NUR 371 Spring 2011

University of Rochester
SCHOOL OF NURSING
Spring 2011
NUR 371: Management of Care

Course Coordinators
Maria LaFaro-Kelly RN, MS, ANP-BC
Office Telephone 585-276-3138
Email: maria_lafarokelly@urmc.rochester.edu
Office Location HWH 2w-212
Office Hours Monday and Tuesday 10:30-1130, and by appointment

Grace Saidel Wlasowicz, PhD, RN

Office Telephone: 585-276-3140
E-mail: grace_wlasowicz@urmc.rochester.edu
Office: HWH 2W212
Office Hours Monday and Tuesday 1030-1130, and by appointment

Teaching Assistants: TBA

Credit Hours:
4 Undergraduate Credit Hours

Location: Mondays and Tuesdays 8-10:20AM Auditorium

Course Description:
This course prepares nurses to provide and direct nursing care that enhances the
care delivery setting to protect the client, family, significant others and health care
personnel. Content focuses on the provision of professional nursing care within
the context of complex healthcare environments, while introducing concepts
related to management, leadership and ethical practice.

Course Objectives:
At the conclusion of this course students will be able to:
1. Analyze the political, economic, social, cultural and policy factors that affect
health care delivery in an organization.
2. Discuss public policies that affect healthcare in the United States.
3. Discuss the registered nurses’ roles and opportunities related to public policy.
4. Examine the effects of organizational design, leadership style, and basic
management functions on health care delivery outcomes.
5. Examine the roles, functions, and responsibilities related to the management of
nursing care across the health care continuum.

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6. Describe the processes of strategic planning, financial management, and cost

analysis.
7. Describe strategies for effective decision-making and change for patient
centered care, unit or population management, and the structure of an
organization.
8. Describe the impact of technology and information systems on nursing practice
and health care delivery.
9. Identify strategies to promote team building, interdisciplinary collaboration,
effective communication and conflict resolution.
10. Discuss strategies to assess, manage, and evaluate human resources for safe
patient care including patient care delivery models, staffing, delegation, and
performance appraisal.
11. Apply risk management concepts to assure safe patient care and outcomes.
12. Apply performance improvement processes used to assess, maintain, and
evaluate care outcomes and quality.
13. Discuss the issues associated with accessibility, accountability, and coordination
of services in diverse health care systems, settings, and populations.
14. Discuss population health and case management constructs including
philosophy, standards, goals, and consumer benefits.
15. Incorporate individual, organizational and environmental considerations into
decisions about the selection of best practice case management protocols.
16. Examine legal and professional issues related to the management of patient care
including the nurse’s responsibility and accountability.
17. Describe the perspectives, principles and framework for ethical nursing practice
according to the ANA Code of Ethics for Nurses.
18. Apply an ethical framework for decision making to a patient care dilemma.

Prerequisites and/or Co-requisites:

Prerequisite: NUR 301
Co-requisite: NUR 374 AND NUR 375, OR NUR 377

Course Activities and Assignments:

1. Lecture/discussion/participation (5%) In order to prepare, students should

complete assigned readings and learning activities prior to the designated class
session. Discussion and participation are encouraged. While attendance is not
mandatory, it is strongly encouraged. Participation and attendance will account
for 5% of the grade. Students who arrive on time and sign in to at least 16/19
sessions will earn 5 full points. Please be on time to class as your tardiness is
distracting to the other students.
2. Exams: (10% each) There will be 2 online exams composed of multiple choice
questions. Exams will be given outside of class time. Students are expected to
work independently. Please refer to the SON student handbook for explicit
information regarding academic integrity.

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3. Mini papers: (7.5% of final grade, 2.5 points each) Complete 3 of the 5 mini-
paper assignments. Mini-papers are short reflective or critical thinking exercises
from the textbook. These papers should be no more than 2 type-written pages
and should be submitted electronically in Blackboard according to the specified
due dates. Be sure to include your name on the document. These are a ONE
time pass/fail assignments with NO partial credit or resubmissions allowed.

4. Bioethical decision making analysis paper (25% of course grade) Students

will select case study from those listed in Blackboard, then utilize the grading
criteria sheet to guide ethical decision making, students will prepare a 5***
page double-spaced scholarly paper in APA format, on an ethical dilemma in
patient care. Instructions, case studies and the grading criteria can be found in
BlackBoard.
***Course faculty will stop reading at page five of narrative content for
paper. Five pages does not include title or reference pages.

5. Inspiring a Shared Vision Projects: (30% of course grade) Working in small

groups, students will propose the creation of a nursing or healthcare related
organization. This exercise will allow students to utilize the skills and
knowledge attained throughout the course. Explicit project instructions are
located in Blackboard. Each group will present their proposed organizations to
the class and faculty during the last two sessions of the course. Each group will
prepare a 15 minute Powerpoint presentation, due to time constraints, this limit
will be strictly adhered to. Order of presentation will be randomly assigned.
All participants should plan to present. Group evaluation is part of the
assignment and must be undertaken by each group member. Sign-up sheets for
groups will be available during the second week of the class. Groups will
submit a copy of their presentations electronically in Blackboard for record
keeping. All projects should be submitted electronically before the first session
of presentations.

6. Letter to elected official (12.5% of course grade) Select a practice area

that you are currently in or that interests you and identify a policy that is
relevant to that practice area (E.g., HIPAA, mandatory reporting of suspected
child or elder abuse, advance directives, restraint use in nursing homes,
emancipated minors, prescriptive authority, etc.). Students will submit a typed
business letter (1 page), addressed to an appropriate elected official, identifying
themselves as nursing students and argue in support or opposition of a current
health policy issue (clearly stating your position and rationale).

Modes of Instruction:
 Lecture/Discussion

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 Selected Reading Assignments

 Audio-Visual Materials
 Select multimedia presentations
 Role Panel Discussion

Required Textbooks:
Marquis, B.L. & Huston, C.L. (2009). Leadership roles and management functions in
nursing: Theory and Application (6th ed.). Philadelphia: Wolters Kluwer
Health/Lippincott Williams and Wilkins.

Recommended Texts/Useful References:

American Nurses Association. (2001). Code of ethics for nurses with interpretive
statements. Washington, DC.

American Nurses Association. (2003). Nursing's social policy statement (2nd ed.).
Washington, DC.

American Psychological Association. (2009). Publication manual of the American

Psychological Association (6th ed.). Washington, DC.

Additional APA resources are available in the student community on BlackBoard.

Selected Online Ethics & Policy Resources

http://ajobonline.com/
(American Journal of Bioethics Online)
http://www.med.upenn.edu/bioethic
(U Penn Bioethics Center)
http://depts.washington.edu/bioethx
(U Washington Bioethics Center)
http://www.asbh.org
(American Society for Bioethics & Humanities)
http://www.mcw.edu/bioethics/links.html
(Medical College of Wisconsin Bioethics Center and Links)
http://www.globalethics.org/
(Global Ethics Center)
http://www.usoge.gov/home.html
(U.S. Government Ethics)
http://www.who.int/ethics/en/
(World Health Organization Ethics)
http://ruralhealth.hrsa.gov/

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(Health Resource and Service Administration)

http://www.nytimes.com/pages/health/policy/
(New York Times Health Policy Pages—may need to sign up but it is
free)
http://www.nysna.org/
(New York State Nursing Association)
http://www.nursingworld.org/
(ANA Homepage)
http://www.ahcpr.gov/
(Agency for Health Care Research & Policy)
http://www.os.dhhs.gov/
(U.S. Department of Health and Human Services)
http://www.cdc.gov/
(Centers for Disease Control and Prevention)
Other websites of interest:
http://www.iom.edu
(Institute of Medicine (IOM))
http://www.ihi.org
(Institute for Health Care Improvement (IHI))
http://www.cmwf.org
(Commonwealth Fund)
http://www.rwjf.org
(Robert Wood Johnson Foundation)
http://www.asq.org
(American Society for Quality)

Resources:
Computer Resources: Available at the CERC lab
Writing assistance provided through Elizabeth Walker, RN Contact information:
ewalker1@rochester.rr.com

Policies and Procedures

-Class will begin and end promptly.
-Class attendance is encouraged and participation is expected. Attendance and active
participation in class discussions and group work will provide evidence of completion of
assigned readings and engagement in coursework.
-Readings should be considered to be a basis for the writing assignments, as background
for class discussions.
-Questions and communication are extremely important. If you don’t understand
something, please ask! Remember, the chances are if you have a question or concern
about something, so does someone else.
-Please utilize class time and designated office hours for these questions or concerns.
-Please limit email communication to urgent issues and review the University policies on
email etiquette in the Student Handbook.

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-People often have strong responses to ethical and policy issues. It is expected that
students will communicate in a professional, non judgmental manner, always
respecting the personhood of others.
- Please be respectful of other learners, please turn your cellphones and electronic devices
to silence.
-Use of computers in the classroom (laptops, iPods, etc) is limited to class related
activities. The only programs in use during class should be BlackBoard, PowerPoint or a
word-processing program to facilitate note taking. Students that do not adhere to this
recommendation will not be allowed to utilize computers during class.
-Written work must be original and you must cite all reference sources according to APA
format. The instructor reserves the right not to accept poorly written papers (e.g.,
incorrect grammar, spelling, sentence structure, format, etc.). Such papers will be
returned to students neither read nor graded. Students will then be expected to resubmit a
revised readable document for evaluation on a set date, with a penalty of 10 points.
Papers are to be typewritten, double-spaced, and proofread before submission. Follow
APA for font size and margins.

Late Assignments:
If an assignment will be late due to extenuating circumstances, the student must notify
both instructors in writing at least 24 hours before the assignment is due, explain the
reason for lateness, and together negotiate a new due date. In all other cases, late
assignments submissions will be subject to a 10 point deduction for each day it is late.
Mini papers will be subjected to a .5 point deduction each day they are late.

Final grading scale will be used to determine the final course grade for students signed
up for undergraduate credit:

A 93-100 C 73-76
A- 90-92 C- 70-72
B+ 87-89 D+ 67-69
B 83-86 D 63-66
B- 80-82 D- 60-62
C+ 77-79 F Below 60
Note: In the School of Nursing satisfactory progression for APNN-BS students means
attaining a grade of at least C (> 73) in each course. See Student Handbook for further
information.

All assignments should be submitted via the BB assignment manager in .doc or .rtf
format. DO NOT submit assignments via email. Graded assignments submitted via BB
in the wrong format will receive penalties as outlined.

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Academic Honesty Statement:

Students are responsible for their own work. Students are expected to have read
and to practice principles of academic honesty, as discussed in the School of Nursing
Student Handbook. Penalties for academic dishonesty will be enforced. Ignorance of the
principles of academic honesty is not a valid or acceptable defense or excuse. For further
guidance on plagiarism please refer to the UR SON Student Handbook and University of
Rochester websites at: http://www.urmc.rochester.edu/son/AcademicPrograms/honesty.cfm
and http://www.lib.rochester.edu/index.cfm?PAGE=459

Americans with Disabilities Act (ADA) Statement:

The University of Rochester is committed to providing equal educational and

employment opportunities for individuals with disabilities, in accordance with state and
federal laws and regulations, including the Americans with Disabilities Act (ADA) of
1991 and Section 504 of the Rehabilitation Act of 1973. To ensure equality of access for
students with disabilities, the University provides reasonable accommodations, including
auxiliary aids and modifications to courses, programs, services, activities or facilities.
Exceptions will be made in those situations where the accommodation would
fundamentally alter the nature of the program, cause undue hardship on the school, or
jeopardize the health or safety of others. Accommodations must specifically address the
functional limitations of the disability.

The process of receiving accommodations begins with self-identification. When a

student chooses to self-identify a disability, documentation should be forwarded to Nancy
Kita, School of Nursing Disability Coordinator, University of Rochester, School of
Nursing, Box SON, Rochester, NY 14642, (585) 275-2375