NSG 472 Fall 2019 Syallbi (Revised 09082019 and highlighted) PDF

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Download NSG 472 Fall 2019 Syallbi (Revised 09082019 and highlighted) PDF

Description

UNIVERSITY AT BUFFALO STATE UNIVERSITY OF NEW YORK School of Nursing NSG 472: Promoting Quality Health Outcomes and Culture of Safety

Credits

2 Credit hours

Semester

Fall 2019

Pre-requisite

Completion of Junior Level Nursing Courses

Co-requisite

NSG 470, NSG 474, NSG 410, NSG 393 or 348

Class Meeting

Hybrid Course In-class sessions: Monday, 1100 – 1200, Diefendorf 148, per weekly class schedule. On-Line Sessions: via UB Learns per weekly class schedule

Faculty

Susan Grinslade, PhD, RN, PHN-CS, BC Clinical Professor Wende 210 [email protected] Office Hours: By appointment

Teaching Assistant: Kate Chen, FNP, PhD Student [email protected] Course Description The purpose of this course is to examine concepts of quality health outcomes and safety within the context of professional nursing practice. The numerous roles of the nurse within health care organizations are explored. The healthy work environment and its influence on nurses, nursing practice and outcomes are analyzed. Systems and processes to achieve and sustain quality health outcomes, and safe, effective, patient-centered holistic nursing care are examined in depth. Legal and ethical issues related to these topics are addressed.

Objectives Upon completion of this course, the student will be able to: Course Objective

1. Discuss the role of nursing and other health professionals within a system of care and processes that affect quality outcomes for patients and families.

Program Outcome Objectiv e 2, 3

BSN Essentia l II, IV, VI,IX

QSEN Competencies

  

Teamwork & Collaboration Safety Quality Improvement

Evaluation



  

  

Completes IHI module QI 102 How to Improve with the Model of Improvement Posts Certificate of Completion (80% competency required) Completes KWLA+R© for all IHI Modules Complete ATI Modules: o Civility and patient safety in the clinical environment o Professionalism and civility in Nursing practice Complete KWLA+R© for ATI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care Coordination o Evidence Based Practices to Promote Patient Safety and Quality Health Outcomes o Team STEPS

Course Objective

Program Outcome Objectiv e

BSN Essentia l

2. Describe factors that create and foster a culture of safety.

2, 3, 5, 8

II, V, VI, VIII, IX

QSEN Competencies

  

Safety Quality Improvement Informatics

Evaluation



 

  

 

Completes IHI module QI 103 Testing and Measuring Changes with the PDSA Cycles Posts Certificate of Completion (80% competency required) Complete ATI Modules: o Civility and patient safety in the clinical environment o Professionalism and civility in Nursing practice Complete KWLA+R© for ATI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care coordination and Transitions Case Studies o Evidence Based Practices to Promote Patient Safety and Quality Health Outcomes o Team STEPS Completes KWLA+R © for all IHI Modules Participates in-class “Putting it all together

Course Objective

Program Outcome Objectiv e

BSN Essentia l

QSEN Competencies

Evaluation

Sessions”

3. Analyze key elements that comprise a healthy work environment.

2, 3, 5, 8

II, V, VI, VIII, IX

  

PatientCentered Care Teamwork & Collaboration Evidenced Based Practice



 

  





Completes IHI Module QI 104 Interpreting Data: Run Charts, Control Charts, and other Measurement Tools Posts Certificate of Completion (80% competency required) Complete ATI Modules: o Civility and patient safety in the clinical environment o Professionalism and civility in Nursing practice Complete KWLA+R© for ATI Modules Completes Concept Assessment I and II Participates in classroom Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care coordination and Transitions Case Studies o Team STEPS Examines Evidence Based Practices to Promote Patient Safety and Quality Health Outcomes Examines factors that contribute to Healthy

Course Objective

Program Outcome Objectiv e

BSN Essentia l

QSEN Competencies

Evaluation

 

4. Demonstrate inter & intraprofessional collaboration and communication to promote and sustain quality care and safety within the healthcare environment.

2, 3, 4, 5, 8

II, IV,VI, VIII, IX

   

Teamwork & Collaboration Quality Improvement Safety Informatics

   

  



Work Environment Completes KWLA+R© for all IHI Modules Participates in-class “Putting it all together Sessions” Completes IHI module PS 105 Leading Quality Improvement Posts Certificate of Completion (80% competency required) Submits KWLA+R© for all IHI Modules Complete ATI Modules: o Civility and patient safety in the clinical environment o Professionalism and civility in Nursing practice Complete KWLA+R© for ATI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care coordination and Transitions Case Studies o Team STEPS Examines evidence Based Practices to Promote Patient Safety

Course Objective

Program Outcome Objectiv e

BSN Essentia l

QSEN Competencies

Evaluation



5. Act as a client advocate

1, 5, 7

VI, VIII, IX

   

Patient Centered Care Teamwork & Collaboration Quality Improvement Safety

   





6. Utilize conflict management processes to promote and sustain a healthy work environment

2, 3, 7

VI, VIII, IX

   

Patient Centered Care Teamwork & Collaboration Quality Improvement Safety

  

and Quality Health Outcomes Participates in-class “Putting it all together Sessions” Completed IHI modules QI 102,103, 104 & PS105 Submits KWLA+R© for all IHI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care coordination and Transitions Case Studies o Team STEPS Examines evidence Based Practices to Promote Patient Safety and Quality Health Outcomes Participates in-class “Putting it all together Sessions” Completed IHI modules QI 102, 103, 104 & PS 105 Submits KWLA+R© for all IHI Modules Complete ATI Modules: o Civility and patient safety in the clinical

Course Objective

Program Outcome Objectiv e

BSN Essentia l

QSEN Competencies

Evaluation

environment

  

  

7. Identify characteristics of fitness of duty for self and others

7, 8

VIII, IX

 Safety  Quality Improvement

   

o Professionalism and civility in Nursing practice Complete KWLA+R© for ATI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care coordination and Transitions Case Studies o Team STEPS ATI Module Evidence Based Practices to Promote a Healthy Work Environment Participates in-class “Putting it all together Sessions” Completed IHI modules QI 102, 103, 104 & PS 105 Submits KWLA+R© for all IHI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation

Course Objective

Program Outcome Objectiv e

BSN Essentia l

QSEN Competencies

Evaluation

 

8. Examine fiscal, legal, and ethical implications associated with quality, safety, and the work environment

2, 3, 8

V, VI, VIII, IX

   

Person Centered Care Safety Quality Improvement Evidenced Based Practice

  

  



o Care coordination and Transitions Case Studies o Team STEPS Evidence Based Practices to Promote Self-Care Participates in-class “Putting it all together Sessions” Completed IHI modules QI 102, 103, 104 & PS 105 Submits KWLA+R© for all IHI Modules Complete ATI Modules: o Civility and patient safety in the clinical environment o Professionalism and civility in Nursing practice Complete KWLA+R© for ATI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care coordination and Transitions Case Studies Evidence Based Practices to Promote Patient Safety and Quality Health Outcomes

Course Objective

Program Outcome Objectiv e

BSN Essentia l

QSEN Competencies

Evaluation





9. Analyze processes and procedures used for quality improvement within healthcare systems

2, 3, 8

II, IV, VI, IX

    

Quality Improvement Safety Teamwork & Collaboration Person Centered Care Evidenced Based Practice

   





10. Examine processes used to understand causes of error, allocation of responsibility, and accountability

2, 3, 8

II, IV, VI, IX

   

Quality Improvement Safety Teamwork & Collaboration Person Centered

  

Examines the relationship between quality and safety outcomes and fiscal responsibility Participates in-class “ “Putting it all together Sessions” Completed IHI modules QI 102, 103, 104 & PS 105 Submits KWLA+R© for all IHI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care coordination and Transitions Case Studies o Team STEPS Evidence Based Practices to Promote Patient Safety and Quality Health Outcomes Participates in-class “ “Putting it all together Sessions” Completed IHI modules QI 102, 103, 104 & PS 105 Submits KWLA+R© for all IHI Modules Complete ATI Modules: o Civility and

Course Objective

Program Outcome Objectiv e

BSN Essentia l

QSEN Competencies

 

Evaluation

Care Evidenced Based Practice Informatics

patient safety in the clinical environment

  





o Professionalism and civility in Nursing practice Complete KWLA+R© for ATI Modules Completes Concept Assessment I and II Participates in classroom or on-line Team Based Learning Activities: o The Story of Alice o Medication Reconciliation o Care coordination and Transitions Case Studies o Team STEPS Evidence Based Practices to Promote Patient Safety and Quality Health Outcomes Participates in-class “ “Putting it all together Sessions”

Topical (or) Outline: I. Mandate to Change Professional Nursing Practice A. Institute of Medicine Quality Series B. Institute of Medicine: The Future of Nursing: Leading Change, Advancing Health C. What is Quality? i. Characteristics and Indicators ii. Measurement iii. Patient Centered Care

iv. v.

D.

E.

F.

Nurse Sensitive Outcomes Quality Improvement Processes (Introduction) a. Organizational mandate What are Outcomes? i. Definition ii. Characteristics iii. Measurement iv. Nursing role and responsibility Organizational Culture i. Characteristics ii. Influence on nursing practice iii. Culture of Safety a. characteristics b. nursing role and responsibility Healthy Nursing Work Environments i. Key elements a. collaborative practice culture b. communication rich culture c. culture of accountability d. presence of adequate numbers of qualified nurses e. presence of expert, competent, credible, visible leadership f. shared decision making at all levels g. encouragement of professional practice and continued professional growth and development h. recognition of the value of nursing’s contribution ii. Workplace violence a. Prevention b. Legal and ethical implications

II. Strategies and Tools to Develop and Sustain Quality Care, Safety, and Healthy Work Environments A.

Intra and Inter-professional Collaboration & Communication i. Team Steps a. SBAR b. Handoffs c. Huddles d. Debriefs

B.

Conflict Management i. process ii. negotiation iii. alternative dispute resolution iv. seeking consensus

C.

Advocacy

i. characteristics ii. patient advocacy and patient rights a. when to advocate b. how to advocate iii. whistle- blowing as advocacy iv. assertive communication

D.

Care Co-ordination and Care Transitions i. models of care coordination and care transitions ii. nurse’s role in care coordination iii. inter-professional collaboration

E.

Fiscal and Legal and Ethical Implications i. organizational level ii. unit level iii. individual level a. patient and family b. registered professional nurse III. Quality Improvement A. Change, Complexity and Systems Theory i. strategies to effect change and manage complexity ii. managing resistance to change iii. collaborative process for change iv. implementing evidence based practice changes v. sustaining change B.

Quality and Risk Management i. process (power and politics) ii. models of assessment a. root cause analysis (RCA) b. failure mode and effects analysis (FMEA) iii. organizational level iv. unit level v. individual professional nurse a. role and responsibility: leading change b. reflective practice

Required Text/Readings & Videos: Finkleman, A. (2016). Leadership and Management for Nurses: Core Competencies for Quality Care (3rd ed.). Boston: Pearson. American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Additional required readings and required videos will be posted or hyperlinked within the designated class assignments. Computer/Technology Requirements 1. A current UB email address is required. Faculty and staff will not respond to non-UBIT addresses. Students are expected to read UBIT address email and UBLearns course email and announcements regularly. 2. Students are expected to have a computer device (PC, laptop, tablet) that meets minimum standards for undergraduate nursing students. Requirements are found at http://nursing.buffalo.edu/technology-requirements.html 3. You will need access to broadband; the recommended specs are: a. 1MB Download speed b. 1MB Upload speed This website will allow you to test the speed of your broadband connection: www.speedtest.net 4. Students should work through the UBLearns Help Website and related interactive activities found in UBLearns as needed. 5. Download and install the Adobe Acrobat Reader, if necessary, per instructions found at http://get.adobe.com/reader/. 6. Students should be comfortable using the Microsoft© Office products (PowerPoint, Word, and Excel) as well as basic email functions. Microsoft Office 2019 can be downloaded free to UB students at http://www.buffalo.edu/ubit/serviceguides/software/downloading/windows-software.html . Information is located under UBIT software at http://nursing.buffalo.edu/technology-requirements.html 7. Recommend use of the Firefox web browser. 8. Microphone and Web-camera are highly recommended. 9. JavaScript and Cookies enabled. 10. Flash drive, external drive or UBFS cloud storage space – 250MB (http://www.buffalo.edu/ubit/service-guides/file-storage-and-sharing/accessing-myfilesfrom-anywhere.html) (Free for UB students). You need to back-up everything! 11. The word processing software that is used in this class is Microsoft Word. When you send files electronically, you must send them as a Microsoft Word document. Daily access to a pc, mac e-reader internet access is needed for this course. The student must maintain an active Blackboard account and UB student email account. Technical Support: UBLearns IT HELP Desk: 1. The Help Desk can be accessed through the menu within the course. You can submit questions or requests for help directly to the help desk at any time, though you may not get an immediate response. Phone support is available M-F, 8:30 am to 4:30 pm: 716 645-6188 Assignment Submission Requirements 1. Students should submit all assignments in the correct format through UBLearns by the Due Date. Assignments submitted through course or UB email will not be accepted. 2. Permission may be granted for late submission if a request is made to the course faculty through UB email before the assignment due date.

3. Assignments submitted after the due date without prior notification will be accepted up to twenty-four hours after the assignment due date. Assignments submitted within this twentyfour hour window will have the grade reduced by 10 points. Assignments submitted after the twenty-four hour due date will be assigned a zero (0). 4. NOTE: All assignments must include the following header: First and Last Name, Course Name and Number, and the assignment name. Professional responsibilities and behavior include submitting all assignments on time and netiquette, with includes respectful opinions and dialogue between and among students and faculty. Netiquette guidelines may be found at https://elearningindustry.com/10-netiquettetips-online-discussions Grading 1. Student grades will be posted in UBLearns. Please allow for timely upload of grades. The Gradebook on UBLearns is for the posting of grades only. Calculation of grades will be done using an Excel spreadsheet. 2. The grade of incomplete will not be assigned except under exceptional circumstances. The student must be in good standing at the time of the request, and it is given at the discretion of the faculty. The form for the written request is available in the Office of Student Affairs. Conditions for removal of the Incomplete will be stated, along with a time frame for completion. If these conditions are not met a default grade determined by faculty will be assigned. Consistently late with assignments, missing a quiz, or poor netiquette will result in a reduction of points and grade. Course Letter Grades will be determined as follows: A 94 – 100% (4.0) A90 – 93% (3.67) B+ 86 – 89% (3.33) B 83 – 85% (3.0) B80 – 82% (2.87) C+ 75 – 79% (2.33) → Required to pass the course per SON policy C 70 – 74% (2.0) D 60 – 69 % (1.0) F below 60% (0) Evaluation Methods Successful completion of this course requires active participation and interaction with the course content by each student. Each student will be expected to:  Complete required learning activities  Take an active part in class discussions  Complete all class papers  Complete all class presentations  Participate in class presentations and peer review processes

All written assignments must be prepared on the computer. Evaluation of written work will be based on content, style, format, and adherence to criteria. APA (VI ed.) format is required. To successfully complete this course, students must achieve all of the...