Fall 2012

NURS 6230-01 Clinical Nurse leader (CNL) I: Role of the Advanced Generalist in Health Care Microsystems

Welcome to NURS 6230 Clinical Nurse Leader (CNL) I:  Role of the Advanced Generalist in Health Care Microsystems

FACULTY CONTACT INFORMATION

Paula Clutter, PhD, RN, CNL
Assistant Professor, School of Nursing
Department of Health Restoration & Care Systems Management
E-mail: Clutter@uthscsa.edu
Office Phone: (210) 567-5799
Office Room: NS 2.628
Office Hours: By Appointment

COURSE DESCRIPTION

The focus of this course is on assessment of clinical microsystems in healthcare settings to identify needed changes in the clinical trajectory for patients within the system. Development of the role of the CNL student as a patient care coordinator and educator for interprofessional team is the aim of this course. Improving patient safety, quality outcomes, and planning for implementation of innovations in care based on evidence-based practice will be discussed.

CREDIT AND TIME ALLOCATION

Credit Hour Allocation: 2 Semester Credit Hours
Clock Hour Allocation: 2 Clock Hours Class (30 hours class)

PREREQUISITES

• NURS 5339 Leadership for Quality, Safety, and Health Policy;
• NURS 5338 Advanced Pathophysiology;
• NURS 6210 Advanced Health Assessment & Clinical Reasoning;
• NURS 6302 Advanced Pharmacotherapeutics;
• NURS 5306 Advanced Theory for the Practice of Nursing;
• NURS 5307 Using Research for the Practice of Nursing

COURSE OBJECTIVES

1. Delineate the role of the CNL as a care coordinator and educator within a selected microsystem of patient care.
2. Develop a plan for microsystem analysis.
3. Examine the learning needs of selected patient groups in healthcare settings.
4. Evaluate the learning needs of staff and interprofessional teams with a specific aim of changing the microsystem approach to patient care.
5. Discuss the use of information systems and technology at the point of care to improve health care outcomes.

CLINICAL OBJECTIVES

N/A

CRITERIA FOR EVALUATION / GRADES

The course grade will be based on the following items:

Class & Online Participation/Assignments: 40%
Evidence-Based Quality Improvement Proposal: 40%
Evidence-Based Quality Improvement Proposal Presentation: 20%


Grading Scale:
A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60%

This course is web-enhanced. There will be 8 classes on campus and the remainder will be conducted on line. 

Eight On Campus Class Dates (0900-1100), Room 1.222:
August 30, 2012   
September 13, 2012 
September 27, 2012
October 11, 2012
October 25, 2012
November 8, 2012
December 6, 2012
December 13, 2012

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

Effective Fall 2010, the APA Publication Manual 6th 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.

ADA ACCOMMODATIONS

Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Admissions and Student Services within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: NS 1.106. 

REQUIRED TEXT / REFERENCE

• Covey, S.M.R. (2006). The speed of trust: The one thing that changes everything. New York: Free Press. ISBN# 978-1-4165-4900-0
• Crowell, D.M. (2011). Complexity leadership: Nursing's role in health care delivery. Philadelphia: F.A. Davis. ISBN# 978-0-8036-2233-3
• Melnyk, B. M. & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare. (2nd ed.). Philadelphia: Lippincott Williams & Wilkins. ISBN # 1-60547-778-8
• Nelson E.C., Batalden P.B., Godfrey, M. M. (2007). Quality by design: A clinical microsystems approach. San Francisco: Jossey-Bass. ISBN# 978-0-7879-7898-3
• Stevens, K.R. (2009). Essentials competencies for evidence-based practice in nursing. (2nd ed.). San Antonio, TX: Academic Center for Evidence-Based Practice, The University of Texas Health Science Center at San Antonio. This publication can be purchased from the Academic Center for Evidence-Based Practice office at the The University of Texas Health Science Center at San Antonio School of Nursing.
  
  
  

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

• Kotter, J. (2007). Leading Change. Harvard Business School Press. Boston: MA. ISBN# 0-87584-747-1

CALENDAR - 1st Day Only

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

August 30, 2012 (Thursday), 0900-1100, Room 1.222 School of Nursing

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