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NUR 410: Systems Leadership / Continuum of Care

Course Description

This course explores the principles of organizations and systems, as well as 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 for clients and health care personnel.  Students will participate in patient safety standards and quality initiatives that differentiate healthcare organizations and the use of advanced technology to analyze and synthesize information to make critical decisions. 

(4 credits)

Prerequisites

  • ENG 101: English Composition 1
  • ENG 102: English Composition 2
  • NUR 301: Baccalaureate Nursing Role

Student Learning Outcomes (SLOs)

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

  1. Use critical thinking to analyze the dynamics of leadership and management in nursing.
  2. Demonstrate an awareness of and responsiveness to the larger context of the health care system.
  3. Analyze the dynamics of systems thinking and change theory strategies as they relate to the ethical, moral and legal dimensions of professional nursing.
  4. Discuss collaboration within significant systems utilizing advocacy and change theory in conflict management and performance appraisal for the delivery of professional nursing care.
  5. Delineate how to integrate leadership skills of systems thinking, communication and facilitating change to meet patient care needs.
  6. Describe quality improvement and safety standards as a basis for evaluating the effectiveness of organizations.
  7. Recognize the complexity of the health care delivery system including how patient care services are organized and financed and how reimbursement is structured.
  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 health care delivery and practice.
  10. Discuss how to incorporate budget and resource allocation into the management role.
  11. Describe how technology and information management are related to the quality and safety of patient care.

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 ( 7@ 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 health care 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 health care finance, health care 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.

 

Required Textbooks

Available through Charter Oak State College's online bookstore

  • Cherry, B., & S.R. Jacob. (2017). Contemporary Nursing - with Access Code. 8th ed. St Louis, MO:Elsevier-Mosby. ISBN-13: 978-0-323-55420-6
    • Note: Students should purchase this textbook "New Only".
  • 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.