Spring 2018

NURS 4319-001 Leadership and Management: Theoretical Foundations

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements


Wesley Richardson, PhD, MSN, RN, CNL

Email: Richardsonwf@uthscsa.edu

Office Phone: (210) 567-5854

Office: Rm 2.670NS

Office Hours: Refer to Starfish


This course presents theoretical principles of nursing leadership and management in diverse settings to promote quality patient outcomes.


3 semester hours (3 hours theory)


Successful completion of Semester 7.


At the completion of the baccalaureate program the student will demonstrate the following:

  1. Incorporate knowledge, skills, and attitudes from the liberal arts and sciences in professional nursing education and practice.
  2. Apply knowledge and skills of organizational and systems leadership, quality improvement and patient safety in promoting safe, high-quality care for diverse patients across healthcare systems and environments.
  3. Analyze and apply evidence from research and other information sources as a basis for nursing practice.
  4. Incorporate knowledge and skills in using information systems and a range of patient-care technologies to facilitate delivery of quality patient care.
  5. Advocate for financial and regulatory healthcare policies, processes, and environments that improve the nature and functioning of the healthcare delivery system and nursing practice.
  6. Collaborate and communicate effectively with healthcare professionals to promote positive working relationships, improve patient health outcomes, and deliver quality, safe patient care.
  7. Promote individual and population health by assessing factors that influence individual and population health and apply principles and culturally appropriate health promotion and disease-prevention strategies. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct.
  8. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct.
  9. Integrate the knowledge, skills, and attitudes expected of baccalaureate prepared nurses by providing professional nursing care to diverse patients and populations across the lifespan, healthcare settings, and healthcare environments.


  1. Analyze leadership and management theories to achieve high quality nursing care and effective healthcare team coordination in a variety of settings. (Essential II)
  2. Analyze concepts of quality improvement and safety for identifying clinical questions, implementing safety initiatives, and monitoring patient outcomes. (Essential II)
  3. Identify effective interprofessional and intraprofessional communication and collaborative skills to deliver evidence-based, patient-centered care. (Essential VI)
  4. Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care to facilitate delivery of quality patient care.(Essential III)
  5. Evaluate the use of information technology and data management processes to facilitate delivery of quality patient care and create a safe care environment. (Essentials IV)
  6. Explore sociocultural, economic, legal, ethical, and political factors influencing healthcare delivery and the nursing role of leadership and management in advocating for client empowerment and professional viability. (Essential V, VI)
  7. Examine the roles and responsibilities of legislative and regulatory agencies and their effect on patient care quality, workplace safety, and scope of nursing practice. (Essential V)
  8. Discuss active nursing leadership and management roles in advocating for social justice related to healthcare policies, access, equity, and affordability. (Essential V)
  9. Articulate the value of pursuing practice excellence, lifelong learning, and professional engagement to foster professional growth and development. (Essential VIII, IX)


A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)


Student performance will be evaluated by two exams, graded activities, ATI Leadership & Management Content Mastery Exam (CME). 

Graded activities may include pre-class, in-class, and post-class assignments.

Grade Percentages:
Theory is composed of a possible 100 points.
The value of each component:

75 percent Exam I & Exam II

15 percent - ATI CME

10 percent  - Graded Activities

100 percent - Total*

Thursday Classes, 1-4 pm, Rm. 3.304 ALTC

Friday Classes, 8 am-12 pm,Rm. Lecture Hall, Rm 3.102B

Exception - New Class Location: Friday, Jan. 19th, Rm 1.463 (Nursing School)

Missed Graded Activities: 

Students are expected to contact the Course Coordinator prior to or within 24-hours of missing a graded activity to discuss a possible make-up assignment/activity.  If the reason for missing the graded activity is reasonable and necessary (i.e., illness [MD note required], death of an immediate family member [proof required], legal issue [court appearance - note required], a make-up graded activity will be offered.  The make-up graded activity will be due no later than 24-hours after the original due date. Failure to contact faculty prior to or within 24-hours of a missed graded activity will result in zero for that graded activity.

Additional Testing Policy Information: You are required to use a privacy screen while taking exams, and no computerized watches are allowed while taking exams.


Students are responsible for knowing and observing the University‘s procedures and regulations governing Student Conduct and Discipline and the Rules and Regulations of the Board of Regents. See the UTHSCSA Course Catalog – School of Nursing Policies for the following:

  • Conduct and Discipline
  • Professional Conduct Guidelines
  • Professionalism
  • Students Rights and Responsibilities Faculty Responsibilities
  • Social Media Guidelines
  • Scholastic Dishonesty


Students who are nurses or are preparing to enter the profession of nursing are expected to treat others with respect and compassion. “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise and to resolving conflict. This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others” (American Nurses Association Code for Nurses, Interpretive Statement 1.5).


The students, faculty, Department Chairs, Associate Deans, and the Dean of the School of Nursing of the University Texas Health Science Center San Antonio subscribe to the highest standards of conduct. Our aim is professional behavior beyond reproach. Failure to abide by the signed code of professional conduct may lead to suspension and/or permanent dismissal from the UTHSCSA SON. In particular, we subscribe to the provisions of the Code of Ethics for Nurses (http://bit.ly/1mtD5p2) and the following points of conduct.


A.    I will promote and maintain an honest and effective learning environment. I will:

  • Do my part to ensure that the environment promotes acquisition of nursing competencies; integrating nursing knowledge with the mastery of skills, and the values of the profession.
  • Not tolerate or engage in harassment, flagrant disruption of the learning process, demeaning language or visual aids, disrespectful behavior, or lack of respect for life and living things.
  • Exhibit the highest standards of conduct, honesty, and professionalism.
  • Identify and report those who exhibit academic of professional misconduct following the chain of command.
  • Appreciate each individual as a person of value and help maintain dignity during the learning process.


B.     I will place primary emphasis on the health and welfare of patients, students, and the School of Nursing. I will:

  • Attain and maintain the most current knowledge in the healing arts, the skill to apply that knowledge, and caring attitudes.
  • Display respect and compassion for all patients, students, and members of the School of Nursing.
  • Foster and preserve the trust that exists between the faculty and all patients, students, and members of the School of Nursing.
  • Protect and maintain the confidentiality, integrity and availability of patients, students, and members of the School of Nursing information – especially when communicating via social media – and adhere to the UTHSCSA recent information security and anti-phishing standards including but not limited to encryption and device management (For example see, http://ims.uthscsa.edu/information_security/index.aspx).
  • Not tolerate or engage in unprofessional behavior (as defined by Rule §217.12 of the Texas Administrative Code: https://www.bon.state.tx.us/rr_current/217-12.asp and the Texas Board of Nursing Rules and Regulations Relating to Nurse Education Licensure and Practice: http://www.bon.texas.gov/pdfs/law_rules_pdfs/rules_regulations_pdfs/bon_rr_Oct2014.p df).


C.     I will conduct myself at all times in a professional manner. I will:

  • Exhibit honesty, openness, and evenhandedness in dealing with others.
  • Maintain a professional appearance at all times and adhere to the dress code defined within the School of Nursing Student Handbook.
  • Not harass other individuals, including participation in behavior that is severe, pervasive or persistent to a degree that a reasonable person similarly situated would be prevented from accessing an educational opportunity or benefit. This behavior includes, but is not limited to, verbal abuse, threats, intimidation, harassment, and coercion. In addition, harassment may be conducted by a variety of mediums, including but not limited to, physical, verbal, graphic, written or electronic. The School of Nursing will not tolerate harassment to include harassment against individuals based on sexual identity, race /ethnicity religion, gender, and/or sexual orientation, stalking, or physical threats of violence.
  • Take responsibility for my actions, acknowledge my limitations, and ask for assistance when needed.
  • Assure the welfare of others is not compromised as a result of any inadequacy.
  • Not be deceitful or self-serving.
  • Achieve satisfactory balance in personal, community, and professional activities.
  • Not allow personal conflict to interfere with objectivity in relationships with colleagues or patients.
  •  Not participate in activities that include hazing, theft, vandalism, abuse of alcohol in violation of University rules, illegal or unauthorized use of firearms or explosives, or the act of using, possessing, being under the influence of, manufacturing or distributing illegal drugs or illegally obtained/possessed controlled substances.
  • Accommodate a fellow professional’s request for my knowledge and expertise.
  • Refrain from a manifestation of bias, including sexual, marital, disability, racial, ethnic, or cultural harassment.
  • Not engage in physical abuse of others to include any intent or attempt to cause injury or inflict pain; or causing injury or inflicting pain. Also causing physical contact with another when the person knows or should reasonably believe that the other will regard the contact as offensive or provocative. It is not a defense that the person, group, or organization against whom the physical abuse was directed consented to, or acquiesced to, the physical abuse.
  • Support my fellow professionals if they should falter.
  • Identify any person whose ability is impaired, support them as they seek rehabilitation, and help them to reintegrate into the community.


School of Nursing Honor Code

  • I vow on my honor as a member of the nursing profession to take ownership for my actions and to uphold the values of nursing.


DRESS CODE - Classroom Attire and Decorum

Clothing worn to classes at the HSC may range from dressy to casual. It is recommended that fashion excesses and extremes be avoided. This is a professional school and development of appropriate professional presentation is a part of belonging to the profession. Over exposure, excessively tight clothing, hats, pajamas, offensive/obscene sayings on clothing, etc. are not appropriate. Use of perfume and cologne in excess is inappropriate since others may have allergies or unpleasant reactions (e.g., nausea, difficulty breathing, etc.). Good personal hygiene is essential. An unclean, unkempt appearance and unpleasant body or breath odors are not acceptable. This includes the smell of tobacco products. Students are expected to observe the following guidelines for classroom behavior.

Students not in compliance with dress code policy may be asked to leave the learning environment.

  1. Neither children nor pets may be brought to classes. Children must not be left unattended in any area in the school.
  2. Guests may be brought to class if permission is received from the faculty member in charge of the class.
  3. Professional behavior suggests that students notify faculty when audio taping the lecture.
  4. Students are expected to be seated by the designated starting time for class. If late or missing lecture, it is the student’s sole responsibility to receive missed lecture content from peers.

No audible beepers in class; place cell phones and other devices capable of producing sound on mute or vibrate. Students will be located for emergencies by the Office for Academic Affairs.


Social Media Guidelines

The purpose of this policy is to promote the safety and privacy of students, faculty, staff, patients, and visitors. Students and faculty members must comply with the Health Insurance Portability and Accountability Act (HIPAA) and the Family Educational Rights and Privacy Act (FERPA) when using social media. These guidelines are informed by the American Nurses Association Principles for Social Networking and the Nurse.


No student may post, release, or otherwise disclose photos, identifiable case descriptions, images, or records related to the educational, clinical, or research activities of the school via social networking sites (e.g., MySpace, Facebook, Twitter, YouTube, etc.), non-educational blogs, message boards, Internet websites, personal e-mail, or anything other than standard professional means of query and/or dissemination.


No student may post statements about the School of Nursing community (employees, staff, students, and visitors) that are defamatory, obscene, threatening or harassing.

Failure to comply with this policy may be a violation of legal, professional, and/or ethical obligations.  Violation will result in disciplinary action by the School of Nursing up to and including dismissal from the professional nursing program. 


The School of Nursing assumes no duty to monitor Internet activity but reserves the right to take appropriate action in accordance with this policy.


Think twice before posting

Privacy does not exist in the world of social media.  Before each posting, students are encouraged to consider how the item may reflect both on the author of the post and the School of Nursing.  Something that would not be said in person should not be posted in social media.  Imagine your posting on the front page of the local newspaper.


Strive for accuracy

Students should be certain that anything they post on a social media site is factual.  The posting should be reviewed for grammatical and spelling errors, especially when posting on behalf of the School of Nursing.


Be respectful

Posted responses and comments should be respectful and considerate.



Students should be aware that photographs posted on social media sites can easily be accessed by visitors to those sites. Posting unauthorized photos on a website or social media network site can result in disciplinary action.



It is important to review the terms of service, privacy settings, and other policies of the social media network before use. 


Source: School of Nursing Undergraduate Student Handbook



  1. Examination items are the proprietary intellectual property of the university and are not to be shared by students. Sharing of exam items by students is considered cheating and is subject to disciplinary action. There are no legal test item banks available to students in the SON other than those provided with the ATI NCLEX –RN exam preparation materials.
  2. Exams are required.
  3. Students are expected to take examinations at the scheduled time.
  4. The student must notify the course coordinator prior to the scheduled exam time if they are unable to take the exam as scheduled.  Failure to make this notification in advance will result in a "zero" for that examination.
  5. If the excuse is accepted as reasonable and necessary, arrangements will be made for a make-up examination.
  6. Exam content is based on course, class, and clinical objectives.  Included are all required readings, lecture and discussion, related material in the course packet, media presented in or required for class, material handed out, and material on Canvas.
  7. Students should follow the School of Nursing dress code during exams. 
  8. Students must leave all food and drink, books, purses, and backpacks in an area designated by exam proctors.  If available, students are encouraged to leave personal items in lockers.  No hats, caps or head coverings may be worn during exams, with the exception of those required for religious purposes.
  9. When entering the classroom for an exam, students will show their School of Nursing badge to the proctor.  Proctors will ensure only the students eligible to take the exam receive access to the test and take the exam in an approved testing location.  During the exam, students will wear their badge on the upper chest area.
  10. Calculators, scratch paper and pencils are provided by the School of Nursing for exams.  Proctors will distribute the scratch paper after students have initiated the exam.
  11. If students arrive late, no extra time to complete the exam will be given.
  12. Each student is responsible for making sure that he or she has completed the exam before the exam is turned in to a proctor.  Under no circumstances will a student be allowed to retrieve his or her exam materials after turning them in to the test proctor.
  13. Students will be given the opportunity to review exams.  


  1. To pass the course, a student must have a weighted average of 75% on all graded activities.
  2. Students must make a "C" (75) or higher in all nursing courses to progress in the program.


The final grade will be calculated to two decimal places and rounded mathematically as follows:


Attendance in class is an expectation of each student.


  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.


The APA Publication Manual 6th edition is required for use in all nursing school programs. 

Assessment Technologies Institute®, LLC (ATI) RN CONTENT MASTERY SERIES®

UTHSCSA School of Nursing utilizes the ATI RN Content Mastery Series®, RN Comprehensive Predictor® practice and proctored exams, and the ATI Virtual "greenlight" program to assist students in preparing for the NCLEX-RN® exam. Through practice and proctored examinations, students are able to assess their own knowledge and receive feedback and direction for content review throughout the program of study.

The proctored exams are administered in specific courses in both undergraduate tracks.

In order for a student to take the course related proctored exam, students will take the non-proctored (Practice A and B) tests individually, as often as they wish with a minimum of a 24 hour wait period between attempts. The student should engage in a minimum of one hour focused review on missed topics and/or identify three critical points to remember. Achievement of a 90% or higher individual score is required prior to taking the proctored test. Students may be required to show documentation by submitting a printed copy of the individual student transcript to the faculty prior to testing. Non-proctored tests are pass/fail.

To strengthen the review method, if students did not achieve a 90% or greater on the practice exam, students should understand the rationales for each distracter. It is recommended that students review 5-15 questions at a time with ample time given to review each of the rationales. When the student logs in again, the exam will continue from where the student had stopped previously.

Content Mastery Exams will comprise 15% of the total course grade. The following provides guidelines for inclusion of the CME in the course grade.

                   Content Mastery Examinations Requirements


 1st ATI Exam  (15% of Course Points)

2nd ATI Exam      (15% of Course Points)


100% of points  

85% of points


90% of points

80% of points    


*0% of points, develop focused review** and must retake exam

0% of points

Less than Level 1

*0% of points, develop focused review** and must retake exam

0% of points

*Level 1 and below: An individualized student success plan will be developed and implemented in conjunction with faculty to help student attain content mastery.

* Focused review consists of printing out the specific proctored “report” and using either the available ATI templates or a plain piece of paper to handwrite all of the missed items under “Topics to Review” and label each missed item with the topic descriptors. This handwritten remediation will be stapled with the student’s proctored “report”. 

The RN Comprehensive Predictor will be given in Nurs 4420 (traditional BSN program) or Nurs 4423 accelerated BSN program).


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.


Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.


Marquis, B. L. & Huston, C. J. (2017). Leadership Roles and Management Functions in Nursing: Application. (9th ed.). Philadelphia: Lippincott ISBN 13:  978-1496349798


ATI Leadership and Management Review Module


CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

The first NURS 4319 class will be held Thursday, Jan. 11, 2018, 1 p.m. - 4 p.m., Room 3.304 AL&TC. Agenda items will include Course Orientation and Lecture. Below are the textbook readings for Week-1

Class Agenda – Thursday, Jan. 11, 2018 - ON-CAMPUS CLASS


Module & Overview




1 pm


Course Orientation (Mandatory)


2 pm

Module: Leader-Manager


Overview: In this module, we will learn about some basic theories and concepts on styles of leadership, compare and contrast leaders vs. managers, and theories related to motivation.



Pre-class Readings:

1.      Marquis, B. L. & Huston, C. J. (2017) Classic views of leadership and management, In Marquis, B. L. & Huston, C. J.  (9th), Leadership Roles and Management Functions in Nursing: Theory and Application (pp. 37-59). Philadelphia: Wolters Kluwer. (Chapter 2) (Read all of Chapter 2)

2.      Marquis, B. L. & Huston, C. J. (2017) Twenty-first-century thinking about leadership and managment, In Marquis, B. L. & Huston, C. J.  (9th), Leadership Roles and Management Functions in Nursing: Theory and Application (pp. 61-76). Philadelphia: Wolters Kluwer. (Chapter 3) (Read all of Chapter 3 through Key Concepts)

3.      Marquis, B. L. & Huston, C. J. (2017) Creating a motivating climate, In Marquis, B. L. & Huston, C. J.  (9th), Leadership Roles and Management Functions in Nursing: Theory and Application (pp. 468-475). Philadelphia: Wolters Kluwer. (Chapter 18) Read Motivational Theory through McGregor )

Nursing Leadership & Management: Review Module Edition 7.0

·       Managing Client Care: Leadership and Management, p. 3-4.

·       Coordinating Client Care: Generational Differences Team Members, p. 24.


·       Complete Required Readings.

·       Be prepared to discuss insights from the assigned readings.



·       Discussion/Activities


Post-Class: Possible Graded Activity



Class Agenda – Friday, Jan. 12, 2018 - ON-CAMPUS CLASS


Module & Overview



8 am

Module: Problem Employees


Overview: In this module, we will learn about the characteristics of problem employees and role of the leader-manager related to problem employees.


Pre-Class Reading:

Marquis, B. L. & Huston, C. J. (2017) Problem employees: Rule breakers, marginal employees, and the chemically or psychologically impaired, In Marquis, B. L. & Huston, C. J.  (9th), Leadership Roles and Management Functions in Nursing: Theory and Application (pp. 673-677; 679-684; 686-702). Philadelphia: Wolters Kluwer. (Chapter 25) (Start with 1st pg of Ch. 25 through Self-Discipline & Group Norms; Discipline as a Progressive Process through Performance Deficiency Coaching; Disciplinary Conference through The Chemically Impaired Employee's Reentry to the Workplace)

Nursing Leadership & Management: Review Module Edition 7.0

·       Performance appraisal, peer review, and disciplinary action, pg. 11 - 12; Impaired Coworkers, pg 45; Behaviors Consistent with a Substance Use Disorder, pg 45.



·       Complete Required Readings.

·       Be prepared to discuss insights from the assigned readings.



·       Discussion/Activities


Post-Class: Possible Graded Activity


9 am

Module: Quality Management & Safety


Overview: In this module, we will learn about some basic concepts and tools related to quality management and safety.



Pre-Class Reading:

Marquis, B. L. & Huston, C. J. (2017) Quality control, In Marquis, B. L. & Huston, C. J.  (9th), Leadership Roles and Management Functions in Nursing: Theory and Application (pp. 610-645). Philadelphia: Wolters Kluwer. (Chapter 23) Read all of Chapter 23)

Nursing Leadership & Management: Review Module Edition 7.0

·       Managing Client Care: Quality Improvement, p. 12-13; Safety Risk, p. 6

·       Maintaining a Safe Environment: 54-63. Managing Client Care: Leadership and Management, p. 3-4.


·       Complete Required Readings.

·       Be prepared to discuss insights from the assigned readings.



·       Discussion/Activities


Post-Class: Possible Graded Activity

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