Master Syllabus

Keiser University
Bachelor of Science in Nursing

Course Prefix & Number: NUR 4888

Course Title: Nursing Leadership in Systems of Healthcare

Course Format: Face to Face

Credit Hours: 3.0 Semester Credit Hours

Lecture Hours: 45 hours

Course Schedule: Tuesdays 1:45 pm to 4:45 pm

Prerequisites: ABSN/ FBSN: Successful completion of third semester

Nursing major courses.

Traditional: Successful completion of all Nursing major

courses from semesters one through seven.

Faculty: Nayades Rios

[email protected]

Office Hours: Email for appointment

Course Description: Focuses on concepts, principles, theories of leadership,

management, role development, and administration in a
variety of culturally diverse healthcare delivery systems at
local, regional, national, and global levels. Skills required:
the professional nurse leader, including delegation of
responsibilities, networking, facilitation of groups, conflict
resolution, case management, collaboration, budgeting, cost
effectiveness and resource allocation, risk management,
quality and performance indicators, teaching and

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 professional development are emphasized and applied in
relevant settings.

Required Textbook(s) Required Textbooks: Huber, D. (2021). Leadership and

Nursing Care Management. (7th ed.). Elsevier, Inc.
ISBN: 9780323697118

Recommended Textbook American Nurses Association. (2020). Essentials of

Nursing Practice Package (4th ed.). Silver Spring, MD:
ANA. FNDN2021
American Psychological Association (2019). APA
Publication manual of the American Psychological
Association. (7th ed.). APA. ISBN: 9781433832161

Web Sites: Institute of Healthcare Improvement: www.ihi.or

Quality and Safety Education for Nurses
http://www.qsen.org

American Association of Colleges

http://www.aacn.nche.edu/education-resources/BaccEssenti
als08.pdf
Other Required Course Material:
Scholarly, peer reviewed nursing journal articles as applicable

Topical Outline/Course Assignments/Calendar:

Provided by Instructor

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 prepares
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
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 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 in order to provide appropriate direct and
indirect nursing care for ethnically, culturally, and/or
spiritually 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

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 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: Interprofessional 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.
 Essential VI: Interprofessional 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.

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  Essential IV: Information Management and Application of Patient
Care Technology.
 Essential VI: Interprofessional 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: A solid base in liberal education provides the cornerstone for
the practice and education of nurses.
Liberal Education for
Baccalaureate Generalist
Nursing Practice

Essential II: Knowledge and skills in leadership, quality improvement, and

patient safety are necessary to provide high quality health
Basic Organizational and System care.
Leadership for Quality Care and
Patient Safety

Essential III: Professional nursing practice is grounded in the translation of

current evidence into one’s practice
Scholarship for Evidence Based
Practice

Essential IV: Knowledge and skills in information management and patient

care technology are critical in the delivery of quality patient
Information Management and care.
Application of Patient Care
Technology

Essential V: Healthcare policies, including financial and regulatory,

directly and indirectly influence the nature and functioning of
Health Care Policy, Finance, and the healthcare system and thereby are important
Regulatory Environments considerations in professional nursing practice.

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 Essential VI: Interprofessional Communication and collaboration among healthcare
Communication and professionals are critical to delivering high quality and safe
Collaboration for Improving patient care.
Patient Health Outcomes

Essential VII: Health promotion and disease prevention at the individual

and population level are necessary to improve population
Clinical Prevention and health and are important components of baccalaureate
Population Health 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

patients, including individuals, families, groups,
Baccalaureate Generalist communities, and populations across the lifespan and across
Nursing Practice 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:

Upon completion of NUR 4888, the student will:

1. Engage in ethical reasoning and actions to provide leadership in promoting advocacy,

collaboration, and social justice as a socially responsible person. (Advocacy/Policy,
Essential II and AONE Competency 4)
2. Demonstrate leadership skills including foundational thinking skills, personal journey
disciplines, systems thinking, succession planning, and change management.
Research/Translation, AONE Competency 3).
3. Incorporate effective communication techniques, including negotiation and conflict
resolution to produce positive professional working relationships. (Information
Management, Essential VI)

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 4. Demonstrate effective communication and relationship management, influencing
behaviors, diversity, community involvement, medical/staff relationships and academic
relationships. (Care Coordination and Information Management, AONE Competency 1).
5. Communicate effectively with all members of the health care team, including the patient
and the patient's support network. (Information Management & Care Coordination,
Essential IX)
6. Examine the roles and responsibilities of the regulatory agencies and their effect on
patient care quality, workplace safety and the scope of nursing and other health
professional’s practice. (Care Coordination & Advocacy/Policy, Essential V)
7. Demonstrates knowledge of the health care environment through clinical practice,
delivery models, work design, health economics and policy, governance, evidence-based
practice/outcome measurement and research, patient safety, performance improvement/
metrics and risk management. (Advocacy/Policy & Research/Translation, AONE
Competency 2)
8. Articulate the value of pursuing practice excellence, lifelong learning, and professional
engagement to foster professional growth and development. (Care Coordination,
Essential VII)

NOTE: In order to successfully complete/pass this course, all components in the Grading
and Evaluation Methods chart below must be completed as prescribed. Points for the ATI
Proctored Assessments and Remediation and the Virtual-ATI (VATI) will accrue but not
be included in the overall grade until all components are successfully completed. This may
result in an Incomplete grade for the course or a failure of the course, depending upon the
progression of the student.

Grading and Evaluation Methods

Course Evaluation Strategies (Methodologies)
Student performance is evaluated as follows:
15% Leadership & Management Instructor Created Exam
10% Academic Freedom for the Instructor, minimum two items but not limited
to the following:
* Article Critique
* Case Study Analysis
* Presentations
* Research Paper
50% ATI Proctored Assessments and Remediation:
15% Pharmacology
15% Leadership
20% Comprehensive Predictor Test/Final Exam (*minimum score of
94% Predictability required with two attempts; 94% and greater is
scored at 100 points and less than 94% will result in zero points

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 contributing to this grading category)
10% ATI Capstone Content Review
10% Virtual- ATI (VATI)
5% Post Test
100% Total Possible Score
Standardized Comprehensive Predictor Test
Students are required to achieve a minimum score of 94% on the Predicted Probability of
Passing NCLEX-RN category on the comprehensive predictor test. Students who score
below 94% on the Predicted Probability of Passing NCLEX-RN category on the Nursing
Roles Practicum course comprehensive predictor test will be permitted one re-take upon
completing the two-week remediation program. Obtaining a 94% within 2 attempts will
result in 100 points contributing to the ATI grading category. Failure to achieve a
minimum score of 94% for the second attempt will result in zero points contributing to
the ATI grading category as listed above on the course control document. Zero points in
this category could cause the student to receive a failing grade for the course. A student
that receives a final course grade less than 80% will not pass the course, and therefore
cannot advance in the program until successful course completion is achieved (refer to
the Professional Major Course Repeat Policy.)
ATI Capstone Content Review + Virtual-ATI (VATI)
All students are required to complete all components of the ATI Capstone Content
Review + Virtual-ATI Product. The total Points for ATI Capstone + Virtual-ATI will
count for 20% of the course evaluation grade (10% for ATI Capstone and 10% for
Virtual -ATI).
In the ATI Capstone Content Review, one content area is reviewed per week. Students
will be awarded points for their ATI Capstone Content Review work. No points will be
awarded for late assignments unless pre-approval from faculty has been obtained within
24 hours.
To achieve the Virtual-ATI points, students must demonstrate active participation each
week on the weekly progress reports. Active engagement/participation in Virtual-ATI
includes communicating with coach, taking assigned assessments, and completing
assigned remediation activities and Focused Reviews under the direction of the coach. A
100% Completion Stage indicates that the student has taken all the Virtual-ATI
assessments and completed suggested individualized remediation.

Points for ATI Capstone

Assignment Points
Pre-Assignment Quiz 10 points per week
Assessment 10 points per week
Post-Assessment Assignment
• 4 points for all questions answered completely
• 4 points for answers given in own words, not copied, and pasted 10 points per week
• 2 points for assignment completed and posted to educator on
time
Total points per week 30 points x 7 weeks = 210 points
Pharmacology II Assessment 10 points per week
Medical-Surgical II Assessment 10 points per week
Total points for ATI Capstone (10%) 230 points

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 Points for Virtual-ATI Modules
Stages of Review
Beginning Completing Virtual-ATI survey Module 1
Orientation and Review No points
Resources
Beginning NCLEX Strategies Module 2 10 points
25% stage Fundamental’s Module 3 15 points
25% stage Pharmacology Module 4 15 points
50% stage Medical-Surgical Module 5 20 points
75% stage Maternal Newborn Module 6 10 points
75% stage Nursing Care of Children Module 7 10 points
75% stage Mental Health Module 8 10 points
100% stage Leadership Module 9 10 points
100% stage Predictor and NCLEX Readiness Module 10
100% stage 100% Stage Green Light & Post Module 10
Green Light Review. Should plan
to take NCLEX within 3 weeks of
Green Light achieved.
Total points for Virtual-ATI
(10%) Note: Virtual-ATI points to
be awarded after completion of 8
weeks of review 100 Points at the
100% stage *See school policy for
completion due date (Week 16)
Total points for ATI Capstone +
Virtual-ATI
Total Points for Virtual-ATI 10% 100 points
Total Points for Capstone 10% and Virtual-ATI 10% 330 points
**Note: Virtual-ATI points to be awarded after completion of 8 weeks of review at the 100% stage

ATI Standardized Exams- Proficiency Levels

BSN BSN BSN ATI/Program Interpretation
Proficiency Proficiency Proficiency
Levels Levels Levels
Attempt I Attempt 2 Nurse’s
Touch
Exams
(Only 1
Attempt)
Level 3 Level 3 Exceeds Scores meeting the Proficiency Level 3 standard may
Grade 100% Grade 90% Standards be considered to exceed most expectations for
performance in this content area. Students who score
Exams with 100% this level are likely to exceed NCLEX-RN standards
a “Exceeds in this content area. The program advises these
Standards” students to engage in continuous focused review to
Are scored maintain and improve knowledge of this content.
as a Level 3
100%
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 Level 2 Level 2 Meets Scores meeting the Proficiency Level 2 standard may
Grade 85% Grade 80% Standards be considered to exceed minimum expectations for
performance in the content area. Students are likely to
Exams with 85% meet the minimum NCLEX-RN standards in this
a “Meets content area. The program advises these students to
Standards” engage in continuous focused review in order to
Are scored improve knowledge of this content.
as a Level 2
85%
Level 1 Level 1 Below Scores meeting the Proficiency Level 1 standard may
Grade 50% Grade 50% Standards be considered to meet the absolute minimum
expectations for the performance in this content area;
Exams with 50% but are considered insufficient in demonstrating
a “Below competency for the content area and are likely to not
Standards” meet the minimum NCLEX-RN standards in this
Are scored content area and are required to participate in the
as a Level 1 program’s remediation program. A second attempt on
50% the standardized test is required by the program.
Below Below Scores below Level 1 standard can be considered
Level 1 Level 1 below minimum expectations and are considered
Grade 25% Grade 25% insufficient in 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 test is required by the program.
Second attempts on standardized tests are permitted and encouraged to allow students to raise
their grade, as the higher score of the 2 attempts will be recorded and factored into their
overall grade. However, second attempt ranges are slightly lower than first attempt ranges
with level 3 at 90%, level 2 at 80%, and level 1 and below remain unchanged. Students who
score a level 1 or below on the first attempt are required to participate in the remediation
program. Failure to participate in the remediation program will result in the student being
ineligible to sit for the Comprehensive Predictor Test/Final Exam of the course.

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
A final grade is determined using the following 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%

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. Plagiarism is the deliberate or unintentional use of another’s words or ideas without
proper citation for which the student claims authorship. It is a policy of Keiser University that
students assume responsibility for maintaining honesty in all work submitted for credit and in
any other work designated by an instructor of a course. Students may not submit the same work
completed for one course in any other course, earning credit for the same work each time.
Plagiarism, because it is a form of theft and dishonesty that interferes with the goals of
education, must carry severe penalties. Please refer to the Keiser University Catalog for the full
spectrum of academic honesty and professional behavior policies including plagiarism offenses.

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.

Civility/Professionalism
This class is a community of learners, which means we will depend upon each other for support
and information. In order 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

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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.
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.

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.

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.

Grades
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. If a paper’s safe assign score is too high for similarity and resubmission is
accepted by instructor, there will be 50% of the grade removed automatically due to second
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.

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
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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.

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.

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