School of Nursing  - UT Health Science Center San Antonio

Summer 2009

NURS.4435 Strategies for Professional Nursing: Childrearing Families - Peds

This course resides in the Department of Family Nursing Care

The Course Packet will be available on E-Reserves by the first day of class.
This course is Web Enhanced with BlackBoard icon.
Please be sure your to check the Current Computer Requirements

Familiarize yourself with this process before the first day of class.

FACULTY

COURSE COORDINATOR

Cherri Hicks, MSN, RN, PCNS-BC
E-mail: hicksc@uthscsa.edu
Phone: (210) 567-3843
Pager: (210) 230-0633
Office: 2.368
Office Hours: By appointment
Family Nursing Care Department

 

COURSE DESCRIPTION
This course focuses on the application of theories to the nursing care of children and their families in transition. Emphasis is on the nurse's partnership role with children and their families and with other healthcare professionals in the provision of care.  Ethical and legal issues relating to the nursing care of childrearing families are examined.

CREDIT AND TIME ALLOCATION
Credit hours 4 (2 Theory/ 2 Clinical).  Clock hours: 30 lecture and 90 clinical.

PREREQUISITES
Successful completion of Second Semester Generic Process
Concurrent enrollment or successful completion of NURS.4425.

COURSE OBJECTIVES
  1. Apply the nursing process in the provision of comprehensive care to childrearing families.
  2. Participate as partners to customize care with children and their families.
  3. Employ therapeutic communication 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 childrearing 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 childrearing families.
  8. Relate principles of self-management to one's own learning.

CLINICAL OBJECTIVES
Apply the nursing process in the provision of comprehensive care to childrearing families.
        1. Assess the childrearing family across environments to include:
            a. Health history
            b. Physical examination
            c. Family assessments
            d. Behavior assessments
            e. Risk assessments
            f. Developmental assessments
        2. Establish developmentally appropriate nursing diagnoses.
        3. Identify strategies for health promotion, risk reduction, and disease prevention with childrearing
            families.
        4. Demonstrate safe application of psychomotor skills to include:
            a. vital signs
            b. physical assessments
            c. growth measurements
            d. calculation of fluid requirements
            e. calculation of nutritional requirements
             f. nutritional monitoring (height and weight, laboratory studies, intake and output)
            g. special considerations for medication administration (developmental stages, physiologic
                 considerations)
            h. safety (least restrictive environment, safety hazards, safety based on child's developmental stage)
             i. assisting with special procedures (venipuncture, lumbar puncture)
             j. collection of specimens
            k. administration and regulation of intravenous fluids
             l. safe application of pediatric restraints
           m. enteral therapy
            n. suctioning
            o. tracheostomy care
        5. Develop appropriate interventions to manage physical and psychological manifestations across the
            childrearing continuum.
        6. Apply pain management techniques for childrearing families.
        7. Evaluate the effectiveness of nursing care.

Participate as partners to customize care with children and their families.
        1. Demonstrate safe, therapeutic, customized nursing care.
        2. Incorporate patient education into nursing care.
        3. Partner with patients to develop culturally appropriate childrearing experiences.

Employ therapeutic communication skills while implementing the professional role.

        1. Use data and information from a variety of sources in documentation.
        2. Employ developmentally appropriate communication skills in interactions with childrearing families.
        3. Document patient care accurately.
        4. Demonstrate professional role behavior.
        5. Identify and address barriers to therapeutic communication.

Utilize critical thinking skills in designing and implementing comprehensive care.
        1. Demonstrate scholarship for acquisition and application of new knowledge to practice.
        2. Apply critical safety interventions in nursing practice across environments.
        3. Demonstrate safe clinical judgments in planning and providing care.
        4. Evaluate goal achievement based on identified outcome criteria.
        5. Demonstrate the principles of teaching/learning in patient care delivery.

Apply theory and research findings in providing care for the childrearing family.
        1. Demonstrate application of theory and research findings in providing care to childrearing families.
        2. Assist patients to access information and to interpret meaning and validity of health information.

Utilize collaborative skills while engaging in professional practice.
        1. Collaborate in multidisciplinary care planning.
        2. Refer patients to appropriate health care resources.
        3. Assist patients to access health care delivery.

Demonstrate ethical and legal behaviors as related to standards of practice in the care of childrearing families.
        1. Practice according to the code of ethics and professional standards.
        2. Apply ethical principles to resolve issues and implement a plan of care.
        3. Demonstrate accountability and responsibility for own behavior.

Relate principles of self-management to one's own learning.
        1. Incorporate principles of self-management to one's own learning.
        2. Seek appropriate assistance and utilize guidance to facilitate own learning.

CRITERIA FOR EVALUATION / GRADES

Successful completion of NURS.4435 requires the successful achievement of the objectives for both the clinical and theoretical components of the course.  Clinical is Pass/Fail.


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

Abrams, A.C., (Current).  Clinical Drug Therapy: Rationales for Nursing Practice.  Philadelphia: Lippincott Williams &
           Wilkins.

Ball, J.W. & Bindler, R.C., (2008).  Pediatric Nursing Caring for Children.  New Jersey: Pearson Prentice Hall.

Doenges, M.E. (2006).  Nurse's Pocket Guide Diagnoses, Prioritized Interventions and Rationales.  (10th ed.)
           Philadelphia, PA: F.A. Davis.

*Gahart, B. (2008).  Intravenous medications: A handbook for nurses and other allied health professionals.
           St. Louis: Mosby.

Kee, J.L. & Marshall, S.M. (current).  Clinical calculations with applications to general and specialty areas. (6th Ed).

Saunders.


ATI Supplemental Learning Packet.


RECOMMENDED (OPTIONAL) TEXT / REFERENCE

All textbooks required in prerequisite nursing courses are suggested references for this course.  In particular the following references are useful resources for this course.  Those indicated (*) will be required references for clinical activities.

Bickley, L.S. (2007).  Bates' Guide to Physical Examination and History Taking.  Philadelphia, PA: Lippincott-Williams
           & Wilkins.

Bindler, R.M. & Ball, J. W., (2007).  Clinical Skills Manual for Pediatric Nursing.   New Jersey: Pearson Prentince Hall.

Bindler, R.M. & Howry, L.B., (2004).  Prentice Hall Pediatric Drug Guide.  New Jersey: Pearson Prentice Hall.

Engle, Joyce (2006).  Mosby's pocket guide to pediatric assessment. (5th Ed). St. Louis: Mosby.


CONTENT OUTLINE
   N/A

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

Students are expected to have a working knowledge of child growth
and development to include Piaget, Erikson and Kohlberg.

See Calendar Assignments and calendar will be posted on E-res.