Course Descriptions

Nursing

Tracy Buller, Associate Professor of Nursing
Carolyn Davis, Associate Professor of Nursing
Jan Emswiler, Assistant Professor of Nursing
Joyce Hoffman, Associate Professor of Nursing
Vicky Kirkton, Associate Professor & Director Undergrad Prog in Nursing, Director RN to BSN
Beth Miller, Assistant Professor of Nursing
Brenda Srof, Department Chair, Director of Grad Program in Nursing & Professor of Nursing
Ruth Stoltzfus, Associate Professor of Nursing
Sherry Wenger, Associate Professor of Nursing
Gail Weybright, Associate Professor of Nursing
Laura Wheeler, Associate Professor of Graduate Nursing
Chris Wood, Associate Professor of Nursing

Introduction

The nursing department offers a bachelor of science degree in nursing and also a master’s degree described in a separate Graduate Programs catalog. The department is committed to excellence in nursing education and practice with an emphasis in liberal arts and the discipline of nursing. The nursing program provides opportunities for the student to gain knowledge and develop values for personal and professional growth and to prepare the student for entry into professional nursing practice as a generalist in settings where health care is provided. The study of the practice of nursing is based on nursing and related theories, scientific principles, intercultural perspectives and Christian ethics. The program prepares graduates with a foundation for continuous intellectual inquiry, graduate study and/or eventual specialization in nursing.

Visit the nursing department home page.

Upon graduation, each nursing student will:

  1. Demonstrate a faith that is active and reflective.
  2. Be sensitive and responsive to the spiritual needs of self and others.
  3. Examine ethical issues in relation to Christian faith.
  4. Utilize knowledge from the humanities, theology, natural and social sciences, nursing theories and intercultural experiences in providing nursing care.
  5. Utilize the ability to think actively and strategically in applying selected research findings to improve nursing practice.
  6. Utilize the nursing process by employing strategic thinking, decision-making psychomotor and interpersonal skills.
  7. Assume leadership that empowers self and others, foster ability to resolve conflicts, function as a change agent and promote accountability.
  8. Participate in the present and emerging roles of the professional nurse.
  9. Develop a sense of vocational direction.
  10. Collaborate and consult with clients and the interdiscipoinary team in providing comprehensive health services that reflect a healthy understanding of self and others.
  11. Demonstrate ability to provide culturally sensitive care.
  12. Demonstrate stewardship of the environment.

Two tracks, one degree.

The nursing program has both a basic and a RN-to-B.S.N. completion track. Students who have just graduated from high school or have completed some college, follow the basic track. Students who have graduated from a three-year diploma or associate degree program in nursing and are registered nurses follow the completion track. It is also possible for registered nurses to fit into the basic track, however the completion track was designed to provide an accelerated option that builds on previous education, nursing practice and life experience. The
program outcomes for graduates are the same for students enrolled in either track. At graduation, the bachelor of science in nursing degree is conferred.

Basic track

Admission process

Applicants should be in the upper half of their high school graduating class. The high school program should include foreign language, algebra, chemistry and biology. Physics is also recommended. Applications to the professional nursing program are submitted during the second semester of the freshman year. Applications are due by March 1 and are processed by April 30. The first nursing course begins in the fall of the sophomore year. All three 200-level courses are also offered during the summer session. The applicant’s readiness for admission to the nursing major is determined by academic performance, references, health record and a security check.

Transfer students from other nursing programs

Students who wish to transfer to the nursing program at Goshen College from another pre-nursing or nursing program will be reviewed on an individual basis. Admission to the nursing program will be based on the academic and clinical performance of the student. The department of nursing may request a reference letter from the previous nursing programs regarding academic and clinical performance.

Academic and professional requirements

General. Admission to Goshen College as outlined in the Admission Web site.
Professional. Essential abilities necessary to learn the professional nurse role include critical thinking, conceptual and judgmental skills, neurological function so that the senses can be used to make correct clinical judgments and perform psychomotor skills safely; the ability to communicate clearly; effective emotional coping skills; accountability; and the ability to engage in activities consistent with safe nursing practice.
Academic. Grade of C or above in supporting and nursing courses and a cumulative college grade point average of 2.7 or higher.
Mathematics requirement. Quantitative Literacy may be established in several ways: SAT math score of 550 or ACT math score of 24, college credit in 100-level or higher mathematics (including a score of 4 in AP calculus or 5 in IB mathematics), or a passing score on the Goshen College Quantitative Literacy exam. Students who have SAT math scores below 490 or ACT math scores below 20 must establish Quantitative Literacy by completing Math 105, Quantitative Reasoning before or concurrently with their first science course.
Other. The nursing department reserves the right to adjust the current admission criteria when outcome assessment data demonstrate the need for such changes.

Continuation criteria

A grade of C or above in all supporting and nursing courses and a college grade point average of 2.7 or higher is required for continuation in the nursing major. A grade of C- or below in a supporting or nursing course interrupts the student’s plan of study. The course must be repeated with a grade of C or higher prior to advancement to the next level. Nursing and supporting courses may be repeated only once. The number of repeated courses is limited to two supporting courses and one nursing course. The nursing department reserves the right to place a student on probation or require a student to withdraw from the nursing major when that student displays behaviors deemed inappropriate to the practice of professional nursing.

Graduation requirements

Completion of 120 credit hours accepted by Goshen College, successful completion of all nursing courses, cumulative grade point average of 2.7 or higher in all college course work.

Licensure exam

Upon completion of the degree, the student is eligible to take the National Council Licensure Examination – RN (NCLEX-RN) for licensure as a registered professional nurse. The program is accredited by the Commission on Collegiate Nursing Education and is approved by the Indiana State Board of Nursing.

Major in nursing (basic track)

87 credit hours

Modified Goshen Core program for nursing students

The same Goshen Core requirements apply as for students in other majors, with two exceptions.

  1. Perspectives courses. Natural World, Social World and Peacemaking requirements are met by courses in the nursing major.
  2. Intercultural education. Nursing students may select an alternate arrangement with four elements:
  • One semester of Spanish language study (at individual student’s level)
  • Intl 253, History & Culture of Latinos in the U.S.
  • Intl 257, Arts & Literature of Latinos in the U.S.
  • A clinical placement in a Latino setting during NURS 408, Community Health Nursing

International nursing students will take the three courses designed for international students (See International Education section). All nursing students will also take CORE 300, Global Issues Seminar, along with other students, after completing their intercultural studies requirement.

Supporting courses (35 credit hours)

Complete prior to enrolling in nursing courses:

  • Chem 101, Introductory Chemistry3
  • Chem 103 NW, Chemistry and Health4
  • Biol 203, Human Anatomy and Physiology I 4
  • Biol 204, Human Anatomy and Physiology II 3

Complete prior to or concurrent with 200-level nursing courses:

  • Biol 206, Microbiology 3
  • Chem 220, Human Nutrition 3
  • Psyc 100, General Psychology 3
  • Psyc 210 SW, Developmental Psychology
    or Psyc 221, Human Behavior 3
  • Soc 200, Principles of Sociology 3

Complete prior to or concurrent with 300-level nursing courses:

  • Biol 319, Human Pathophysiology3
  • Psyc 380, Statistics in Research 3

Nursing courses (51 credit hours)

  • Nurs 210, Introduction to Professional Nursing 3
  • Nurs 211, Concepts and Strategies in Nursing 3
  • Nurs 212, Holistic Client Assessment* 3
  • Nurs 305, Pharmacology 3
  • Nurs 306, Nursing Care of the Adult I*4
  • Nurs 307, Nursing Care of the Adult II*4
  • Nurs 308, Gerontological Nursing3
  • Nurs 309 PX, Health Care Ethics3
  • Nurs 311, Nursing Care of the Expanding Family* 3
  • Nurs 312, Nursing Care of the Child* 3
  • Nurs 403, Nursing Research3
  • Nurs 405, Psychiatric/Mental Health Nursing* 3
  • Nurs 406, Acute Care Nursing* 3
  • Nurs 408, Community Health Nursing* 3
  • Nurs 409, Leadership in Nursing* 3
  • Nurs 410, Senior Seminar in Nursing1
  • Nurs 415, Capstone 3

*Denotes courses with a clinical component or practice-based project.

Planning and advising notes

Students who had two semesters of high school chemistry with a grade of B- or higher are exempt from Chem 101 but are required to take Chem 103.

Nursing courses

 

NURS 190 Strategies for Nursing Success 1

This course provides activities on ways to improve the student’s overall academic and test performance. ATI and additional resources will be utilized for improvement in critical thinking and analyzing test questions. Students will develop strategies for managing test anxiety.

NURS 210 Intro to Professional Nursing 3

Selected nursing theories, nursing process and research will be studied as foundations for nursing practice. Emphasis will be on the nurse as a person and the importance of self-understanding, accountability, communication and helping relationships. The role of the professional nurse is studied in terms of an ever-changing health care delivery system and emerging nursing practice settings. Introduction to client as individual, family and community.

NURS 211 Concepts & Strategies in Nursing 3

Selected concepts and strategies inherent in basic nursing practice are studied. These are organized according to classification systems of nursing diagnoses, interventions and outcomes. Related nursing skills are incorporated. Prerequisite: Nurs 210.

NURS 212 Holistic Client Assessment 3

Holistic client assessment focuses on collection of a database within the context of the nursing process. Content includes the health history and assessment of functional health patterns, body systems, growth and development, and cultural and spiritual dimensions. Clinical and laboratory experiences are included. Prerequisite: Nurs 210, Prerequisite or Concurrent: Nurs 211.

NURS 290 NCLEX Success Strategies 1

This course includes activities and strategies in preparation for the NCLEX exam. The student will be completing several tutorials and practice exams from the ATI assessment series. A careful analysis of issues related to test taking abilities will be completed, along with review from ATI textbooks and other NCLEX preparation resources.

NURS 305 Pharmacology 3

The nursing process is applied in the administration of medications. Content includes counseling patients on safe and effective medication regimens and the pharmacodynamics and pharmacokinetics of drug categories. Calculation of medication dosages will be required. Legal and ethical considerations of administering medications will be considered within the nurse’s scope of practice. Prerequisites: Nurs 211, 212.

NURS 306 Nursing Care of the Adult I 4

The nursing process is used with adults and families experiencing illness. Content areas include nursing care of adults with fluid and electrolyte and acid/base imbalances, gastrointestinal disorders, musculoskeletal problems, chronic neurological problems, urinary/genital conditions, and autoimmune disorders. Clinical experiences consist of providing holistic nursing care to adults in medical/surgical clinical areas, with emphasis on perioperative nursing. Prerequisite: Nurs 212, Biol 319. Concurrent: Nurs 305,

NURS 307 Nursing Care of the Adult II 4

The nursing process is used with adults and families experiencing illness. Content areas include nursing care of adults with fluid and electrolyte and acid/base imbalances, cancer, lower respiratory problems, diabetes, and cardiovascular problems. Clinical experiences consist of providing holistic nursing care to adults in medical/surgical clinical areas. Prerequisite: Nurs 212, Biol 319. Concurrent: Nurs 305.

NURS 308 Gerontological Nursing 3

Examines health issues encountered during the final four decades of the life span, from active older adult through the end of life. Some specific pathophysiology as it relates to older adults is included. Students work with a well elder and visit community settings that provide services for older adults.
Prerequisite: Nurs 212.

NURS 309 Healthcare Ethics 3

Students will actively reflect on ethical issues which are present in health care for practitioners and consumers. The focus will be on the process of ethical inquiry rather than decision outcomes. In the process of analyzing bioethical issues, student will be introduced to ethical theory and modes of ethical analysis informed by the Christian faith. Prerequisites: Open to third- and fourth-year students from all departments. A Peacemaking Perspectives course in the Goshen Core.

NURS 311 Nursing Care of Expanding Family 3

The nursing process and knowledge of normal and selected abnormal conditions experienced during the childbearing cycle are addressed. Selected normal, and deviations to, general women’s health issues are also discussed. Clinical experiences occur with the family in the community and hospital. Prerequisite: All 200-level nursing courses and Biol 319. Concurrent: Nurs 305.

NURS 312 Nursing Care of the Child 3

The focus is on common conditions and illnesses of children. The clinical focuses of the nursing care of the ill child. Developmental concepts, health promotion and prevention are emphasized in clinical and theory. Prerequisite: All 200-level nursing courses and Biol 319. Concurrent: Nurs 305.

NURS 403 Nursing Research 3

Basic concepts of nursing research are examined. Focuses on critical analysis and summary of published nursing research as a basis for using research in clinical practice. Understands the linkages between nursing practice, research evidence and patient outcomes. A major project is developed related to nursing research utilization. Prerequisite: nine credit hours of 300-level clinical nursing courses.

NURS 405 Psychiatric/Mental-Health Nursing 3

A study of psychiatric/mental-health nursing practice. The clinical component provides opportunities in a psychiatric hospital and community mental-health settings. The role of the nurse as a member of the mental-health team is emphasized. Prerequisites: All 300-level clinical nursing courses.

NURS 406 Acute-Care Nursing 3

Focuses on the application of the nursing process to the care of acutely ill adults. Nursing care of individuals experiencing acute conditions of the cardiovascular, respiratory, neurological, and renal systems, and burns is studied. The course content is applied to the care of the acutely ill adults with complex nursing needs in the clinical setting. Prerequisites: All 300-level clinical nursing courses.

NURS 408 Community Health Nursing 3

Applies a synthesis of nursing, social, and public health theories to the assessment and care of aggregates in the community. Practice is collaborative with a focus on promoting and protecting the health of populations. Community health planning for aggregates or populations is done using a variety of agencies and resources in the community. The public health delivery system is differentiated from the private health care delivery system in its emphasis on social justice. Prerequisites: All 300-level clinical nursing courses.

NURS 409 Leadership in Nursing 3

Content includes management and leadership theories, as well as knowledge of complex organizational systems. An emphasis is placed on the role of the nursing leader as creator and manager of a culture of caring, safety, and quality. The clinical experience includes management of care for multiple clients and clinical experiences that relate to quality improvement. Prerequisites: All 300-level courses

NURS 410 Nursing Senior Seminar 1

The main focus is on integration of current professional practice issues in professional practice and the role of the BSN prepared nurse to impact change in the profession and health care arena. Portfolio and resume preparation are included. Prerequisties or Co-requisites: All 400-level nursing courses.

NURS 415 Capstone 1

Content includes application and review of nursing concepts in preparation for the licensure examination (NCLEX). Transition to practice issues are also discussed. A strategy for securing a nursing practice position is developed. Prerequisites: All 400-level nursing courses.

R.N. to B.S.N. completion track

Introduction

Registered nurses may choose to take the either the basic track or participate in the B.S.N. completion track described below, designed for the working registered nurse. The B.S.N. completion program is offered in collaboration between the Goshen College nursing department and the Office of Graduate and Continuing Studies. Transcripts from previous nursing education programs are evaluated individually and credits are transferred accordingly. Credit by examination is also an option for general education and supporting courses.

Structure of the program

This track allows registered nurses to complete a B.S.N. in about 19 months. The track is designed to affirm personal and professional strengths. Students are actively involved in identifying their strengths and their learning needs. Study guides are provided to maximize off-campus study and in-class activity time. The collaborative education process makes student experiences and insights a vital part of classroom activities. Each group of R.N.s progresses through the courses as a cohort group. Classes meet one night a week for four hours
and vary in length from two to 7 weeks. The same night of the week is used for a group throughout the program. Clinical experiences for specified courses will be arranged at other times during the week. Thirteen courses provide 40 credit hours, of which 28 are upper-level nursing credits and 12 are general education credits.

Admission requirements

  • An associate degree or diploma in nursing from an accredited program.
  • A cumulative grade point average of 2.7 or higher in prior academic work.
  • Completion of all prerequisite supporting courses (listed below).
  • Transfer of a minimum of 60 credit hours from an accredited college.
  • Current licensure as an R.N. in Indiana or a neighboring state where the clinical component can be completed.

Prerequisites

Prior to assignment to a group and beginning progression through the track, the following courses (or their achievement test equivalent) must be completed.

General education: English composition course (3 credit hours)

Supporting courses: Anatomy and physiology course (4 credit hours) and Sociology or psychology course (3 credit hours)

Graduation requirements

  1. Completion of 120 credit hours accepted by Goshen College.
  2. Completion of the B.S.N. completion track.
  3. Cumulative GPA of 2.7 or above in this program.
  4. Completion of general education and supporting-course requirements outlined
    above.

Courses for the B.S.N. completion program

Nurs 331 Philosophy and Theories of Nursing 3
Bridge course that prepares adult learners for upper-level college study. The metaparadigm of nursing is utilized as the organizing framework for exploration of self and nursing. The evolution of nursing science, theory, research, and practice are studied. Caring is discussed as a central ethic of nursing practice.

Nurs 332 Holistic Client Assessment* 4
Builds on prior learning, expanding history taking and physical assessment skills across the life span. Includes spiritual, cultural and family assessment.

Nurs 333 Nursing Research 4
Basic concepts of nursing research are examined. Focuses on critical analysis of published nursing research as a basis for using research in clinical practice.  Prerequisites:  nine credit hours of 300-level nursing courses.

Nurs 437 Cross-Cultural Aspects of Health and Illness 4
Health, illness and various health-care systems are explored. Theory relative to culture and specific aggregates will be studied.

Nurs 438 Community Health Nursing* 5
Applies a synthesis of nursing, social, and public health theories
to the assessment and care of aggregates in the community. Practice is collaborative, with a focus on promoting and protecting the health of populations. Community health planning for aggregates or populations is done using a variety of agencies and resources in the community. The public health delivery system is differentiated from the private health care delivery system in its emphasis on social justice.

Nurs 439 Health-Care Ethics 2
Students will actively reflect on ethical issues which are present in health care for practitioners and consumers. The focus will be on the process of ethical inquiry rather than decision outcomes. In the process of analyzing bio-ethical issues, student will be introduced to ethical theory and modes of ethical analysis informed by the Christian faith.

Nurs 447 Issues Seminar 1
Focuses on integration of current issues in the practice of professional nursing. Students articulate their own philosophy of health care and nursing including their faith beliefs, rights of clients and responsibility to deliver quality nursing care.

Nurs 449 Leadership in Nursing* 5
Leadership and management principles are applied to clinical practice. Clinical practice component of course will be arranged with each student.

* Denotes courses with clinical component or practice-based project

Goshen Core general education courses

Core 210  Professional Communication Skills  3
A course for adult students that responds to the challenges of professional communication expectations.   The focus is on critique and the development of individual written and oral communication skills for content, style, and effectiveness.   Access and management of information will also be addressed.

Artistic World course  3
Artistic World perspectives courses explore human imagination and artistic innovation within the larger cultural context.

Religious World course 3
Religious World perspectives courses explore Christian faith or other religious traditions within the larger cultural context.

PSYC 380 Statistics in Research  3
A study of data analysis and its relationship to research methods in a variety of settings.    It includes descriptive, parametric, and nonparametric statistics.