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University of Rhode Island — Nursing

NUR 464 - Practicum in Advanced Medical-Surgical Nursing
Course Information

Professor: Department
Semester: Fall, Spring
Credits: 3
Prerequisites: Previous or concurrent enrollment in 463.

Catalog Description: Application of the nursing process to adults across the lifespan with acute and chronic complex illnesses including the impact on their families in selected clinical situations.

Course Goals & Outcomes

The purpose of the course is to provide the undergraduate nursing student with knowledge and study of nursing care problems associated with acute and chronic complex illness. There will be a focus on nursing management of clients in various health-care settings. Emphasis is on theoretical analysis of strategies applicable to acute care.

By the end of this course you will:

  1. Implement the professional nursing role in the use of appropriate teaching, management, advocacy, and nursing care strategies while caring for adults with acute and chronic complex illnesses and their families.
  2. Incorporate sound theoretical knowledge of psychosocial and biological theories of aging, age-related changes, preventive health strategies, and nursing intervention/strategies in the application of the nursing process to care of adults with acute and chronic complex illnesses and their families.
  3. Appropriately use critical thinking in applying the nursing process in providing comprehensive care to adults with acute and chronic complex illnesses and their families.
  4. Work collaboratively with family, peers, and other health professionals in the provision of nursing care to adults with acute and chronic complex illnesses.
  5. Demonstrate knowledge of legal, professional, and ethical issues impacting upon the delivery of care to adults with acute and chronic complex illnesses and their families.
  6. Evaluate own strengths and weaknesses related to nursing care of adults with acute and chronic complex illnesses and their families, and initiate independent learning.
  7. Identify federal, state, and private agencies, and regulations that affect the health and welfare of adults with complex illnesses.
  8. Identify the political processes which influence health issues of adults with acute and chronic complex illnesses and their families.
  9. Apply research findings in planning and providing nursing care to adults and their families.
Course Syllabus

The main focus of this course is the clinical nursing care of clients in the acute care setting. Safe, accurate, smooth performance of psychomotor skills is expected at all times in the clinical area. Additional assignments will include:

  • occasional skills laboratory work
  • clinical preparation
  • care plans or concept maps
  • journaling
  • critical reflective inquiry journals
  • a research based paper
  • post-conference group discussion (either face to face or online)
  • group participation in a clinically driven research presentation
  • Prior to the beginning of clinical there is also a required drug-dosage calculation test with a mandated grade of 85% or better
  • Clinical skill evaluation will occur in the laboratory
  • Skills that will be evaluated and checked off include tracheostomy care, tracheostomy suctioning and virtual IV proficiency
Reasons To Take This Course

This is a required nursing course that is taken at the conclusion of the undergraduate nursing curriculum. It is a course which is necessary for development of the nursing management skills required in care of clients with complex illnesses. This course is taken concurrently with NUR 463.

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