Wright State University-Miami Valley
College of Nursing & Health
SUMMER 2006
COURSE NUMBER: NUR 756:C90 ONLINE
COURSE TITLE: Professional Role Development and Leadership for Advanced Practice Nursing
PLACEMENT IN CURRICULUM: Master's program
PREREQUISITES: Graduate standing or permission of instructor
CATALOG DESCRIPTION: Introduction to theories and concepts as a basis for role development and leadership in complex, interdisciplinary health care systems with an emphasis on implications for nursing practice, administration and education. The course focuses on understanding and synthesizing concepts that will foster leadership for advanced nursing practice across a variety of roles in multiple settings.
CREDIT ALLOCATION: 3 credit hours
COURSE OBJECTIVES
1. Articulate the history and development of advanced practice nurse roles.
2. Debate the differentiated advanced practice nurse roles.
3. Examine practice models and health care delivery systems.
4. Examine standard guidelines relative to clinical and administrative practice for advanced practice nurses.
5. Debate the legal-ethical implications of the economics, social, political, and technological environment for advanced practice nursing roles.
6. Analyze current issues and research within advanced practice nursing.
7. Integrate selected practice, administration and education theories and concepts as a theoretical basis for advanced nursing leadership.
8. Use principles of fiscal management to develop a budget for managing resources for advanced nursing practice.
9. Examine selected processes that provide a basis for implementation of the APN role.
COURSE LOCATION AND CLASS TIMES: This is a synchronous and asynchronous course. You will be required to listen to a lecture each week which you may do at anytime prior to the class meeting. You will be required to attend the synchronous portion of the course online on Tuesdays from 6:00-7:00pm. The Tuesday class will be on WebCT in Chat Room 1.
To access WebCT, go to wisdom.wright.edu and select the logon icon. You must put in your campus user name and password. You should select Nur 756 from the left column, this will take you to the Nur 756 Homepage. Select the Course Content and Related Materials icon to access the audio streaming lecture. To access Chat Room 1, select the Communication Tools on the Homepage and select the Chat icon. Choose Chat Room 1 to join your classmates for discussion. You should be able to access WebCT on the first day of summer session, June 12th.
FACULTY: Margaret Clark Graham, PhD, CRNP
132 University Hall
Office phone: 775-3194
Office hours: By appointment
E-mail [email protected]
Secretary: Cherri Thompson, 131UH, 775-3194 [email protected]
OFFICE HOURS: Please schedule an appointment.
TEXTBOOKS REQUIRED
Kouzes, J. M., & Posner, B. Z. (2002). Leadership the challenge (3rd ed.). San Francisco, CA: Jossey-Bass.
Hamric, A. B., Spross, J. A., & Hanson, C. M. (2004). Advanced nursing practice: An integrative approach (3rd ed.). Philadelphia: W. B. Saunders.
Pick the text that would be appropriate for your track:
American Nurses Association. (2004). Nursing: Scope and Standards of Practice (Pub# 03SSNP)
American Nurses Association. (2004). Scope and Standards for Nurse Administrators (2nd ed.) (Pub# 03SSNA)
American Nurses Association & American Association of Critical Care Nursing (1995).
American Nurses Association. (2004). Scope and Standards of Professional School Nursing Practice (Pub# SHNP21)
NACNS Statement of Clinical Nurse Specialist Practice and Education (1998).
RECOMMENDED TO PURCHASE:
Bastable, S. B. (2003). Nurse as educator: Principles of teaching and learning for nursing practice (2nd Ed.). Boston: Jones and Bartlett. Good for those doing patient education, any setting or population.
LPlease note the last day to drop a class with a 100% refund is Friday, June 16th. Last day to drop with 70% refund is Tuesday, June 27th. Last day to drop without a grade is Thursday, June 30th. The last day to drop a class with a grade of “W” is July 18th.
EVALUATION METHODS
Class participation 20%
Observation of Role Project and Paper 35% (Due July 24th)
Leadership Application Exercise 10% (Due July 31st)
Leadership at the movies 5% (Due July 30th)
Portfolio 15% (Due July 17th)
Final Exam 15% (August 15th)
Your assignments are to be done as an individual effort. The University Guidelines for Academic Integrity apply to all work for the class. Please refer to your student handbook for general policy and procedures regarding student conduct. You are responsible for knowing these policies.
Plagiarism will result in a grade of “O.”
COURSE REQUIREMENTS
1. Class attendance and participation in discussion (20%). The class discussion will take place in Chat Room 1 on WebCT on Tuesdays from 6:00-7:00pm beginning June 13th.
An important part of being an effective leader is being present and available. As APNs, you will be in many situations where if you aren’t there, the “whole thing will fall apart.” Another important part of being an effective leader is contributing to the process. Before coming to class each week assigned materials should be read and thought about, and you should be prepared for thoughtful discussion of the content by class-time. Attendance will be taken in each class and 2% will be deducted from student’s final grade for each missed class (the only exception will be death in the family or illness with health care provider’s note).
Your participation grade will be evaluated based on:
A. Preparation for the classroom discussion as evidenced by reflections from required readings, and video streaming lectures
B. Quality of comments
C. Ability to pose thought provoking questions
D. Appropriate responses to questions from peers and faculty
When we are in class on Tuesdays from 6:00 - 7:00pm please remember that it is a class, not a chat room. Please remember to conduct yourself as if you are in a classroom. Try to refrain from making random statements or having side discussions with classmates during the class period. If you have difficulty determining if you should make a statement during the discussion, a good litmus test is to ask yourself if you were sitting in a classroom on campus if you would make your statement out loud in the classroom.
A good link to learn about net etiquette is: http://www.albion.com/netiquette/corerules.html
When you are taking a class either online or in the classroom it is important that you get to know your peers. During your graduate education you will learn so much from your peers and they will be a great resource to you. It is a little more difficult to get to know your peers when you do not see them once a week. In the past, students in the online program have done an excellent job in developing close ties with their classmates. In order to help you get to know more about your classmates you are asked to introduce yourself to the class. The week of June 12th (not later than June 17th) you are required to introduce yourself on the Student Homepage in WebCT. Please upload a picture of yourself. The Student Homepage may be found in the Communication Tools section of WebCT. Please include the following in your introduction
T where you live
T current or most recent employment,
T educational history
T Impetus for your graduate degree
T work plans upon completion of your graduate degree.
Other information that may be included in your introduction but is not required includes:
u family information
u hobbies or other points of interest that will help us get to know you better
If you do not have access to a digital camera, you may come to WSU, and Cherri Thompson can take your picture using a digital camera.
2. Observation of Role Project and Paper (35%) - You will be required to spend a minimum of four hours with an APN who is working in your specialty. You will be required to write a paper that includes the following:
Direct Practice
A. What exactly does the person do? What is the job title? Ask to see their job description and if permitted note what is included and excluded. (1pt)
B. Compare the practice of the APN to a practice model you select from the literature (primary care APNS may wish to consider the Schuler Model). (2 pts)
C. Compare the Scope of Practice you observe to the Scope of Practice in the state law or territory where the APN practices and to the certifying body that certifies the APN. (2 pts)
D. Compare the practice to the Board of Nursing Law and Rules for the state or territory where the APN practices. Include collaboration, prescriptive authority, and delegates (2 pts)
E. Does the APN take call? Does the APN have hospital admitting privileges? (1 pts)
F. For nurse practitioners clinical nurse specialists
- Does the APN see themselves as a provider or staff in the practice? (Are they included at provider meetings?) (1pt)
- State how the APN obtains medication for their patients (do they have prescriptive authority)? (1 pt)
- Does the APN have access to samples or stock drugs? If so how are the drugs managed and does the APN use them? Compare the use of samples and stock drugs to the state law and rule in the state or territory where the APN practices. (1 pt)
- Does the APN provide education to the patient? If yes, than how does the APN educate the patient? Does the APN:
1. determine the characteristics of the learner (1 pt)
2. assess the motivation of the learner (1 pt)
3. assess literacy level in adult patient (1 pt)
4. What theoretical framework does the APN implement in providing patient education? (1 pt)
Research
A. Is this person involved in nursing or other research? Include quality assurance, audits, patient centered or agency centered research. How and what is her/his role? (1 pt)
Collaboration
A. How does the APN describe the relationship with physicians? Is it collaboration or supervision? Compare to the State Law and Rule and readings on collaboration in text. (1 pt)
B. What is your perception of the interaction between the APN and their collaborating/supervising physician or administrator? (1 pt)
C. Is the APN paid a straight salary? Do they work for a percentage of profits and/or do they co-own the practice? Compare to readings. (1 pt)
D. For NP and CNS: Does the APN have Medicaid Medicare numbers? Are they recognized on any provider panels? Do they bill “incident to” or under their own name? Compare to readings on billing issues. (1 pt)
E. What mechanisms are in place to establish quality assurance and who is responsible for QA? (1 pt)
Coaching and guidance
A. Does the APN have a staff person assigned to assist them in the practice? If yes, what are the preparation and/or licensure of the person in assistance? Compare to readings on delegation for state law or territory. (2 pts)
B. What responsibility does the APN have for work evaluations and appraisals of other staff? Who is responsible for evaluation of APN? (1 pt)
C. Compare what you are told with your text on coaching and guidance. (1 pt)
Leadership
A. How is the practice of the APN marketed or how visible is the APN within the organization? Is the APNs name on signs (door, building front, printed material in office, phone book yellow/white pages)? Is there a recorded phone message with information about the APN? Compare to readings on marketing practice in text. (1 pt)
B. Do you see the person as a leader in their practice? Explain your answer. (1 pt)
Issue
A. What does this person see as a current pressing issue related to their advanced practice role? Explain your answer. (1 pt)
B. Find two articles related to this person’s “issue” and summarize what you find. (2 pts)
APA format (5 points):
A. introduction (1 pt)
B. conclusion (1 pt)
C. correct citation (1 pt)
D. bibliography (1 pt)
E. use of appropriate reference citations (1 pt)
Schedule for paper
Proposal of interviewee with name, contact information to faculty by June 30. Do not contact an ANP until you have discussed this with your faculty. Please work with your course faculty to identify the APN you will shadow.
The paper is due July 24. Submit your paper electronically to your faculty by an email attachment in either Word or WordPerfect. Limit your paper to 10 pages. Follow APA format and include references. Late papers will receive a deduction of 3 points per day including weekends (30 total points).
3. Portfolio (15%). Students are expected to keep a portfolio of course and clinical materials throughout their graduate program of study. This process begins in this class. Information from such a portfolio is valuable in seeking certification, licensure, and employment after graduation. Information that is useful includes course syllabi, evaluations from instructors and preceptors, clinical logs, major papers, and case studies. Students with a clinical focus should maintain documentation of their clinical hours and the types of patients seen, procedures performed, type of clinical settings, preceptors , and procedures performed. Administrative students should maintain documentation of their clinical hours, preceptors, type of practicum setting and accomplishments during their clinicals.
For the purposes of this class each student should prepare an APN Marketing Portfolio. This portfolio should include:
A. Resume/CV
B. State Nurse Practice Act
C. Rules and Regulations for APN Practice
D. Malpractice Insurance Information
E. Salary Ranges for APN Positions
F. Certification Materials
G. Information about APN professional organization pertinent to your concentration
H. Brochure/Articles Describing the APN role you wish to secure
I. Standards of Practice for your area of concentration/certification
J. Contact information for 3 APNs you can use as mentors and/or information agents as you progress through your graduate program; include list of “things” you would like to learn from each APN.
You may be asked to present this portfolio in later clinical courses so keep it up to date and be prepared to add items over time. The Portfolio is due on July 17. You may submit the portfolio with links to sites that you have downloaded.
For more information see, Burgess, S., & Misener, T. (1997). The professional portfolio: An advanced practice nurse job search marketing tool. Clinical excellence for nurse practitioners, 1, 468-471.
4. Leadership Application Exercise (10%) - Prior to reading The Leadership Challenge (TLC) you are to complete a self assessment of your leadership skills. The assessment is on the WebCT at the Course Work and Related Materials icon under “self-assessment.” You must complete the assessment by June 26. Please be very honest in the assessment. The information you give is not shared with your course faculty or peers. After you have completed the assessment, read Leadership Challenge of Kouzes and Posner and you are to identify your perceived strengths and weaknesses as a leader or potential leader (5%). You will receive feedback from your assessment and from this you will be able to develop a Leadership Development Plan for yourself. This plan should include the specific behaviors you need to focus your efforts, activities/actions you will take to improve your leadership abilities (5%). The activities may include learning by doing, learning from others and learning from classroom or on your own. The plan is due August 1. Submit your paper electronically by emailing as an attachment in either Word or WordPerfect.
5. Leadership at the movies (5%). You are required to watch the movie Remember the Titans and identify at least two of the five practices of The Leadership Challenge. You will write a minimum of one paragraph for each practice. For each practice identify the scene and the behavior(s) displayed which show(s) the practice. Post the response to the movie assignment on WebCT by 5:00 PM on July 30. Posting will be discussed in class on August 8. Please read each students posting prior to class on August 8.
6. Final Exam (15%). You are required to take a final written exam. The exam will be given on Tuesday, August 15, 5:30 - 7:00pm, online. The final exam will be six essay questions. You will be given a list of questions and you will be required to select six questions from this list. You are not allowed to use notes nor discuss the exam with your peers.
Please mail your CD of the movies to Cherri Thompson. The course grade will not be assigned to you until we have received the CD. The address is: Cherri Thompson, 160UH CONH, Wright State University, Dayton, OH 45435.
TOPICAL OUTLINE FOR NUR 756
SUMMER 2006
|
DATE |
TOPIC |
READINGS |
|
June 13 Week 1 |
Advanced Practice Nurse CD: 1. The Wisdom of the Willow 2. Advanced Practice Nurses 3. CBS 60 Minutes Debate the differentiated advanced practice roles. |
Hamric, chpts: 1-3 Articles on electronic reserve: Ø An Identity Crisis Ø A Walk Down Memory Lane Ø Clinical Nurse Specialist Licensure in Ohio Ø Lessons from a Leader Ø Loretta Ford: A Modern Olympian Ø Opinions, Ideas, and Convictions (Ford) (Feb 2005, Mar 2005, Oct 2005)
|
|
June 20 Week 2 |
Debate the legal-ethical implications of the economics, social, political, and technological environment for advanced practice nursing roles.
|
Hamric, chpts: 5-11, 22-24 Articles on electronic reserve: Ø 18th Annual Legislative Update Ø Credentialing, Certification, and Competence: Issues for New and Seasoned Nurse Practitioner Ø Does RN Experience Relate to NP Clinical Skills? Ø ICD-9-CM Guidelines Ø Learn the Business Skills of Advanced Practice Nursing. Ø Many Factors Needed to Solve Malpractice Woes Ø No Human Being is Illegal Ø Nonphysicians Gain Clout Ø Progress Notes for NPs Ø Scope of Practice Ø Terminating the Provider-Patient Relationship Ø The Great Malpractice Debate. Ø The Pearson Report: Part 1. Ø The Pearson Report: Part 2 Ø Understanding Scope of Practice Ø What to Expect from Medical Liability Tort Reform. Ø Why “Collaborate” Rather than Seek “Consultation”? |
|
June 27 Week 3 |
Role Evaluation Developing a Portfolio |
Hamric, chpts: 4, 12-19, pp. 763-766 Nursing Scope and Standards of Practice (ANA publication) Board of Nursing Website: http://www.state.oh.us/nur/AdvPractice.htm Law & Role 4723-8, 4723-9, 4723-13, 4723-19 Articles on electronic reserve: Ø 2004 ANNP National NP Sample Survey, Part III Ø Clarifying Nurse Practitioners’ Unique Contributions. ( Ø Four Calls from NPs in Distress, and No Help is on the Way. Ø Job Satisfaction among Nurse Practitioners Ø Match Your Activities with your Credentials Ø Marketing 101: Setting Your Practice Apart Ø Nurse-Physician Collaboration Ø Nurse Practitioners Inch onto the Ø Primary Care Outcomes in Patients Treated by NPs or Physicians Ø Purchase you Own Occurrence Malpractice Insurance Policy Ø Should Clinical Experience be Required ? Ø Who is Successfully Packaging, Providing, and Pricing Disease Prevention? |
|
July 4 Week 4 |
Holiday |
|
|
July 11 Week 5 |
Examine standard guidelines relative to clinical and administrative practice for advanced practice nurses. Analyze current issues and research within advanced practice nursing. Evidence-Based Practice |
Articles on electronic reserve: Ø Asking Compelling Clinical Questions. Ø Finding Relevant Evidence Ø Nurse-Managed Health Centers are Proven Safety Net Ø Promoting Nurse Practitioner Practice through Research Ø Salary & Practice Survey Ø Tandem Practice Model Ø Terminating the Provider-Patient Relationship. Ø The Lady with the Lamp Ø Using Evidence-Based Practice Guidelines: Tools for Improving Practice
|
|
July 18 Week 6 |
Principles of Fiscal Management in Managing Resources Examine practice models and health care delivery systems. Use principles of fiscal management to develop a budget for managing resources for advanced nursing practice. |
Hamric, chpts: 20 & 21
|
|
July 25 Week 7 |
The Leadership Challenge Application of Leadership in the Role of the APN Integrate selected practice, administration and education theories and concepts as a theoretical basis for advanced nursing leadership. |
Leadership Challenge text Articles on electronic reserve: Ø The Nurse Practitioner as Leader |
|
August 1 Week 8
|
Doctor of Nursing Practice |
Discussion online Articles on electronic reserve: Ø Squaring Off Over the Practice Doctorate. Ø The Practice Doctorate: One Degree of Separation? Ø The DNP: Expect Cascades of Changes |
|
August 8 Week 9 |
Leadership at the Movies Review for Final Exam |
No audiostreaming and no class on Tues of this week. Watch your movie during the class time and answer the questions online by July 30. The movie will be discussed in today’s class. |
|
August 15 Week 10 |
Final Exam |
5:30 - 7:00pm online |
Articles on Electronic Course Reserve
for NUR 756:90
Summer 2006
Please note that the following articles can be accessed through the WSU Homepage. Choose Libraries, and then course reserves. Select the appropriate information about the course and hit enter. You will then be required to enter a password. The password is .
Week 1: Advanced Practice Nurses
A Walk Down Memory Lane. (Oct 2000) The Nurse Practitioner Clinical Nurse
An Identity Crisis. (Feb 2006) AJNP
Clinical Nurse Specialist Licensure in Ohio. Ohio Board of Nursing
Lessons from a Leader. (Nov 1999) The Nurse Practitioner
Loretta Ford: A Modern Olympian. (Jan/Feb 1995) N&HC: Perspectives on Community
Opinions, Ideas, and Convictions from NPs’ Founding Mother Dr. Loretta Ford. (Feb 2005) AJNP
Opinions, Ideas, and Convictions from NPs’ Founding Mother Dr. Loretta Ford. (Feb Mar 2005) AJNP
Opinions, Ideas, and Convictions from NPs’ Founding Mother Dr. Loretta Ford. (Oct 2005) AJNP
Week 2: Legal & Ethical
18th Annual Legislative Update (Jan 2006) The Nurse Practitioner
Credentialing, Certification, and Competence: Issues for New and Seasoned Nurse Practitioner (June 2005) JAANP
Does RN Experience Relate to NP Clinical Skills? (Dec 2005) The Nurse Practitioner
ICD-9-CM Guidelines. (July/Aug 2005) JNP
Learn the Business Skills of Advanced Practice Nursing. (May 2005) TNP
Many Factors Needed to Solve Malpractice Woes. (May 2005) The Nurse Practitioner
No Human Being Is Illegal. (Apr 2006) NPWN
Nonphysicians Gain Clout. (Jan 2000). American Medical News
Progress Notes for NPs. (Feb 2001) AJNP
Scope of Practice. (July/Aug 2005) JNP
Terminating the Provider-Patient Relationship. (May 2005) The Nurse Practitioner
The Great Malpractice Debate. (Sept 2004) TNP
The Pearson Report: Part 1. (Jan 2006) AJNP
The Pearson Report: Part 2. (Feb 2006) AJNP
Understanding Scope of Practice. (Apr 2003) NPWN
What to Expect from Medical Liability Tort Reform. (May 2004) TNP
Why “Collaborate” Rather than Seek “Consultation”? (Sept/Oct 2002). NPWN
Week 3: Role & Developing a Portfolio
2004 AANP National Nurse Practitioner Sample Survey, Part III. (2006) JAANP
Clarifying Nurse Practitioners’ Unique Contributions. (Nov 1998) AANP
Four Calls from NPs in Distress, and No Help is on the Way. (Oct 2004) NPWN
Job Satisfaction Among Nurse Practitioners. (July/Aug 2005) JNP
Marketing 101: Setting Your Practice Apart. (Sept 2005) The Nurse Practitioner
Match Your Activities with your Credentials (Sept 2004) NPWN
Nurse-Physician Collaboration. (Sept 1998). AANP
Nurse Practitioners Inch onto the Field (Aug 2000). Managed Care
Primary Care Outcomes in Patients Treated by NPs or Physicians. (Jan 2000) JAMA
Purchase you Own Occurrence Malpractice Insurance Policy (Nov 2004) NPWN
Should Clinical Experience be Required to Enter an Adv Practice Program? (Oct 2005) JNP
Who is Successfully Packaging, Providing, and Pricing Disease Prevention? (Oct 2003) NPWN
Week 5: Evidence-Based Practice
Asking Compelling Clinical Questions. (2005) Evidence-based practice in nursing & healthcare
Finding Relevant Evidence. (2005) Evidence-based practice in nursing & healthcare
Nurse-Managed Health Centers are Proven Safety Net. (Aug 2005) NPWN
Promoting Nurse Practitioner Practice through Research. (2006) JAANP
Salary & Practice Survey. (May 2006) The Nurse Practitioner
Tandem Practice Model. (June 2005) JAANP
Terminating the Provider-Patient Relationship. (May 2005) TNP
The Lady with the Lamp: Introducing Nursing’s Evidence Base. (June 2005) NPWN
Using Evidence-Based Practice Guidelines: Tools for Improving Practice
Week 7: Leadership
The Nurse Practitioner as Leader. (2006) JAANP
Week 8: Doctor of Nursing Practice
Squaring Off Over the Practice Doctorate. (July/Aug 2005) JACNP
The DPN: Expect Cascades of Changes (Aug 2005) NPWN
The Practice Doctorate: One Degree of Separation? (Nov/Dec 2005) AJNP