Integrative Practicum

Course Number:
NRS 224
Transcript Title:
Integrative Practicum
Created:
Aug 15, 2022
Updated:
Apr 29, 2024
Total Credits:
9
Lecture Hours:
20
Lecture / Lab Hours:
0
Lab Hours:
210
Satisfies Cultural Literacy requirement:
No
Satisfies General Education requirement:
No
Grading Options
A-F
Default Grading Options
A-F
Repeats available for credit:
0
Prerequisites

NRS 221, NRS 222

Course Description

Provides students with opportunities to apply theories and skills learned in previous nursing courses. It is designed to refine the clinical judgments, knowledge and skills necessary for safe and effective registered nurse practice, using a variety of evidence-based teaching and learning models. Opportunities for analysis and reflection throughout the clinical experience and provides the student with evaluative criteria against which they can judge their own progress towards achieving course outcomes. Includes immersive clinical experience, seminar, self-directed study, focusing on the transition from the student role to the professional nursing practice role. Prerequisites: NRS 221, NRS 222.

Course Outcomes

Upon successful completion of this course, students will be able to:

  1. Make sound clinical judgments based on an increasingly complex knowledge base, best practice evidence and experience in care of selected populations.
  2. Create priorities in the provision of care with attention to individual patient needs and preferences, available resources and ethical aspects of patient care.
  3. Demonstrate self-reflection and self-analysis to identify strengths and areas for improvement.
  4. Plan individualized, trauma-informed care for patients and families.
  5. Collaborate with the health care team to facilitate optimal patient care.
  6. Explain the concept of continuous quality improvement to enhance care delivery across the continuum of care.
  7. Integrate program theories and skills into practice to enhance professional role development and transition from student to nurse.

Suggested Outcome Assessment Strategies

The determination of assessment strategies is generally left to the discretion of the instructor. Here are some strategies that you might consider when designing your course: writings (journals, self-reflections, pre writing exercises, essays), quizzes, tests, midterm and final exams, group projects, presentations (in person, videos, etc), self-assessments, experimentations, lab reports, peer critiques, responses (to texts, podcasts, videos, films, etc), student generated questions, Escape Room, interviews, and/or portfolios.

Department suggestions: Clinical evaluation, Journal evaluation, Multiple choice tests, Lab performance evaluation, Papers

Course Activities and Design

The determination of teaching strategies used in the delivery of outcomes is generally left to the discretion of the instructor. Here are some strategies that you might consider when designing your course: lecture, small group/forum discussion, flipped classroom, dyads, oral presentation, role play, simulation scenarios, group projects, service learning projects, hands-on lab, peer review/workshops, cooperative learning (jigsaw, fishbowl), inquiry based instruction, differentiated instruction (learning centers), graphic organizers, etc.

Course Content

Outcome #1: Make sound clinical judgments based on an increasingly complex knowledge base, best practice evidence and experience in care of selected populations.

  • Do No Harm
  • Organizational skills
  • Knowledge base- ongoing for life of nursing career
  • Decisions making, synthesizing patient information for multiple resources.
  • “Clinical judgement” what is it?
  • “Impostor: feeling
  • Applying knowledge and skills
  • “You are not alone”

Outcome #2: Create priorities in the provision of care with attention to individual patient needs and preferences, available resources, and ethical aspects of patient care.

  • Advocacy for patients and self and the nursing profession
  • Ethics committees
  • Ethical dilemmas and moral distress
  • Trauma-informed care
  • Health equity
  • Diversity, equity, inclusion, & belonging
  • Patient case load - manage patient care with few ques and prompting
  • Develop effective and applicable care plans for assigned patient
  • Time management
  • Collaborative nursing care with preceptor
  • Use reliable resources when developing plan of care for patients

Outcome #3: Demonstrate self-reflection and self-analysis to identify strengths and areas for improvement.

  • Journal of clinical experience
  • Self-evaluation
  • Continuous improvement 

Outcome #4: Plan individualized, trauma-informed care for patients and families.

  • Promoting, resilience, hope and empowerment
  • Creating a safe environment
  • Building trust and rapport
  • Empowerment and choice
  • Trauma informed interventions
  • Crisis Intervention

Outcome #5: Collaborate with the health care team to facilitate optimal patient care.

  • Role in the healthcare team
  • Shared decision -making
  • Effective communication
  • Delegation

Outcome #6: Explain the concept of continuous quality improvement to enhance care delivery across the continuum of care.

  • Multifaceted healthcare systems
  • Organizational literacy
  • Nurses role in Legislative reforms to advance healthcare equity and patient rights

Outcome #7: Integrate program theories and skills into practice to enhance professional role development and transition from student to nurse.

  • Capstone project
  • 160 hours – precepted clinical experience
  • Professional portfolio

Suggested Texts and Materials

  • Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical nursing: Assessment and management of clinical problems (11th ed.). St. Louis, MO: Elsevier. 
  • Marquis, B. & Huston, C. (2021). Leadership roles and management functions in nursing theory and application.  Philadelphia, PA: Wolter Kluwer.

Department Notes

See OCNE Megacase List and Minimum Skill Set by end of Year 2 List

See OCNE universal CCOG for additional information on course content