GENERAL EDUCATION COURSE DEVELOPMENT GRANT

 

“When change invades our life against our will, or when we must let go against our desires, something can happen to our feelings…” (Miller, 1995, p. 36)

 

Proposed new course:

Nurs: xxxW Exploring transitions in end of life: A multicultural interdisciplinary experience

 

Submitted by faculty of the School of Nursing:

Lynn Allchin ,Assistant Professor,lynn.allchin@uconn.edu; Arthur Engler, Assistant Professor, Arthur.engler@uconn.edu; Kathryn.Hegedus,Associate Professor,Kathryn.hegedus@uconn.edu; John McNulty,Lecturer,John.McNulty@uconn.edu; E. Carol Polifroni, Associate Professor, carol.polifroni@uconn.edu

 

Goals of proposal:

1.        Design, implement and evaluate a new general education course offering: Exploring transitions in end of life: A multicultural interdisciplinary experience.

2.    Design, implement and evaluate a train the trainer model for the development of future
       interdisciplinary courses addressing universals of the human experience.

 

Student objectives:

Through a multicultural lens, enhance students’ understanding of the human experience of end of life.

  • Discuss the human experience.
  • Describe the role of the multidisciplinary team at the end of life.
  • Address ethical and legal concerns during the transitions surrounding end of life.
  • Experience the dimensions of culture with end of life care.
  • Incorporate aesthetics as a means of communicating the human experience.

 

Grant activities:

During the 2005-2006 academic year, the course will be developed, approved through GEOC, and scheduled for offering in Fall 2006 and Spring 2007. The activities begin with the convening of the interdisciplinary group from Nursing, Allied Health, Business, Family Studies, Pharmacy and CLAS and addressing the proposed project (the course and the train the trainer model) and its related goals. The purpose of this activity is to both design the specific course as well as to develop a model for training the trainer for future interdisciplinary course development. Once buy-in is achieved, the project development will begin with all elements of course design, content, evaluation and pedagogical approach to be addressed.

The proposed course is envisioned to be a three-credit interactive course meeting twice per week in 1.5-hour sessions; most likely offered during the evening to maximize participation across a myriad of disciplines. The identified faculty will explore whether it is feasible to offer this course at the Regional campuses as well as Storrs or solely on the main campus. The content for the course will stem from three major sources: The end of life nursing education curriculum (ELNEC) designed by City of Hope in Los Angeles, the aesthetics of communicating human experience, and the legal issues associated with end of life transitions.

The pedagogical approach to be proposed is a combination of lecture, discussion, and classroom and out-of-classroom interactive strategies (museum docents, films (Whose life is it anyway?; WIT), writing obituaries, cemetery visits, photography, sympathy cards, as a few examples).

 

Fit with general education system: Diversity and Multiculturalism/ W skill code

Interdisciplinary education is “an educational approach in which two or more disciplines collaborate in the learning process with the goal of fostering interprofessional interactions that enhance the practice of each discipline. Such interdisciplinary education is based on mutual understanding and respect for the actual and potential contributions of the disciplines” (www.aacn.nche.edu/Publications/positions/interdis.htm). Furthermore, given that “professional socialization occurs early and often before career choices are made, …that socialization occurs in the context of other professions and third that skills needed for interdisciplinary collaboration ( negotiation, team building, joint decision making and problem solving) are learnable”  (www.aacn.nche.edu/Publications/positions/interdis.htm), it is important to introduce interdisciplinary education early and within the liberal arts core of professional studies (www.aacn.nche.edu/Publications/positions/interdis.htm).

Consistent with offering such a course early in one’s academic program, the proposed course will meet the specific goals of UCONN’s General Education Program: acquisition of intellectual breadth and versatility, critical judgment, moral sensitivity, awareness of their era and society, consciousness of the human culture and experience and the ability to acquire and consistently use knowledge.

End of life is a universal experience. It is not restricted to those within the health professions but, rather, a universal experience that each of us will address for ourselves as well as for our loved ones. End of life is often conceptualized within the context of the elderly, but the advancement of society with the challenges and risks therein, makes end of life a topic for all ages. End of life is intimately related to the goals of the General Education Program by its natural need to examine the experience of end of life and enhancing awareness through a societal, personal and multicultural lens, to address moral sensitivity by examining issues of withholding fluids and food versus using technology at whatever human cost, and by exposing the human conscious through examination of cultural approaches, beliefs, and values on end of life.

The course, offered with a nursing number (we are open to an INTD number as well) but created by an interdisciplinary team, will assist individuals to address end of life from a myriad of perspectives…the provision of care as well as the receipt of care, the legal issues, the moral issues, the societal challenges/opportunities and the personal growth associated wherewith.

The course will naturally ‘fit’ into the DIVERSITY and MULTICULTURALISM category by addressing the human experience (thoughts, values and perceptions) of end of life from a variety of cultures examining the similarities and differences between and among cultures as well as the development of a sensitivity and understanding about end of life from a multicultural perspective. It will be offered as a W option to assure a class size for appropriate discussion, and it will meet the criteria of a W course by having writing assignments that enhance the understanding of end of life, and a minimum of 15 pages of text that will be submitted for feedback and edited and revised as appropriate throughout the course. The written assignments will be scholarly as well as deeply personal.

 

Add to current offerings:

Currently, there is one university course, HDFS 252, on Death, dying and bereavement. This course is not interdisciplinary; it is not focused on the transitions surrounding end of life per se, but rather the death aspect of the process. In contrast, the “Exploring transitions in end of life: A multicultural interdisciplinary experience” proposed course will focus on the entire experience of end of life from the perspectives identified above. Additionally, the proposed course is being proposed as a train the trainer model for interdisciplinary education and collaboration. The processes used to initiate this course offering will be assessed and evaluated as well as the course itself. Train the trainer is important so that the design of new courses using an interdisciplinary framework need not be so cumbersome or time intensive.

 

Evaluation:

The success of the course will be evaluated in several ways: use of standardized instruments assessing knowledge of end of life from a multicultural perspective, student course evaluations using standard UCONN forms as well as a portfolio review of their submitted works over the semester, faculty evaluation of the course, success of the train the trainer model,  and interest in future enrollment by others.

 

Program Director:

 Laura Dzurec, Dean and Professor, School of Nursing

 

Violet is used as our shading as it is the color for healing, energy and unitary human experiences.

 

 

 

 

University of Connecticut

School of Nursing

GEOC PROPOSAL:  Clarification information

Exploring transitions in end of life: A multicultural interdisciplinary experience

 

 

 

Teaching objectives:

Examples have been added to these objectives to clarify our intent.

 

Through a multicultural lens, enhance students’ understanding of the human experience of end of life.

  • Discuss the human experience.
    • Examine what it means to be human?
    • Examine the definitions of living and dying.
    • What is the meaning of quality in the human experience?
  • Describe the role of the multidisciplinary team at the end of life.
    • How do different members of the team facilitate the experience of end of life for the patients, the family, and the providers?
    • Joint decision making, collaboration, team building and negotiation (hallmarks of ID education) will be introduced and explored
  • Address ethical, aesthetic (added) and legal concerns during the transitions surrounding end of life.
    • Advance directives will be addressed
    • Right of all individuals will be examined
  • Experience the dimensions of culture with end of life care.
    • The rituals and traditions of varied cultures will be explored and experienced when possible
  • Incorporate aesthetics as a means of communicating the human experience
    • Creation of sympathy cards, get well cards for the person who is dying
    • Incorporation of music and understanding its message
    • Exploration of the rituals and traditions of communication

 

Evaluation methods:

Several evaluative tools will be used to meet the objectives above as well as evaluate the course overall.

1.        Pre and post measures on values, cultural competency and interdisciplinary work (team building, joint decision making, collaboration and negotiation specifically)

  1. Aesthetic critique
  2. AS a W course, revisions and feedback of written assignments
  3. Case study analysis
  4. Carper’s ways of knowing assessment: empirical, ethical, aesthetical and existential knowing.

In communication with ITL, we are searching for measures of interdisciplinary learning outcomes.

 

Train the trainer:

We’ve revised our original plan re train the trainer. We will now subscribe to the “Training-of-Trainers” (TOT) methodology first initiated with the world’s first peacetime hospital ship, the SS Hope.  The primary goal of this approach is to achieve sustainability by: 1) utilizing expert teachers to identify and provide program content and, 2) incorporate principles of adult learning in all aspects of the program. In other words, it is our goal that the students who complete this course will serve as trainers/facilitators for others in end of life transitions, thus meeting a major societal need.

 

Faculty will deliver substantive content through guided care/case studies, group projects and identification of current resources.  We will utilize Knowles’ concept of andragogy in planning content and learning goals.

 

The focus will be on independent and self directed learning activities.  In addition, we will strive to provide interactive learning modules that utilize experiential techniques and problem-centered approaches.

 

Involvement of faculty from other schools:

Faculty and leaders from HDFS, Art & art history, Music, and individuals representing various religions have been contacted about working with us. A letter from HDFS follows. Letters from Music and Art are forthcoming. These individuals from many disciplines will be invited to a planning meeting in mid-summer 2005 and will hear about the plans to date, suggest modifications, define their role and work with us to teach this course as well as evaluate the strategies used including student assignments.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

April 1, 2005

 

 

 

Re:  General Education Course Development Grant

        Exploring transitions in end of life: A multicultural interdisciplinary experience

 

 

To Whom It May Concern:

 

I have reviewed the above-mentioned proposal for the new interdisciplinary course offering.  As a Certified Thanatologist, not only do I support the adoption of this course, I would welcome the opportunity to participate in the development and offering of this course.

 

In addition to being a doctoral student in the School of Family Studies, I am also the instructor of record for the HDFS 252 Death, Dying, and Bereavement course.  I have taught the course fourteen times (fall and spring semesters, as well as the winter and summer intersession) here at the University of Connecticut.  Based on the content and nature of the course, it is very much in demand.

 

 

 

Sincerely,

 

 

 

Bonnie J. Dickey, MS, CT