Jan 15, 2021  
2016-2017 Catalog 
2016-2017 Catalog [PAST CATALOG]

NUR 230 - Nursing Management of Clients with Complex Health Problems and Transition into Nursing

9 credit hours - 60 hours of lecture and 225 hours of directed laboratory per term.
Develop concepts, principles and skills to care for clients with uncompensated alterations of functioning within multiple systems. Emphasis is on application of the nursing process to care for acutely ill clients. Also, on the development of the role of the nurse as a member within the discipline of nursing. Directed lab focus is geared toward assisting students to assume the roles of an accountable care provider and manager. Lab fee $200. Clinical fee $200.

Prerequisite(s): NUR 220  and NUR 221  with a grade of C or better.

Corequisite(s): NUR 231  

Course Outcomes
Upon successful completion of this course, students will be able to:

  • Professional Behavior: Demonstrates accountability for maintaining the standards of professional practice to include holistic care across the settings, legal/ethical behaviors and life-long learning in concert with the Maryland Nurse Practice Act.
    • Identifies the roles of the nurse as care provider, manager of care and member within the profession.
    • Implement the prescribed core regimen for the client with multisystem failure within the legal, ethical and regulatory framework of nursing practice.
  • Communication: Utilizes appropriate and therapeutic verbal and written communication to promote positive client outcomes.
    • Identify communication skills needed to achieve desired health outcomes.
    • Communicate relevant, accurate and complete information to healthcare professionals.
  • Assessment: Assesses holistically and systematically, the health status of individuals, families and communities to determine health care needs.
    • Assess the client with multisystem, uncompensated health problems.
    • Identify the emotional, cultural, religious and spiritual influences of the client experiencing complex multisystem problems.
  • Clinical Decision Making: Utilizes critical and innovative thinking within the framework of the five steps of the nursing process to ensure the delivery of safe, accurate care.
    • Utilize assessment data and reassessment findings to plan care for the client with multisystem problems.
    • Prioritize care for the client with multisystem failure.
  • Caring Interventions: Provides nursing care utilizing innovative technologies based on the understanding of the sciences, humanities, nursing theory, research and personal experiences that is global, culturally relevant and maintains client’s rights and dignity.
    • Perform physical, cognitive, psychosocial and functional assessment when caring for the client with multisystem, uncompensated health problems.
    • Able to plan and provide accurate and appropriate care for clients with multisystem problems.
    • Implement the prescribed care regimen for the client with multisystem failure within the legal, ethical and regulatory framework of nursing practice.
  • Teaching and Learning: Identifies learning needs of clients, develops plans and implements relevant teaching to assist the client in achieving their health goals.
    • Identify learning needs for client experiencing complex health problems.
    • Teach the information and skills needed to achieve the desired health outcomes to the client experiencing complex health problems and their significant support person.
  • Collaboration: Collaborates with clients, families and other members of the health care team to ensure holistic, individualized care with appropriate allocation of human and material resources across the health care continuum.
    • Collaborate with the client, significant support person and other members of the healthcare team to evaluate progress toward achievement of desired outcomes for the client experiencing multisystem dysfunction.
    • Collaborate to bring about reasonable and appropriate solutions that balance differing needs, values and motivations for the purpose of achieving client outcomes.
  • Managing Care: Coordinates through direct intervention and delegation of care, the safe and accurate care of multiple clients in diverse health care communities.
    • Delegates aspects of client care to qualified assistive personnel.
    • Supervise the activities of assistive personnel.
    • Evaluate the activities of assistive personnel.
    • Manages the nursing care of multiple clients in the telemetry setting.
Core Competencies
Core 1 Communication Core 2 Technology Fluency Core 3 Information Literacy Core 4 Personal Wellness Core 5 Self Management Core 6 Scientific Reasoning Core 7 Quantitative Reasoning Core 8 Social and Civic Responsibility Core 9 Global Perspective Core 10 Innovative and Critical Thinking