NSG 410, Research and Evidence-Based Nursing Practice

NSG 410, Research and Evidence-Based Nursing Practice

School of Nursing Standard Course Information:

1. Understand and follow all Stratford University and School of Nursing policies and procedures as identified in the Stratford Catalog and the School of Nursing Student Handbook.

2. Students are expected to do their own work on exams, quizzes, and individual assignments. When an assignment or homework is completed within a group process, the faculty will clearly

indicate it.

3. All assignments have a due date and time posted, and it is the student’s responsibility to know when the assignment is due. If the student has a problem with accessing or turning in an

assignment due to Moodle/computer/technology issues, email the instructor so the problem can

be addressed.

4. All assignments/homework must be submitted via Moodle, not via email, by the due date to receive full credit. If there is an extenuating circumstance and the student is not able to submit

the work by the due date, the student must contact the instructor prior to the due date.

5. Unless otherwise identified by the course faculty, all assignments submitted shall be submitted as a “final” copy. Do not submit assignments as a draft.

6. The School of Nursing requires written work to comply with the most current APA standards and formatting and comply with the Academic Integrity standards of Stratford University.

References and citations are expected when material submitted is not the student’s original

work (i.e., definitions, evidence-based practices, interventions, lists, descriptions, etc.).

Students are encouraged to use plagiarism websites to review for plagiarism as needed. A good

resource for APA formatting is https://owl.purdue.edu

7. Students must achieve a minimum grade of 80% (B-) to pass a Nursing course. When a course has a clinical or lab component (pass/fail), the student must pass that component to pass the

course. Students passing the theory but failing the clinical/lab will earn an overall grade of not

more than C+.

8. Course assignments and homework are identified in the table below along with the topic

outline. Detailed directions and rubrics for assignments and homework are found in the

Important Documents area of the Moodle site for the course. Students are responsible for

following the directions and meeting the requirements of the assignments, homework, and

rubric(s).

The Syllabus Supplement contains additional information to the E-Syllabus for this course. The

contents of the Syllabus Supplement are an extension of the E-Syllabus for the course, and therefore,

are viewed as part of the official contract and requirements for the course. Students are responsible for

all information in the E-syllabus, the Syllabus Supplement, and all guides, rubrics, assignment

directions, etc., posted on the Moodle site. https://owl.purdue.edu/

Stratford University School of Nursing

Syllabus Supplement

2

9. Read your Stratford email daily. All official course communication will be done via Stratford email and/or the course Moodle site.

10. Some Nursing courses require completion of a practice and/or proctored assessments via a product called ATI. Specific requirements for each course are identified in a separate

document. The student is responsible for completing all ATI requirements for the course.

11. Some courses include a simulation learning activity. Guidelines and learning outcomes for each simulation are provided to the student.

12. Tests/exams and quizzes are given on the date and at the time listed for the course. a. Students are expected to be in their seats and ready to begin class at the appointed time. b. Exams will be the first item of class business and will start no later than 5 minutes after

the published class start time.

c. Students who arrive to class after the exam has been distributed, and the instructor has announced that the exam has begun may not be allowed into the classroom as this

disrupts other students.

d. The student may be allowed to take the test elsewhere provided there is a room and a proctor available and will be expected to return to class at the time appointed to resume

class after the exam is completed.

e. Students who arrive more than 30 minutes late for class will have the option of taking the test but within a shortened time frame as they will be expected to return to class at

the time appointed for resuming class after the exam is completed.

f. In the event a student is cognizant of a situation that will prohibit the student from attending class (i.e., hospitalization, emergency, etc.) the student is responsible to and

must contact the instructor prior to the exam to schedule a time to take the exam.

g. Students who miss the exam due to an approved absence or documented emergency may be required to submit evidence supporting these claims within 5 workdays of the

exam date. If the claims are verified, the students will be allowed to make up the exam

without a point penalty. Students are allowed one make-up exam per term. The make-up

must be completed within 5 workdays from the absence including the day of absence.

h. Students who miss an exam due to an unexcused absence, undocumented emergency or

tardiness will receive a zero without an opportunity to the make-up exam.

i. All students will bring personal items to the front of the classroom. Cell phones will be

turned off, and students may be required to place the phone on the front table during all

exams.

13. Stratford University School of Nursing uses remote proctoring software to support on-line

test security. It is a requirement for all students enrolled in any course that begins with the

prefix NSG to have the following computer support available:

a. Students are required to allow electronic or web-based monitoring for exams and / or quizzes. It may be a requirement to turn your camera on for the proctoring period (or

use a lock down browser). Failure to permit either of these types of monitoring

Stratford University School of Nursing

Syllabus Supplement

3

modalities will result in a “0” grade for the exam. This is considered an academic

integrity violation.

b. Desktop or laptop computer (no iPads, tablets) with the ability to download Google Chrome

c. Google Chrome: version 80 or higher

d. PC: version Windows 10 or later; Min resolution 1024 x 600

e. Mac-version: Mac OS® X 10.13 or later; Min resolution 1024 x 600

f. Internet speed: The internet speed required is 0.092 – 0.244 Mbps. Internet speed can be tested by using w w w . sp e e dt es t . ne t

g. Microphone: Any microphone, either internal or external

h. Webcam: 320×240 VGA resolution (minimum) internal or external

General School of Nursing Classroom Policies

1. Cell phones are a disruption to learning even in the ‘vibrate’ mode. Cell phones must be turned off during class.

2. Laptops may be used for notetaking and desktop PowerPoint use. Wandering from the appropriate Moodle site or ‘surfing the web’ will adversely affect the policy on use of laptops.

Students wandering from appropriate sites will be required to close and not reopen laptops for

the remainder of the course.

3. Eating is prohibited in the classroom. Beverages are permitted in non-laboratory classrooms. 4. Attendance is required by the University. Late arrival and early departures will directly affect

both the student’s understanding of the material and therefore potentially the final grade the

student earns.

5. Students arriving late for class or from breaks may be asked to remain outside the room until the next break.

NSG 410 Student Learning Outcomes

Upon completion of this course, the student will be able to:

1. Identify the critical components of a research report. 2. Discuss appropriate use of theory and conceptual frameworks in research. 3. Develop a research / evident-based practice question in an area of interest. 4. Conduct a literature search on a specific research / practice related topic and write a literature

review.

5. Analyze methods design, sample and variable measurements, and data collection procedures in research studies and identify the strengths / limitations and appropriateness for practice within

each study.

6. Utilize national databases to find evidence to support practice as appropriate. http://www.speedtest.net/

Stratford University School of Nursing

Syllabus Supplement

4

COURSE OUTLINE

Date Topic/Content Reading Activities

Week 1

Jan. 3-9, 2022

Introduction to Research and

Evidence-Based Practice

Lobiondo-Wood &

Haber,

Chapters 1 & 2

Introduction Forum

Initial Post Due: 1/5

Introduce Yourself

Practice Quiz with

Respondus

Week 1 Worksheet

Week 2

Jan. 10-16, 2022

Theory in Research

Literature Reviews

Lobiondo-Wood &

Haber,

Chapters 3, 4, & 11

Discussion Forum #1

Initial Post Due: 1/12

Responses Due: 1/14

Quiz #1: Jan. 14

Work on PICOT

Assignment

Week 2 Worksheet

Week 3

Jan. 17-23, 2022

Qualitative Research

Appraising Qualitative

Research

Lobiondo-Wood &

Haber,

Chapters 5,6, & 7

Discussion Forum #2

Initial Post Due: 1/19

Responses Due: 1/21

Quiz #2: Jan. 21

PICOT Due: 1/22

Week 3 Worksheet

Work on APA Citations

Week 4

Jan. 24-30, 2022

Quantitative Research

• Experimental

• Quasi-Experimental

• Nonexperimental Appraising Quantitative

Research

Lobiondo-Wood &

Haber,

Chapters 8, 9, 10, &

18

Discussion Forum #3

Initial Post Due: 1/26

Responses Due: 1/28

APA Citations Due: 1/29

Week 4 Worksheet

Week 5

Jan. 31-Feb. 6,

2022

Sampling

Legal and Ethical Issues

Lobiondo-Wood &

Haber,

Chapters 12 & 13

Discussion Forum #4

Initial Post Due: 2/2

Responses Due: 2/4

Quiz #3: Feb. 4

Work on Literature Table

Week 5 Worksheet

Stratford University School of Nursing

Syllabus Supplement

5

Week 6

Feb. 7-13, 2022

Quantitative Research

• Data Collection Methods

• Reliability and Validity

Lobiondo-Wood &

Haber,

Chapters 14 & 15

Discussion Forum #5

Initial Post Due: 2/9

Responses Due: 2/11

Literature Table Due: 2/12

Week 6 Worksheet

Work on Literature Review

Week 7

Feb. 14-20, 2022

Quantitative Research

• Data Analysis

Lobiondo-Wood &

Haber,

Chapter 16

Discussion Forum #6

Initial Post Due: 2/16

Responses Due: 2/18

Quiz #4: Feb. 18

Work on Literature Review

Week 7 Worksheet

Week 8

Feb. 21-27, 2022

Understanding Research

Findings

Lobiondo-Wood &

Haber,

Chapter 17

Literature Review

Due: 2/26

Week 8 Worksheet

Week 9

Feb. 28-Mar. 6,

2022

Evidence-Based Nursing

Practice

Quality Improvement

Lobiondo-Wood &

Haber,

Chapters 20 & 21

Discussion Forum #7

Initial Post Due: 3/2

Responses Due: 3/4

Quiz #5: Mar. 4

Week 9 Worksheet

Week 10

Mar. 6-13, 2022

Course Wrap-Up Discussion Forum #8

Reflection Post

Stratford University School of Nursing

Syllabus Supplement

6

Readings

Students should expect to spend a minimum of two hours studying or completing assignments outside

of class for every credit hour. This course is 4.5 credit hours, so the expectation is that each student

will spend at least 9 hours at home studying and completing assignments for this course.

It is an expectation that students will read the assigned chapters of the textbook. The lecture will

enhance but not substitute for the assigned readings. Videos and interactive learning materials will also

be posted on the Moodle page to support learning of concepts. Students are expected to review posted

material.

This is an online course. It is very important that you communicate effectively with the

course instructor in person or via email. Students are expected to use their Stratford email

account when communicating with the instructor. It is best practice to read SU Email and

Moodle daily for current updates.

Assignments

Discussion Forums (17.5% of total grade): Students will participate in online forum discussions. See

rubric in Syllabus Supplement for grading. Weekly discussion items are to stimulate and engage

learning. The student will be asked to critically analyze a topic or concept discussed in class and

submit your comments on a threaded discussion board. The student will be responsible for submitting a

weekly, two-part assignment:

• Part 1: The first part will be a summary of the topic in the student’s own words (minimum of 250 words) to demonstrate understanding of the topic. The student is required to cite all sources

used in forming the post using proper APA format. Most initial posts will require a “cosmic

question” at the end of the summary. The question should be thought -provoking and related

to the week’s discussion topic. Part 1 is due on Wednesdays by 2359.

**Students will not receive credit for late posts.

• Part 2: The second part of the discussion forum aims to keep the student thinking about the big picture. Each student is required to provide a substantive response (minimum of 150 words) to

at least two of their classmates’ posts and cosmic questions. Sources used to inform the

response should be cited using proper APA format. Part 2 is due on Fridays by 2359.

**Students will not receive credit for late posts.

Other Assignments (32.5% of total grade)

Assignments must be professional in format. All work must be proofread for context, spelling, syntax,

and grammatical errors. Formatting must follow accepted academic standards to include proper APA

formatting for references and citations. References and citations are expected when material submitted

Stratford University School of Nursing

Syllabus Supplement

7

is not the student’s original work (i.e., definitions, evidence-based practices, lists, descriptions, etc.)

and to support statements that are not general knowledge. The level of matching on the Turnitin link

should be less than 30% and the use of quotations should be kept to a minimum. A maximum of two

quotations will be accepted in any assignment.

1. PICOT/The Research Question (5%) The student will reflect on clinical nursing practice and write a research question. The question

will be developed by using the PICOT framework (Population, Intervention, Comparison,

Outcome, Time). The student will identify a nursing clinical question as follows:

• What individual or group am I curious about? (population)

• What key intervention am I curious about? (intervention)

• What intervention will I be comparing? (comparison)

• What do I hope to accomplish, or What would happen if I did this? (outcome)

• How much time will the intervention take to achieve the desired effects? (time)

The aim of the PICOT is to discover current research and promote best practices. The PICOT

will guide the Literature Review. The PICOT must have a nursing clinical focus. A rationale

for each element of the PICOT question must be provided and supported by a credible source.

Students will be able to resubmit the PICOT assignment one time.

2. APA Citations Assignment (5%) Select 5 primary research articles published in peer reviewed journals. Write a simple

sentence for each article to demonstrate your knowledge of formatting in-text citations using

current APA guidelines. Then provide an APA-formatted reference list for the 5 articles.

3. Literature Review Table (7.5%) A Literature Review Table provides a succinct overview of each article. The table is especially

useful when synthesizing the information from articles, as the main elements are clearly

identified. Complete the Literature Review Table using the articles identified from your

literature search that will be used in your Literature Review.

Students will be able to resubmit the Literature Review Table assignment one time.

4. Literature Review (15%) Each student must prepare a literature review in relation to the PICOT. This is an opportunity

to read as a scholar and develop competence in analyzing the key elements of a research article.

The student should select five primary research studies from the literature search that was

conducted – each study must have been published in a peer-reviewed journal within the last 5-8

years with at least one study published in a nursing journal. Next, analyze and appraise the

merits of each manuscript. Then, synthesize the findings to compare the studies and determine

the strength of the evidence to answer your PICOT question. Last, write a paper (6-9 pages).

See rubric to guide development of the assignment.

**No review articles of any kind are appropriate for this assignment – select only primary

research articles.**

Stratford University School of Nursing

Syllabus Supplement

8

Quizzes (50%)

1. Quizzes (10% each): Students will complete five quizzes. Each quiz must be completed with Respondus LockDown Browser on the assigned date. The student’s entire face must be

visible in the camera during the entire quiz. No hats, sunglasses, headphones/earbuds may be

worn during the quizzes – these are grounds for suspicious student activity. Following the

quiz, the instructor will review all Respondus LockDown Browser reports and footage. Any

abnormal or suspicious activity detected by Respondus LockDown Browser could result in

the student’s grade being changed to a “0.”

The quizzes are challenging, and lack of preparation puts the student at risk for failing the quiz and possibly the course. Avoid procrastination and use resources posted on Moodle to prepare.

Exam items are selected based on course content and the level of the course in the program progression schema. Exam questions are selected to primarily evaluate Bloom’s cognitive levels of analysis, synthesis, and evaluation. Exam questions may be multiple choice, multiple select, or other alternate item formats.

Students who begin the quiz late will have the option of taking the test but within a shortened period. Students who do not score a minimum of 80% on an exam are required to meet with faculty.

Exam Make-up

In the event a student is cognizant of a situation that will prohibit them from taking an exam

(i.e., hospitalization, emergency, etc.), the student is responsible to and must contact the

instructor by email/ office phone prior to the exam to schedule a time to take the exam.

Students who miss the exam due to an approved absence or documented emergency may be

required to submit evidence supporting these claims. If the claims are verified, the student will

be allowed to make up the exam without a point penalty. Students are allowed one make-up

exam per term. The make-up must be completed within 5 workdays from the absence including

the day of absence.

Students who miss an exam due to an unexcused absence, undocumented emergency or tardiness will

receive a zero without an opportunity to the make-up exam.

Exam Item Analysis

Following each exam, and before grades are posted, each exam question is analyzed. The exam

item analysis is used to evaluate student performance as well as the validity of exam items.

Should an exam question fail analysis, the question(s) will be eliminated and only the total

number of questions answered correctly out of the total number of remaining questions will be

scored for all students. Under no circumstances can a student receive a grade more than 100%.

Late Work

Discussions/assignments must be submitted on or before the scheduled date and time. All assignments

have a due date and time posted, and it is the student’s responsibility to know when the assignment is

due. Assignments will close at the designated time.

Stratford University School of Nursing

Syllabus Supplement

9

No work will be accepted beyond this time, and a grade of zero will be posted. Emailed

assignments will not be accepted.

Moodle provides students a 30-minute window only to make edits before discussion/assignment is

“final.” The time posted on the assignment is used to determine the submission time. Be sure to post at

least 30 minutes earlier than the discussion/assignment is due to avoid late submissions. Forums for

Moodle assignments open and close automatically based upon due times. If the student has a problem

with the Moodle page, then the student must take a screen print of the error message and include it in

an email to the helpdesk and instructor at the time it occurs. Late assignments will not be accepted,

and a grade of zero will be entered into the discussion/forum/assignment.

Grade Item Unit Percentage Percentage of Total Grade

Quizzes and Examinations 50%

Quiz 1 10

Quiz 2 10

Quiz 3 10

Quiz 4 10

Quiz 5 10

Written Assignments 32.5%

PICOT 5

APA Assignment 5

Literature Table 7.5

Literature Review 15

Discussions 17.5%

Discussion 1 2.5

Discussion 2 2.5

Discussion 3 2.5

Discussion 4 2.5

Discussion 5 2.5

Discussion 6 2.5

Discussion 7 2.5

Discussion 8 0 – attendance

Total 100%

Stratford University School of Nursing

Syllabus Supplement

10

Office Hours

Office hours for this class are available by appointment. Please email to arrange an appointment.

Students may wish to purchase the study guide that accompanies the textbook, as it has many exercises

that will assist them to practice the main concepts of research.

Learning Resource Center (LRC)

Each Stratford University campus has a LRC with a dedicated staff. The LRC offers computer

terminals, a physical collection developed specifically for Stratford’s programs, and access to multiple

research databases and eBooks. Students are encouraged to use the LRC resources throughout their

program to supplement classroom instruction and assigned textbooks. Please visit your campus LRC

for information about policies and procedures. The electronic resources, along with information about

LRC holdings, can be accessed through the Stratford University website.

Students are expected to use the 7th Edition of the APA Publication Manual:

American Psychological Association. (2020). Publication manual of the American Psychological

Association (7th ed.). Washington, DC: American Psychological Association. (ISBN-13: 978-

1433832161 or ISBN-10: 143383216X )

Stratford University School of Nursing

Syllabus Supplement

11

Grading Rubrics:

Discussion Forums

Discussion

Forums

Item Expectation % Points Total Item

percentage

Total

percentage

Timing Initial post

Posted by the due date. 10% 15% 25%

At least 250 words.

5%

Response

post

Posted by the due date. 5% 10%

At least 150 words.

5%

Content Initial post Answer must address and be relevant

to all questions

35% 40% 65%

Readability

5%

Cosmic

Question Must be related to the chapter under

discussion.

10% 10%

Response Must respond to two peers’ cosmic

question.

15% 15%

Citation Referencing

in in APA

7th edition

style

Must have both intext citation and a

reference list.

10% 10% 10%

Total 100%

Stratford University School of Nursing

Syllabus Supplement

12

PICOT Rubric

PICOT Weight Present Absent

Patient/Population (add rationale with reference) Required

Intervention (add rationale with reference) Required

Comparison (add rationale with reference) Required

Outcome (add rationale with reference) Required

Timing (add rationale with reference) Optional

Total:

(100% possible)

PICOT demonstrates applicability to nursing profession

PICOT will be returned if not nursing-related

Submitted by deadline No late assignments

accepted

APA Assignment grading Rubric

APA Assignment grading Rubric % Total

5 in-text citations formatted using current APA guidelines

10% for each correctly cited in-text citation 50%

Reference list of 5 articles formatted using current APA guidelines

10% for each correctly cited reference list 50%

Grand total 100%

Stratford University School of Nursing

Syllabus Supplement

13

Literature Review Table Rubric

Literature Review Table Rubric

Unsatisfactory

0

Partially Proficient

15

Proficient

20 Exemplary

25 Score

Articles 0-1 primary research articles are identified

2-3 primary research

articles are identified.

4 primary

research articles

are identified.

5 primary research

articles are identified.

Articles

appropriate

to PICOT

0-1 primary research articles appropriate to PICOT

2-3 primary research

articles appropriate to

PICOT

4 primary research

articles appropriate to

PICOT

5 primary research

articles appropriate to

PICOT

Articles

uploaded to

Moodle

0-1 primary research

articles are included

with table

2-3 primary research

articles are included

with table

4 primary research

articles are included

with table

5 primary research

articles are included with

table

Table There are major

errors in the table

There are several

errors and/or

incomplete data

There are some

missing data and/or

errors

The table is completed

appropriately

Total /100

Stratford University School of Nursing

Syllabus Supplement

14

Literature Review Rubric

Introduction: • Provides rationale for

student selection of literature

• Discussed search terms and techniques.

• Demonstrates the need for this research question

Clinical Question (PICOT)

• Includes the clinical question

Appraisal of Articles:

Uses established critical appraisal

criteria to evaluate essential

components of each reviewed

study, including but not limited

to:

• Type and size of sample • Reliability and validity of

instruments

• Methodology • Consistency of data

collection and procedures

• Appropriate data analysis

• Results • Identification of

limitations

Synthesis/Conclusion:

• Reflection on the analysis and synthesis of material

• Identifies gaps and inconsistencies

• Summarizes overall strengths and weaknesses of the studies reviewed

• Discuss similarities and differences of articles

Grammar

15-10 10-5 5-0

Meets all outlined criteria

and is succinct and

sufficient. Logically

demonstrates the need for

this research question

Does not meet one of

the criteria but is well

organized, and

sufficient. Logically

demonstrates the need

for this research

question.

Does not meet two or

more of the criteria and/

or is not organized, and

sufficient. The reader

cannot conclude the “so

what”.

5 3 0

Clinical question is clearly stated

Clinical question can

be implied but was not

clearly stated.

Clinical question was

not stated and/or were

not apparent from the

literature review.

35-25 25-15 15-0

The appraisal reflects

accurate analysis of the

essential components for

all studies

Five appropriate articles

are reviewed.

The appraisal reflects

most (lacking 2 or

more elements) of the

essential components

for one or all the

studies

Four appropriate

articles are reviewed.

The appraisal reflects

some (lacking 4 or

more elements) of the

essential components

for either study

Three or fewer

appropriate articles

are reviewed.

25-15 15-10 10-5

Meets criteria. Well

organized, follows a

logical sequence that

allows the reader to arrive

at a logical conclusion.

PICOT conclusion is

clear and well-supported

by the literature.

Does not meet 1-2 of

the criteria but is

organized, and/or

demonstrates illogical

sequencing or structure.

Conclusions relating to

PICOT are vague

and/or unsupported by

the literature.

Does not meet >2

criteria and/or is

weakly organized with

no logical sequencing

or structure.

Conclusions relating

to PICOT cannot be

made.

10-7 6-4 3-0

There are no major grammatical errors.

There are a few grammatical errors.

There are major grammatical errors.

Stratford University School of Nursing

Syllabus Supplement

15

Support and Referencing:

• See Turn-It-In

• SEE SON INTEGRITY

STATEMENT

10-8 7-5 4-0

Incorporates the text,

course materials, and

selected readings; does not

use Wikipedia or other

non-academic resources.

There are minimal to no

errors in formatting,

referencing and style.

There are moderate

errors in APA

formatting, style, and

referencing.

Severe errors in APA

style, formatting, or

referencing. Violates

the School of Nursing

Student’s Personal

Integrity Statement

more than 2 times.

Stratford University School of Nursing

Syllabus Supplement

16

Student Personal Integrity Statement

I, (print your name here), am provided a hard copy (or e-copy for

online courses) of the Syllabus and Syllabus Supplement in NSG 410. I am aware of:

• All due dates, including exams, assignments, and penalties associated with late work/exams,

• Attendance policies and student’s responsibilities related to attendance and student nurse dress code,

• Policies related to classroom and clinical behavior.

I recognize that personal integrity and truth telling is essential to the professional practice of Nursing

as discussed in the School of Nursing Handbook. I have read the syllabus and agree that:

• I alone am responsible for my personal behavior and academic conduct.

• Any academic misconduct or dishonesty are grounds for course failure and may result in probation, suspension or dismissal from the Nursing Program and Stratford University. These include but are not limited to:

o Cheating on exams, o Using papers written by anyone other than myself, my team or from a concurrent class o Using papers turned in for grade during previous or current terms o Copying work from the internet or books or articles and not giving full credit to the

authors of that work; no more than 2 sentences may be quoted or paraphrased with in- text citation per 6 sentences.

o Falsifying documents, records or presentations, o Claiming to have done required course work (theory or clinical) that in fact I did not do o Providing my work (papers, exams, presentations) to another student

• I am expected to arrive at class on time, stay for the entire time allotted course

• I am expected to follow class rules outlined in the Syllabus/Syllabus Supplement. Example: No food in classrooms

• I am expected to treat my professor and my classmates with respect even when we disagree.

I accept all policies as written and agree to follow the Syllabus/Syllabus Supplement as outlined.

Signed:

Student Signature / Date

Dr. Rebecca Coffin January 3, 2022 Faculty Signature / Date

[Student keeps one copy/faculty files signed copy in students nursing file]