MCCCD Program Description

Nursing Theory and Science IV

Course: NUR271

First Term: 2018 Fall

Lecture 7.0 Credit(s) 4.0 Period(s) 4.0 Load
Subject Type: Occupational
Load Formula: T - Lab Load

Description: Integration of critical thinking strategies for complex holistic needs of high-risk clients with multi-system health alterations. Application of strategies related to holistic care of the client with psychiatric/mental health disorders. Introduction to community based care. Assimilation of professional role into practice. Evaluation of care based on the knowledge of physical, biologic, psycho-social sciences, and the cultural and spiritual beliefs of clients. Development of nurse leadership and management roles. Integration of concepts of nutrition, pharmacology, communication, health promotion, and pathophysiology into nursing care.

MCCCD Official Course Competencies
1. Establish therapeutic communication with clients and families with acute/chronic alterations in health and psychiatric/mental health disorders. (I) 2. Evaluate nursing strategies that promote a therapeutic environment for clients and their families experiencing alterations in health and psychiatric/mental disorders. (I, V, VI) 3. Select caring behaviors for clients with acute/chronic alterations in health and psychiatric/mental health disorders according to their developmental level. (I, III) 4. Evaluate nursing practices that provide care and comfort and promote healing. (II, V, VI) 5. Integrate critical thinking skills in developing a plan of care to meet needs of clients with multi-system problems. (II, VI) 6. Evaluate assessment data to predict actual and potential nursing problems to develop a holistic plan of care. (II, III) 7. Coordinate care based on complex assessment data. (II) 8. Evaluate outcomes of nursing interventions. (II, VI) 9. Analyze community based health care issues within a defined community. (II) 10. Organize client/family teaching and discharge planning to address identified needs in health education/promotion, illness prevention, and restorative health practices. (II, V, VI) 11. Integrate Evidence-Based Practice (EBP) into a plan of care for a complex client. (II) 12. Research evidence to answer clinical questions through searching existing healthcare databases and additional sources of evidence. (II, VI) 13. Integrate pathophysiologic concepts to care for clients with complex health alterations. (II, V) 14. Integrate pharmacokinetic and pharmacodynamic principles to safely administer and monitor drug therapy. (II, VI) 15. Integrate nutrition concepts which support wellness and therapeutic nutrition needs for clients with complex needs. (II, III, VI) 16. Create a holistic nursing care plans for clients with complex needs using wellness/illness continuum. (III) 17. Evaluate the plan of care specific to the developmental and learning needs of clients with complex problems. (II, III, VI) 18. Evaluate physical, biologic, psycho-social, cultural, and spiritual aspects of nursing care. (II,III, VI) 19. Interpret the implications of life span, culture, ethnicity, spirituality, and complementary therapies on the provision of care. (II, III, VI ) 20. Evaluate elements of technology and information management including use of online databases, web-based enhancements, and library resources. (IV) 21. Prioritize elements of technology and information management to document and report client findings and conditions. (IV) 22. Compare and contrast the roles and responsibilities of the members of the healthcare team. (V) 23. Communicate significant client findings and events to appropriate members of health care team. (II, V, VI) 24. Practice within regulatory, legal, and ethical frameworks of professional nursing within high acuity, community, and psychiatric settings. (II, V, VI) 25. Integrate professional nursing standards, code of ethics, life long learning, and leadership concepts into the role of a professional nurse. (V, VI) 26. Evaluate effectiveness of delegation, time management skills, and organizational skills while providing client care. (V) 27. Practice nursing skills in a disaster, mass casualty or emergency preparedness clinical learning activity (CLA). (V) 28. Integrate the nursing program philosophy and core values when providing care to clients and families. (V) 29. Select safe and competent nursing interventions for clients with complex alterations in health and psychiatric/mental health disorders. (II, III, V, VI) 30. Integrate principles that promote safe medication administration for clients with complex alterations in health and psychiatric/mental health disorders. (II, V, VI) 31. Evaluate safe and competent care in providing interventions for clients receiving intravenous therapy, parenteral nutrition and transfusion therapy. (II, V, VI) 32. Practice standards of care to safeguard client`s health and well-being. (V, VI)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Caring A. Skills in Therapeutic Communication B. Therapeutic Environment 1. High Acuity Setting 2. Psychiatric/Mental Health Setting 3. Community Health Setting C. End of Life Considerations D. Nursing Care of Clients and Families 1. High Acuity Setting 2. Psychiatric/Mental Health Setting 3. Community Health Setting II. Critical Thinking A. Essential Elements and Factors for Complex Clients B. Collaborative Decision Making C. Analysis of Community Based Health Care Issues within a Defined Community D. Problem Solving E. Nursing Process 1. Assessment of Complex Data 2. Nursing Diagnosis 3. Planning 4. Implementation 5. Evaluation F. Evidence-Based Practice (EBP) 1. Resources 2. Integration into Plan of Care G. Decision-Making 1. Plan of Care 2. Application of Nursing Process H. Advanced Pathophysiology in Selected Health Alterations 1. Multi-System Problems 2. Psychiatric/Mental Health Disorders I. Pharmacology 1. Pharmacokinetics and Pharmacodynamics for Selected Drug Classifications 2. Principles of Medication Administration 3. Client Teaching III. Holism A. Wellness/Illness Continuum B. Bio-Psycho-Socio-Cultural and Spiritual Health Perspectives 1. Psychiatric/Mental Health 2. Community C. Life Span Development D. Health Promotion, Maintenance, Disease Prevention 1. Healthy Lifestyle Behaviors and Activities 2. High Risk Behaviors 3. Health Screening 4. Community Education and Referrals 5. Counseling and Relapse Prevention E. Therapeutic Nutrition F. Complex Client needs 1. Physiological 2. Psychosocial 3. Spiritual 4. Cultural 5. Developmental G. Care of Adults with Complex Health Problems and Mental Illness 1. Health Promotion 2. Disease/Illness Prevention 3. Health Restoration IV. Information Management and Technology A. Evaluation of Technology B. Elements of Technology C. Information Management 1. Online Databases 2. Web-Based Enhancements 3. Library Resources 4. E-Learning D. Documentation and Reporting V. Role Development A. Professional Nursing Practice 1. Standards of Practice 2. Legal and Ethical Dimensions 3. Client Rights 4. Professional Boundaries 5. Professional Image B. Standards of the Nursing Program C. Professional Nursing Roles 1. Advanced Practice Nurse 2. Specialty Standards of Care 3. Current Trends and Issues in Nursing D. Collaboration with the Healthcare Team E. Leadership and Management 1. Delegation 2. Performance Improvement 3. Organizational Skills 4. Time Management 5. Risk Management F. Preparation for Professional Role 1. Licensure Process 2. Nurse Practice Act 3. Transition from Student to Graduate 4. Professional Portfolio 5. Continuing Education 6. Nursing Organizations G. Disaster, Mass Casualty, and Emergency Preparedness VI. Safe Nursing Practice A. Standards of Care 1. Adult Clients with Selected Complex Health Alterations 2. Clients with Psychiatric/Mental Health Disorders 3. Community Settings B. Collaborative Care and Management C. Reporting and Communication D. Medication Administration 1. Dosage Calculations 2. Error Prevention and Management E. Environmental Safety F. Infection Control G. Accident/Injury Prevention 1. Psychiatric/Mental Health Considerations 2. Crisis Recognition and Intervention

MCCCD Governing Board Approval Date: 12/11/2007

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.