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SUNY Downstate Medical Center (College of Nursing)




The growing complexity of nursing practice calls for a broader base of knowledge, higher skill levels, and a stronger foundation for graduate education. The National Advisory Council on Nurse Education and Practice has recommended that by 2010, two-thirds of all RN’s in the workforce should have at least bachelor’s degrees. Toward this end, the College of Nursing offers an undergraduate, upper-division RN to BS degree program for students who are already licensed as professional nurses and an Accelerated BS program for students who hold a degree in another field but who are seeking basic preparation for beginning nursing practice. The RNto- BS program is one of the largest in New York State, admitting over 100 RNs each year. More than 350 full-time and part-time students are enrolled in the College’s two baccalaureate programs. The College of Nursing is one of four nursing schools in New York State to offer master's degree programs in advanced nursing practice roles: clinical nurse specialist, nurse practitioner, nurse anesthesia, and nurse-midwifery. For nurses who already hold master's degrees, the college offers certificate programs for preparation as nurse practitioners. More than 125 students are enrolled in the College’s graduate programs. Additionally, students may obtain concurrent degrees in Downstate’s Master of Public Health Program. The College of Nursing also sponsors continuing education for practicing professional nurses from the community.

MISSION STATEMENT

SUNY Downstate’s Colleges of Medicine, Health Related Professions, and Nursing, and its School of Graduate Studies offer students a broad professional education that prepares them for practice or careers in any location and community. This education provides exceptional opportunities for those students with a commitment to promoting health in urban communities and addressing the complex challenges of investigating and preventing diseases that confront clinicians, educators, and researchers in such an environment.

This special aspect of Downstate’s unique mission is reflected in the students it attracts and selects, the vast majority of whom are drawn from the New York City metropolitan area. Many of these students are members of minority and cultural groups underrepresented in the health professions, and/or come from families of first-generation immigrants or from economically disadvantaged backgrounds.

The differences in the background and outlook that students bring with them can enhance the quality of the educational experience of all students at SUNY Downstate. The belief that diversity adds an essential ingredient to the educational process is one of Downstate’s primary tenets. Many factors, such as race, ethnic or cultural background, academic achievement, geographic location, diversity of experiences, leadership roles, and socioeconomic background, are taken into consideration in the admissions process. A diverse healthcare workforce will be better equipped to provide culturally competent care to an increasingly diverse population.

MISSION

The mission of the College of Nursing is to serve as a center of excellence. Graduates of the programs are prepared as multicultural leaders who are empowered to effect change in health policy and provide culturally competent care to diverse, underserved clients in urban community-based settings. The College of Nursing is committed to improving the health care of its urban community. Evidence-based practice, humane spirit, and clinical and academic excellence are integral to the mission of the College.

PHILOSOPHY

All clients are open systems and may be defined as culturally diverse individuals, families, communities, or groups in a society. Stress and reaction to stress are basic components of an open system. The open-system model considers the simultaneous interaction of physiological, psychological, sociocultural, developmental, and spiritual variables affecting the client system. These systems are in dynamic interaction with internal and external forces of the environment and tend to move toward wellness/stability, illness, or death.



School name:SUNY Downstate Medical CenterCollege of Nursing
Address:450 Clarkson Ave
Zip & city:NY 11203 Michigan
Phone:718 270 7600
Web:http://www.downstate.edu/nursing/
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College of Nursing Courses


NURSING PROCESS IN HEALTH PROMOTION
Within a holistic framework, the student focuses on nursing and client systems, health, human needs, communication and interviewing, and the nursing process. Students will interview and work with individuals and families by applying the nursing process to assist clients in health promotion and disease prevention, including counseling clients regarding healthy lifestyles, nutrition, exercise, and smoking cessation.

INTRODUCTION TO PHYSICAL ASSESSMENT
This course provides an introduction to concepts and principles of health assessment, including history-taking and physical examination. Emphasis is on acquiring health assessment skills for the examination of clients across the life span. Supervised laboratory practice provides an opportunity for students to develop tools to take a complete history and perform a comprehensive physical examination on a client with appropriate documentation.

PROFESSIONAL NURSING DEVELOPMENT
This course is designed to explore the history and development of professional nursing, including past and current issues and trends relevant to the nursing profession. The role development, values, and ethical and legal issues will also be included. Students will be acquainted with healthcare systems within which professional nurses practice.

INTRODUCTION TO PHARMACOLOGY, DRUG CALCULATIONS, AND PREPARATION
This course is designed to provide students with basic knowledge of various drug classifications and the pharmacodynamics of commonly used drags. In addition, students will learn drug terminology, symbols, and procedures relevant to drug preparation and drug calculations.

PRINCIPLES OF TEACHING AND LEARNING
This course provides an opportunity for students to apply principles and methods of teaching, learning, and evaluation as they apply to clients across the life span. Students are expected to develop, implement, and evaluate a teaching plan for clients they are working with. Students will be evaluated on their application of principles of teaching and learning as they care for clients in the clinical setting.

PROFESSIONAL NURSING PRACTICE WITH OBSTETRIC AND GYNECOLOGICAL CLIENTS
This course focuses on the study of normal and high-risk pregnancy, labor and delivery, and postpartum care. Also included are common gynecological problems women experience during various stages of their lives through postmenopause. Students will provide supervised nursing care to women with obstetrical and gynecological conditions.

PROFESSIONAL NURSING PRACTICE WITH ADULT CLIENTS I
This course will introduce the student to the hospital setting, the health-care team, and the hospitalized client. Students will care for medical-surgical clients in the inpatient setting, with emphasis on the application of such knowledge and interviewing, history taking, physical examination, problem solving and the provision of basic nursing care of hospitalized clients with medical and surgical conditions. Students will care for selected clients with medical and surgical problems under supervision.

CONTEMPORARY ISSUES IN HEALTH CARE
The course will examine important factors such as health policy, economics, politics, and legislation and their impact on health issues and trends in today’s American health care systems. The role of technology and advances in medicine; health-care financing; barriers and disparities to access health-care; and consumer movement affecting health-care delivery will also be covered.

PROFESSIONAL NURSING PRACTICE WITH ADULT CLIENTS II
This is an advanced course in the study of selected common medical and surgical conditions affecting the adult population. Emphasis is on the application of knowledge and skills in the nursing care of adult clients experiencing cardiovascular, pulmonary, respiratory, and hematological problems in outpatient clinics and inpatient settings. Students will provide nursing care to moderate-to-seriously ill clients with multiple medical-surgical problems.

PROFESSIONAL NURSING PRACTICE WITH CHILDREN
This course focuses on the care of hospitalized children experiencing major disease processes. Students will learn to care for sick children in a variety of settings, including pediatric clinics and inpatient settings. The impact of the child’s illness on family dynamics will also be explored.

LEADERSHIP AND MANAGEMENT
This course will apply theories of leadership and management in nursing practice. Content includes human behavior, the difference between leadership and management, the role of the leader and manager, change theory and its implications for health-care professions. Students will be assigned to a preceptor in a leadership/ management position to facilitate their application of theory to clinical practice.

PROFESSIONAL NURSING PRACTICE WITH ADULT CLIENTS III
This is an advanced course in selected, common medical-surgical conditions affecting adult clients. Emphasis is on the application of knowledge and skills in the nursing care of adult clients with neurological, renal, endocrine, and orthopedic problems in adult outpatient clinics and inpatient settings. Students will provide nursing care to moderate-to-seriously ill clients with multiple medical-surgical problems.

PROFESSIONAL NURSING PRACTICE WITH PSYCHIATRIC CLIENTS
This course is designed to study human psychopathology throughout the life span, including common psychiatric disorders, treatment modalities, and preventive strategies for reoccurrence. The concept of mental health is integrated throughout the course. In their clinical rotation in inpatient and outpatient settings, students are encouraged to apply the principles and theories of mental health in their care of clients with major mental health problems.

PROFESSIONAL NURSING PRACTICE WITH CLIENTS IN THE COMMUNITY
This course focuses on community assessment, environmental factors affecting health and illness, concepts and principles of epidemiology, and problems of the urban environment. In collaboration with the Visiting Nurse Association of Brooklyn and selected ambulatory clinics, and under faculty supervision, students will provide nursing care in the client’s home setting.

PROFESSIONAL NURSING AND TRANSITION INTO PRACTICE
In this course, students will synthesize previous knowledge about client systems, health, and professional nursing interaction and values and will explore new dimensions of these concepts in urban health-care settings. Students will apply a variety of organizational models to analyze health-care systems. Emphasis will be placed on theories of management, change, and communication as they relate to interpersonal, intrapersonal, and extrapersonal stressors. Students will examine professional nursing role development within health-care systems.

INTRODUCTION TO STATISTICS
This course focuses on the analysis and presentation of statistical data. Emphasis is placed on the appropriate use of statistics and proper interpretation of the findings. Topics such as measures of central tendency and variability, correlation, z-test, t-test and chi square, with special application in the health sciences, are covered. Fall or Spring semester.

THE RESEARCH PROCESS
This course introduces students to the steps in the research process, including definition of a problem, hypotheses, literature review, methodology, design of the study, and its implications for nursing practice. Students will evaluate research studies and utilize research findings in their professional practice.

INDEPENDENT STUDY/GUIDED STUDY
Under the guidance of faculty preceptors, students will either individually or in groups explore in depth a nursing problem or a question or topic of special interest. Students are expected to submit a proposal for approval, including:
1) problem/question identification;
2) delineation of goals to be achieved;
3) description of methodology; and
4) completion of a final product (such as a term paper, project, or audiovisual production).
Students and faculty preceptors will meet to discuss the progress of the study.

GERONTOLOGY: AN INTERDISCIPLINARY APPROACH
This course is designed to study aging as part of the life-cycle continuum, with emphasis on variables that may be modified to increase quality of care and life. An epidemiological model is used to study health status as it is affected by environment, lifestyle, heredity, and community services. Students observe and participate in managing the care of a client being followed by agencies that are selected for their interdisciplinary approach.

HIV DISEASE: A HUMANISTIC APPROACH TO NURSING CARE
This course offers an in-depth examination of the complex physical, social, psychological, and ethical issues of HIV infection/AIDS. Lectures will be given by a variety of clinicians with expertise in the field. Emphasis will be placed on smallgroup discussion of the issues and problems that nurses must face in working with HIV-infected people.

NURSING ETHICS AND THE LAW
The learner examines personal and professional values in relation to ethical problems and issues occurring in nursing. Ethical systems of decision-making are applied and analyzed, using nursing situations. Legal parameters of nursing and their interrelation with the ethical dimensions of nursing are also analyzed. An opportunity for a field experience is provided.

NURSING HISTORY: INFLUENCE ON EDUCATION, PRACTICE, AND IMAGE
An opportunity for students to study the history of the modern nursing movement in America during the late 19th and early 20th centuries as it relates to women’s issues, nursing education, and nursing image. Students will examine the social, political, and economic factors that influenced the emerging nursing profession and the contributions made by nursing leaders during this period.

PATHOPHYSIOLOGY
This course is designed to study the basic mechanisms and processes of disease and their impact on the human body systems. Also discussed is the presence of genetic, metabolic, infectious, immunologic, degenerative, and neoplastic conditions affecting the human organism.

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