PNR300 - Role Development for the Practical Nurse

Outline info
Last revision date 2018-06-18 12:27:07.795
Last review date 2018-06-18 12:27:07.796

Subject Title
Role Development for the Practical Nurse

Subject Description
The student will study nursing concepts and the legal, moral and ethical issue identified in health care, which impacts scope of practice, patient safety and outcomes as well as the collaborative roles of healthcare teams assisting to address ethical dilemmas. This course will help students to examine and communicate their own belief and ethical values that are important in providing care. Students will explore strategies to help address ethical conflict and moral distress that they may encounter in practice setting. They will develop an understanding of the therapeutic nurse-client relationship ethical framework, ethical responsibilities, and the legal rights of patients receiving care (for example, safe, compassionate, competent and ethical care, values, advocacy, decision making, and accountability).

Credit Status
Successful completion of this required course provides one credit towards the Practical Nursing Diploma

Learning Outcomes
Upon successful completion of this subject the student will be able to:

.Upon completion of this course the student will demonstrate the ability to:

  1. Understand the governing body of the nursing profession and their role in legal and ethical issues.
  1. Explores and understands the meaning of ‘advocacy’, the rights of clients, taking action on behalf of clients, and advocating for patients at individual and organizational levels.
  2. Develops an increased awareness of clinical ethical issues in nursing and how they apply to therapeutic nurse-client relationships.
  3. Understand the CNO Code of Ethics and their application to nursing practice.
  1. Discuss ‘client values’ and ‘personal values’ and how they impact the client-nurse therapeutic relationship and the interprofessional team members caring for clients.
  1. Discuss moral, ethical and legal practice issues in a variety of nursing practice settings, including hospitals, homes for the aged, community agencies, and private business.
  2. Understands the nurse’s ethical and legal responsibilities for their clients that include respecting diversity and decisions, importance of maintaining client confidentiality, obtaining informed consent, and the refusal of treatment.  
  3. Demonstrates the ethical decision making process required when addressing situations of ethical distress and dilemma, and the nursing actions that demonstrate safe, ethical and moral practice to support of clients to make informed decisions and providing consent.
  4. Understands importance to adhere to professional practice standards, meaning of unprofessional behaviors and unsafe practices, and reporting mechanisms.
  5. Understands that maintaining competency, safe and ethical practice includes reflecting on practice standards and guidelines to assess ones strengths and limitations in their skills, judgment, and attitudes adhering, which adhere to the CNO Quality Assurance program.

CNO Entry to Practice Competencies (identified in subject outline and weekly course objectives)

 Advocate for clients rights.
 With client’s consent include family and designate representative in care delivery.
 Respects clients’ diversity and decisions.
 Identifies how one’s values, beliefs, and assumptions affect interactions among members of the interprofessional health care team.
 Understands the ethical framework of the therapeutic nurse-client relationship.
 Demonstrates knowledge of the distinction between ethical responsibilities and legal rights and their relevance when providing nursing care.
 Demonstrates knowledge of informed consent as it applies in multiple contexts.
 Respects and preserves clients’ rights based on a code of ethics or ethical framework (for example, safe, compassionate, competent and ethical care; informed decision-making; dignity; privacy and confidentiality; and being accountable).
 Uses an ethical reasoning and decision-making process to address situations of ethical distress and dilemmas.
 Demonstrates support for clients making informed decisions about their health care and respects those decisions.
 Advocates for clients or their representatives especially when they are unable to advocate for themselves.
Based on ethical and legal considerations, maintains client confidentiality in all forms of communication.
 Uses the standards of practice to assess one’s competency to identify gaps in knowledge skill, judgment and attitude by: c) Assessing one’s areas of strength and areas for improvement in adherence with the College Quality Assurance Program.
 Demonstrates knowledge of the different mandates of: a) the College and self-regulation.
 Demonstrates professional conduct by: a) Adhering to the standards of practice of the profession; b) Responding professionally to unacceptable behaviors; c) identifying and responding to incidents of unsafe practice or professional misconduct.

Cheating and Plagiarism
Each student should be aware of the College's policy regarding Cheating and Plagiarism. Seneca's Academic Policy will be strictly enforced.

To support academic honesty at Seneca College, all work submitted by students may be reviewed for authenticity and originality, utilizing software tools and third party services. Please visit the Academic Honesty site on for further information regarding cheating and plagiarism policies and procedures.

All students and employees have the right to study and work in an environment that is free from discrimination and/or harassment. Language or activities that defeat this objective violate the College Policy on Discrimination/Harassment and shall not be tolerated. Information and assistance are available from the Student Conduct Office at

Accommodation for Students with Disabilities
The College will provide reasonable accommodation to students with disabilities in order to promote academic success. If you require accommodation, contact the Counselling and Disabilities Services Office at ext. 22900 to initiate the process for documenting, assessing and implementing your individual accommodation needs.

All Module 2 Subjects

Topic Outline
Topic Outline:

  • Ethical principles, theories, and framework
  • Value and value clarification
  • CNO professional standards
  • End of life care
  • Scope of practice
  • Abuse
  • Professional misconduct
  • Legal issues
    • Privacy and confidentiality
    • Negligence
    • Malpractice
    • Medical documentation
    • Risk management
    • Professional liability
    • Safe and competent care
    • Refusing assignment
    • Disagreeing with the plan of care
  • Mandatory reporting
  • CNO committees
  • CNO self regulation and standards of care
  • Informed consent
  • Ethical decision making

Mode of Instruction
3 hours per week x 14 weeks = 42 hours

A variety of individual and group learning activities will be involved with an emphasis on cooperative learning strategies. Guest presentations and student presentations will be scheduled. Preparation for class is necessary. Attendance and participation in class activities is expected and is essential to the achievement of the Learning Outcomes.  Select classes may be facilitated via Blackboard in an online format.

Prescribed Texts

Kelly, P., & Crawford, H. (2016). Nursing Leadership and Management. (3rd ed.). Toronto, ON: Nelson.  ISBN  978-0-17-657044-6

Reference Material
Keatings, M. & Smith, O.B (2010).  Ethical & legal issues in Canadian nursing, (3rd ed)W.B. Saunders, Toronto Chapter 3. Copies available in the library.

Oberle, K., & Raffin Bouchal, S. (2009). Ethics in Canadian nursing practice: Navigating the journey. Toronto, ON: Pearson Education.

Potter, P. & Perry, A. (2014). Canadian fundamentals of nursing (J. C.

Ross-Kerr & M. J.  Wood, Eds.) (5th ed.).  Toronto, ON: Mosby.

Yeo, M., Moorhouse, A., Rodney, P., & Khan, P. (2010). Concepts and Cases in Nursing Ethics. (3rd ed.).Peterborough, ON: Broadview Press. 

Required Supplies
Students must have daily access to a computer and the Internet. Students are responsible for providing their own materials for presentations, seminars and assignments.

Promotion Policy
A minimum “C” grade is required for one credit toward the Practical Nursing Diploma.

Grading Policy
A+ 90%  to  100%
A 80%  to  89%
B+ 75%  to  79%
B 70%  to  74%
C+ 65%  to  69%
C 60%  to  64%
D+ 55%  to  59%
D 50%  to  54%
F 0%    to  49% (Not a Pass)
EXC Excellent
SAT Satisfactory
UNSAT Unsatisfactory

For further information, see a copy of the Academic Policy, available online ( or at Seneca's Registrar's Offices.

Modes of Evaluation
Modes of Evaluation

Midterm Exam Inclusive of weeks 1-5 20%  
Paper Ethics paper 25%  
Group Presentation Ethical Dilemma 20%  
Final Exam 25% on content from weeks 7 – 13
 10% Comprehensive

Dates for evaluations are specified in the weekly schedule addendum to this outline. The evaluation process may include, but is not limited to, tests, exams, assignments or presentations. Any absences or missed submissions due to medical or other reasons must be supported by medical or other appropriate documentation within one (1) week of the due date. Failure to produce documentation within the timeframe will result in a grade of zero in the missed evaluation. The faculty and program area must be notified immediately in the event of a missed evaluation. Upon acceptance of the documentation, the weighting of the missed deliverable will normally be applied to the final exam.

Students must attain a minimum overall mark of 60% in order to pass this subject.  Failure to meet the above will result in a grade of "F".

Late Assignments
Assignments are due at the beginning of the class on the dates specified. Begin your assignments early in anticipation of unforeseen problems that may arise in your work or personal life. Should extenuating circumstances arise, please contact your instructor immediately, prior to when your assignment is due, so an appropriate course of action can be established. Late assignments are subject to a penalty of 10% per week and will not be accepted beyond two weeks after the assignments due date.

Expected English Competencies:
Since this is a professional credit subject, marking standards reinforce professional practice by demanding that all written work must demonstrate the following characteristics for clarity and conciseness:
  •     writing is consistent with the rules of English grammar
  •     spelling and punctuation are  correct
  •     appropriate vocabulary used
  •     sentences are structured correctly
  •     work to flow logically through supporting statements
  •     work to be arranged in correct format (i.e. reports,essays)

Approved by: Lisa Harfield