NUR 410: Systems Leadership / Continuum of Care

Course Description

This course explores the principles of organizations and systems leadership and management strategies for the baccalaureate prepared registered nurse in a variety of healthcare settings. Emphasis will be on the skills necessary to facilitate group dynamics, personnel management and the coordination of care of clients and health care personnel. Current quality improvement and safety standards that differentiate health care organizations and the use of advanced technology to analyze and synthesize information to make critical decisions will also be examined.

(4 credits)

Prerequisites

  • ENG 101: English Composition 1
  • ENG 102: English Composition 2
  • NUR 301: Baccalaureate Nursing Role
  • NUR 310: Healthcare Policy, Economics, Regulation and Ethics
  • NUR 315: Nursing Research and Expanded Evidence-Based Practice
  • NUR 400: Continuous Quality Improvement, Safety and Interprofessional Collaboration

Student Learning Outcomes (SLOs)

Upon completion of this course, the student will have gained knowledge about:

  1. Analyze the essential elements of leadership and management in nursing.

  2. Demonstrate an awareness of and responsiveness to the larger context of the healthcare system.
  3. Apply systems thinking and change theory strategies to the ethical, moral and legal dimensions of professional nursing and leadership.

  4. Discuss collaboration within healthcare organizations and systems utilizing advocacy and change theory to manage conflict.
  5. Delineate approaches to integrate leadership skills and systems thinking to facilitate change to meet quality patient outcomes.

  6. Apply quality improvement and safety standards as a basis for evaluating the effectiveness of organizations.

  7. Recognize the complexity of the healthcare delivery system including how patient care services are organized, financed, and reimbursed.

  8. Explain the centrality of the inter-professional team to quality patient care.
  9. Identify the impact of sociocultural, economic, legal and political factors influencing healthcare delivery and practice.
  10. Discuss the essential role of nurse leaders in budgeting and resource allocation.

  11. Analyze the relationship of informatics and technology to quality improvement and safety.

General Education Outcomes (GEOs)

Please check the applicable GEOs for this course, if any, by outcomes at GEO Category Search, or by subject area at GEO Discipline Search.

Course Activities and Grading

Assignments

Weight

Discussions/ Forum Participation (8 @ 10 points)

35%

Review and Reflection ( 6 @ 10 points)

35%

Synthesis  Paper (1 @ 25 points)

25%

Course/Self Evaluation (1@ 10 points)

5%

Total

100%

This four credit hour course includes lecture or online discussion concentrating on how the nursing profession and specifically, nursing leadership, can improve healthcare by examining the serious issues facing the United States Health Care system today.  This course will look at complex issues related to the quality and safety of patient care as identified through evidence based practice supported by the Massachusetts Nurse of the Future Nursing Core Competencies (NOF) (2016) and the Quality and Safety Education for Nurses (QSEN) Core Competencies.  Discussions will concentrate on healthcare finance, healthcare reform, issues in the workplace, and diversity of individuals, families and the community.  Essential skills for the professional nurse such as effective means of communication, leadership and followership, ethical and legal issue in nursing, staffing, delegation, supervision and nursing care delivery systems will be emphasized.   Emphasis of discussions will include implementation strategies and skills for successful transition into the Capstone experience. All formal written assignments and discussions that require references are expected to conform to APA formatting (including in-text citations and reference lists) use a Sans Serif font 12 point type such as Arial, Tahoma, or Calibri.

Late Work Policy

Due to the accelerated nature of the NUR 300 & 400 courses, late work severely limits meaningful engagement with students, peers, and faculty, and jeopardizes collaboration and exchange of ideas.

The following standards relate to late submission of any assignment in this and all other NUR 300 & 400 courses:

  • All Discussion Posts must be posted by the due date/time deadline. Those posted late will be given a grade of zero.
  • All Other Papers/Projects: Failure to turn in, post, or in any way fail to meet the due date/time deadline, will result in a deduction of 10% per day of the total assignment value from the actual grade earned, for up to seven days.
  • Students who submit an assignment eight days late will receive a grade of zero for the assignment
  • If a student anticipates they will be unable to meet a deadline for any assignment regardless of the reason, they should contact the course faculty immediately.

Emergencies/Extenuating Circumstances: The Faculty and Program Director appreciate that emergencies come up in life. Emergencies/ Extenuating Circumstances are not planned activities and/or are not normally work-related.

  • Students will be required to submit reasonable documentation of emergencies/extenuating circumstances to the course faculty.
  • Any request(s) relating to emergencies/ extenuating circumstances requires documentation and approval of the course faculty, the Program Director, and other college personnel as necessary.

The following conditions acknowledge unexpected circumstances that impact students’ ability to submit an assignment by the due date:

  • If a student anticipates they will be unable to meet a deadline due to an emergency/extenuating circumstance, they should contact the course faculty immediately.
  • Students may turn in one assignment up to 7 days after the due date except for a discussion board assignment, a final course project, or other final course assignments, no questions asked.
  • Subsequent late submissions will be managed in accordance with the standards outlined above.

*Note: Students with accommodations in place may not receive an extension that is related to their disability

Required Textbooks

Available through Charter Oak State College's online bookstore

  • Cherry, B., & S.R. Jacob. (2017). Contemporary Nursing. 8th ed. St Louis, MO:Elsevier-Mosby. ISBN-13: 978-0-323-55420-6
  • Fowler, Marsha Diane Mary. Guide to the Code of Ethics for Nurses: With Interpretive Statements: Development, Interpretation, and Application. 2nd ed. American Nurses Association, 2015. ISBN-10: 1-55810-603-0 or ISBN-13: 978-1-55810-603-1
    • Note: The Guide textbook is used in multiple courses.

 

Additional Resources

Course Schedule

Week

SLOs

Readings and Exercises

Assignments

1

1,2

Topics: Concepts in Leadership: Nursing Leadership and Management

Readings:

  1. Ch 17 “Nursing Leadership and Management” in Cherry & Jacob
  2. Berwick DM, Nolan TW, Whittington J. The Triple Aim: Care, health, and cost. Health Affairs. 2008 May/June; 27(3):759-769. https://www.healthaffairs.org/doi/full/10.1377/hlthaff.27.3.759
  3. Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. Washington (DC): National Academies Press (US); 2011. 5, Transforming Leadership.https://www.ncbi.nlm.nih.gov/books/NBK209867/
  • Read assigned chapters
  • Review Lecture
  • Participate in the Discussions
  • Complete Introductory post

2

3,4,5

Topics: Effective Communication and Conflict Resolution

Readings:

  1. Ch 19 – “Effective Communication and Conflict Resolution”
  2. American Organization of Nurse Executive (AONE) http://www.aone.org/resources/collaboration-clinical-nurses-principles.pdf
  3. The Joint Commission (TJC) joincommison.org
  4. Moore, J., Everly, M., Bauer, R., (May 31, 2016) "Multigenerational Challenges: Team-Building for Positive Clinical Workforce Outcomes" OJIN: The Online Journal of Issues in Nursing Vol. 21, No. 2, Manuscript 3. http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No2-May-2016/Multigenerational-Challenges.html
  1. Berry, P., Gillespie, G., Fisher, B., Gormley, D., Haynes, J., and (August 10, 2016) Psychological Distress and Workplace Bullying Among Registered Nurses OJIN: The Online Journal of Issues in Nursing Vol. 21, No. 3. http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No3-Sept-2016/Articles-Previous-Topics/Psychological-Distress-and-Workplace-Bullying.html
  1. American Nurses Association: Principles for social networking and the nurse, 2013 https://www.nursingworld.org/~4af4f2/globalassets/docs/ana/ethics/social-networking.pdf
  • Read assigned chapters
  • Review Lecture
  • Participate in the Discussions
  • Reflection assignment

3

3,6,9

Topics: Legal Issues in Nursing and Health Care

Readings:

  1. Ch 8 “Legal Issues in Nursing and Health Care”, Cherry & Jacob
  2. The Joint Commission (TJC) joincommison.org
  3. Alfandre D. J. (2009). "I'm going home": discharges against medical advice. Mayo Clinic proceedings, 84(3), 255-60. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664598/
  4. Barry, J., Hardiker, N., (September 30, 2012) "Advancing Nursing Practice Through Social Media: A Global Perspective" OJIN: The Online Journal of Issues in Nursing Vol. 17, No. 3, Manuscript http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No3-Sept-2012/Advancing-Nursing-Through-Social-Media.html
  1. Disparities/ Healthy People 2020. https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

 

  • Read assigned chapters
  • Review Lecture
  • Participate in the Discussions
  • Reflection assignment

4

6,8,11

Topics: Quality Improvement and Patient Safety

Readings:

  1. Ch 22 “Quality Improvement and Patient Safety”, Cherry & Jacob
  2. Montalvo, I., (September 30, 2007) "The National Database of Nursing Quality Indicators TM (NDNQI®)" OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 3, Manuscript 2.
  3. Institute of Medicine: To err is human; building a safer health system, Washington, DC, 2000, National Academies Press.
  4. The Joint Commission (TJC) joincommison.org
  5. Dolansky, M.A., Moore, S.M., (September 30, 2013) "Quality and Safety Education for Nurses (QSEN): The Key is Systems Thinking" OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 3, Manuscript 1. http://ojin.nursingworld.org/quality-and-safety-education-for-nurses.html
  1. Quigley, P., White, S., (May 31, 2013) "Hospital-Based Fall Program Measurement and Improvement in High Reliability Organizations" OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 5. http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Fall-Program-Measurement.html
  • Read assigned chapters
  • Review Lecture
  • Participate in the Discussions
  • Reflection assignment

5

6,8

Topics: Managing Patient Care; Effective Delegation, Supervision, Staffing and nursing Care Delivery Models

Readings:

  1. Ch 20 “Effective Delegation and Supervision” and Chapter 21 “ Staffing and Nursing Care Delivery Models” Cherry & Jacob
  2. Ch 4 “Nursing Licensure and Certification” Cherry & Jacob
  3. National League for Nursing (NLN) http://www.nln.org/
    Focus on advocacy and public policy
  4. American Nurses Credentialing Center (ANCC) www.nursingworld.org/ancc
    Focus on work environment
  5. Institute of Medicine (US) Committee on the Work Environment for Nurses and Patient Safety; Page A, editor. Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington (DC): National Academies Press (US); 2004. 1, Nursing: Inseparably Linked to Patient Safety. Available from: https://www.ncbi.nlm.nih.gov/books/NBK216192/
  6. Weydt, A., (May 31, 2010) "Developing Delegation Skills" OJIN: The Online Journal of Issues in Nursing Vol. 15, No. 2, Manuscript 1. http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol152010/No2May2010/Delegation-Skills.
  • Read assigned chapters
  • Review Lecture
  • Participate in the Discussions
  • Reflection assignment

6

9

Topics: Ethical Issues: Ethical and Bioethical Issues in Nursing and Health Care

Readings:

  1. Ch 9 “Ethical and Bioethical Issues in Nursing and Health Care” Cherry & Jacob
  1. Milliken, A., (January 31, 2018) "Ethical Awareness: What It Is and Why It Matters" OJIN: The Online Journal of Issues in Nursing Vol. 23, No. 1, Manuscript 1. http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-23-2018/No1-Jan-2018/Ethical-Awareness.html
  1. Code of Ethics for Nurseshttps://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/
  1. Epstein, B., Turner, M., (May 31, 2015) "The Nursing Code of Ethics: Its Value, Its History" OJIN: The Online Journal of Issues in Nursing Vol. 20, No. 2, Manuscript 4. http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-20-2015/No2-May-2015/The-Nursing-Code-of-Ethics-Its-Value-Its-History.htmlVol. 20, No. 2, Manuscript.

 

  • Read assigned chapters
  • Review Lecture
  • Participate in the Discussions
  • Reflection assignment

7

7,10

Topic: Healthcare Finance: Budgeting Basics for Nurses

Readings:

  1. Ch 18 “Budgeting Basics for Nurses” Cherry & Jacob
  2. Peterson, K. (2017, November 21). The business of caring: What every nurse should know about cutting costs. Retrieved from https://www.americannursetoday.com/the-business-of-caring-what-every-nurse-should-know-about-cutting-costs/
  3. Feeley, T. (2018, June 12). Why Value in Health Care Is the Target. Retrieved from https://catalyst.nejm.org/why-value-in-health-care-is-the-target/
  4. Dempsey, C., Reilly, B., (January 31, 2016) "Nurse Engagement: What are the Contributing Factors for Success?" OJIN: The Online Journal of Issues in Nursing Vol. 21 No. 1, Manuscript 2. http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No1-Jan-2016/Nurse-Engagement-Contributing-Factors-for-Success.html
  • Read assigned chapters
  • Review Lecture
  • Participate in the Discussions
  • Reflection assignment

8

1,2

Topic: Managing Time: The Path to High Self-Performance

Readings:

  1. Ch 25 “Managing Time: The Path to High Self-Performance” Cherry & Jacob
  2. Mullen, K. (2015). Barriers to Work–Life Balance for Hospital Nurses. Workplace Health & Safety, 63(3), 96–99. https://doi.org/10.1177/2165079914565355
  • Read assigned chapters
  • Complete Synthesis paper

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.