Keiser University

Bachelor of Science in Nursing

Course Prefix & Number: NUR4717C

Course Title: Advanced Care Management

Course Format: Face to Face

Credit Hours: 11 Semester Credit Hours

Lecture Hours: 75 hours

Laboratory Hours: 30 hours

Clinical Hours: 225 hours

Prerequisites: ABSN/FBSN: Successful completion of all third semester major

courses

Faculty: Dr. Maureen Walls Sileo

Office Hours: By appointment

Course Description: Nursing care management of patients with chronic and

complex physiological and/or psychological health issues,
as well as conditions associated with selected high risk,
high cost, and emergent conditions that are treated in
intensive care, emergency, and/or trauma settings.
Proficiency is acquired in the classroom and while working
in various settings that may include acute care, long-term
care, home health, hospice, and substance abuse/mental
health settings. Prioritization of access to care and available
resources is emphasized, as is development of the nurse as
a leader of the interprofessional care management team.
Prerequisite: NUR3411C.

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Program Philosophy & Mission: The philosophy and mission of the Bachelor of Science in
Nursing (Pre-licensure) Program is congruent with that of
Keiser University. The Keiser University mission statement
and philosophy maintain that the University is a two-year,
four-year, and graduate-level institution that prepare
students of diverse backgrounds for career entry,
advancement, or degree completion. One of the primary
goals of the University is to continually change, improve,
and ensure the effectiveness of the University’s programs
in preparing students for successful careers. These
statements are testimony to the integral relationship of the
Bachelor of Science in Nursing (Pre-licensure) Program to
the mission of Keiser University and the commitment of
the University to the Program’s implementation and
success. Educating registered nurses at the baccalaureate
level and thereby enhancing their ability to achieve growth
and success in their careers meets the criteria of one of the
major goals of the University.

This framework includes the broad competency areas of

knowledge, critical thinking, skills performance,
collaboration, caring, and professionalism. Each of these
areas are reflected in program outcomes that build upon
prior learning and incorporate competencies at the
baccalaureate level as articulated in American Nurses
Association (ANA)’s Scope and Standards of Nursing
Practice.

Program Goal(s): Keiser University’s Bachelor of Science in Nursing

program enables students to provide evidence-based
collaborative care to diverse patient populations in varied
settings. At the conclusion of the program, BSN graduates
will be able to:
1. Enact leadership, clinical decision-making, and
effective communications skills to provide and evaluate
safe high quality nursing services.
2. Creatively engage in rational inquiry utilizing evidence-
based nursing knowledge in both well-defined,
relatively common clinical situations, and in complex
clinical situations.
3. Employ information management and patient care
technology knowledge and skills to enhance the
delivery of quality patient care.
4. Maintain an understanding of system and organizational
level policy to provide appropriate direct and indirect
nursing care for ethnically, culturally, and/or spiritually

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 diverse patients and their families within varied
healthcare systems and settings.
5. Participate in and lead interprofessional healthcare
efforts to design and manage the care of individuals and
their families.
6. Practice nursing within ethical, legal, and humanistic
frameworks, promoting nursing’s values of altruism,
autonomy, human dignity, integrity, and social justice
to provide quality, cost-effective care founded on health
promotion and disease prevention principles to
individuals, families, groups, communities, and
populations across the lifespan and across the
continuum of healthcare environments.

Program Student Learning Outcomes:

Keiser University’s Bachelor of Science in nursing program enables students to provide

evidence-based collaborative care to diverse patient populations in varied settings. The
Programmatic Student Learning Outcomes are a culmination of measurable competencies,
consistent with the American Association of Colleges of Nursing (2008) Essentials of
Baccalaureate Education for Professional Nursing Practice (2008), which enable graduates to
practice within a complex healthcare system.

The Programmatic Student Learning Outcomes and their applicable Essentials are:

1. CARE COORDINATION
o Utilizes effective leadership, communication and collaboration for shared
decision making with the patient and multidisciplinary healthcare providers in
the deliberate organization, design and management of safe, high quality and
high value care for culturally and spiritually diverse patients across the
continuum of healthcare environments.
 Essential I: Liberal Education for Baccalaureate Generalist
Nursing Practice.
 Essential II: Basic Organizational and System Leadership for
Quality Care and Patient Safety.
 Essential VI: Inter-professional Communication and Collaboration
for Improving Patient Health Outcomes.
 Essential IX: Baccalaureate Generalist Nursing Practice.
2. RESEARCH AND TRANSLATION
o Engages in scientific inquiry with a spirit of creativity, utilizes evidence-based
nursing knowledge, and translates data and information into nursing practice to
address common clinical scenarios.
 Essential III: Scholarship for Evidence Based Practice.

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  Essential VI: Inter-professional Communication and Collaboration
for Improving Patient Health Outcomes.

3. INFORMATION MANAGEMENT
o Utilizes patient care technology and information systems to communicate,
collaborate and support clinical decision-making in the delivery of quality
patient care in a variety of healthcare settings.
 Essential IV: Information Management and Application of Patient
Care Technology.
 Essential VI: Inter-professional Communication and Collaboration
for Improving Patient Health Outcomes.

4. ADVOCACY AND POLICY

o Integrates professional nursing values, ethical, legal, and theoretical practice
frameworks fundamental to the discipline of nursing to influence health
promotion, disease prevention, healthcare policy, and regulation across the
lifespan and practice environments.
 Essential V: Health Care Policy, Finance, and Regulatory
Environments.
 Essential VII: Clinical Prevention and Population Health
 Essential VIII: Professionalism and Professional Values

AACN: The Essentials of Baccalaureate Education for Professional

Nursing Practice
Essential I:
Liberal Education for
Baccalaureate Generalist
Nursing Practice
Essential II:
Basic Organizational and System
Leadership for Quality Care and
Patient Safety
Essential III:
Scholarship for Evidence Based
Practice
Essential IV:
Information Management and
Application of Patient Care
Technology
Essential V:
Health Care Policy, Finance, and
Regulatory Environments
Essential VI: Interprofessional
Communication and
Collaboration for Improving
A solid base in liberal education provides the cornerstone for
the practice and education of nurses.
Knowledge and skills in leadership, quality improvement, and
patient safety are necessary to provide high quality health
care.
Professional nursing practice is grounded in the translation of
current evidence into one’s practice
Knowledge and skills in information management and patient
care technology are critical in the delivery of quality patient
care.
Healthcare policies, including financial and regulatory,
directly, and indirectly influence the nature and functioning
of the healthcare system and thereby are important
considerations in professional nursing practice.
Communication and collaboration among healthcare
professionals are critical to delivering high quality and safe
patient care.

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 Patient Health Outcomes
Essential VII: Health promotion and disease prevention at the individual
Clinical Prevention and and population level are necessary to improve population
Population Health health and are important components of baccalaureate
generalist nursing practice.
Essential VIII: Professionalism Professionalism and the inherent values of altruism,
and Professional Values autonomy, human dignity, integrity, and social justice are
fundamental to the discipline of nursing.
Essential IX: The baccalaureate-graduate nurse is prepared to practice with
Baccalaureate Generalist patients, including individuals, families, groups,
Nursing Practice communities, and populations across the lifespan and across
the continuum of healthcare environments.
The baccalaureate graduate understands and respects the
variations of care, the increased complexity, and the
increased use of healthcare resources inherent in caring for
patients.
American Association of Colleges of Nursing (AACN). (2008). The Essentials of baccalaureate education for professional
nursing practice. Retrieved from http://www.aacn.nche.edu/publications/order-form/baccalaureate-essentials

Course Objectives/ Outcomes Essential(s):  

Upon completion of NUR 4717C, the student will:

1. Manage care to maximize health, independence, and quality of life for

a group of individuals that approximates a beginning practitioner's
workload (Care Coordination, Advocacy and Policy, Essentials VIII,
IX, VII).
2. Engage in caring and helping techniques that promote a therapeutic
nurse-patient relationship (Care Coordination, Advocacy and Policy,
Essentials VIII, IX, VII).
3. Implement holistic, patient centered care that reflects an understanding
of human growth and development, pathophysiology, mental health,
nutritional status, pharmacology, medical management, and nursing
management across the health-illness continuum, across the lifespan
and in all health care settings (Care Coordination, Advocacy and
Policy, Essentials VIII, IX, VII).
4. Incorporates professional attitudes, values, and expectations about
physical and mental aging in the provision of patient centered care for
older adults and their families (Care Coordination, Advocacy and
Policy, Essentials VIII, IX, VII).
5. Collaborate with others to develop an intervention plan that considers
determinants of health, available resources and the range of activities
that contribute to health and the prevention of illness, injury, disability,
and premature death (Care Coordination, Advocacy and Policy,
Essentials VIII, IX).

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Clinical Objectives/ Outcomes:

Upon completion of the clinical preceptorship the Keiser ASBN student will be able to:

1. Demonstrate professionalism, including attention to appearance, demeanor,

respect for self and others, while upholding professional boundaries in the clinical
setting. (Essentials I, VIII)
2. Uphold ethical standards related to data security, regulatory requirements,
confidentiality, and clients’ right to privacy. (Essentials I, IV, IX)
3. Deliver compassionate, patient centered, evidence-based care that respects patient
and family preferences. (Essentials III, VI)
4. Utilize preceptorship opportunities to become more experienced and autonomous
in managing increasingly more complex, clinical experiences based on providing
sufficient nursing breadth and depth to develop the competence necessary for
entry level practice in various types of settings. (Essential III. VI, VII)
5. Translate, integrate, and apply nursing knowledge and skills that leads to
improvements in patient outcomes. (Essentials III, VI, VI)
6. Utilize nursing knowledge, skills, and attitude to prepare student to focus on
continuous self-evaluation and lifelong learning in diverse healthcare delivery
systems. (Essentials VIII, IX)

Grading and Evaluation Methods:

Evaluation Percent of Total Grade

Exams 35%
Assignments 15%
ATI Proctored Exam Med Surg 15%
Quizzes: ATI Practice Med Surg 10%
Final Exam 20%
Post Test 5%
ATI Proctored Exam Critical Thinking No Grade
ATI Critical Care Dosage Calc P/F
Total Percentage 100%

To advance in the nursing major of the program students are required to:
•                Earn a minimum course grade of “B” with an 80.00% or higher
•                Earn a minimum score of 92% on each dosage calculation test as
required (2 Attempts only)
•                Pass each critical skills performance for each major course according
to
guidelines as required (2 Attempts only)
•                Pass each clinical component for each major course (when applicable)

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 Grading Scale
Letter Grade Numeric Grade
A 90.00-100.00%
B 80.00-89.99%
C 70.00-79.99%
D 65.00-69.99%
F Up to 64.99%

ATI Standardized Exams- Proficiency Levels

Proficiency
Levels
Proficiency Levels Proficiency Proficiency A S N/BSN
ASN/BSN Levels A S N Levels B S N Nurses ATI/Program Interpretation
Attempt I Attempt 2 Attempt 2 Touch
Tech

Level 3 Level 3 Level 3 Exceeds Scores meeting the Proficiency Level 3 standard may be
Grade 100% Grade 90% Grade 90% Standards considered to exceed most expectations for performance in
100% this content area. Students who score this level are likely to
exceed NCLEX-RN standards in this content area. The
program advice these students to engage in continuous
focused review to maintain and improve knowledge of this
content.

Level 2 Level 2 Level 2 Meets Scores meeting the Proficiency Level 2 standard may be
Grade 85% Grade 75% Grade 80% Standards considered to exceed minimum expectations for performance
85% in the content area. Students are likely to meet the minimum
NCLEX-RN standards in this content area. The program
advises these students to engage in continuous focused review
to improve knowledge of this content.

Level 1 Level 1 Level 1 Below Scores meeting the Proficiency Level 1 standard may be
Grade 50% Grade 50% Grade 50% Standards considered to meet the absolute minimum expectations for
50% the performance in this content area; but are considered
insufficient in demonstrating competency for the content area
and are likely to not meet the minimum NCLEX-RN
standards in this content area and are required to participate
in the program’s remediation program. A second attempt on
the standardized exam is required by the program.

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 Below Below Below Scores below Level 1 standard can be considered below
Level 1 Level 1 Level 1 minimum expectations and are considered insufficient in
Grade 25% Grade 25% Grade 25% demonstrating competency for the content area. Students are
at extreme high risk to not meet the minimum NCLEX-RN
standards in this content area and are required to participate
in the program’s remediation program. A second attempt on
the standardized exam is required by the program.

Required Textbook: Ignatavicius, D. D. & Workman, M.L. (2020). Medical-

surgical nursing: Patient-centered collaborative care. (10th
ed.). Elsevier. ISBN: 9780323612418

Jarvis, C. (2016). Laboratory Manual. Physical Assessment

& Health Assessment. (8th ed). St Louis, MO: Elsevier
ISBN: 9780323532037

Townsend, M. C. (2020). Davis Advantage for Psychiatric

Mental Health Nursing. (10th ed.). FA Davis. ISBN:
9780803699670

VSim for Gerontology - Phoenix 12 Month E-Code –

ISBN: 9781975195298

Other Required Course Material: Assessment Technologies Institute, Content Mastery

Series, 2019
a. RN Adult Medical Surgical Review Module, ed.
11.0
b. RN Pharmacology for Nursing. Ed. 8.0

American Nurses Association. (2020). Essentials of

Nursing Practice Package (4th ed.). Silver Spring, MD:
ANA. FNDN2021

Porth, C. (2019). PKG Porth’s Essentials Pathophysiology

12M Course Point. (5th ed.). Lippincott WW. ISBN:
9781975160869

Scholarly, peer-reviewed nursing journal articles when

applicable.

Topical Outline/Course Assignments/Calendar:

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 Course Guidelines and Policies

Academic Integrity
Students are expected to maintain the highest standards of academic conduct, professional
honesty, and personal integrity. Plagiarism, cheating, and other misconduct are serious violations
and will not be tolerated, and may result in academic penalties, including suspension or
dismissal.

Attendance
Students are expected to contact the instructor or leave a phone message with the Keiser
University receptionist before the start of the class if they will not be able to attend or will be
arriving late. The message should include the reason (e.g., illness, family emergency). Students
who leave class early will be responsible and accountable for all materials missed. Prior to class
the student must inform the instructor of the time they will be leaving. Students are expected to
notify their clinical instructor at least 60 minutes in advance of the clinical start time if they will
not be able to attend clinical or anticipate a late arrival. A documented emergency will be taken
under consideration by the Program. Note: Both the clinical instructor and/or preceptor (if
applicable) must be notified.

Participation
Participation is a basic requirement for an effective learning community. Class participation is
demonstrated by arriving to class early; paying attention during lectures and discussions;
respectful listening when someone else is speaking; being engaged in the class and in your
learning without distractions.

Testing Policy
Quizzes: students will not be able to makeup quizzes. Exams: makeup exams will be allowed
only with pre-approval of the instructor or with an acceptable, documented reason and Director
approval. Acceptable reasons for makeup exams include severe illness, family emergency or
other unavoidable events. Exam format for makeup exams may be different than the original
exam but the content for the exam will not change. Once an exam has begun; the student will not
be allowed to leave the classroom for any undocumented reason. Should the student leave the
testing environment, the exam must be turned in, will be considered complete, and will be graded
as such. No additional time will be given due to tardiness. Exam reviews will be conducted at the
discretion of the instructor or by appointment only. Performance check off: An unsuccessful
first attempt at a skills lab competency requires individual remediation during open lab hours
prior to a second and final attempt. Missed skills lab competency appointments will equate to an
unsuccessful attempt.

Late Assignments
Assignments are due at the start of class on the day noted. Late assignments will not be accepted.
Students with extenuating circumstances should discuss turning in work with their instructor in
advance of the due date whenever possible.

Grades

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Grades will be posted on blackboard in accordance with Keiser University policies and
procedures. Students are expected to monitor their grades and progress. For questions regarding
grades, students are to make an appointment with their instructor within a reasonable time frame
of the grade posting.

Civility/Professionalism
This class is a community of learners, which means we will depend upon each other for support
and information. To learn, we must be open to the views of people different than ourselves.
Please honor the uniqueness of your classmates and appreciate the opportunity we have to learn
from one another. Please respect each other’s’ opinions and refrain from personal attacks or
demeaning comments of any kind. It is of the utmost importance to communicate with courtesy
and professionalism. Professional courtesy includes respecting other’s opinions, being courteous
and respectful, and working together in the spirit of cooperation. Professional behavior is defined
by the instructor. Cell phones or electronic devices are not permitted during class time and
should be off/ or on vibrate. It is up to the individual instructor whether they will allow recording
of their instruction or not. Each student is entitled to a positive learning environment.

Dress Code
Adherence to the dress code is expected at all times. Should a student choose not to be dressed as
stated in the Nursing Student Handbook, they may be asked to leave the classroom and be
directed to the Nursing Program Director for further instruction and advisement.

Communication
Blackboard will be utilized for course materials, resources, and updates. Students are also
encouraged to check their Keiser E-mail accounts on a regular basis. This will be the only E-mail
utilized in accordance with Keiser University policy.

University and Program Policies

Students are expected to abide by the policies set forth in the University Catalog and the Student
Program Handbook/Manual. The University Catalog is available electronically at
http://www.keiseruniversity.edu/catalog/. The Program Student Handbook/Manual is available
electronically at the direction of your instructor.

Disability Accommodations:
In compliance with the Americans with Disabilities Act (ADA), students who require reasonable
accommodations due to a disability to properly execute coursework must complete the
application process and receive approval from the review committee. The first step is to consult
with the Campus President or Dean of Academic Affairs.

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