Course Outline
Course Outline
Course: NURS 4610. 3.0 - Human Experience of Chronic Health Challenges, Section M
Brief Description
Focus on human experience of living with chronic health challenges from perspectives of individuals,
their families and caregivers, and the health care system. Explore personal accounts and reflections.
Analyze concepts, theories, and relevant literature. Discussion focuses on current relevant issues.
1. Chronic illness can be examined through multiple frames that offer different definitions
and different ways of seeing human health.
2. Chronic illnesses emerge during particular historical and political realities of place and time.
3. The way a health professional thinks about and approaches chronic health issues is different
depending on feelings about responsibility, the guiding theoretical lens, discipline, and political
agenda.
4. Intersecting complexities of social justice can be examined through a critical lens that
considers issues of power, structure, economics/profits, and politics.
5. Abuse of power, by formal and informal care partners, is a particular concern that requires
nurses to be vigilant when working with vulnerable populations.
6. The social determinants of health dramatically impact how persons live with chronic
health challenges.
7. A commitment to social justice can help nurses provide holistic and ethical care.
8. Personal stories of living with chronic health challenges are the most revealing and inspiring
Instructor Information
Course Director Contact Information Office Hours
Ivona Mostarac RN, MPH [email protected] By appointment – via zoom
meetings
The main goal of the course is to provide you with an opportunity to consider issues relevant to
persons who have chronic health challenges, regardless of the setting in which health care is
provided, the disease diagnoses, or the illness acuity. Throughout the course, you will be
challenged to reflect on your values, beliefs, and experiences and examine how they fit with the
human experience of chronic health challenges.
Learning Goals: Upon successful completion of the course, students will be able to:
Examine and demonstrate understanding of the similar issues and experiences of
persons with diverse chronic health challenges.
Explore and understand issues relevant to the practice of professional health
care providers from the perspective of persons with chronic health challenges
and their families.
Evaluate and demonstrate understanding of the role of health care
providers in the management of chronic health challenges.
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
Examine and demonstrate understanding of the role of the health care system
in promoting health and providing caring-healing for persons with chronic health
challenges.
eClass remember to check to see that you have access to to the eClass so you can obtain
materials and start posting.
Students are expected to log on to the course eClass site weekly to contribute to discussions and
read additional instruction posted by the Course Director. Group participation will be the main
focus for discussion of required and recommended reading and assignments in the course. The
lectures posted on the eClass site will serve to enrich, clarify, and illustrate crucial issues from the
assigned readings.
Students will actively participate and be proactive in the learning process from an autonomous
point of view. Learning will be self-directed with the Course Director as facilitator. Student
centered learning strengthens student motivation, active learning, promotes peer communication
and responsibility for one’s own learning. In this course, you will look beyond the medical model
to take a holistic perspective of living with chronic illness as you begin to examine the human
experience of living with chronic health challenges.
You’ll find that new resources--including YouTubes, Ted Talks, Articles—will be added regularly
by myself and other students. Group work is presented, and everyone will be encouraged to
question, challenge, and present different viewpoints. Different ideas and questions help us all to
learn and gain new insights. Therefore, we are all responsible for being prepared for on line
discussions. Everyone is expected to bring their questions and experiences to the discussions on
line, so we can all benefit from the discussion arising from your questions and experiences.
Remember, there are no wrong questions; rather there are courageous voices that raise
questions. It is very important to discuss anything that needs clarification or raises questions or
concerns.
Course Website
The eClass course management system will be used as an extension of this course outline, and for
course content, extra learning materials (i.e., assignment rubrics), and communication. Students are
required to check the course eClass site on a very regular basis. Students should use their York U
email for course communication. For more information, see How do I access my eClass Course?.
Course Text/Readings
Required Texts
Larsen, P, D. (2023). Lubkin’s Chronic Illness Impact and Intervention (11th Ed) MA: Jones & Bartlett
Learning.
Evaluations
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
G2-Week 6 – February 12th @ 2359
Write a descriptive paper that describes your reflective process of thinking, feeling, and
deepening your understanding and learning about a critical issue important to persons who live
with a chronic health challenge. Select a Chronic Health Challenges (CHC) from the list of
those in the course description, page 3, or another that you feel passionate about.
Compose a 5-page description (excluding title page and references), double-spaced, about your
issue of interest. Include your responses to at least 4 of the following questions. Please
address the questions you find most interesting and/or troubling:
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
th
Upload1.
your Descriptive
What are yourPaper to eClass
thoughts by January
and feelings about29your @ chosen
2359 – Turnitin
CHC?
This paper is worth
2. What has30% toward
shaped final
your gradeviews,
current in the feelings,
course and understandings about your CHC?
3. Have you nursed a client with this chronic health challenge? What have you learned
from this experience?
4. What does the research literature say about what people experience when living with
the chronic health challenge you are interested in?
5. How does the Canadian Health Care system meet or not meet the needs of
this CHC? What issues of ethical relating might surface in practice that link
with this CHC?
6. What does social justice have to do with your specific chronic health
challenge? How do social determinants impact chronic health
challenges in general?
Format of the Paper: Use APA (7th ed.) format. Remember to use headings (the four questions you
select could be a way to organize your paper with heading), write in sentences, and use correct
grammar. Edit all papers carefully before handing in. The paper must be typed, double spaced,
using Times New Roman 12pt font. Use 1" (2.5 cm) margins on all sides with left only justification.
Each paper is not to exceed 5 pages excluding title page, reference list and appendices, and must
be grammatically correct. Marking Rubric for this Paper will be posted on eClass
Group Presentation & Facilitation of Discussion: (20%): Due Dates from Weeks 5, 6, 7,
8, 9, 10, and 11.
There will be seven group presentations. Each group will consist of 5-7 students who are
randomly assigned at the beginning of the term by the professor. Group initiation of discussions
will occur during weeks 5 through 11.
Each group need to initiate a new discussion in eClass that addresses one of the topics
listed on Appendix A: “Group Membership and Assigned topic for group presentation”
(for example: Group 3 for topic Chapters 6 – Uncertainty). Each group prepares a presentation
to share with the class, using a PowerPoint, Prezi, or Video. The power point or Prezi cannot
more than 15 slides. If you use a video, it cannot be longer than 10 minutes.
Each member of the group needs to contribute to the presentation and facilitation of discussion of
the topic for the entire week. Each student must provide at least two scholarly papers and/or web
resource that contributes to the group presentation. In a slide after the reference slide, include
the resources provided by each student.
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
All students in the course will participate in the discussions initiated by each group. And, in
addition, the group who initiated the discussion for that week will facilitate conversation
by providing comments that: build, differ, question, perturb, propose possibilities, describe
actions in practice, or addresses unexplored feelings or emotions. Each group member needs
to post a minimum of 3 postings for their group online discussion as a requirement for this
presentation
Questions to Consider when Providing Feedback to your Classmates and for Contributing to
the Conversations:
1. What is one additional idea that builds on ideas expressed so far?
2. How do ideas help me to think about one of my personal experiences to share here?
3. What is one idea that I can post that is different than what has been discussed so far?
4. What new questions can I ask to spark additional discussion?
5. What ideas or feelings can I offer that trouble, surprise, or excite me?
6. What emotions am I feeling about the ideas being discussed?
7. How can/will I relate the ideas to my nursing practice?
- After the presentation week for your group, submit to the professor the
percentage that each group member contributed to the presentation and the
week-long discussion. If all group members believe they contributed in an
equal way, make that statement. At times, group members do not participate in
an equal way and that also needs to be acknowledged. If there is unequal
participation, I will adjust grades accordingly. You may send one email with the
percentages (preferred), or each person can send their evaluation.
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
Participating in the online discussion is critical to achieve the learning outcomes in this course.
When engaging in the discussions online do not repeat the content of the paper or resource
you have been asked to engage with. Rather, share with your classmates the ideas that resonate
with you or disturb you. Write about different views and feelings you have from what was
presented in the article or resource – or different from your classmates. Offer examples from your
experiences.
You are required to submit a ONE-page evaluation of your participation in online discussions for
the term based on the rubric below. You must provide clear justification for the grade you assign to
yourself. In your submission, you should reflect on the contributions you made to the online
learning community, the key ideas that you initiated and the articles or resources that you brought
to the community/class. Please clearly provide your self-assigned grade as a letter e.g. A, B, C.
Please note, the system will tell me if you participated weekly so please do not think you
can play catch-up through the term—weekly participation is required if you want to do well
in the participation grade.
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
Exploration Exploration of readings & Exploration of Discussion entries
of Content resources are incorporated readings and contain minimal
into the discussions in order resources reference to readings
to show shifts in incorporated into & resources. No new
understanding and/or discussions. ideas offered.
meaningful connections. Personal views are Short perfunctory
Offers new & different expressed. postings that lack
interpretations of ideas, Expressions of substance. Includes
issues, & resources. different views and/or references for those
Includes references for applications of ideas. posts that explore the
those posts that explore the Includes references literature.
literature for those posts that
explore the literature
Grade Expectations
The principle difference between an “A+” and an “A” assignment is that the grader can
find very few or no areas for improvement in an “A+” assignment.
B+ Very Good. Thorough knowledge of concepts and/or techniques together with a fairly
high degree of skill in the use of those concepts/techniques in satisfying the requirements
of an assignment or course.
Very good quality work with no major weaknesses. Well focused on the topic; clear;
explicit; discussion shows more than adequate comprehension of the subject. Some
degree of critical and analytical thinking; some use of the literature; most details and
perspectives are discussed, but considerations of additional ones would have improved
the assignment. Some evidence of personal involvement with the topic. In most cases,
writing style is clear and succinct with correct structure, grammar, punctuation, spelling,
and correct use of referencing format. Errors of expression are occasional rather than
chronic and do not obscure meaning.
The principle difference between an “A” assignment and a “B+” assignment is in the
quality of the discussion with the “B+” assignment less adventurous than the “A”
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
assignment.
B Good. Good level of knowledge of concepts and/or techniques together with considerable
skill in using them to satisfy the requirements of an assignment or course.
An adequate assignment. Average work. Fair comprehension of the subject, but some
weaknesses in content and/or structure. Discussion is vague even though on topic;
important details or perspectives are left out. Minimal use of the literature; minimal
evidence of critical and analytical thinking; transitions may be inconsistent; evidence may
be occasionally unconvincing or incomplete. At times lacks clarity and succinctness.
Minimal evidence of personal involvement with the topic.
Occasional/many errors in structure, grammar, punctuation, spelling, and referencing
format, but not so serious or chronic that they make the assignment difficult or impossible
to understand.
The principle difference between an “B” assignment and a “C+” assignment is in the quality
of the discussion with the “C+” assignment being vaguer than the “B” assignment. A “C+”
assignment may have more errors in structure etc. than are acceptable in a “B” assignment.
Similar to a “C+” assignment, but with evidence of a lesser degree of critical and analytical
thinking. Also contains more errors in structure etc. than are acceptable in a “C+”
assignment.
D+ Passing. Slightly better than minimal knowledge of required concepts and/or techniques
together with some ability to use them in satisfying the requirements of an assignment or
course.
The principle difference between an “C” assignment and a “D+” assignment is that a
“D+” assignment contains serious flaws in content, including incorrect information.
A “D+” assignment will have errors in structure etc. that are unacceptable in a “C”
assignment because they obscure meaning.
* As per Faculty of Health and School of Nursing program policies, a student’s final course grade is
not necessarily confined to a compilation of marks earned on individual course components. Final
course grades may be adjusted to conform to Program or Faculty grades distribution profiles.
** The last date to drop a course without receiving a grade is March 11th, 2024. Note that the late drop
option of the Withdrawn from Course (W) Policy does not apply to: Practica learning
placements/courses. Students must contact the undergraduate program coordinator or director
in advance of any deadlines, in order to exercise any course removal or withdrawal options.
Lateness Penalty: Assignments received later than the due date, without negotiated extensions, will
be penalized. Any assignment that is not submitted by the date and time specified, OR any assignment
for which an extension is granted that is not handed in by the negotiated date and time, to the location
specified, is subject to the following penalty(s):
For 1 day late (any time up to 24 hours after date/time due), the penalty is 5% deducted from
the grade for the assignment (e.g., mark of 75% would be reduced to 70%)
For each subsequent day late (each 24-hour period), the reduction increases daily:
for 2 days late, deduct 15% (e.g., mark of 75% would be reduced to 60%)
for 3 days late, deduct 30%
for 4 days late, deduct 50%
for 5 or more days late, deduct 100% (assignment is given zero [0])
Exceptions to the lateness penalty for valid reasons such as illness, compassionate grounds, etc., may
be entertained by the Course Director . Generally, 24-hour notice for extension requests is required.
Assignments submitted later than five calendar days without negotiation will not be accepted.
Missed Tests: Students who miss an midterm test or exam date need to contact the course director
and discuss options- Make-up test will be assigned at the discretion of the Course Director. Deferred
tests need to be requested with the appropriate documentation of a deferred standing agreement
Ethics Review Process: York students are subject to the York University Policy for the Ethics Review
Process for Research Involving Human Participants. Ethics approval must be obtained prior to the
starting any research activities involving human participants, including research conducted by students
in a graduate or undergraduate course, for an undergraduate thesis or project, or for a Major Research
Paper, Thesis or Dissertation. If you are in doubt as to whether this requirement applies to you, contact
your Course Director immediately.
Religious Accommodation: York University is committed to respecting the religious beliefs and
practices of all members of the community, and making accommodations for observances of special
significance to adherents. Should any of the dates specified in your course syllabus pose such a
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
conflict for you, contact the Course Director within 14 days of the date for which accommodation is
sought. Other procedures are outlined in the York University policy, guidelines and procedures on
Academic Accommodation for Students’ Religious Observances. Please note that to arrange an
alternative date or time for an examination scheduled in the formal examination periods (December and
April/May), students must complete an Religious Accommodation Agreement.
Academic Skills Support: York University Libraries and the Learning Commons provide students with
academic support for their course assignments and research requirements. The Libraries offer an array
of supports, services, workshops, resources and people available to help ensure continued success
during a student’s academic career.
Centre for Human Rights, Equity, and Inclusion: The Centre for Human Rights, Equity and Inclusion
facilitates confidential processes to discuss allegations of discrimination and harassment by York
Community members. There are also robust training opportunities and workshops available to the
community year-round.
Counselling, Health and Well Being: Student Counselling, Health & Well Being supports students in
realizing and developing their personal potential in order to maximally benefit from their university
experience and manage the challenges of university life. Services include: peer-led workshops,
certificate training programs, support groups, same-day and appointment-based counselling, short-term
therapy, and more.
These course materials are designed for use as part of the (enter course code) course at York
University and are the property of the instructor unless otherwise stated. Third party
copyrighted materials (such as book chapters, journal articles, music, videos, etc.) have either
been licensed for use in this course or fall under an exception or limitation in Canadian
Copyright law. Copying this material for distribution (e.g., uploading material to a commercial
third-party website) may lead to a violation of Copyright law.
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
School of Nursing Weekly Course Outline
Week/ Class Topic(s)/ Required Preparation/ Assignments/
Date Learning Activity Reading(s) Evaluations
Chapter 14
Chapter 1
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
Bartlett Learning.
Descriptive Paper due on
Chapter 3 January 29th on Turnitin on
eClass-
Please see eClass for other
resources for this week
Week 5 Group Presentation – Chronic Larsen, P, D. ( 2023). Lubkin’s Online Discussion for Group
February 5th Illness and Coping Chronic Illness Impact and Presentation - Posts by
Intervention (11th Ed)MA: Jones &
Bartlett Learning. February 12th at 2359
Group will let class know what needs to
Chapter 6 be read for this presentation in addition
to the chapter reading – presentation
will be posted by Thursday at 2359 on
eClass – Discussion until Sunday at
2359 the same week
Week 6 Group Presentation – Larsen, P, D. ( 2023). Lubkin’s Online Discussion for Group
February 12th Chronic Illness and Social Chronic Illness Impact and Presentation – Posts by
Intervention (11th Ed)MA: Jones &
Isolation Bartlett Learning. February 26th at 2359
Group will let class know what needs to
Chapter 2 be read for this presentation in addition
to the chapter reading – presentation
will be posted by Thursday at 2359 on
eClass – Discussion until Sunday 2359
the same week
9 Group Presentation – Chronic Larsen, P, D. ( 2023). Lubkin’s Online Discussion for Group
March 11th Illness and Powerlessness Chronic Illness Impact and Presentation – Posts by March
Intervention (11th Ed)MA: Jones &
Bartlett Learning. 18th at 2359
Group 5 will let class know what needs
to be read for this presentation in
Chapter 4
addition to the chapter reading –
presentation will be posted by Thursday
at 2359 on eClass – Discussion until
Sunday at 2359 the same week
Week 12 Client and Family education Larsen, P, D. ( 2023). Lubkin’s No online discussion for this
April 1st and Chronic Illness and the Chronic Illness Impact and week
Intervention (11th Ed) MA: Jones &
Family Bartlett Learning.
Self Evaluation – 1 page of
Chapter 9 contributions to the weekly
discussion due @2359 April 5th
on eClass
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NURS 4610 3.00 Human Experience of Chronic Health Challenges
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NURS 4610 3.00 Human Experience of Chronic Health Challenges