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Course Syllabus NURS 136: Foundations of Nursing Debi Ingraffia-Strong PhDc, MSN, RN Professor of Nursing Lisa Dunkelberg MSN, RN Nursing Instructor Linda Jacks MN, RN Professor Emeritus Revised 08/12/2017 DI-S Page 1

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Course Syllabus

NURS 136: Foundations of Nursing

Debi Ingraffia-Strong PhDc, MSN, RN

Professor of Nursing

Lisa Dunkelberg MSN, RN

Nursing Instructor

Linda Jacks MN, RN

Professor Emeritus

Fall 2017

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NURS 136: FOUNDATIONS OF NURSING THEORY

~Fall 2017~

Number of Credits: 3 (45 clock hours)

Prerequisite: Must be an accepted nursing student

Corequistes: NURS 137 and NURS138

Students must pass 137 and 138 in order to receive a passing grade (C or better) in NURS 136. Failure to complete the required course work for any of the Foundations of Nursing courses will necessitate that the student repeat the coursework series.

I. Course Description Introduces students to the role of the associate degree nurse in contemporary practice. Students are guided to utilize knowledge from the sciences, humanities and nursing to understand man as a bio/psycho/social/cultural and spiritual being. Students are introduced to the nursing program organizing concepts and outcomes which include professional behaviors, communication, collaboration, nursing process, clinical decision making, management of care and teaching learning.

II. Course Objectives Upon completion of NURS 136, the student will be able to:

Discuss the definition of nursing, its historical background, nursing theory, and the status of nursing as a profession and as a discipline.

Discuss the eight competencies expected of a graduate nurse as identified by the National League for Nursing (NLN).

Identify regulatory and professional organizations that impact nursing. Develop knowledge of the nursing process, interpersonal skills, legal responsibilities and

professional nursing ethics. Discuss Maslow's Hierarchy of Needs and its application to the framework of the nursing

process in the delivery of nursing care. Identify reflective and critical thinking skills used within the nursing process. Describe the impact of cultural, psycho/social and spiritual influences upon the health of

the patient/client. Identify the scientific rationale necessary to meet the basic physical, psychosocial and

cultural needs of all patients based on evidence-based practice. Identify functional and dysfunctional behaviors that affect patient's health.

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Identify nursing interventions to modify dysfunctional behaviors. Utilize basic communications skills during interactions with patients and staff. Demonstrate college level writing skills and APA in a 1000-1500 word reflective paper

on an event of the student's choosing during clinical practice.

Nursing Program Student Learning Outcomes

Incorporate principles from the bio/psycho/social sciences, mathematics, literacy and nursing in the provision of patient care.

Apply the nursing process in a caring manner to safely meet the holistic needs of patients across the lifespan

Utilize a broad range of communication skills to promote understanding Utilize a spirit of inquiry to integrate current evidence-based guidelines and nursing

science when making clinical practice decisions Apply concepts of caring, cultural sensitivity and respect for all persons Apply principles of teaching and learning to empower patients and families to effectively

manage healthcare Incorporate principles of collaboration and teamwork with patients, families and the

health care team to achieve patient centered care Provide and manage care that reflect the ethical values of nursing within professional

standards and legal parameters of the profession

Linkage of course to Institutional Student Learning Outcomes:

1. Identify, describe, and apply information, theories, methodologies and approaches from the sciences, social sciences, and humanities/arts.

2. Write effective projects, papers, and reports.3. Present accurate calculations and symbolic operations, and explain how calculations and

operations are used in either the specific field of study or in interpreting information in other fields.

4. Locate, evaluate, and appropriately use information from multiple resources to complete projects, activities, and papers.

5. Describe diverse historical and/or contemporary positions on selected democratic practices or practices.

6. Integrate knowledge and skills from the study of sciences, mathematics, social sciences, and the humanities/arts to think critically about and develop solutions to contemporary and/or enduring problems.

7. Identify, describe, and apply information in the discipline or career area of their choice sufficient for further study and/or demonstrate competencies required to succeed in the workplace.

III. WNC online (Canvas) Course RequirementsThis course utilizes WNC online (Canvas) to provide handouts and communicate with students. Students will need to have the skills necessary to use the internet and a basic understanding of how to download and print documents from the internet. You should also know how to use a

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word processor that will save in an .rtf or .doc or html format to type and submit papers via the web. Tutorial link and frequently asked questions and answers regarding this online platform are available at http://www.wnc.edu/wnconline/

Canvas technical support for faculty and student sis available 24/7 by phone or text chat (855-308-2493). Canvas help can be accessed by clicking on the help link at the top right of the canvas home page.

IV. Disability Support Services

Western Nevada College is committed to providing reasonable accommodations for all persons with disabilities. This syllabus is available in alternate formats upon request. If you have a disability that may have some impact on your work in this class and for which you may require accommodations, please see a staff member in Disability Support Services (Carson Campus, Cedar 209 or 775-445-4459 or [email protected]) so that such accommodations can be considered. Students that receive accommodation letters, please meet with me to discuss the provisions of those accommodations as soon as possible.

V. Teaching-Learning Strategies

Learner-centered, problem-based, construction of understanding and meaning utilizing evidence-based principles that provide involvement, interaction and socialization into the nursing profession.

Required reading, discussion/lecture assignments, group projects; role play; pair-share activities, concept mapping, online discussion and activities, case study application, & audiovisual aids.

VI. Credit Hour Designation

One hour each week will focus upon professional development [15 hours-1 credit]Two hours each week will focus upon evidence-based practice [30 hours-2 credits]FYI: Test taking strategies: September 5th, 2017 1-4pm all students (via Lecture Capture)

VII. Dress CodeProfessional/casual attire

VIII. Textbooks

Required Texts:

Potter, P.A., Perry, A.G., Stockert, P.A., and Hall, A. M. (2017). Fundamentals of Nursing (9th ed). St Louis, MO: Elsevier.

Kizior: Saunders Nursing Drug Handbook (or any current drug reference)

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Malarkey: Saunders Nursing Guide to Laboratory and Diagnostic Test (or any current lab reference)

Online Elsevier Evolve and HESI resources available through access codes

 Recommended Texts:

Rayfield, S., & Manning, L. Nursing Made Insanely Easy, GA: ICAN publishers.

IX. Methods of Evaluation

The student must pass all methods of evaluation with 75% accuracy. These methods include:

Computerized or written scantron examinations: All exams will be cumulatively cumulative and will build upon prior content.

HESI Integrated testing

Weekly quizzes (EAQ)

Reflective problem-solving essay/presentation & Careplan – Case Study

X. Grading Policy

Grading of all methods of evaluations is done on a point basis. The letter grade is calculated from the number of points earned against the number of points possible.

Exam 1 100Exam 2 100Exam 3 100Final Comprehensive Exam (1 point per question) 100Cumulative points from exams & quizzes must total 298 - equal to 75% in order for the additional points to count

400 Possible Points

Bio posting (10 points) 10EAQ (10 points each) (lowest 1 dropped) 70HESI Integrated Testing 35Reflective problem-solving essay/presentation (25/25 pts) 50 (25/25)Careplan (part 1 and 2 – each 50 points) 100Total Possible Points Cumulative points must total 496 in order to attain a grade of C or better and progress within the nursing program

665

See WNC Nursing Program Student Handbook for grading policy & final grade distribution.

The total points possible for exams is 400; students must have a cumulated score of 298 points to pass (75%). If the 298 points is not achieved, the other assignment points earned will not be averaged into the final grade and the student will receive only the grade achieved on the exams. (See student handbook

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regarding grading policy). If the student has earned 298 points or better, the points earned from the other assignments are combined with the exams score for the overall course grade.

Total points for the course is 665. Students must have a cumulative score of at least 496 in order to receive a passing grade of C (75%) and progress within the nursing program (See the WNC Nursing Program Student Handbook).

All exams must be taken on date scheduled. All exams are taken online in the WNC Computer lab (8:00 - 09:30 am of the exam day) unless accommodations are made. If a written exam is used, only the answers on the scantron will count so be sure to mark the answer you want clearly on the scantron.

There will be no extra credit questions on exams! Exam scores will be released at the completion of the exam in WNC online. If the

exam is taken in written format, grades will be released by 5:00 pm Friday of the exam week.

You have one week after grades are posted to further review the content of the exam. You are highly recommended to review your exams. Test review sessions may be scheduled during faculty office hours.

Any exam question, concern or debate regarding exam questions must be submitted via email to the appropriate faculty in APA format and rationale referenced per APA within one week of the exam for consideration.

Any students caught cheating on an exam, quiz, or assignment will receive a 0. No exceptions. Refer to criteria for exam taking.

Withdrawal Policy: The last day to drop a course with a “W” is October 26, 2017 otherwise the grade earned for the course will be recorded.

HESI Integrated testing: End of course Fundamentals Exam: A customized comprehensive test that evaluates the understanding of nursing procedures and the basic skills needed to care for patients in a variety of situations. HESI practice tests are available throughout the semester with rationale available for all questions. While there are no course “points” allocated for these, they are very helpful to enhance your student learning.

Following the HESI examination each student will review their color-coded report identifying strengths and weaknesses. If the student meets or exceeds the national score the full 35 points will be awarded. If not, the student has the opportunity to complete remediation based upon the identified areas of weakness. A minimum of 2 hours of remediation must be documented in the HESI system in order to earn 28 points or 80% of the possible points possible for this assignment. This assignment does not count towards the exam points for the course and are entered into the assignments portion of the course point’s distribution.

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Written assignments:

Written assignments (Reflective paper and Careplan/Case study) are to be posted in WNC online by midnight on the date designated in the syllabus. Assignments submitted after the published due date will not be accepted. Exception to the policy could occur if a waiver is granted by the faculty prior to the due date due to a documented emergency situation. A grade of “0” will be entered for the late assignment, which may result in failure of the course.

Refer to the student handbook for policies on legibility, completion of written assignments, and grading policies. APA format will be used for all references and citations.Students are expected to abide by the WNC Code of Student Conduct in all of their classes http://www.wnc.edu/policymanual/3-4-4.htm Plagiarism is a particularly serious violation, as outlined in the WNC policy manual, Academic Integrity section of code #3-4-5. It will not be tolerated!

Online assignments and participation in discussions:This is web-enhanced course. Active participation on WNC online is required. Please check WNC online daily for new postings, announcements, etc.

Presentation:

Individual presentations based upon the reflective paper experience will be held on Tuesday 11/21/17 from 1-4pm. 25 points possible.

Evolve Adaptive Quizzing (EAQ):

Each weekly EAQ is assigned through Evolve to be completed prior to class.  These are quiz questions that are linked to the chapter required readings.  Students must meet a mastery level of 2 or attempt 40 questions for quiz points to be credited. If not completed prior to class no credit will be awarded.  Students must be present in class in order to attain EAQ points.  The lowest quiz score during the semester will be dropped.The access code for EAQ is:Elsevier Adaptive Quizzing COURSE ID 156009_dingraffiastrong_1002INSTRUCTOR Debi Ingraffiastrong

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XI. Instructor Contact Information

Debi Ingraffia-Strong MSN, RN Office: Cedar 231Professor of Nursing Office phone: (775) 445-3334

[email protected] Cell phone: (775) 901-0612

Lisa Dunkelberg MSN, RN Office: Cedar 229Nursing Instructor Office phone: (775) [email protected] Cell phone: (775) 450-6865

Linda Jacks MN, RN Fallon Nursing Lab (office)Professor Emeritus Cell phone: (775) [email protected]

Office hours are posted outside of office door and on the WNC website. Course faculty are available by appointment in office (Carson or Fallon) or online!Communication with faculty: Texting individual faculty is allowed for absences, late to class, and emergency notifications. Otherwise, please email questions, concerns, etc. directly to the faculty member.

XII. Student Responsibility

The student is responsible for knowing and following the policies and procedures of the college and the nursing program that define appropriate student. The student is responsible for prompt communication with the instructor for any student concern or information needed to be successful in NURS 136.The student is responsible for acquiring the necessary technology skills needed to access WNC online for unit objectives, assignments and handouts, testing and communicate between the instructor and other students.The student is encouraged to request accommodations for a specific disability. The student needs to notify the instructor of appropriate accommodations. The student needs to coordinate the accommodations with Susan Trist (the DSS coordinator: phone 445-4459) located in Cedar, Room 209 as soon as possible to ensure timely and appropriate accommodations.Student absences will be acknowledged by each faculty member to determine if there is an ongoing problem. Absences will be dealt with on a one to one basis between the student and the instructor and the Director of Allied Health.

Tobacco PolicyWNC is continuing efforts to support a healthy and safe campus. Starting August 14th, 2017, WNC is officially a tobacco free campus. We are excited to be joining over 1700 tobacco free campuses across the United States. As of now, the use of tobacco and vapor products are prohibited on all WNC property, including inside buildings, and all outdoor

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areas. Tobacco and smoke free includes all tobacco products. SMOKING means inhaling, exhaling, burning, or carrying any liquid or heated cigar, cigarette, or pipe, or any other lighted or heated tobacco or plant product intended for inhalation, including hookahs and marijuana, whether natural or synthetic, in any manner or in any form. ‘Smoking’ also includes the use of an electronic smoking device which creates an aerosol or vapor, in any manner or in any form. Support and commitment from our students allow us to continue our efforts for a healthy campus. We thank you for your dedication to a tobacco free WNC. 

For more information, please go to our website, www.wnc.edu/healthy-campus/Nevada Tobacco Quitline: 1-800-quitnow or online nevadatobaccoquitline.com

Classroom Community

Welcome to your first nursing course NURS 136 Foundations of Nursing: Theory. This course covers areas basic nursing bedside skills to fluid and electrolyte management. It is a very comprehensive course and will at times be very heavy with content. It is important that each person that attends this class have all the opportunity possible to master this content. Every member of this class has the right to participate freely in the class activities without interruption or feeling insecure or insignificant. In order for this to occur certain classroom conduct is expected. As an interactive class it is particularly important to limit interruptions, background noise, and talking so that all can hear and participate in the lecture sessions. In order for this to occur, certain classroom conduct is expected. We have outlined behaviors that are expected of the students and instructors.

1. Each member of the community is important to that community as any other member.2. Every member of the classroom community deserves the right to speak his or her own

thoughts as long as those thoughts do not intentionally hurt another.3. No member of the community has the right to interfere in the exercise of another

member’s right to speak: when a member is speaking no one else should. 4. All members of the community are expected to attend class and become involved in the

topic of the day. The benefit of coming to class is in networking with your peers and coming to a better understanding of the topics discussed. Your attendance at class benefits all. Because time is limited and much content is covered it is important that the class begin at the appointed hour. Unless prior arrangements have been made, those who arrive late shall wait until the next classroom break to enter.

5. The only learning materials allowed in the classroom are those directly related to the activities of the class. All other materials, cell phone, PDA’s newspapers, magazines must be put away. Shut off all cell phones. No texting allowed during class times! Computers are allowed to take lecture notes, however no other online activities (such as Facebooking) is allowed during lecture!

6. Trust and respect are expected for everyone in the classroom. Talking with your neighbor and making unnecessary noise will not be tolerated.

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7. Your syllabus can answer all your questions about exams and classroom lecture schedule. We will not answer questions such as “What is on the exam?” We will cover exam topics as appropriate. Listen carefully. Recording lecture content is allowed for your use only. These recordings are not to be posted to any internet source.

8. Web conduct: This is web-enhanced course. Active participation on WNC online is required. Please check WNC online daily for new postings, announcements, etc. WNC online is an excellent tool to communicate with the instructor and other students. Please be respectful and post questions and material that is related to the classroom activities. Any negative comments not related to classroom topics should be communicated elsewhere.

10. Examples of misconduct during testing follow. Any student engaging in such behavior will be dismissed and receive a “0” grade for the quiz/exam.

Being late! Using electronic communications equipment such as pagers, cellphones, iPod’s or

PDA’s Giving or receiving help during the quiz or examination or being suspected of

doing so Using prohibited aids, such as reference materials, websites, listening devices, or

recordings. Sharing information about the test and test questions with any unauthorized

person.

We welcome you to your first nursing course and are here to facilitate your success!

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XIII. Lecture Schedule ~ Required Readings ~ Exam Schedule 2017Semester Week

Professional Development(PD)

Evidence-based Practice (EBP)

Readings Assignments & Exams

18/28/17

Nursing TodayThe Healthcare Delivery System

Theory, Research, EBPPatient safety and qualityInfection prevention and control

PD: Chapters 1, 2EBP: Chapters 4,5,27,29

Bio posting

29/4/17

Labor Day HOLIDAY HOLIDAY Evolve tutorials:1. Case study student quick start guide2. Test taking tutorial

39/11/17

Nursing process: Diagnosis, Planning, Implementation, and Evaluation

Documentation & Informatics Critical ThinkingThe nursing process for administration of meds

PD: Chapters 17,18,19,20EBP: Chapters 26, 15, 32

EAQ 1

49/18/17

Exam 1: 100 points (8-9:30am) - Computer labGuest speaker (10-10:50am) Classroom

59/25/17

Professional Standards in Nursing PracticeEthics and ValuesLegal Implications in Nursing Practice

Promoting healthy physiologic responses: Fluid, electrolyte and acid-base balanceNutrition

PD: Chapters 22, 23EBP: Chapters 42, 45

EAQ 2

610/02/17

Developmental Theories & Concepts

Hygiene; Pain ManagementSkin integrity and wound care

PD: Chapters 11,12,13EBP: Chapters 40, 44, 48

EAQ 3

710/9/17

Health of individual, Family, CommunityHealth and Wellness

Urinary eliminationBowel elimination

PD: Chapters: 3, 6EBP: Chapters: 46, 47

EAQ 4

810/16/17

Exam 2: 100 points (8-9:30am) - Computer labGuest speaker (10-10:50am) Classroom

910/23/17

The aging adult; older adultsLoss, death, and grief

Activity & ExerciseImmobilityIndividualized plan of care

PD: Chapters: 14, 37EBP: Chapters: 39, 28

EAQ 5

1010/30/17

Caring for FamiliesCulture and Ethnicity

Oxygenation with review of acid-base balance

PD: Chapters: 9, 10EBP: Chapter: 41

EAQ 6

1111/06/17

Exam 3: 100 points (8-9:30am) - Computer labGuest speaker (10-10:50am) Classroom

1211/13/17

Managing patient careCaring in Nursing Practice

Self-conceptStress and CopingSleep

PD: Chapters: 21, 7EBP: Chapters: 34, 38, 43

EAQ 7Care plan part 1 due 11/12/17

1311/20/17

11/21/17

HESI testing 8am -9:30am - Computer labUsing HESI resources (10-10:50am) – concept mapping; Individualized plan of care - ClassroomPotluck 12-1pmPresentations 1-4

Reflection assignment presentations

Cedar building – rooms TBA

All students Carson & Fallon

1411/27/17

CommunicationPatient Education

SexualitySensory Stimulation

PD: Chapters: 24, 25EBP: 35, 49

EAQ 8Reflective Paper Due 11/19/17

1512/4/17

Caring for the Cancer Survivor; Spiritual Health

Holistic care & Self CareComplementary & Alternative

PD: Chapters: 8, 36EBP: Chapters: 33

No required EAQ this weekCare Plan Part 2 Due 12/03/17

1612/11/17

Final Exam: 100 points (1 point per question) - Cumulative - (8-10am) Computer labFinal Grades Released by Friday 12/15/157

Any revisions or changes to this schedule will be posted in Canvas

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XIV. Course Grading Rubrics

NURS 136: Foundations of Nursing Science - Reflective Paper Assignment

This paper is to be 1000-1250 words in APA format. You are to reflect on an event that has been an epiphany for you this semester in your clinical experience (how you felt in that situation, what you have learned, and how this learning experience will change your behavior in similar situations in the future). In the paper, describe the experience, how you felt about it, include both positive and negative feelings, and associate the experience with at least 3 concepts you learned in the classroom in any course you had this fall. Explain how you will use that information in the future and how important that experience was to you. These concepts must be cited (see APA and in-text citations) using reputable sources.

Reflective WritingReflection is thinking about a situation that happened and your response to the situation. Reflect on what happened, what you felt, and what you were thinking at the time. Include what the outcome of the experience means to you. How will it affect your future thinking and or behavior? What will you do differently? For instance, is there a procedure or policy you need to review? Do you need to be more assertive, or change your attitude or beliefs? Reflect on what you believed before the experience and now after the experience. Reflective thinking is like making sense of your thoughts and feelings.

Nursing Concepts

Compare the concepts you learned in any of your first semester courses with the situation you are writing about. Be sure to explain the concepts you are using. Do not assume the reader knows what you are talking about. If you are talking about medical asepsis be sure the audience understands the practice of medical asepsis. For instance, how would you explain medical asepsis to your parent or spouse or friend? You need not only to be clear, but accurate.

This paper is worth 25 points. You must use at least two different references and cite per APA format. You may also use electronic resources as long as the concept has been discussed in your classes.

This paper is due 11/19/17 and posted to WNC Online (Canvas) by midnight. Be sure to follow APA guidelines. Be sure to have a title page. Cite your citations in the body of your paper using in-text citations and provide a reference page at the end. Your paper should be well organized with a heading, introduction paragraph and conclusion. Explain what happened, and your reflective thoughts, then how it relates to the concepts you learned and lastly how it will change your thinking and/or behavior in the future (conclusion). Use a separate paragraph for each concept and state the concept clearly. The reader should not have to search for the concepts your using.

Presentations based upon the reflective paper experience will be held on Tuesday, November 21, 2017 from 1-4 pm. 25 points possible. Grading rubrics follow:

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NURS 136 – Reflective Paper and Presentation

Student:___________________________________ Faculty:___________________________________

Paper Mechanics 5 points Points earned25 points Possible

APA 2

Clear & Concise 1

OrganizationIntroduction, Body,

Conclusion

2

Reflective Writing 5 points

The EventYour Feelings/Reactions

Changed thinking or behavior

Concepts: 3 required15 points possible5 points each Concept

123

Total Points and comments:

Presentation based upon the reflective paper experience will be held on Tuesday November 21, 2017 from 1-4 pm. 25 points possible

Presentation 25 points possible Points earned

Reflective Experience 5 points

The EventYour Feelings/Reactions

Changed thinking/behaviorConcepts: 3 required15 points possible5 points each Concept1.2.3.Presentation engagement 5 points

Total Points and comments:

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Careplan Part I Database - Grading Criteria

Student:___________________________________ Faculty:___________________________________

Concept Map Components with Grading Criteria Criteria and points

possible

Points Earned

Health History and System-Specific Assessment:Demographics; Source of history; Chief concern/complaint; History of present illness; Past medical history; Family history; Social history; Health promotion behaviors; Allergies and adverse reactions; Code status; Review of systems (System-Specific); Focused history of symptoms

6 points possible

History and Pathophysiology: described in students own words with in-text citations as appropriate. Typical signs and symptoms for condition are compared to patient’s assessment findings and symptomology. (4 selected priority pathophysiology’s)

6 points possible

Medications: all medications listed with drug classification, dose & frequency, safe dose range, time of administration, mechanism of action, and nursing considerations (cite resource per APA)

6 points possible

Labs and Diagnostics: Pertinent labs and diagnostics to patient’s condition (whether normal or abnormal) are included; accepted norms identified; pertinence to patient; and notification is identified (cite resource per APA)

6 points possible

Developmental Assessment: Application of developmental theory (Havinghurst & Erickson) to the patient; include supportive subjective/objective indicators (cite per APA)

6 points possible

Nursing diagnoses per patient needs: Nursing diagnosis developed appropriate to the identified needs of the patient. Each is supported with subjective and objective data. Minimum of 5; maximum of 10. These should be high priority Nursing diagnoses for your selected patient. Include both physiological and psychosocial nursing diagnoses.

6 points possible

Prioritization of Nursing diagnoses: All nursing diagnoses are prioritized appropriately according to Maslow’s Hierarchy of Needs

2 points possible

Critical Thinking Reflection Questions and evaluation:Inquiry questions are developed and organized According to the nursing process (Assessment, Diagnosis; Outcomes; Plan; Implementation; Evaluation) Each question developed is answered completely and clearly with appropriate detail.

8 points possible

APA – Must include title page; in-text citations; reference page; formatting; etc. per APA guidelines

4 points possible

Total points received & Comments: 50 possible points

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Careplan Part II Grading Criteria

Student:___________________________________ Faculty:___________________________________

Concept Map Components with Grading Criteria Criteria and points

possible

Points Earned

Based on the patient’s medical diagnoses, pertinent history, and assessment findings; create a nursing outcome concept map using 1 Physiological nursing diagnoses and 1 psychosocial nursing diagnosis. Develop a priority outcome for each .

6 points possible

Identify at least 4 measurable assessments and assessment findings for each outcome. Write them under the appropriate outcome on the concept map.

6 points possible

Identify at least 3 individualized priority interventions that will help achieve each outcome. Write them beside the assessment findings under the nursing outcome concept map. Must include at least 2 action interventions (i.e. cough & deep breathe every 2 hours; and 2 priority assessments for monitoring the patient’s response (i.e. monitor VS every 4 hours and compare to previous finding).

6 points possible

Identify 2 priority safety concerns pertinent to your selected patient and preventative measures or interventions to ensure safe and effective care.

6 points possible

On the second page of the concept map clearly evaluate the patient’s response to each of the interventions and progress toward meeting outcomes.

6 points possible

State if outcomes were met and make a judgment (recommendation) about each outcome based on your evaluation (i.e. continue, modify, discontinue) and why.

6 points possible

Correctly interpret 3 priority lab values related to this patient’s current clinical conditions with nursing indications.

6 points possible

Correctly prepare and give SBAR report to clinical faculty. 6 points possible

APA – Must include title page; reference page. 2 points possible

Total points received & Comments: 50 possible points

Revised 08/12/2017 DI-S Page 15