Or. Admin. Code § 851-021-0050 - Standards for Approval: Curriculum
(1) The mission, goals, and expected program
outcomes must be consistent with relevant professional nursing standards and
guidelines for the preparation of nursing professionals.
(2) Curriculum must:
(a) Prepare the student to achieve the
nursing competencies necessary at the level of licensure for safe practice
based on current standards of care.
(b) Reflect the identified mission, goals,
and learning outcomes of the nursing education program.
(c) Be consistent with the law governing the
practice of nursing.
(d) Identify
learning outcomes at the course and program level that show alignment and
progression throughout the program.
(e) Include courses and learning activities
that support student achievement of identified outcomes.
(f) Include nursing practice experiences
organized in such a manner to have sufficient proximity in time to allow the
student to form necessary links of theoretical knowledge, clinical reasoning,
and demonstrate competent nursing practice.
(g) Define the requirements of the
educational institution for graduation.
(h) Identify the total units required for
graduation.
(3) Nursing
practice experience includes the clinical component of the nursing curriculum
and must:
(a) Occur in a variety of
settings.
(b) Include sufficient
direct care and final clinical practicum hours to meet course and program
outcomes and, at minimum, provide 51% of these hours across the nursing
education program except as provided in OAR
851-021-0050
(4)(l).
(c) Integrate a combination of four
modalities to refine competencies at the appropriate program level. The
clinical component of the nursing curriculum includes the modalities of direct
care, simulation, and final clinical practicum
(A) Skills laboratory (if
applicable).
(B) Direct
Care.
(C) Simulation (if
applicable).
(D) Final Clinical
Practicum.
(d) Integrate
patient safety principles.
(e)
Include the implementation of evidence-based practices.
(f) Focus on the provision of
patient-centered, culturally competent care that recognizes the patient or
designee is the source of control and full partner in providing coordinated
care by:
(A) Respecting patient differences,
values, preferences and expressed needs;
(B) Involving patients or designees in
decision-making and care management; and,
(C) Explaining interventions to patients that
promote health.
(g)
Include collaboration with inter-professional teams to foster open
communication, mutual respect, and shared decision-making supportive of quality
patient care.
(4)
Programs may use simulation as a component of nursing practice experience. The
nursing program must:
(a) Ensure simulation
learning has adequate fiscal, human, technologic, and physical space resources
to support the learning environment.
(b) Provide evidence to the Board that
national simulation standards have been met.
(c) Designate a nursing faculty member as
simulation coordinator who is academically and experientially qualified. This
individual must demonstrate continued expertise and competence in the use of
simulation while managing the program.
(d) Define the roles of simulation
coordinator and simulation faculty members.
(e) Have a written plan for orienting faculty
to simulation.
(f) Ensure faculty
involved in simulations have initial training in the use of simulation. Initial
simulation training must include:
(A)
Introduction to simulation-based learning experiences;
(B) Foundations of scenario design and
curriculum integration;
(C)
Introduction to pre-brief and debrief;
(D) Debriefing for clinical judgement;
and,
(E) Introduction to assessment
and evaluation of simulation-based education.
(g) Ensure faculty involved in simulations
have annual training in on-going professional development in the use of
simulation.
(h) Have written
policies and procedures on the following:
(A)
Short-term and long-term plans for integrating simulation into the curriculum;
and,
(B) Method of debriefing each
simulated activity.
(i)
Establish a budget that will sustain the simulation activities and training of
the simulation faculty.
(j) Develop
criteria to evaluate the relationship of simulation-based experiences to course
outcomes and development of required competencies.
(k) Develop criteria to allow students to
evaluate the simulation experience on an ongoing basis.
(l) Not to exceed 49% of simulated clinical
component hours across the nursing program. An exception to exceed 49% must
include rationale for the request and be approved by the Board representative
prior to implementation.
(m)
Include information about the programs use of simulation in its annual report
to the Board.
(5)
Practical Nurse Programs:
(a) Practical nurse
program curricula must meet all educational institution requirements for and
culminate in the award of a certificate or diploma.
(b) Consistent with OAR 851-0045-0050, the
program curriculum must focus on the role of the practical nurse in a
supervised practice that occurs at the direction and under the supervision of
the registered nurse or licensed independent practitioner with the authority to
make changes to the plan of care.
(c) In practical nursing programs, the course
content must have:
(A) A minimum of six clock
hours of learning activities related to pain management and,
(B) A minimum of two hours of cultural
competency curriculum.
(d) The Practical Nurse program must provide
theory and nursing practice experience that promote achievement of outcomes
within the practical nurse scope of practice, including those related to:
(A) Creating and maintaining a safe
environment of care;
(B)
Demonstrating professional, legal, and ethical behavior in nursing
practice;
(C) Collecting data and
performing focused nursing assessments of the health status of an
individual;
(D) Participating in
the planning of the nursing care needs of an individual;
(E) Participating in the development and
modification of the nursing care plan;
(F) Providing safe, evidence-based,
clinically competent, culturally sensitive, and patient-centered care for the
promotion, restoration and maintenance of wellness in a variety of care
settings or, for palliation across the life span;
(G) Functioning as a member of the
interdisciplinary healthcare team;
(H) Using technology to facilitate
communication, manage information, and document care;
(I) Providing cost-effective nursing care and
participating in quality improvement strategies;
(J) Participating in health teaching and
counseling to promote, attain, and maintain the optimum health level of an
individual;
(K) Assisting in the
evaluation of a patient's response to nursing interventions and the
identification of that patient's needs;
(L) Assigning and providing oversight to
assistive personnel and other licensed practical nurses; and,
(M) Awareness of community-based care
concepts found in OAR 851-047.
(6) Registered Nurse Program:
(a) Registered nurse curricula must meet all
institutional requirements for and culminate in the award of an associate,
baccalaureate, or masters.
(b) In
registered nurse programs, the course content must have:
(A) A minimum of six clock hours of learning
activities related to pain management and,
(B) A minimum of two hours of cultural
competency curriculum.
(c) The Registered Nurse program must provide
theory and nursing practice experience that promote achievement of outcomes
within the registered nurse scope of practice, including those related to:
(A) Creating and maintaining safe and
effective environment of nursing care;
(B) Demonstrating professional, legal and
ethical behavior in nursing practice;
(C) Using problem-solving skills, reflection,
and clinical judgment in nursing practice to assess the health status of
individuals and groups of individuals and to identify health care problems that
are amenable to nursing intervention;
(D) Prescribing nursing interventions and
assessing responses to those interventions in order to direct, manage,
delegate, and supervise nursing care for individuals, families, or
groups;
(E) Establishing outcomes
to meet identified health care needs and providing safe, clinically competent,
culturally sensitive, patient-centered and evidence-based care to promote,
restore and maintain wellness in a variety of care settings or, for palliation
across the life span;
(F) Providing
culturally sensitive and evidence-based teaching, counseling, and advocacy for
individuals, families and groups;
(G) Participating within and providing
leadership for an interdisciplinary team;
(H) Assigning and supervising other members
of the healthcare team;
(I)
Applying leadership skills to identify the need for and to promote
change;
(J) Using communication and
information technology effectively and appropriately to collaborate with other
health professionals in the management of health care;
(K) Applying and integrating principles of
community health and community-based care into practice;
(L) Integrating concepts of resource
utilization, quality improvement and systems to enhance care
delivery;
(M) Delegating nursing
interventions that may be performed by others per the OSBN-defined concept of
Delegation in community-based care per OAR 851-047; and,
(N) Baccalaureate and entry level masters
programs must also include outcomes related to:
(i) Applying epidemiological, social, and
environmental data and principles to identify and implement health promotion
goals and strategies for communities and populations;
(ii) Leading and effecting change through
participation in teams and beginning application of management
knowledge;
(iii) Identifying and
implementing measures to improve access to healthcare for individuals and
underserved groups;
(iv) Using the
principles and practice of research to validate and improve nursing care for
individuals, families, and groups; and,
(v) Using teaching-learning principles
develop outcomes and provide formative and summative feedback to
others.
(7) Proposed demonstration project that
significantly alters the approved curriculum, model of nursing practice
experience, or faculty-to-student ratio requires a letter of intent be
submitted to the Board six months prior to the planned implementation. The
letter of intent must include the following information:
(a) Description of the proposed project,
including purpose.
(b) Description
of mechanisms and procedures for student safety and learning
effectiveness.
(c) Plan for
evaluation of the project and reporting findings back to the Board.
(d) Tentative time schedule for planning,
initiating, and evaluating the program.
Notes
Statutory/Other Authority: ORS 678.150, ORS 678.340 & ORS 678.360
Statutes/Other Implemented: ORS 678.150 & ORS 678.360
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