School of Nursing  - UT Health Science Center San Antonio

Summer 2009

NURS.4425 Strategies for Professional Nursing: Childbearing Families

This course resides in the Department of Family Nursing Care

The Course Packet will be available on E-Reserves
Access E-reserves on the UTHSCSA Library Homepage

FACULTY
Patti Davidson, MSN, RNC
E-mail: davidsonp@uthscsa.edu
Phone: (210) 567-5865
Fax: (210) 567-5822
Office: 2.354
Office Hours: Posted weekly
Family Nursing Care Department
 

COURSE DESCRIPTION
The course focuses on the application of theories to the nursing care of childbearing families in transition. Emphasis is on the nurse's partnership role with childbearing families and other healthcare professionals in the provision of care. In addition, the course examines issues related to women's health during the childbearing years. Ethical and legal issues relating to reproduction and to newborn nursing practice are explored.

CREDIT AND TIME ALLOCATION
4 semester hours (2 credit hours class, 2 credit hours clinical; 30 total class hours/90 total clinical hours)

PREREQUISITES
NURS.3203 , NURS.3520 & NURS.3610

COURSE OBJECTIVES
1. Apply the nursing process in the provision of comprehensive care to childbearing families.
2. Participate as partners to customize care with women and their families during the childbearing
    experience.
3. Employ therapeutic communications skills while implementing the professional role.
4. Utilize critical thinking skills in designing and implementing comprehensive care.
5. Apply theory and research findings in providing care for the childbearing family.
6. Utilize collaborative skills while engaging in professional practice.
7. Demonstrate ethical and legal behaviors as related to standards of practice in the care of childbearing
    families.
8. Relate principles of self-management to one's own learning.

CLINICAL OBJECTIVES
  1. Assess the childbearing family across environments to include:
      a. Health history
      b. Physical examination
      c. Family assessment
      d. Behavioral assessment of newborn
      e. Risk assessment
  2. Identify factors influencing pregnancy outcomes.
  3. Establish appropriate nursing diagnoses.
  4. Identify strategies for health promotion, risk reduction, disease prevention with childbearing families
      (eg., preconception/prenatal nutrition, sexual practices).
  5. Psychomotor Skills
      a. Fetal assessment
      b. Assessment of antepartal, intrapartal, postpartal and newborn patient
      c. Vital signs, growth measurement, growth charts
      d. Thermal regulation for newborn
      e. Special considerations for medication administration to newborns (eg., injections, eye prophylaxis)
      f. Heel sticks
         1.Glucose monitoring
      g. Safety (eg., infant identification, abduction avoidance, positioning & holding, suctioning)
      h. Newborn hygiene (eg., bathing, nutrition considerations (breast/bottle feeding), circumcision &
          cord care)
      i. Postpartum special care such as breast and perineal care
  6. Manage physical & psychological manifestations across the childbearing continuum
  7. Apply pain management techniques for childbearing women and newborns
  8. Evaluate the effectiveness of nursing care.
  9. Demonstrate safe, therapeutic, and customized nursing care
10. Incorporate patient education into nursing care
11. Partner with patients to develop culturally appropriate childbearing experiences.
12. Use data and information from a variety of sources in documentation.
13. Employ developmentally appropriate communication skills in interactions with childbearing family
       members.
14. Document patient care
15. Demonstrate professional role behavior.
16. Identify and address barriers to therapeutic communication.
17. Demonstrate scholarship for the acquisition and application of new knowledge to practice.
18. Apply critical safety interventions in nursing practice across environments.
19. Demonstrate safe clinical judgment in planning and providing care.
20. Evaluate goal achievement based on identified outcome criteria.
21. Demonstrate the principles of teaching/learning in patient care delivery.
22. Demonstrate application of theory and research findings in providing care to childbearing families.
23. Assist patients to access information and to interpret meaning and validity of health information.
24. Collaborate in multidisciplinary care planning.
25. Refer patients to appropriate health care resources.
26. Assist patients to access health care delivery.
27. Practice according to the code of ethics and professional standards.
28. Apply ethical principles to resolve issues and implement a plan of care.
29. Demonstrate accountability and responsibility for own behavior.
30. Incorporate principles of self management into one's own learning
31. Seek appropriate assistance and utilize guidance to facilitate own learning.

CRITERIA FOR EVALUATION / GRADES
The letter grade will be determined by examinations
which are weighted as follows:
30% - Exam 1
30% - Exam 2
40% - Exam 3
100% - Total
Final grades are based on the following scale:
A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60% or clinical failure

Clinical is graded pass/fail. A student must pass clinical to pass the course. A clinical grade of F will result in a course grade of F, regardless of the average of exams.

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
Lowdermilk, D.L., and Perry, S.E. (2007) Maternity and Women's Healthcare. (9th ed) St. Louis:
      Mosby

Required texts from Semesters I and II will be used during this course.

RECOMMENDED (OPTIONAL) TEXT / REFERENCE
Hockenberry, M. Wong's nursing care of infants and children (8th ed). St. Louis: Mosby

CONTENT OUTLINE
See calendar and course packet as posted on ERES.

CALENDAR - First Week Only
Please check the Summer 2008 Schedules for recent updates on Class Dates & Room.
Date Topic / Assignment Due
See bulletin board for class and clinical activities for the first two weeks.