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WINONA STATE UNIVERSITY Adjunct Clinical Instructor Manual Department of Nursing Phone: 507.457.5120 Fax: 507.457.5550 EMail: [email protected] Web: http://www.winona.edu/nursingandhs/nursing.asp

WINONASTATEUNIVERSITY& Adjunct(Clinical(Instructor Manual · Inordertohelpprepareyoubetter &fortheroleofclinical&instructor,wehavepreparedthis manual,alongwithanorientationsessionforyoutoattend

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Page 1: WINONASTATEUNIVERSITY& Adjunct(Clinical(Instructor Manual · Inordertohelpprepareyoubetter &fortheroleofclinical&instructor,wehavepreparedthis manual,alongwithanorientationsessionforyoutoattend

W I N O N A   S T A T E   U N I V E R S I T Y  

Adjunct  Clinical  Instructor  Manual  

               

Department  of  Nursing  Phone:  507.457.5120      Fax:  507.457.5550  

E-­‐Mail:    [email protected]          Web:  http://www.winona.edu/nursingandhs/nursing.asp    

 

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Table  of  Contents  

I. WSU  Department  of  Nursing  Mission  &  Philosophy       p.  3  

II. Course  Introductions  &  Course  Coordinator  Contact  Information   p.  6  

III. Department  of  Nursing  Contact  Information         p.  8  

IV. Policies  Pertaining  to  Adjunct  Clinical  Faculty         p.  10  

V. Responsibilities  of  Adjunct  Clinical  Faculty         p.  13  

VI. Supervision  of  Students  during  Clinical  Experiences       p.  16  

VII. Teaching-­‐  Learning  Principles  in  the  Clinical  Setting       p.  18  

VIII. Teaching  strategies  for  the  clinical  experience       p.  19  

IX. Role  modeling  in  the  clinical  setting           p.  20  

X. Evaluating  the  clinical  performance               p.  21  

XI. Adjunct  Faculty  Orientation  Checklist           p.  23  

XII. Certificate  of  Completion  (To  be  returned  to  AC)       p.  24  

XIII. Appendices  a. Appendix  A:  Performance  Improvement  Plan       p.  25  

b. Appendix  B:  Example  Clinical  Assignment  Sheet       p.  27  

c. Appendix  C:  Medication  Administration  Safety  Checks     p.  28  

d. Appendix  D:  Scholarly  Paper  Writing  Guidelines       p.  29  

e. Appendix  E:  APA  Examples  &  Reminders         p.  32  

f. Appendix  F:  Student  Evaluation  of  Clinical  Instructor     p.  34  

g. Appendix  G:  Clinical  Faculty  Orientation  D2L  Modules     p.  35  

h. Appendix  H:  Guidelines  for  Student  Nurses       p.  37  

XIV. References                 p.  38  

 

 

 

Welcome  to  the  WSU  Department  of  Nursing  

Welcome  to  the  intellectually  stimulating,  exciting,  caring  world  of  nursing  education,  where  you  have  the  opportunity  to  make  a  difference  in  students'  lives!  This  manual  was  developed  in  order  to  provide  easy  access  to  informative  materials  that  will  be  helpful  for  orientation  and  future  reference.  We  are  excited  to  have  you  join  the  ranks  of  WSU  nursing  faculty  who  are  improving  our  world  by  providing  expert  nursing  care  and  education!    

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In  order  to  help  prepare  you  better  for  the  role  of  clinical  instructor,  we  have  prepared  this  manual,  along  with  an  orientation  session  for  you  to  attend  prior  to  your  first  clinical  day  with  students.  The  orientation  session  provides  specific  information  about  WSU,  the  nursing  department,  faculty  &  student  policies  with  which  you  need  to  be  familiar,  as  well  as  essential  information  for  the  nurse  who  is  now  adding  the  role  of  nurse  educator.  

Please  understand  that  the  role  of  the  Adjunct  Faculty  Coordinator  has  been  created  to  facilitate  your  success  in  educating  nursing  students.  And  please  utilize  this  coordinator  as  needed.  Feel  free  to  provide  feedback  on  measures  that  the  department  of  nursing  can  take  to  further  assist  in  your  success,  as  we  are  always  looking  to  improve  the  experience  of  our  adjunct  faculty.  

MISSION    

Grounded  in  an  environment  of  scholarship,  the  mission  of  the  WSU  Department  of  Nursing  is  to  educate  knowledgeable  Caring,  Ethical,  Creative,  and  Accountable  nurse  leaders  who  provide  person-­‐  and  relationship-­‐centered  care  for  individuals,  families,  groups,  communities  and  populations  in  a  diverse  society.  This  mission  is  based  on  the  beliefs  that:    

1. A  caring,  diverse,  and  respectful  community  provides  the  best  environment  for  students  to  learn  how  to  care  for  themselves  and  others;    

2. Optimal  learning  to  care  for  self  and  others  occurs  in  a  caring,  diverse  and  respectful  community;    

3. Faculty  and  students  are  accountable  for  maintaining  and  modeling  professional  standards  of  moral,  ethical,  and  legal  conduct;    

4. Recognizing  and  valuing  human  diversity  is  essential  to  person-­‐  and  relationship-­‐  centered  care;    

5. Individuals  have  different  ways  of  knowing  and  learning  about  the  world;    6. Creativity  and  innovation  contribute  to  continuous  quality  improvement  and  sustainability;    7. An  enriched  learning  environment  is  the  responsibility  of  faculty,  staff,  and  students;    8. Effective  nurse  leaders  engage  in  continuous  professional  development  and  lifelong  learning;    

PHILOSOPHY    

The  undergraduate  and  graduate  curricula  are  based  on  a  shared  philosophy  that  views  the  professional  nurse  as  an  individual  with  a  minimum  of  a  baccalaureate  degree  in  nursing  who  may  also  possess  a  master’s  degree  or  a  doctorate.    

 

The  philosophy  of  the  Department  of  Nursing  states  that  the  professional  nurse  provides  care  that  is:    

1. Person-­‐Centered.  Person-­‐centered  care  is  an  approach  in  which  individuals  are  viewed  as  whole  persons.  It  involves  advocacy,  empowerment,  and  respecting  the  person’s  autonomy,  voice,  self-­‐determination,  and  participation  in  decision-­‐making.  Persons  are  defined  as  the  participants  in  nursing  care  or  services.  They  may  be  individuals,  families,  groups,  communities,  aggregates,  organizations,  systems,  and  populations.  Persons  may  seek  or  receive  nursing  interventions  related  to  health  promotion,  health  maintenance,  disease  prevention,  illness  management,  and  end-­‐of-­‐life  care.  Depending  on  the  context  or  setting,  persons  may  be  referred  to  as  patients,  clients,  residents,  consumers,  customers  and/or  organizations  of  nursing  care  or  services.    

2. Relationship-­‐Centered.  Relationship-­‐centered  care  values  and  attends  to  the  relationships  that  form  the  context  of  compassionate  care,  including  those  among  and  between:    

a. Practitioners  and  recipients  of  care    b. Individuals  as  they  care  for  themselves  and  others    c. Practitioners  and  communities  in  which  they  practice    

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d. Healthcare  practitioners  across  various  professions    e. Administrators  and  managers  as  they  set  the  environment  and  resources  for  care    

3. Evidence-­‐Based.  Evidence  includes  research  findings  and  their  interpretation,  practitioner  and  consumer  expertise  and  preferences.  The  nurse  draws  upon  these  types  of  evidence  to  inform  critical  thinking  and  decision-­‐making.    

4. Respectful.  Respectful  care  is  based  upon  mutual  relationships  that  embrace  diversity,  and  promote  dignity  and  choice.  Diversity  includes  the  range  of  human  variation  that  professional  nurses  encounter.  Age,  race,  gender,  disability,  ethnicity,  nationality,  religious  and  spiritual  beliefs,  sexual  orientation,  political  beliefs,  economic  status,  native  language,  and  geographical  background  are  included.    

The  professional  nurse  achieves  the  following  educational  outcomes  in  relation  to  seven  key  characteristics:    

1. Critical  Thinker:  Integrates  questioning,  analysis,  synthesis,  interpretation,  inference,  inductive  and  deductive  reasoning,  intuition,  application  and  creativity  to  aid  in  clinical  reasoning  and  to  make  appropriate  clinical  judgments.    

2. Culturally  Sensitive  Practitioner:  Demonstrates  knowledge,  understanding,  and  skill  in  providing  culturally  sensitive  care  to  diverse  individuals,  families,  and  populations.    

3. Effective  Communicator:  Demonstrates  effective  professional  communication  with  persons,  members  of  their  support  system,  and  interdisciplinary  team  members  to  build  relationships  that  promote  person-­‐  and  relationship-­‐centered  care  and  improve  outcomes.    

4. Excellent  Provider  of  Care:  Provides  safe,  compassionate,  person-­‐centered,  relationship-­‐centered,  evidenced-­‐based,  and  respectful  care  to  individuals,  families,  and  populations  across  the  lifespan  and  continuum  of  care.    

5. Ethical  Decision  Maker:  Demonstrates  moral,  ethical  and  legal  conduct  in  practice.            6. Facilitator  of  Learning:  Implements  teaching  and  learning  strategies  to  ensure  the  development  of  

attitudes,  knowledge  and  skills  to  maximize  health  outcomes.  Promotes  lifelong  learning  for  self  and  others.    

7. Organizational  and  Systems  Leader:  Applies  leadership  skills  to  manage  environmental  and  system  resources,  within  and  across  health  care  systems,  to  provide  evidence-­‐based  nursing  care  that  contributes  to  safe,  high  quality,  patient  outcomes  and  improvements  in  healthcare  delivery.    

 

These  outcomes  are  contained  in  each  specific  Course  Outline.    These  outlines  are  available  on  D2L  course  site.    

 

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Clinical  Courses  Utilizing  Adjunct  Faculty:  (Please  log  into  D2L  for  further  information  for  each  course)  

 NURS  341  Therapeutic  Applications  of  Nursing  Skills  &  Health  Assessment  [Term  1  students]            Credit  Hours:    4  SH—2  SH  theory,  2  SH  practicum            Course  Description:  Develops  the  skills  and  assessments  necessary  for  nursing  care  of  individuals  and  families  in  professional  nursing  practice.      NURS  343  Professional  Practice  I  [Term  1  students]                  Credit  Hours:    5  SH-­‐-­‐3  SH  theory,  2  SH  practicum                  Course  Description:    Provides  an  introduction  to  the  profession  of  nursing  in  the  context  of  foundational  concepts  important  to  medical-­‐surgical  nursing.  Focus  is  on  developing  knowledge,  beginning  clinical  judgment  skills,  beginning  communication  skills,  and  the  application  of  therapeutic  interventions  for  diverse  adult  patients  and  their  families  in  acute  care  settings.      NURS  352  Caring  for  the  Older  Adult  [Term  2  students]                Credit  Hours:  3  SH—2  SH  theory,  1  SH  practicum                Course  Description:  Examines  the  complexity  of  elder  care,  including  factors  contributing  to  longevity  and  health  in  old  age  as  well  as  genetic  predisposition,  lifestyle,  culture,  and  environment.      NURS  353  Professional  Practice  II  [Term  2  students]                  Credit  Hours:  6  SH-­‐-­‐3  SH  theory,  3  SH  practicum                  Course  Description:    Focus  will  be  on  continued  development  of  content  knowledge,  critical  thinking,  clinical  reasoning,  and  clinical  judgment  skills.  Emphasis  will  be  on  effective  communication  skills  and  application  of  therapeutic  interventions  that  address  the  needs  of  a  diverse  adult  patient  population  in  acute  care  settings.  

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 NURS  443  Professional  Practice  III  [Term  3  students]                  Credit  Hours:  5  SH  Practicum                    Course  Description:  This  clinical  course  focuses  on  providing  nursing  care  to  individuals,  families,  and  populations  in  a  variety  of  settings,  to  include  but  not  limited  to  schools,  hospitals,  clinics,  simulations,  and  the  community.    It  emphasizes  evidence-­‐based  practices,  clinical  prevention  and  population  health  of  families  and  populations  and  the  management  of  acute  and  chronic  conditions  within  these  populations.    NURS  453  Professional  Practice  IV  [Term  4  students]                  Credit  Hours:  5  SH  practicum                  Course  Description:  This  clinical  course  focuses  on  leadership  and  the  development  and  provision  of  nursing  care  to  individuals,  families,  and  populations  in  a  variety  of  settings.    The  course  emphasizes  evidence-­‐based  practice,  clinical  prevention,  and  population  health.    NURS  454  Leadership  in  Professional  Practice  [Term  4  students]                Credit  Hours:  4  SH—1  SH  theory,  3  SH  practicum                Course  Description:  Synthesis  course  encapsulating  the  essence  of  the  baccalaureate  nursing  role.  Student  consolidate  their  understanding  of  evidence-­‐based,  quality  and  safe  nursing  care.  They  will  collaborate  within  clinical  settings  to  improve  systems  and  patient  outcomes.   Contact information for Course Coordinators:

   

Winona  Campus    

Rochester  Campus  

 

Professional  Practice  I  

Maureen  Gerson  [email protected]  

507.  457.5131  Stark  341  

 

Terese  Hemmingsen  [email protected]  

507.285.7342  HS  110  

 

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Professional  Practice  II  

Cyndy  Jones  [email protected]    

507.457.5132  Stark  331  

Terese  Hemmingsen  [email protected]  

507.285.7342  HS  110  

 

 

Professional  Practice  III  

Linda  Heath  [email protected]    

507.457.5123  Stark  319  

Annette  Caflisch  [email protected]  

507.285.7154  HS  112  

 

 

Professional  Practice  IV  

Cindy  Bork  [email protected]    

507.457.2470  Stark  327  

Annette  Caflisch  [email protected]  

507.285.7154  HS  112  

 

Contact information for Nursing Department: Faculty   Title   Office   WSU  Phone               Email    Bill    

McBreen  Dean   Stark  

301A  (507)  

457-­‐5122    

[email protected]    

Martha  Scheckel  

 

Department  Chairperson  

Stark  303G  

(507)    457.5127  

[email protected]  

Brenda    Canar  

Administrative  Assistant  to  the  

Dean  

Stark  301  

(507)  457-­‐5122  

 

[email protected]    

Melissa  Neitzel  

Administrative  Assistant-­‐  Winona  

Stark  303  

(507)  457-­‐5120  

Fax:  (507)  457-­‐5550  

[email protected]    

Christina  Pruka  

Administrative  Assistant-­‐  Rochester  

 HS  107  

(507)    285-­‐7349  

Fax:  (507)  285-­‐7138  

[email protected]  

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Sue    Sullivan  

Program  Coordinator  (Rochester)  

 HS  111  

(507)  529-­‐6120  

[email protected]    

Annette  Caflisch  

Clinical  Placement  Coordinator  (Rochester)  

 HS  112  

(507)    285-­‐7154  

 [email protected]    

Amber  Fiedler-­‐Infante  

Adjunct  Faculty  Coordinator  (Rochester)  

 HS  023  

(507)  535-­‐3990  

 [email protected]  

Linda    Heath  

Program  Coordinator  (Winona)  

 Stark  319  

(507)  457-­‐5123  

 [email protected]  

Melanie  Johnson  

Clinical  Placement  Coordinator  (Winona)  

 Stark  317  

(507)  457-­‐5275  

[email protected]    

Cyndy    Jones  

Adjunct  Faculty  Coordinator  (Winona)  

 

 Stark  331  

(507)    457-­‐5132  C:  (507)    450-­‐1904  

[email protected]    

 WSU  Winona:       Mailing:  P.O.  Box  5838              Winona,  MN  55987     Nursing:  303  Stark  Hall              Phone:  (507)  457-­‐5120              Fax:  (507)  457-­‐5550              http://www.winona.edu/nursingandhs/nursing.asp                  Nursing  Department  Hours:  8  a.m.-­‐4  p.m.      WSU  Rochester  Center:    

Nursing:  Health  Sciences  107          859  30th  Ave.  SE            Rochester,  MN  55904          Phone:  507.285.7100          Fax:  (507)  285.7138          http://www.winona.edu/rochester/rochesternursing.asp    

 Accreditation  

The  Commission  on  Collegiate  Nursing  Education  (CCNE)  has  accredited  the  Winona  State  University  Baccalaureate  Degree  Program  in  nursing  through  June  2023.    The  undergraduate  nursing  program  maintains  ongoing  approval  from  the  Minnesota  Board  of  Nursing.    Graduates  are  eligible  to  write  the  professional  nurse  licensure  examination  (NCLEX)  and  to  apply  for  Public  Health  Nursing  Certification.    A  student  may  be  eligible  to  apply  for  school  nursing  certification  by  taking  specified  electives  required  by  the  State  Department  of  Education.    Graduates  are  capable  of  giving  professional  nursing  care  in  first-­‐level  nursing  positions  and  have  a  base  for  graduate  study.      

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 Policies  

1. WSU  Email-­‐  all  adjunct  faculty  members  will  be  issued  a  WSU  email  address.  During  your  contractual  period,  it  is  expected  that  you  will  utilize  and  check  your  WSU  email  for  correspondence  with  students,  other  faculty,  and  course  coordinators.    This  will  be  the  standard  method  of  communication.  

2. Faculty  Dress  code-­‐  adjunct  faculty  participating  in  clinical  experiences  may  wear  purple  scrubs.  You  may  choose  to  wear  purple  top/purple  bottoms/both  purple  tops  &  bottoms.  Faculty  can  also  choose  to  wear  a  white  top  with  lab  coat.  Your  attire  should  distinguish  you  from  the  student  uniform.  Please  also  wear  your  WSU  photo  name  badge  for  ALL  clinical  experiences.    You  may  utilize  any  other  equipment  that  you  deem  necessary  to  fulfill  your  clinical  instructor  duties.    

3. Faculty  Illness-­‐  will  result  in  cancellation  of  clinical  experience.    Faculty  will  be  responsible  to  notify  students  and  clinical  unit  of  cancellation.    The  faculty  member  should  then  contact  both  the  Adjunct  Coordinator  as  well  as  the  Course  Coordinator.    One  extra  week  has  been  allotted  each  semester  for  a  make-­‐up  clinical  experience.    Such  a  change  in  schedule  will  be  communicated  as  early  as  possible  to  the  group  of  students.    

4. Student  Illness-­‐  Students  will  contact  clinical  instructor  (faculty  preference  of  call/text/email)  and  assigned  clinical  unit  regarding  absences,  with  reason  provided,  no  less  than  4  hours  prior  to  the  start  of  the  clinical  experience.  See  below  for  more  details  (taken  from  Undergraduate  Nursing  Student  Handbook)  

5. Inclement  Weather-­‐  In  the  event  of  impassable  weather  conditions,  the  clinical  faculty  has  the  discretion  to  cancel  the  clinical  experience  or  make  arrangements  for  early  release  during  the  shift.    The  clinical  instructor  will  bear  in  mind  the  safety  of  the  students,  especially  when  the  clinical  site  is  outside  of  the  Winona  area.    The  clinical  faculty  will  be  responsible  to  notify  the  clinical  unit  of  the  cancellation.    If  a  clinical  experience  is  cancelled  due  to  inclement  weather,  the  clinical  faculty  will  notify  the  Adjunct  Coordinator,  as  well  as  the  Course  Coordinator.    One  extra  week  has  been  allotted  each  semester  for  a  make-­‐up  clinical  experience.    Such  a  change  in  schedule  will  be  communicated  as  early  as  possible  to  the  group  of  students.  

6. Academic  Integrity-­‐  required  throughout  the  university  and  the  nursing  program.    Lack  of  integrity  and  dishonesty  are  violations  that  have  very  severe  consequences,  such  as  dismissal  from  the  nursing  program.    

7. Academic  Standards  &  Progression-­‐  grade  of  “C”  or  above  must  be  achieved  in  each  required  nursing  course.    Grades  less  than  “C”  constitute  a  failure  in  the  course.    Students  will  

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be  required  to  repeat  a  course  and  adhere  to  any  other  remediation  measures.    Two  failures  in  two  different  semesters  will  result  in  dismissal  from  the  nursing  program.    Students  must  adhere  to  the  university  standards  for  retention  and  scholarship  as  stated  in  the  current  undergraduate  catalog.  

8. Clinical  experiences  in  all  of  the  Professional  Practice  courses  are  Pass  or  Fail.    There  is  not  a  letter  grade  assigned.    The  clinical  faculty  determines  whether  each  student  in  their  group  passes/fails  based  on  the  Clinical  Performance  Rubric.    If  a  student  is  not  progressing  adequately,  it  is  expected  that  the  clinical  instructor  will  contact  both  the  Adjunct  Coordinator  and  the  Course  Coordinator  in  order  provide  resources  to  facilitate  student  success.    If  a  student  is  performing  in  an  unsafe  manner  during  a  clinical  experience,  this  could  be  grounds  for  a  failure  and  the  need  to  repeat  the  experience;  Adjunct  and  Course  coordinators  are  available  to  assist  with  this  type  of  decision.    

9. Students  must  maintain  a  level  of  health  in  which  they  are  able  to  participate  in  clinical  experiences  and  provide  direct  patient  care.    If  there  is  a  situation  where  it  is  questionable  as  to  whether  the  student  should  be  on  the  clinical  unit,  please  contact  the  Adjunct  Coordinator  and/or  the  Course  Coordinator.    The  student  is  expected  to  seek  appropriate  professional  assistance  as  needed.    Verification  from  an  appropriate  health  care  provider  of  adequate  health  to  function  adequately  and  safely  may  be  required.  

10. Undergraduate  Nursing  Student  Handbook  [Provided  to  &  signed  by  ALL  nursing  students]  “Requirements  for  Participation  in  Clinical  Courses”  (taken  from  Handbook):    

a . Health  Policies-­‐  Students  must  meet  the  following  health  policies  required  by  Winona  State  University  and  the  Joint  Commission  before  participating  in  any  clinical  course:  evidence  of  freedom  from  tuberculosis-­‐submit  yearly;  evidence  of  rubella  immunity;  documentation  that  immunizations  (Measles  Mumps  Rubella  (MMR),  Tetanus/Diphtheria  or  Tetanus/Diphtheria/Pertussis,  Polio,  and  Hepatitis  B)  are  current.  Annual  documentation  of  influenza  vaccine  or  submission  of  waiver  form;  evidence  of  chickenpox  or  record  of  immunization;  documentation  of  personal  health  insurance;  submission  of  Functional  Abilities  Statement  completed  by  your  health  care  provider.    Questions  related  to  health  policies  should  be  referred  to  the  nursing  department  chairperson.  

b. Professional  Liability  Insurance-­‐  Students  will  be  billed  by  Winona  State  University  during  each  semester  for  professional  liability  insurance  coverage.  Therefore,  no  proof  of  insurance  will  be  required  from  students  at  this  time.    

c. Cardio  Pulmonary  Resuscitation  (CPR)-­‐  Students  must  maintain  continuous  current  certification  in  one  and  two  person  CPR  for  infants,  children,  and  adults  throughout  their  progression  in  the  nursing  program.  This  certification  is  valid  until  expiration  date  on  the  card.  Proof  of  certification  must  be  submitted  to  the  Nursing  Department  prior  to  starting  clinicals.  A  lapse  in  coverage  or  failure  to  have  current  certification  may  result  in  dismissal  from  that  clinical  course.      

d. Attire  for  Client  Interaction-­‐  Professional  apparel  is  neat,  modest,  well  fitting  and  must  conform  to  agency  dress  code.  Students  are  to  be  dressed  in  a  professional  manner  at  clinical  sites  and  during  client  interactions.  Examples  of  non-­‐professional  attire  include  clothing  that  is  too  casual  (such  as  jeans,  shorts,  sweat  shirts)  or  too  trendy  (such  as  excessive  jewelry  or  logo  shirts),  or  too  revealing  (no  belly,  buttocks  or  cleavage).  If  a  student's  appearance  is  deemed  to  be  unprofessional,  the  student  may  be  asked  to  leave  the  clinical  area.  Additionally,  tattoos  are  to  be  covered.    

e. Hospital  Dress  Code  i. Uniforms  are  required  and  consist  of  white  pants  and  a  purple  top.  Students  may  purchase  

whatever  style  of  white  pants  they  choose  as  long  as  it  follows  the  guidelines  for  ‘attire  for  client  interaction’  outlined  above.  The  top  should  be  a  deep  purple  (e.g.  grape,  plum,  NOT  violet,  lavender  or  wisteria).  At  the  beginning  of  each  semester,  the  Nursing  Club  provides  an  opportunity  to  purchase  uniforms  on  the  Winona  campus  in  the  Nursing  Department.  If  there  are  questions  regarding  uniforms,  please  contact  a  faculty  member.  Some  clinical  

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areas  may  require  a  colored  top/smock.  WSU  photo  name  badge,  plain  white  socks,  and  white  shoes  are  to  be  worn  with  the  uniform.  White  athletic  shoes  without  insignias  or  markings  are  allowed.    

ii. Either  a  lab  coat  over  street  clothes  or  the  student  uniform  must  be  worn  when  preparing  for  assignments  in  the  hospitals.    

iii. The  WSU  photo  name  badge  must  be  worn  at  all  times  during  patient/client  interaction  or  when  at  an  agency  as  a  WSU  Nursing  Student.    

iv. Acceptable  jewelry  includes  engagement  and/or  wedding  rings.  For  pierced  ears,  one  pair  of  small,  non-­‐dangling  earrings  is  acceptable.  No  necklaces,  bracelets  or  other  rings.  Visible  piercings  to  other  body  parts  should  be  avoided  and  jewelry  must  be  removed.    

v. Hair  longer  than  shoulder  length  must  be  secured  with  a  plain  fastener.  Beards  and  mustaches  should  be  neatly  trimmed.  Fashion  accessories  must  be  removed.    

vi. Nails  should  be  clean,  well  manicured,  and  short.  Acrylic  nails  and  nail  polish  are  generally  not  allowed  in  most  agencies.  

vii. Minimize  use  of  makeup,  perfume  and  aftershave  lotion.  viii. In  the  clinical  agency,  students  must  have:  a  black  ballpoint  pen,  a  watch  with  a  second  

hand,  and  a  faculty-­‐  approved  stethoscope,  with  interchangeable  bells  and  diaphragms,  suitable  for  adults  and  infants.    Bandage  scissors  are  also  useful  and  recommended.    

ix. Preparations  for  Clinical  Experiences-­‐  Students  are  to  be  prepared  for  clinical  experiences.  Students  who  are  unprepared  may  be  told  by  the  instructor  to  leave  the  clinical  setting.  

f. Absence  from  Clinical  Experience-­‐  Attendance  at  assigned  clinical  experiences  is  mandatory.  Prior  arrangements  should  be  made  with  the  instructor  if  a  clinical  experience  must  be  missed.  Clinical  make-­‐ups  are  scheduled  at  the  discretion  of  the  clinical  faculty  and  agency  schedule.  In  the  event  of  illness  or  emergency,  the  student  must  personally  notify  the  instructor  and  clinical  site  prior  to  the  assigned  clinical  time  (preferably  4  hours  prior  to  start  time).    If  illness  or  emergency  results  in  a  prolonged  absence,  the  student  must  also  notify  their  nursing  faculty  advisor  &  course  coordinator.  If  considerable  time  is  lost  in  any  clinical  course,  clinical  faculty  and  the  course  coordinator  will  review  the  student’s  record.  They  will  determine  if  the  student  has  had  the  essential  learning  experiences,  if  course  outcomes  have  been  met,  and  if  a  plan  devised  to  make  up  deficiencies.  

g. Transportation-­‐  Students  are  responsible  for  arranging  and  financing  their  own  transportation  and  parking  for  site-­‐based  experiences  in  the  nursing  major.  Since  site-­‐based  experiences  occur  at  various  times  in  hospitals,  community  health  and  client's  homes,  each  student  must  plan  for  individual  transportation  to  site-­‐based  experiences.  

h. Computer  Training-­‐  Students  will  complete  each  agency’s  required  computer  competencies  prior  to  clinical  rotation  and  client  interaction.  

i. Student’s  Rights-­‐  The  student  has  rights,  which  must  be  protected.    i. These  include,  but  are  not  limited  to:  fair  evaluations,  advisement  and  academic  

counseling,  assistance  in  identifying  and  meeting  learning  goals.    ii. Each  nursing  student  is  assigned  a  nursing  faculty  advisor.  The  student  is  expected  to  

utilize  his/her  advisor  as  a  resource  person.  The  student  is  free  to  request/select  a  different  advisor  in  the  event  that  he/she  does  not  wish  to  meet  with  the  assigned  advisor.  The  Department  of  Nursing  administrative  assistant  in  charge  of  advisee  assignments  will  assist  with  change  of  advisor  requests.    

1. WSU  Student  Grievance  Procedure:  The  purpose  of  this  procedure  is  to  provide  a  method  of  processing  a  student  grievance.  A  grievance  is  a  dispute  or  disagreement  between  a  student  and  an  employee  of  the  university.  Grievances  related  to  nursing  faculty  action  should  be  initiated  within  two  weeks  of  occurrence.”  

Responsibilities  of  Adjunct  Faculty:      I.  Complete  all  Nursing  hiring  requirements  including:    

•          Resume  on  file:  copy  must  be  sent  to  the  Administrative  Assistant  to  the  Dean  (Brenda  Canar).  

• MN  &/  WI  Nursing  license  number  for  electronic  license  verification  purposes  • Adjunct   Faculty   members   are   expected   to   maintain   health   requirements   and  

provide  documentation  of  these  requirements  at  the  start  of  each  semester  (e.g.  CPR  

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certification,   Mantoux   screening   annually,   Influenza   vaccination   annually,  background  study)—This  information  will  be  uploaded  electronically,  and  updating  will  be  the  responsibility  of  each  individual  faculty  member.  

•          WSU  Photo  Name  badge  to  be  worn  for  ALL  clinical  experiences  Adjunct  Coordinator  is  able  to  assist  with  obtaining  name  badge;  may  be  necessary  to  visit  a  WSU  campus  for  ID  picture    

• Familiarize  yourself  with  the  Nursing  Student  Handbook    Focus   particularly   on   clinically   oriented   sections;   be   familiar   with   grading   policies,  attendance  policies,  etc.  

 II.  Access  to  Clinical  Adjunct  Orientation  Course  on  D2L.  We  encourage  you  to  look  through  these  modules  initially  and  continue  to  use  them  as  a  resource  when  questions  arise:  

To  access  D2L:    1.  Go  to  WSU  Homepage    2.  Click  on  “Resources”  at  the  top  middle  section  of  the  page.  Go  to  “D2L”    4.  Enter  your  Username  &  Password  (same  as  your  WSU  Email)  5.  Click  on  Self-­‐Registration  and  find  “ClinicalAdjunctOrientation.”  6.  Click  on  the  Register  button  and  this  course  will  be  added  to  your  queue.  7.  On  home  screen  near  top  left  corner,  locate  “Select  a  Course”  and  click  on  it.  In  the  

dropdown  menu,  scroll  to  “ClinicalAdjunctOrientation.”  8.  Click  on  the  first  tab  “Materials.”  Then  choose  “Content.”  You  will  see  a  Table  of  

Contents  on  the  left  hand  side,  with  all  9  Modules  located  below.    No  need  to  print  certificates  at  this  time  

1.  Module  1  –  Clinical  Faculty  Role    2.  Module  2  –  Student  Role  Module  3.  Module  3  –  Skills  for  Clinical  Teaching  4.  Module  4  –  Teaching  Students  to  think  like  a  Nurse    5.  Module  5  –  Giving  Feedback    6.  Module  6  –  Principles  and  Methods  of  Evaluation  7.  Module  7  –  Crafting  the  Clinical  Experience  8.  Module  8  –  WSU  Nursing  Program  Resources  9.  Module  9  –  Department  Structure  (no  certificate  to  print)  10.  Course  Evaluation-­‐  we  appreciate  your  feedback  and/or  recommendations  

 ***Please  refer  to  Appendix  G  for  screen  shots  of  how  to  access  D2L  modules.        III.  Meet  with  Course  Coordinator  for:    

Course  Information  and  Teaching  Assignment  A.  Course  Syllabus,  Handouts,  Forms  &  Tools  • Course  Outline  (D2L,  see  below)  • Course  Schedule  (D2L,  see  below)  • Clinical  Assignment  and  list  of  students    B.  Textbooks    •  Provided  on  an  as  needed  basis  (Access  to  Pageburst  online  textbooks  available  from  Adjunct  Coordinator)  C.  Cooperating  Agencies    •  Facility  and  unit  assigned  to  •  Unit  specific  orientation-­‐  based  on  agency  requirements  •  Unit  Contacts  •  Unit  Policies  &  routines  

• Shadowing  for  4-­‐8  hours  may  be  required  if  you  are  new  to  a  clinical  unit,  depending  on  institution    D.  Student  Learning  and  Evaluation    • Care  Plans  • Assignments  

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• Grading  recommendations    

E.  Student  Clinical  Orientation    • Parking  • Computer  access  (username  &  password)  • EMR  orientation  • Medication  administration  procedure  (See  7  Safety  Checks  document-­‐  Appendix  D)    F.  D2L  Access  to  Course  Documents  and  Rubrics  • https://winona.ims.mnscu.edu/    • Theory  Class  should  be  listed  under  Fall  2015  heading.  Click  on  this  link  to  enter  the  course  page.  Navigate  through    

page  to  familiarize  yourself  with  the  content.  G.  Student  Evaluation    • Ongoing  communication  throughout  the  semester  with  Course  Coordinator/Adjunct  Coordinator,  r/t  deficiencies  in  student  

performance  or  need  for  remediation  • Completed  2x  per  semester:  Midterm  (informal)  &  upon  completion  (formal)  of  clinical  experiences  • Performance  Evaluations  are  to  be  submitted  to  the  Course  Coordinator  within  1  week  of  the  final  clinical  experience.  • Performance  Evaluation  rubric-­‐  found  under  Content  within  D2L  Course  Website  • Remediation  issues  (extra  lab  time,  simulation,  Performance  Improvement  Plan-­‐  Appendix  A)  H.  Faculty  Illness  or  absence  –  See  Policies.  If  more  than  one  occurrence,  please  alert  Adjunct  Coordinator/Course    Coordinator  to  determine  measures  to  be  taken  to  ensure  student  success  throughout  clinical  experience.    I.  Communication  –  ongoing  with  Adjunct  Coordinator  &  Course  Coordinator.  Establish  method  of  preferred  communication  with  your  student  group.  J.  Faculty  Dress  code-­‐  adjunct  faculty  participating  in  clinical  experiences  may  wear  purple  scrubs.  You  may  choose  to  wear  purple  top/purple  bottoms/both  purple  tops  &  bottoms.  Faculty  can  also  choose  to  wear  a  white  top  with  lab  coat.  Your  attire  should  distinguish  you  from  the  student  uniform.  Please  also  wear  your  WSU  photo  name  badge  for  ALL  clinical  experiences.    You  may  utilize  any  other  equipment  that  you  deem  necessary  to  fulfill  your  clinical  instructor  duties.      K.  Incident  Reporting  –  per  agency  guidelines.  DO  NOT  INCLUDE  PATIENT  DATA;  USE  AN  INITIAL/ROOM  NUMBER,  BUT  NOT  IDENTIFYING  INFORMATION.  Please  inform  the  Course  Coordinator  /Adjunct  Coordinator  immediately.  A  copy  of  the  incident  report  should  be  submitted  to  the  Course  Coordinator/Adjunct  Coordinator.  

IV.  Orientation  to  Clinical  Unit:  once  you  have  received  your  clinical  unit  assignment,  it  is  expected  that  you  will  be  in  contact  with  the  Nurse  Manager  (NM)/Patient  Care  Supervisor  (PCS)/Nurse  Educator  (NE)  for  said  unit.  If  you  need  assistance  with  this  process  or  with  obtaining  contact  information,  please  contact  the  Adjunct  Coordinator.  PLEASE  COMPLETE  THE  FOLLOWING  TASKS:    

1.  Schedule  a  time  to  orient  to  the  unit  with  the  NM/NE  of  the  unit.  May  be  required  to  follow  staff  nurse  to  assist  with  familiarization  on  unit    v EMR  training  will  be  necessary,  specific  to  your  clinical  agency  (unless  you  are  a  current  

employee).  Please  complete  the  EMR  training  in  a  timely  manner  to  ensure  that  you  are  able  to  utilize  the  EMR.  

2.  Provide  the  NM/NE  with  a  clinical  schedule  for  your  clinical  group-­‐  clinical  objectives  will  be  shared  with  your  unit  by  the  Administrative  Assistant.    

3.  Complete  any  shadowing  requirements  prior  to  first  clinical  day.    4.  Introduction  to  personnel  on  the  unit,  and  assist  with  introduction  of  students  within  group  5.  Unit  Policies/routines/charting    6.  Share  student  names/schedules/your  contact  information  with  unit  

• Student  Assignment  Sheet-­‐  some  facilities  have  designated  form  otherwise  we  have  included  WSU  Student  Assignment  Sheet  (Appendix  B).  

 V.  Role  conflict     During  the  time  that  you  are  contracted  as  a  clinical  instructor  in  an  adjunct  capacity,  you  are  an  employee  of  both  Winona  State  University  and  the  entire  MnSCU  system.  You  may  also  be  employed  by  an  outside  agency  while  fulfilling  your  contractual  duties  for  WSU.  It  is  the  expectation  that  while  performing  clinical  supervision  in  an  outside  facility  (acute/long  term/community),  your  priority  will  be  the  experience  of  the  WSU  student  nurses.  A  WSU  photo  name  badge  will  be  provided  to  you  and  is  expected  to  be  worn  to  ALL  clinical  experiences.  This  name  badge  will  indicate  your  primary  purpose  for  

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being  on  the  clinical  unit  to  the  staff  at  the  clinical  agency.  As  a  role  model  for  nursing  students,  please  establish  appropriate  boundaries  with  the  unit  staff,  especially  if  this  is  a  unit  that  you  serve  in  another  professional  role.      VI.  Evaluation  of  Adjunct  Faculty  

Adjunct  faculty  and  all  nursing  faculty  are  evaluated  by  students  at  the  end  of  each  semester.  Please  see  Appendix  F  for  a  copy  of  the  Student  Evaluation  of  Clinical  Instructor  format,  which  is  administered  via  student  email  during  the  theory  portion  of  the  course.  These  results  will  be  provided  to  the  each  Course  Coordinator  to  be  shared  with  all  faculty  within  the  course.    You  may  also  choose  to  administer  your  own  evaluations  utilizing  on-­‐line  survey  websites  (Qualtrics,  Survey  Monkey,  etc.).    VII.  Advantages  of  being  an  Adjunct  Faculty  Member  

1. WSU  Fitness  Center  Membership  available  to  you  and  your  spouse.  2. Depending  on  the  number  of  credits/courses  that  you  teach,  you  may  be  eligible  for  tuition  

reimbursement  benefits.  Please  contact  Human  Resources  at  WSU  to  set  up  an  appointment  to  learn  more.  ***Adjunct  faculty  members  receiving  a  Bateman  Peacock  scholarship  from  Mayo  Clinic  are  not  eligible  for  WSU  benefits.    

VIII.    Sign  &  return  “Certificate  of  Completion  Adjunct  Nursing  Faculty  Orientation”  to  the  Adjunct  Coordinator  (E-­‐signature  is  sufficient)  located  at  the  end  of  this  manual.  (p.  24)  Supervision  of  Students  in  Clinical    

1. The  instructor  is  responsible  for  the  instruction  and  supervision  of  students  in  the  clinical  area.    The  instructor  is  responsible  for  the  provision  of  learning  experiences  that  facilitate  application  and  integration  of  theoretical  principles,  active  participation  and  experience  in  patient  care  management,  and  observation  with  active  participation  in  professional  roles  for  nurses  in  different  settings.    During  clinical  experiences  the  focus  for  the  students  should  be  on  providing  direct  patient  care  and  being  an  active  participant  on  the  clinical  unit;  observation  activities  and  alternate  experiences  should  be  kept  to  a  minimum.    The  instructor  is  also  responsible  for  ensuring  patient  safety  and  for  the  school’s  compliance  with  policies  established  by  the  clinical  agency.    Students  may  not  take  verbal  orders,  sign  off  ANY  orders,  or  witness  narcotic  wasting.    Please  see  Appendix  H  for  a  list  of  guidelines  for  student  nurses.    

2. Active  Supervision  of  Students  during  Clinical  experiences  It  is  the  expectation  of  WSU  Department  of  Nursing  that  all  clinical  faculty  will  actively  supervise  students  during  their  clinical  experiences.    According  to  the  MN  Nurse  Practice  Act,  revised  in  2013,  "Supervision  means  the  guidance  by  a  registered  nurse  in  the  accomplishment  of  a  nursing  task  or  activity.    Supervision  consists  of  monitoring,  as  well  as  establishing,  the  initial  direction,  delegating,  setting  expectations,  directing  activities  and  courses  of  action,  evaluating,  and  changing  a  course  of  action  (Subd.  23).”    Active  supervision  involves:  

• Directly  teach  expected  behaviors  and  routines  for  specific  clinical  setting    • Pre-­‐correct,  remind,  and  prompt  expected  behavior  and  routine  before  and  while  on  the  

clinical  unit.  • Remain  visible  on  the  unit  by  continuously  moving,  scanning  area,  and  interacting  with  

as  many  different  students  as  possible.  • Provide  specific  acknowledgements  and  contextually  appropriate  positive  reinforcement  for  

displays  of  expected  behavior  and  routines.  • Being  the  primary  supervisor  of  the  care  provided  by  the  student,  so  that  you  can  accurately  

evaluate  their  clinical  performance  (Unit  RNs  are  able  to  supervise  students  performing  cares,  but  this  should  be  the  exception,  as  the  clinical  instructor  is  the  preferred  supervisor)  

• Being  a  support  person  to  both  the  students  and  the  staff  by  assisting  with  patient  care  when  able  

3. The  instructor  is  responsible  for  maintaining  open  communication  with  the  staff  nurses  and  

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nurse  manager  on  the  unit  by  discussing  clinical  objectives  and  clarifying  the  activities  of  the  students  prior  to  the  clinical  experience.    It  is  recommended  to  post  the  student  assignments  for  the  day  with  the  staff/charge  nurse,  and  perhaps  put  a  note  as  to  which  students  will  be  administering  medications  on  the  given  shift.    You  may  also  want  to  give  a  list  of  student  assignments  to  the  patient  care  assistants.    

4. Patient  Assignments  a. When  making  patient  assignments,  it  is  a  good  idea  to  confer  with  the  staff  nurses  

and/or  charge  nurse  in  an  effort  to  create  the  most  positive  experience  for  the  student.  On  some  units,  staffing  assignments  may  be  influenced  by  student  assignments,  so  good  communication  with  the  staff  nurses  is  very  important.  

b. Some  clinical  units  have  a  defined  Student  Assignment  Forms.    If  there  is  not  a  designated  form,  you  may  utilize  the  WSU  Clinical  Assignment  Sheet  (Appendix  B).  

 5. Medication  Administration  

a. Students  are  expected  to  pass  medications  initially  with  their  clinical  instructors  to  assure  that  they  are  proficient.    Utilization  of  the  “7  Safety  Checks”  document  will  guide  the  clinical  instructors  evaluation  of  the  student.    After  the  student  is  deemed  proficient  and  at  the  clinical  instructor’s  approval,  the  students  are  then  able  to  pass  medications  with  an  assigned  RN  (depending  on  clinical  facility).    If  necessary,  the  “7  Safety  Checks”  document  should  be  shared  with  unit  RNs  to  ensure  patient  safety  and  continuity  of  administration  (Appendix  C).  

b. Clinical  instructors  are  responsible  for  working  with  students  who  need  extra  education  with  medication  administration  and  should  be  checking  with  the  staff  RNs  throughout  clinical  time  to  assess  student’s  progress  and  to  see  if  there  are  any  concerns  with  the  students  who  are  giving  medications.    [Students  are  NOT  granted  access  to  the  Pyxis  machines]  

6. Student  errors  in  clinical  a. In  the  case  of  a  medication  error,  the  instructor,  the  student,  and  the  staff  nurse  should  

consult  with  the  patient’s  physician  to  correct  the  error  and  ensure  patient  safety.  Please  also  follow  any  Event  Reporting  guidelines  of  the  specific  agency.  

b. Appropriate  documentation  is  essential  for  the  student’s  evaluation  and  for  instances  in  which  the  mistake  affects  patient  care.    Medication  errors  or  issues  involving  patient  safety  should  be  discussed  with  the  Course  Coordinator/Adjunct  Coordinator.  

7. The  First  clinical  day  a. The  initial  meeting  with  the  student  group  sets  the  tone  for  the  entire  clinical  

experience.    To  be  effective,  the  clinical  instructor  should  make  clear  the  structure  of  the  learning  experience  and  the  expectations.    These  expectations  can  be  presented  as  professional  behaviors  observed  by  all  nurses  in  their  practice  and  include:  

i. Accountability  ii. Honesty  in  patient  care  iii. Punctuality    iv. Attendance  v. Responsibility  (being  prepared  for  clinical,  actively  participating,  completing  

assignments  in  a  timely  manner,  maintaining  safety)  vi. Professional  decorum  (adherence  to  dress  code,  collegiality  and  respect,  

confidentiality)  8. Things  to  encourage  when  students  have  down  time:  

a. Answer  call  lights,  offer  comfort  measures  e.g.  hand  massage,  back  rub  b. Ask  your  supervising  nurse  if  you  can  help  with  other  patients  c. Look  up  medications  with  which  you  are  not  familiar,  look  at  most  recent  lab  values  d. Check  out  the  menu  and  supplies  in  the  kitchen,  tidy  your  patient’s  room  e. Look  at  patient  education  information  for  specific  conditions,  investigate  recreational  

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opportunities  available  to  your  patients  (TV,  Video,  newspapers,  books,  games)  f. Talk  to  the  unit  secretary  about  their  role  –  respecting  their  time  constraints  g. Offer  to  take  your  patient  for  a  walk  outside/to  the  chapel/around  the  building  (if  

appropriate)    Teaching-­‐  Learning  Principles  in  the  Clinical  Setting    a.  Readiness  to  learn  –  the  student  must  be  motivated  and  “fully  present”  in  the  clinical  setting.    By  using  pre-­‐conferences,  preliminary  nursing  rounds,  and  listening  to  report,  the  clinical  instructor  can  bring  the  students’  attention  into  focus.    The  clinical  instructor  may  have  to  create  the  “teachable  moment”  for  the  student.    Being  aware  of  the  need  to  periodically  reengage  the  student  in  the  day’s  learning  is  also  important  for  the  clinical  instructor.    b.  Variety  –  the  students  and  instructor  may  become  bored  with  the  routine  of  the  learning  experience.    The  clinical  instructor  may  need  to  introduce  a  change  of  pace  occasionally  to  reengage  the  students  in  learning.    Examples  include:  planned  rotations  off  the  clinical  unit,  observation  experiences,  or  attending  a  staff  educational  in-­‐service.    Variety  may  also  be  achieved  by  varying  the  patient  demographics  and  diagnoses.    c.  Repetition  –  multiple  exposures  to  the  same  concepts  can  be  useful  in  reinforcing  and  enhancing  learning.    d.  Transfer  of  learning  –  students  often  have  difficulty  recognizing  that  knowledge  is  built  upon  previously  learned  concepts.    The  role  of  the  instructor  in  this  case  is  to  guide  the  student  to  the  appropriate  area  of  knowledge  that  must  be  accessed  in  order  to  understand  the  situation,  then  allowing  the  student  to  identify  and  apply  the  specific  information.    This  also  builds  self-­‐confidence  in  the  student  when  they  understand  that  “I  did  know  that.”    e.  Making  learning  meaningful  –  students  will  become  more  engaged  if  they  recognize  that  the  learning  experience  will  aid  them  in  meeting  their  goals.    To  effectively  do  this,  the  clinical  instructor  will  need  to  know  what  the  student’s  goals  are.    By  discussing  the  student’s  specific  goals  for  the  learning  experience,  the  instructor  can  guide  the  student  toward  goal  achievement.    The  student’s  goal(s)  should  be  focused  on  learning  versus  being  entertained.    Some  students  may  require  more  assistance  with  setting  goals  that  have  this  focus.      f.  Assisting  Peers  –  encourage  students  to  assist  other  students  and  other  nurses  on  the  unit  when  time  permits.    Some  of  the  best  learning  can  occur  when  there  is  a  team  mentality  on  the  unit,  and  students  can  look  to  their  peers  as  support  persons.    g.  Professional  Interaction  &  Communication  –  Student  nurses,  as  well  as  clinical  faculty,  are  expected  to  abide  by  the  Code  of  Ethics  put  forth  by  the  American  Nurses  Association.    Please  familiarize  yourself  with  this  document  and  hold  student  nurses  to  this  level  of  professionalism.                    Teaching  strategies  for  the  clinical  experience  

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 Pre-­‐conference  

I.  This  is  useful  for  the  instructor  to  answer  questions,  provide  a  review  of  what  is  expected  for  the  day,  and  to  talk  with  the  students  to  decrease  student  anxiety  levels.  II.  This  time  is  useful  to  assist  the  student  in  organizing  their  day  and  prioritizing  the  care  they  must  give.    

The  clinical  day  The  structure  of  the  clinical  day  will  vary  according  to  the  course,  the  course  objectives,  and  the  level  of  the  student.    Teaching  methods:  I. Demonstration  

a. The  instructor  explains  the  concept,  shows  the  student  how  to  apply  the  concept  or  perform  the  procedure,  then  elicits  a  comparable  performance  from  the  student  

II. Discussion  &  questioning  a. Instructors  ask  questions  of  the  students,  students  ask  questions  of  the  instructor.  

Skilled  questioning  stimulates  the  discovery  of  the  idea  or  answer  by  the  student.  III. Observation  assignments  (r/t  Term  2  OR  experience;  others  are  to  be  kept  to  a  minimum)  

a. Students  are  assigned  to  observe  various  aspects  of  health  care.  This  assignment  should  be  guided  by  specific  objectives.  

IV. Process  recording  a. This  method  is  often  used  to  help  students  develop  communication  and  

relationship  skills.  Students  are  asked  to  record  conversations  between  themselves  and  their  patients.  By  analyzing  their  communication  patterns,  learners  can  improve  their  professional  interactions.  

V. Clinical  logs  or  journals  a. The  student  is  asked  to  write  notes  about  the  clinical  day.  This  may  be  based  on  

assigned  topics  to  address,  such  as  skills  they  performed,  or  reactions  to  care  provided.  

VI. Nursing  rounds  a. The  purpose  of  nursing  rounds  is  to  expose  learners  to  more  nursing  situations  and  

to  encourage  them  to  consult  with  each  other  in  planning  and  evaluating  patient  care.  

b. The  learners  inform  their  patient  that  their  classmates  and  instructor  will  be  in  for  a  brief  visit.  Before  entering  the  room,  the  assigned  student  briefly  informs  the  group  about  the  patient  and  the  diagnosis.  Once  in  the  room,  the  assigned  student  interacts  with  the  patient  while  the  others  observe  as  much  as  they  can  about  the  patient  and  the  environment.  The  instructor  may  point  out  the  use  of  certain  equipment  or  procedures.  All  other  discussion  occurs  after  leaving  the  patient  room.    

   Post-­‐conference  I. This  can  be  an  ideal  opportunity  for  pointing  out  application  of  theory  to  practice,  and  for  

evaluating  nursing  care.    The  post-­‐conference  session  should  be  guided  by  the  Student  Learning  Outcomes  (see  below),  so  that  this  time  does  not  result  in  an  unstructured  summary  of  the  day.    These  outcomes  are  outlined  for  each  specific  course  within  the  Course  Syllabus  on  D2L  course  site.    See  below  for  examples  of  how  students  may  meet  these  outcomes.    

v Critical  Thinker  v Culturally  Sensitive  Practitioner  v Effective  Communicator  

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v Excellent  Provider  of  Care  v Ethical  Decision  Maker  v Facilitator  of  Learning  v Organizational  and  Systems  Leader  

II. The  primary  topic  of  discussion  should  be  congruent  with  the  clinical  objectives  or  the  topic  in  the  theory  portion  of  the  course.    Please  refer  to  D2L  course  content  for  schedule  of  topics.  Other  ways  of  structuring  this  session  may  include  having  the  student  evaluate  their  care  and  give  rationales  for  their  nursing  interventions.  

 Role  modeling  in  the  clinical  setting        (Wiseman,  1994)  

v Below  are  the  seven  major  categories  of  role  model  behaviors  in  nursing  within  the  WSU  nursing  program.  It  is  suggested  that  instructors  consider  which  behaviors  they  will  focus  on,  how  these  can  be  demonstrated,  and  then  provide  positive  feedback  to  the  student  when  the  behaviors  are  exhibited.  These  behavior  clusters  are:    

v Critical  Thinker  o Listens  to  change  of  shift  reports  o Asks  questions  regarding  patient’s  condition  o Demonstrates  problem-­‐solving  ability  in  the  clinical  setting  

v Culturally  Sensitive  Practitioner  o Uses  therapeutic  communication  skills  with  patients  o Demonstrates  caring  attitude  toward  patients  o Demonstrates  a  caring  attitude  toward  peers/staff  

v Effective  Communicator  o Interacts  with  physicians  in  a  confident  manner  o Displays  a  sense  of  humor  in  appropriate  context  o Appears  to  have  respect  for  agency  personnel  o Identifies  self  to  patients  when  first  meeting  them  

v Excellent  Provider  of  Care  o Demonstrates  the  use  of  equipment  unique  to  the  clinical  setting  o Demonstrates  nursing  care  procedures  o Demonstrates  up-­‐to-­‐date  and  evidence-­‐based  nursing  practice  o Demonstrates  ability  to  care  for  patients’  needs  o “Pitches  in”  when  needed  to  assist  others  

 v Ethical  Decision  Maker  

o Keeps  confidential  information  to  self  o Demonstrates  accountability  for  own  actions  

v Facilitator  of  Learning  o Provides  a  positive  atmosphere  for  students  to  learn  o Listens  to  students’  point  of  view  o Gives  positive  feedback  o Is  flexible  when  the  situation  requires  a  different  approach  

v Organizational  and  Systems  Leader  o Demonstrates  the  use  of  equipment  unique  to  the  clinical  setting  o Reports  clinical  data  to  staff  personnel  in  a  timely  fashion  o Is  neat  and  clean  in  personal  appearance    o Is  organized  in  the  clinical  setting  o Demonstrates  an  enthusiastic  attitude  toward  nursing  

 

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Evaluating  the  clinical  performance    

Each  course  has  objectives  that  are  congruent  with  the  program  mission,  philosophy,  and  expected  outcomes.    The  method  of  evaluation  of  the  student’s  clinical  performance  may  vary  somewhat,  but  there  is  consistency  within  the  program  for  accreditation  purposes.    Each  Course  Coordinator  should  carefully  review  the  clinical  performance  documentation  with  all  instructors  teaching  in  the  clinical  course  for  consistency.  

 Feedback  should  be  given  to  the  students  on  a  regular  basis.    If  a  student  is  unsafe,  a  private  

conversation  is  held  with  the  student  to  discuss  the  instructor’s  concerns.    Appropriate  documentation  of  this  conversation  is  also  very  important  and  necessary.    Documentation  should  clearly  describe  the  unsafe  practice,  the  objective(s)  not  met,  the  actual  consequences  to  the  patient,  consequences  if  the  student  does  not  meet  the  objective(s),  and  the  student’s  comments.    Students  who  are  not  meeting  the  course  objectives  need  to  be  aware  of  this  as  soon  as  possible,  and  appropriate  documentation  should  be  initiated.    One  strategy  to  assist  the  student  is  to  work  with  the  student  to  develop  a  specific  plan  for  their  improved  performance  and  have  the  student  sign  this  plan.    You  are  encouraged  to  utilize  the  form  titled  Performance  Improvement  Plan  (Appendix  A).  

 v Anecdotal  notes  are  helpful  to  keep  track  of  student  performance.    It  is  important  to  record  

both  strengths  and  weaknesses,  and  to  make  notes  on  all  students,  not  just  the  weaker  students.    Keeping  notes  on  only  the  students  with  problems  could  be  seen  as  discriminatory.    Weekly  notes  are  also  helpful  when  completing  Performance  Evaluations  at  midterm  and  at  the  completion  of  clinical  experiences.  

 v Formative  evaluation  is  ongoing  feedback  given  throughout  the  semester.    Formative  

feedback  may  be  given  orally  or  in  writing.    Formative  evaluation  is  the  basis  for  summative  evaluation.    

 v Summative  evaluation  is  the  summary  evaluation  given  at  the  end  of  clinical  experience.  

Summative  evaluation  results  in  a  grade  of  some  type  being  given  (Clinical  experiences  are  Pass/Fail).    Clinical  evaluation  tools  may  differ  among  terms  &  courses,  but  all  contain  the  Seven  Key  Characteristics,  which  evaluate  the  extent  to  which  students  have  achieved  course  outcomes.  

 v Evaluation  data  may  be  gathered  from  several  sources.    Of  course  the  instructor’s  observation  

of  the  student  will  be  included,  but  the  instructor  may  also  ask  the  assigned  patient  broad  questions  to  elicit  data  about  the  student’s  overall  interaction.    The  instructor  may  also  ask  the  staff  nurse  that  worked  with  the  student  for  informal  input.    Learner  self-­‐evaluations  are  also  very  useful.    Students  can  be  asked  to  grade  themselves  for  the  day’s  experience  using  the  same  tool  the  instructor  uses,  and  provide  rationales  for  their  self-­‐reported  grade.    This  can  be  a  valuable  tool  to  promote  reflection  and  critical  analysis  of  self-­‐performance.  

          On  behalf  of  the  Winona  State  University  Department  of  Nursing,  THANK  YOU  for  your  time  and  commitment  to  the  role  of  adjunct  clinical  instructor  this  semester  for  our  WSU  nursing  students.    We  sincerely  appreciate  the  energy  and  professional  influence  you  will  share  with  our  WSU  students.    Your  dedication  to  preparing  student  nurses  is  essential  to  ensure  a  caring  and  competent  nursing  workforce!  

Without  your  efforts,  the  profession  would  not  continue  to  move  forward  in  exciting  and  wonderful  ways.    We  are  proud  to  have  you  as  a  member  of  this  esteemed  nursing  program  and  appreciate  all  that  you  do.    We  look  forward  to  working  with  you  again  and  again.  

   

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 Department of Nursing

Adjunct Clinical Faculty Orientation Checklist

Orientation Items

Resources Date

Completed Orientation to Clinical Faculty role ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Orientation Day on campus (except Bateman) AC / CC Expectations of Faculty role (active supervision, perform skills, review all documentation, med administration, etc.)

Manual- p. 16-17

Expectations for students (level of independence, professional behavior etc.)

CC / Adjunct Coordinator

Course Coordinator contact information Manual- p. 7 Contact info for department Manual- p. 8 Policies/Procedures for clinical experiences Manual- p. 9-10 Undergraduate Nursing Student Handbook Link in Manual- p. 11 Agency Orientation/ EMR training/ Name Badge CC / AC / Clinical agency M#, Pyxis access, pager, Clinical agency Unit Routine (clinical unit) CC / AC Orientation to clinical unit (Shadow PRN) Arrange with Unit NM/NES Orientate students to clinical unit (Float routine, scavenger hunt, goldenrod sheets)

Clinical agency

Post-conference room reservation Clinical agency Access to Blackboard/updates Clinical agency Orientation to the University & Department ~~~~~~~~~~~~~~~~~~~~~~~~~~~ Processing of Contract (copy sent to employee) Human Resources Program Mission/Philosophy/Student Outcomes Manual- p. 3-5 Computer access (Email, Warrior ID) Human Resources D2L & Orientation Modules AC / Manual- p. 13 Faculty Photo Name badge (Campus Card Ofc) AC Tour of Department (as needed) AC

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Orientation to the Course ~~~~~~~~~~~~~~~~~~~~~~~~~~~ D2L access for affiliated course CC / AC Course content D2L/CC Course outline & Schedule D2L/CC Course specific assignments (examples avail.) D2L/CC

Names & Email Addresses of Students D2L / CC Invitations to scheduled course meetings CC Grading criteria/rubrics D2L / CC Online Textbooks (upon request) AC Site visits clinical sites (2 times per semester) AC Role of Adjunct Coordinator AC

 

   

Certificate  of  Completion    Adjunct  Nursing  Faculty  Orientation    

 

 

I,  ______________________________________________________  (please  print/type)  verify  that  I  have:    

 

1.  Read  and  become  familiar  with  the  information  available  in  the  following  documents:    

a.  Adjunct  Clinical  Instructor  Manual    

b.  Adjunct  Clinical  Instructor  Orientation  Checklist    

 2.   Met/conferred   with   the   Adjunct   Coordinator   and/or   Course   Coordinator,   either   at   Adjunct  

Orientation  session  or  through  individually  arranged  session.    

 

3.  Have  obtained  a  WSU  Photo  Name  badge  to  be  worn  during  all  clinical  experiences.  

 I   agree   that   I   am   committed   to  modeling   the   professional   behavior   that   should   be   inherent   for   the  nurse  educator  in  the  roles  of  communication,  timeliness,  commitments  and  appropriate  boundaries.    

   Signature_________________________________________     Date______________________________        

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   Appendix  A:  Performance  Improvement  Plan  (PIP)    Please  follow  the  following  progression  in  the  event  that  a  student  indicates  the  need  for  a  PIP.  The  form  can  be  found  on  the  following  page.  These  forms  are  meant  to  assist  the  students  with  remediation  efforts  so  that  they  can  ultimately  be  successful  nursing  students.  When  completing  the  PIP,  please  be  sure  to  use  clear,  concise  statements,  without  including  opinions.  If  you  need  assistance  with  this  process,  please  contact  the  Adjunct  Coordinator,  who  would  be  happy  to  provide  guidance  and  facilitation.        

   

                     

Meeting  with  student  and  appropriate  noti1ications  made  (CC/AC)  

PIP  completed  and  signed  by  faculty  member  who  witnessed  incident,  with  

development  of    Plan  for  F/U  

PIP  is  shared  with  student  and  signed  

by  student  PIP  is  shared  with  student’s  Academic  

Advisor,  who  also  will  sign  the  document  

PIP  (hard  copy)  is  placed  in  the  

student’s  1ile.  Student  does  have  the  right  to  append  a  statement  

Copies  of  PIP  sent  electronically  to:    

1.  Student    2.  Advisor  

 3.  Progression  (Chair)  

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WSU   A d j u n c t   C l i n i c a l   I n s t r u c t o r  M a n u a l   2  

 

2 0 1 5 -­‐ 2 0 1 6      

 WINONA  STATE  UNIVERSITY  

College  of  Nursing  and  Health  Sciences  Department  of  Nursing  

 PERFORMANCE  IMPROVEMENT  PLAN  

 Name  of  Student:    __________________________________________________________  

 Name  of  Faculty  Member:    ___________________________________________________  

 Date  of  Behavior:  ___________________________________________________________  

 Description  of  Unsatisfactory  Behavior:  

                               

Plan  for  Follow-­‐up:                          

Student  Signature:  ________________________________________________  Date:  ____________    

Faculty  Signature:  ________________________________________________  Date:  ___________    

Academic  Advisor  Informed:  _________________________________________  Date:  ____________        

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Appendix  B:  WSU  Clinical  Assignment  Sheet              

   

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WSU   A d j u n c t   C l i n i c a l   I n s t r u c t o r  M a n u a l   4  

 

2 0 1 5 -­‐ 2 0 1 6      

Appendix  C:  Medication  Administration  Safety  Checks S E V E N S A F E T Y C H E C K S

B e p r e p a r e d t o d i s c u s s t h e s e c h e c k s w i t h y o u r C l i n i c a l F a c u l t y / S t a f f R N  R i g h t   M e d i c a t i o n      A n d      R i g h t   I n d i c a t i o n  

v Wh e n   y o u   l o o k e d   u p   t h i s   m e d i c a t i o n   d i d   y o u   f i n d   t h a t   t h e   m e d i c a t i o n   y o u   a r e   t o   g i v e  m a t c h e s   t h e   m e d i c a t i o n   w o r k l i s t   a n d   w a s   r e v i e w e d   b y   a   s t a f f   R N .   I s   t h i s   a   m e d   y o u   w i l l   b e  a l l o w e d   t o   g i v e   a s   a   s t u d e n t ,   e . g .   C h e m o t h e r a p y   m u s t   b e   g i v e n   b y   s p e c i a l l y   t r a i n e d   R N .    

v Wh a t   w i l l   y o u   t e l l   t h e   s t a f f   R N   r e g a r d i n g   w h y   t h i s   m e d i c a t i o n   i s   i n d i c a t e d   f o r   y o u r  p a t i e n t ?  

v E x p l a i n   t o   t h e   s t a f f   R N   w h a t   y o u   w i l l   a s s e s s :    o H o w   w i l l   y o u   k n o w   i f   t h e   m e d i c a t i o n   i s   h e l p i n g   t h e   p a t i e n t  o Wh a t   k i n d s   o f   s i d e   e f f e c t s   w i l l   y o u   a s s e s s   f o r ?  o Wh a t   w i l l   y o u   t e a c h   t h e   p t   r e g a r d i n g   t h i s   m e d i c a t i o n   u s i n g   p t   e d u c a t i o n   r e s o u r c e s ?  o I s   t h e   p a t i e n t   a l l e r g i c   t o   t h i s   m e d i c a t i o n ?  

C h e c k m e d i c a t i o n w i t h o r d e r p r i o r t o g i v i n g w i t h f a c u l t y / s t a f f R N R i g h t   D o s a g e   o f  M e d i c a t i o n  

• D o e s   t h e   d o s a g e   o f   m e d i c a t i o n   y o u   a r e   g o i n g   t o   g i v e   m a t c h   t h e   d o s a g e   o f   m e d i c a t i o n  o r d e r e d ?    

• I s   t h i s   d o s a g e   a p p r o p r i a t e   f o r   t h i s   p a t i e n t ?  C h e c k d o s e w i t h o r d e r p r i o r t o g i v i n g w i t h f a c u l t y / s t a f f R N

R i g h t   R o u t e     • Wh a t   i s   t h e   r o u t e   o r d e r e d   f o r   t h i s   m e d i c a t i o n   f o r   e x a m p l e ,   P O ,   I V   p u s h / P i g g y b a c k ,   I M ,  S Q .   A l s o   c h e c k   t o   s e e   i f   t h e   r o u t e   i s   r i g h t   f o r   t h e   p a t i e n t ’ s   c o n d i t i o n   e . g .   p a t i e n t   w a s   N P O  b u t   i s   n o w   e a t i n g   &   c a n   t a k e   P O   v e r s u s   I V    

• Wh e n   y o u   l o o k e d   u p   t h i s   m e d i c a t i o n ,   w a s   t h i s   r o u t e   i n d i c a t e d   a s   b e i n g   c o r r e c t ?  C h e c k r o u t e p r i o r t o g i v i n g m e d i c a t i o n w i t h f a c u l t y / s t a f f R N

R i g h t   T i m e   • D o e s   t h e   t i m e   o r d e r e d   m a t c h   t h e   t i m e   y o u   a r e   g o i n g   t o   g i v e   t h e   m e d i c a t i o n ?      • I f   t h i s   i s   a   P R N   d r u g ,   h a s   s u f f i c i e n t   t i m e   p a s s e d   s i n c e   t h e   l a s t   P R N   a d m i n i s t r a t i o n ?  

C h e c k t i m e p r i o r t o g i v i n g m e d i c a t i o n w i t h f a c u l t y / s t a f f R N

R i g h t   P a t i e n t     • S c a n   I D   b a n d   • H a v e   p a t i e n t   s t a t e   f u l l   n a m e   a n d   b i r t h d a t e .   D o e s   i t   m a t c h   i n f o r m a t i o n   o n   p a t i e n t ’ s   I D  

b a n d ?   C h e c k t h i s p r i o r t o g i v i n g m e d i c a t i o n w i t h f a c u l t y / s t a f f R N

R i g h t  D o c u m e n t a t i o n  

• T a l k   w i t h   y o u r   s t a f f   R N   a n d   e x p l a i n   w h a t   y o u   a r e   g o i n g   t o   c h a r t   b e f o r e   c h a r t i n g .  P r o p e r l y D o c u m e n t M e d i c a t i o n A d m i n i s t r a t i o n , t o b e v e r i f i e d b y C l i n i c a l F a c u l t y

F a c u l t y / s t a f f R N m u s t b e p r e s e n t t h r o u g h o u t t h e e n t i r e m e d i c a t i o n a d m i n i s t r a t i o n p r o c e s s !

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Appendix  D:  Scholarly  Paper  Writing  Guidelines             29  

D O ' S A N D D O N ' T S F O R S C H O L A R L Y W R I T I N G W h a t y o u a r e a b o u t t o r e a d i s n o t s c h o l a r l y w r i t i n g a n d d o e s n o t f o l l o w t h e r u l e s

t h a t i t s t a t e s . T h e s e a r e g u i d e l i n e s t o s e r v e a s a t o o l f o r g r a d i n g . D O C U M E N T A T I O N F O R M A T

v I n n u r s i n g c o u r s e s a t W i n o n a S t a t e U n i v e r s i t y , f o l l o w A P A - s t y l e f o r m a t a n d d o c u m e n t a t i o n . D e v e l o p t h e h a b i t o f c o n s u l t i n g a n A P A g u i d e w h e n y o u a r e i n d o u b t . T h e P u r d u e O w l s i t e h a s g u i d e s t o A P A s t y l e ( 6 t h e d i t i o n ) .

A U D I E N C E

v I m a g i n e y o u r a u d i e n c e , n o t a s t h e i n s t r u c t o r p e r s o n a l l y , b u t a s a c o m m u n i t y o f i n t e l l e c t u a l l y c u r i o u s , e d u c a t e d n u r s e s w h o a r e i n t e r e s t e d i n t h e k i n d o f t h i n g y o u a r e w r i t i n g a b o u t a n d p r o b a b l y k n o w s o m e t h i n g a b o u t i t .

S T Y L E

v A i m f o r a m a t u r e , g r a c e f u l , s e m i - f o r m a l s t y l e a n d t o n e . v A v o i d c o n t r a c t i o n s . ( “ d i d n ’ t , ” “ c o u l d n ’ t ” )

( T i p : “ c a n n o t ” i s o n e w o r d a n d “ a l o t ” i s t w o w o r d s ) v A v o i d s l a n g . v A v o i d t h e i m p e r s o n a l " y o u . " v A v o i d i m p r e c i s e l a n g u a g e ( “ g o o d ” ) a n d e x c e s s i v e w o r d i n e s s . v W r i t e r s i n s c i e n c e d i s c i p l i n e s a v o i d t h e f i r s t p e r s o n p r o n o u n s ( " I " , " w e , "

" m e , " " u s , " " m y , " a n d " o u r " ) , a s m o s t r e a d e r s k n o w w h o i s w r i t i n g t h e p a p e r , s o y o u d o n o t e v e r h a v e t o r e f e r t o y o u r s e l f . A s a n a l t e r n a t i v e t o t h i s , y o u c a n u s e t h e p a s s i v e v o i c e — “ I t w a s o b s e r v e d t h a t . . . . ”

v A v o i d c l i c h é s . B e c a r e f u l – c l i c h é s a r e e a s y t o u s e . F o r e x a m p l e , “ t o o l i t t l e , t o o l a t e ” s e e m s f u l l o f m e a n i n g , b u t i t i s c o n s i d e r e d v a g u e a n d c l i c h é i n a n a c a d e m i c p a p e r .

v A v o i d q u a l i f i e r s ( “ r e a l l y , ” v e r y , ” “ s u r e l y , ” “ o f t e n , ” “ h o p e f u l l y , ” “ b a s i c a l l y , ” e t c . ) T h e s e t e r m s m a k e y o u r p a p e r s o u n d u n s u r e a n d t e n t a t i v e . D e l e t e t h e s e w o r d s f o r a s t r o n g e r , m o r e d i r e c t p a p e r .

v A v o i d o v e r u s e d “ s c h o l a r l y ” p h r a s e s . N e v e r w r i t e “ I n t h i s p a p e r I w i l l … ” Y o u a r e w r i t i n g t h e p a p e r a n d w i l l c l e a r l y d o s o m e t h i n g . T h e r e ’ s n o n e e d t o s a y y o u w i l l d o s o m e t h i n g - j u s t d o i t . A n d n e v e r w r i t e “ I n c o n c l u s i o n … ” T h i s i s a n o v e r u s e d t r a n s i t i o n t o t h e c o n c l u s i o n . T h e r e a d e r s h o u l d k n o w t h e y a r e a t t h e c o n c l u s i o n o f y o u r p a p e r b a s e d o n t h e c o n t e n t o f t h e c o n c l u d i n g p a r a g r a p h .

v U s e c o n s i s t e n t t e n s e s . P r e s e n t t e n s e i s m o s t c o m m o n i n a c a d e m i c p a p e r s , a n d s h o u l d b e u s e d w h e n r e f e r r i n g t o w r i t t e n t e x t s .  

S T R U C T U R E a n d C O N T E N T v Y o u r p a p e r m u s t h a v e a u n i f y i n g t h e m e . U s u a l l y t h i s s h o u l d b e s t a t e d n e a r t h e

e n d o f t h e f i r s t p a r a g r a p h o f a s h o r t p a p e r , o r a t t h e e n d o f a l o n g e r i n t r o d u c t o r y s e c t i o n f o r a l o n g e r p a p e r . I t i s b e s t i f y o u h a v e a t h e s i s w i t h a n a r g u m e n t a t i v e e d g e — a p o i n t t o b e e s t a b l i s h e d b y a n a l y s i s . B e s u r e t o i n c l u d e a s t r o n g , c l e a r , o n e - s e n t e n c e t h e s i s s t a t e m e n t .

v V a r y y o u r s e n t e n c e s t r u c t u r e . R e a d e r s g e t t i r e d w h e n t h e y r e a d a s e r i e s o f l e n g t h y s e n t e n c e s w i t h m u l t i p l e c l a u s e s . S i m i l a r l y , t h e y f e e l r u s h e d b y a s e r i e s o f s h o r t , t e r s e s e n t e n c e s . A s m u c h a s p o s s i b l e , v a r y t h e l e n g t h a n d c o n s t r u c t i o n o f y o u r s e n t e n c e s .

I N T R O D U C T I O N .

v T h e i n t r o d u c t i o n s h o u l d s e t u p t h e t h e m e o r t h e s i s b y a ) p r o v i d i n g b a c k g r o u n d n e e d e d t o u n d e r s t a n d i t , o r b ) p r e p a r i n g t h e r e a d e r t o u n d e r s t a n d i t s i m p o r t a n c e o r i n t e r e s t , o r c ) p r o v i d i n g a s u r v e y o f c r i t i c a l t h o u g h t a b o u t t h e t e x t o r i s s u e ( w h a t s c h o l a r s h a v e a l r e a d y s a i d a b o u t i t ) .

v E n g a g e t h e r e a d e r ’ s i n t e r e s t , p r e s e n t w h a t y o u w i l l a d d r e s s , h o w y o u p l a n t o a d d r e s s i t , a n d w h y i t i s w o r t h a d d r e s s i n g .

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WSU   A d j u n c t   C l i n i c a l   I n s t r u c t o r  M a n u a l   6  

 

2 0 1 5 -­‐ 2 0 1 6      

v U s e a T h e s i s s t a t e m e n t - o n e s e n t e n c e s u m m a t i o n o f y o u r m a i n p o i n t s v D o n o t u s e t h e f i r s t p a r a g r a p h t o s u m m a r i z e y o u r p a p e r a t l e n g t h . P r o v i d e

b a c k g r o u n d i n f o r m a t i o n a n d b a s i c m a t e r i a l a b o u t y o u r s u b j e c t . v Q u o t a t i o n s c a n b e i n t e r e s t i n g b e g i n n i n g p o i n t s . v I n t h e p r o c e s s o f c o m p o s i n g , y o u m a y w a n t t o b y p a s s t h e i n t r o d u c t i o n a n d

c o m e b a c k t o i t a f t e r y o u r a r g u m e n t h a s t a k e n s h a p e . S U P P O R T I N G P A R A G R A P H S

v S e r i e s o f p a r a g r a p h s t h a t s u p p o r t t h e T h e s i s s t a t e m e n t v E a c h o f t h e s e p a r a g r a p h s s h o u l d s t a r t w i t h a n i n t r o d u c t o r y s e n t e n c e ( m i n i

t h e s i s s t a t e m e n t ) . T h e r e s t o f t h e p a r a g r a p h p r o v i d e s s p e c i f i c s t o s u p p o r t t h i s s t a t e m e n t .

C O N C L U S I O N v S h o u l d n o t g o o f f i n t o w h o l l y n e w g r o u n d , n o r s h o u l d i t m e r e l y s u m m a r i z e . I t

m a y d r a w o u t i m p l i c a t i o n s o r c o n s e q u e n c e s o f t h e p o i n t t h a t h a s b e e n m a d e o r s h o w h o w t h e r e a d e r ' s u n d e r s t a n d i n g o f t h e p o i n t i s d e e p e r n o w t h a n i t w a s w h e n t h e p o i n t w a s f i r s t s t a t e d i n t h e i n t r o d u c t i o n .

v S h o u l d f l o w l o g i c a l l y f r o m t h e r e s t o f t h e p a p e r a n d p r o v i d e a s u m m a r y o f t h e m a i n p o i n t s à o p p o r t u n i t y t o c o n v i n c e t h e r e a d e r t h a t r e a d i n g t h i s w a s “ n o t a w a s t e o f t i m e . ”

T I T L E

v M a k e t h e t i t l e s o i n f o r m a t i v e t h a t s o m e o n e s e e i n g i t i n a n i n d e x w o u l d k n o w e x a c t l y w h a t t h e p a p e r i s a b o u t .

v A c l e v e r t i t l e o r a s h o r t q u o t a t i o n m a y b e c o m b i n e d w i t h a n i n f o r m a t i v e s u b t i t l e , u s i n g a c o l o n ( : ) b e t w e e n t h e m .

v D o n o t u n d e r l i n e , d o n o t p u t i n i t a l i c s , d o n o t b o l d f a c e . T y p e t h e t i t l e i n t h e n o r m a l f o n t , w i t h i n i t i a l c a p i t a l s .

P A G E F O R M A T

v U s e a t i t l e p a g e . T h e t i t l e p a g e s h o u l d c o n t a i n t h e t i t l e o f t h e p a p e r , t h e a u t h o r ’ s n a m e , a n d t h e i n s t i t u t i o n , w h i c h t h e y a r e w r i t i n g f o r . I n c l u d e a p a g e h e a d e r f l u s h l e f t w i t h a p a g e n u m b e r f l u s h r i g h t a t t h e t o p o f t h e p a g e . C l i c k h e r e f o r e x a m p l e .

v P a g e s m u s t b e n u m b e r e d . v U s e d o u b l e s p a c i n g a n d n o r m a l ( 1 " ) m a r g i n s . v U s e a n o r m a l - l o o k i n g 1 2 - p o i n t f o n t . A P A r e c o m m e n d s T i m e s N e w R o m a n f o n t .

S O U R C E S

v D o r e l y s t r i c t l y o n s c h o l a r l y j o u r n a l s a n d b o o k s t o i d e n t i f y r e l e v a n t l i t e r a t u r e . v I f o n l i n e s o u r c e s a r e u s e d t o i d e n t i f y r e l e v a n t l i t e r a t u r e , d o r e l y o n l y o n

s o u r c e s f r o m r e c o g n i z e d p r o f e s s i o n a l o r g a n i z a t i o n s ( e . g . , A P A ) , g o v e r n m e n t a l a g e n c i e s ( e . g . , N I M H ) , o r o t h e r c r e d i b l e s o u r c e s o f s c h o l a r l y m a t e r i a l .

v D o N O T u s e W i k i p e d i a !

U S E O F Q U O T A T I O N S v U s e f r e q u e n t s h o r t q u o t a t i o n s f r o m y o u r p r i m a r y t e x t ( s ) t o s u p p o r t y o u r p o i n t s . v C h o o s e y o u r s o u r c e s c a r e f u l l y . Y o u r e d u c a t e d a u d i e n c e j u d g e s y o u r r e s e a r c h

s k i l l s b y t h e s o u r c e s y o u s y n t h e s i z e i n y o u r e s s a y . v D o n o t u s e l o n g q u o t a t i o n s u n l e s s y o u w i l l d i s c u s s t h e m a t l e n g t h . v T y p i c a l l y i n t h i s s o r t o f w r i t i n g , a b o u t 1 0 - 1 5 % o f t h e t e x t c o n s i s t s o f

q u o t a t i o n s . D o n ’ t l e t q u o t a t i o n s c a r r y y o u r a r g u m e n t .

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WSU   A d j u n c t   C l i n i c a l   I n s t r u c t o r  M a n u a l   7  

 

2 0 1 5 -­‐ 2 0 1 6      

S I G N A L P H R A S E S W I T H Q U O T A T I O N S v U s e a s i g n a l p h r a s e t o i n t r o d u c e a l m o s t e v e r y q u o t a t i o n . T h i s u s u a l l y m e a n s

i d e n t i f y i n g t h e a u t h o r , s o m e t i m e s t h e t e x t , p a r t o f a t e x t , o r s p e a k e r . C l i c k h e r e f o r e x a m p l e .

v U s e t h e a u t h o r ' s f u l l n a m e o n f i r s t m e n t i o n , t h e n l a s t n a m e o n l y i n s u b s e q u e n t m e n t i o n s .

M E C H A N I C S O F Q U O T A T I O N

v P e r i o d s a n d c o m m a s a d j a c e n t t o c l o s i n g q u o t a t i o n m a r k s : p l a c e p e r i o d s a n d c o m m a s I N S I D E t h e q u o t a t i o n m a r k s u n l e s s a p a r e n t h e t i c a l c i t a t i o n f o l l o w s .

P A R A P H R A S I N G

v P u t t h e m a t e r i a l c o m p l e t e l y i n t o y o u r o w n w o r d s a n d y o u r o w n s e n t e n c e p a t t e r n s .

G E N D E R P R O N O U N S

v U s e o f t h e m a s c u l i n e p r o n o u n s t o r e f e r t o a l l p e r s o n s h a s b e c o m e u n a c c e p t a b l e i n m o d e r n s c h o l a r l y u s a g e . H o w e v e r , d o n ' t c r e a t e a g r e e m e n t p r o b l e m s i n t h e c o u r s e o f t r y i n g t o a v o i d " h e . " D o n ' t w r i t e " i f a s t u d e n t . . . t h e y , " b u t i n s t e a d s h i f t e v e r y t h i n g i n t o t h e p l u r a l , a s i n " i f s t u d e n t s . . . t h e y . "

v D o n ' t u s e " h e / s h e " o r " s / h e , " w h i c h a r e u n p r o n o u n c e a b l e . O c c a s i o n a l u s e o f " h e o r s h e " i s O K . ( D o n ' t o v e r d o , o r i t g e t s a w k w a r d . ) S o m e w r i t e r s a l t e r n a t e b e t w e e n " s h e " a n d " h e . "

v I f t h e p e r s o n s b e i n g r e f e r r e d t o a r e l i k e l y o f o n e g e n d e r , i t ' s O K t o u s e " s h e " o r " h e , " a s a p p r o p r i a t e .

v T h e p o s s e s s i v e o f " i t " i s “ i t s ” w i t h n o a p o s t r o p h e , N O T “ i t ' s . ” T h e p l u r a l o f " s c i e n t i s t " a n d o t h e r w o r d s i n - i s t i s s c i e n t i s t s , N O T s c i e n t i s t .

v A l w a y s u s e a s p e l l - c h e c k p r o g r a m a n d l o o k u p t h e o p t i o n s i f y o u a r e n o t s u r e w h i c h o n e i s c o r r e c t .

D O ’ S :

ü H a v e s o m e o n e e l s e r e a d y o u r p a p e r b e f o r e y o u t u r n i t i n ! A l l w r i t e r s g e t v e r y i n v o l v e d i n t h e i r o w n i d e a s a n d n e e d a n o u t s i d e r e a d e r t o p r o v i d e f e e d b a c k .

ü D o c a r e f u l l y r e v i e w y o u r w o r k f o r g r a m m a r , s p e l l i n g , a n d t y p o g r a p h i c a l e r r o r s ; d o n o t b l i n d l y a c c e p t a l l c h a n g e s t h e g r a m m a r a n d s p e l l c h e c k f u n c t i o n i d e n t i f i e s .

ü D o u s e t h e W S U W r i t i n g C e n t e r i f w r i t i n g i s a c h a l l e n g e f o r y o u o r i f a f a c u l t y m e m b e r r e c o m m e n d s t h i s o p t i o n .

o Y o u c a n m a k e a n a p p o i n t m e n t o n t h e s i g n u p s h e e t i n M i n n e 3 4 8 . Y o u m a y a l s o c a l l 5 0 7 . 4 5 7 . 5 5 0 5 f o r a n a p p o i n t m e n t o r e m a i l a t w c e n t e r @ w i n o n a . e d u .

ü D o h o l d y o u r s e l f t o a h i g h s t a n d a r d o f a c a d e m i c e x c e l l e n c e a n d b e o p e n t o c o n s t r u c t i v e c r i t i c i s m t o e n s u r e t h e e x c e l l e n c e t o w h i c h y o u a s p i r e .

I N S T R U C T O R S :   Q U E S T I O N S   T O   A S K   Y O U R S E L F   A S   Y O U   A R E   G R A D I N G :  

v I s   t h e   i n t r o d u c t o r y   p a r a g r a p h   s u f f i c i e n t l y   e n t i c i n g   t o   t h e   r e a d e r ?  v A r e   a l l   o f   t h e   s t a t e m e n t s   c l e a r   a n d   e a s i l y   u n d e r s t o o d   ( e s p .   t h e s i s  

s t a t e m e n t ) ?  v H a s   t h e   r e a d e r   b e e n   g i v e n   e n o u g h   b a c k g r o u n d   t o   u n d e r s t a n d   t h e   a r g u m e n t s ?  v D o   a l l   o f   t h e   p o i n t s   o f   d i s c u s s i o n   s u p p o r t   t h e   t h e s i s   s t a t e m e n t ?  v D o e s   t h e   c o n c l u d i n g   p a r a g r a p h   f o l l o w   l o g i c a l l y   f r o m   t h e   r e s t   o f   t h e   p a p e r ?  

 A d a p t e d f r o m “ D o ’ s & D o n ’ t f o r S c h o l a r l y W r i t i n g , ” A c a d e m i c R e s e a r c h W r i t i n g i n t h e H u m a n i t i e s : P r o f i c i e n c y G u i d e l i n e s . L i t e r a t u r e a n d L a n g u a g e D e p a r t m e n t , U n i v e r s i t y o f N o r t h C a r o l i n a a t A s h e v i l l e .  

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Appendix  E:  APA  Examples  &  Reminders    (E x a m p l e s f o r r e f e r e n c e l i s t u s i n g A P A , 6 t h e d i t i o n . )  

Book: Finkelman, A., & Kenner, C. (2010). Professional nursing concepts: Competencies for quality leadership.

Sudbury, MA: Jones and Bartlett.

Book with specific edition:

Pender, N. C., Murdaugh, C. L., & Parsons, M. A. (2006). Health promotion in nursing practice (5th ed.).

Upper Saddle River, NJ: Pearson Prentice Hall.

Chapter in book:

Grol, R., & Wensing, M. (2005). Effective implementation: A model. In R. Grol, M. Wensing, & M.

Eccles (Eds.), Improving patient care: The implementation of change in clinical practice (pp. 41-57).

Edinburgh, UK: Elsevier Butterworth Heinemann.

Journal article:

Broome, M. E. (2011). Professionalism in nursing: An old fashion ideal or a new world mandate?

National Student Nurses Association Imprint, 58(3), 28-30.

Journal article retrieved online:

Montalvo, I. (2007). The national database of nursing quality indicators (NDNQI). Online Journal of

Issues in Nursing, 12(3). Retrieved from

http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/Tableo

fContents/Volume122007/No3Sept07/NursingQualityIndicators.aspx

Journal article with doi: (it is the preferred method to use doi)

Brewer, E. P. (2011). Successful techniques for using human patient simulation in nursing education.

Journal of Nursing Scholarship, 43(3), 311-317. doi:10.1111/j.1547-5069.2011.01405.x

Personal communication: **Not included in reference list due to not recoverable data. Therefore, used

in text only.

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Example: In class, E. Vane (personal communication, October 21, 2011) stated by nature of the

profession, nurses are considered leaders.

Example of in-text citations

According to Potter and Perry (2009), the use of a “personal code of conduct is essential in

professional nursing practice” (p. 48). To develop a personal code of conduct to use in professional

practice, it is imperative for nursing students to create their own philosophy of nursing paper. It is likely

the philosophy of nursing created during the initial semester of the nursing program will be revised as the

students continue to develop their nursing practice (Finkelman & Kenner, 2010).

Reminders

• If you use a reference within text, it must be included in the reference list. Similarly, if you list a source in the reference list, it must be cited within text.    

• When using a source in any journal or book, you must use the primary source. For example, if Johnson is cited in Potter and Perry, then you cite Johnson.

 • Reference list must be alphabetized and double-spaced with hanging indents used. • According to APA, you should have a running header and title page. This will eliminate the

papers that come through without names! • Entire paper should be double-spaced in Times New Roman font, size 12. • If copying from any text/article, there needs to be quotation marks and correct pages identified.

However, there should be minimal use of direct quotations. You should be using your own words – your own mind and knowledge—and paraphrasing. Still, cite the reference you used.

• There should be two spaces following punctuation at the end of a sentence. • Here are two good resources that will be of help:

http://www.apastyle.org/index.aspx http://owl.english.purdue.edu/owl/resource/560/01/

Adapted from document created by Melanie Johnson & Maureen Gerson. (mkj  12/11,  mkg  1/14)

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Appendix  F:  Student  Evaluation  of  Clinical  Instructor  

Instructions to students: Please complete the following survey. You are evaluating clinical teaching effectiveness.

1 Was available to the students in the clinical area 2 Gave individual help when I requested it 3 Showed enthusiasm for the course and interest in the students

4 Encouraged student participation and discussion during conference time

5 Encouraged independence in managing client care where appropriate

6

Provided feedback (assignments, written, verbal) that was timely and constructive, which helped define progress, strengths, and areas for improvement

7 Promoted student writing ability through computer documentation and assignments

8 Made resources and optional resource readings available as appropriate

9 Defined student responsibilities to me and the clinical agency 10 Demonstrated clinical expertise about client intervention

11 Used alternative teaching methods when needed to stress important information (i.e. assignments, discussion, demonstration)

12 Encouraged independent thinking and learning **Responses range from “Strongly Disagree” to “Strongly Agree,” with a neutral option in the center.

       

 

 

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Appendix  G:  How  to  Access  D2L  Clinical  Faculty  Orientation  Modules  

Log  onto  D2L  Website.  Sign  in  with  your  username  &  password  (same  as  WSU  email).  On  Main  page,  locate  Self  Registration,  as  indicated  in  the  screen  shot  below.  Click  on  Self  Registration.      

   This  will  bring  up  many  choices  of  courses  that  are  available  to  you.  Please  select  “ClinicalAdjunctOrientation.”  Notice  that  your  status  may  indicate  “Not  Enrolled,”  but  this  will  soon  change.      

 A  new  screen  will  appear  that  looks  like  the  one  below.  Click  Register,  and  this  course  will  be  added  to  your  available  D2L  courses.    

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 Once  added  to  your  courses,  you  can  access  and  begin  the  modules  by  clicking  on  “Select  a  course…”  at  the  top  of  the  page,  as  indicated  below.  You  may  need  to  scroll  to  find  “Clinical  Faculty  Orientation.”  Once  you  click  on  the  title,  you  will  be  taken  to  the  course  modules.    

 

   You  are  ready  to  begin!    Please  click  on  Materials,  then  choose  Content.  You  will  see  a  Table  of  Contents  on  the  left  hand  side,  with  9  modules  located  below.      

     Thank  you  for  your  time  and  effort  with  this  process!      

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Appendix  H:  Guidelines  for  Student  Nurses    

1.  Students  can  perform  any  skill/procedure  for  which  they  have  received  preparation,  as  designated  by  their  clinical  instructor  or  staff  nurse  preceptor,  except  for  those  identified  below.    2.  Clinical  instructors  or  staff  will  supervise  the  student  depending  on  the  student’s  competency  level  and  instructor/staff  discretion.    3.  All  students  are  NOT  PERMITTED  to  perform  the  following  tasks  under  any  circumstance:  

•      Program  or  act  as  a  witness  in  working  with  PCA  Pump    •      Manage  Epidural  Infusions,  Tubing,  or  Pump  Settings    •      Discontinue  Central  Lines    •      Administer  Blood    •      Interpret  Fetal  Heart  Monitoring  Tracings    •      Take  Verbal  or  Telephone  Orders    •      Verify  Informed  Consent    •      Care  for  Airborne  Isolation  Patients  (N95  or  PAPR  needed)    •      Implement  patient  restraints  or  seclusion  • Remove  any  type  of  Wound  Drain  (Penrose,  JP,  Duval,  etc.)    • Point-­‐of-­‐care  testing  (Glucometer)-­‐  agency-­‐specific  • Drawing  of  Blood    • Titrate  or  act  as  a  witness  for  IV  medication  drips  or  pumps    • Assist  with  central  venous  catheter  insertion    • Administer  Chemotherapy  via  any  route    • Maintenance  of  ventilators  and  external/transvenous  pacers      •      Administer  HIGH  ALERT  Medications  (agency-­‐specific):  Adrenergic  agents,  Anesthetic  agents,  Chemotherapy,  Concentrated  Parental  Electrolytes  (TPN,  etc.),  Heparin  Infusions,  Insulin  infusions,  Liposomal  Forms  of  medications,  Neuromuscular  Blocking  Agents    

4.    Students  may  perform:  • Obtain  Medical  History  Assessment  or  Data  Collection    • Obtaining  baseline  Vital  Signs,  Weight  and  Height  • BID  Assessments  • Neurological  Checks    • Physical  Cares  and  Activities  of  Daily  Living    • Patient  Education    • Pain  Assessment    • Collect  Specimens    • CPR  for  infant,  child,  and  adult    • NG  insertion,  Irrigation  and  maintenance    • Administer  Medications  • Administer  Saline  Flushes  via  IVs/  Central  Lines/PICCs/Port-­‐o-­‐catheters    • Administer  IV  Medications  (IV  Push,  Port-­‐A-­‐Cath,  in-­‐line)    • Assist  with  ET/Trach  Suctioning  

 

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References    

Billings,  D.,  &  Halstead,  J.  (2005).  Teaching  in  nursing:  A  guide  for  faculty  (2nd  ed.).  St.  Louis:  Elsevier       Saunders.    DeYoung,  S.  (2003).  Teaching  strategies  for  nurse  educators.  Upper  Saddle  River,  NJ:  Prentice-­‐Hall.    O’Connor,  A.  (2001).  Clinical  instruction  and  evaluation:  A  teaching  resource.  Sudbury,  MA:  Jones  and       Bartlett.    Scheetz,  L.  (2000).  Nursing  faculty  secrets.  Philadelphia:  Hanley  &  Belfus.    Schoolcraft,  V.  (1994).  A  Down-­‐to-­‐earth  approach  to  being  a  nurse  educator.  New  York:  Springer.    Wiseman,  R.F.  (1994).  Role  model  behaviors  in  the  clinical  setting.  Journal  of  Nursing  Education,  33,       405-­‐410.