[ANSWER]MSN5270 Syllabi Spring 24 (3): Advanced Theoretical Perspectives for Nursing
TASK DESCRIPTION
Advanced Theoretical Perspectives for Nursing
COURSE NUMBER MSN5270
COURSE TITLE Advanced Theoretical Perspectives for Nursing
CREDIT HOURS 3 semester credits, 45 lecture hours
PREREQUISITES None
COREQUISITES None
LOCATION: Moodle Room
DAYS AND TIMES Asynchronous
INSTRUCTOR Pavel De La Noval DNP, APRN, FNP-C
CONTACT INFORMATION pdelanoval@faculty.mru.edu
OFFICE HOURS Tuesday and Thursday from 2pm to 5 pm
COURSE DESCRIPTION
This course explores theories related to nursing, health care and learning. Students will have the opportunity to analyze and critique various theories and apply to Advanced Practice Nursing. Students will demonstrate how theory is applied to research and practice.
COURSE STUDENT LEARNING OUTCOMES
After completing this course, the student should be able to:
- Critically analyze the philosophical underpinnings of nursing theories (EOPSLO # 1 & 4).
- Critique nursing’s conceptual models, grand theories, and mid-range theories (EOPSLO # 3).
- Examine the influence that nursing models and theories have upon research and practice (EOPSLO # 3, 5, & 9).
- Construct a nursing theory that represents current professional nursing practice (EOPSLO # 1, 2, 3, 7, & 8)
- Apply nursing theory or theories to nursing research (EOPSLO # 4 & 9).
END OF PROGRAM STUDENT LEARNING OUTCOMES
Upon completion of the graduate programs, the graduate will be able to:
- Integrate nursing and related sciences into the delivery of care to clients across diverse healthcare setings
- Create effective interdisciplinary organizational and systems leadership in the care of the client in diverse healthcare settings.
- Analyze quality initiatives to improve health outcomes across the continuum of care
- Apply practice guidelines to improve practice and health outcomes.
- Relate information and communication technologies to document and improve health outcomes.
- Examine the effect of legal, ethical, and regulatory processes on healthcare delivery, practice, and health outcomes.
- Employ collaborative interprofessional strategies for improving client and population health outcomes.
- Evaluate the effectiveness of clinical prevention interventions that affect individual and population-based health outcomes, perform risk assessments, and design plans or programs of care.
- Relate knowledge of illness and disease management to providing evidence-based care to clients, communities, and vulnerable populations in an evolving healthcare delivery system.
Topical Course Outline
- Introduction to the Nature of Nursing Knowledge
- Analysis, Evaluation, and Selection of a Middle Range Nursing Theory
- Pain: A Balance Between Analgesia and Side Effects
- Unpleasant Symptoms
- Self-Efficacy
- Chronic Sorrow
- Spiritual Care in Nursing Practice (SCiNP)
- Social Support
- Caring
- Interpersonal Relations
- Attachment
- Modeling and Role-Modeling
- Comfort
- Health-Related Quality of Life
- Health Promotion
- Deliberate Nursing Process
- Resilience
- Planned Change
- The AACN Synergy Model
METHODS OF DELIVERY
METHODS OF EVALUATION
Method | % |
Discussions | 20 % |
Theory of Pain paper | 20 % |
Signature Assignment: Theory of Chronic Sorrow | 20 % |
Middle Range Theory PowerPoint Presentation | 20 % |
Literature Review | 20 % |
Total | 100% |
Total | 100% |
GRADING SCALE
Letter Grade | Scale | Numeric Grade |
A | 4.0 | 90 – 100 |
B | 3.0 | 80 – 89 |
F | 0 | < 79 |
REQUIREMENTS FOR SUCCESSFUL COMPLETION
Students must attain a letter grade of B or higher for the course to count toward completion of the MSN.
REQUIRED TEXTBOOKS
Peterson, S. J. & Bredow, T. S. (2020) Middle Range Theories: Application to Nursing Research and Practice (5th Ed). ISBN: 978-0-06-000044-8
OPTIONAL RESOURCES
Peggy L. Chinn, RN, PhD, FAAN & Maeona K. Kramer, ARNP, PhD
Knowledge Development in Nursing: Theory and Process (10th Ed). (2018). ISBN: 978-0-323-530613
Martha Raile Alligood, PhD, RN, ANEF. Nursing Theory: Utilization & Application
(5th Ed). ISBN: 978-0-323-09189-3
Martha Raile Alligood, PhD, RN, ANEF. (2018) Nursing Theorists and their work. (9th Ed).
ISBN: 978-0-323-40224-8 American Psychological Association. (2020). Publication manual of the American Psychological Association (7th Ed.). Washington, DC: American Psychological Association.
ACADEMIC INTEGRITY POLICY
Students are expected to abide by the University’s policies and Code of Conduct and behave as mature and responsible scholars of the academic community. This consists of the totality of classroom and professional behavior policies, as well as the Honor Code and the expectation that students conduct their academic studies with integrity. Students are
expected to observe basic honesty in their work, words, ideas, and actions. Failure to do so represents a violation of Miami Regional University’s Academic Integrity Policy found in the University Catalog.
Please review the University’s Catalog for the Academic and Professional Integrity Policy (currently page 82). Categories of academic and professional dishonesty and misconduct include but are not limited to: cheating, unauthorized assistance or collaboration, plagiarism, compromising examination security or grade integrity, multiple submissions without approval, deception, fabrication, and misrepresentation, electronic dishonesty, failing to respect copyright, engaging or facilitating an integrity violation, coercion or retaliation, misuse of a student’s username or password, misconduct or misbehavior in the academic environment.
If you are unsure about what constitutes unauthorized help on an exam or assignment, or what information requires citation and/or attribution, please ask your instructor or contact one of the MRU librarians. You may also visit the Library and Learning Resources Center at library@mru.edu. Violations may fail the assignment, failure of the course, and/or additional disciplinary sanctions imposed by the Integrity Committee.
When completing syllabus acknowledgment, you are confirming the review of these student policies.
TURNITIN USE
Turnitin.com is a web-based writing resource that can be used for writing assignments to help detect plagiarism, artificial intelligence (AI) use, and similarity to other previously written work to support students to ensure academic integrity is upheld. When an assignment is using the Turnitin feature, an originality report will be generated which students can review before completing the submission of their work.
WARNINGS OF POTENTIAL PITFALLS: CLASS ATTENDANCE
Students are expected to attend all scheduled classes on time. Excessive absenteeism may result in course failure or withdrawal from the University. Students who fail to complete the designated attendance procedure for the class will be marked absent. Any student who signs another student’s name to an attendance record, otherwise falsifies attendance, or has another student sign their name or falsify attendance, may be dismissed from the University and/or fail the course. If a student is going to miss a class, it is the student’s responsibility to email the course faculty and notify them of the absence before the start of class.
A student who has unexcused absences consisting of 14 consecutive calendar days from all courses will be withdrawn from the University due to lack of attendance. Students receiving educational assistance benefits from the Department of Veterans Affairs (VA) will be withdrawn after 12 consecutive days of unexcused absences after the student’s Last Day of Attendance (LDA).
Students are expected to communicate with the professor via email the need to miss a lecture or planned activity. Please be mindful to allow the professor 24 hours to respond and make accommodations accordingly. For hybrid courses, the student must be present (on campus) to take the midterm and final examinations. For synchronous courses, the student must wear scrubs from the school and have the school identification visible to the camera. Failure to complete designated activities/exams on the designated dates may result in no credit for the activity/exam, which in turn could reduce the overall course grade.
Students are required to take course examinations on the published dates and times outlined in each course syllabus. In the event a student is unable to take the exam due to a verifiable extenuating circumstance, the faculty may authorize a make-up examination. The make-up examination will be a different version and may be limited in questions or use alternate format design and/or alternate delivery methods. Students must complete the make-up examination on the date and time set by the faculty. A fee will be charged to the student’s account for all make-up examinations. The fee must be paid to the Office of the Bursar before examination.
WARNINGS OF POTENTIAL PITFALLS: PARTICIPATION
Students learn best through active participation. Active participation means that students: a) read and mark learning materials before the start of the class; b) ask questions about the materials in class; c) engage students and faculty in discussion, & d) respect differences in opinion when in class. These are essential to forming a community of scholars. PLEASE all electronic devices should be on silent mode and mute your microphones -remote courses- to avoid the disruption of a scholarly environment. Absences and tardiness distract from learning; therefore, students are expected to attend class or log in on a regular and timely basis. Class will begin promptly at the scheduled hour unless the professor instructs otherwise.
Students are expected to communicate with the professor via email the need to miss a lecture or planned activity. Please be mindful to allow the professor 24 hours to respond and make accommodations accordingly. For hybrid courses, the student must be present (on campus) to take the midterm and final examinations. For synchronous courses, the student must wear scrubs from the school and have the school identification visible for the camera. Failure to complete designated activities/exams on the designated dates may result in no credit for the activity/exam, which in turn could reduce the overall course grade.
Students are required to take course examinations on the published dates and times outlined in each course syllabus. In the event a student is unable to take the exam due to a verifiable extenuating circumstance, the faculty may authorize a make-up examination. The make-up examination will be a different version and may be limited in questions or use alternate format design and/or alternate delivery methods. Students must complete the make-up examination on the date and time set by the faculty. A fee will be charged to the student’s account for all make-up examinations. The fee must be paid to the Office of the Bursar before examination.
Please note:
- The course syllabus may be modified at any time. Students will be informed of changes made to the syllabus. If a conflict exists between the course syllabus and the University Catalog, the University Catalog governs.
- Students will be given assessments from time to time at the instructor’s discretion. As part of the course requirements, students must take both announced and unannounced assessments that may count toward their grades.
Class Schedule
Week | Topics | Learn | Apply/Assess Due Dates/Objectives/Outcomes |
Week 1 Date Theme: The Nature of Nursing knowledge | Course Orientation Syllabus Review PART 1: Overview of Theory Chapter 1 Introduction to the Nature of Nursing Knowledge: Philosophy Metaparadigm Conceptual Models Theory: General Issues Grand Theory Middle Range Theory Practice Theory/Micro Theory/Situation-Specific Theory | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 1, pages 1-35 | Assignment: Syllabus Acknowledgement on Moodle Discussion Week #1: The development of nursing knowledge is an ongoing process. Discuss the case for the ongoing development and use of nursing grand theories and conversely, make a case for the obsolescence of nursing grand theories for today’s practice and research. FNP Ethics Seminar Completion of this seminar is mandatory. Weekly Objectives (CSLO # 2, 3, 5): By the end of this lesson, the learner will: Critique nursing’s conceptual models, grand theories, and mid-range theories. Examine the influence that nursing models and theories have upon research and practice .Apply nursing theory or theories to nursing research. Total OCW: 4.5 hours |
Week 2 Date Theme: Selecting a Middle Range Theory | Topics Chapter 2 Analysis, Evaluation, and Selection of a Middle Range Nursing Theory: Historical Background Theory Analysis Theory Evaluation Selecting a Theory for Nursing Research Middle Range Theory Evaluation Process | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 2, pages 36-47 | Assignment: Discussion Week #2: Making judgement as to whether a theory could be adapted for use in research is very important. Describe the internal and external criticism that is used to evaluate middle range theories. Weekly Objectives (CSLO # 2, 3, 5): By the end of this lesson, the learner will: Analyze the historical background of nursing theorists Analyze theories by early authors Describe the process of evaluating theories Total OCW: 2 hours |
Week 3 Date Theory of Pain paper Theme: Middle Range Theory and the Physiological being | Topics Chapter 3 Pain: A Balance Between Analgesia and Side Effects: Historical Background Definition of Theory Concepts Description of the Theory of Pain: A Balanced Between Analgesia and Side Effects Application of the Theory Use of the Theory in Practice | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 3, pages 49-66 | Assignment: Theory of Pain Scholarly Paper: Analysis of the underpinning for the theory of pain. Applications of the Theory of Pain Suggestion for additional research Use of the Pain Theories in Practice Conclusion APA format Weekly Objectives (CSLO # 1, 3, 4): By the end of this lesson, the learner will: Evaluate the historical background of the theories of pain mechanism Define the pain theory concepts Describe the theory of pain Analyze the applications of the pain theory Discuss the use of the pain theory in practice Total OCW: 7 hours |
Week 4 Date Theme: Theory of Unpleasant Symptoms | Topics Chapter 4 Unpleasant symptoms: Historical Background The Theory of Unpleasant Symptoms Description of the Theory of Unpleasant Symptoms Models That Expand or Modify the Theory of Unpleasant Symptoms Assessment of Symptoms Instruments Used in Empirical Testing | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 4, pages 67-77 | Assignment: Discussion Week #4: Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms? Weekly Objectives (CSLO # 1, 2, 4): By the end of this lesson, the learner will: Analyze the historical background of unpleasant symptomsEvaluate the use the theory of unpleasant symptoms in nursing researchEvaluate the use of the unpleasant symptoms theory in nursing practice Total OCW: 2 hours |
Week 5 Date Theme: Self Efficacy | Topics Chapter 5 Self-Efficacy: Historical Background Definition of Theory Concepts Relationships Among the Concepts: The Model Application of the Theory in Research Application of the Theory in Practice | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 5, pages 79-92 | Assignment: Discussion Week #5: Using the criteria presented in week 2, critique the theory of Self-Efficacy using the internal and external criticism evaluation process. Weekly Objectives (CSLO # 2, 4): By the end of this lesson, the learner will: Analyze the historical background of self-efficacy Evaluate the use the self-efficacy theory in nursing research Evaluate the use of the self-efficacy theory in nursing practice Total OCW: 3.5 hours |
Week 6 Date Signature Assignment- Theory of Chronic Sorrow Theme: Middle Range Theories: Psychological | Topics Chapter 6 Chronic Sorrow: Historical Background Current Research on Chronic Sorrow Middle Range Nursing Theory of Chronic Sorrow Research Applications of Chronic Sorrow NCRCS Chronic Sorrow Instrument Development Summary | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 6, pages 93-105 | Assignment: Signature Assignment- Theory of Chronic Sorrow You are a case manager for a family with a young child diagnosed with cerebral palsy. Explain how the Theory of Chronic Sorrow can be used as a framework for planning care and identifying resources for this family. (CSLO # 3) Weekly Objectives (CSLO # 1, 2, 4, 5): By the end of this lesson, the learner will: Evaluated current research on Chronic Sorrow Analyze Middle Range Nursing Theory Chronic Sorrow Understanding research applications of Chronic Sorrow Total OCW: 6 hours |
Week 7 Date Theme: Spiritual Care | Topics Chapter 7 Spiritual Care in Nursing Practice (SCiNP): Historical Background Empirical Development of the Spiritual Care in Nursing Practice Theory Definition of Theory Concepts Instruments Used in Empirical Testing Application of the Theory in Practice Application of Theory in Research | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 7, pages 106-115 | Assignment: Discussion Week #7: The use of spirituality in nursing practice is not new. However, it is more studied and utilized in a more structured format in nursing. Identify and discuss tools used to evaluate spirituality. Weekly Objectives (CSLO # 2 and 3): By the end of this lesson, the learner will: Discuss empirical development of the spiritual care in nursing practice theory Identify instrument used to empirically test Spirituality. Total OCW: 4 hours |
Week 8 Date Theme: Social Support | Topics Chapter 8 Social Support: Historical Background Definition of Theory Concepts Application of the Theory in Practice Application of the Theory in Research Challenges to Social Support Theory Development and Research | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 8, pages 117-135 | Assignment: Discussion Week #8: Analyze the potential effectiveness resulting from professional or nurse- provided social support versus enhancement of social support provided by personal relationship and social networks for parents of children with chronic mental illness. Weekly Objectives (CSLO # 2 & 3): By the end of this lesson, the learner will: Apply the clinical application of the social support theory to clinical practice Evaluate the challenges to social support theory development and research Total OCW: 5 hours |
Week 9 Date Middle Range Theory Presentation Theme: Theory of Caring | Topics Chapter 9 Caring: Historical Background Theory Development Definitions of Theory Concepts Description of the Theory of Caring Application of the Theory in Research Application of the Theory in Practice | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 9, pages 136-146 | Assignment: The Application of Middle Range Theory: Group Presentation (See Moodle for instructions) Select any middle range nursing theory and presents ways in which the theory is applicable to your practice. Weekly Objectives (CSLO # 1, 2, 3, 5): By the end of this lesson, the learner will: Describe the theory of caring Discuss the application of caring in clinical practice and research. Total OCW: 5 hours |
Week 10 Date Theme: Theory of Interpersonal Relations | Topics Chapter 10 Interpersonal Relations: Historical Background Definitions of Theory Concepts Description of Theory of Interpersonal Relations Applications of the Theory: Research Application of the Theory: Practice Applications of the Theory: Theory and Model Development Summary | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 10, pages 147-163 | Assignment: Discussion Week #10: The surrogate role is not one that is frequently mentioned in recent nursing practice literature. Is that role as defined by Peplau relevant to nursing practice as currently experienced. If so, in what way. If not, why? Weekly Objectives (CSLO # 2, 3, 5): By the end of this lesson, the learner will: Evaluate the historical background of Peplau’s theory of interpersonal relations Describe the theory of interpersonal relations Discuss the major domain of the interpersonal relations theory Total OCW: 4 hours |
Week 11 Date Theme: Theory of Attachment | Topics Chapter 11 Attachment: Historical Background Description of Attachment Theory Definition of Key Concepts Internal Working Models Patterns of Attachment Attachment as a Basic Need Attachment and Care Attachment and Health Development and Change Application of Attachment Theory: Research Application of Theory: Practice Further Research | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 11, pages 164-176 | Assignment: Discussion Week #11: Based on the theory of attachment, what behaviors would a nurse attempt to stimulate when working with parents to promote health attachment? Weekly Objectives (CSLO # 1-3, 5): By the end of this lesson, the learner will: Discuss the underpinning of the attachment theory Define the key concepts of attachment theory Apply the attachment theory to clinical practice and research. Total OCW: 2 hours |
Week 12 Date Literature Review Theme: Integrative Theory | Topics Chapter 12 Historical Background Expanded Definitions of Modeling and Role-Modeling Concepts Description of the theory of Modeling and Role-Modeling Application of the Theory in Research Instruments Used in Empirical Testing Application of the Theory in Practice Outcome | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 12, pages 177-195 | Assignment: Literature Review Assignment: Conducted a literature review on the use of integrative theory in clinical practice or research studies. Use a minimum of six articles. See Moodle for additional information Weekly Objectives (CSLO # 1, 2, 3, 5): By the end of this lesson, the learner will: Critique the integrative theory Examine the influence of the theory in practice and research studies. Total OCW: 10 hours |
Week 13 Date Theme: Comfort | Topics Chapter 13 Comfort: Historical Background Definition of Theory Concepts Description of Theory: Major Components and Their Relationships Research Application for the Theory of Comfort Instruments Used in Empirical Testing Summary | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 13, pages 196-211 | Assignment: Discussion Week # 13: Evidence suggests that patients do better when their expectations about specific benefits of nursing care are discussed and met. Design a “comfort contract” whereby patients or their surrogates designate an expected level of postsurgical overall comfort, and also where they can specify chronic discomforts and interventions that they use at home for relief. Weekly Objectives (CSLO # 3 and 5): By the end of this lesson, the learner will: Research applications for the theory of comfort Discuss instruments used in empirical testing for “comfort” Total OCW: 4.5 hours |
Week 14 Date Theme: Health Related Quality of Life | Topics Chapter 14 Health-Related Quality of Life: Historical Background Definition of Theory Concepts Description of the Theory of Quality of Life and Health-Related Quality of Life Application of the Theory in Research Instruments Used in Empirical Testing Health-Related Quality of Life as an Outcome Measure in Nursing Summary | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapter 14 | Assignment: Discussion Week # 14: Discuss the underlying assumptions and potential ramifications of having proxy subjective health status or evaluation measures for children or those unable to speak for themselves. Weekly Objectives (CSLO # 2 & 5): By the end of this lesson, the learner will: Define the health-related quality of life concepts Discuss the difference between the theory of quality of life and health-related quality of life Discuss the application of the theory to clinical practice Total OCW: 7 hours |
Week 15 Date Theme: Self-Assessment | Topics Overview of theory Mentorship | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Review Chapters 1-15APA article (See Moodle), 32 pages | Assignment: Self-Reflection: Self-Assessment Weekly Objectives (CSLO # 1-3, 4): By the end of this lesson, the learner will: Reflect on topics they have covered over the last 15 weeks Discuss the application of Middle Range Theories and Nursing Practice. Discuss the impact of mentors during the course Total OCW: 10 hours |
Week 16 Date Theme: Health Promotion and Planned Change | Topics Chapter 15 Health Promotion: Historical Background Pender’s Definition of Health Description of the Health Promotion Model Implications of the Model for Clinical Practice Chapter 18 Planned Change: The Health Belief Model Theory of Planned Behavior Transtheoretical Model Organizational Change Theories | Read: Sandra J. Peterson, PhD, RN & Timothy S. Bredow, PhD, RN, NP-C. Middle Range Theories: Application to Nursing Research and Practice (4th Ed). (2020). Chapters 15 and 18 | Assignment: Discussion Week #16:Using the theory of unpleasant symptoms and health promotion as a guide, what would you look for in an assessment tool for patient symptoms? Weekly Objectives (CSLO # 2, 3, 5): By the end of this lesson, the learner will: Correlate the theories of unpleasant symptoms and health promotion to clinical practice Examine the influence of both theories on nursing practice and research. Total OCW: 7 hours |
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