School of Nursing  - UT Health Science Center San Antonio

Fall 2008

NURS 5561 - Advanced Nursing Practicum in Policy & Management

This course resides in the Department of Acute Nursing Care

Additional course materials will be e-mailed to students two weeks before first day of class
Monday August 25, 2008.

Parts of this course are Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements

Preceptor Handbook - You must have Acrobat Reader to view this file (free download)

FACULTY
Mickey L. Parsons, PhD, MHA, RN
E-mail: parsonsm@uthscsa.edu
Phone: (210) 567-0059
Fax: (210) 567-1719
Office: 2.648
Office Hours: By appointment.
Acute Nursing Care Department


COURSE DESCRIPTION
The purpose of this course is to provide the student with the opportunity to examine the role of the nurse executive in a health care agency. Emphasis is placed on the development of interdisciplinary relationships, long range planning skills, organizational priority setting, fiscal management, and policy development and implementation. The student will be assigned to a health care agency under the preceptorship of an experienced nurse executive for the practicum portion of the course.

CREDIT AND TIME ALLOCATION
Five (5) semester hours of credit; (15 classroom hours and 180 practicum hours per semester).

PREREQUISITES
All management courses in the major and Nursing Science I and II.

COURSE OBJECTIVES
1. Analyze decision-making and problem-solving strategies utilized in a health care agency.
2. Collaborate with other health care professionals in resolving selected organizational problems.
3. Demonstrate appropriate leadership behaviors in selected aspects of the nurse administrator (executive) role.
4. Analyze role relationships of the nurse executive with other members of the health care organization.
5. Analyze human and material systems utilized in the achievement of organizational goals.
6. Critically apply the research process to the resolutions of administrative problems.
7. Evaluate selected organizational policies and propose strategies for change.
8. Evolve a personal philosophical approach to nursing service administration.

CLINICAL OBJECTIVES
NA

CRITERIA FOR EVALUATION / GRADES
A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60%

Course Requirements:
1. Attendance and participation at all practicum assignments and classes.
2. Weekly preparation of written learning objective and maintenance of a clinical practicum log.
3. Analysis and evaluation of learning experiences in clinical log.
4. Individual instructor - student conferences in person and online.
5. Satisfactory completion of practicum activities and project.
6. Satisfactory preceptor written evaluation of student performance.
7. Satisfactory completion of all graded activities.

Course Grade: Satisfactory completion of Clinical Practicum Experience as evidenced by:
1. Maintenance of written log e-mailed to faculty via the Discussion Board in WebCT every other week.
2. Satisfactory Preceptor Evaluation

Written Log of Practicum Experiences:
A log of your practicum experiences should begin with your first clinical day and continue throughout your practicum experience. The purpose of the log is to assist you in the development of a systematic plan to meet your course goals and objectives. The log should:
    1. List your weekly objectives with a tentative plan for their achievement.
    2. Briefly describe the day's experiences.
    3. Reflect on your experiences in relationship to factors that facilitated/hindered achievement of your
        objectives and discuss in relationship to leadership/management theory (cite references).

The logs are to be submitted in your Discussion Board in WebCT every other week beginning with the second clinical week. The instructor will provide comments and suggestions for your learning experience.

Point Distribution for Grade:
1. Presentation of researchable system, issue or problem. (Pass/Fail)
2. Class Discussion (25). In a cooperative learning environment, students will be prepared to engage in class

    discussion in response to weekly required readings and will post a minimum of one response every week to each

    student in their Discussion Board on projects that week; and post appropriate comments during the online

    modules.
3. Practicum Project and Presentation (50)
    Clarify with your preceptor the specific system's project, status of the project, and final form of report.
    Criteria for the project report are:
        - Two-page System's Project Executive Summary: Statement describing the nursing system
          (clinical, financial, human resource, quality, strategic and operational planning, etc.), goals for the
          system assessment and analysis, recommendations and outcomes expected (4 points).
        - Description of the clinical agency (3 points)
        - Detailed description of the system (3 points)
        - Significance of the system assessment (3 points)
        - Analysis of the system - detailed, systematic (8 points)
        - Evaluation of any previous or current improvement strategies (3 points)
        - Theoretical perspective for recommendations for system improvements (3 points)
        - System specific strategy recommendations and based upon supporting evidence(Evidenced-Based   

           Administratice Practice (4 points)
        - Outcomes expected based upon evidence(5 points)
        - Action plan for implementation and implementation chart (5 points)
        - Written in professional style (spelling, grammar, and sentence structure), APA format, 15-20 pages with           numerous additional appendices to demonstrate work. (4 points).
        - Seminar Presentation. (5 points). Students will give a 10 minute presentation based on their
          project report.

    Criteria for the presentation:
        - Summary of the major points of the project (3 points)
        - Professional presentation (using questions, power point, transparencies, other) (2 points).

    In the spirit of cooperative learning, students will meet with the faculty to discuss the proposed topic before  

    October 20, 2008 . The project report is due on December 1, 2008 .  Unexcused late project reports will be

    down-graded five percentage points the first day and one point per day thereafter. If students anticipate inability to     meet the due date, at least one week earlier they must negotiate a later due date - for both the practicum     system's project and the business plan - see below. Please submit 2 copies of the project report.

4. Healthcare Group Project utilizing a Business Plan and Presentation.
   (See specific grading sheet for the 25 points in vull course syllabus.  Executive Summary and PowerPoint

    presentation due November 3, 2008 .

   Students work in groups of 2 or 4. You may use a business planning software package or follow the guideline from    a business book or article to develop a business plan for one agency for a new service or product line. Alternately,    you may also do it for a business that you would like to begin.

    Students will give a 10 minute presentation on the Business Plan on the due date of November 3, 2008.

 

SCHOLASTIC DISHONESTY
Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.

American with Disabilities Act (ADA) Accommodations
Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Students within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: 1.118-16

REQUIRED TEXT / REFERENCE

Covello J. & Hazelgren B. (2005). Your first business plan (5th ed). Naperville, IL: Sourcebooks, Inc.

       

Zuckerman AM. (2005). Healthcare strategic planning (2nd ed). Chicago: Health Administration Press.


RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Barlow J & Stewart P. (2004). Branded customer service: The new competitive edge. San Frandisco:

            Berrett-Koehler Publishers, Inc.

Fogg CD. (1999). Implementing your strategic plan: how to turn "intent" into effective action for sustainable
            change.  New York: AMACOM.

Fogg CD. (1994). Team-based strategic planning: A complete guide to structuring, facilitation and implementing
            the process. New York: AMACOM

Griffith J, White K, & Cahill. (2003).  Thinking forward:  Six strategies for highly successful organizations. Chicago,
            IL: Health Administration Press.

Hoffman PB & Perry F. (eds.) (2005). Management mistakes in healthcare: identification, correction and
            prevention. Cambridge, UK: Cambridge University Press.

Hrebiniak LG. (2005). Making strategy work: Leading effective execution and change. Upper Saddle River, NJ:
            Wharton School Publishing.

Pfeffer J & Sutton RI. (2006). Hard facts dangerous half-truths & total nonsense: Profiting from evidence-based
            management.   Boston: Harvard Business School Press.

Senge P, Kleiner A, Roberts C, Ross R & Roth G. (1999). The Dance of Change. New York: Currency Doubleday.

Shell G. (1999). Bargaining for advantage: Negotiation strategies for reasonable people. New York: Penguin
            Books.

Studor Q. (2003). Hardwiring excellence: Purpose, worthwhile work, making a difference. Gulf Breeze, FL: Fire
            Starter Publishing.

Tybout AM & Calkins R. (2005). Kellogg on branding: The marketing faculty of the Kellogg School of 
           
Management. Hoboken, NJ: John Wiley & Sons.

Vaill PB. (1996). Learning as a way of being: Strategies for survival in a world of permanent white water.
           San Francisco: Jossey-Bass, Inc. Publishers.


CONTENT OUTLINE
N/A

CALENDAR - First Week Only
Please check the Fall 2008 Schedules for recent updates on Class Dates & Room.
Date Topic / Assignment Due

Monday August 25, 2008

The Nurse Executive Role
Introduction and Course Overview; Philosophy of Cooperative Learning; Student sharing of Personal Goals and Planning for each student’s Practicum.

Assignment Due: Begin reading and become familiar with the topical content in both texts.