Active Outline

General Information

Course ID (CB01A and CB01B)
NURS D096L
Course Title (CB02)
Leadership and Management in Nursing Clinical
Course Credit Status
Credit - Degree Applicable
Effective Term
Fall 2021
Course Description
This prelicensure preceptorship course is designed to prepare the student to function as a graduate nurse. Students will provide safe patient-centered, evidence-based nursing care for patients under the guidance of a registered nurse working in the community and supervised by the faculty liaison. The student will work on the day, evening or night shift, depending on the schedule of the assigned preceptor. Settings assigned may include acute care, sub-acute/post-acute care, rehabilitation nursing, surgical centers, hospice care, or other community settings. Learning experiences may be enhanced with clinical simulations and observation activities; in simulated lab experiences, the student will assist with running the simulation activity. Both NURS 96L and NURS 96 must be taken and passed concurrently within the same quarter (failure of either component requires both courses to be retaken).
Faculty Requirements
Course Family
Not Applicable

Course Justification

This course is in a CTE program that was developed based on requirements from the California Board of Registered Nursing (BRN), and from input from current/potential healthcare employers and current/future health needs of society. This course belongs on the A.S. degree in Nursing. This course is a BRN mandated component of the nursing program and exposes students to clinical management and leadership activities for a team of patients in their senior preceptorship. Successful completion of this course is required for students to be eligible for the national licensing exam.

Foothill Equivalency

Does the course have a Foothill equivalent?
No
Foothill Course ID

Course Philosophy

Formerly Statement

Formerly Statement
(Formerly NURS D086L.)

Course Development Options

Basic Skill Status (CB08)
Course is not a basic skills course.
Grade Options
  • Pass/No Pass
Repeat Limit
0

Transferability & Gen. Ed. Options

Transferability
Transferable to CSU only

Units and Hours

Summary

Minimum Credit Units
4.5
Maximum Credit Units
4.5

Weekly Student Hours

TypeIn ClassOut of Class
Lecture Hours0.00.0
Laboratory Hours14.00.0

Course Student Hours

Course Duration (Weeks)
12.0
Hours per unit divisor
36.0
Course In-Class (Contact) Hours
Lecture
0.0
Laboratory
168.0
Total
168.0
Course Out-of-Class Hours
Lecture
0.0
Laboratory
0.0
NA
0.0
Total
0.0

Prerequisite(s)

NURS D095. and NURS D095L

Corequisite(s)

NURS D096.

Advisory(ies)

Limitation(s) on Enrollment

Entrance Skill(s)

General Course Statement(s)

Methods of Instruction

Discuss readings and assignments

Role model clinical behavior, problem-solving and effective communication

Clarify role expectations in preceptorship

Guide student delegation to licensed and unlicensed persons

Guide student in conflict management

Guide student in development, modification and evaluation of their goals specific to the preceptorship setting

Assignments

  1. Reading assignments from the syllabus and texts.
  2. Documented nursing care plan.
  3. Weekly documented preceptorship update and plan
  4. Management of a patient assignment with an increase in patient load to a full RN load by the end of preceptorship
  5. Preparation and presentation of staff inservice

Methods of Evaluation

  1. Preceptorship orientation quiz to evaluate comprehension and mastery of facility requirements and regulations in order to safely provide care during preceptorship
  2. Grading of nursing care plan per Standards of Nursing Practice to evaluate student ability to utilize a comprehensive approach to patient assessment, critical analysis of data and planning of safe and appropriate care.
  3. Grading of weekly Preceptorship updates: reflect student self-assessment of performance,in skill performance, time management, and leadership abilities with instructor review and input for suggested methods of improvement
  4. Evaluate staff inservice presentation and pamphlet per rubric, to evaluate student ability to research topics relevant to nursing practice, develop teaching/presentation skills and facilitate enculturation into the 'nursing world' of clinical practice
  5. Successfully completes the critical elements on the final clinical evaluation tool to evaluate skill mastery in the clinical setting, ability to communicate therapeutically with patient, families and members of the healthcare team and function as a member of the healthcare team in the provision of safe patient care.
  6. Course will be "P/NP" grading; P = achievement of 70% or greater of all possible assignment points and satisfactory achievement of all critical elements on final clinical evaluation tool.
  7. Successful completion of Nursing 96 within the same quarter is required to pass Nursing 96L.

Essential Student Materials/Essential College Facilities

Essential Student Materials: 
  • Student nursing uniform, watch with a second hand, scissors, hemostat, stethoscope, transportation to clinical sites, current background check and drug testing
Essential College Facilities:
  • Fully equipped nursing skills lab with mannequins for practice of various procedures, injection and intravenous equipment, gloves, masks, etc.; audiovisual equipment, interactive video equipment and videos, off-site facilities (such as hospital wards, clinic sites, extended care facilities) to be arranged by instructor and nursing faculty
  • A current Foothill-°®¶¹´«Ã½ Community College District contract with each affiliating clinical facility on file with the district office

Examples of Primary Texts and References

AuthorTitlePublisherDate/EditionISBN
*Zerwekh & Garneau. "Nursing today: Transitions and Trends", 9th ed. 2018. Elsevier.

Examples of Supporting Texts and References

AuthorTitlePublisher
National Council of State Boards of Nursing web site (www.ncsbn.org)
California Board of Registered Nursing web site (www.rn.ca.gov)
Medscape Nursing (www.medscape.com)
Nursing 96L Course Syllabus and material on Canvas site (online)
°®¶¹´«Ã½ College, Department of Nursing Student Handbook, on-line

Learning Outcomes and Objectives

Course Objectives

  • Implement the principles of assessment of patient problems, needs, and trends of data for accurate identification and framing of problems, planning, implementation, and evaluation of the plan of care within the context of the individual patient's health status and environment.
  • Demonstrate principles of effective communication with patients, families and colleagues, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes.
  • Appraise the tenets of information and technology to communicate, manage knowledge, mitigate error, and support decision-making.
  • Evaluate the role of the registered nurse in influencing the behavior of individuals or groups of individuals within their environment in a way that will facilitate the establishment and acquisition of shared goals.
  • Examine the role of interdisciplinary teams and shared decision making have in the planning and delivery of nursing care.
  • Examine the identification, evaluation, and integration of the best current evidence coupled with clinical expertise and consideration of patient preferences, experience and values in making practice decisions.
  • Evaluate the use of data to monitor the outcomes of care processes and improvement methods to design and test changes in continuously improving the quality and safety of health care systems and individual performance.
  • Demonstrate accountability for the delivery of standard-based nursing care that is consistent with moral, altruistic, legal, ethical, regulatory, and humanistic principles.
  • Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient preferences, needs, culture, and ethnic values

CSLOs

  • Provide safe care for 75%-100% of a typical RN assignment.

  • Manage a patient assignment safely and proficiently at the entry RN level using the nursing process.

Outline

  1. Implement the principles of assessment of patient problems, needs, and trends of data for accurate identification and framing of problems, planning, implementation, and evaluation of the plan of care within the context of the individual patient's health status and environment.
    1. Gather and analyze comprehensive physical, psychosocial, and developmental assessment data.
    2. Appropriately prioritize assessments and nursing interventions based on patient acuity.
    3. Develop nursing problem statements based on assessment findings.
    4. Create a comprehensive nursing care plan.
    5. Modify nursing care as needed based upon evaluation of the nursing care plan.
  2. Demonstrate principles of effective communication with patients, families and colleagues, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes.
    1. Communicate with others in a clear and appropriate manner.
    2. Appraise different styles of communication used by patients, families, and healthcare providers.
    3. Analyze various strategies to employ in conflict management.
    4. Scrutinize workplace trends and issues for the registered nurse.
    5. Examine the concept of lateral violence and describe effective prevention strategies.
  3. Appraise the tenets of information and technology to communicate, manage knowledge, mitigate error, and support decision-making.
    1. Utilize technology to collect assessment data, best evidence, and other relevant information to support clinical decision making.
    2. Utilize technology to locate scholarly resources.
  4. Evaluate the role of the registered nurse in influencing the behavior of individuals or groups of individuals within their environment in a way that will facilitate the establishment and acquisition of shared goals.
    1. Compare and contrast leadership roles and management styles of the registered nurse.
    2. Analyze own leadership and communication style and adjust it to facilitate effective management.
    3. Demonstrate beginning management skills through collaboration with other health team members.
  5. Examine the role of interdisciplinary teams and shared decision making have in the planning and delivery of nursing care.
    1. Differentiate and evaluate the role of team members.
    2. Scrutinize team building strategies used in nursing management.
    3. Participate as a member of the team in the clinical setting.
  6. Examine the identification, evaluation, and integration of the best current evidence coupled with clinical expertise and consideration of patient preferences, experience and values in making practice decisions.
    1. Utilize reliable sources for locating evidence, reports, and clinical practice guidelines.
  7. Evaluate the use of data to monitor the outcomes of care processes and improvement methods to design and test changes in continuously improving the quality and safety of health care systems and individual performance.
    1. Discuss standards of practice to support safety and quality of care.
    2. Participate in a Quality Assurance/Quality Improvement project.
  8. Demonstrate accountability for the delivery of standard-based nursing care that is consistent with moral, altruistic, legal, ethical, regulatory, and humanistic principles.
    1. Respect patient confidentiality and privacy when discussing patient care and in written clinical paperwork.
    2. Debate the role of political action and collective bargaining in professional nursing.
    3. Evaluate competent practice of the nurse and identify malpractice situations.
    4. Approximate the role of the new nursing graduate under the direct supervision of assigned registered nurse preceptor.
  9. Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient preferences, needs, culture, and ethnic values
    1. Evaluate the role of the registered nurse in providing patient centered care.
    2. Examine the role of the patient or designee as a full partner in care.
Back to Top