Master Resource Outline

Credits: 1 lecture

Semesters Offered: F, Sp,

Prerequisites: Acceptance into program or by consent of instructor

Course Description

This course provides content to initiate and foster professional, culturally competent, inclusive nursing care. Ethical development of the professional nurse including morality and obligations to cultural sensitivity and inclusion will be discussed using ethical dilemmas of everyday practice (micro ethics). The importance of evidence-based practice and professional nurse identify as a core professional attribute will be discussed. Self-reflection and group learning strategies are used to promote learning.

Catalog Course Description: Students will explore the ethical development of professional nursing to initiate and foster professional, culturally competent, inclusive nursing care. Ethical development including morality and obligations to cultural sensitivity and inclusion, evidence-based practice and professional nurse identity will be discussed.

Course Objectives

  1. Interpret the interrelations among components of morality including values clarification, unconscious bias, moral sensitivity, reasoning, decision making and behavior.
  2. Discuss ethical obligations of professional nurses in their roles as citizens, members of a profession, providers of care, and designers and managers of care.
  3. Determine what fundamental ethical principles and ethical decisions making models apply to common nursing care situations (micro ethics) and examine how personal and social values, biases and beliefs may create moral conflict in clinical practice.
  4. Examine evidence-based practice competencies to enhance the role of nursing in patient care (Melnyk & Fineout-Overholt, 2015).
  5. Discuss the importance of professional identity formation to promote resiliency.

Course Learning Outcomes: The student will: 

  1. Discuss how personal and systematic values and bias effect healthcare delivery.
  2. Identify every day ethical dilemmas involving diverse populations.
  3. Describe methods to incorporate evidence-based practice competencies in patient care.
  4. Create a collection of reflections including a professional practice statement identifying their core values, principles, self-care and professional identify formation that will guide their conduct and future practice as they reflect on their progression of the AACN (American Association of Colleges of Nursing) competencies for their BSN progression.

AACN Competencies

This course introduces:

1.1 Demonstrate an understanding of the discipline of nursing’s distinctive perspective and where shared perspectives exist with other disciplines.

2.6 Demonstrate accountability for care delivery.

2.8 Promote self-management.

4.1 Advance the scholarship of nursing.

4.2 Integrate best evidence into nursing practice.

4.3 Promote the ethical conduct of scholarly activities.

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.

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

8.5 Use information and communication technologies in accordance with ethical, legal, professional, and regulatory standards and workplace policies in the delivery of care.

9.1 Demonstrate an ethical comportment in one’s practice reflective of nursing’s mission to society.

9.2 Employ nursing’s participatory approach to person-centered care.

9.3 Demonstrate accountability to the patient, society, and the profession.

9.4 Comply with relevant laws, policies, and regulations.

10.3 Develop capacity for leadership.

10.1 Demonstrate a commitment to personal health and wellbeing.

10.2 Demonstrate a spirit of inquiry that fosters flexibility and professional maturity.

9.5 Demonstrate the professional identity of nursing.

9.6 Integrate diversity, equity, and inclusion as core to one’s professional identity.

AACN Threads

Equity and Inclusion

Diversity

Cultural Sensitivity

Social Determinants of Health

Communication

Ethics

Clinical Judgement

Mental Health

Required Content and Concepts

Professional Practice 
  1. Resiliency and self-care in nursing
  2. EBP introductory concepts (Melynk, 2015):
    1. Cultivating a Spirit of Inquiry
    2. Making a Case for EBP
    3. Asking Compelling Clinical Questions
    4. Finding Relevant Evidence to Answer Clinical Questions – MSU Library search, basic APA) (Melynk, 2015)
  3. Benner Novice to Expert progression
  4. Legal Issues in Nursing: HIPPA, social media, documentation, State Board of Nursing Regulations, mandatory reporting, incident reporting
  5. Inter-professional Teamwork/Collaboration Strategies
  6. Competencies
    1. AACN
    2. BSN Essentials
  7. Promoting public confidence in our profession and enhancing our image (When preparing new nurses for practice don’t overlook the basics)
  8. Discussion and preparation for common difficult situations or conversations nurses face
Nursing Ethics 
  1. Cultural Competence Models (AACN tool kit) 
  2. Values of Nursing Profession (advocacy, social justice, beneficent care)
  3. Ethical Principles
  4. Examine personal values, unconscious bias and moral conflict
  5. Applying cultural awareness and cultural sensitivity to ethical decision making
  6. Discuss social awareness of diverse populations (LGBTQ, AI/AN, people of color)
  7. ANA Code of Ethics
  8. Informed consent
  9. Advanced Directives, Client Rights, Legal Rights and Responsibilities
  10. Micro ethics (everyday situations) and learning good practices r/t supporting patient decision making, providing comfort to those who are suffering, advocating for patients and families (Ethics Education for Nursing: Instruction for Future Generations of Nurses)

Suggested Text/Reading

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice. (4th ed). ISBN-13: 978-1496384539

Cultural Competence Models (AACN tool kit) 

Nursing Ethics in Everyday Situations (sigma text?) 

Tri-pack from ANA

Professional Nursing Concepts

E-Portfolio 

  • Introduction to e-platform
  • Examplar definition
  • 4 domains (Values and Ethics, Knowledge, Leadership & Professional Comportment)
  • Self-reflection Statement: Values and Ethics
    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 Self-Reflection Spring 2021
    2. Exemplars:
      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 

  • papers and reports
  • tests and quizzes                                                                       
  • Internet searches
  • workshops
  • discussion
  • videos                                                                        
  • reading
  • study guides
  • case studies
  • student presentations
  • guest speakers
  • small groups
  • role playing

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice.

Hoskins, K., Grady, C., & Ulrich, C. (2018). Ethics education in nursing: Instruction for future generations of nurses, (23)1.

Lowey, S. (2018). When preparing new nurses for practice, don’t overlook the basics, retrieved from: https://www.reflectionsonnursingleadership.org/features/more-features/when-preparing-new-nurses-for-practice-don-t-overlook-the-basics