Master Resource Outline

 

Course Title: NRSG 403 Professional Development III: Care Management

Credits: 2 (lecture) 

Semesters Offered: Fall, Spring 

 

Course Description:

The focus of this course is to provide skill development in critical thinking, transitional planning, and delegation in relation to care management. Students will utilize a holistic approach to understand how a patient utilizes healthcare, the services provided across multiple settings and the nurse’s role in understanding and advocating for the patient’s specific needs. Legal and ethical considerations will be examined.

Catalog Course Description:

This course provides development of critical thinking, transitional planning, and delegation for patient care management. Students will examine healthcare utilization holistically across multiple settings and explore the legal, ethical and advocacy issues for patient’s specific needs.

 

Course Objectives:

1. Examine legal and ethical issues related to management of patient care, delegation, advanced care planning and mandatory reporting.

2. Discuss the 5 rights of delegation and responsibilities of the delegatee, RN, and leader.

3. Demonstrate essential competencies of care management in various healthcare settings.

4. Identify local resources for a variety of patients with a focus on vulnerable and diverse populations.

 

Course Learning Outcomes: Upon completing this course the student will be able to:

1. Demonstrate appropriate use of the 5 rights of delegation, advanced care planning and mandatory reporting.

2. Apply care management competencies in various healthcare settings.

3. Analyze clinical pathways and caremaps and their role in quality healthcare.

4. Create a care management statement and reflect on progression of AACN competencies for their BSN progression.

 

AACN Competencies

This course develops:

2.9 Provide care coordination.

3.2 Engage in effective partnerships.

3.3 Consider the economic impact of the delivery of health care.

3.5 Demonstrate advocacy strategies.

4.2 Integrate best evidence into nursing practice.

5.1 Apply quality improvement principles in care delivery.

7.1 Apply knowledge of systems to work effectively across the continuum of care.

7.2 Incorporate consideration of cost effectiveness of care.

7.3 Optimize system effectiveness through application of innovation and evidence-based practice.

 

This course advances:

6.2 Perform effectively in different team roles, using principles and values of team dynamics.

6.3 Use knowledge of nursing and other professions to address the healthcare needs of patients and populations.

6.4 Work with other professions to maintain a climate of mutual learning, respect, and shared values.

 

AACN Threads

  • Equity and Inclusion
  • Diversity
  • Cultural Sensitivity
  • Social Determinants of Health
  • Communication
  • Ethics
  • Clinical Judgement
  • Mental Health

 

Required Contents and Concepts

  • Legal content
  • Inter-professional Collaboration in Case Management
  • Assignment, Delegation and Prioritization
  • 5 right of delegation and the role of the delegatee, delegator and the leader
  • Social Determinants of Health Intro (factors of, assessing)
  • Care Coordination Strategies and Competencies of the BSN
  • Advanced Directives (introduced in Prof 1)
  • Continuity of care
  • Discharge planning for vulnerable populations
  • Common Transitional Planning (SNF qualification requirements, Inpatient Rehab qualification requirements,Home Health qualification requirements, hospice qualification requirements).
  • Assessment of Community Resources
  • Ethics: fairly allocate resources and time, advanced care planning, surrogate decision making (Ethics Education for Nursing: Instruction for Future Generations of Nurses)
  • Types of Healthcare Systems (outpatient, private, inpatient, system, home health, hospice, therapy, infusion etc).
  • Medical Service Models (HMOs , PPOs, PPS, Bundled Payments, Patient Centered Medical Home)
  • E-Portfolio
    1. Introduction to e-platform
    2. Exemplar definition
    3. 4 domains (Values and Ethics, Knowledge, Leadership & Professional Comportment)
    4. Self-reflection Statement: Knowledge: Care Management
      1. Self-Reflections:
        1. Rather than describing what you have done in particular courses, instead reflect upon where you see your level of accomplishment. Are you being introduced to the content, still developing it or advanced? Maybe somewhere in-between?
        2. What challenges have you faced in this essential area?
        3. What feedback have you received on your work? How and what will you do over the next year to advance your competency?
        4. You will continue to provide an updated self-reflection each semester. Keep the older versions and add a new document each year.
        5. Reflection File naming: SRaph DNP Essential 1 SelfReflection Spring 2021
      2. Exmplars:
        1. Exemplars can be any course assignment or project that you would like to include in your portfolio to show progression of your work.
        2. It is most helpful to provide graded versions of the exemplars so that you are able to see the feedback from faculty.
        3. Please label the exemplar file in the following nomenclature:
          1. SRaph DNP Exemplar 1.2 [Assignment Name] to correspond with the DNP Essential subcomponents.
        4. If the exemplar is a group project, please identify your role and the work distribution.

 

Suggested Student Learning Activities:

• tests and quizzes

• teaching plans

• literature review

• Internet searches

• workshops

• discussion

• videos

• reading

• case studies

• student presentations

• cooperative learning

• small groups

• Complex Case examples in: Addition Medicine, Pain Management, Children’s Health, Maternal Health, Mental Health, AI/AN Populations

• Have students call admitting nurse at facilities to learn about what the patient needs to have in order to be ‘accepted’

• Guest lecture from a RN case manager

• Guest talk from hospital transition planners (to identify nurse and social work teamwork)

 

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice.

 

Approved by UAAC: 11/24/2020

Approved by Faculty: 11/9/2020