Nursing 345

NURS 345: Foundations of Nursing Practice

Prerequisites: Upper Division Standing

Credit Hours: (7) Four hours lecture; three hours clinical lab

Focuses on the foundational skills necessary for successful community based nursing practice.

Detailed Description of Content of the Course

The course provides the theoretical basis for and clinical experience in applying nursing practice techniques designed to promote balance in the patient’s interaction within the environment. The objectives and content of this Level 1 Course are derived from the School of Nursing’s philosophy and conceptual framework, and facilitate achievement of the School’s program objectives. Additionally, the Essentials for Baccalaureate Education for Professional Nursing Practice are conceptualized to include community based nursing practice. The major topics and skills covered in this course represent areas covered on standardized achievement examinations and the NCLEX-RN Test Plan. Current research and advancement in theory and clinical practice also determine content.

Emphasis is placed on the following concepts/theories:

• Introduction to Concepts for Community Based Nursing Practice:
            o Radford University School of Nursing Mission, Philosophy and Conceptual Framework.
            o Professional Behaviors.
            o Introduction to Scholarly Writing.
            o Community based nursing practice and the changing health care delivery system.
            o Historical Perspectives of Nursing
            o Rules and Regulations of the Code of Virginia related to nursing
            o Bioterrorism
            o Domestic Violence
            o Abuse and Exploitation of children, elderly and disabled persons
• Strategies for Implementing Nursing Care:
            o Critical Thinking Throughout the Nursing Process
            o Documentation of the Nursing Process
            o Teaching/Learning Theory
• Selected Concepts Relevant to Nursing Practice:
            o Ethical issues
            o Legal issues
            o Patient Rights
            o Values
            o Culture
            o Health and Illness
            o Healthy People 2020
            o Health Promotion
            o Complementary/Alternative Health
            o Loss, Death, Grief
• Therapeutic Techniques Basic to Nursing Practice
            o Nursing Techniques
            o Medical Terminology
            o Medical and Surgical Asepsis
            o Infection Control
            o Hygiene
            o Mobility and Exercise
            o Safety
            o Medication Administration
            o Fluid & Electrolytes
            o Skin Integrity and Wound Care
            o Urinary and Bowel Elimination
            o Oxygenation
            o Nutrition
            o Comfort and Pain
            o Sensory perception and cognition

Detailed Description of Conduct of Course

The following teaching strategies will be employed but not limited to:
Lectures, discussion, multimedia, web-based activities, case studies, small group work, guided clinical practice, and lab experiences

Goals and Objectives of the Course

Upon successful completion of the course, the student will be able to:
1.    Apply the nursing process in an interdependent manner to plan and deliver compassionate, patient-centered, evidence-based care that respects patient and family preferences.
2. Evaluate the credibility of sources of information, including but not limited to databases and Interned resources.
3. Recognize the role of information technology in improving patient care outcomes and creating a safe care environment.
4. Demonstrate the application of psychomotor skills in an interdependent manner in the delivery of safe, efficient, and compassionate patient care.
5. Recognize the patient and family as a partner within the health care team through examination of the nurse’s role as advocate for patient rights.
6. Utilize standardized terminology and effective communication techniques in collaboration with other members of the health care team to deliver evidenced-based, patient-centered care.
7. Develop an awareness of the impact of the patient’s and health care provider’s values in making decisions to resolve ethical dilemmas.
8. Collaborate with other health care professionals and patients to provide spiritually and culturally appropriate interventions that improve health.
9. Accept oneself as an independent learner who is beginning to assimilate new concepts, knowledge, and experiences of evidenced-based professional nursing practice.
10. Assume accountability for personal and professional behaviors through demonstration of an appreciation of the historical, legal, and contemporary issues that impact current nursing practice.
11. Identify the legislative and policy issues that impact health care delivery and the practice of nursing by reviewing current global/international health trends, finance and regulatory environments, and the rules and regulations of the Code of Virginia related to Nursing.
12. Recognize and intervene in situations of abuse, neglect, or exploitation of child or elderly and incapacitated adults.
13. Recognize and intervene in situations of bioterrorism and domestic violence

Assessment Measures

May include but not limited to:
• Exams; Quizzes
• Paper
• Project, Individual or Group
• Nursing Process Project
• Oral Presentations
• Class Participation

The course grade is determined by an evaluation of the extent to which the student meets the stated course objectives. Students must have a minimum of 80% (“C”) in theory, measured through testing. Other written work will be included in the final grade after the minimum 80% (“C”) has been attained through testing.

Other Course Information

Honor Code: By accepting admission to Radford University, each student makes a commitment to understand, support, and abide by the University Honor Code without compromise or exception. Violations of the University Honor Code include (but are not limited to): lying, stealing and unauthorized possession of property, cheating, multiple submission, and plagiarism. This class will be conducted in strict observation of the honor code. A complete copy of the University Honor Code can be found within the Student Handbook.  

Students with Disabilities: If you are seeking classroom accommodations under the Americans With Disabilities Act, you are required to register with the Center for Accessibility Services (CAS). The CAS is located in Suites 301-327, Russell Hall. Call the CAS at 540-831-6350. To receive academic accommodations for this class, please obtain the proper CAS forms and meet with the instructor no later than the second week of the semester.

Attendance: For Attendance policies and other course-related requirements, see School of Nursing Undergraduate Student Handbook and Course Description.

Review and Approval

March 2011 Kimberly Carter, Director