Fall 2020

NURS 7311-ONLI Theories and Research in Leadership, Quality, Safety, and Evidence Base

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

Welcome to the UT Health San Antonio School of Nursing, Doctor of Nursing Practice program. We look forward to meeting virtually via Canvas Conference Tool for our first synchronous class on    Saturday, August 29, 2020, 3:00 to 5:50PM. 


FIRST WEEK OF CLASS: 

Prior to our August 29th meeting, read/view and complete entries below:


1.       Wheatley,M., &Frieze, D. (2011). Walk out walk on: A learning journey into communities daring to live the future now. San Francisco, CA:Berrett-Koehler Publishers. Or view the video: https://vimeo.com/29830363

 

2.      Heifetz,R., Linsky,M., & Grashow, A (2009). The practice of adaptive leadership:Tools and tactics for changing your organization and the world. Boston, MA: HarvardBusiness School Publishing.  P. 1-45. Or view the video:  https://www.youtube.com/watch?v=ioocNc-HvTs&t=50s

 

3.      Complete Kingdomality profile.  http://www.cmi-lmi.com/kingdomality.html

       Be prepared to discuss your results from the Kingdomality profile. 

 

4.     Be prepared to make a short positive presentation of yourself, verbally and in the comments.

 

For August 30 class, complete the following activities:

 

5.      Post your brief profile (see #4 above).

a.       Time as RN or Health Professional (indicate discipline)

b.      Professional organization(s) (roles in organization(s) 

c.       Community service   

d.      Certifications

e.       Current practice (include position title)

f.        Where you are in completing your graduate program

g.       Five-year plans/goals 

h.      Purpose for pursuing this degree

i.        How you will use your graduate preparation in leadership practice?

j.        Respond to two of your classmates via Canvas.

 

6.      Google Dr. Kathleen R. Stevens, RN, EdD, FAAN

View the 38 minute interview  from Open Pediatrics July 2019,entitled,  The Stevens Star Model of Knowledge Transformation to Improve Care and Outcomes,available at  https://www.openpediatrics.org/assets/video/stevens-star-model-knowledge-transformation-improve-care-and-outcomes

a.     Describe your overlapping interests with Dr. Stevens' key professional interests in 3-4 sentences.

b.     List 3 things you wish to discuss with her during this course.


FACULTY CONTACT INFORMATION

Dr. Kathleen R. Stevens, RN, EdD, ANEF, FAAN

Endowed Distinguished Professor

School of Nursing

Office:2.342 NS

Office Phone:210-567-3135

Fax:210-567-5882

Office hours (virtual): By appointment

E-mail: stevensk@uthscsa.edu


COURSE DESCRIPTION

This course focuses on leadership in complex adaptive systems as a foundation for leading and supporting practice-based improvement using evidence based frameworks to inform and shape health care improvement.  Microsystems, mesosytems, and macrosystems and their impact on healthcare quality, cost, and patient outcomes will be explored.  Exposure to state and federal health policy trends, interprofessional health care perspectives, strategic planning, and evaluation are essential for leading and achieving a patient-centered healthcare system that produces better care, better health, and lower costs.

CREDIT AND TIME ALLOCATION

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

PREREQUISITES

Graduate Standing

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 personal leadership styles.
  2. Evaluate the science of leadership in multiple interprofessional contexts.
  3. Analyze healthcare delivery as a complex adaptive system through the lens of complexity science.
  4. Compare and contrast creativity and innovation as leadership tools.
  5. Apply activities to promote creative thinking and innovation to facilitate transformation of the health care delivery system.
  6. Differentiate leadership work required at the micro, meso, and macrosystems levels of care to redesign how health care is delivered and inform health policy.
  7. Analyze frameworks for evidence-based practice.
  8. Develop a strategic plan for evaluating, transforming, and sustaining improvement over time that aligns across micro, meso, and macrosystem levels of the health care organization.

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

CRITERIA FOR EVALUATION /GRADES

Online Course Participation 40%
Faculty will post discussion questions. Students will make substantive comments for each question and respond to at least two peers’ comments. A rubric is posted for each Discussion in Canvas. 
 
Written Reflection Journal 40%
Reflection Journals are assigned for each overarching module. Students will complete journals before due date stated in Canvas. A rubric for Journals is posted in Canvas. 
 
Oral Presentation of Innovation Implementation Plan 20%
Students will present a strategic plan for Improvement Implementation to peers and faculty through Canvas Conference Tool. A rubric is posted for oral, virtual presentation.


CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

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

Brownson, R. C., Colditz, G. A., & Proctor,E. K. (Eds.). (2018). Dissemination and implementation research in health: translating science to practice. Oxford University Press.

Covey,S. R. (2013). The 7 habits of highly effective people: Powerful lessons in personal change. Simon and Schuster.

Kotter,J. P., & Rathgeber, H. (2006). Our iceberg is melting: Changing and succeeding under any conditions. Macmillan.

Oster,C., & Braaten, J. (2016). High reliability organizations: a healthcare handbook for patient safety& quality. Sigma Theta Tau.  AJN Book of the Year

Quinn, R.E. (2012). Deep change field guide. A personal course to discovering the leader within. San Francisco, CA: Jossey-Bass. ISBN 978-1-118-22114-3

Roussel, L, Thomas, PL, & Harris,JL.  2020.  Management and leadership.  8th ed.  Jones & Bartlett Learning.

 

PROGRAM RESOURCE TEXTBOOKS:

American Psychological Association (2020). Publication manual of the APA (7th ed.). Washington, D.C.:American Psychological Association. ISBN-13: 978-143383216



RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Adner, R. (2012). The wide lens. A new strategy for innovation. New York, NY: Portfolio/Penguin. EISBN 978-1-101-56132-4

Batalden, P., & Foster, T. (2012). Sustainably improving health care. Creatively linking care outcomes, system performance, and professional development. London/New York: Radcliffe Publishing. ISBN 978184619 521 1

Bryson, J. (2018). Strategic planning for public and nonprofit organizations: Jossey-Bass. ISBN 978-0-470-39251-5
 ISBN-10: 0470392517

Goldstein, J., Hazy, J.K., & Lichtenstein, B.B. (2010). Complexity and the nexus of leadership: Leveraging nonlinear science to create ecologies of innovation. USA: Palgrave Macmillan ISBN 978-0-230-62227-2

Heifetz, R.A., Linsky, M.,& Grashow, A. (2009). The practice of adaptive leadership: Tools and tactics for changing your organization and the world. Boston, MA: Harvard Business School Publishing. ISBN 978-1-4221-0576-4(or https://vimeo.com/29830363)

Henriksen, K, Battles ,JB, Keyes MA, et al., editors. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Aug. Minding the Gaps: Creating Resilience in Health Care https://www.ncbi.nlm.nih.gov/books/NBK43670/

Horwath, R. (2009). Deep Dive. Austin TX: Greenleaf Book Press.
EISBN 978-1-929774-82-1 


Vergenti, R. (2009). Design driven innovation. Boston, MA: Harvard Business Press. ISBN 978-1-4221-2482-6

Wheatley, M., & Frieze, D. (2011). Walk out walk on: A learning journey into communities daring to live the future now. San Francisco, CA: Berrett-Koehler Publishers. (or https://vimeo.com/29830363)

Yukl, G. (2012). Leadership in Organizations (8th ed.) Upper Saddle River, NJ: Prentice Hall. ISBN 000-0132771861

CONTENT OUTLINE

1.  Unit 1.  Leading in Times of Complexity and Rapid Change
a.  Leaders
b.  Leadership
c.  Science of Leadership
d.  Tools in Leadership

2.  Unit 2.  Quality Improvement and Safety
a.  Health Care as a Complex Adaptive System
b.  Institute of Medicine Quality Reports
c.  The Economic/Quality Imperative
d.  National Strategy for Improvement
e.  The Quadruple Aim
f.  Patient Protection and Affordable Care Act
g.  Value-Based Care
h.  Low Value Care
i.  Health Insurance Coverage
j.  Emerging Models for Delivering Care
k.  Virtual Care Delivery 
l.  Patient Centered-Medical Home (PCMH)
m.  Tools in Safety and Quality Improvement

3.  Unit 3.  Leading Organizational Improvement and Safety
a.  Safety before Quality
b.  Improvement Science
c.  Organizational Improvement Frameworks
d.  High Reliability Organizations Theory
e.  Science of Teams
f.  Dartmouth Institute of Clinical Microsystems
g.  Measuring System Performance 
h.  Implementation Science Theories
i.  Framework for Evaluating Impact of Evidence-Based Practice
j.  Model for Understanding Success in Quality Improvement (MUSIQ)
k.  Tools in Organizational Change


CALENDAR - 1st Day Only

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

Welcome to the UT Health San Antonio School of Nursing, Doctor of Nursing Practice program. We look forward to meeting virtually via Canvas Conference Tool for our first synchronous class on 
·  Saturday, August 29, 2020, 3:00 to 5:50 PM. 

FIRST WEEK OF CLASS: 
Prior to our August 29th meeting, read/view and complete entries below:

1.  Wheatley, M., & Frieze, D. (2011). Walk out walk on: A learning journey into communities daring to live the future now. San Francisco, CA: Berrett-Koehler Publishers. Or view the video: https://vimeo.com/29830363

2.  Heifetz, R., Linsky, M., & Grashow, A (2009). The practice of adaptive leadership: Tools and tactics for changing your organization and the world. Boston, MA: Harvard Business School Publishing.  P. 1-45. Or view the video: https://vimeo.com/29830363

 

3.  Complete Kingdomality profile.  http://www.cmi-lmi.com/kingdomality.html
Be prepared to discuss your results from the Kingdomality profile. 

4.  Be prepared to make a short positive presentation of yourself, verbally and in the comments.

For August 30 class, complete the following activities:

5.  Post your brief profile (see #4 above).

    1. Time as RN or Health Professional (indicate discipline)
    2. Professional organization(s) (roles in organization(s) 
    3. Community service   
    4. Certifications
    5. Current practice (include position title)
    6. Where you are in completing your graduate program
    7. Five-year plans/goals 
    8. Purpose for pursuing this degree
    9. How you will use your graduate preparation in leadership practice?
    10. Respond to two of your classmates via Canvas.

6.  Google Dr. Kathleen R. Stevens, RN, EdD, FAAN
View the 38 minute interview  from OpenPediatrics July 2019, entitled, The Stevens Star Model of Knowledge Transformation to Improve Care and Outcomes, available at  https://www.openpediatrics.org/assets/video/stevens-star-model-knowledge-transformation-improve-care-and-outcomes
a.  Describe your overlapping interests with Dr. Stevens' key professional interests in 3-4 sentences.
b.  List 3 things you wish to discuss with her during this course.


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