I. Theoretical Outcomes and Objectives
A. Theoretical Application for Professional Growth
At the completion of this course the student will:
1. Analyze clients' needs using the nursing process.
2. Select nursing actions using critical thinking
strategies applied to theoretical client scenarios.
3. Incorporate leadership and research principles into
4. Evaluate the concept of health care delivery systems and
how the profession of nursing fits into these systems
both ethically and legally.
5. Solve conflict management issues using theoretical
6. Construct a plan for entry into the profession of
nursing using resume writing skills and interviewing
7. Formulate a plan for professional growth using role
adaptation models and preceptorship.
B. Theoretical Content Application for Clinical Objectives
In a nursing practice scenario, the student will demonstrate
1. Integrate the knowledge of health deviation states and
self-care requisites (Orem's Self-Care Deficit Model)
into the nursing care of clients with problems related
a. neurological states
b. respiratory function
c. immune and endocrine function
d. mobility states
e. cellular growth
2. Continue with care at home
3. Examine principles of time management and organization
to effectively deliver nursing care to a group of clients.
4. Initiate professional communication into the nursing
care of acutely ill clients in order to:
a. create a safe environment for groups of clients and health
b. Construct teamwork among the health care providers
c. Value client's cultural, ethnic, sexual, and spiritual
5. Evaluate and compare the significance of the following
concepts as they are applied in preparing patient care
a. developmental stage
e. rest and activity
f. fluids and electrolytes balance
h. nutrition and elimination
6. Demonstrate competency in performing the following
skills by incorporating scientific, physiological and
psychosocial concepts in a skills laboratory:
a. neurological assessment
b. tracheostomy care
c. transcription of medical orders
d. completing quality assurance reports
e. giving shift report
f. bladder irrigation
g. initiating IV therapy
II. Professional Clinical Practice Objectives
A. Professional Growth Objectives
At the completion of advanced medical-surgical nursing and
preceptorship the student will:
1. Demonstrate the use of critical thinking and problem
solving skills in managing the nursing care of a group
2. Delegate tasks to appropriate members of the health care
3. Function as an entry level professional nurse within
legal/ethical guidelines established by the Nurse
4. Apply appropriate conflict management skills in the
5. Incorporate the role and function of the staff nurse
with confidence in order to prepare for entry into
B. Clinical Practice Objectives
At the completion of advanced medical-surgical nursing and a
preceptorship the student will apply theory to practice using
the nursing process and Orem's Self-Care framework by
demonstrating the ability to:
1. Independently collect and record database for each
2. Assess client for physical manifestations of
pathophysiological processes and clients' ability to
meet their health care needs.
3. Initiate and/or maintain a current nursing care plan for
4. Apply theoretical knowledge to clinical practice.
5. Initiate appropriate referrals for resources to meet
clients self-care needs.
6. Implement client and family teaching in a variety of
7. Evaluate client response to the teaching.
a. Introduction to Leadership
b. Group Process
c. Health Care Delivery System
d. Ethical Aspects of Nursing
e. Values Clarification
f. Nurse Practice Act
g. Legal Aspects of Nursing Practice
h. Total Quality Management/Continuous Quality Improvement
i. Case Management and Managed Care
j. Research for Professional Nursing Practice
k. Nursing Profession and Professional Organization
l. Novice to Expert
m. Writing Behavior Objectives
n. Resume Writing
o. NCLEX Application
2. Regulation: Client with Altered
a. Endocrine function
b. Cell Growth (Oncology)
c. Pancreatic Function (Exocrine)
d. Liver Function
a. Conflict management
c. Decision making
d. Critical thinking
e. Alternative Therapies
f. Palliative Care/End of life
4. Fluids and Electrolytes:
a. Renal Client Undergoing Dialysis and/or Kidney Transplantation
5. Oxygenation: Client with Altered Oxygenation:
a. Adult Respiratory Distress Syndrome
b. Code management
c. Gastrointestinal bleeding
d. Cardiac Output/TissuePerfusion
6. Protection: Client with Altered Neurological Function:
a. Neuro Assessment
c. Unconscious client
d. Seizure Disorder
e. Sensory Motor Dysfunction: Increased intracranial pressure and
f. Spinal cord injury
g. Immune System Dysfunction
h. Migraine Awareness
7. Rest and Activity
a. Osteoporosis and Gout
b. Chronic Neurological Problems
8. Developmental Self-Care Requisites
a. Home Care Client
9. Nutrition and Elimination: Client with Altered Function of the Lower
10. Skills Competency Development
a. Neuro Assessment
b. Tracheotomy Care
c. Transcription of Medical Orders
d. Shift Report
e. Quality Assurance Reports
f. Bladder Irrigation
g. IV Therapy - venipuncture, collecting blood specimens
1. Preparation for clinical assignments by reviewing patient's chart,
approximately 1-2 hours per week.
2. Written Nursing Care Plans approximately 2/semester. That includes
data collection, data analysis, assessment and development of plan for
nursing care with specific interventions and evaluation of
3. Completion of two-page assessment tool on every client in preparation
for clinical using database, medication sheet, pathophysiology form.
4. Viewing selected videotapes in HLRC, 6-8 per semester.
5. Viewing selected CAI programs in HLRC, 8-12 per semester.
6. Present patient situation for discussion in post clinical conferences,
approximately 1 hour presentation per student per semester.
7. Analysis of patient care situations. In group setting, approximately
8-10 per semester.
8. Reading assignments, 70-250 pages per week.
9. Completion of a weekly critical thinking journal
Lewis, S., Heitkemper, M., and Dirksen, S. (2000). Medical-Surgical
Nursing: Assessment of Clinical Problems, 5th ed. New York: Mosby.
Marquis, B.L., and Huston, C.J. (2000). Leadership Roles and Management
Functions in Nursing, 3rd ed. Philadelphia: Lippincott
McCances, K., and Heuther, S. (1997). Pathophysiology: The Biologic Basis
for Disease in Adults and Children. 3rd ed. New York: Mosby.
Smith, S.and Duell, D. (1996). Clinical Nursing Skills: Basic to Advancesd
Skills. 4th ed. Stamford, CT: Appleton and Lange.