Nursing PROGRAM OVERVIEW
- The PN and ADN programs are full-time programs with classroom, lab, and clinical components.
- Enrollment for the PN and ADN programs occurs 4 times per year (January, April, July, and October).
- The PN and ADN programs require a specific number of hours of clinical practice per week, depending on the course.
Clinical shifts are usually 6-12 hours in length, and may be scheduled during the day, evening, or weekends. The College has clinical agreements with long term care facilities, MRDD facilities, daycares, hospitals, hospice, surgery clinics, and government agencies to provide students with a thorough, hands-on learning experience.
DIPLOMA IN PRACTICAL NURSING
- Arranged to be completed in 4 quarters.
- Students who graduate from the PN program will be eligible to apply for the NCLEX®-PN exam.
- After graduation from the PN program and passing the NCLEX®-PN exam, students may choose to begin their career as a Licensed Practical Nurse, and/or they may choose to apply to the Associate Degree in Nursing program.
ASSOCIATE DEGREE IN NURSING
- Arranged to be completed in 5 quarters.
- Students who graduate from the ADN program will be eligible to apply for the NCLEX®-RN exam.
- After graduation from the ADN program and passing the NCLEX®-RN exam, students may choose to begin their career as a Registered Nurse, and/or they may choose to apply to an RN-BSN completion program.
NURSING PROGRAM CURRICULUM
Effective January 2016 (Winter 2016 term), the College substantially revised all nursing programs. Community and professional input were important factors in revising the programs. Feedback from community partners, including clinical sites and employers, indicated a strong need to enhance critical thinking among graduates. In addition, the programs were revised to reflect more contemporary nursing education and educational delivery models to meet the demands of today’s healthcare environment and, more specifically, the increased needs and complexity of the modern patient. The revisions also enhance the teaching and learning experience through the use of interactive and effective teaching strategies across all modalities.
NURSING MISSION AND FRAMEWORK
Hondros College of Nursing strives to serve society and the community. Our Practical Nursing, Associate Degree in Nursing, and RN-BSN completion programs respond to society’s healthcare needs and specifically to the nursing shortage. These nursing programs will stress the highest standards and values as they provide an educational ladder for Licensed Practical Nurses to become Associate to Baccalaureate-degreed Registered Nurses.
The curricular design of the programs promotes the opportunity for students to continue their nursing education. The nursing faculty is committed to providing high quality nursing education.
There are four (4) major concepts supporting the framework for education in the nursing programs. They are:
Human beings are individuals who are unique and ever-changing as they move toward achieving their own individual potential. They are accountable for their own actions and decisions, although their behavior is influenced by both internal factors such as state of health, life stage development, and age, as well as external factors such as environmental, socioeconomic status and cultural practices. Human beings are parts of families, groups and communities.
Health is optimal body and mental functioning. It is a process by which an individual uses available resources to achieve his or her maximum potential or health. This requires effective balancing of internal and external systems. The inability to do so results in illness. Health is further defined by one’s perception of his/her own well-being. Everyone has the right to optimal healthcare which is a shared responsibility of health professionals and the individuals for whom they care.
The environment consists of the interaction between one’s internal and external systems. The internal system includes the individual’s biological, psychological and spiritual components, while the external system is composed of a person’s social network, sociocultural influences, family, healthcare systems and political and economic policy. One’s external environment can influence health and healing in both positive and negative ways. Nursing strives to optimize the environment to promote health.
Nursing is an art and a science that provides a human service. It integrates biological principles, behavioral sciences, technological theories, research, and caring to assist individuals and families to reach their maximum health potential. The nurse/client relationship is collaborative as the goal of health promotion, health maintenance and health restoration is accomplished. Through the use of the nursing process and therapeutic communication skills, nurses provide caring and respectful care to their clients. Nurses collaborate with other healthcare professionals, consumers, and health care policy makers.
NURSING CONCEPTUAL FRAMEWORK
An organizing framework for the Program was chosen to reflect not only a contemporary high-quality curriculum, but also a curriculum that is innovative in teaching and learning opportunities, and relevant to the practice of nursing at the practical nurse and registered nurse levels. To that end, the organizing framework of a concept-based curriculum has been adopted. The evolution from a content-based, medical model curriculum to a concept-based curriculum reflects the need for nurses to be critical thinkers and continuous learners.
The organizing framework is based on Giddens’s Concepts for Nursing Practice (2013). The Concepts for Nursing Practice framework is organized into 1) specific overarching units; 2) themes; and 3) concepts. Each overarching unit has specific themes. The themes have concepts to further organize knowledge. Concepts are integrated throughout the curriculum in order to meet specific course objectives and student learning outcomes. The progression of knowledge occurs as concepts and exemplars (examples) are leveled from basic to complex throughout the curriculum.
The faculty of Hondros College of Nursing has identified a multitude of concepts that are woven throughout the program offering structure as a conceptual framework for the curriculum. The conceptual framework is built upon the major components of the philosophy: human beings, nursing, environment and health. The supporting concepts of nursing roles, teaching-learning, therapeutic interventions, culture, standards of practice, ethical and legal principles, nursing process, critical thinking, therapeutic communication, caring and client advocacy, professional accountability, and leadership and management help students develop and expand in their role as a nurse.
Nurses practice within three (3) specific roles: provider of care, manager of care, and member of the discipline of nursing.
At the practical nursing level, the graduate role, under the direction of a Registered Nurse, includes the following:
PROVIDER OF CARE
- Participates collaboratively in the nursing process by contributing to data collection for assessment, implementation, and evaluation of individualized plans of care.
- Uses critical thinking, standards of practice and organizational skills in providing individualized nursing care to clients based on developmental, physiological, sociocultural, religious, and spiritual variations in clients.
- Performs basic therapeutic nursing interventions using nursing knowledge, skills, and current technologies in a competent and safe manner.
- Acts as a client advocate showing caring, empathy, and respect for the rights, beliefs, property and dignity of the individual.
- Manages assignment of clients and delegates within the scope of practice to trained unlicensed personnel.
- Practices the principles of effective and therapeutic communication with clients and their families.
- Communicates pertinent observations related to the client to appropriate members of the health team.
- Documents observations and care appropriately.
MEMBER OF THE DISCIPLINE OF NURSING PRACTICES
- Within the profession’s ethical and legal framework, being accountable for one’s own nursing practice and professional growth.
At the ADN level, the graduate role expands to include the following:
PROVIDER OF CARE
- Uses the nursing process (assessment, diagnosis, planning, implementation and evaluation) and standards of practice as a basis for clinical decision making in developing individualized plans of care.
- Performs complex therapeutic interventions using nursing knowledge, advanced skills, and current technology in a competent and safe manner.
MANAGER OF CARE
- Demonstrates leadership and accountability.
- Delegates tasks appropriately.
- Supervises assistive and unlicensed personnel and PNs.
- Manages client care within a multi-disciplinary health care system.
- Collaborates and communicates effectively with clients, families, and health team members.
MEMBER OF THE DISCIPLINE OF NURSING
- Demonstrates an awareness of community and world health issues and their impact on individuals and health care.
At the BSN level, the graduate role expands to include the following:
PROVIDER OF CARE
- Provides advanced clinical reasoning and problem solving skills when working with clients with more complex needs.
- Manages advanced technology and applies scientific reasoning skills when applying evidence-based research findings in the clinical setting.
- Ability to read and utilize appropriate research findings in the practice arena.
- Develop strong humanistic and communication skills when caring for clients who have complex, multiple organ dysfunction, complicated family dynamics, and a need for collaboration with physicians and other departments for referral.
MANAGER OF CARE
- Provides leadership in both structured and non-structured settings.
- Ability to practice in community sites, such as health maintenance organizations, home health, community clinics, and managed care firms.
- Applies advanced critical thinking skills to clinical decisions which enhance the quality of care of clients.
MEMBER OF THE DISCIPLINE OF NURSING
- BSN level nurses are prepared to assume leadership roles in the community, join professional organizations, become an advocate at a legislative level, and complete specialty certification in their area of expertise.
TEACHING – LEARNING
Teaching – learning is a dynamic process by which the teacher promotes active student involvement in the learning process by acting as a facilitator, focusing on individual student learning styles and diverse needs. Effective teachers
empower learners to think critically, communicate effectively in speaking, writing, and interaction with others, as well as reflect on their own learning to make it more meaningful.
Learning is a life-long process. Due to the generation of new knowledge that keeps health care content ever changing, learning experiences must focus on developing student abilities to be self-directed in gathering, analyzing and integrating new knowledge into their existing knowledge base. This will enable them to develop creative and innovative solutions to intellectual and clinical problems.
Therapeutic interventions are the skills and techniques used by nurses to implement the plan of care developed in the nursing process. These skills and techniques help clients achieve the desired outcomes.
Culture refers to one’s values, beliefs, norms, and practices of these systems in one’s life. Cultural awareness or knowing about the similarities and differences among cultures helps to end prejudice and discrimination. Nurses must provide culturally competent care, appreciating the diversity and adapting care to fit the cultural context of the client.
STANDARDS OF PRACTICE
Standards of practice are formal statements by a profession related to quality of care and accountability of its practitioners. Evidence based practice is essential for quality nursing care.
ETHICAL AND LEGAL PRINCIPLES
Nurses routinely practice using the beliefs and values inherent in professional nursing. Ethical decision making is guided by the Nurse’s Code of Ethics, while the Nurse Practice Act and governing laws provide rules of conduct and regulations to guide the nurse legally.
Nursing process is a specific problem solving method nurses use for decision making. It is comprised of five (5) specific steps:
- Implementation using therapeutic interventions
Critical thinking is a purposeful process that enables a nurse to interpret, clarify and analyze nursing problems, as well as generate multiple therapeutic solutions, evaluating the merits and shortcomings of each. In this process, one monitors and reflects on his/her own thinking and learning.
Therapeutic communication is an art in which nurses use interpersonal skills to help clients communicate their thoughts and feelings while displaying non-judgmental acceptance that promotes trust, an essential element to the therapeutic nurse-client relationship. Communication techniques, self-awareness and collaborative skills are essential components of therapeutic communication.
CARING AND CLIENT ADVOCACY
Caring is an art in which the nurse watches over, attends to, and provides for the needs of clients. Essential to caring is an attitude of respect, empathy and nurturing. Client advocacy is acting in the best interest of the client. Nurses must advocate for clients who are unable to do so for themselves.
LEADERSHIP AND MANAGEMENT
Leadership is a role and a process in which the nurse involves others in their plan for action. The leader must use the skills of facilitation, coordination, communication and mentoring to get others to work more effectively. Management regulates care and resources through planning, organizing, directing, delegating, coordinating and controlling.