Fall 2020

NURS 7322-001 Healthcare Policy Analysis and Advocacy

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

The class is scheduled for Wednesdays, 9:00 – 11:50 AM. This semester we plan to meet via Canvas Conference unless conditions change to allow for face-to-face classes. Synchronous Classes will be held on the following dates: 8/26/20, 9/2/20, 9/16/20, 9/30/20, and 10/14/20. The rest of the class will be conducted asynchronously, but your regular participation in course activities is expected.


Please see the Welcome Announcement on the Canvas course site regarding an assignment that needs to be completed prior to our first class on 8/26/20.

FACULTY CONTACT INFORMATION

Paula Christianson-Silva, DNP, APRN, FNP-BC, ANP-BC

Course Coordinator

Assistant Professor, Clinical

Email: christianson@uthscsa.edu

Office: NSG 2.508

Office phone: (210) 567-5871

 

Kelly McGlothen-Bell, PhD, RN, IBCLC

Assistant Professor

Email: mcglothen@uthscsa.edu

Office: NSG 2.646

Office phone: (361) 877-8396

 

Deborah Kendall-Gallagher, PhD, MS, JD, RN

Adjunct Assistant Professor

Email: kendallgalla@uthscsa.edu

Office: Virtual

Office phone: (505) 352-4495

COURSE DESCRIPTION

This course prepares the nurse leader to advance the agenda of the rapidly changing care environment by examination of health policy research and analysis. Students will focus on policy process and develop and implement policy agendas. They will participate in collective decision-making, identifying roles and key stakeholders. The course will address how to identify gaps in policy knowledge and provide opportunity for nurse leaders to engage in processes that influence policy decisions at the institutional, local, state, regional, national and/ or international levels. The course will prepare the nurse leader to analyze the policy process and engage in politically competent care.

CREDIT AND TIME ALLOCATION

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

PREREQUISITES

NURS 7302 Theoretical Foundations for Leadership in Complex Adaptive Systems

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 the history, structure, and process of health policy in the United States. (DNP Essentials I, V; NONPF Competency: Policy 1)
  2. Critically analyze health policy proposals, health policies, and related issues from the perspective of consumers, nursing, and other stakeholders in policy and public forums. (DNP Essentials I, V, VI, VII; NONPF Competency: Policy 3)
  3. Demonstrate leadership in the development and implementation of institutional, local, state, federal, and/or international policy. (DNP Essentials V, VI, VII; NONPF Competencies: Leadership 1, 2, 3, 4, 6, 7 Policy 2, 4)
  4. Influence policy makers through active participation on committees, boards, and task forces at institutional, local, state, regional, national and/or international levels to improve health care delivery and outcomes. (DNP Essentials II, V, VI, VII; NONPF Competencies: Leadership 6, 7 Policy 2, 4, 5, 6, 7)
  5. Educate others, including policy makers at all levels, regarding nursing, health policy and patient care outcomes. (DNP Essentials V, VII; NONPF Competencies: Leadership 1, 2, 3, 4, 5, Policy 7)
  6. Participate in health services research and policy and economic analyses. (DNP Essentials III, V; NONPF Competencies: Policy 4, Quality 1,2, 3)
  7. Advocate for social justice, equity, and ethical policies within all healthcare arenas. (DNP Essentials V, VI, VII, VIII; NONPF Competency: Policy 4, 6, 7)

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

Assignment 1: Required Discussions / Class Participation – 20%

Assignment 2: Stakeholder Analysis for Selected Health Policy Issue Paper– 20%

Assignment 3: Legislative Interview Reaction Paper - 20%

 
Assignment 4: Development of Advocacy Strategy for Selected Health Issue – 20%

 Assignment 5: Final Presentation of Advocacy Strategy for Selected Health Issue – 20%

CELL PHONE POLICY

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

1. Course legislative library website: http://libguides.uthscsa.edu/nurs_7322

2. Dunn, W.N. (2017). Public policy analysis. An integrated approach (6thEd).  London: Routledge.  Print ISBN: 9781138743847, 1138743844 or E-Text ISBN 9781351721684, 1351721682 [rent or buy from UT Health Bookstore or student's vendor of choice]

CONTENT OUTLINE

1.  Health Policy and Advocacy
     a.  Introduction to Health Policy (setting the stage)
     b.  Health Policy Advocacy and the doctorally-prepared student
     c.  Ethical and global health policy issues
2.  Methodology of Policy Analysis (focus on selected health policy topic)
     a.  The Process of Policy Analysis
     b.  Policy Analysis in the Policy-Making Process
     c.  Structuring Policy Problems
     d.  Prescribing Preferred Policies
     e.  Evaluating Policy Performance
     f.   Developing Policy Arguments
     g.  Communicating Policy Analysis
3.  Developing an Effective Health Policy Advocacy Strategy
     a.  Using an Advocacy Model to Guide Strategy
     b.  Professional Leadership and Political Competency/Advocacy

CALENDAR - 1st Day Only

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

The class is scheduled for Wednesdays, 9:00 – 11:50 AM. This semester we plan to meet via Canvas Conference unless conditions change to allow for face-to-face classes. Synchronous Classes will be held on the following dates: 8/26/20, 9/2/20, 9/16/20, 9/30/20, and 10/14/20. The rest of the class will be conducted asynchronously, but your regular participation in course activities is expected.

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