university of central florida - christopher w...

UNIVERSITY OF CENTRAL FLORIDA

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College of Nursing

UNIVERSITY OF CENTRAL FLORIDA

COLLEGE OF NURSING

Fall 2011

Course Number: NGR 5884

Course Title: Legal and Professional Behavior in Advanced

Practice Nursing

Credit Hours:3 (3, 0)

Prerequisites or Co-requisites: Graduate Standing and Admission to the Graduate

MSN or DNP Program

Mode of Delivery: Web-based

FacultyChristopher W. Blackwell, Ph.D., ARNP, ANP-BC, CNE

Office: UT: 453 (hours by appt.)

Office Phone: (407) 823-2517

Personal Cellular Phone: (407) 375-4334

[email protected]

Catalog Description: Examine legal, ethical, cultural, and political issues related to

professional advanced practice nursing

Purpose: Explore and analyze issues relating to the legal, ethical, cultural,

and political landscape of advanced practice nurses and examine

the fiscal and cultural implications of advanced practice nursing.

Course Objectives: Upon completion of this course the student will:

1. Analyze the evolving health care system in an historical and cultural context.

2. Explore a variety of advanced practice nursing roles.

3. Describe the centrality of primary care in health care systems and providers.

4. Analyze fiscal, cultural, and legal issues in advanced practice nursing care.

5. Explore ethical principles which impact advanced practice nursing.

6. Formulate political strategies to influence political and regulatory processes for influencing health care policies and practice.

7. Begin developing an advanced practice nursing professional portfolio.

Teaching/Learning Strategies:

Contact with political leaders and/or your local state representative and state senator; communication with professional organization(s), student discussions within groups, continuing development of professional portfolio, module assignments, Internet assignments, quizzes.

Units of Instruction: (Note order of content in lecture will vary slightly. See course schedule)

I. Role Development - The Professional Electronic Portfolio

A. Defining the roles in advanced practice nursing:

- Advanced Nurse Leaders and Managers

- Advanced Registered Nurse Practitioners

- Clinical Nurse Specialists

- Clinical Nurse Leaders

- Nurse Educators

B. Developing a professional curriculum vitae

C. Building the required components of a professional portfolio:

- Professional information and views

- Professional qualifications and activities

- Academic Records

D. Professional certification—state and organizational requirements

II. The Advanced Practice Nurse in the American Healthcare System

A. The American Healthcare System

B. Financial foundations of healthcare

C. The evolution of managed care

D. Development of advanced nursing practice roles:





- Nurse Educators

III. Advanced Practice Nursing Roles: A Theoretical Perspective

A. Theories of change

B. Theories of leadership and management

C. Theories of educational leadership

D. Theories of clinical management

IV. Ethical Considerations

A. Major ethical theoretical frameworks:

- Deontological perspectives

- Teleological perspectives

B. Application of ethical theory to advanced practice nursing

C. Case study applications:

- Applied ethics in primary and acute care environments

- Applied ethics in nursing education, management and research

V. Business and Fiscal Issues in Advanced Practice Nursing

A. Marketing the role of professional nursing

B. Designing, assessing, and negotiating professional contracts:

C. Designing and analyzing clinical, education- and research-based, and

management employment position descriptions

D. Professional liability, malpractice, and malpractice insurance

VI. Cultural Competence

A. Principles of cultural competence

B. Diversity and health disparity issues

C. The role of culture in major life events and illness

D. Building multicultural teams and strengthening organizations through diversity

E. Legal aspects and multicultural issues in education and healthcare employment

environments

VII. Political Advocacy

A. The local, state, and federal legislative process

B. The implications of the branches of government on healthcare policy

C. American Nurses Association and Florida Nurses Association legislative

agenda/political strategies

D. Nursing organization and legislative agendas

E. Political strategies to influence nursing-related legislative agendas

F. Selected strategies in advanced practice nursing

Required Texts

Mason, D.J., Leavitt, J.K., & Chaffee, M.W. (2012). Policy and politics in nursing and

health care (6th Ed.). St. Louis, MO: Elsevier.

Stanley, J. (2010). Advanced practice nursing: Emphasizing common roles (3rd Ed.).

Philadelphia, PA: FA Davis.

Course Schedule

Date

Content

Assignment

August 22, 2011

UCF Classes Begin

August 25, 2011

Last to Drop/Swap Classes for Full Refund (11:59 PM)

October 27, 2011

Last to Withdraw (11:59 PM)

August 22, 2011

August 29, 2011

I. Role Development - The Professional Electronic Portfolio

A. Defining the roles in advanced practice nursing:





- Nurse Educators

B. Developing a professional curriculum vitae

C. Building the required components of a professional portfolio:

- Professional information and views

- Professional qualifications and activities

- Academic Records

D. Professional certification—state and organizational requirements

Mason, Leavitt, & Chaffee (2012):

Unit 4:

· Chapters 49-51

Unit 6:

· Chapters 81-83

Post an introduction to your classmates and me during the first week of class under the discussion heading provided for this purpose.

Professional Portfolio (electronic) must be submitted by Noon on Monday November 14th, 2011.

Professional Meeting Assignment Due within 48 hours of attendance. Final date of submission is November 14th, 2011.

September 5, 2011

September 12, 2011

September 19, 2010

September 26, 2010

II. The Advanced Practice Nurse in the American Healthcare System

A. The American Healthcare System

B. Financial foundations of healthcare

C. The evolution of managed care

D. Development of advanced nursing practice roles:





- Nurse Educators


Unit 2:

· Chapters 13-33

Stanley (2010):

· Chapters 1-3; 5; 13- 14

American Association of Colleges of Nursing (2009). The essential clinical resources for nursing’s academic mission. Available for download from the American Association of Colleges of Nursing Web Site: http://www.aacn.nche.edu/Education/pdf/ClinicalEssentials99.pdf

Post Rough Draft Version of CV and Philosophy due by 2355 on September 12, 2011.

October 3, 2011

III. Advanced Practice Nursing Roles: A Theoretical Perspective

A. Theories of change

B. Theories of leadership and management

C. Theories of educational leadership

D. Theories of clinical management

Stanley (2010):

· Chapters 4; 9; 15

·

American Association of Colleges of Nursing (2009). The essential clinical resources for nursing’s academic mission. Available for download from the American Association of Colleges of Nursing Web Site: http://www.aacn.nche.edu/Education/pdf/ClinicalEssentials99.pdf

CV due by 2355 on October 3, 2011.

October 10, 2011

IV. Ethical Considerations

A. Major ethical theoretical frameworks:

- Deontological perspectives

- Telelogical perspectives

B. Application of ethical theory to advanced practice nursing

C. Case study applications: - Applied ethics in primary and acute care environments

- Applied ethics in nursing education, management and research


Unit 3:

· Chapter 39

· Chapter 42

Unit 4:

· Chapter 53

· Chapter 56

Stanley (2010):

· Chapter 11

Individual Case Studies:

- Nurse Practitioner Track

Students Case Study

- Clinical Nurse Leader

Track Students Case

Study

- Clinical Nurse Specialist

Track Students Case

Study

- Nursing Management and

Leadership Track

Students Case Study

- Nurse Educator Track

Students Case Study

Midterm Examination (Covers Content from Course Units I-III) opens at 1200 on Monday October 3, 2011 and closes at 2355 on Sunday October 9, 2011.

Applied Ethics Case Study: Each student must answer one question from their group’s case. The posting must be completed by 2355 on Sunday October 16, 2011.

October 17, 2011

October 24, 2011

V. Business and Fiscal Issues in Advanced Practice Nursing

A. Marketing the role of professional nursing

B. Designing, assessing, and negotiating professional contracts:

C. Designing and analyzing clinical, education- and research-based, and management employment position descriptions

D. Professional liability, malpractice, and malpractice insurance


Unit 4:

· Chapter 47- 48

· Chapter 59- 62

Stanley (2010):

· Chapters 6-8

October 31, 2011

November 7, 2011

VI. Cultural Competence

A. Principles of cultural competence

B. Diversity and health disparity issues

C. The role of culture in major life events and illness

D. Building multicultural teams and strengthening organizations through diversity

E. Legal aspects and multicultural issues in education and healthcare employment environments


Unit 2:

· Chapter 22

Unit 6:

· Chapter 88

Unit 7:

· Chapters 101-104

Stanley (2010):

· Chapter 12

November 14, 2011

November 21, 2011

November 28, 2011

VII. Political Advocacy

A. The local, state, and federal legislative process

B. The implications of the branches of government on healthcare policy

C. American Nurses Association and Florida Nurses Association legislative agenda/political strategies

D. Nursing organization and legislative agendas

E. Political strategies to influence nursing-related legislative agendas

F. Selected strategies in advanced practice nursing


Unit 1:

· Chapters 1-12

Unit 5:

· Chapters 64-66

· Chapter 68

· Chapter 70

· Chapters 74-75

Stanley (2010):

· Chapter 2; 16

Final Examination (Covers Course Units IV-VII) Opens at Noon on Saturday, November 26, 2011 and closes at 2355 Monday, December 5, 2011.

Evaluation Methods

1. Midterm Examination40 points

2. Applied Ethics Case Study 50 points

3. Professional CV Development20 points

4. APN Professional Meeting Summary20 points

5. Professional Electronic Portfolio 50 points

6. Final Examination40 points

220 points

Grading System: (this is the scale used once all points have been added).

Points

96-100 A210 - 220

92-95 A- 201 - 209

87-91 B+190 - 200

83-86 B182 - 189

79-82 C+*173 - 181

75-78 C *164 – 172

70-74 D **153 - 163

69 or below F**152 or below

*/** Unacceptable, non-passing grades:

* - Not acceptable for progression in the Doctor of Nursing Practice Program.

** - Not acceptable for progression in the Master of Science in Nursing or DNP Program.

** All assignments are due on their noted DUE DATE. Late assignments will be significantly penalized. It is recognized that a student may have an emergency - students may request an extension for an assignment. Extensions are negotiated individually. Vacations are not acceptable reasons for late assignments - students will need to make provisions for web access. Web Courses assignments are due at Midnight of Due Date.**

Summary of Assignments

Midterm and Final Examinations (80 points): A midterm examination (covering Units I- III) and final examination (covering Units V-VII) will consist of 40 total questions each in multiple choice and/or matching format. The midterm examination will open at 1200 on Monday October 3, 2011 and close at 2355 on Sunday October 9, 2011. The final examination will open at 1200 on Saturday, November 26, 2011 and closes at 2355 on Monday, December 5, 2011. Students are NOT permitted to work on the examinations in groups. Exams undergo statistical analyses to assess for statistically similar responses to help identify cases of academic dishonesty. Each student is responsible for completing the examination individually and the use of any other individual to complete the examination constitutes a breach in academic honesty and will result in a failing grade in the course.

Applied Ethics Case Study (50 points): Students will be separated into focus groups. Each group will examine an advanced practice nursing ethical issue presented as a case study of an ethical dilemma in the primary or acute care setting, nursing management, or nursing education/ research environment. Students will work as a group to address the issues within the case study and each member will be responsible for answering one of the questions within their group’s case study. In addition, students must read the other focus groups’ case studies along with their own. Post your answer by putting “LAST NAME—Ethics Question #” in your focus group’s discussion board and “LAST NAME—Ethics Response” to the focus group discussion you respond to. Grading is based on the following:

Grading Criteria

Points Allocation

Addresses each item in the question appropriately; provides adequate responses to each item; comprehensively answers each item in question.

15 points

Use of prior research and evidence-based data in the problem-solving approach to the dilemma.

15 points

Response to one group’s post in any other focus group:

· Provides 2 evidence-based rationales for either agreeing or disagreeing with the group’s approach

· Provides 1 additional unique recommendation for the group

10 points

Correct use of American Psychological Association (6th Ed.) style for references.

10 points

Professional Curriculum Vitae Development: Students are required to develop their CV's and post them to the Module 1 discussion board for peer review. Discussion should center on the importance of the CV and include your ideas about at least two critical elements of one group member's CV you have read. To ensure each group member's CV is evaluated, pair-up in groups of two and evaluate each other's CV (you should complete this task independently ... Dr. Blackwell will not randomly pair students). Your final CV is to be submitted as an attachment under the Assignments tool in this course by 2355 on October 3rd. Your CV must be in a presentable format and not have errors!

Grading Criteria

Points Allocation

Uses appropriate formatting and is aesthetically pleasing, well-articulated and easy to read and analyze

10 points

Contains required subject/ topic areas and is completed appropriately with adequate artifacts and information

10 points

Professional Meeting Summary (20 points): Explore and investigate your APN organizations and find a local or state group with which it is affiliated. Locate the state or local group. Attend one of its meetings and provide a summary of the attended meeting. Examples include the Central Florida Advanced Practice Nursing Council, Sigma Theta Tau International Honor Society of Nursing (Theta Epsilon), Florida Organization of Nurse Executives, and the Florida Nurses Association. In your post, include the:

a) the name of organization

b) the date and location of meeting

c) a brief description of its activities and mission (found on most organizational Web

sites)

d) a brief assessment of the meeting

Post the assignment to the Assignments tool in this course under the heading Professional Meeting Summary.

Note, this assignment MUST be completed within 48 hours (by November 14, 2011) of meeting attendance to receive credit or an alternate assignment submitted as described below.

Alternative Professional Meeting Assignment: As an alternative to attending a professional meeting, students can opt instead to perform a critical contrast and comparison of two related professional organizations. Students will provide an overview of the mission of the organizations, their respective historical foundations, and each organization’s political strategy on a particular issue. Next, using an evidence-based approach, students will select the organizational approach he or she agrees with most, outline an effective strategy the organization can employ to help attain their goal on the issue, and identify how involvement in this organization might benefit the student’s professional career. The deadline for this alternative assignment is November 14, 2011.

Again, this is to be posted to the Assignments tool under the Meeting Assignment heading.

Grading Criteria

Points Allocation

Section I: Overview of the Professional Organizations

· Overview of the organizational missions

· Historical Foundations of the organizations

6 points

Section II: Political Strategy

· Organizational strategies on a particular issue

· Evidence-based approach to implementing political strategy

6 points

Section IIII: Personal Value of the Organizations

· Identifies one attribute of an organization and articulates its value to his or her professional career

3 points

Correct use of American Psychological Association (6th Ed.) style for references/ grammar.

5 points

Professional Electronic Portfolio (50 points): Each student will prepare an electronic (digital) portfolio using the content within Unit I. The portfolio will begin to highlight professional accomplishments, preparation, and professional development. There are three main components to the professional portfolio, which must be prepared electronically. These components include the personal information and views section, professional qualifications and activities section, and academic records. Grading is based on the following criteria:

Grading Criteria: Professional APN Portfolio

Portfolio Components

Present in Portfolio?

Grade/ Comments

I. Personal Information and Views:

a. Letter of Introduction

b. Curriculum Vitae

c. APN Philosophy

/10

II. Professional Qualifications and Activities:

a. APN Documentation:

i. License

ii. Malpractice Section (for clinical tracks)

iii. National Certification Section (as applicable)

iv. Additional certifications in practice and specialty area.

v. CEU’s achieved over the last 5 years (required for licensure, but also an indication of additional scholarly efforts).

b. APN Position Description (For clinical specialties with an independent job placement, this is very appropriate. For those in working in an organization with a defined job description you can share that ..or preferably, share your short and long term goals).

c. Scope of Practice/ Contract (for clinical specialties this is an important component of the portfolio, for others this component is most likely related to {b}of above).

d. Political Advocacy Efforts

(reflect course requirements

.. not suggested to place in a

portfolio for potential

employers or for academic

admission): Advocacy for

professional nursing practice

is critical to the advancement

of the profession. Exercise of

advocacy is a personal

responsibility. Please share

how you would go about

exercising that responsibility.

e. Professional Development Plan

/20

III. Academic Records:

(Many of the requirements in this section will vary based upon your professional specialty. Please adapt as appropriate checking with your instructor if you have questions.)

a. Preceptor table (clinical tracks) or a description of experiences under the direction of a speciality preceptor, including hours committed and completed.

b. Graphic presentation of clinical activities (clinical tracks) or the course and individualized objectives related to your practicum or internship experience.

c. Professional work product examples (papers, reports, PPT, etc.)

d. Abstracts from major academic papers or publications (NGR 6813 project and others as applicable.)

e. UCF Degree Audit (the degree audit attests to your academic achievements as well as role specific requirements for certification and licensure ... please be careful to use it only to attest to your accomplishments ... Black out any personally identifying information including grades, GPA, etc. as appropriate).

/20

Overall Grade on Assignment

/50

Please submit the final portfolio under the Assignments tool in this course labeled Portfolio.

Access to the WebCourses On-Line Classroom Environment Site

Required On-line Resources:

1) WebCourses Course Site: WebCourses will be used for communication of class announcements and correspondence between faculty and students and among class members. In addition, the WebCourses will be used for lecture enhancements, discussions, etc. To send a note to the faculty member, choose class mail and choose my name or instructor. This note will go only to the faculty member the reply will go only to the student who wrote the initial question. To send a note to the whole class (e.g. to ask for clarification on a class topic, a question about the paper etc) use the bulletin board/forum section so the note and answer will go to everyone.

WHAT IS MY NID?

The NID is the “Network ID” used to identify UCF students to several central computing systems for LAN access (public computer labs), email and web pages (Pegasus) and WebCourses for web classes. The NID will be the same for each system but the passwords for each system are maintained by each separate system.

The format of the NID is:

ffnnnnnn

where ‘ff’ is the first two letter of the student’s first name (lowercase), and ‘nnnnnn’ is a six-digit number that is randomly generated. If only one character for the first name is available, that character will be duplicated for the two letters.

The format of the default (initial) password of the NID is:

PYYMMDD

where ‘P’ is the letter ‘P’ (uppercase) and the remaining information is your birthdate in ‘YY’ (year) ‘MM’ (month) and ‘DD’ (day) format. You will be able to obtain the NID from the main PeopleSoft logon screen in the near future.

For example, if a student’s first name is Jim, his birthday is April 19, 1980, and his random number is 500241 then his NID information would be:

NID: ji500241

Password: P800419

Course Learning Modules/ Class Notes: Each unit within the course has a specific learning module consisting of an outline of the unit’s material. Students should read through each and read the required reading for each module to prepare for the unit examinations and to complete required assignments. The module presentations are viewable via the WebCourses by clicking on “Modules.”

Statements, Policies, and Regulations Regarding Academic Honesty/ ADA

Office of Student Rights and Responsibilities

University of Central Florida

YOUR ENROLLMENT STATUS MAY BE AT RISK!

Academic Dishonesty in any form will not be tolerated!!!

The University of Central Florida has recently started an account with turnitin.com., an automated system which instructors can use to quickly and easily compare each student's report to billions of web sites, as well as an enormous database of student papers that grows with each submission. After submission of the paper, instructors receive a report that states if and how another author's work was used.

Violations of student academic behavior standards are outlined in The Golden Rule, the University of Central Florida's Student Handbook. See http://www.ucf.edu/goldenrule/ for further details.

1. Cheating whereby non-permissible written, visual or oral assistance including that obtained from another student is utilized on examinations, course assignments or projects. The unauthorized possession or use of examination or course related material shall also constitute cheating.

2. Plagiarism whereby another's work is deliberately used or appropriated without any indication of the source. Thereby attempting to convey the impression that such work is the student's own. Any student failing to properly credit ideas or materials taken from another has plagiarized.

3. A student who has assisted another in any of the aforementioned breach of standards shall be considered equally culpable.

ACADEMIC ACTION

* Taken by Instructor, Chair, or Dean of College*

1. Counseling

2. Loss of credit for specific assignment, examination or project.

3. Removal from course with a grade of "F" and/or

CONDUCT REVIEW ACTION

*Taken by the Office of Student Conduct*

1. Warning

2. Probation

3. Suspension

4. Expulsion

5. Permanent conduct record with UCF accessible by other institutions by request.

For more information, please contact the Office of Student Conduct at 823-2851.

NUR3825f01.doc

DW/dw 8/8/98

rev 8/22/11

American Nurses Association

The Code of Ethics for Nurses 2001

Just as our behaviors are held to a University of Central Florida and College of Nursing ethical standards, we are also held to our standards as professional nurses. The ANA Code of Ethics does apply to all efforts undertaken as a part of this course. To review those standards please use the following web link:

http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx

If you cannot access the document directly, please copy and paste the link into your web browser. Persons With Disabilities: The University of Central Florida is committed to providing reasonable accommodations for all persons with disabilities. Students who need accommodations must be registered with Student Disability Services (SDS), Student Resource Center Room 132, phone (407) 823-2371, TTY/TDD only phone (407) 823-2116, before requesting accommodations from the professor. Students who are registered with SDS and need accommodations in this course must contact the professor at the beginning of the semester to discuss needed accommodations. No accommodations will be provided until the student has met with the professor to request accommodations. This syllabus is available in alternate formats upon request.

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