Syllabus NURS 246 Fall, 2005

School of NursingModern Organizations and Health Care

NURS 246 3 Units

Elena Capella, EdD (c) MSN/MPA RNSpecial Session, Fall 2005

email…ecapella @ son.sjsu.edutelephone…831..334..1177

office…email for appointment

COURSE DESCRIPTION:

Introduction of theoretical analysis of organizations, using the model of modern health care organization within an ethnically diverse environment. Emphasis is on dynamic environment of modern organizations, goal formation and implementation, systems of control, and organizational effectiveness.

PREREQUISITES OR CONCURRENT ENROLLMENT:

NURS. 200, NURS. 202, NURS 204

COURSE OBJECTIVES:

At the completion of this course, the student will be able to:

1. analyze organizational structure and functioning from several theoretical perspectives.

2. relate organizational size and complexity to the bureaucratic nature of modern organizations.

3. evaluate salient features in the environment of modern health care organizations.4. relate goal formation and implementation to the assessment of organizational

effectiveness.5. analyze critical problems faced by modern health care organizations related to

bureaucratic structure, environment, differentiation, and conflicting systems of authority.

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Syllabus NURS 246 Fall, 2005

6. develop a model health organization for the delivery of health case for a multiethnic population.

STANDARDS

This course meets the AACN Essentials of Master’s Education for Advanced Practice Nursing building on the core curriculum content.

TEXTS:

Goodsell, C. T. (2004). The case for bureaucracy: A Public Administration Polemic (5th ed.). Chatham, NJ: Chatham House.

Scott, W. R. (2003). Organizations: Rational, natural, and open systems (5th ed.) Saddle River, NJ: Prentice Hall.

COURSE REQUIREMENTS:

Class participation (8 points) Online participation (7 points) Analysis Paper (30 points) Final Examination (25 points)Group Project (20 points) Group Project Class Presentation (10 points)

TOTAL POINTS: 100 points = 100%

GRADES AWARDED: A = 93-100A- = 90-92B+ = 87-89B = 83-86B- = 80-82C+ = 77-79C = 73-76C- = 70-72D+ = 68-69D = 67 D- = 65-66F = 65

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Syllabus NURS 246 Fall, 2005

COURSE POLICIES:

1. The course is a mixed mode course that consists of classroom sessions and online sessions.

2. Student conferences are made by appointment. These conferences are not a substitute for class attendance. Please arrange for another student to take notes for you if you must miss a classroom session.

3. Students are encouraged to contact me via email. I check email frequently and it is the most expedient way to get an answer to your question.

4. Class participation is important and accounts for a significant percentage of your grade. Class participation is accomplished by attending classroom and online sessions, reading the assigned reading prior to the first day the reading is due, participating in the session as described in the class participation section.

5. All written assignments are to be posted in the Digital Drop box as MS Word files. Please verify that the file extension of your document is .doc. If your computer does not have MS Word you will need to submit the assignment from a computer in the SJSU computer lab or commercial business that has such a computer. MS Works, Word perfect and Apple documents will not be accepted. Assignments must be posted in the course website and are not accepted by email. It is the student’s responsibility to contact the Help Desk and resolve any problems with posting assignments to the Digital Drop Box.

6. All written papers for classes will be scholarly and use the APA Manual, (4th edition).

Scholarly class papers will include the following parts: Title page Body of paper References Appendices (optional, only when applicable)

Class papers do not include the following (unless specifically requested by the faculty person):

Running head Table of contents Signature page Acknowledgement page List of tables List of figures Abstract

7. Student work is to be edited and consistent with the page limits of the assignments. Page limits do not include the cover (title) page or references list. The instructor does not read pages of the assignment that goes beyond the page limit.

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Syllabus NURS 246 Fall, 2005

8. Feedback is given via the Digital Drop Box. Grades and feedback are not given via email or telephone.

9. Due dates are noted on the calendar below. Reading and assignments are due by the end of day PST on the due date. One point per day will be deducted for late submission of assignments; assignments will NOT be accepted 5 working days or later than the due date. Early submission of assignments is encouraged. Incompletes are not given for the course.

10. Make a copy of all assignments, and feedback to save in case there is some question about your performance. You are responsible for keeping track of your performance throughout the course.

11. Since group projects are outcome-based, all members of your group will generally earn the same grade. I do, however, reserve the right to report different grades for group members if I identify a substantial imbalance in the level of effort.

TEACHING STRATEGIES:

The course will be taught as a seminar. The emphasis will be on exploring how the readings apply to modern organizations and healthcare in which the class participants have experiences. Extensive reading is expected so that the classroom discussion will be meaningful. Therefore, it is essential that each student read and think about each assignment before class, attend class regularly, and actively participate* in discussions. Students will also make a presentation to the class based on a group project, complete structured written assignments, and complete a take home Final examination.

ACADEMIC INTEGRITY

Academic Integrity, please note policies related to Academic Integrity, S04-12 can be found http://www2.sjsu.edu/senate/S04-12.pdf

With the increased use of the internet, frequently students unknowingly violate the Plagiarism policy. Before you complete assignments for this course please go to http://www2.sjsu.edu/leap/plagiar.htm and read more descriptions of plagiarism. If you have any questions regarding Academic Integrity, please ask the faculty for this course for clarification.

Please complete the tutorial http://tutorials.sjlibrary.org/plagiarism/index.htm

COURSE ACCOMMODATIONS

Students who need accommodation due to a disability must register with SJSU’s Disability Resource Center (DRC). The Center will work with the student to determine the disability, document it, and determine the services and accommodations necessary for student success.

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Syllabus NURS 246 Fall, 2005

DRC Web site: http://www.drc.sjsu.edu

If you need course adaptations or accommodations because of a disability, or if you need special arrangements in case the building must be evacuated, please make an appointment with me as soon as possible, or see me during office hours. My office location and hours are on the course calendar*Presidential Directive 97-03 requires that students with disabilities register with DRC to establish a record of their disability.

EVALUATION AND GRADING

Class Participation (8 points)

Class participation is an essential activity in understanding the concepts related to modern organization and health care. Class participation relies heavily on attending and being prepared for class. The grading standards are as follows:

Grading Criteria for Class Participation

CRITERIA POSSIBLE POINTSAttendanceAttends all classes in person sessions

4 points

Prepares for class; completes all assignments and reading prior to class periodsActively and thoughtfully contributes to class discussionsUses active listening skills to foster discussion and learningIncorporates content from assignments into class discussionSeeks out literature beyond assigned readings and incorporates content into class discussionTranslates content from assignments, readings and discussionsRespects contributions and opinions of othersRaises appropriate issues to facilitate discussionActively participates in group activities

4 points

Online Participation (7 points)

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Syllabus NURS 246 Fall, 2005

Online participation is an essential activity in understanding the concepts related to modern organization and health care. Online participation relies heavily on posting messages and being prepared for class.

Grading Criteria for Online Participation

CRITERIA POSSIBLE POINTSSubstantive PostingsAdds to class understanding of course material by connecting the reading tothe discussionThoughtful, original and articulateSuccinct and conciseResponses to discussion questions and to another student are between 125 to 300 words in length

4 points

Timely and InteractiveA response to the discussion question is posted within three days after thequestion is postedA substantive message to at least one other student's response is postedwithin five days after the question is postedTone is supportive of other students and encourages discussion

3 points

Analysis Paper (20 points)

The purpose of this paper is to allow you to focus the study of organizations on a real model. Applying organizational concepts from the course to a particular institution allows you to analyze the strengths and weaknesses of various ideas in a real and meaningful manner. Papers are to be submitted to the Digital Drop Box as a Microsoft Word (.doc) document and to Turnitin (see below) by the due date.

Select a health care organization. Analyze the organization and prepare a 6 – 8 page typed paper. Utilize course required readings. Include the following:

Briefly describe and identify the type of organization. Describe the core technology. Discuss the level of complexity, uncertainty, and

interdependence. What specific organizational features are intended to deal with complexity, uncer-

tainty and interdependence of the technology? Describe the organizational environment. How do environmental features affect

the organization?

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Syllabus NURS 246 Fall, 2005

Describe one professional/organizational conflict. What steps have been taken to resolve it?

Include a copy of the organizational chart. The paper (6 – 8 pages) must be typed, double spaced and prepared according to

the American Psychological Association Manual of Style, 5th ed. Reference all work, use course readings and any additional relevant material.

Evaluation of the paper will include the incorporation of the items listed in sec-tions I. and II. (see grading criteria).

Grading Criteria for Analysis Paper

CRITERIA POSSIBLE POINTSDescription & type of organization 3 pts.Core technology and discussion of complexity, uncertainty, and interdependence

3 pts.

Organizational features to deal with items in #2

3 pts.

Organizational environment and features

3 pts.

One conflict and steps to resolve 3 pts.Copy of organizational chart 1 pt.APA format includes grammar, clarity, punctuation, and referencing

2 pts.

Coherency of analysis 2 pts.

Turnitin

San Jose State University subscribes to Turnitin, and faculty may use the service to check students' original work and deter plagiarism. Students are required to submit the scholarly paper to the service electronically prior to posting the document on the Digital Drop Box.

Students will need to create a Turnitin user profile and submit their scholarly papers electronically from their personal computers. Your instructor will provide you with a class/section identification and an enrollment password. Once you have created a user profile, please keep your user identification confidential and easily accessible.

To obtain more information about Turnitin go to: http://www.turnitin.com/static/home.html?session-id=0027e46291a7c48eb50f8aafede2a812

Final Examination (25 points)

The final will consist of four questions, from which students select three and write a response in APA format. The questions are based on the application and synthesis of the

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Syllabus NURS 246 Fall, 2005

course objectives. Responses must include reference to course readings. Students will have two weeks to complete the answers. The completed assignment will be posted to the Digital Drop Box as a Microsoft Word document (.doc) by the due date. Questions will be posted in the Online Classroom two week prior to the due date. Each question is worth 8 points each, and APA format is worth 1 point. The response should be developed with at least 3 paragraphs per question, and not more than 1 ½ pages per question typed in 12 point font. Responses must be primarily supported from the literature utilized during NURS 246 course, although other literature may also be used. Final Examinations are to be submitted to the Digital Drop Box and to Turnitin by the end of the day on the due date.

Grading for Final Examination

CRITERIA POSSIBLE POINTSApplication and synthesis of course materialThe analysis provides a thorough description of the organizational issue and applicable organizational theory The description of the organizational issue and theory is based on sound source material and written in accurate paraphrase

8 points (for each question)

APA format Correct use of APA format (5th edition) and adherence to structural requirements including, but not limited to Times Roman font, 12 pt, margins (all sides) 1 inch, and double-spacing. Exceeding the page limit will result in a deduction of 10% per page.

1 point

Group Project (20 points)

The purpose of this project is to develop a culturally competent model health care organization using course theories and concepts. In addition you will need to plan a specific demonstrated health care service for an identified health problem based on Healthy People 2010 goals and objectives. Use your creativity, professional experience, course materials, and knowledge from prior graduate courses to develop the type of organization you are proposing.

Each group is to assume that their health care organization is competing for the funds and approval to establish the organization and deliver the health care service. Base your proposal on the possible health care needs for a county of 1,500,000 with an ethnically

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Syllabus NURS 246 Fall, 2005

diverse population.

The decision of whether or not your organization receives the requested funds will be made by the County Board of Supervisors (your classmates).

Your group must prepare a proposal which describes your model organization, includes an organizational chart, statement of need, statistics which support the need for the organization and service, a budget, and method of evaluating the service and organizational effectiveness.

Prepare a 6 – 8 page typed paper which includes the following:

1. Description of the county and population2. Description of the health care service you will provide and the need for the service

based on Healthy People 20103. Description of the specific strategies for providing access and service for meeting the

needs of an ethnically diverse population4. Description of the evaluation plan for the service to be provided5. Description of the elements of your model organization: philosophy, goals, mission,

environment, structure, budget, funding sources, and participants6. Identify the type of system, rational, natural, or open and the rationale7. Identify potential problems for the organization and list methods planned to resolve

the problems8. Identify the strategies to be used in evaluating the effectiveness of the organization9. Develop a measurement tool to evaluate the participation and effectiveness of each

group member in the project and evaluate each member. Include the results

Utilize APA 5th ed. Format. A reference list is expected with at least two references from the World Wide Web. See grading for the Group Project for point distribution. The Group Project Paper is due to be posted in the Digital Drop Box and Turnitin at the time of the Group Presentation.

CRITERIA POSSIBLE POINTSDescription of the county and population 2 pointsDescription of the health care service you will provide and the need for the service based on Healthy People 2010

2 points

Description of the specific strategies for providing access and service for meeting the needs of an ethnically diverse popula-tion based on course reading

3 points

Description of the plan for evaluation of the service 2 points Description of the elements of your model organization: philos-ophy, goals, mission, environment, structure, budget, funding sources, and participants

2 points

Identify the type of system, rational, natural, or open and the ra-tionale; organizational chart and rationale

1 point

Identify potential problems for the organization and list meth- 2 points

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Syllabus NURS 246 Fall, 2005

CRITERIA POSSIBLE POINTSods planned to resolve the problemsIdentify the strategies to be used in evaluating the effectiveness of the organization

2 points

Measurement tool used to evaluate the participation and effec-tiveness of each group member in the project

2 points

APA format includes grammar, clarity, punctuation, reference list & WWW reference

2 points

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Syllabus NURS 246 Fall, 2005

Course Schedule

COURSE SCHEDULE

08/30/05 classroomRegistration, overview, course requirements;Group selection; assignments of readings

09/06/05 classroomOrganizational concepts, levels of analysis; goals, technology, environment, democracyOrganizational perspectives as conceptual framework; rational, natural & open systemsScott, Ch. 1, 2, 3, 4

09/13/05 onlineFind and read the article below located in the SJSU Databases: Havens, D. S., & Aiken, L. H. (1999). Shaping systems to promote desired outcomes. The magnet hospital model. Journal of Nursing Administration, 29(2), 14-20.

By the end of the day PST on Wednesday, post a response in the Discussion Board By the end of the day PST on Friday, post a message in reply to another student in the Discussion Board

09/20/05 classroomOrganizational PerspectivesInstitutions: myth, ceremony, stories, organizational cultureCreating Organizations, Environments and Conceptions Scott Ch.5, 6, 7Goodsell, Ch. 1, 2, 3

09/27/05 onlineFind and read the article below located in the SJSU Databases: Gage M. (1998). From independence to interdependence. Creating synergistic healthcare teams. Journal of Nursing Administration, 28:17-26

By the end of the day PST on Wednesday, post a response in the Discussion Board By the end of the day PST on Friday, post a message in reply to another student in the Discussion Board

10/04/05 classroomBoundaries; Technical coreStructural complexity, buffering, bridging, loose couplingScott , Ch. 8, 9, 10

10/11/05 Find and read the article below located in the SJSU Databases:

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Syllabus NURS 246 Fall, 2005

Stuenkel, D. L. Cohen, J. & De la Cuesta, K. (2005). The multigenerational nursing work force: Essential differences in perception of work environment. Journal of Nursing Administration, 35(6):283-285, June 2005.

By the end of the day PST on Wednesday, post a response in the Discussion Board By the end of the day PST on Friday, post a message in reply to another student in the Discussion Board

10/18/05 classroomCollaboration, Alliances, PartnershipsProfessionals in organizationsGoodsell , Ch. 4, 5, 6Analysis Paper due to be posted in the Digital Drop Box and to Turnitin

10/25/06 onlineFind and read the article below located in the SJSU Databases:Arford, P. (2005). Nurse-physician communication: An organizational accountability.Nursing Economics, 23(2):72-7, 55.

By the end of the day PST on Wednesday, post a response in the Discussion Board By the end of the day PST on Friday, post a message in reply to another student in the Discussion Board

11/01/05 classroom Goals, power & authorityScott, Ch. 11

11/08/05 online Find and read the article below located in the SJSU Databases:Leach, L.S., (2005). Nurse Executive transformational leadership and organizational commitment. Journal of Nursing Administration, 35(5):228-237

11/15/05 classroomInstitutions: myth, ceremony, stories, organizational cultureChangeFind and read the article below located on the WWW: Schein, E. The three cultures of management: The key to organizational learning in the 21st century. http://www.solonline.org/static/research/workingpapers/three.html#three

11/22/05 online Find and read the article below located on the WWW:The story of transforming care at the bedside. Robert Wood Johnson Foundationhttp://www.rwjf.org/files/publications/other/transformingCareAtBedside.pdfBy the end of the day PST on Wednesday, post a response in the Discussion Board

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Syllabus NURS 246 Fall, 2005

By the end of the day PST on Friday, post a message in reply to another student in the Discussion Board

11/29/05 classroomOrganizational pathologies; organizational effectivenessScott, Ch. 12, 13

11/29/05 classroomIdeal institutions; probable future organizationsCourse ConclusionGoodspell, Ch. 7Group Presentations dueFinal Exam distributed to be distributed

12/06/05 classroomCourse ConclusionGroup Presentations dueFinal Exam due to be posted in the Digital Drop Box and Turnitin on 12/13

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