University of Florida



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

SPRING 2017

SECTION 102C

COURSE NUMBER NGR 6350

COURSE TITLE Family Nurse Practitioner: Women, Adolescents, and Children

CREDITS 4

PLACEMENT DNP program: Family Nurse Practitioner Track

PREREQUISITES NGR 6241 Common Adult Health Problems

NGR 6241L Common Adult Health Problems: Clinical

NGR 6052C Adult Nursing: Diagnostics and Procedures

CO-REQUISITE NGR 6350L Family Nurse Practitioner: Adults, Women,

Adolescents, and Children Clinical

FACULTY Teresa S. Bruney, DNP, ARNP, BC-PPCNP

Clinical Assistant Professor

Contact information:

bruneyts@ufl.edu

Response within 24 hours

352-371-3604 clinical practice for phone calls, M-F

Leave message 8am-5pm and I will return your call same day

352-316-4229 for text messages – identify yourself in your text

Barring emergencies, expect response same day before 8 pm

Office hours 7-8 am M, W

Available to meet M-F 12-1 pm by appointment

Sharon Adams DNP, CNM, ARNP

Clinical Assistant Professor

Contact information:

Sharonadams@ufl.edu

Office 3213 Office phone 273-6358

Cell phone 606-226-2752 please text and I will return message within 24 hours

Office hours Mondays and Tuesdays 0800-0900-please call first as clinical hours vary

By Appointment Fridays 12-1 pm

COURSE DESCRIPTION This course provides the student with the theoretical knowledge necessary to practice community based, advanced nursing with women, adolescents and children within a family context as appropriate to the role of the family nurse practitioner. Emphasis is on application of theories and research findings in developing plans for comprehensive health care management and anticipatory guidance for women, adolescents, and children. Focus includes wellness promotion, illness prevention, and diagnosis and management of common acute and chronic health problems, common gynecological problems, prenatal care, family dysfunction, and behavior problems. Collaboration with other providers and appropriate referral are integrated throughout the course.

COURSE OBJECTIVES Upon completion of this course, the student will be able to:

1. Integrate physical, psychosocial and cultural assessment into comprehensive management plans for women, adolescents, children, and their families.

2. Utilize knowledge, theory, and research findings to develop plans for wellness promotion and risk of illness reduction for women, adolescents, and children.

3. Develop management plans for women, adolescents, and children with common acute and chronic health problems.

4. Develop management plans for prenatal care of women at low risk for complications in a community-based setting.

5 Develop management plans for families with common dysfunctional and behavioral problems.

6. Develop therapeutic health teaching, anticipatory guidance, and counseling approaches for women, adolescents, children, and their families.

7. Evaluate clinical data and therapeutic options to differentiate between problem situations requiring nurse practitioner management, collaborative management, or referral to other providers.

8. Synthesize knowledge of community resources to effectively plan comprehensive nursing care for primary care and medically complex clients through collaboration and case management.

9. Analyze the impact of legal, political, economic and sociocultural factors on access and utilization of health care services for families.

COURSE SCHEUDLE

E-Learning in Canvas is the course management system that you will use for this course. E-Learning in Canvas is accessed by using your Gatorlink account name and password at . There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu.

It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.

Course websites are generally made available on the Friday before the first day of classes.

The College of Nursing will utilize ProctorU, a live proctoring service, for major examinations in graduate web-based online courses to ensure a secure testing environment. Students must sign in to ProctorU prior to the scheduled time for each exam in order to authenticate their identity and connect with the live proctor. Students authenticate their identity and are remotely monitored by a trained employee of ProctorU.

ProctorU:

• Each student computer must be in compliance with Policy S1.04, Student Computer Policy and must contain a web cam, microphone, and speakers.

• Students go to the website and click on “How To Get Started”. This will permit students to create an account and test out their system.

• Once an instructor makes an exam available, students go online to ProctorU to schedule the exam session. Students must provide a valid email address and phone number where they can be reached during an exam.

• CON IT Support office will oversee this process and provide technical assistance.

Dr. Bruney anticipates providing live, interactive lectures weekly via Adobe Connect. Students can connect via the following link: . For those unable to attend a live, synchronous class Mondays from 6-9pm, these lectures will be recorded for later viewing, and will be accessed via the course Canvas website. Unless you hear differently from Dr. Bruney, our first live class will be Monday 1-9-17, 6-9 pm. Classes will be recorded, and live attendance is optional.

Dr. Adams’ lectures will be recorded and posted on the course website. There will not be synchronous live class for the women’s health lectures.

TOPICAL OUTLINE

1. Current family and health care theories and models.

2. Health issues related to family development, structure and function.

3. Overview of growth and development throughout childhood and adolescence; review of major theories and research findings with implications for nursing practice.

4. Overview of child health maintenance: Special health risks and wellness promotion associated with childhood and adolescence; use of appropriate screening tests, assessment instruments, and periodic health exam.

5. Health behavior changes: Strategies involving health teaching, counseling, and behavior modification.

6. Management of selected problems that may lead to family dysfunction and behavioral problems.

7. Identification and management of common presenting symptoms and acute problems in women, adolescents, and children.

8. Identification and management of common chronic problems in women, adolescents, and children.

9. Management of gynecological problems, breast problems, and contraceptive needs of women.

10. Preconception counseling, initial and interval prenatal assessments, and common problems of pregnancy.

11. Assessment and intervention in domestic violence and sexual assault.

12. Management of menopausal symptoms.

13. Clinical reasoning, critical thinking, and problem management: Consultation and referral with nurse practitioners, physicians, and other providers.

14. Nursing management of the medically complex client and family, including advocacy, coordination in community services, and collaboration with other providers.

15. Legal, political, economic, and sociocultural issues impacting family health care; implications for advanced nursing practice in primary care.

TEACHING METHODS

Lecture/discussion, case presentations, audio-visual materials

LEARNING ACTIVITIES

Analysis of CPGs, case presentations, written papers

EVALUATION

Written assignments (40%); and written objective examinations (60%)

Developmental milestones chart 5%

AGREE CPG Analysis 5%

Antibiotic resistance paper 20%

Women’s health case study 10%

Exam 1, 2, and 3 35%

Final Cumulative exam 25%

Students should expect feedback on written assignments within 2 weeks of the due date, barring unforeseen circumstances.

MAKE UP POLICY

There are no make-up exams. If a student misses an exam, the grade for that exam will be the grade received on the cumulative final exam. Late assignments may receive a grade penalty.

GRADING SCALE/QUALITY POINTS

A 95-100 (4.0) C 74-79* (2.0)

A- 93-94 (3.67) C- 72-73 (1.67)

B+ 91- 92 (3.33) D+ 70-71 (1.33)

B 84-90 (3.0) D 64-69 (1.0)

B- 82-83 (2.67) D- 62-63 (0.67)

C+ 80-81 (2.33) E 61 or below (0.0)

* 74 is the minimal passing grade

For more information on grades and grading policies, please refer to University’s grading policies:

PROFESSIONAL BEHAVIOR

The College of Nursing expects all Nursing students to be professional in their interactions with patients, colleagues, faculty, and staff and to exhibit caring and compassionate attitudes. These and other qualities will be evaluated during patient contacts and in other relevant settings by both faculty and peers. Behavior of a Nursing student reflects on the student's individual’s ability to become a competent professional Nurse. Attitudes or behaviors inconsistent with compassionate care; refusal by, or inability of, the student to participate constructively in learning or patient care; derogatory attitudes or inappropriate behaviors directed at patients, peers, faculty or staff; misuse of written or electronic patient records (e.g., accession of patient information without valid reason); substance abuse; failure to disclose pertinent information on a criminal background check; or other unprofessional conduct can be grounds for disciplinary measures including dismissal.

UNIVERSITY POLICY ON ACADEMIC MISCONDUCT

Academic honesty and integrity are fundamental values of the University community. Students should be sure that they understand the UF Student Honor Code at . Students are required to provide their own privacy screen for all examinations administered to student laptops. No wireless keyboards or wireless mouse/tracking device will be permitted during examinations.

University and College of Nursing Policies:

Please see the College of Nursing website for a full explanation of each of the following policies - .

Attendance

UF Grading Policy

Accommodations due to Disability

Religious Holidays

Counseling and Mental Health Services

Student Handbook

Faculty Evaluations

Student Use of Social Media

REQUIRED TEXTBOOKS

Decherney, H. & Nathan, L. (2013 or newer if available) Current Diagnosis and Treatment Obstetrics & Gynecology, 11th ed.  New York: Lang McGraw Hill

Collins-Bride G.M., Saxe J.M., Duderstadt, K.G.,& Kaplan, R.  Clinical Guidelines for Advanced Practice Nursing, 3rd ed.  Burlington, MA: Jones& Bartlett Learning ISBN:987-1-284-09313-1

RECOMMENDED TEXTBOOKS

Hagan J.F., Shaw J.S., Duncan P. (Eds) (2008) Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents, Pocket Guide, 3rd ed. Elk Grove Village, IL: American Academy of Pediatrics.

Tharpe N.L., Farley C.L., & Jordan R.G.  Clinical Practice Guidelines for Midwifery & Women's Health, 5th ed. Burlington, MA: Jones & Bartlett Learning ISBN 978-1-284-07021-7

WEEKLY CLASS SCHEDULE

|Date |Topic/Evaluation |Assignments/Readings |Faculty |

|Jan 9 |Introduction and Course Overview |Bright Futures re health |Bruney |

| | |maintenance visits through the | |

| |Health Maintenance in pediatric primary care |pediatric life span. Every week | |

| | |after this, there will be assigned | |

| | |readings from the current | |

| | |literature. | |

|Jan 16 |HOLIDAY | | |

|Jan 23 |Management of fever, injuries, injury control, |Assigned literature re fever, UTI, |Bruney |

| |Child abuse |FWLS, poisoning, motor vehicle | |

| | |accidents, burns, child abuse | |

| | |detailed on Canvas module and in | |

| | |lecture notes | |

|Jan 30 |Screening and Laboratory Evaluation in Pediatric|Current literature re pediatric |Bruney |

| |Primary Care |neurological disorders detailed on | |

| |Neurological Disorders |Canvas module | |

| | |Devel Milestones Chart due | |

| | |(Assignments) | |

|Feb 4-6 |Exam 1 |Proctor U | |

| |one hour between 6am Feb 4 | | |

| |and 9 pm Feb 6 | | |

|Feb 6 |GI Disorders |Current literature detailed on |Bruney |

| |Obesity and Nutrition |Canvas module | |

| | |CPG Critique due | |

| | |(Assignments) | |

|Feb 13 |Common pediatric respiratory disorders |Current literature detailed on |Bruney |

| | |Canvas module | |

|Feb 20 |Rheumatology |Current literature detailed on |Bruney |

| |Immunology |Canvas module | |

| |Musculoskeletal disorders | | |

|Feb 25-27 |EXAM 2 |Proctor U | |

| |one hour between 6am Feb 25 | | |

| |and 9 pm Feb 27 | | |

|Feb 27 |GU disorders |Current literature detailed on |Bruney |

| | |Canvas module | |

|Mar 6 |BREAK WEEK | | |

|Mar 13 |Dermatological disorders | |Bruney |

|Mar 13 |Oral Health Certificates of Completion Due |Required Oral health modules: | |

| | | | |

| | |Modules 2, 5, 6, 7 | |

| | | | |

| | |Turn in Certificates of Completion | |

| | |via Canvas assignment drop box. | |

| | |Turn these in as a word doc or a | |

| | |pdf by 3-13-17 at 11:59pm | |

|Mar 20 |ADHD | |Bruney |

| |Learning disorders | | |

| |Autism | | |

|Mar 27 |Mood and anxiety disorders in pediatrics |Antibx Resistance Lit Summary Due |Bruney |

| | |(Assignments) | |

|April 1-3 |EXAM 3 | | |

| |one hour between 6am April 1 | | |

| |and 9 pm April 3 | | |

|Apr 3 |Women’s Health Promotion and screenings |Decherney, and additional readings |Adams |

| |Breast problems |detailed on Canvas module | |

| |Managing abnormal pap smears | | |

| |STI treatment | | |

|Apr 10 |Contraception |Decherney, and readings detailed on|Adams |

| |Perinatal care |Canvas module | |

|Apr 17 |Menopause |Decherney, and readings detailed on|Adams |

| |Managing abnormal uterine/vaginal bleeding |Canvas module | |

| |PCOS |Women’s Health Case Study Due by | |

| | |1159pm as a Word doc in assignments| |

|Apr 18 |Extra Credit if Faculty Evaluation Response Rate|On-Line Open Book Quiz | |

|through |reaches 90% by |E-learning/Canvas | |

|Apr 21 |Apr 17 |“Quizzes” | |

|Apr 23-25 |Final Exam - Cumulative |Proctor U | |

| |Two hours between | | |

| |6 am 4-23-16 and 10 pm 4-26-16 | | |

|Approved: |Academic Affairs Committee: |01/08 |

| |Faculty: |07/08 |

| |UF Curriculum: |10/08 |

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