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MAJOR:
NURSING
COURSE DESCRIPTION
This course introduces the student to basic nursing skills. It focuses on concepts of caring, body
image, pain, loss, grief and the grieving process, dying and death, immobility and chronicity.
The student is introduced to hospitalization and the nurses responsibility in relation to surgical
interventions is also examined.
LEARNING OUTCOMES
Upon completion of the course, the student will be able to:
1.
2.
3.
4.
5.
6.
7.
Utilize the knowledge of nursing process in the promotion and maintenance of health in
immobility and chronic illness;
8.
9.
Utilize knowledge gained to assist the patient and family to cope with hospitalization;
10.
Apply the concepts of pre- and post-operative care while providing care to the patient
in need of surgical intervention.
For to one is given the word of wisdom through the spirit, to another the word of knowledge
through the same spirit, to another gifts of healing by the same spirit, to another faith by the same
spirit, to another the working of miracles, to another prophecy, to another discerning of spirits, to
another different kinds of tongues, to another the interpretation of tongues. But one and the same
spirit works all these things distributing to each one individually as he wills. (1 Cor. 12:8-11)
NCU Values and attitudes: Focus
1. Christlikeness
2. Integrity
3. Justice
2
Christlikeness:
I Patrick McKenzie and Natanya Bent-Burtn (instructors) and all the students of Concepts
applied to nursing class, commit to exercising the highest levels of Christ-likeness in all actions
during this semester in relation to the following:
1.
2.
3.
4.
5.
Integrity:
The Facilitator and students will undertake learning experiences that exercise the highest level of
integrity such as:
Honoring deadlines in submission of assignments
Practicing academic honesty with respects to the use of published works and other
intellectual property
Participating equally in group work and activities
Good stewardship of tools, equipment and other resources in the teaching learning
environment
Give fair evaluation to student work
Display proper deportment and conduct.
Justice:
The facilitator and all students will exercise the highest level of justice and fairness in all actions
related to this course in the areas of:
Fair grading for task submitted for evaluation
Timely feedback and redress of inquiries, challenges, issues, grouses
Impartial treatment of all students regardless of race, age, religious affiliation, nationality
or ethnicity.
Access to Computer and Internet Resources: completing these course requirements
necessitates regular access to computer technology and the internet. If a student does not have a
personal computer with internet access, computers on the universitys main campus and
extension sites are available for student use.
Civility, Courtesy and respect: as professionals, mutual respect is required; the instructor
expects all class members to communicate in a professional and courteous manner. While
everyone may feel passionate about a particular subject and is entitled to his her opinions,
classroom discourse must always be conducted in a respectful and civil tone. No disrespectful of
disparaging comments about gender, ethnicity, religion, etc. will be tolerated.
Honor Code: regulations on plagiarism and other forms of cheating are strictly enforced. Since
engaging in either activity may result in very serious penalties, including failing grades, or
dismissal from the university, you should endeavor to avoid such activities. Any assignment of
work submitted for this course must not have been submitted for any other course. No written or
digitally authored work may be submitted for academic credit more than once. If you have
questions about how this may apply to an assignment you are considering for this course, please
ask the facilitator for clarification.
Students with a disabling condition: any student who, because of a disabling condition, may
require some special arrangements in order to meet course requirements, should communicate
with the instructor in a timely manner, to seek such special considerations. Students should
present appropriate verification from the relevant administrative office at the university. There is
no guideline indicating that special considerations be given prior to completion of the existing
university verification process.
CONTENT OUTLINE
UNIT 1:
Hours:
10 Theory
15 Practical
Specific Objectives
At the end of the unit, the student will be able to:
1. Define the term problem-solving;
2. Describe the problem-solving process;
3. Define the term Nursing Process;
4. Identify the four phases of the Nursing Process;
5. List the four steps of the assessment phase;
4
Content
A.
Problem-solving
1. Definition
2. Process
B.
Collection of data
Analysis of data
Implementation of plan
Evaluation of outcomes
Nursing Process
1.
Definition
2.
Components
Assessment
Definition, purpose
Analysis of data
Evaluation of data
Planning
Definition, purpose
Steps
o
o
o
o
Establishing goals
Setting priorities
Determining resource personnel
Writing a plan of action
Implementation
Knowledge of goals
Delegation of authority
Care provision
Coordination
Documentation
Evaluation
Definition
Purpose
Evaluation of care
Methods
Discharge planning
Definition
Process
o
o
o
o
o
o
Assessment
Referral system & referral
Coordination of care
Continuity of care
Follow-up care
Inter-sectoral coordination
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Teaching/Learning Methodologies
Lecture/Discussion
Demonstrations
Role Play
Student teaching
Quizzes
Group presentation
Sectional
Classroom
Laboratory
Hospital
UNIT 2:
NURSING CONCEPTS
Hours:
7 Theory
Specific Objectives
At the end of the unit, the student will be able to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Explain the concepts and theories of body image, pain, loss, grieving;
10.
11.
12.
13.
14.
15.
Explain the meaning of immobility and the effects of immobility on body systems;
16.
17.
Utilize the nursing process to assist patients with interferences of body image,
experiencing loss, management of pain, problems of immobility, and chronic conditions
in achieving and maintaining optimum wellness;
18.
19.
20.
21.
Apply the nursing process in giving care to individuals who are dying;
22.
23.
Demonstrate skills in caring for the body and the patients possessions after death;
24.
25.
Content
A.
Caring
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1.
2.
Medical terminologies
Caring
Therapeutic relationship
3.
Characteristics of caring
4.
Rapport
Trust
Empathy
Acceptance
Empowerment
Active listing
Compassion
Non-judgemental
Honesty
Phases of caring
5.
B.
Pre-interaction
Introductory
Working
Termination
Comfort measures
Physical
Environmental
Spiritual
Social
Concepts
1. Body image
Definitions
Theories
Development
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2.
Pain
Definition
Theories
Components
Reception of stimulus
Perception
Reaction
3.
Types
Superficial
Deep
Referred
Projected
Phantom
Causes
Chemical irritant
Ischemia
Mechanical trauma
Heat and cold
Psychogenic
Nature
Pain management
Loss
Definition
Nursing interventions
4.
Grief
Definition
Characteristics
Shock & disbelief
Sadness & emptiness
Physiological changes
Pre-occupation with image of the deceased
Feeling of guilt
Irritability & anger
5.
Types
Anticipatory
Absent or inhibited
Grieving process
6.
Definition
Dying
Death
Signs of death
Post-death activities
Care of body
Care of patients possession
Post-mortem
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7.
8.
Funeral planning
Will probation
Support services
Immobility
Definition
Nursing interventions
Chronicity
Definition
Predisposing factors
Nursing interventions.
Teaching/Learning Methodologies
Lecture/Discussion
Demonstrations
Role Play
Student teaching
Quizzes
Group presentation
Sectional
Classroom
12
Laboratory
Hospital
UNIT 3:
Hours
Specific Objectives
At the end of the unit, the student will be able to:
1.
2.
3.
4.
5.
6.
Explain the process, which assists the patient and family to cope with stress;
7.
Recognize the types of behaviours displayed by the patient and family in coping with
stress;
8.
9.
10.
11.
12.
Discuss the concept of hospitalization and the role of the hospital staff;
13.
14.
15.
16.
Examine the effects of hospitalization on the ill patient, family and significant other.
Content
1.
Illness
Definition
Types
Health-illness continuum
13
Behaviour
Concerns
Effects
2.
Physiological
Psychosocial
Environmental
Nature of illness
Definition
Hospitalization
Definition
Reasons
Admission procedure
Discharge procedure
Teaching/Learning Methodologies
Lecture/Discussion
Demonstrations
Role Play
Student teaching
14
Quizzes
Group presentation
Sectional
Classroom
Laboratory
Hospital
UNIT 4:
SURGICAL INTERVENTION
Hours
6 Theory
15 Practical
Specific Objectives
At the end of the unit, the student will be able to:
1.
2.
3.
4.
Describe safety policies governing the admission of the patient to the operating theatre;
5.
Utilize the nursing process to provide physical and psychosocial care to the patient and
family in the pre-operative and post-operative phases.
Content
1. Surgical intervention
Phases
Pre-operative
Intra-operative
15
Post-operative
Types
Effects
Post-operative care
Post-anaesthesia
In hospital
Follow-up care.
Teaching/Learning Methodologies
Lecture/Discussion
Demonstrations
Role Play
Student teaching
Quizzes
16
Group presentation
Sectional
Classroom
Laboratory
Hospital
Required Skills
1. Assess
Temperature
Pulse
Respiration
Blood pressure
15%
Unit Tests
30%
Group Presentations
Individual Assignments
Final Exam
TOTAL
7.5%
7.5%
40%
100%
GRADING POLICY:
Percentage Score Letter
Equivalent
90 100%
A
85 89%
A80 84%
B+
75 79%
70 74%
B
B-
50 54%
Less than 50%
D
F
GRADING SYSTEM
Grades are assigned numerical values as follows:
GRADE
Quality Points
Definition
A
4.00
Superior
A3.67
Superior
B+
3.33
Superior
B
3.00
Above Average
B2.67
Above Average
C+
2.33
Above Average
C
2.00
Average
C1.67
Average
D+
1.33
Below Average
D
1.00
Below Average
F
0.00
Below Average
COURSE REQUIREMENTS
1. Adhere to the policies of the department of nursing
2. Participate actively in pre and post conferences.
3. Active class and group participation.
4. Participate in group assignments.
5. All assignments must be submitted on the designated date and time.
6. Students are required to take quizzes, unit tests, and final examination on the
scheduled date. Quizzes missed will not be repeated. Late tests are administered only by
prior arrangement with proof that absence is due to unavoidable circumstances and at the
discretion of the instructor.
7. Notify instructor prior to class if illness or emergency arises. Student must contact the
instructor directly or leave a message with the secretary of the Nursing Department.
8. A final comprehensive exam will be given at the end of the semester and will be conducted
in accordance with the Universitys time table.
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10. All students are required to demonstrate honesty and ethical behaviour in relation to all
aspect of the course. Failure to conform to these principles will be dealt with in
accordance with the Nursing Council of Jamaica and the Universitys policies.
11. All cellular phones must be turned off during class time. Ringing phones will result in
student missing the class
NB: ATTENDANCE IS EXPECTED, and you must be present and punctual for all class
sessions. Refer to the Class Attendance and Absence Policy in your Bulletin.
MAIN TEXT
Kozier, B., Erb G., Berman A., & Snyder S. (2008). Fundamentals of nursing. concepts, process
and practice. Englewood, New Jersey: Prentice-Hall.
Taylor C., Lillis C., LeMone, P., & Lynn, P. (2008). Fundamentals of Nursing: The Art and
Science of Nursing Care. Philadephia, PA: Wolters Kluwer/Lippincott Williams and
Wilkins.
Carpenito, L. J.(2010). Nursing Diagnosis: Application to Clinical Practice. Philadephia, PA:
Wolters Kluwer/Lippincott Williams and Wilkins.
SUPPLEMENTAL READING
Craven, R. F., & Hirnle, C.J. (2009). Fundamentals of Nursing: Human Health and Function.
Philadephia, PA: Wolters Kluwer/Lippincott Williams and Wilkins.
DeWit, S.C. (2008). Fundamental concepts and skills for nursing. New York: Elsevier Health
Sciences.
20
ASSIGNMENT # 1 Individual
The nursing process is a systematic approach to providing client centered care. It has five
components: Assessing, Diagnosing, Planning Implementing and evaluating. These components
are cyclic and dynamic, example a nurse cannot diagnose without first assessing, neither can
there be a plan without a diagnosis. The following is a case in which to use the nursing process.
(kozier, Berman and Erb etal. Concepts Process and Practice ch 11-16)
Mr Charles Brick a 52 year old Farmer presented to the accident and emergency
department with history of SOB with none productive cough, chest, pain, loss of weight and loss
of appetite since two months ago. He is a chronic smoker for the past 20 years. He was
diagnosed as having hypertension 2 years ago and is currently on Nifedipine 20mg po bd, HTCZ
25mg po od. Chest Xray currently reveals dilated lung tissue with consolidation and a
subsequent diagnosis of emphysema was made. Further examination reveals use of accessory
muscles with purse lip breathing. V/S T 98.6 P. 102 Resp. 36, BP 174/104
INSTRUCTIONS:
1. Analyze the above case and identify the five priority needs for the patient giving rationale
for each need identified
2. Write 5 appropriate assessment from the case based on the need selected
3. Identify and select two (2) NANDA Label for each assessment you have written from the
2012-2014 (find this document uploaded in the learning resources)
4. Write two (2) goal for each Nanda label selected
5. In your own words state five (5) interventions for each goal
25 Marks
Objectives
At the completion of this assignment the students will
21
Identify
needs
Accurately
identify and
States all 5
needs
Accurately
identify and
States all 5
assessment
Accurately
identifies only
four needs
Accurately
identifies three
needs
Accurately
identifies two
needs
Accurately
identifies one
need
Accurately
identifies three
assessment
Accurately
identifies two
assessment
Accurately
identifies one
assessment
Identifies label
accurately for three
assessment
Identifies label
accurately for 2
assessment
Identifies label
accurately for
one assessment
Accurately state
goals for three label
Accurately state
goals for two
label
Accurately state
goal for one
label
State one
relevant
intervention for
each goal
4-5 reference
correctly cited
3-4 reference
cited
2 reference
cited
Assessment
identified in
the case
scenario
Select
NADA
Label based
on
assessment
Goals for
NANDA
label
Intervention
for goal
Referencing
Accurately
identifies only
four
assessment
Accurately Identifies 2
identify and Label
select 2
accurately for
NANDA
four
label for all assessment
five
assessment
Accurately
Accurately
state goals
state goals for
for all five
four label
label
State 5
State four
relevant
relevant
intervention intervention
for each
for each goal
goal
6 in-text
citation
reflected on
reference page
Mar
awa
22
ASSIGNMENT # 2
Group Presentations
Instructions:
Students will be placed in nine (9) groups of 10 and given topics on the pain experience and
grieving and loss to make oral presentations in class. The groups and topics are as follows:
1.
Reaction
2. explain types and causes of pain
3. nature of pain and factors influencing the perception of pain
4. Pain Management
5. Loss: types of loss etc.
6. theories of death Engel etc.
7. dying and death
8. grief: characteristics etc.
9. the grieving process
10. care of the dead body, care of patients possession
Objective:
On completion of the presentations the students will
1. Discuss the pain experience
2. Describe grief and the phases of grieving
3. Describe loss and its effect on the individual
4. State factors affecting pain
5. Discuss the stages of the grieving process according to George Engel;
6. Discuss E. Kubler-Ross stages of dying and death;
7. Describe the needs of the individual facing death;
8. Apply the nursing process in giving care to individuals who are dying;
9. Identify the signs of death;
10. Demonstrate skills in caring for the body and the patients possessions after death;
11. Demonstrate skills and the use of therapeutic relationship in providing support to grieving
individuals and families;
12. Discuss the importance of a post-mortem examination
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introduction
Presentation
of content
Group
participatio
n
Use of APA
Referencing
gives clear
introduction of
the topic,
definition and
overview
No clear
introduction
but gives
definitions
No clear
definition and
overview
No clear
introduction or
definitions
lacking
Presents 9590% of
content with
reference
presents less
than 75% with
no reference
cited
95-90%
participation
89-75%
participation
Moderately
acknowledg
e source, 4-5
citation
4-5
reference
correctly
cited
3-4 in-text
citation
2 in-text
citation
3-4 reference
cited
2 reference
cited
Present relevant
content on all
sub-headings
pertaining to the
subject being
presented on
with relevant
reference
100%
participation.
Sources fully
acknowledged:
no plagiarism,
Correct citation
6 in-text citation
reflected on
reference page
Marks
awarded
University Information Systems Services (UNISS) provides technical support between the hours of
8:00AM and 10:00PM Mondays through Thursdays and 8:00AM to 1:30PM on Fridays. The help desk
may be reached at (1-876-523-2064) or online chat for immediate assistance. Email service requests can
be directed to: helpdesk@ncu.edu.jm
TECHNICAL REQUIREMENTS
In addition to a competent level of computer and Internet literacy, there are some minimum technical
requirements must be met to enable a successful learning experience. Please review the important
technical
requirements
and
the
web
browser
configuration
information
at
http://aeorionde.ncu.edu.jm/ to ensure that your personal computer meets the outlined
requirements.
COMMUNICATIONS
Communication mediums such as email, instant messaging and web conferencing tools may also be
utilized throughout the course. For more details please visit http://aeorionde.ncu.edu.jm/features
.
Interaction with Instructor:. Students may send personal concerns or questions to the instructor via
email or using the course messaging module or face to face contact during the scheduled office hours. The
instructor will as much as possible reply to students queries within a week.
LIBRARY SERVICES
Distance Learners will need an orion user account to access all of the librarys electronic resources
(reserves, journal articles, ebooks and search online databases) from off campus. For NCU students living
close to one of our extension campuses, a valid NCU ID card is required to check out materials from the
Library. For more information on library resources go to http://www.ncu.edu.jm/library/
ASSIGNMENT SUBMISSION
Please use the Assignments link on the course menu or see the icon on the designated page to upload
assignments. You may click on the link for each assignment and follow the on-screen instructions to
upload and submit your file(s). Bear in mind that you may only submit each assignment once, after
which you should receive an onscreen confirmation. Please refer to the Help menu for more information
on using this tool. Please note: each assignment link will be deactivated after the assignment due time.
Additionally, unless stated otherwise, assignments are typically due at 11:59 PM on the specified date.
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After your submission is graded, you may click each assignments Graded tab to check the results and
feedback. If necessary drafts of work for mastery learning may be sent via email to the instructor for
review prior to submission.
For team project assignments, one group member will submit the assignment for the group and all group
members will be able to view the results and feedback once its been graded.
Assignment Submission Instructions using Turnitin:
Assignment(s) will be submitted and inspected via Turnitin, which is an integrated eLearning tool for
plagiarism detection. To submit your assignments, click on the Turnitin icon located on the assignment
submission web page. Next, click the submit icon. After which you will need to upload your assignment
file - please note that only one file may be submitted. To submit your assignment, click on Browse and
locate your file then click the Submit button. You will be able to review before confirming your
submission. You may return at a later time when the report is available, typically within 24 hours, to
review the Originality Report which indicates the sources detected and how similar the assignment is to
these sources. Please note it may take some time for Turnitin to generate the originality report. For further
information on using Turnitin, please go to: http://www.turnitin.com/static/training.html.
COURSE EVALUATION
You are required to complete an evaluation of the course at the end of the semester/module. These
evaluations are used to garner valuable feedback that helps to improve the quality of instruction. Online
course evaluations will be made accessible around the end of the semester/module and students will be
informed via email or internal messages when they become available.
FINAL EXAMINATION
A final examination will be required for this course. Final exams are scheduled for and administered on
campus at the end of the semester. You will be required to present your students ID and examination
authorization form to the examiner.
NCU EMAIL
Northern Caribbean University is aware of the efficiency, effectiveness and overall importance of
communication between students and faculty/staff through electronic mail. At the same time, e-mail raises
some issues concerning security and the identity of each individual in an e-mail exchange. The university
encourages all official student email correspondence be sent only to a students NCU e-mail address and
that faculty or staff consider email from students official only if it originates from a NCU student account.
This allows the university to maintain a high degree of confidence in the identity of all individual
corresponding and the security of the transmitted information. NCU furnishes each student with a free email account that is to be used in all communication with university personnel. The University
Information Systems Services Department at NCU also provides a method for students to have their NCU
e-mail forwarded to other accounts.
ACADEMIC HONESTY AND INTEGRITY
All students are expected to maintain a high level of responsibility with respect to academic honesty.
Students engaged in cheating or academic dishonesty of any form will be subject to disciplinary penalties
26
which include the possibility of failure for the course and/or dismissal from the University. Cheating,
dishonesty, plagiarism, copying portions of another students work are totally unaccepted and will be
dealt with seriously. A minimum penalty will be a zero for the course work submitted. Further action
may be taken at the instructors discretion. In view of the fact that such dishonesty harms the individual,
all students and the integrity of the University, policies on scholastic dishonesty will be strictly enforced.
CHEATING, DISHONESTY, AND PLAGIARISM
Any form of cheating is sufficient for an automatic F for the course. Cheating, dishonesty, plagiarism,
copying portions of another students work are totally unacceptable and will be dealt with seriously. A
minimum penalty will be a zero for the course work submitted. Further action may be taken at the
instructors discretion.
DISCLAIMER: The Department of Nursing reserves the right to make adjustment to this course outline
as deemed necessary
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