BIOST 511 Medical Biometry I (4) - School of Nursing



Program of Study

Course Descriptions and Student Outcomes

(93 total credits required)

| | |

|University of Washington |Dissertation Supervisory Committee |

|School of Nursing | |

| |Hilaire Thompson, PhD, RN, CNRN, ACNP-BC - Chair |

| |Sally F. Brown, PhD - GSR |

| |Wendy Park, PhD, RN - Member |

| |Lucy N. Taylor, PhD - Member |

| |Larry S. Young, PhD, GNP – Member |

This Program of Study is hereby approved by:

Committee Chair: Hilaire Thompson Signature: Date:

Committee Member: Wendy Park Signature: Date:

Committee Member: Lucy N. Taylor Signature: Date:

Committee Member: Larry S. Young Signature: Date:

Submit this approved Program of Study, including this completed signature page, to Academic Services (Room T-301) immediately following approval.

Theory and Domain of Knowledge: Core Courses – 41 credits required/ 64 credits attained

Core Courses: 20 credits required/ 20 credits attained Faculty Credits Date

|NURS 588 Philosophical Basis of Nursing Inquiry |Belza |3 |Autumn 20XX |

|Course Emphasis: Overview and critical analysis of historical and contemporary views of knowledge development and of science, with particular emphasis on the ways these views influence approaches to |

|nursing inquiry. Emphasis on analyzing the underlying epistemological and ontological assumptions and implications of diverse approaches to knowledge generation in nursing. |

|Student Outcomes: Completed four reflection papers related to various aspects of assigned readings (feminism, critical theory, interpretive); participated in group project/presentation of Zen “ways of |

|knowing;” and completed a scholarly paper titled: Positivism and Post-Positivism Philosophies. This course assisted me with how I will think, rethink and approach my doctoral education by gaining new |

|insights and appreciation to a myriad of approaches for conducting research. |

|NURS 587 Role Transition Seminar |Bekemeier |2 |Autumn 20XX |

|Course Emphasis: Emphasizes the transition to doctoral study and eventual post-graduate roles. Includes information to clarify expectations and skills to facilitate success: various forms of scholarly and |

|interpersonal communication, principles of scholarly collaboration, giving and receiving critiques, development of a program of study, and other topics developed by participants. |

|Student Outcomes: Developed program of study, portfolio and resume. Fine tuned computer search skills for funding, guidelines, and instrument database. Completion of two reflection papers: (1) strategies|

|for handling my own personal life transitions (2) experience with mentored relationships. |

|NURS 589 Theoretical Perspectives in Nursing Science |Lewis |3 |Winter 20XY |

|Course Emphasis: Critical analysis of theory development, including evaluation of relationships among theories, evidence, and explanation. Diverse approaches used to appraise historical and contemporary |

|milestones in the development and evaluation of nursing knowledge. Emphasis on process and implications of theory development for nursing research, practice, education, and systems. |

|Student Outcomes: Completed a critical analysis and draft Letter to the Editor re: a 2003 article that presents theory-generating research for Reconceptualizing the Nurse Patient Interpersonal |

|Relationship; completed a concept analysis of the term ‘surveillance monitoring systems’ within the context of infectious disease and tertiary hospital settings using the Wilson Method; presented a power |

|point group project on the Wilson Method of Concept Analysis. |

|NURS 590 Ecology of Human Health |Woods, N. |5 |Autumn 20XY |

|Course Emphasis: Provides conceptual foundation for the study of human health ecology within nursing science. Frameworks for understanding human health as an outcome of individual, family, and group |

|interactions and transactions with environments are applied. Provides the basis for evaluation and developing therapeutic approaches to improve health. |

|Student Outcomes: Completed (1) health position paper that explored a construct of health for the critically ill intubated patient population; (2) humanness position paper that explored a construct for |

|humanness with regards to the critically ill; (3) environment position paper that explored external ecological factors that influence care delivery in the critically ill; & (4) poster presentation that |

|integrated constructs of health, humanness, and environment for the critically ill and health care providers within a framework of Bronfenbrenner’s (1979) ecological model; and (5) provided a group |

|presentation on the concept of culture, specifically addressing the HIV Male Population as a culture. |

|NURS 592 The Science of Nursing Therapeutics |Boutain |4 |Spring 20XY |

|Course Emphasis: Addresses the state of the science of nursing therapeutics. Students examine the practices of nursing to promote, maintain, and restore human health from an ecological perspective. |

|Therapeutics considered from the perspectives of the individual, family, and community systems. |

|Student Outcomes: Presented a power point presentation ‘State of the Science Paper’ addressing oral care hygiene practices for the critically ventilated ill. Presented a legislative persuasive research |

|argument for funding purposes. Course focus on oral presentations and not papers. |

|NURS 595 Synthesis of Nursing Science |Houck |3 |Winter 20XY |

|Course Emphasis: Advanced seminar for critical analysis, integration, and synthesis of material for a research proposal. Focus includes discussion of research integrity and ethics including scientific |

|conduct, risk management related to scientific misconduct and negligence. |

|Student Outcomes: Synthesized first year course work of the doctoral program. Wrote reflection papers on nursing knowledge and nursing science concepts. Group project developed health promotion and |

|disease prevention graduate course curricula. |

Graduate Nursing Courses: 9 credits minimum/25 attained (*from 2005 UW Masters Program)

|NURS 599 C Selected Readings in Nursing Science |Demiris |1 |Autumn 20XX |

|Course Emphasis: Analysis of synthesis of selected readings with faculty mentor. |

|Student Outcomes: Exposed to a variety of faculty and their research methods and endeavors as well as utilized a journal club format for this BNHS Training Grant. Networked with student cohorts ahead of |

|me. |

|NURS 599 A Selected Readings in Nursing Science |Buchanan |1 |Autumn 20XX |

|Course Emphasis: Analysis of synthesis of selected readings with faculty mentor. |

|Student Outcomes: I was exposed to a variety of faculty research methods and endeavors. |

|NURS 599 A Selected Readings in Nursing Science |Barrington |1 |Winter 20XY |

|Course Emphasis: Analysis of synthesis of selected readings with faculty mentor. |

|Student Outcomes: I was exposed to a variety of faculty research methods and endeavors. |

|NURS 539 Management of Patients with Acute/Critical Illness and Injury |Bond |2 |Winter 20XY |

|Course Emphasis: Systematic inquiry into pathophysiology and management of the acute/critically ill or injured across the lifespan. Emphasizes evidence-based assessment, management and evaluation |

|strategies including therapeutics and use of technology to support care. Highlights multidisciplinary approach to management. |

|Student Outcomes: Contributed to EPost discussions about a variety of infectious disease and infection control current issues; (2) completed a presentation on prevention of VAP in the critical care for HOB^|

|positioning at 30 degrees and oral care practices. |

|NURS 599 A Selected Readings in Nursing Science |Gallucci |2 |Spring 20XZ |

|Course Emphasis: Analysis of synthesis of selected readings with faculty mentor. Independent reading and study of microbiology concepts with the following objectives: |

|Discussed key concepts of pathogenesis of infections, infectivity, and virulence as a framework for 3 organisms: 2 gram-negative [Strep pneumoniae & Pseudomonas aeruginosa] and 1 gram-positive |

|[Staphlyococcus aureus] organisms that are common in VAP per the literature. |

|Analyzed molecular strategies for identification and measurement of bacteria. |

|Discussed how the virulence of bacteria affects the patient's risk for development of VAP. |

|Determined how biofilm figures into the pathogenesis of VAP. |

|Delineated how oropharyngeal hygiene impacts the pathogenesis of VAP. |

|Student Outcomes: Conducted one on one discussion sessions for fundamental microbiology concepts focused on molecular strategies for VAP identification. |

|NURS 599 Selected Readings in Nursing Science |Mitchell |3 |Winter 20XZ |

|Course Emphasis: Independent reading and study for general exam and proposal preparation |

|Student Outcomes: Plan to conduct one on one discussion sessions for general exam questions, proposal development and new committee approval. |

|NURS 599 Independent Study |Bridges |1 |Winter 20XA |

|Course Emphasis: Critically appraise the oral care literature in the critically ill. |

|Student Outcomes: Weekly article readings, completed 5 minute drill, and developed oral care literature synthesis spreadsheet. Attended VAP lecture conference on 1 FEB in NURS 539. Drafted Chapters I and|

|II of dissertation proposal. |

|NURS 504 Clinical Nursing Therapeutics; Respiratory Module* |Laurent-Bopp |1 |20AB UW Masters |

|Course Emphasis: Critical analysis of therapeutic modalities to assist patients with a variety of responses to health problems. Includes selected therapies such as suction/drainage, positioning to address |

|responses in critical, life threatening, and chronic/continuing health states. Varying credits assigned for modules covering particular therapies. Get from course syllabus. |

|Student Outcomes: Completed a variety of case scenarios/exemplars which continues to build upon my doctoral work for clinical application components of research. |

|NURS 524 Care Systems Management* |Mitchell |3 |20AB UW Masters |

|Course Emphasis: Critical analysis of nature and theoretical bases of care systems management practice. Concepts of nursing and organization science foundations to person-provider transaction management |

|and leadership in context of economic, political, and social environments and health outcomes. |

|Student Outcomes: Completed a paper and power point presentation on my personal leadership & management style related to health outcomes in the military setting, which will further enhance and build my |

|doctoral education for systems and organization thinking. |

|NURS 525 Management of Clinical Effectiveness* | |3 |20AB UW Masters |

|Course Emphasis: Optimizing person-provider clinical therapeutic transactions at multiple levels of care systems complexity and population aggregation. Emphasis on designing, managing and evaluating |

|clinical effectiveness and efficiency within care systems. |

|Student Outcomes: Evaluated an open heart teaching program and clinical pathway development for the delivery of care in the critically ill. |

|NURS 519 Curriculum Development* | |4 |20AB UW Masters |

|Course Emphasis: Theoretical rationale for curriculum development, study of curricular problems in nursing in relation to the elements of the curriculum as described in a curricular design. |

|Student Outcomes: Obtained understanding of how to complete a course curriculum for novice critical care nurses for respiratory and cardiac systems. This course work enhances my skill sets to potentially |

|develop a 3-5 day course on nosocomial infections, prevention and treatment modalities. These skills are utilized in the doctoral program and will enhance my thinking and teaching as a potential department|

|of education course director for the military overseeing several credentialed programs. |

|NCLIN 509 Practice Teaching Physiologic Nursing* | |3 |20AB UW Masters |

|Course Emphasis: Guided experience in selected teaching-learning situations in nursing, in both classroom and clinical situations. Identification, analysis, and solution of teaching-learning problems in |

|clinical nursing. Minimum of seven hours of guided experience weekly. |

|Student Outcomes: Taught (respiratory, cardiac emergencies, guillian barre syndrome) and observed teaching methods in the Army’s Critical Care Nursing Course at Madigan Army Medical Center. These skills |

|are utilized in the doctoral program and will enhance my thinking and teaching as a potential department of education course director for the military overseeing several credentialed programs. |

Related Fields 12 credits required / 19 credits attained (*from 2005 UW Masters program; projected 11 credits total)

‘Biobehavioral Interventions within Health Systems’

|MICROM 410 Fundamentals of General Microbiology I |Lara, Traxler |3 |Fall 20XX |

|Course Emphasis: Survey of the microbial world, metabolism, biosynthesis, regulation, growth, structure, and function. Required for students majoring in microbiology; recommended for students majoring in |

|biology. |

|Student Outcomes: Obtained fundamental understanding of microbiology concepts with application of microbiologic agents geared towards nosocomial infections. |

|UCONJ 445 Bioterrorism Awareness for Health Professionals |Beaton, Bridges |1 |Fall 20XY |

|Course Emphasis: Provides content in bioterrorism awareness for students in the health professions. First in a two-course interdisciplinary sequence focusing on awareness level training designed to enhance|

|recognition of an injury of illness potentially arising as a result of exposure to select chemical and biological agents. |

|Student Outcomes: Participated in weekly EPost class discussions and group project to critically evaluate the WHO emergency response website. |

|HSERV 528 Critically Appraising and Applying Evidence in Health Care** |Wolf |3 |Winter 20XZ |

|Course Emphasis: Literature appraisal skills for various articles (therapy effectiveness, diagnostic tests, literature reviews, clinical measurement, prognosis, quality of care, decision analysis, |

|causation/etiology, guidelines, and economic evaluation). Appraisal of clinical information from literature, strengths/weaknesses of data, analyses, study design/applicability to a current patient's |

|problem. |

|Student Outcomes: Sharpened my skills at critiquing & critically appraising research reports, studies, and evidence. Used CASP outlines for weekly research article critiques. Conducted and presented a |

|systematic review about oral care practices for the intubated critically ill. |

|MED 565 -The Healer's Art: Awakening the Heart of Medicine |Wicks |1 |Winter 20XZ |

|Course Emphasis: Encourages cultivation of human dimensions in practice of medicine while strengthening personal commitment to medicine as a life's work. Facilitates student recognition of commonality of |

|personal concerns among peers and student response to the dimension of mystery in the experience of illness as well as development the capacity for awe. |

|Student Outcomes: Participated in large and small group discussions about the dimensions of mystery (death, grief, loss, miracles etc...). Wrote a one week journal on daily surprises, touched and inspired|

|me. Wrote a 2 page reflection paper on what I learned in this course. |

|PHARM 515 Pharmacology of Acute and Critical Illness* | |3 |20AB UW Masters |

|Course Emphasis: Analysis of issues that impact the assessment, prescription, and evaluation of pharmacotherapeutic regimes for patients who are acutely or critically ill. Current research, clinical |

|contextual considerations, and pharmacotherapeutic principles are emphasized as the basis for decisions relevant to the management of pharmacotherapy in acute care clinical practice. |

|Student Outcomes: Wrote case scenarios and successfully completed exams. These skills are utilized in the doctoral program to enhance my thinking and teaching for hospital acquired infections and |

|antibiotic use in VAP prevention & treatment. |

|PBIO 405 Human Physiology I* |Wordeman |4 |20AB UW Masters |

|Course Emphasis: Intensive coverage of physiology through lectures, conference. Autumn Quarter: excitable tissue, skeletal muscle; spinal reflex; cardiovascular, respiratory physiology; acid base balance; |

|autonomic nervous system; temperature regulation. |

|Student Outcomes: Completed 3 exams on the human physiology response for musculoskeletal, cardiac and respiratory systems. |

|PBIO 406 Human Physiology II* |Hlastala |4 |20AB UW Masters |

|Course Emphasis: Intensive coverage of physiology through lectures, conference. Winter Quarter: renal, body fluids; neuroendocrinology; reproductive, gastrointestinal, neurophysiology. |

|Student Outcomes: Completed 3 exams on the human physiology response for the renal, neuro, endocrine, GI, and reproductive systems. |

Scholarly Inquiry: 52 credits required / 60 credits attained

Scholarly Inquiry: Core Methods Courses – 11 credits required / 11 credits attained

Courses Faculty Credits Date

|NMETH 579 Research Design and Methods in Nursing Science |Walsh |4 |Winter 20XX |

|Course Emphasis: Focuses on elements of rigorous research designs and methods commonly used in nursing science; including descriptive, explanatory, predictive and experimental and quasi-experimental |

|designs, concepts of validity and reliability, and integration of design with analytical approaches for clinical research. |

|Student Outcome: Synthesized a myriad of methodologies rooted in philosophical approaches applied to research designs. Developed research questions, consent form, budget, and draft proposal of a |

|contemporary empiricist methodological perspective with physiologic measures as methods for culture swabbing. Completed a power point presentation on the methodological proposal developed. Peer reviewed a|

|qualitative grounded theory proposal; instructor assigned on alcohol abuse and the elderly. |

|NMETH 580 Methodological Perspectives in Nursing Inquiry |Zaslavsky |3 |Autumn 20XX |

|Course Emphasis: Allows students to translate philosophical and theoretical perspectives into research methodologies. Foci will include: the relationship of theoretical perspectives to methodologies; the |

|methodological issues among and between varying schools of thought (including contemporary empiricist, interpretive, and critical/postmodern); and how the methodologies influence choices of research design |

|and methods. |

|Student Outcome: Synthesized a myriad of methodologies rooted in philosophical approaches applied to research designs. Developed research questions, consent form, budget, and draft proposal of a |

|contemporary empiricists methodological perspectives with physiologic measures as methods for culture swabbing. Completed a power point presentation on the methodological proposal developed. Peer reviewed|

|a qualitative grounded theory proposal; instructor assigned on alcohol abuse and the elderly. |

|NMETH 591 The Science of Therapeutics: Design and Outcomes |Ward, T. |4 |Spring 20XX |

|Course Emphasis: Synthesizes advanced strategies to evaluate the short- and long-term outcomes of clinical therapeutics with special emphasis on feasibility, pilot studies, and randomized control trials. |

|Includes analysis of completed studies as well as the design of a randomized control trial of a clinical therapeutic. |

|Student Outcomes: Obtained skills for evaluating and critiquing methods and designs of health outcomes with emphasis on randomized controlled clinical trials. Presented a 30 minute oral care RCT |

|presentation. Led a class on efficacy and effectiveness concepts related to RCT designs. |

Scholarly Inquiry: Design/Methods/Analysis Sequence – 14 credits required/ 27 credits attained (projected 11 credits)

Scholarly Inquiry: Advanced Methods – 4 credits required / 11 credits attained

Courses Faculty Credits Date

|NMETH 600 Survey Methodology |Schepp |2 |Winter 20XZ |

|Course Emphasis: Critically review survey designs; Critically review the use of the survey as a technique to collect data; and Construct a DRAFT survey as a tool to collect data on oral care practices in|

|the critically ill |

|Student Outcomes: Read, discuss & critically analyze assigned readings every 2 weeks with one-on-one discussion with Dr. Schepp. Conducted extensive literature searches on survey design, methods and |

|techniques. Created a DRAFT oral care practice survey for oral care practices in the ICU. |

|NMETH 586 Instrument Development and Testing** |Schepp |4-Audited |Spring 20XY |

|Course Emphasis: Includes measurement theory, reliability, validity, level of measurement, and the process of scale development, modification, or translation. Students learn to evaluate, develop, modify, |

|translate, and test instruments for use in research. |

|Student Outcomes: Broadened my research methodology perspectives. Audited course. |

|NMETH 584 Methods: Physiologic Measures |Heitkemper |4 |Autumn 20XY |

|Course Emphasis: Exploration of the measurement of physiologic functioning in human and animal models. Examples include biochemical and biophysical measure. Students develop beginning skills with one |

|physiologic measure. |

|Student Outcome: Synthesized general understanding of measuring physiologic functioning in humans. Developed a paper and presentation about microbiological assays to identify oral and tracheal aspirate |

|organisms. |

|NMETH 600 Independent Study TSNRP Grant Camp |Doorenbos |5 |Summer 20XX |

|Course Emphasis: Course presentations will cover Principles for Success; Fatal Flaws; Conceptual Framework; Developing Research Objectives; Research Design & Methodology; Measurement & Statistical |

|Analysis; Timelines; Grantee Organizations; IRB Issues; Budgeting & Personnel; Packaging the Proposal; and much more. Sessions will consist of lectures, round-table discussions, and one-on-one consultations|

|with faculty. RESEARCH PLAN required. Phase II: Mock scientific review. Participants must submit a complete GRANT APPLICATION applying lessons learned in Phase I. Each participant will experience |

|first-hand the scientific review process, serve as peer reviewer, and learn the key criteria used for scoring. |

|Student Outcomes: Complete VAP research plan & TSNRP Grant Application; attend Phase I of Grant Writing Camp MAY 04 in Bethesda; Attend Phase II MOCK scientific review AUG 2004 in San Diego. Obtain grant |

|writing skills for TriService Nursing Research Program (TSNRP) funding. |

Scholarly Inquiry: Statistics – 10 credits required/ 16 credits attained

Courses

|BIOST 511 Medical Biometry I |Sheppard |4 |Autumn 20AB |

|Course Emphasis: Presentation of the principles and methods of data description and elementary parametric and nonparametric statistical analysis. Examples are drawn from the biomedical literature, and real|

|data sets are analyzed by the students after a brief introduction to the use of standard statistical computer packages. Statistical techniques covered include description of samples, comparison of two |

|sample means and proportions, simple linear regression and correlation. |

|Student Outcomes: Obtained general understanding of statistical techniques including description of samples, comparison of two sample means and proportions, simple linear regression and correlation. |

|Completed 8 weekly homework assignments and 1 midterm exam and a final exam. |

|BIOST 512 Medical Biometry II |Barlow |4 |Winter 20XX |

|Course Emphasis: Multiple regression, analysis of covariance, and an introduction to one-way and two-way analyses of variance: including assumptions, transformations, outlier detection, dummy variables, |

|and variable selection procedures. Examples drawn from the biomedical literature with computer assignments using standard statistical computer packages. |

|Student Outcomes: Obtained general understanding of multiple regression, analysis of covariance, and an introduction to one-way and two-way analyses of variance. Completed 6 weekly homework assignments |

|with STATA, 1 group project Midterm, 2 midterms and 1 Final exam. |

|BIOST 513 Medical Biometry III |Hughes |4 |Spring 20XX |

|Course Emphasis: Analysis of categorical data including two sample methods, sets of 2 x 2 tables, R x C tables, and logistic regression. Classification and discrimination techniques. Survival analysis |

|including product limit estimates and the Cox proportional hazards model. |

|Student Outcomes: Obtained general understanding of logistic regression, survival analysis, odds ratio and relative risks. |

|NMETH 590 Special Topics in Nursing Interpretive Methods |Boutain |4 |Autumn 20XX |

|Course Emphasis: Examination of a interpretive methods, with evaluation of appropriateness, efficiency, rigor of measurement, and potential for inference for nursing research. |

|Student Outcomes: Obtained skills for interpretive methods utilization during data analysis of dissertation data. |

Dissertation: -27 credits required / 12 credits attained (projected 42 total credits)

|NMETH 800 |Thompson |6 |Spring 20XZ |

|Course Emphasis: Take general exam. Complete dissertation proposal |

|Student Outcome: Passed written and oral candidacy exams. Proposal approved for scientific merit by full committee |

|NMETH 800 |Thompson |6 |Summer 20XZ |

|Course Emphasis: Complete proposal and submit to UW IRB and human subjects. |

|Student Outcome: Human Subject forms submit to UW. |

|NMETH 800 |Thompson |10 |Fall 20XZ |

|Course Emphasis: Distribute survey and collect data. |

|Student Outcome: Start data collection |

|NMETH 800 |Thompson |10 |Winter 20XB |

|Course Emphasis: Finish data collection and start data analysis. |

|Student Outcome: Complete data collection. |

|NMETH 800 |Thompson |6-10 |Spring 20XB |

|Course Emphasis: Complete data analysis and draft final chapters. |

|Student Outcome: Draft final dissertation write up, appoint reading committee (flexible quarter). |

|NMETH 800 |Thompson |6 |Summer 20XB |

|Course Emphasis: Complete dissertation. |

|Student Outcome: Submit dissertation to committee 2 weeks before final exam; final exam; revise dissertation and turn into upper campus. Draft manuscript for publication for a peer reviewed journal (eg |

|AJCC) |

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