Fall 2021

NURS 6380-01 Fundamentals of Epidemiology

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

FACULTY CONTACT INFORMATION

Elizabeth Brownell, PhD, MA
Associate Professor
University of Texas Health Science Center at San Antonio
School of Nursing
Email:
Brownelle@uthscsa.edu

Office Hours: By appointment requested via email(not through CANVAS)


COURSE DESCRIPTION

This course is designed to study the distribution and determinants of health and disease in human populations.  Improving health by altering personal and environmental risk factors will be a major focus.  Epidemiological research using technology and public health informatics will also be introduced.

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. Apply knowledge of basic and advanced philosophy, theory (including causal inference), and principles of epidemiology as a scientific discipline to a study relevant to population health. (DNP Essential I, III, VII; NONPF Competency: Scientific Foundation 1,2)
  2. Explain the history and role of epidemiology within the broader field of public health. (DNP Essential I, VII; NONPF Competency: Scientific Foundation 1, 2)
  3. Explain the strengths and limitations of epidemiological strategies (cohort, case-control, cross-sectional, ecological, and intervention study designs) for studying associations between risk factors or exposures and rates of morbidity and mortality. (DNP Essential I, III; NONPF Competency: Scientific Foundation 1. 2)
  4. Use the natural history of one or more specific diseases or health conditions, including consideration of its causation, control and prevention to develop a study. (DNP Essential I, III; NONPF Competency; Practice Inquiry 2, 3)
  5. Apply basic and advanced principles and methods of epidemiology to research questions. (DNP Essential I, III; NONPF Competency: Scientific Foundation 3, 4)
  6. Design, collect, manage, critically analyze, and interpret data from an epidemiological study. (DNP Essential I, III; NONPF Competency: Scientific Foundation 1, 3)
  7. Evaluate the results of epidemiological studies for their relevance to clinical practice and policy. (DNP Essential V, VII; NONPF Competency: Policy 1, 4, 5, 6, 7)
  8. Explain the major sources of random and non-random error. (DNP Essential I, III; NONPF Competency: Scientific Foundation 4)
  9. Address ethical issues in epidemiological research. (DNP Essential VII, VIII; NONPF Competency: Ethics 3)

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


Grade Percentages:

 

10% -

Assignment #1 Research project: Introduction/background, research question/questions, and study objective/objectives.

10% -

Assignment #2 Student Virtual Presentations: Student-lead Journal Club of Epidemiologic or Public Health Research Study (15 minutes).

30% -

Assignment #3 Online Interaction Discussion Questions of Contagion the Next Time (2 responses to selected questions; 1 response to Peer Posting); 10% each.

30% -

Assignment #4 Written self-reflection of Epidemiology and aspects learned throughout this course.

20% -

Assignment #5 Open-book final exam.  



To prevent ethical issues related to grade inflation:

        *grades will not be “roundedup” i.e., an 89.9% is a B
        *no additional work for extra creditis considered

"Further details and information on discussions, assignments, and gradingcriteria are contained in the course information section in CANVAS".

A familiarity with introductory biostatistics is recommended but not mandatory.

Course materials, modules and discussion questions are posted in CANVAS.

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.     Celentano D and Szklo M. Gordis Epidemiology. 6th edition.Philadelphia, PA: Elsevier Saunders, 2018. (ISBN: 9780323552295). REQUIRED; both print and electroniccopies are available. ** Any Edition will do, but the 6th Editionincludes updated and current examples of the concepts presented.

2.     Galea S.  TheContagion Next Time. Oxford University Press, USA, 2021. (ISBN: 9780197576427). REQUIRED; bothprint and electronic copies are available. ** This book is scheduled forrelease November 1, 2021; please make sure to preorder you copy so thatyou can successfully complete the timely assignments.


RECOMMENDED (OPTIONAL) TEXT / REFERENCE

1.     Motulsky H. Intuitive Biostatistics:A Nonmathematical Guide to Statistical Thinking 4th Edition. OxfordUniversity Press, 2017. (ISBN: 0190643560).


CONTENT OUTLINE

Virtual meetings will be on CANVAS

Week/date

Topic

Readings

Meeting format

1

8/24/21

 

 

Descriptive Epidemiology

(Dr. Brownell)

Gordis Chapters1, 7

 

Virtual Meeting (course overview; Dr. Brownell)

 

Virtual Meeting (literature review and research question selection; Ms. Emme Lopez) **pre-meeting work required

 

 

Asynchronous lecturing

 

Virtual Meeting

 

 

 

2

8/31/21

 

 

Occurrence of Disease I, II

(Dr. Brownell)

Gordis Chapters 3-4

 

Asynchronous lecturing

 

 

 

Virtual Meeting:  Office hours

 

 

3

9/7/21

 

Natural History of Disease

Infectious Disease

Outbreak Investigations

(Dr. Brownell)

Gordis Chapters1, 2, 7

       

Asynchronous lecturing

 

 

Virtual Meeting:  Office hours

 

4

9/14/21

Observational Studies

Case-Control/Cohorts Studies

(Dr. Brownell)

Gordis Chapters 7, 8

 

Asynchronous lecturing

 

Virtual Meeting:  Office hours

 

5

9/21/21

 

 

Randomized Trials

(Dr. Brownell)

Gordis Chapters 10, 11

 

Asynchronous lecturing

 

Virtual Meeting:  Office hours

 

6

9/28/21

 

Risk Estimation

Bias

(Dr. Brownell)

Gordis Chapters 12, 13

 

 

Asynchronous lecturing

 

Virtual Meeting:  Office hours

 

 

7

10/5/21

 

Causal Inference

Confounding

Interaction

(Dr. Brownell)

Gordis Chapters 14, 15

 

 

 

Asynchronous lecturing

 

Virtual Meeting:  Office hours

 

8

10/12/21

 

 

Reliability/Validity

Screening

(Dr. Brownell)

Gordis Chapter 5

 

 

Asynchronous lecturing

 

Virtual Meeting:  Office hours

 

Assignment # 1 due 11:59pm

 

 

9

10/19/21

 

Prognosis Expression

(Dr. Meyer guest lecture)

 

Gordis Chapter 6

 

 

Asynchronous lecturing

 

Virtual Meeting:  Office hours

 

 

10

10/26/21

 

Public Health/Policy

(Dr. Du; guest lecture)

Gordis Chapter 19

 

 

Asynchronous lecturing

 

Virtual Meeting:  Office hours

 

 

11

11/2/21

 

The Contagion Next Time

 

 

Virtual Meeting:  Office hours

 

Virtual Meeting:  Student Presentations (Assignment #2)

 

12

11/9/21

 

The Contagion Next Time

 

 

Virtual Meeting:  Office hours

 

Virtual Meeting:  Student Presentations (Assignment #2)

 

13

11/16/21

 

The Contagion Next Time

 

 

Virtual Meeting:  Office hours

 

Virtual Meeting:  Student Presentations (Assignment #2)

 

14

11/23/21

 

The Contagion Next Time

 

Virtual Meeting:  Office hours

 

Assignment # 3 due 11:59pm

 

15

11/30/21

 

 

Virtual Meeting:  Office hours

 

Assignment # 4 due 11:59pm

 

16

12/7/21

 

 

 

 

Assignment # 5 due 11:59pm

 

**Interactionwith the lectures/modules/course texts are required; they will ensure yoursuccess with student’s online participation and research project.


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