Course Description
Synthesis of the baccalaureate nursing role is demonstrated by application of theories and concepts from nursing, liberal arts, and science to respond to complex and specific needs of diverse populations. Students identify and provide rationale/ justification for a project related to a specific population health challenge. Students investigate and analyze current relevant knowledge, design and implement a project to address the identified challenge and evaluate the impact. Written and oral project presentation required.
(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 320: Population Health
- NUR 400: Continuous Quality Improvement, Safety and Interprofessional Collaboration
- NUR 410: Organization and Systems Leadership Across the Continuum of Care
Student Learning Outcomes (SLOs)
Upon completion of this course, the student will have gained knowledge about:
- Use critical thinking to analyze the dynamics of leadership and management in nursing.
- Demonstrate an awareness of and responsiveness to the larger context of the healthcare system.
- Analyze the dynamics of systems thinking and change theory strategies as they relate to the ethical, moral and legal dimensions of professional nursing.
- Discuss collaboration within significant systems utilizing advocacy and change theory in conflict management and performance appraisal for the delivery of professional nursing care.
- Delineate how to integrate leadership skills of systems thinking, communication and facilitating change to meet patient care needs.
- Describe quality improvement and safety standards as a basis for evaluating the effectiveness of organizations.
- Recognize the complexity of the healthcare delivery system including how patient care services are organized and financed and how reimbursement is structured.
- Explain the centrality of the inter-professional team to quality patient care.
- Identify the impact of sociocultural, economic, legal and political factors influencing healthcare delivery and practice.
- Discuss how to incorporate budget and resource allocation into the management role.
- 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 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.
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: 9780323390224
Additional Resources
- American Organization of Nurse Executives
- American Nurses Credentialing Center (ANCC)
- Code of Ethics for Nurses
- American Nurses Association
- American Journal of Nursing
- The Joint Commission (TJC)
- The Center for Nursing Advocacy
- National League for Nursing (NLN)
- Montalvo, I., (September 30, 2007) "The National Database of Nursing Quality IndicatorsTM (NDNQI®)" OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 3, Manuscript 2
- 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.
- 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
- 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.
- 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.
- 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
- American Nurses Association: Principles for social networking and the nurse, 2013 https://www.nursingworld.org/~4af4f2/globalassets/docs/ana/ethics/social-networking.pdf
- 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/
- 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 5.
- http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No3-Sept-2012/Advancing-Nursing-Through-Social-Media.html
- Disparities/ Healthy People 2020. https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities
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
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
- 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/
- 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.
- 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. https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/
- 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/
- 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/
- 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
- Mullen, K. (2015). Barriers to Work–Life Balance for Hospital Nurses. Workplace Health & Safety, 63(3), 96–99. https://doi.org/10.1177/2165079914565355
Course Schedule
Week | SLOs | Readings and Exercises | Assignments |
1 | 1,2 | Topics: Concepts in Leadership: Nursing Leadership and Management Readings:
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2 | 3,4,5 | Topics: Effective Communication and Conflict Resolution Readings:
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3 | 3,6,9 | Topics: Legal Issues in Nursing and Health Care Readings:
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4 | 6,8,11 | Topics: Quality Improvement and Patient Safety Readings:
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5 | 6,8 | Topics: Managing Patient Care; Effective Delegation, Supervision, Staffing and nursing Care Delivery Models Readings:
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6 | 9 | Topics: Ethical Issues: Ethical and Bioethical Issues in Nursing and Health Care Readings:
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7 | 7,10 | Topic: Healthcare Finance: Budgeting Basics for Nurses Readings:
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8 | 1,2 | Topic: Managing Time: The Path to High Self-Performance Readings:
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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.