UNIVERSITY OF FLORIDA



UNIVERSITY OF FLORIDA

COLLEGE OF NURSING

COURSE SYLLABUS

Fall 2011

COURSE NUMBER NGR 6247 Section 1187

COURSE TITLE Complex High Prevalence Illnesses of Adults

CREDITS 04

PLACEMENT DNP Program: Adult Nurse Practitioner Track

PREREQUISITES NGR 6244: Complex Adult Health Problems

NGR 6244L: Adult Nurse Practitioner 2

CO-REQUISITES NGR 6247L: Adult Nurse Practitioner 3

FACULTY

|Cynthia Figueroa-Haas, PhD, ANP-BC |HPNP 3239 |(352) 273-6424 |Tuesday 1300-1500 & |

|Clinical Assistant Professor |Gainesville | |By Appointment |

|cindiarn@ufl.edu | | | |

DEPARTMENT CHAIR

| | | | |

|Joyce Stechmiller, PhD, ACNP-BC,FAAN |HPNP 3230 |(352) 273-6394 |By Appointment |

|Stechjk@ufl.edu |Gainesville | | |

JACKSONVILLE CAMPUS DIRECTOR

|Andrea Gregg, DSN, RN |3rd Floor |244-5172 |By Appointment |

|gregga@ufl.edu |LRC-HSC | | |

| |Jacksonville | | |

COURSE DESCRIPTION: This course provides the students with in depth knowledge of the advanced nursing practice management of complex high prevalence illnesses in the United States. The emphasis is on use of evidence based practice guidelines and comprehensive treatment programs for aggregates of adults with congestive heart failure, stroke, cancer, chronic pulmonary disorders, diabetes, chronic wounds and infectious diseases. This course prepares the student to optimize client outcomes in both acute care and out-patient settings.

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

1. Analyze current knowledge from health, physiological, psychological, social, and nursing sciences as a basis for comprehensive treatment programs to care for adult populations from diverse backgrounds with the most prevalent complex illnesses.

2. Critique and translate research findings to guide development and evaluation of comprehensive treatment programs for adults with high prevalence complex illnesses.

3. Formulate plans for development and evaluation of treatment program models to enhance outcomes for clients with selected high prevalence complex illnesses.

4. Critique current technologies to advance the quality and accessibility of care with emphasis on safety, cost, invasiveness, simplicity, and efficacy in the care of adults with complex illnesses.

5. Analyze ethical, legal, fiscal, quality improvement, and other intervening variables that affect desired client outcomes.

6. Analyze leadership and inter-professional collaboration to enhance desired client outcomes.

7. Evaluate accessibility and quality of care for diverse, underserved and vulnerable client populations with high prevalence chronic and complex illnesses.

COURSE SCHEDULE

This is a web-based course. Course material and schedule are posted on the related course website.

E-learning in Sakai is the course management system that you will use for this course. E-Learning is accessed by using your Gatorlink account name and password at . There are several tutorials and student help links on the Sakai 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.

ATTENDANCE

Students are expected to participate in the activities and presentations as listed in the course syllabus and on the course web-site. Timeframes for the posting and receiving of materials are listed in the course materials on the course web-site.

ACCOMMODATIONS DUE TO DISABILITY

Each semester, students are responsible for requesting a memorandum from the Office for Students with Disabilities to notify faculty of their requested individual accommodations. This should be done at the start of the semester.

STUDENT HANDBOOK

Students are to refer to the College of Nursing Student Handbook for information about College of Nursing policies, honor code, and professional behavior.

TOPICAL OUTLINE

A. General Approach

Complex health problems in each general area listed below are addressed using the following approach:

1. Therapeutic Plans for advanced nursing practice

a. Evidence-based Practice guidelines

b. Comprehensive Model Treatment Programs

c. Safety, invasiveness, simplicity, efficacy

2. Cost /benefit

3. Evaluation of Treatment Results (accessibility; quality improvement, outcomes)

4. Use of Interdisciplinary Collaboration and Referral

5. Ethical principles

6. Legal requirements

7. Special considerations for older adults

8. Health disparities

9. Genomics

B. Complex Health Problems

1. Complex Cardiovascular disorders (heart failure)

2. Cancers

3. Complex pulmonary disorders

4. Diabetes

5. Chronic wounds

6. High Prevalence Infectious Diseases (e.g. MRSA)

7. Depression

TEACHING METHODS

Lecture, instructional media presentations, case studies, assigned readings, case discussions and student projects.

LEARNING ACTIVITIES

Focused group discussions and case analyses, completion of online offerings, writing scholarly papers, reviewing and analyzing scholarly works congruent with class topics and assignments.

EVALUATION METHODS

|ASSIGNMENT |PERCENTAGE |

|Midterm Exam |20% |

|Final Exam |20% |

|Treatment Program-EB Presentation (Voiceover PPT) |30% |

|Written Assignment (Treatment Program Analysis) |20% |

|Online Quizzes (7) |5% |

|Participation (discussion board responses to presentations) |5% |

|Total |100% |

*Students are required to submit all written documents through the “turn-it-in” website site prior to posting them on E-learning.

*An approximate turnaround grading/feedback time is 2-7 days from the time the assignment is due.

*Refer to the Sakai website for specific instructions on presentations & written assignments.

Exams:

The objective exams will be offered through the Elearning Sakai Course Website under the Tab of “Test & Quizzes”. Midterm & final exams are non-cumulative. Material tested for each will include assigned readings, quizzes, lectures & presentations offered prior to the exam day.

Students may come on campus and take exams in the Nursing Resource Center, 1st floor, HPNP building in Gainesville or in the Borland Library, 2nd floor, HSB, LRC in Jacksonville on the scheduled dates and at scheduled times (See Course Schedule).

Students who would rather not take exams on campus may elect to take exams on scheduled exam days off campus at any commercial learning center with prior approval/scheduling through faculty. Off campus proctored exams are available for a fee. For example, Sylvan Learning Center and Huntington Learning Center will proctor the exam for a cost per exam of approximately $50.00 to $100.00. If you elect this type of off-campus testing, please discuss with Dr Haas. Off-campus testing must occur on the same date as the scheduled exam.

*Failure to take an exam on the scheduled day and/or time will result in a re-weighting of the final exam to include the percentage from the exam that was not taken.

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

* Must earn a minimum average examination score of 80% (includes midterm, final and quizzes)

REQUIRED TEXTS

Institute of Medicine, (2001). Crossing the quality chasm: A new health system for the 21st century. Committee of Quality of Health Care in America, Institute of Medicine National Academics Press.

*Can purchase hard copy or view full-text online at:

ONLINE RESOURCES (required)

Online CME Assignments:

Infectious Diseases Society of America:

Heart Failure Society of America:

Oncology Clinical Practice Guidelines:

American Lung Association:

American Diabetes Association:

Strokes:

and

All texts from previous and current required courses in current graduate program

Approved: Academic Affairs Committee: 12/07

Faculty: 01/08

UF Curriculum: 10/08

WEEKLY CLASS SCHEDULE

|DATE |TOPIC/EVALUATION |ASSIGNMENTS/ |Online CEU Assignments/Examination Dates/Due Dates |

| | |READINGS | |

|Week 1 |Orientation & |CMDT Related Topics |Instructions for accessing CEU Quiz: |

|August 22-25 |Complex Health Problems: | |Go to site (must be registered 1st to|

| |Evidence-Based Practice Guidelines, |IOM Text |obtain CEU’s) - search space. Copy & paste subject |

| |Comprehensive Model Treatment | |titles, adding “quote” marks around title once |

| |Programs: General Approach | |pasted. Hit search…review content & take post test.|

| | | |Most of these assignments will offer you FREE |

| | | |CEU’s. Follow site instructions… |

| | | | |

| | | |Attach final results on appropriate “assignment |

| | | |quiz” Sakai site. |

| | | | |

| | | |ALL CEUs & Written Assignments Due by Friday |

| | | |@ 12 NOON |

|Week 2 |Oncology Part 1 |CMDT Related Topics |Online CEU #1 Quiz Due |

|Aug.29-Sept. 2 | | | |

| | |IOM Text | |

|Week 3 |Oncology Part 2 |CMDT Related Topics |*9/5 Holiday |

|Sept. 6-9 | | | |

| | |IOM Text | |

|Week 4 |Cardiac (CHF) |CMDT Related Topics |Online CEU #2 Quiz Due |

|Sept. 12-16 |Part 1 | | |

| | |IOM Text | |

| | | | |

| | |Case, R, Haynes, D., Holaday, B., & | |

| | |Parker,V. (2010). Evidence-Based | |

| | |Nursing: | |

| | |The Role of the Advanced Practice | |

| | |Registered | |

| | |Nurse in the Management of Heart | |

| | |Failure | |

| | |Patients in the Outpatient Setting. | |

| | |Dimensions of Critical Care Nursing. | |

| | |29(2), 57-62. | |

|Week 5 |Cardiac (HTN/Strokes) |CMDT Related Topics | |

|Sept. 19-23 |Part 2 | | |

| | |IOM Text | |

|Week 6 |Pulmonary (COPD) |CMDT Related Topics |Online CEU #3 Quiz Due |

|Sept.26-30 |Part 1 | | |

| | |IOM Text | |

| | | | |

| | | |

| | |lung/copd/campaign-materials/pub/provid| |

| | |er-card.pdf | |

|Week 7 |Pulmonary (Asthma) |CMDT Related Topics |Midterm Exam |

|Oct. 3-7 |Part 2 | | |

| | |IOM Text |October 3rd |

| | | |9:00AM-10:00AM |

| | |National Heart, Lung, and Blood | |

| | |Institute National Asthma Education and| |

| | |Prevention Program | |

| | |Expert Panel Report 3: Guidelines for | |

| | |the Diagnosis and Management of Asthma | |

| | |Full Report 2007. | |

| | | |

| | |hma/asthgdln.pdf | |

| | | | |

| | | |

| | |lung/copd/campaign-materials/pub/provid| |

| | |er-card.pdf | |

|Week 8 |Diabetes Part 1 |CMDT Related Topics |Online CEU #4 Quiz Due |

|Oct. 10-14 | | | |

| | |IOM Text | |

| | | | |

| | |National Diabetes Education Program: | |

| | |Diabetes TeamCare Comprehensive | |

| | |Lifetime Management for Diabetes | |

| | | | |

| | | | |

|Week 9 |Diabetes Part 2 |CMDT Related Topics |Written Assignment Due |

|Oct. 17-21 | |IOM Text | |

| | | | |

| | | | |

| | |ADA (2009). Executive Summary: | |

| | |Standards of Medical Care in | |

| | |Diabetes-2009.Diabetes Care, 32, 1, | |

| | |S6-12. | |

| | | | |

|Week 10 |Chronic Wounds |CMDT Related Topics |Online CEU #5 Quiz Due |

|Oct. 24-28 |Part 1 |IOM Text | |

|Week 11 |Chronic Wounds |CMDT Related Topics | |

|Oct. 31-Nov.4 |Part 2 |IOM Text | |

|Week 12 |Infectious Disease |CMDT Related Topics |Online CEU #6 Quiz Due |

|Nov.7-11 |Part 1 HIV |IOM Text | |

|Week 13 |Infectious Disease |CMDT Related Topics | |

|Nov. 14-18 |Part 2 MERSA |IOM Text | |

|Week 14 |Depression Part 1 |CMDT Related Topics |*24th & 25th Holiday |

|Nov. 21-25 | |IOM Text | |

|Week 15 |Depression Part 2 |CMDT Related Topics |Online CEU #7 Quiz Due |

|Nov. 28-Dec. 2 | |IOM Text | |

|Week 16 |Comprehensive Treatment Programs: |CMDT Related Topics |Classes End Dec. 7, 2011 |

|Dec. 5-7 |Cardiopulmonary, Cancers, Diabetes, |IOM Text | |

| |Chronic Wounds, Infectious Diseases & | | |

| |Depression | | |

| | | | |

|FINAL EXAM December 12, 2011, 9:00 AM – 10:00 AM |

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