INCOMPLETE SYLLABUS(Additional materials on WEBCT)

THE UNIVERSITY OF TEXASAT ARLINGTON

SCHOOL OF NURSING

N5343 Sections 001 & 002

Leadership in Complex Health Care Systems

Summer 2009

Section 001Texas Health Resources (THR) 600 East Lamar Boulevard, Arlington, TX 76011

Section 002 Texas Health Presbyterian Hospital of Dallas (PHD) 8200 Walnut Hill Lane Dallas, TX 75231

Mondays and Wednesdays – 4:00-8:30 pm June 3 – July 6, 2009

WebCT will be available on May 28, 2009. Class meets as indicated on the class calendar/schedule, which will be posted on WebCT during the first week of class.

N5343 Summer 2009, 05-27-2009

The University of Texas at Arlington School of NursingGraduate MSN Program

N5343 Nursing Leadership in Complex Health Care SystemsSpring 2009

Monday and Wednesday, 4 p.m. to 8:30 p.m.

INSTRUCTORS: Lead Instructor:

Jeannette Crenshaw, RN, MSN, IBCLC, LCCE, NEA, BCClinical InstructorClass Site: Texas Health Resources, Arlington Pavilion, E-learning ClassroomOffice: Pickard Hall  Office Hours: by appointment; 30 minutes before and after classCell: 972-226-3311Email:  WebCT / JeannetteCrenshaw@tx.rr.com

Instructors:

Joy Don Baker, PhD, RN-BC, CNE, CNOR, NEA, BC Associate Clinical ProfessorOffice: Pickard Hall, Room 513Class Site:  Presbyterian Hospital of Dallas (PHD)Office Hours:

Virtual and Face-to-Face: Monday & Wednesday 3-4 on class days (site varies) and by appointment. (e-mail request via WebCT)

      WebCT Email availability: I respond to WebCT email at least once in a 24-hour period Monday-Friday. While I may respond more frequently please do not view anything other than the 24-hour period as the expectation.

Office Phone: (817) 272-2776Office Fax: (817) 272-5006Campus Mailbox: 19407Email: WebCT & jdbaker@uta.eduWebsite: http://www.uta.edu/nursing/faculty/jdbaker.php

Barbara Reid, RN, MSN, NEA-BCClinical InstructorOffice: 600 Lamar Blvd., Suite 140, ArlingtonOffice Hours: By appointment and 30 minutes before and after classOffice Phone: (817) 462-6146Fax: 817-462-6166Email: WebCT and barbarareid@texashealth.orgWeb Site: http://www.uta.edu/nursing/faculty/reid.php

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COURSE WEB SITE OR WORLD WIDE WEB SITE:

http://www.uta.edu/nursingwww.uta.edu/nursing

COURSE PREREQUISITES: NURS 5327; 5311 or concurrent enrollment.

REQUIRED TEXTBOOKS Individual readings will be assigned for class, including the first night of class. No textbooks need to be purchased before the first day of class on June 3, 2009. Details will be in WebCT.

COURSE DESCRIPTION: Analyze leadership strategies in current and predicted health care systems including dimensions of workforce and workplace issues, leadership, and evidence-based decision-making.

STUDENT LEARNING OUTCOMES:

1. Develop a personal vision related to leadership in nursing administration.

2. Synthesize key components of the leadership role 3. Analyze the effect of leadership on workplace

culture. 4. Examine leadership in a health care political

environment. 5. Apply evidence-based leadership strategies that lead to positive outcomes in nursing and health care agencies.

ATTENDANCE AND DROP POLICY:

Regular class attendance and participation is expected of all students.

Students are responsible for all missed course information.

A graduate student who wishes to change a schedule by either dropping or adding a course must first consult with his or her Graduate Advisor. The following regulations pertain to adds and drops:1. A student may not add a course after the end of the

late registration.2. A graduate student dropping a course or resigning

from the university after the Census Date but before the final designated drop date for the enrolled semester will receive a grade of W only if at the time of dropping the student is passing the course (has a grade of A, B, or C); if the student has a D or F at the time of dropping, an F will be recorded. Students dropping a course must: (1) Complete a Course Drop Form (available online http://www.uta.edu/nursing/g-downloads.htm or MSN Office Room 605 and Rooms 623 & 624,); (2) obtain faculty signature and current course grade; and (3) Submit the form to MSN Office Room 605.

3. A graduate student who desires to drop all courses for which he or she is enrolled is reminded that such

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action constitutes a withdrawal from the University. The student should indicate intention to withdraw from all courses by: (1) Completing a Registration Form (available online http://www.uta.edu/nursing/g-downloads.htm or MSN Office Room 605 and Rooms 623 & 624); (2) Obtaining faculty signature for each course enrolled and current course grade; (3) Filing the registration form in the School of Nursing Office Room 605; and (4) Filing the Registration Form in the Office of the Registrar in Davis Hall Room 333.

4. Graduate students may drop a course up to 12 weeks in the fall or spring semester and up to 8 weeks in a 10-week summer session. Under extreme circumstances, the Dean of Graduate Studies may consider a petition to withdraw after the designated drop date, but in no case may a graduate student selectively drop a course after the drop date and remain enrolled in any other course.

Last Date Drop or Withdraw Date: - June 24, 2009

TENTATIVE LECTURE/TOPIC SCHEDULE (COURSE CONTENT):

Urban and rural health care organizations Working in a health care political environment Management vs. leadership Personal vision of leadership in health care Leadership and stewardship Transformational leadership Communication in complex health care systems Evidenced-based decision-making Influence of leadership on workplace and workforce

issue

SPECIFIC COURSE REQUIREMENTS:

Attendance and participation in clinical seminars, discussions, role play, and case studies.

Extensive readings from texts, references and related literature.

Book review presentation on leadership Analysis paper of successful leadership profiles and

strategies in nursing administration. Composition of personal leadership style and

personal vision of leading in the health care environment

Referenced letter to the editor related to administration and management leadership strategies in health care systems (e.g. leadership, evidence-based decision-making, workforce and workplace issues).

TEACHING METHODS/STRATEGIES:

Discussions, case studies, multimedia presentations, written papers, role play

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Course materials and intra-course communication will be managed through Web CT.

GRADE CALCULATION (COURSE EVALUATION & FINAL GRADING)

Interview Paper: 20%Vision Statement: 20%Book Review: 20%Class Participation: 20%Letter to the Editor: 20%

92 – 100 A83 - 91 B74 – 82 C68 – 73 D<68 F

Note: Late papers: Subtract 5 points/day

STATUS OF RN LICENSURE: All graduate nursing students must have an unencumbered license as designated by the Board of Nurse Examiners (BNE) to participate in graduate clinical nursing courses. It is also imperative that any student whose license becomes encumbered by the BNE must immediately notify the Interim Associate Dean for the MSN Program, Dr. Mary Schira. Failure to do so will result in dismissal from the Graduate Program. The complete policy about encumbered licenses is available online at: http://www.uta.edu/nursing/grad/unencumbered

CONFIDENTIALITY AGREEMENT:

You signed a Confidentiality Form in orientation and were provided a copy of the form. Please take your copy of this Confidentiality Form with you to your clinical sites. Please do not sign other agency confidentiality forms. Contact your faculty if the agency requires you to sign their confidentiality form.

GRADUATE STUDENT HANDBOOK:

Students are responsible for knowing and complying with all policies and information contained in the Graduate Student handbook online at: http://www.uta.edu/nursing/handbook/toc.php

AMERICANS WITH DISABILITIES ACT:

The University of Texas at Arlington is on record as being committed to both the spirit and letter of federal equal opportunity legislation; reference Public Law 93112 -- The Rehabilitation Act of 1973 as amended. With the passage of new federal legislation entitled Americans With Disabilities Act - (ADA), pursuant to section 504 of The Rehabilitation Act, there is renewed focus on providing this population with the same opportunities enjoyed by all citizens.

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As a faculty member, I am required by law to provide "reasonable accommodation" to students with disabilities, so as not to discriminate on the basis of that disability. Student responsibility primarily rests with informing faculty at the beginning of the semester and in providing authorized documentation through designated administrative channels.

STUDENT SUPPORT SERVICES The University of Texas at Arlington supports a variety of student success programs to help you connect with the University and achieve academic success. They include learning assistance, developmental education, advising and mentoring, admission and transition, and federally funded programs. Students requiring assistance academically, personally, or socially should contact the Office of Student Success Programs at 817-272-6107 for more information and appropriate referrals.

STUDENT CODE OF ETHICS: The University of Texas at Arlington School of Nursing supports the Student Code of Ethics Policy. Students are responsible for knowing and complying with the Code. The Code can be found in the student Handbook online: http://www.uta.edu/nursing/handbook/toc.php .

ACADEMIC INTEGRITY: It is the philosophy of The University of Texas at Arlington that academic dishonesty is a completely unacceptable mode of conduct and will not be tolerated in any form. All persons involved in academic dishonesty will be disciplined in accordance with University regulations and procedures. Discipline may include suspension or expulsion from the University. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, the submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." (Regents' Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22)

PLAGIARISM: Copying another student’s paper or any portion of it is plagiarism. Additionally, copying a portion of published material (e.g., books or journals) without adequately documenting the source is plagiarism. If five or more words in sequence are taken from a source, those words must be placed in quotes and the source referenced with author’s name, date of publication, and page number of publication. If the author’s ideas are rephrased, by transposing words or expressing the same

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idea using different words, the idea must be attributed to the author by proper referencing, giving the author’s name and date of publication. If a single author’s ideas are discussed in more than one paragraph, the author must be referenced at the end of each paragraph. Authors whose words or ideas have been used in the preparation of a paper must be listed in the references cited at the end of the paper. Students are encouraged to review the plagiarism module from the UT Arlington Central Library via http://library.uta.edu/tutorials/Plagiarism

BOMB THREATS: If anyone is tempted to call in a bomb threat, be aware that UTA will attempt to trace the phone call and prosecute all responsible parties. Every effort will be made to avoid cancellation of presentations/tests caused by bomb threats. Unannounced alternate sites will be available for these classes. Your instructor will make you aware of alternate class sites in the event that your classroom is not available.

E-CULTURE POLICY: The University of Texas at Arlington has adopted the University email address as an official means of communication with students. Through the use of email, UT-Arlington is able to provide students with relevant and timely information, designed to facilitate student success. In particular, important information concerning department requirements, registration, financial aid and scholarships, payment of bills, and graduation may be sent to students through email. All students are assigned an email account and information about activating and using it is available at www.uta.edu/email. Students are responsible for checking their email regularly.

NO GIFT POLICY: In accordance with Regent Rules and Regulations and the UTA Standards of Conduct, the School of Nursing has a “no gift” policy. A donation to one of the UTA School of Nursing Scholarship Funds, found at the following link:  Nursing Scholarship List would be an appropriate way to recognize a faculty member’s contribution to your learning.  For information regarding Scholarship Funds, please contact the Dean’s office.

GRADUATE MSN COURSE SUPPORT STAFF:

Felicia Chamberlain, Administrative Assistant IOffice #623 – Pickard Hall, (817) 272-2776(817) 272-0659 Direct Line, (817) 272-0663 FaxEmail: chamberl@uta.edu

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LIBRARY INFORMATION: Helen Hough, Nursing Librarian(817) 272-7429 Email: hough@uta.eduResearch Information on Nursing: http://www.uta.edu/library/research/rt-nursing.html

MISCELLANEOUS INFORMATION:

Inclement Weather (School Closing) Inquiries:Metro (972) 601-2049Fax Number - UTA School of Nursing: (817) 272-5006Attn: Graduate Nursing Programs OfficeUTA Police (Emergency Only): (817) 272-3003Mailing Address for Packages:

UTA School of NursingC/O Jeannette Crenshaw411 S. Nedderman Drive, Pickard HallArlington, Texas 76019-0407

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GRADUATE NURSING WEBSITES

Description WebsiteUniversity of Texas Home Page http://www.uta.edu

Graduate Catalog & Faculty http://www.uta.edu/gradcatalog/nursing

Graduate Nursing Programs http://www.uta.edu/nursing/MSN/administration.php http://www.uta.edu/nursing/MSN/practitioner.php

Graduate Nursing Courses & Syllabi http://www.uta.edu/nursing/MSN/grad-courses1.php

Faculty and Staff Email Contacts and Biosketches http://www.uta.edu/nursing//faculty.php

Graduate Student Handbook http://www.uta.edu/nursing/handbook/toc.php

Graduate Forms Preceptor Package Nurse Admin Preceptor Package Graduate Nursing Websites Student Confidentiality Statement E-log Consent Form Banking Clinical Hours Guidebook Liability Policy Traineeship Statement Forms Master’s Completion Project Forms

http://www.uta.edu/nursing/MSN/forms.php

Forms: Faculty Evaluation of Preceptor Student Evaluation of Preceptor Preceptor Evaluation of Student NP Clinical Evaluation (Practicum Tools)

Nurse Admin Faculty Eval of PreceptorNurse Admin Preceptor Eval of Student

Clinical Procedure Evaluation Invasive Procedure Evaluation Educator Evaluation

Student Self Evaluation

Clinical Online Submission (Elogs) http://www.totaldot.com/

Criminal Background Check (TDPS) http://www.dfwhc.org/GroupOne/

Instructions for E-Reserves http://www.uta.edu/library/Select under Library Catalogs (UTA Library Catalogs)Select Course Reserves Look for Instructor’s Name Click Search Select Article Password is course abbreviation and course number. ALL CAPS no spaces (ex. NURS5343).

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Statement of Scholarship

Masters of Science in Nursing Administration

University of Texas School of Nursing

Congratulations! You’ve chosen to embark on an exciting journey in the

University of Texas at Arlington (UTA) Masters of Science in Nursing Administration

program. As the graduate faculty for this program, our assumption is that you’ll be

stretched—as you take on new and challenging professional roles and responsibilities.

Many students believe graduate school is merely an extension of undergraduate

work. However, graduate school requires that you be prepared and disciplined in your

work, thinking, and writing. Some students may need to develop their ability to think

critically, and to speak and write English properly and effectively.

We expect each of you to set high performance goals for yourselves and to

enthusiastically pursue excellence. When you leave us, we know you’ll feel that your

graduate experience was not only informational, but also transformational. Now is the

time to renew your commitment to being an active participant in your own personal and

professional development. We look forward to facilitating your successful completion of

this program.

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Core Competencies

Develop and articulate a vision for nursing practice

Facilitate collaborative relationships

Use advanced analytic, problem solving and communication skills

Make sound decisions that value effectiveness and parsimony in use of resources

Use information and communication technology in a global framework

Assume risk-taking behavior that promotes quality patient care

Advocate consumer and community partnering

Demonstrate creative problem solving

Use of team-building strategies that create partnerships and collaboration within nursing and across health care disciplines

Embrace change and manage it effectively

Negotiate and resolve conflict

Effectively market the nursing practice enterprise

Demonstrate effective public speaking

Establish relationships with community groups around the issue of health

ReferenceAmerican Association of Colleges of Nursing, & American Organization of Nurse

Executives. (1997). Joint Position Statement on Education for Nurses in Administrative Roles. Washington, DC: American Association of Colleges of Nursing.

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The University of Texas at Arlington

School of NursingN5343 Leadership and Complex Health Care Systems

Summer 2009

Personal Vision Statement(100 Points; 20% of Course Grade)

(Submit electronically through WebCT)

Using no more than three-four typewritten pages (APA format), describe your

personal leadership style and personal vision of leading in the health care

environment. Evaluate your strengths and limitations. Include any background

information such as present or historical leaders who have influenced your vision.

You may include ideas you have gained through this class, previous classes, the

literature, and your experiences. Remember to cite all ideas that are not original to

you and support your views with the literature.

Note: Please use headings!

Note: See WebCT for due date and grading criteria. Late papers: subtract 5 points/day.

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The University of Texas at ArlingtonSchool of Nursing

N5343 Leadership and Complex Health Care SystemsSummer 2009

Guidelines for Interview/Analysis Paper(100 points; 20% of grade)

(Submit electronically through WebCT)

Goals: 1. To apply theories and concepts of leadership to today’s health care systems.2. To analyze effects of leadership styles on organization and staff behavior in a

specific setting.

Instructions:1. Review leadership literature focusing on successful leadership profiles and

strategies in nursing administration. Summarize key points that impressed you as pertinent. (30 points)

2. Select and interview a nurse leader whom you feel has impacted the health care arena. Ask the leader to: (30 points)

a. Describe his/her leadership style(s)b. Analyze the effects of the nurse leader’s style(s) on the behavior of his/her

staff/employeesc. Give specific examples

3. Compare the information gained in your interview with your findings from the literature. (20 points)

4. Paper should be between 8-10 double-spaced pages excluding reference list, using APA (5th ed) format. (20 points)

5. See WebCT for due date and grading criteria.

6. Late papers: subtract 5 points/day

7. Be prepared to discuss this paper in class.

Note: Please use headings!

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The University of Texas at ArlingtonSchool of Nursing

N5343 Leadership and Complex Health Care SystemsSummer 2009

Guidelines for Book Review Presentation(100 points; 20% of grade)

(Submit electronically through WebCT)

Select a leadership book to review from a list presented on the first night of class.

Give a 10 minute formal presentation about the selected leadership book, including time for questions and answers. The presentation should a critical review of and reaction to the leadership book and include the characteristics of a book review (below). Students will be evaluated on the components of their oral book review, oral presentation skills, and the effectiveness of their use of handouts and presentation software.

A book review describes:

1. The author(s). 2. Purposes of the book. 3. For whom the book was written (audience). 4. The strengths and shortcomings of the book. 5. Whether the reviewer recommends the book, for whom, and under what

circumstances. 6. Whether the author(s) achieved their objectives, how well, and evidence to

support the opinion. 7. The book in such a way that the reader knows what the book is about when

finished.

Presentation technique:

8. Demonstrates effective use of handouts.9. Demonstrates effective use of presentation software. 10. Demonstrates effective oral presentation skills. 11. Stays within the allotted time frame. 12. Allows time for questions and answers. 13. Responds knowledgeably to questions.

Note: See WebCT for due date and grading criteria. Post copy of presentation to WebCT Book Report Presentation Discussion

Board 24 hours before scheduled class presentation. Review tips for effective oral presentations and effective use of handouts and

presentation software under “Resources” in WebCT.

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The University of Texas at ArlingtonSchool of Nursing

N5343 Leadership and Complex Health Care SystemsSummer 2009

Letter to the Editor(100 Points; 20% of Course Grade)

(Submit electronically through WebCT)

Write a letter to the editor of a peer reviewed professional nursing, medical, or

health care administration journal (that publishes letters to the editor) in response to

article or study published within the last month. Choose a topic you’re passionate about!

The letter should be brief, substantive, and succinct, and present a perspective that is

different and contributes to the literature. The topic should be related to administration

and management leadership strategies in health care systems (e.g. leadership, evidence-

based decision-making, workforce and workplace issues). Include at least one primary

reference. (If appropriate to the selected article, you may also refer your personal

philosophy of leadership and cite the leadership book you reviewed for this course.)

Include a copy of the journal’s letter to the editor publishing guidelines when submitting

electronically through WebCT. Submit your letter to the editor to the selected journal

after reviewing your grading faculty’s feedback.

Guidelines:

Write articulately in response to a publication within the last month.

Use no more than one double-spaced page (or the word limit specified in the

selected journal).

The letter should be brief, substantive, and succinct.

Follow the published guidelines for letters to the editor in the selected journal

(e.g. word limit, to whom to submit, how to submit, and reference guidelines).

Include at least one primary reference.

Establish expertise/platform for responding.

Identify why you’ve chosen to respond to this article (e.g. dissenting view point,

alternate perspective, additional perspective).

Provide supporting documentation from the literature for your rationale.

Present a perspective that is different and contributes to the literature.

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Letter to the Editor(continued)

Identify why your response is important to the practice of nursing administration

and/or to nursing leadership.

Offer a suggestion(s) for further action.

Demonstrate critical thinking skills.

Demonstrate effective writing principles (e.g., spelling, grammar, punctuation).

Follow appropriate business letter standards (e.g. include the correct name,

credentials, and email address of the editor; include your name, credentials, and

email address.)

Note:

See WebCT for due date and grading criteria.

Refer to sample(s) letter to the editor on WebCT, and in journals that publish

excellent letters to the editor, (e.g., Journal of Nursing Administration

(JONA), American Journal of Nursing (AJN), Journal of Nursing

Scholarship, New England Journal of Medicine (NEJM), and Journal of the

American Medical Association (JAMA)).

Post a copy on the WebCT Letter to the Editor Discussion Board 24 hours

before the assignment is due.

Late papers: subtract 5 points/day.

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Discussion Questions for DVD Clip Analysis

1. Discuss the leadership principles used in this video clip.

2. Do you agree or disagree with the principles used?

3. Why or why not?

4. What would you consider to be “best leadership practice” in this situation?

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Discussion Questions for Articles and Research Studies on Leadership

When reading articles or research studies for this course, be prepared to answer the

following questions in class:

1. What were the key points on leadership?

2. How will you use the information learned in this article or research study to help

develop your leadership practice?

3. If self-selected, please describe why you chose this article or research study.

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