Syllabus

APN 602 – Trends and Issues in Nutrition Lab (Summer A 2023)

Credits - 1

Description

In the dietetics focus lab series, MSAN students in the dietetics focus will conduct Supervised Experiential Learning (SEL) hours. In the lab series, Faculty and Preceptors will assess competencies. Students will work to demonstrate professional skills and values in all interactions with their site preceptors, CPS faculty and staff, their peers and community members. Through reflective writing exercises, students will self-assess their skills, behaviors and attitudes. Topics such as clinical skills, communication skills, leadership and management skills, professionalism, conflict resolution, teamwork and integrity will be explored. Cases and real-world examples will be used to facilitate discussions. Students are responsible for working with the Assistant Director, Graduate Program in Applied Nutrition to arrange acceptable Preceptors and SEL sites before signing up for the course.

Materials

Required Materials

Width, M., Reinhard, T. The Essential Pocket Guide for Clinical Nutrition. 2nd Edition. Jones Bartlett; 2017.

The Academy of Nutrition and Dietetics  – www.eatright.org

You are required to attain student membership with the Academy of Nutrition and Dietetics and retain it for the duration of the program. 

Learning Objectives and Outcomes

Supervised Experiential Learning

The Accreditation Council for Education in Nutrition and Dietetics (ACEND) released the Future Education Model Accreditation Standards for Graduate Degree Programs (GP) in nutrition and dietetics. These accreditation standards integrate didactic coursework with supervised experiential learning in a competency-based curriculum designed to prepare nutrition and dietetics practitioners for future practice.

Competencies and Performance Indicators:

  • 1.2: Applies an understanding of anatomy, physiology, and biochemistry.
    • 1.2.1 Analyzes the impact of food and nutrition on physiological processes. (S) 
    • 1.2.2 Integrates knowledge of anatomy, physiology, and biochemistry to make decisions related to nutrition care. (S)
  • 1.5: Applies knowledge of patho-physiology and nutritional biochemistry to physiology, health and disease. 
    • 1.5.3 Interprets and analyzes the effects of disease, clinical condition and treatment on nutritional health status. (K)
    • 1.5.4 Analyzes the correlation between mental health conditions and nutritional health. (K)
  • 1.7: Integrates the principles of cultural competence within own practice and when directing services. 
    • 1.7.3 Identifies challenges that arise when different cultures, values, beliefs and experiences exist between clients/patients and nutrition and dietetics professionals. (S)
    • 1.7.4 Identifies and implements strategies to address cultural biases and differences. (K)
    • 1.7.5 Applies culturally sensitive approaches and communication skills. (K)
    • 1.7.6 Develops awareness of one’s own personal beliefs, values and biases to better serve clients/patients of different cultures and backgrounds. (K)
  • 1.11: Applies knowledge of medical terminology when communicating with individuals, groups and other health professionals. 
    • 1.11.1 Interprets and communicates medical terminology to non-health professional audiences. (S)
    • 1.11.2 Uses acceptable medical abbreviations and appropriate medical terminology in all forms of communication. (S)
  • 1.12: Demonstrates knowledge of and is able to manage food preparation techniques. 
    • 1.12.2 Converts recipes and ingredients based on client/patient’s preferences or dietary needs. (K)
  • 1.13: Demonstrates computer skills and uses nutrition informatics in the decision making process. 
    • 1.13.4 Uses electronic databases to obtain nutrition information and evaluate credible sources in decision making. (K)
  • 1.14: Integrates knowledge of nutrition and physical activity in the provision of nutrition care across the life cycle 
    • 1.14.2 Identifies nutritional risk factors across the life cycle. (K)
    • 1.14.3 Teaches the benefits of physical activity across the life cycle to individuals, groups and populations. (K)
    • 1.14.4 Explains and takes into consideration how nutrients, nutritional supplements and hydration influence physical activity and wellness. (K)
  • 1.15: Applies knowledge of nutritional health promotion and disease prevention for individual, groups and populations 
    • 1.15.1 Recognizes and communicates the cause of disease and nutrition risks. (K)
    • 1.15.2 Identifies, prioritizes and implements health risk reduction strategies for individuals, groups and populations. (K)
  • 2.2 Selects, develops and/or implements nutritional screening tools for individuals, groups or populations. 
    • 2.2.4 Prioritizes care based on results of screening considering complexity of care needs. (K)
  • 2.3: Utilizes the nutrition care process with individuals, groups or populations in a variety of practice settings. 
    • 2.3.2 Interviews client/patient to collect subjective information considering the determinants of health. (K)
    • 2.3.4 Takes a food and nutrition related medical history. (K)
    • 2.3.5 Assesses physical activity and history of physical activity. (K)
    • 2.3.6 Collects, assesses and interprets anthropometric measures and body composition. (K)
    • 2.3.7 Orders, collects and interprets biochemical tests. (K)
    • 2.3.9 Identifies signs and symptoms of nutrient deficiencies or excesses. (K)
    • 2.3.10 Determines barriers that might influence a client/patient’s nutritional status . (K)
    • 2.3.11 Determines accuracy and currency of nutrition assessment data. (K)
    • 2.3.13 Analyzes and synthesizes nutrition assessment data to inform nutrition diagnosis(es) and nutritional plan of care. (K)
    • 2.3.14 Devises PES (problem, etiology and sign symptom) statement and outlines reasons for professional opinion, cause and contributing factors. (K)
  • 2.4: Implements or coordinates nutritional interventions for individuals, groups or populations. 
    • 2.4.13 Assesses client/patient’s nutritional needs and appropriateness for the recommended
    • counseling or therapy. (K)
    • 2.4.14 Applies counseling principles and evidence-informed practice when providing
    • individual or group sessions. (K)
    • 2.4.17 Demonstrates awareness of various appropriate counseling techniques. (K)
    • 2.4.19 Refers/transfers client/patient to appropriate health professionals when counseling therapy or client/patient’s mental health issues are beyond personal competence or professional scope of practice. (K)
  • 5.1: Demonstrates leadership skills to guide practice. 
    • 5.1.1 Exhibits self-awareness in terms of personality, learning, leadership style and cultural orientation. (K)
    • 5.1.2 Demonstrates understanding of social cues and team dynamics. (K)
    • 5.1.3 Communicates at the appropriate level and understands emotions and emotional situations. (K)
    • 5.1.4 Develops conversational and interpersonal skills. (K)
    • 5.1.6 Understands the mentoring role and practices mentoring and precepting others. (K)
  • 6.1: Incorporates critical thinking skills in practice. 
    • 6.1.1 Considers multiple factors when problem solving. (K)
    • 6.1.2 Incorporates the thought process used in critical thinking models. (K)
    • 6.1.3 Engages in reflective practice to promote change and continuous learning. (K)
  • 6.2: Applies scientific methods utilizing ethical research practices when reviewing, evaluation and conducting research. 
    • 6.2.7 Translates and communicates research findings and conclusions through a variety of media. (K)
  • 6.3: Applies current research and evidence-informed practice to services 
    • 6.3.4 Analyzes and formulates a professional opinion based on the current research and evidence-based findings and experiential learning. (K)
  • 7.1: Assumes professional responsibilities to provide safe, ethical and effective nutrition services 
    • 7.1.1 Demonstrates ethical behaviors in accordance to the professional Code of Ethics. (K)
    • 7.1.4 Applies client/patient-centered principles to all activities and services. (K)
    • 7.1.6 Practices in a manner that respects diversity and avoids prejudicial treatment. (K)
    • 7.1.8 Maintains confidentiality and security in the sharing, transmission, storage and management of protected health information. (K)
  • 7.2: Uses effective communication, collaboration and advocacy skills 
    • 7.2.1 Applies effective and ethical communication skills and techniques to achieve desired goals and outcomes. (K)
    • 7.2.2 Works with and facilitates intraprofessional and interprofessional collaboration and teamwork. (K)
    • 7.2.4 Selects mode of communication appropriate to the messaging to meet the needs of the audience. (K)

 

Assignments

In this course, you will be completing Supervised Experiential Learning (SEL) hours in the clinical, community, and food service management settings. You will be interacting with professionals of many different disciplines and begin meeting and interacting with patients. Presenting as a professional student will be paramount to your success at all supervised experiential learning sites.

You will be responsible for completing site reflections, submitting a log of your SEL hours, and submitting your evaluation(s) of your preceptor(s) at the end of each SEL experience. You will also submit an overall course reflection for your ePortfolio at the end of the course.

SEL Site Reflections: For every 20 hours at each Supervised Experiential Learning site, you will submit a written reflection of your experiences and observations at your site placements.

Student Evaluation of Preceptors: As you complete your arranged SEL, you will submit an evaluation of each preceptor at each site. For each one completed, you will send a copy to the MSAN RDN Focus Program Director. In addition, you will also receive a copy which you will upload to Brightspace.

Preceptor Evaluation of Students (Competency Assessment): Your preceptors will be completing the competency evaluation form for your SEL experiences. The preceptors will receive a link to the online evaluation form and it will be submitted directly to the MSAN RDN Focus Program Director. 

Sample activities and projects for SEL Sites:

  • Create culturally appropriate handout to educate the target population.
  • Conduct educational session for target population.
  • Attend staff meeting and present projects involved in at facility
  • Create brochure on community services available to clients in a diverse population.
  • Participate in health fairs.
  • Participate in program management.
  • Enter quality data for clients in QA system; Analyze data collected; Perform program evaluation.
  • Participate in a Journal Club presentation.
  • Provide a current research article to an MD to support care plan.
  • Conduct an in-service presentation to RD staff.
  • Communicate with medical professionals (i.e., MD, RN, SLP, OT, PT, SW) regarding nutrition care plans for patients.
  • Conduct in-service for employees.
  • Attend interdisciplinary patient care rounds or d/c planning meetings
  • Demonstrate application of motivational interviewing.
  • Update or develop patient education material.
  • Perform patient education.
  • Utilize electronic medical record to chart for patient care.

Writing Statement

As professionals in the field, you will consistently be expected to clearly and concisely articulate advanced concepts for diverse audiences at a variety of educational levels.

Graduate students are expected to produce their best quality work, including screening their work prior to submission for clarity, grammatical, spelling, formatting and mechanical issues.

While there is often a portion of each assignment’s rubric dedicated specifically to grammar, spelling, mechanics, and formatting, it is critical to understand that failure to submit work that has been adequately proofed may result in a reduction of points in other areas of the rubric. These may include, but are not limited to metrics rating professionalism or content knowledge and synthesis; work submitted in graduate courses should provide evidence of strategic reading, writing, and academic speaking skills essential for success in the discipline.

Grading Policy

Your grade in this course will be determined by the following criteria:

Grade Breakdown

Syllabus Contract & AND Membership 2
SEL - Clinical2
SEL - Community2
SEL - Food Service Management2
Week 1 Assignment: Animation and Ethics Case Study10
Week 1 Quiz: Code of Ethics Quiz1
Week 2 Assignment: Preceptor Interview10
Week 2 Quiz: Scope of Practice Quiz1
Week 3 Assignment: Diary Entry10
Week 4 Assignment: Animation and Networking10
Week 5 Assignment: Cultural Humility, Part 1: Rough Draft5
Week 5 Discussion: Cultural Humility2
Week 6 Assignment: Management Case Study10
Week 7 Assignment: Cultural Humility, Part 2: Final Draft5
Week 7 Assignment: Reverse Case Study12
Week 8 Assignment: Transgender Conceptual Model8
Week 8 Discussion4
Final Lab Reflection: Looking Back to Move Forward4
Total100

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

SEL Lab Grading Scale

Number Grade
5 94 – 100%
4 87 – 93%
3 80 – 86%
2 40 – 79%
1 0 – 39%

Schedule

Supervised Experiential Learning 

Type of Supervised Experiential Learning Site

Hours Needed of Supervised Experiential Learning
Clinical 20
Community 20
Food Service Management 20

Week 1: May 3 – May 9
Week 2: May 10 – May 16
Week 3: May 17 – May 23
Week 4: May 24 – May 30
Week 5: May 31 – Jun 6
Week 6: Jun 7 – Jun 13
Week 7: Jun 14 – Jun 20
Week 8: Jun 21 – Jun 25

Week One: What You Need to Know About Ethics

Learning Outcomes:

  • Apply ethical concepts and theories to dietetics practice.

Required Readings:

  • Academy of Nutrition and Dietetics. Code of Ethics for the Nutrition and Dietetics Professional. (2018). Academy of Nutrition and Dietetics Code of Ethics
  • Academy of Nutrition and Dietetics. Ethics Educational Resources (2019).
  • Identifying and Managing Conflicts of Interest
  • Telehealth Is Transforming Health Care: What You Need to Know to Practice Telenutrition
  • Managing Adult Bullying Behavior in the Professional Domain
  • Maintaining Professional Boundaries in the Practitioner–Patient/Client Relationship
  • Revisions to the Code of Ethics for the Nutrition and Dietetics Profession

Assignments:

  • Week 1 Assignment 1: Animation and Ethics Case Study
  • Week 1 Assignment 2: APN/RDN Code of Ethics Quiz

Week Two: Professionalism in the Nutrition Field

Learning Outcomes:

  • Identify and apply professionalism theories and skills to different situations.

Required Readings:

  • Revised 2017 Scope of Practice for the RDN
  • Revised 2017 Standards of Practice in Nutrition Care and Standards of
  • Professional Performance for RDNs
  • International Code of Ethics and Good Practice
  • Academy of Nutrition and Dietetics

Assignments:

  • Week 2 Assignment: Preceptor Interview
  • Scope of Practice Quiz

Week Three: Career Options in Nutrition

Learning Outcomes:

  • Consider how work environment will impact day to day quality of life.

Required Readings:

  • Use these job descriptions to get a grasp on the general fields of a RDN. If your “job” selections are different or more specific, you will need to search for additional job descriptions to get a start on the assignment.

    • Dietary Manager Job Description
    • Clinical Dietitian Job Description
    • Community Dietitian Job Description

Assignments:

  • Week 3 Assignment: Diary Entry

Week Four: Learn to Love Networking

Learning Outcomes:

  • Evaluate and analyze networking skills.

Required Readings:

  • Use these articles to begin to get a grasp on the topic! But be sure to do your own research as well!

    • Networking 101
    • Learn to Love Networking
    • How Successful People Network With Each Other
    • How To Use Social Networking to Boost Your Career

Assignments:

  • Week 4 Assignment: Animation and Networking

Week Five: Cultivating Cultural Humility

Learning Outcomes:

  • Apply knowledge of the Nutrition Care Process.
  • Convey and demonstrate knowledge of cultural competence.

Required Readings:

  • Nutrition Care Process – Read through page and subsequent links
  • NCP Tutorial – Watch these videos to better understand the NCP
  • Nutrition Diagnostic Terminology – Reference this document when determining the proper nutrition diagnosis
  • Nutrition Intervention Terminology – Reference this document when determining the proper nutrition intervention
  • Nutrition Monitoring and Evaluation Terminology – Reference this document when determining the proper nutrition monitoring and evaluation
  • Simple Ways to Master Patient Communication – This is advice from the AMA for residents/doctors – but it translates well to In-Patient Dietitians as well
  • Cultural Competence – Again take the time to read through all of the links

Assignments:

  • Week 5 Assignment: Cultural Humility NCP, Rough Draft & Zoom Call
  • Week 5 Discussion: Cultural Humility

Week Six: How to Manage People

Learning Outcomes:

  • Demonstrate knowledge of management skills and theories.

Required Readings:

  • The Ripple Effects You Create as a Manager
  • What Great Managers Do
  • Leadership Through Conflict
  • Helpful Tips to Manage a Disgruntled Employee
  • What is Emotional Intelligence
  • 13 Things Emotionally Intelligent People Do
  • Emotional Intelligence is Key to Successful Leadership

Recommended Reading:

  • Review, H. B., Hill, L. A., Ibarra, H., Cialdini, R. B., & Goleman, D. (2017). HBR’s 10 must-reads for new managers. ProQuest Ebook Central.

Assignments:

  • Week 6 Assignment: Management Case Study

Week Seven: Clinical Nutrition

Learning Outcomes:

  • Apply knowledge of the Nutrition Care Process.

Required Materials:

  • Width, M., Reinhard, T. The Essential Pocket Guide for Clinical Nutrition. 2nd Edition. Philadelphia, PA: Jones Bartlett; 2017.

Assignments:

  • Week 7 Assignment: Cultural Humility NCP, Final Draft
  • Week 7 Assignment: Reverse Case Study

Week Eight: Current Needs in Nutrition

Learning Outcomes:

  • Investigate and understand the transgender community and how the health care system can better support the community.

Required Readings:

  • Developing a conceptual model; Peel Public Health, Evidence-Informed Decision Making
  • Development of a Conceptual Framework for Understanding Shared Decision making Among African-American LGBT Patients and their Clinicians
  • Mental health considerations with transgender and gender nonconforming clients
  • Nutrition Considerations for the Transgender Community
  • Towards Providing Culturally Aware Nutritional Care for Transgender People: Key Issues and Considerations
  • Guidelines for the Primary and Gender-Affirming Care of Transgender and Gender Nonbinary People

Assignments:

  • Week 8 Assignment: Transgender Conceptual Model
  • Final Lab Reflection: Looking Back to Move Forward
  • Week 8 Discussion

Student Resources

Online Student Support

Your Student Support Specialist is a resource for you. Please don't hesitate to contact them for assistance, including, but not limited to course planning, current problems or issues in a course, technology concerns, or personal emergencies.

Questions? Visit the Student Support Applied Nutrition page

UNE Libraries:

UNE Student Academic Success Center

The Student Academic Success Center (SASC) offers a range of services to support your academic achievement, including tutoring, writing support, test prep and studying strategies, learning style consultations, and many online resources. To make an appointment for tutoring, writing support, or a learning specialist consultation, go to une.tutortrac.com. To access our online resources, including links, guides, and video tutorials, please visit:

Information Technology Services (ITS)

  • ITS Contact: Toll Free Help Desk 24 hours/7 days per week at 1-877-518-4673

Accommodations

Any student who would like to request, or ask any questions regarding, academic adjustments or accommodations must contact the Student Access Center at (207) 221-4438 or pcstudentaccess@une.edu. Student Access Center staff will evaluate the student's documentation and determine eligibility of accommodation(s) through the Student Access Center registration procedure.

Policies

AMA Writing Style Statement

In keeping with the requirements of the Journal of the Academy of Nutrition and Dietetics and the Journal of Nutrition Education and Behavior, the American Medical Association (AMA) Manual of Style, 11th edition is the required writing format for this course and is available at both UNE libraries under the title "AMA Manual." Additional support for academic writing and AMA format is provided throughout the coursework as well as at the UNE Portal for Online Students.

Online resources: AMA Style Guide

Turnitin Originality Check and Plagiarism Detection Tool

The College of Professional Studies uses Turnitin to help deter plagiarism and to foster the proper attribution of sources. Turnitin provides comparative reports for submitted assignments that reflect similarities in other written works. This can include, but is not limited to, previously submitted assignments, internet articles, research journals, and academic databases.

Make sure to cite your sources appropriately as well as use your own words in synthesizing information from published literature. Webinars and workshops, included early in your coursework, will help guide best practices in AMA citation and academic writing.

You can learn more about Turnitin in the Turnitin Student quick start guide.

Technology Requirements

Please review the technical requirements for UNE Online Graduate Programs: Technical Requirements

Course Evaluation Policy

Course surveys are one of the most important tools that University of New England uses for evaluating the quality of your education, and for providing meaningful feedback to instructors on their teaching. In order to assure that the feedback is both comprehensive and precise, we need to receive it from each student for each course. Evaluation access is distributed via UNE email at the beginning of the last week of the course.

Attendance Policy

Online students are required to submit a graded assignment/discussion prior to Sunday evening at 11:59 pm ET of the first week of the term. If a student does not submit a posting to the graded assignment/discussion prior to Sunday evening at 11:59 pm ET, the student will be automatically dropped from the course for non-participation. Review the full attendance policy.

Late Policy

Assignments: Late assignments will be accepted up to 3 days late; however, there is a 10% grade reduction (from the total points) for the late submission. After three days the assignment will not be accepted.

Discussion posts: If the initial post is submitted late, but still within the discussion board week, there will be a 10% grade reduction from the total discussion grade (e.g., a 3 point discussion will be reduced by 0.3 points). Any posts submitted after the end of the Discussion Board week will not be graded.

Please make every effort ahead of time to contact your instructor and your student support specialist if you are not able to meet an assignment deadline. Arrangements for extenuating circumstances may be considered by faculty.

Student Handbook Online - Policies and Procedures

The policies contained within this document apply to all students in the College of Graduate and Professional Studies. It is each student's responsibility to know the contents of this handbook.

UNE Online Student Handbook

UNE Course Withdrawal

Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.

Academic Integrity

The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.

Academic dishonesty includes, but is not limited to the following:

  1. Cheating, copying, or the offering or receiving of unauthorized assistance or information.
  2. Fabrication or falsification of data, results, or sources for papers or reports.
  3. Action which destroys or alters the work of another student.
  4. Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
  5. Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.

Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations.  Appeal of a decision may be made to the Dean whose decision will be final.  Student appeals will take place through the grievance process outlined in the student handbook.