful to the student.

Course Learning Outcomes

  1. Define nursing, profession, professional identity/responsibilities and nursing associations and the role they play in ensuring quality patient care.
  2. Analyze nursing theories and their impact on a nurse’s beliefs and values in education, research and practice.
  3. Summarize legal issues effecting nursing practice and the profession
  4. Assess ethical issues effecting nursing practice, politics, and policy
  5. Differentiate nursing education levels and the impact of level to the practice environment.
  6. Explain the health care delivery system in a changing environment including accountabilities, safety and quality, competence, research, continuing education and management.

Grading

Grading Scale
Grade Points Percent
A 423-470 90-100%
B 376-422 80-89%
C 329-375 70-79%
D 282-328 60-69%
F 0-281 0-59%
Grade Weights
Assignment Category Points Percent
Discussions (8) 120 26%
Dropbox Assignments (3) 150 32%
Quizzes (2) 50 11%
Midterm Exam 50 11%
Final Exam 100 21%
Total 470 100%


Schedule of Due Dates

Week 1
Assignment Points Due
Discussion 1 15 Wednesday/Sunday
Discussion: Introductions -
Discussion: General Course Questions - Sunday
Plagiarism Tutorial and Quiz -
Syllabus Quiz -
Week 2
Assignment Points Due
Discussion 2 15 Wednesday/Sunday
Assignment 1: Formatting a Professional Paper and Annotated Bibliography 50 Sunday
Quiz 1 25
Week 3
Assignment Points Due
Discussion 3 15 Wednesday/Sunday
Week 4
Assignment Points Due
Discussion 4 15 Wednesday/Sunday
Midterm Exam 50 Sunday
Week 5
Assignment Points Due
Discussion 5 15 Wednesday/Sunday
Assignment 2: Entry in Practice and Improving Patient Outcomes 50 Sunday
Week 6
Assignment Points Due
Discussion 6 15 Wednesday/Sunday
Quiz 2 25 Sunday
Week 7
Assignment Points Due
Discussion 7 15 Wednesday/Sunday
Assignment 3: Nursing Workforce Issues 50 Sunday
Week 8
Assignment Points Due
Discussion 8 15 Wednesday/Saturday
Final Exam 100 Saturday
Total Points 470

Assignment Overview

Discussions

There will be eight graded discussion topics in this course and one ungraded Introduction discussion. The professional nursing graded discussion topics will be opened on Monday and locked at 11:59 PM CT (Central Time) the following Sunday, except for Week 8. In Week 8, the discussion topic will be locked at 11:59 PM CT on Saturday. You will read the discussion topic, research a response, and write a grammatically correct post citing a text or primary source evidence-based research reference. All initial posts should be posted in the Discussion area by Wednesday at 11:59 PM CT to allow time for responses. A minimum of five response posts are required. All response posts are due by 11:59 PM CT Sunday. Responses may hold opinions but should demonstrate tolerance of other positions and justify the position supported with an EBP reference. The discussion topic’s goal is to assist you in developing the professional nurse competency outcome of professional communication and collaboration. 

Discussions are worth 15 points each. You will be graded on the overall quality of your posts, use of correct references, and timeliness of your contributions. It is the expectation that a majority of the posts will be read to gain insight and perspective on the topic. Additional grading rubrics will be available in the course. 

Inappropriate language or attacking a classmate’s opinion will not be tolerated. This behavior will result in zero points on the discussion and may lead to disciplinary action under the Student Conduct policies.


Professional Nursing Paper Assignments

Baccalaureate nursing practice differs from associate nursing practice in the expectation that the nurse will demonstrate the ability to analyze and communicate information to continually expand the profession. To enhance your development in this area, there are three professional literature review papers in this course worth 50 points each. The topics pertain to areas of current interest in professional nursing and address the course objectives in this syllabus. You will research and compose three papers (4-5 pages, plus a title page, abstract and references). You should reference primary source evidence-based research nursing articles and information from supporting resources such as the Institute of Medicine (IOM), American Nurses Association (ANA), American Hospital Association (AHA), and National Database of Nursing Quality Indicators (NDNQI). Compare conflicting opinions on the topic, present your position on the topic, and provide support for it. You may use limited personal examples to explain your point. You may use examples from your health care organization, but do not reference the organization’s name, a patient’s name or a peer’s name. The paper must be well-written, concise, and follow APA style. A minimal acceptable level of writing must be displayed.  See the rubric in the Content area for more specific details on the expectations. Turnitin will be utilized in this course. The instructor and student will be able to access this information to learn proper APA formatting and citations and to further improve their documents submitted.

Assignment 1: Formatting a Professional Paper and Annotated Bibliography This assignment requires you to view the Columbia College APA tutorial following the link on the home page of this course. After viewing the tutorial, the first part of this assignment requires the student to format a professional paper related to title page, margins, headings, page numbers, sections and reference page. The template you develop will be the basis for the next two assignments in this course. The second part of the assignment is to develop an annotated bibliography of eight references using the sample annotated bibliography under Content. You will research, read and summarize five nursing sentinel articles provided. The other three references may be articles that interest you related to education level of nurses. The references you examine will explore the complex issue of entry into practice, education level of nursing, staffing, supply and demand, and safe patient outcomes. The Week 1 discussion on standards of practice will assist you in understanding the responsibilities and accountability of the baccalaureate role. Assignment 1 includes your APA formatted paper with a reference list including your annotated bibliography. These articles will be referenced in later assignments. Due 11:59 PM Sunday of Week 2.

Assignment 2: Entry Into Practice and Improving Patient Outcomes This paper will combine revisions of Assignment 1 with additional content regarding relationship between medical errors, improving patient outcomes and patient satisfaction. The expectation is that you will explore this complex issue of providing quality care in an environment of scarce resources and high customer satisfaction expectations. You may individualize this paper by discussing the issue from a specialty area, national perspective, advocacy role, or political action perspective. The information you gain from your readings will provide context to this issue. Outside resources listed will be helpful in addressing this topic. You will be able to articulate this subject and reference this assignment in later assignments. Due 11:59 PM
Sunday of Week 5. 

Assignment 3: Nursing Workforce Issues The topic for this paper is nursing workforce issues. You will chose one topic of three topics listed in the course to analyze, discussing pros and cons in the literature. Support your points of view utilizing research articles. Your paper should be a 4-5 page typed paper with research references and APA formatting. This material will be referenced in later assignments.  Due 11:59 PM Sunday of Week 7.

Examinations

Quizzes
There will be two quizzes in this course worth a total of 50 points. The first will be in week 2 and the second will be in week 6. The purpose of the open book quizzes is to help you focus your study on the important topics in your text. The quizzes are timed to assist you in preparation for the midterm and final examinations.  

Midterm
The midterm examination will be worth 50 points and consist of 50 multiple choice questions. You may use your text book or other course produced products for the examination. The examination will be available in the Quizzes area of your course and will be timed. The first examination will cover ANA Standard and Scope of Practice and Huston’s Professional Issues in Nursing: Challenges and Opportunities chapters 1-3, 8, 11, 15-16 and include timelines, common acronyms, and professional organizations associated with nursing, nursing research, and quality. A list of test topics will be posted in the Content area in D2L to help you study.

Final
The final examination will consist of 100 multiple choice questions. You may use your text book or other course materials for the examination. The examination will be available in the Quizzes area of the course and will be timed. The examination will be available in the Quizzes area of your course and will be timed. The final examination will cover all chapters of your text and include timelines, common acronyms, and professional organizations associated with nursing, nursing research and quality as well as workforce issues and common research references used in this course. A list of test topics will be posted in the Content area in D2L to help you study.



Course Outline

Click on each week to view details about the activities scheduled for that week.

Week 1: Entry into Practice and Professionalism
Readings
  • Huston: Chapters 1, 4, 23, 24
  • Marquis and Huston: Chapter 6
  • ANA Scope and Standards: pp. 1-42

Additional Readings [Available under Content in D2L]

  • NLN: Outcomes and Competencies-Education Competencies Model, 2010 [PDF]
  • NLN: Competencies for Graduates of Associate Degree and Diploma Programs [Website]
  • NLN: Competencies for Graduates of Baccalaureate Programs [Website]
  • National League for Nursing  (2010) Outcomes and Competencies for Graduates of Practical/Vocational, Diploma, Associate Degree, Baccalaureate, Master’s, Practice Doctorate, and Research Doctorate Programs in Nursing. [This manual is not required but you may wish to consider as a resource for your personal professional library. It compares in detail competencies between practice levels.]

Professional organizations [Available under Content in D2L]

  • American Nurses Association (ANA):  Practice and Ethics [Website]
  • National League for Nursing (NLN): Core Values [Website]
Discussion 1

Discuss the differences between the associate nurse and baccalaureate nurse standards of practice and required competencies. Refer to the course content area for additional details and guidance. Due Wednesday/Sunday.

Discussion: Introductions

Introduce yourself in the “Introductions” topic found in the Discussions area.  This area will be our "virtual classroom" for the next eight weeks. Please share more than just your name. Include your profession, degree, hobbies, interest in computers, and any other information that can help us get to know you.  Due Wednesday/Sunday.

Discussion: General Course Questions

Post in the General Course Questions Discussion your questions about the course at this time. If you have no questions, indicate that you understand the course expectations and where a general question in this course would be posted. Due Sunday.

Plagiarism Tutorial and Quiz

Review the Plagiarism Tutorial in the Content area and then take the associated Plagiarism Quiz in the Quizzes area. The Plagiarism quiz must be taken and passed with a score of 85% or greater before you can submit Paper 1. Due Sunday.

Syllabus Quiz

Complete this required, ungraded quiz over the syllabus in the Quizzes area. Due Sunday.

Week 2: The Importance of Evidence-based Practice in Nursing
Readings
  • Huston: Chapters 2, 4, 13
  • Marquis and Huston: pp. 15-17, 51
  • Aiken, L H, Clarke, S P, Cheung, RB, Sloane, DM, Silber, JH (2003). Educational levels of hospital nurses and surgical patient mortality. JAMA. 2003; September 24: 290(12): 1617-1623.

Optional Readings

  • Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. The Journal of nursing administration, 38(5), 223. [Available under Content in D2L]
  • Institute of Medicine (US). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. (2011). The future of nursing: Leading change, advancing health. National Academies Press. [Available under Content in D2L]
Discussion 2

What barriers might be in play that must be overcome to improve evidence-based practice utilization by the bedside nurse? Due Wednesday/Sunday.

Assignment 1: Formatting a Professional Paper and Annotated Bibliography

This assignment requires you to view the Columbia College APA tutorial following the link on the home page of this course. After viewing the tutorial, the first part of this assignment requires the student to format a professional paper related to title page, margins, headings, page numbers, sections and reference page. The template you develop will be the basis for the next two assignments in this course. The second part of the assignment is to develop an annotated bibliography of eight references using the sample annotated bibliography under Content. You will research, read and summarize five nursing sentinel articles provided. The other three references may be articles that interest you related to education level of nurses. The references you examine will explore the complex issue of entry into practice, education level of nursing, staffing, supply and demand, and safe patient outcomes. The Week 1 discussion on standards of practice will assist you in understanding the responsibilities and accountability of the baccalaureate role. Assignment 1 includes your APA formatted paper with a reference list including your annotated bibliography. These articles will be referenced in later assignments. Due 11:59 PM Sunday.

Quiz 1

Quiz 1 is located under Quizzes in the course room. The quiz will cover the text material from week 1 and 2. Due Sunday.

Week 3: Patient Outcomes and Patient Safety
Readings
  • Huston: Chapters 2, 9, 13
  • Marquis and Huston: Chapter 2
  • ANA: p. 1-42

Optional Readings

  • Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses. A Call for Radical Transformation, San Francisco. [Available under Content in D2L]
  • Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To Err Is Human: Building a safer Health System (Vol. 627). National Academies Press. [Available under Content in D2L]
  • Institute of Medicine (US). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. (2011). The future of nursing: Leading change, advancing health. National Academies Press.  [Available under Content in D2L]
Discussion 3

Consider your first skill applied to a real patient, such as giving an injection or starting an intravenous line. How confident were you of your skill? How anxious were you? How much of your anxiety was transmitted to the patient? What teaching modalities would have assisted you to improve your confidence, decrease your anxiety and provided safer patient outcomes? Due Wednesday/Sunday.

Week 4: Medical Errors and the Impact on Quality Care
Readings
  • Huston: Chapters 5, 10
  • Marquis and Huston: Chapter 3

Additional Reference 

  • Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To Err Is Human: Building a safer Health System (Vol. 627). National Academies Press. [Available under Content in D2L]

    Optional Readings

  • ANA Scope and Standards of Practice. [Available under Content in D2L]
  • Institute of Medicine (US). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. (2011). The future of nursing: Leading change, advancing health. National Academies Press.  [Available under Content in D2L]
Discussion 4

Where does individual provider responsibility and accountability begin and end in a culture in which medical errors are recognized as being a failure of the system? Due Wednesday/Sunday.

Midterm Exam

The midterm exam can be accessed from the Quizzes area of the course. It is a multiple-choice test. Due Sunday.

To help you study, a list of test topics will be available in the Content area of the course for exam preparation.

Week 5: Nursing Workforce Issues
Readings
  • Huston: Chapters 6, 7, 11, 18, 19, 20, 21, 22
  • Marquis and Huston: Chapter 11

Optional readings

  • Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses. A Call for Radical Transformation, San Francisco. [Available under Content in D2L]
  • Institute of Medicine (US). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. (2011). The future of nursing: Leading change, advancing health. National Academies Press.  [Available under Content in D2L]
Discussion 5

Does your workplace have an impaired practice policy in place? If so, have you read it and was it discussed during your initial hospital orientation? Is it discussed annually? If not, what might you do to ensure that one is in place and why? Due Wednesday/Sunday.

Assignment 2: Entry in Practice and Improving Patient Outcomes

For this assignment, you will revise Assignment 1 based on instructor feedback, then extend the paper by including the following additional content:

Discuss the relationship between patient satisfaction and improved patient outcomes and how this benefits the organization as well as the patient. Write an analysis of the problem with research article references to support your claims. Entry into practice may be presented as a pro or con of this issue.  The final paper should be 10 pages in APA format. Be sure to include references and a title page.  Due Sunday.

Week 6: New Graduate Transitions
Readings
  • Huston: Chapters 14, 15, 16, 17, 18
  • Marquis and Huston: Chapters 14 
Discussion 6

Nursing schools have voiced concerns that transition to practice hospital programs are taking clinical slots that have historically been allocated to pre-licensure nursing students, limiting clinical practice. What ideas do you have for ensuring that basic nursing preparation is not negatively impacted? Due Wednesday/Sunday.

Quiz 2

Quiz 2 is located under Quizzes in the course room. The quiz will cover the text material from week 1 through 6. Due Sunday.

Course Evaluation
Please evaluate the course. You will have an opportunity to evaluate the course near the end of the session. A link sent to your CougarMail will allow you to access the evaluation. Please note that these evaluations are provided so that I can improve the course, find out what students perceive to be its strengths and weaknesses, and in general assess the success of the course. Please do take the time to fill this out.
Week 7: Legal and ethical implications of nursing practice
Readings
  • Huston: Chapters 3, 14, 21, 25
  • Marquis and Huston: Chapter 5
Discussion 7

Should nurses be required to complete mandated continuing education hours in the area of nursing practice in which they work? Are there competencies all licensed nurses must achieve regardless of the setting in which they practice to protect the public? Due Wednesday/Sunday.

Assignment 3: Nursing Workforce Issues

Choose one of the following workforce issues:

  1. Mandatory minimum staffing ratios
  2. Mandatory overtime
  3. Violence in nursing

Choose one of the problems affecting nursing above and write 4-5 pages on the pros and cons to the topic. Provide nursing research article references to support your claims. Write 4-5 pages in APA format. Due Sunday

Week 8: Professional nursing engagement
Readings
  • Huston, Chapters 8, 12, 26
  • Marquis and Huston: Chapter 13
Discussion 8

Outline a project to implement on your unit. What steps and resources would you access to design this project and obtain support? If cost containment and quality goals conflict, which do you think will take precedence in your health care organization? Due Wednesday/Saturday.

Final Exam

A 100 multiple choice question examination is due in week 8 prior to Saturday night at 11:59 PM CT. This is a timed examination.

To help you study, a list of test topics will be available in the Content area of the course for exam preparation. 



Course Policies

Student Conduct

All Columbia College students, whether enrolled in a land-based or online course, are responsible for behaving in a manner consistent with Columbia College's Student Conduct Code and Acceptable Use Policy. Students violating these policies will be referred to the office of Student Affairs and/or the office of Academic Affairs for possible disciplinary action. The Student Code of Conduct and the Computer Use Policy for students can be found in the Columbia College Student Handbook. The Handbook is available online; you can also obtain a copy by calling the Student Affairs office (Campus Life) at 573-875-7400. The teacher maintains the right to manage a positive learning environment, and all students must adhere to the conventions of online etiquette.

Plagiarism

Your grade will be based in large part on the originality of your ideas and your written presentation of these ideas. Presenting the words, ideas, or expression of another in any form as your own is plagiarism. Students who fail to properly give credit for information contained in their written work (papers, journals, exams, etc.) are violating the intellectual property rights of the original author. For proper citation of the original authors, you should reference the appropriate publication manual for your degree program or course (APA, MLA, etc.). Violations are taken seriously in higher education and may result in a failing grade on the assignment, a grade of "F" for the course, or dismissal from the College.

Collaboration conducted between students without prior permission from the instructor is considered plagiarism and will be treated as such. Spouses and roommates taking the same course should be particularly careful.

All required papers may be submitted for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers may be included in the Turnitin.com reference database for the purpose of detecting plagiarism. This service is subject to the Terms and Conditions of Use posted on the Turnitin.com site.

Non-Discrimination

There will be no discrimination on the basis of sex, race, color, national origin, sexual orientation, religion, ideology, political affiliation, veteran status, age, physical handicap, or marital status.

Student Accessibility Resources

Students with documented disabilities who may need academic services for this course are required to register with the office of Student Accessibility Resources. Until the student has been cleared through this office, accommodations do not have to be granted. If you are a student who has a documented disability, it is important for you to read the entire syllabus as soon as possible. The structure or the content of the course may make an accommodation not feasible. Student Accessibility Resources is located in Student Affairs in AHSC 215 and can be reached by phone at (573) 875-7626 or email at sar@ccis.edu.

Online Participation

You are expected to read the assigned texts and participate in the discussions and other course activities each week. Assignments should be posted by the due dates stated on the grading schedule in your syllabus. If an emergency arises that prevents you from participating in class, please let your instructor know as soon as possible.

Attendance Policy

Attendance for a week will be counted as having submitted any assigned activity for which points are earned. Attendance for the week is based upon the date work is submitted. A class week is defined as the period of time between Monday and Sunday (except for week 8, when the work and the course will end on Saturday at midnight.) The course and system deadlines are based on the Central Time Zone.

Cougar Email

All students are provided a CougarMail account when they enroll in classes at Columbia College. You are responsible for monitoring email from that account for important messages from the College and from your instructor. You may forward your Cougar email account to another account; however, the College cannot be held responsible for breaches in security or service interruptions with other email providers.

Students should use email for private messages to the instructor and other students. The class discussions are for public messages so the class members can each see what others have to say about any given topic and respond.

Late Assignment Policy

An online class requires regular participation and a commitment to your instructor and your classmates to regularly engage in the reading, discussion and writing assignments. Although most of the online communication for this course is asynchronous, you must be able to commit to the schedule of work for the class for the next eight weeks. You must keep up with the schedule of reading and writing to successfully complete the class.

No late discussion posts will be accepted.

All assignments in this class must be completed to successfully complete the course. If assignments or testing are late, a 10% reduction in points will be deducted from your score prior to grading. Please note that assignments are graded by rubrics and tardiness may impact more than one area of the rubric if work is late.

Course Evaluation

You will have an opportunity to evaluate the course near the end of the session. A link will be sent to your CougarMail that will allow you to access the evaluation. Be assured that the evaluations are anonymous and that your instructor will not be able to see them until after final grades are submitted.


Additional Resources

Orientation for New Students

This course is offered online, using course management software provided by Desire2Learn and Columbia College. The course user guide provides details about taking an online course at Columbia College. You may also want to visit the course demonstration to view a sample course before this one opens.

Technical Support

If you have problems accessing the course or posting your assignments, contact your instructor, the Columbia College Helpdesk, or the D2L Helpdesk for assistance. Contact information is also available within the online course environment.

Online Tutoring

Smarthinking is a free online tutoring service available to all Columbia College students. Smarthinking provides real-time online tutoring and homework help for Math, English, and Writing. Smarthinking also provides access to live tutorials in writing and math, as well as a full range of study resources, including writing manuals, sample problems, and study skills manuals. You can access the service from wherever you have a connection to the Internet. I encourage you to take advantage of this free service provided by the college.

Access Smarthinking through CougarTrack under Students -> Academics -> Academic Resources.


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