Running head: CARE OF THE ELDERLY SEPTIC PATIENT 1 Nursing Care of the Elderly Septic Patient
C946 Nursing Education Field Experience
Western Governors University
College of Health Professions CARE OF THE ELDERLY SEPTIC PATIENT
Nursing Care of the Elderly Septic Patient
According to the Center for Disease Control and Prevention (2019), approximately 1.7 million adult patients develop sepsis annually in the United States. Registered Nurses are at the forefront of patient care and play a vital role in the early recognition and initiation of targeted therapies related to sepsis management. Nurses are expected to practice autonomously to notice subtle changes in patient conditions in all rapidly changing work environments to meet the community’s healthcare needs. As such, pedagogical designs of instruction and nursing education curricula profoundly influence and prepare learners for demanding clinical situations necessitating a superior level of critical thinking, autonomy, and clinically sound reasoning and decision making. Therefore, educating learners and incorporating sepsis early recognition and interventions in nursing curricula serves to build confidence, competency, and better prepare learners for clinical practice in sepsis identification and intervention.
The academic setting observed for this clinical practice experience was Governor’s University School of Nursing. Governor’s University is a nationally ranked institute for higher education which offers the traditional pre-licensure BSN track through terminal degrees in both Doctor of Philosophy in Nursing and Doctor of Nursing Practice. Of particular interest for this clinical practice experience is the RN-to-BSN program offered to licensed nurses with associate degrees or nursing diplomas with a goal to obtain a BSN degree. Governor’s University provides
academic services to a very diverse student body, with more than 50-percent of learners enrolled in the RN-to-BSN program are of the Asian-American, Pacific Islander, African American, Native American, or Hispanic ethnic background.
In reviewing the syllabi for the RN-to-BSN program, a need gap analysis was performed, and it was noted in the NUR421 Nursing Care of the Older Adult, that the curriculum did not 2 CARE OF THE ELDERLY SEPTIC PATIENT
include a module on Care of the Elderly Septic Patient. Although sepsis is a concept covered in traditional undergraduate BSN studies, sepsis care is a prevalent malady affecting the elderly population, which the Center for Disease Control and Prevention (2019) purports an annual 270,000 deaths per 1.7 million cases treated, and should be reviewed to encourage learners to translate theory to practice at the baccalaureate level. Therefore, the purpose of the addition is a reiteration of Care of the Elderly Septic Patient and will be an asset to the course and improve the overall infrastructure of the nursing curricula in the RN-to-BSN program.
The theoretical framework or learning theory which underlies the proposal for this clinical practice experience is the constructivist learning theory. Fernando & Marikar (2017), assert that by employing the constructivist learning theory, learners actively and assiduously obtain a new more profound working body of knowledge, by utilizing previously learned ideas and concepts to build upon and construct new ideas. With the utilization of the constructivist learning theory, nurse educators assist learners in drawing critical connections between previously learned theoretical frameworks and build toward a deeper awareness of all material. For example, sepsis care is typically covered in medical-surgical nursing, and learners will have to recollect all previously learned nursing theories, assessments, and interventions in order to excel in the Care of the Older Adult course. As such, learners are expected to analyze and synthesize new information and make critical connections with previously learned information, in order to create new a deeper understanding of sepsis care in their transitioning role to a baccalaureate prepared nurse.
As previously discussed, the purpose of the proposal for this clinical practice experience is to fulfill the curriculum gap within the Care of the Older Adult course to incorporate the Care of the Elderly Septic Patient module. The rationale behind the curriculum change is to ensure the 3 CARE OF THE ELDERLY SEPTIC PATIENT
RN-to-BSN program has sufficiently prepared nurses to practice safely, effectively, and autonomously while providing care. The RN-to-BSN curricula should therefore be strategically developed to provide learners with an overall engaging, thought provoking, and meaningful learning experience that assists with superior knowledge, skill, and attitude acquisition required of the baccalaureate prepared nurse.
The curriculum proposal is discussed as follows: a review of peer-reviewed literature, discussion of the curriculum gap, application of the ADDIE Model, proposal analysis phase, proposal design phase, and proposal development phase.
Literature Review
Refer to Table 1. Literature Review Summary Table.
Curriculum Gap and Potential Causes
As previously discussed, a review of the syllabi and a need gap analysis was performed, and it was noted in NUR421 Nursing Care of the Older Adult, that the curriculum did not include
a module on Care of the Elderly Septic Patient. Although sepsis is a widely covered concept in traditional undergraduate BSN studies, sepsis care is a prevalent malady affecting the elderly population and should be reviewed to encourage learners to translate theory to practice at the baccalaureate level. Potential causes of the curriculum gap or need within the Nursing Care of the Older Adult
course stem from the overall infrastructure of Governor’s University. In reviewing Governor’s University, the process for all curriculum changes begin at the faculty level. However, it was noted that developing and obtaining approval of curriculum changes can be quite cumbersome due to the fact that the RN-to-BSN faculty are often variable, non-tenured instructor positions, in
addition to the declining admissions and pass rates, and may be detrimental to the viability of the4
