Chronic illness family care plan

1 Southwest Minnesota State University Department of Nursing NURS 320B: Chronic Illness in Rural Settings Syllabus Spring eight week session 2021 (3 credits) Professor: Ruth Van Heukelom, DNP, WOCN, RN Email: ruth.vanheukelom@smsu.edu Phone: (319) 541-0652 Office Hours: available via email, with individual appointment times via phone, or in Zoom as requested. I am very willing to Zoom conference with individual learners or groups who have questions about the course. Email me to set up a time that works for you. To visit with me in Zoom, go to https://minnstate.zoom.us/j/4518969110 The password to the Zoom room is 992830. I will meet you there. If you have any technical difficulties, call me at (319) 541-0652. Important Note on Sending Email: Please put the course name and number in your message when you send me an email. This information could help me with answering your questions more expeditiously. Course Description Students will explore continuity of care issues that impact the individual, family, community, and health care systems in the area of chronic illness as well as death and dying in a rural setting. Palliative care, common trajectories, ethical issues, patient and family teaching, as well as economic concerns are explored. Admission to the Nursing Program required. The Department of Nursing reserves the right to remove students from the course who do not meet the course requirements and prerequisites. This course must be successfully completed prior to taking NURS 434. Student Learning Objectives 1. Identify factors that affect chronic illness and rehabilitation of the individual and family. 2. Explore rural nursing theory and adaptation theories associated with chronic illness that can help to guide nursing practice today. 3. Analyze key individual and family intervention strategies related to rural nursing and adaptation to chronic illness. 4. Apply a holistic approach to the care of individuals with chronic illness in a rural setting. Nursing Program Goal 2 Provide competent and meaningful care to clients and communities who are healthy, ill or dying. 2 Chronic illness family care plan

Student Learning Outcome Integrate awareness of issues related to chronic illness in rural settings and apply nursing process to meet diverse and unique needs of individuals and families. Format Distance learning is self-directed learning. It requires a high level of responsibility, dedication, and selfdiscipline on the part of the student. In this course you are responsible for your own work, your own progress, and your own grade. In order to succeed, you will need to log in to the course regularly (I suggest at least three times a week) to check announcements, participate in discussions, and access course materials. Resources American Nurses Association (2015). Code of ethics for nurses: With interpretive statements. Silver Spring, MD: ANA. This is available free of charge through the McFarland Library by accessing the following permalink: http://ssuproxy.mnpals.net/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk& AN=1021757&scope=site American Psychological Association (2020). Publication manual of the American Psychological Association (7th ed.). Washington, DC: APA. If you have the 6th edition, we can make that work. Larson, P.A. (2019). Lubkin’s chronic illness: Impact and intervention. (10th ed.). Burlington, MA: Jones and Bartlett Learning Lowey, S.E. (2015). Nursing care at the end of life. Geneseo, NY: Open SUNY Textbooks, Milne Library. This is available free of charge at https://textbooks.opensuny.org/nursing-care-at-the-end-of-life/ Winters, C. A. (2013). Rural nursing: Concepts, theory, and practice. (4thed.). New York: Springer. Available free of charge through the McFarland Library. Go to library main page; click on books (near the center of the screen); type ‘Rural Nursing, Winters’ in the search box. Many of these texts you will use throughout the course of the program. It is highly encouraged to retain these textbooks for future use in the SMSU Nursing Program. Additional resources: American Association of Colleges of Nursing (2008). The essentials of baccalaureate education for professional nursing practice. Retrieved from http://www.aacn.nche.edu/educationresources/baccessentials08.pdf (The “Essentials” document, used to guide the SMSU Nursing Program curriculum, delineates the outcomes expected of graduates of baccalaureate nursing program while describing the generalist nursing practice at completion of the nursing program.) 3 QSEN Institute. (2019). QSEN competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas Chronic illness family care plan

(The overall goal of QSEN is to address the challenge of preparing future nurses with the knowledge, skills, and attitudes [KSAs] necessary to continuously improve the quality and safety of the healthcare systems in which they work.) Grading A= 90-100% B= 80-89.99% C= 70-79.99% D= 60-69.99% F= less than 60% Nursing students must maintain an overall GPA of 2.0 and attain a minimum grade of 2.0 in all courses required in the RN to BSN Nursing Program. Any nursing course (indicated by NURS) may be retaken once to attain a grade of 2.0. The student may not retake or withdraw from more than two nursing courses. The student may not progress in the nursing program if • If it becomes necessary for the student to retake or withdraw from more than two nursing courses. Code of Conduct Nursing students in the RN to BSN Nursing Program have responsibilities as they transition to the BSN role of nursing. The National Student Nurses’ Association Code of Academic and Clinical Conduct is based on such student responsibilities and is used to guide students in their personal and professional development. For all learning environments, including academic and clinical settings, the Code of Academic and Clinical Conduct will guide student conduct as well as faculty evaluation of student accountability. The Academic and Clinical Conduct is available in the SMSU Department of Nursing Student Handbook and should be adhered to by every nursing student. Netiquette Guidelines 1. Be respectful in your posts and comments to others and about others. 2. Postings should be professional. 3. Stay on topic. 4. Humor is often misinterpreted online, so it is best to keep humor to a minimum. Avoid sarcasm. 5. Avoid the use of texting abbreviations. 6. Please do not use all capitals in discussions as this is considered yelling online. The exception to this would be some abbreviations, such as RN or USA. 4 Attendance Being a member of a learning community in the SMSU RN to BSN Program, attendance in this online course means active participation in the course through participation in discussion assignments, group projects, and course assignments. Implications for lack of participation are reflected in the grading criteria and points awarded for assignments, as noted throughout the syllabus. Assignments Syllabus/orientation quiz 10 points Initial thoughts 20 points Synthesis and application posts (4) with substantive additions 30 points each 120 points Evidence based assessment tool description 20 points Video Dialog with substantive additions 20 points End of Life chapter summaries with substantive additions 30 points Chronic Illness Family Care Plan 80 points 300 points total Learning Activities Interactions are vital in all learning environments. Discussions are used as teaching/learning strategies. As you write in this course, please remember that integrating your own thoughts with evidence from the literature is an effective to demonstrate synthesis and critical analysis. Sometimes a few short direct quotes add value to your work. But remember that quotes generally serve to share someone else’s thoughts, rather than your analysis. Initial Thoughts: to foster student engagement and consider potential assumptions and biases. Appendix A is the rubric for this assignment. Synthesis and application with substantive additions: Chronic illness family care plan

These assignments require synthesis of the assigned readings and integration of a minimum of one professional nursing journal article in addition to assigned readings. Question will be posed for each of these dialogs in the discussion area. Students will choose one of the posed questions to address in the discussion forum. This is also an opportunity to review what your peers have addressed and build on their knowledge and insights. You are required to build on two topics other than the one addressed in your original synthesis and application post. See grading rubric Appendix B 5 Evidence based assessment tool assignment: A patient and family centered care plan is only as good as the assessment it is based on. Using evidence-based assessment tools, relevant to the unique situation can help the nurse uncover data that can be easily overlooked. Use should help focus your plan on specific concerns to facilitate individualized care that focuses on specific contributing factors. You will find one evidence-based assessment tool that you have limited or no familiarity with that would be appropriate to use in chronic illness situations. You will share with your peers in the discussion board. The grading rubric is found in Appendix C. Video reflections dialog: The objective of this assignment is to stimulate both cognitive and affective learning in the realm of end-of-life care. Peers will add to your initial post. The grading rubric is found in Appendix D. End of Life chapter summaries and dialog: Each student will review a chapter from Nursing Care at the End of Life, posting their summary in the discussion forum. Peers will add to your summary. The grading rubric if found in Appendix E. Chronic Illness Family Care Plan: Each student will analyze a patient/family case study and create a plan of care. Note that you will choose a case study (found in the content section) that includes the scenario and some assessment data. You will also decide what additional data is needed to provide optimal care and use evidence-based tools to collect that data (refer to Module 9). Desired individualized and patient/family centered outcomes and interventions will be proposed. Additionally, consider the impact rural residence has on the patient and family living with chronic illness. Appendix F is the rubric for the Chronic Illness Family Care Plan. Throughout the course, late assignments will be deducted 25% per each day late, unless otherwise indicated within the syllabus. In every NURS course, the assignments are linked to course objectives. All course objectives must be met to successfully complete the course. Omission of any assignments equates to not meeting all course objectives. Thus, all assignments must be completed and submitted to pass the course, even if they are completed past the due date and will not earn a grade for the course. This means that the lack of completion of any assignments, such as a discussion or paper assignment, will result in an “F” course grade. If a student has missing coursework at the end of the semester, this coursework must be submitted no later than Sunday night at midnight before finals week, or the last Friday night at midnight of summer session. Arrangements for extenuating circumstances are considered for late work with previous approval from faculty. Ultimately, this means that if all coursework is not submitted by Sunday night before finals week, or the last Friday of summer session, the student will not pass this course. No late work is accepted after these dates unless previous arrangements have been made with faculty. Assignment Usage Disclaimer All assignments and written work submitted by students are subject to being shared with others for the purpose of meeting accreditation and regulatory requirements. Course material may also be used anonymously for assessment of student learning outcomes (SLOs) addressed by the Department of Nursing as well as assessment of the SMSU Liberal Education Program (LEP) Student Learning Outcomes (SLOs). Chronic illness family care plan

When student assignments are shared, the student’s identity will be protected. Course artifacts may also be used for campus-wide LEP or program assessment. 6 Student Responsibilities 1. Read the syllabus. 2. Turn assignments in on time. Each day the assignment is late 25% will be deducted. 3. Participate in discussion. 4. Be respectful to classmates and professor. 5. Practice professional conduct. Technology Requirements Course syllabus, assignments, discussions, and all announcements will be posted on D2L Brightspace. To find D2L Brightspace, go to the SMSU home page and follow the instructions below. -Click on “Quick Links” in the navigation bar using CHROME as the recommended browser -Click on D2L Brightspace from the drop down list -A list of courses you enrolled in will appear. Click on the course you choose to enter. If you have trouble accessing D2L Brightspace, contact the MinnState Service Desk at https://servicedesk.minnstate.edu/CherwellPortal/MNSO#0 or 877-GO MNSCU (877-4666728), or seek help at the Help Desk, Library Main Floor Southwest Minnesota State University at 507-537-6111, or email the:Helpdesk@smsu.edu@smsu.edu ***Technology failure is not an adequate excuse for late assignments. ***All correspondence for this course will be through your SMSU email Students with Disabilities Statement Any student who feels she/he may need an accommodation based on the impact of a documented disability should contact Pam Ekstrom in Disability Services at 507-537-7672 or pam.ekstrom@smsu.edu. Disability Services is located in Bellows Academic 246 and the office hours are from 9 – 5 Monday – Friday. After you have met with Pam, please meet with the course instructor to review course requirements and discuss your accommodation needs. Library and Online Data Search The library online database search can be found at http://www.smsu.edu/library/ You will need to have your library ID number to gain access to the online databases. Be sure to use the “Ask the Librarian” feature for questions you may have related to online searches or potential books you may need to enrich your learning experience. 7 Student Portfolio For each nursing course taken in the nursing program, students will be asked to submit an assignment they completed to their personal portfolio (NURS 1000). The portfolio is designed to highlight the work that you have completed throughout the program. At the end of the course your professor will give you instructions on where you can post the assignment online. For this course, your Chronic Illness Family Care Plan will be part of the portfolio. Your final grade will not be posted for the course until the assignment is placed in the portfolio. Professional Nursing Journal Articles and References – The journal cannot be bought at a grocery store The journal is not a newspaper The article is not an editorial or advertisement The article is at least 3 pages in length The journal will be found in CINAHL The article is less than 5 yrs. old The article is from a journal that is peer reviewed The article will have the word nursing in it If the article does not meet these criteria, please ask the professor for permission to use it before including it in your assignments. – As you write in this course, please remember that integrating your own thoughts with evidence from the literature is an effective to demonstrate synthesis and critical analysis. Quotes generally serve to share someone else’s thoughts, rather than your analysis. Please avoid or limit long quotations. 8 My presence commitment – Realizing that it can be more challenging to stay connected in an online course than when we meet in person regularly, my plan to become and stay connected includes: * check my SMSU email every weekday by 8am and at intervals until 8pm. Over the weekend, I will check email at least daily. When you email, please including the course name in the subject line helps me respond more quickly and is appreciated. * respond to your phone calls – please be sure to leave a message if I don’t answer. * schedule individual meetings in Zoom per your request * Chronic illness family care plan

I do not respond to the pager in D2L Brightspace * post an announcement in D2L Brightspace at least weekly that includes information applicable to the entire class * email your SMSU email account for individual matters. – if I need to be ‘gone’ for a weekday or more, I will email or post an announcement – Please note: I will not respond to all posts in the discussion forum as that tends to divert and sometimes squelch your dialog. I will be reviewing all posts and making comments in the gradebook. – I am not a tech support expert. If you have technical problems, I will likely refer you to the help desk at (507) 537- 6111 or TRChelpesk@smsu.edu My expectations of you – check your SMSU email at least three times a week, responding within 24 hours as appropriate and/or requested – Check the course announcements when you access the course. – Be sure to let me know via email or phone if you have questions. – If you need an extension, ask before the assignment is due. – review all of your peers’ primary posts in the discussion forum. There is much to learn from your peers! 9 Course plan Note: More detail included on schedule posted in the Getting Started folder under content Mod Topic Essential / Resources QSEN competency 1 Introduction to Patient Centered Care; Syllabus; Orientation video Rural Nursing Evidence Based Practice Winters text Theory Professional journal articles 2 Exploring Rural Patient Centered Care; Winters text; Nursing Theory Evidence Based Practice Professional journal articles 3 Rural dwellers VI; VII; IX Winters text Patient Centered Care; Professional journal articles Evidence Based Practice 4 Rural health V, VII,VIII Winters text disparities Patient Centered Care; Professional Journal articles Evidence Based Practice Code of Ethics; CDC websites 5 Rural nursing VII; VIII; IX Winters text; Code of Ethics; practice Patient Centered Care; Professional journal articles Evidence Based Practice 6 Introduction to V, VI, VII, VIII, IX Larson text Chronic Illness Patient Centered Care Code of Ethics; CDC website Evidence Based Practice Professional journal articles 7 Impact of chronic V, VI; VII; IX Larson text illness on Patient Centered Care; Code of Ethics individuals and Evidence Based Practice Professional journal articles families Teamwork and Collaboration 8 Impact of chronic VIII Larson text illness on Patient Centered Care Code of Ethics individuals and Evidence Based Practice Movie of choice with focus on families: part 2 Teamwork and Collaboration chronic illness 9 Palliative Care VIII Finding Hope video segments Patient Centered Care Atul Gwande videos 10 End of Life: Part 1 VIII Nursing Care at the End of Life Patient Centered Care Professional journal articles 11 End of Life: Part 2 V, VI, VII, VIII, IX Larson text Patient Centered Care; Winters text Evidence Based Practice; Professional journal articles Teamwork & Collaboration Clinical Practice Guidelines 12 Family caregiving, VI; VII; IX Larson text self management Patient Centered Care; Professional journal articles and homecare Evidence Based Practice; Chronic illness family care plan

Assigned online resources Teamwork and Collaboration 13 Long term care VI; VII; VIII; IX Larson text and rehabilitation Patient Centered Care; Professional journal articles Evidence Based Practice; Assigned online resources Teamwork and Collaboration 14 Synthesis VI; VII; VIII; IX Larson text Patient Centered Care; Winters text Evidence Based Practice; Professional journal articles Teamwork and Collaboration 15 Planning care for VI; VII; VIII; IX Larson text complex patients Patient Centered Care; Winters text and families Evidence Based Practice; Professional journal articles Teamwork and Collaboration Item(s) due Syllabus /orientation quiz Academic Honesty Statement Initial thoughts assignment Modules 2 & 3