Master Resource Outline

 

Course Title: NRSG 644 Primary and Gynecologic Care

Credits: 4 (didactic)
Semester Offered: Summer
Prerequisites: NRSG 640
Degree: DNP
AACN Core Competencies for Advanced-level Nursing Education: 1, 2, 4, 6, 8
MRJCON DNP Program Learning Outcome: 1, 2, 4, 6, 8
MRJCON NM Option Learning Outcomes: 1, 2, 3, 4, 5, 6, 7

 

Course Description:

This graduate nursing course focuses on meeting the primary, preconception, and gynecologic/reproductive/sexual health needs of people throughout the lifespan through evidence-based comprehensive assessment, intervention, and preventive care. The course emphasizes common health problems and deviations from normal for essentially
healthy people and those experiencing gynecologic problems. Recognizing and valuing the holistic nature of individuals and families, this course will include content on the impact of physical and psychological development, genetics, social determinants of health, historical events and policies, gender identity, sexuality, and sexual orientation on the health status of adults seeking care. The assessment of safety of individuals in dysfunctional relationships resulting in intimate partner violence is included. The role of the nurse midwife when collaborating, consulting, and referring to interprofessional colleagues is discussed.

Catalog Description:

This graduate nursing course focuses on meeting the primary, preconception, and gynecologic care health needs of people throughout the lifespan through evidenced based comprehensive assessment, intervention, and preventive care. Common health problems and deviations from normal are emphasized. 

 

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

1. Explain the process and content used when conducting and documenting comprehensive and systematic age-appropriate physical, psychosocial, genetic, environmental, sexual, gender identity, cultural, safety, family/household assessments.
2. Identify appropriate diagnostic screening techniques and laboratory tests to promote health and to prevent or detect disease.
3. Identify problems or diagnoses based on assessment findings
4. Recognize adrenarche, menarche, the childbearing cycle, and menopause as normal, describe evidence-based nursing strategies that promote health and treat common health deviations and chronic conditions, preconception needs, and gynecologic/reproductive/sexual health needs of people throughout the lifespan.
5. Describe evidence-based strategies when guiding, counseling, and educating people about: primary health care needs, risk factors, human sexuality, sexual behaviors that promote health and prevent disease, contraception, fertility, readiness for pregnancy, and menopause.
6. Safely and appropriately select pharmacologic agents for the primary, gynecologic, and preconception care to be used while providing education based on patient variations, the problem being managed, and cost effectiveness.
7. Synthesize evidence-based theoretical knowledge when describing the management of deviations from normal, complications, and emergencies.
8. Compare and contrast the role of the nurse midwife with that of physicians.

Exemplars of Course Learning Outcomes:

1. Write a reflection paper after listening to a speaker on reproductive health care who identifies as LGBTQIA+. Include in the paper a discussion of one’s implicit biases and the implications of those on one’s future practice as a nurse midwife. [CLO1, CLO2, CLO 4, CLO 5, CLO6,
2. Participate in an interprofessional learning discussion with students of other health professions that: overviews the educational and credentialing process of each profession; compares the role and scope of practice of midwives and other professionals who care for individuals in the childbearing cycle; overviews the principles of team-based health care; integrates concepts of difficult conversations; and reflects a shared vision of patient and family centrality. [CLO 4, CLO 6, CLO 7, CLO8]

 

American College of Nursing Midwives Core Competencies for Basic Midwifery Practice

Includes the fundamental knowledge, skills, and abilities expected of new midwives certified by the American Midwifery Certification Board (AMCB). 

I. Hallmarks of Midwifery - The art and science of midwifery are characterized by the following hallmarks:

C. Incorporation of evidence-based care into clinical practice
E. Empowerment of women and persons seeking midwifery care as partners in health care
J. Utilizing an understanding of social determinants of health to provide highquality care to all persons including those from underserved communities

V. Components of Midwifery – While each person’s life is a continuum, midwifery care can be divided into primary, preconception, gynecologic/reproductive/sexual health, antepartum, intrapartum, and post-pregnancy care:

A-2. Provides age-appropriate physical, mental, genetic, environmental, sexual and social health assessment
A-3. Utilizes nationally defined screening and immunization recommendations to promote health and detect and prevent disease
A-4. Applies management strategies and therapeutics to facilitate health and promote healthy behaviors
A-5. Utilizes advanced health assessment skills to identify normal and deviations from normal
A-6. Applies management strategies and therapeutics for the treatment of common health problems and deviations from normal, including infections, selflimited conditions, and mild and/or stable presentations of chronic conditions, utilizing consultation, collaboration, and/or referral to appropriate health care services as indicated
A-7. Assesses for safety, including dysfunctional interpersonal relationships, sexual abuse and assault, intimate partner violence, emotional abuse, and physical neglect
B-2. Assesses individual and family readiness for pregnancy, including physical, emotional, psychological, social, cultural, and sexual factors
B-5. Counsels regarding fertility awareness, cycle charting, signs and symptoms of pregnancy, pregnancy spacing, and timing of discontinuation of contraceptive method
B-6. Addresses infertility, gamete banking, and assisted reproductive technology, utilizing consultants, collaboration, and/or referral as indicated
C-1. Understands human sexuality, including biological sex, intersex conditions, gender identifies and roles, sexual orientation, eroticism, intimacy, conception, and reproduction
C-2. Utilizes common screening tools and diagnostic tests, including those for hereditary cancers
C-3. Manages common gynecologic and urogynecologic problems
C-4. Provides comprehensive care for all available contraceptive methods.
C-5. Screens for and treats sexually transmitted infections including partner evaluation, treatment, or referral as indicated
C-6. Provides counseling for sexual behaviors that promotes health and prevents disease
C-7. Understands the effects of menopause and aging on physical, mental, sexual health

American College of Nurse Midwives Competencies for Practice Doctorate in Midwifery

1. Translate expert clinical knowledge and research relevant to midwifery into best practice models
3. Interpret and apply research related to the national and international distribution and determinants of health and disease in women and newborns
5. Use effective communication and leadership skills to enhance team function and promote positive change in health care of women and newborns

American College of Nurse Midwives Core Values

  • Excellence
  • Evidence-based care
  • Inclusiveness
  • Woman-centered care
  • Primary care
  • Partnership
  • Advocacy

 

Recommended Content

  • Midwifery management process when providing holistic care to people with primary, preconception, and gynecologic/reproductive/sexual health needs
  • Guiding, counseling, and educating people about: risk factors, sexuality, sexual behaviors that promote health and prevent disease, contraception, fertility, readiness for pregnancy, and menopause
  • Diagnostic and screening techniques to detect and prevent disease
  • Effects of menopause and aging on physical, mental, and sexual health
  • Assessment for safety in dysfunctional interpersonal relationships
  • Use of pharmacologic agents

 

Approved by GAAC: 9/9/2022
Approved by Faculty: 9/12/22