Summer 2020

NURS 7314-ONLI Nursing and Health Systems Administration

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.

COVID-19
Students are expected to follow all policies related to COVID-19 found on the university webpage: https://wp.uthscsa.edu/coronavirus/.

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

Reflect on examples of positive deviance in your professional practice and linked with your organizational DNP quality improvement project.

Complete required reading and videos listed below. Be prepared to present and discuss two or more examples of positive deviance and how care outcomes were improved and sustained in your practice. Be prepared to engaged in class discussion about Positive Deviance.

Webcast: The Positive Deviance Way: Solving Complex Problems by Uncovering and Amplifying Wisdom that is Present by Hidden. A keynote presentation by positive deviance researcher and author, Arvind Singhal, PhD (April 2, 2015).

What is Positive Deviance?
https://www.youtube.com/watch?v=H8FMF2KNfx8

Monique Sternin TedTalk
https://www.youtube.com/watch?v=B8J4fc3XyV4

The Power of Positive Deviance: How Unlikely Innovators Solve the World's Toughest Problems, https://www.youtube.com/watch?vFH8hb)vLQ

Singh, A. Burcell, P., Lindberg, C. (2004) Inspiring change and saving lives. The positive deviance way. Bordentown, NJ: Plexus Institute, ISBN 978-0692271650

FACULTY CONTACT INFORMATION

Clarice Golightly-Jenkins, PhD, RN, MSN, CNS

Assistant Professor / Clinical

School of Nursing

Office hours by appointment

Office: (210) 567-5898  

 

Wesley Richardson, PhD, MSN, RN, CNL

Assistant Professor

School of Nursing

Office hours by appointment

Office: (210) 567-5854




COURSE DESCRIPTION

This course is designed to prepare the professional chief nurse executive to provide strategic direction for all aspects of nursing care and care delivery operations for multiple clinical departments, hospitals, and service lines across the care continuum in regional and/or national healthcare systems to provide value.

CREDIT AND TIME ALLOCATION

Credit Hour Allocation: 3 Semester Credit Hours
Clock Hour Allocation: 3 Clock Hours Class (45 hours class)

PREREQUISITES

NURS 7321 Statistical Analysis for Quality Improvement and Health Delivery Systems
Or
PH 1690 Foundations of Biostatistics
NURS 7301 Methods for Evidence-Based Practice (EBP) Translational Science I
NURS 7323 Design and Analysis for Evidence-Based Practice (EBP) Translational Science II

PROGRAM OUTCOMES

Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

  1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
  2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
  3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
  4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
  5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
  6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
  7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
  8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.

COURSE OUTCOMES

  1. Analyze healthcare systems’ organizational strengths, weaknesses, opportunities and threats for providing quality and value across the care continuum.
  2. Analyze planning strategies at the highest organizational levels for the development of strategic and operational goals.
  3. Design effective and efficient strategic and operational management systems
  4. Develop plans for effective and efficient clinical care systems
  5. Describe the components for effective and efficient financial, human resource and knowledge building systems for a healthcare system with multiple components.
  6. Synthesize approaches for utilizing evidence in executive management and continuous improvement.




CLINICAL OUTCOMES

N/A

GRADING SCALE FOR GRADUATE COURSES

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)

CRITERIA FOR EVALUATION / GRADES

Course Requirements

Grade Percentages:
Class Participation and Online Discussions: 40%
Gap Analysis: 20%
Strategic Design for Organizational Improvement: 20%
Value Compass: 20%

Content Outline

Trends and Factors Influencing Contemporary Nursing & Health Administration 
Overview of Organizational Structure, Power & Politics
Leadership in Complex Environments
Decision-making, Problem Solving and Advanced Communication
Quality Improvement and Value in Healthcare Delivery Models
Financial, Human Resource, and Knowledge Building Systems
Interprofessional, Academic and Clinical Partnerships

CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

WRITTEN ASSIGNMENTS

  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.

APA GUIDELINES

The APA Publication Manual 7th edition is required for use in all nursing school programs. 

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.



PROFESSIONAL CODE OF CONDUCT

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.

http://catalog.uthscsa.edu/schoolofnursing/policiesandprocedures/

School of Nursing Netiquette Guidelines for Online Interaction

Netiquette guidelines provide information for behaving properly online, when using email, tweets or texts so that you may successfully communicate your thoughts in a manner that is respectful and avoids misunderstandings with others.

ADA ACCOMMODATIONS

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.

REQUIRED TEXT / REFERENCE

Crowell, D.(2020). Complexity Leadership. 3rd ed. Philadelphia: F.A. Davis. Library of Congress 2019956354.

Grenny, J., Patterson, M., McMillan, & Switzler, A. (2013). Influencer: The new science of leading change, 2nd ed. New York: McGraw-Hill. ISBN 978-0071808866.

Griffith, J., and White, K. (2011). Reaching excellence in healthcare management. Chicago: Health Administration Press. ISBN: 978-1567933642.

Grol, R., Wensing, M., Eccles, M., & Davis, D. (Eds.) (2013). Improving patient care: The implementation of change in health care. Chichester, West Sussex: John Wiley & Sons, Ltd. ISBN: 978-0470673386.

Harris, C., (2009). Expect to Win. Penguin Random House: New York. ISBN: 978-1594630514.

Horwath, R. Deep Dive. Austin, TX: Greenleaf Book Press. ISBN: 978-1929774821.

Singhal, A. Buscell, P., and Lindberg, C. (2014). Inspiring change and saving lives. The positive deviance way. Bordentown, NJ: Plexus Institute. ISBN: 978-0692271650.

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Block, P. (2011). Flawless consulting: A guide to getting your expertise used (3rd ed). San Francisco: Jossey-Bass Pfeiffer. ISBN: 978-0470620748.

CONTENT OUTLINE

Trends and Factors Influencing Contemporary Nursing & Health Administration 
Overview of Organizational Structure, Power & Politics
Leadership in Complex Environments
Decision-making, Problem Solving and Advanced Communication
Quality Improvement and Value in Healthcare Delivery Models
Financial, Human resource, and Knowledge Building Systems
Interprofessional, Academic and Clinical Partnerships

CALENDAR - 1st Day Only

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

Reflect on examples of positive deviance in your professional practice and linked with your organizational DNP quality improvement project. Complete required reading and videos listed below. Be prepared to present and discuss two or more examples of positive deviance and how care outcomes were improved and sustained in your practice. Be prepared to facilitate class discussion about Positive Deviance.

Webcast: The Positive Deviance Way: Solving Complex Problems by Uncovering and Amplifying Wisdom that is Present by Hidden. A keynote presentation by positive deviance researcher and author, Arvind Singhal, PhD (April 2, 2015).

What is Positive Deviance?
https://www.youtube.com/watch?v=H8FMF2KNfx8

Monique Sternin TedTalk
https://www.youtube.com/watch?v=B8J4fc3XyV4

The Power of Positive Deviance: How Unlikely Innovators Solve the World's Toughest Problems, https://www.youtube.com/watch?vFH8hb)vLQ

Singh, A. Burcell, P., Lindberg, C. (2004) Inspiring change and saving lives. The positive deviance way. Bordentown, NJ: Plexus Institute, ISBN 978-0692271650

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