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Nursing 632

NURS 632: Advanced Adult Nursing II

Prerequisites: NURS 630, NURS 650

Credit Hours: (6-8) Three hours seminar; six to 12 hours practicum

Variable credit; 6-8 credit hours; Focus on the implementation of advanced nursing practice roles in adult nursing. Content addresses total quality management/quality improvement; issues related to health promotion, protection and restoration; advanced nursing management of clients/families with selected complex holistic needs; political issues; and economics of acute and chronic care facilities. Practicum is individualized and emphasizes the roles of clinician, consultant, manager and researcher.

 

Detailed Description of Content of the Course

The objectives and content of this course are derived from the School of Nursing's philosophy and conceptual framework and facilitate achievement of the Graduate Program objectives. Additionally, the major topics and skills covered in this course are essential to advanced practice nursing and national specialty certification examinations. Current research and advancement in nursing theory and clinical practice also determine course content.

Topical Outline:

1. Standards of medical-surgical nursing

        a. Agency standards
        b. ANA standards of certification

2. Total quality management/improvement

        a. Joint Commission for Accreditation of Health Organization's ten step process for quality monitoring and evaluation
        b. Application of the quality management process in daily activities and management responsibilities

3. Case management
4. Advanced nursing management of adults with complex holistic needs

        a. Clients with musculo/skeletal illness - skeletal muscle atrophy

                1. Assessment/diagnostic procedures
                2. Selected nursing diagnosis
                3. Therapeutic nursing management
                4. Evaluation of client/family outcomes

        b. Clients with renal/bladder illness - urinary incontinence

                1. Assessment/diagnostic procedures
                2. Selected nursing diagnosis
                3. Therapeutic nursing management
                4. Evaluation of client/family outcomes

        c. Clients with immunological illness - immunosuppression

                1. Assessment/diagnostic procedures
                2. Selected nursing diagnosis
                3. Therapeutic nursing management
                4. Evaluation of client/family outcomes

        d. Clients with endocrine illness - impaired wound healing

                1. Assessment/diagnostic procedures
                2. Selected nursing diagnosis
                3. Therapeutic nursing management
                4. Evaluation of client/family outcomes

        e. Clients with gynecological illness - impaired sleep

                1. Assessment/diagnostic procedures
                2. Selected nursing diagnosis
                3. Therapeutic nursing management
                4. Evaluation of client/family outcomes

 

Detailed Description of Conduct of Course

The following teaching strategies will be employed:

  • Seminar, discussion, student presentations, audiovisuals, guest speakers, practicum, student-faculty conferences, and written projects.

 

Goals and Objectives of the Course

After completing this course, the student will be able to:

1. Evaluate the application of a conceptual framework for delivery of care to adult client/families with complex holistic needs.
2. Appraise current nursing research findings and related literature for application to advanced adult nursing practice with adult clients/families who have complex holistic needs.
3. Integrate the analysis of management issues into the development of a plan for adult health care.
4. Demonstrate competence in advance nursing practice, providing culturally sensitive holistic therapeutic nursing interventions for adult clients to promote health.
5. Demonstrate knowledge and skill in the adult clinical nurse specialist advanced practice roles of clinician, consultant, manager, and researcher.

 

Assessment Measures

The course grade is determined by an evaluation of the degree to which the student meets the course objectives by required learning activities. The clinical component of the course is evaluated on a satisfactory/unsatisfactory basis according to the degree to which the student meets contractual objectives negotiated with the faculty, student and clinical preceptor. Clinical objectives are determined by individual student learning needs, interests, past experiences and future goals within the framework of course objectives. The student must earn a satisfactory grade in the clinical to pass the course. The poster project is graded based upon clinical experiences implemented by the student with emphasis on advanced practice roles of clinician, consultant, manager, and researcher. Preparation and participation in class activities is expected.

 

Other Course Information

None

 

Review and Approval
Revised March 1999