| Course
Overview:
This
course prepares nurses for first or middle leadership positions in long-term care
settings, such as charge nurse, MDS coordinator, or quality assurance director.
Emphasis is on the practical application of leadership and management concepts
to the continuum of long-term care. Knowledge
and skills to direct other members of the health care team in providing safe care
for the vulnerable population in long-term care is addressed.
Prerequisite:
None Course
Objectives:
- Differentiate
the types of facilities and services comprising the long-term care continuum.
- Define
the role of members of the long-term care health team.
- Identify
federal and state regulatory requirements that govern the long-term care setting.
- Describe
the use of the Minimum Data Set (MDS) in the assessment of residents in the long-term
care setting.
- Explain the use of internally
and externally required standardized documentation forms used in the long-term
care setting.
- Apply selected leadership
and management concepts in the long-term care setting.
Textbook
Requirements:
American
Nurses Association (2001). Scope and standards of gerontological nursing practice
(2nd ed.). Washington, D.C.: ANA. (which is available for purchase at http://nursingworld.org/books/pdescr.cfm?cnum=27#GNP21) -
Ignatavicius, D.D.
(1998). Introduction to long term care nursing: Principles and practices. Philadelphia:
F.A. Davis.
Recommended
Textbook: -
Evashwick,
C.J. (2001). The continuum of long term care (2nd ed.). Albany,
New York: Delmar. -
Marquis,
B.L. & Huston, C.J. (2003). Leadership roles and management functions I
nursing: theory and application (4th ed.). Philadelphia: Lippincott
Williams & Wilkens. Course
Requirements:
- Class participation ? students
are expected to participate in class discussion relating to assigned readings.
- Completion
of ?Quality Improvement in Long Term Care Paper?
- Completion
of written analysis of two long term care case scenarios
- The
Delegation Dilemma
- Change in Resident
Status
- A final written exam
online
- Completion of the standardized
School of Nursing Course Evaluation Questionnaire (CEQ) and Faculty Evaluation
Questionnaire (FEQ)
Evaluation
and Grading:
- Quality Improvement Paper
- 30%
- Analysis of case scenarios
- 40% (20% each)
- Class participation
- 10%
- Written Final Exam
Online - 20%
Policies:
Academic
Integrity and Conduct:
Students
are referred to the University of Maryland School of Nursing Student Handbook
for all policies regarding academic integrity and conduct. These include the University
of Maryland System Policy on Faculty, Students and Institutional Rights and Responsibilities
for Academic Integrity and the School of Nursing Statement of Student Rights and
Responsibilities.
SCHEDULE
OF CLASSES
| CLASS
| TOPIC
| READINGS
| | 1/20
MODULE 1: Regulation and Reimbursement in LTC | Overview
of course The Long
Term Care Continuum | Course
syllabus Ignatavicius,
Chapters 1, 2 Day,
T. About
long term care.
| | 1/26 | Federal
and State Regulatory Issues; MDS
| Hensel,
T. (1995). OBRA regulations. Topics in Geriatric Rehabilitation, 11(1),
39-45. | | 2/2 | Quality
Indicators; Scope of Practice; Practice Guidelines | Ignatavicius,
Chapter 13, 14 Harrington,
C., O’Meara, Collier,E. & Schnelle, J.F. (2003,October). Nursing indicators
of quality in nursing homes. Journal of Gerontological Nursing, 5-11. Rantz,
M.J. et al. (1997). Verifying nursing home care quality using minimum data set
quality indicators and other quality measures. Journal of Nursing Care Quality,
12(2), 54-62.
|
| 2/9 | Risks
to Litigation: Documentation and Reporting; Risk Management
| Ignatavicius,
Chapter 7 Hogstel,
M.O., Curry, L.C. & Walker, C (2003). Limiting litigation in long-term care.
Annals of Long-Term Care, 11(9), 27-32. | | 2/16 | Payment
and Reimbursement | Ignatavicius,
pp 15-16; pp 138-139. Long
term care reimbursement: Medicare, Medicaid, insurance and other methods: http://www.longtermcarelink.net/about_medicaid.html http://www.longtermcarelink.net/about_medicare.html http://www.longtermcarelink.net/about_insurance.html http://www.longtermcarelink.net/about_other_ways.html
| | 2/23
MODULE 2: Managing the Residents in LTC | Nursing
assessment: Skills & Essential Procedures for Residents in LTC
| Ignatavicius,
Chapter 3, 6, Appendix C | | 3/1 | Management
of Acute Changes in Clinical Condition: Problem Solving, Decision Making &
Priority Setting
| Ignatavicius,
Chapter 6 Casebeer,
L. (1991) Fostering decision making in nursing. Journal of Nursing Staff Development,
Nov/Dec, 271-274.
| | 3/8 | Philosophy
of Restorative Care
| http://www.amda.com/caring/march2002/restorative.htm
| | 3/15
MODULE 3: Leading and Managing the Health Care Team in LTC | LTC
Organizational Structure, Policies & Procedures
| Ignatavicius,
Chapter 10, 11 | | 3/22
| SPRING
BREAK
| RELAX
& REGROUP! | | 3/29
| Working
with Unlicensed Personnel: Labor Relations in LTC
| Jung,
F.D. (1991). Teaching RNs how to supervise nursing assistants. Journal of Nursing
Administration, 21(4), 88-90.
| | 4/5 | Role
of Members of the Health Care Team: Communication & Delegation
| Ignatavicius
Chapter 12 National
Council of State Boards of Nursing. Delegation:
Concepts & Decision-Making Process
| | 4/12 | Conflict
Management
| Ignatavicius,
Chapter 12 Pettrey,L.
Who
let the dogs out: Managing conflict with courage and skill.
Caywood,
H. What
am I doing wrong? Managing conflict in the nursing home environment.
Restifo,
V. Surviving
and thriving with conflict on the job. Nursing Spectrum.
| | 4/19
MODULE 4: Managing Difficult Situations in LTC | Ethical
Issues & Responsibilities | Ignatavicius,
Chapter 15 ANA. (2001).
Code
of ethics for nurses with interpretive statements.
|
| 4/26 | End-of-Life
Issues
| Wilson,
S.A. (2001). Long term care. In Ferrell, B.R. & Coyle, N. (Eds.). Textbook
of Palliative Nursing. Oxford: Oxford University Press. Travis,
S.S., et al. (2002). Obstacles to palliative and end-of-life care in a long-term
care facility. The Gerontologist, 42(3), 342-349.
| | 5/3
MODULE 5: Self Management | Self
Management: Time Management, Stress & Coping, Professionalism | Brumm,
J. Time
can be on your side. Nursing Spectrum. Clark,
C..C. Stress
management. Nursing Spectrum.
| | 5/10 | Final
Examination; Course Evaluation |
| ON
LINE COURSE MODULES
|
Course
Orientation |
| | MODULE 1
| Regulation
and Reimbursement in LTC | January
20, 2004 January
26, 2004 February
2, 2004 February
9, 2004 February
16. 2004
| |
MODULE 2 | Managing
the Residents in LTC | February
23, 2004 March
1, 2004 March
8, 2004
| |
MODULE 3 | Leading
and Managing the Health Care Team in LTC | March
15, 2004 March
29, 2004 April
5, 2004 April
12, 2004
| |
MODULE 4
| Managing
Difficult Situations in LTC | April
19, 2004 April
26, 2004
| |
MODULE 5
| Self
Management | May
3, 2004 | |
