NURS 4622Community Health NursingCourse Syllabus: Fall 2015

COURSE PLACEMENT IN CURRICULUM: Level 3. Required prerequisites: Successful completion of level two (2) nursing courses.

COURSE DESCRIPTION: The focus of this course is on health promotion, wellness, and disease prevention among individuals, populations, families, groups, and communities while examining the role of the baccalaureate prepared nurse in both community-based and community-oriented practice. Accompanied is an emphasis on evidence-based practice and leadership within the community.

COURSE FACULTY:Course Coordinator: Julie Leming MSN, RNOffice room number: 107Office phone: 903-923-2215 Cell: 903 503-2012Email: jleming@etbu.eduOffice Hours: As posted.Please schedule appointments with instructor.

COURSE THEORY OBJECTIVES:Upon successful completion of this course, the student will be able to:

1. Assess environmental intrapersonal, interpersonal, and extra-personal stressors impounding on client and family systems in the community.

2. Analyze the relationship between physiological, psychological, sociocultural, developmental and spiritual variables as related to major health problems effecting individuals, families and communities in today's society.

3. Utilize the research process to analyze critical pathways for commonly encountered admissions in home health to improve availability, accessibility, and efficiency of therapeutic interventions in health care delivery.

4. Appraise the effect of socioeconomic levels on client, family, or group responses to wellness, illness, and health care services.

5. Analyze appropriate ethical principles used in community health practice.6. Analyze primary, secondary, and tertiary levels of prevention in community nursing using

appropriate communication skills and the nursing process.7. Compare and contrast roles and functions of baccalaureate prepared professional nurses in

community health settings with roles in acute care settings.8. Compare and contrast health care beliefs/practices of individuals, families, and groups from various

cultural and ethnic backgrounds.

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9. Assess resources available for individuals, families, and groups and initiate the planning process for perceived community deficits.

10. Demonstrate responsibility for personal learning by attending class regularly, participating constructively in learning activities and seeking faculty assistance when needed.

COURSE CLINICAL OBJECTIVES:See the Clinical Evaluation Tool in the appendix.

COURSE TEXT(S):Text: Stanhope, M. & Lancaster, J. (2014) Foundations of nursing in the community Community-oriented

practice (4th Ed.); St. Louis, MO; Mosby. ISBN 978-0-323-10094-6

COURSE EVALUATION METHODS:

Theory Grading Scale:In the Department of Nursing, letter grades are equated with the following percentages:

A 92-100%B 82-91%C 75-81%D 65-74%F Below 65%

The clinical component of this course, if one exists, will be graded on a Pass/Fail basis. Refer to the section entitled “Lab/Clinical Assignments” and the Clinical Evaluation Tool.

Evaluation Methods: Unit Exams (4) 75%*Quizzes and Case Studies 25%Total 100%

While other classroom assignments may figure into the final course grade, the student must achieve a weighted average grade (as shown above) of at least 75% on all unit exams (combined) in order to pass this course. In the event that the required unit exam average is not achieved, the final course grade will reflect only the unit exam average; grades on other assignments will not be included.

All written work is due at the beginning of class. Five points will be deducted for each day that an assignment is late past the due date. This applies to class and clinical assignments. Hybrid assignments (such as online discussion board posts or other assignments to be posted to Blackboard) may be graded differently based on the rubric found in the course syllabus.

Assignment(s) and grading criteria are located in the appendix.

Students are responsible for meeting the computer needs of all courses. Assignments and due dates will not be altered because of personal computer problems. The computer lab in the Craig Nursing Building is available for student use during standard operating hours.

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DISABILITIES: A student with a disability may request appropriate accommodations for this course by contacting the Office of Academic Success and Graduate Services, Marshall Hall, Room 301, and providing the required documentation. If accommodations are approved by the Disability Accommodations Committee, the Office of Academic Success and Graduate Services will notify the student and his/her professor(s) of the approved accommodations. The student must then discuss these accommodations with the professor(s).All proctored exams for students with accommodations will be given in an individual testing room located inside the library. Exam sessions will be audio and video recorded for optional review by faculty. It is the student’s responsibility to schedule the test date at least one week prior to the test and time using the ACE website (www.etbu.edu/ace). 

ATTENDANCE POLICY:Responsibility for attendance at class and clinical/laboratory experiences rests with the student. Students are expected to arrive early and be prepared for class and clinical. Attendance for the entire class or clinical times as scheduled, or until dismissed by the instructor, is expected of students as part of the professional nurse role.

Class attendance will be monitored according to the university attendance policy as outlined in the current ETBU Academic Catalog. Clinical attendance will be monitored according to the attendance policy as outlined in the current Nursing Student Handbook.

COURSE LAB / CLINICAL ASSIGNMENTS:Successful completion of all clinical and laboratory experiences is required in order to pass this course. Lab/Clinical grades are assigned as PASS or FAIL. Lab and Clinical assignments for this course are as follows:

1. Attend and participate in Project Planning Day.2. Attend agency clinicals as assigned.3. Participate in disaster drill.4. Participate in Public Service Announcement group activity and Community Assessment. 5. Complete the assigned EvolveRN Case Studies as assigned. The highest score achieved by the due

date for each case study will be recorded as the grade. Each case study must be completed with a grade of 80 or higher by the due date. See the appendix for a list of case studies and due dates.

6. Complete and submit 6 reflective journals.7. Participate in planning and delivery of teaching project as assigned.8. Complete clinical day at Sharon Baptist Clinic in Tyler on assigned date. 9. Pass the level specific medication calculation exam by August 28, 2015. See the Medication

Calculation Exam Policy in the ETBU Nursing Student Handbook.

A minimum of 135 clinical hours must be completed to satisfy the requirements of this course. Patient Care Environment hours include activities such as providing direct patient care, observation experiences, and participating in clinical conferences (pre/post/other). Non-Patient Care Environment hours include activities such as participating in skills lab sessions, skills competency demonstration/testing, simulated patient care activities, computerized/virtual experiences, and completing case studies.

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The following table shows the types of activities and the number of hours awarded for these activities:

Community Health NursingClinical Activities Required in this Course

Agency or Patient/Client Care Hours

Skills Lab

Hours

Computer Hours

Community Assessment 8Agency Clinicals (Multiple locations) 28Clinic Preparation 10HESI Case Studies 10Reflective Journaling 6Community Teaching Project 7LeTourneau Health Fair 7Evaluation 1Totals 50 10 17

Mental HealthClinical Activities Required in this Course

Agency or Patient/Client Care Hours

Skills Lab

Hours

Computer Hours

Rusk clinical (2 days + reflection) 16Mental Health Agency (2 days + reflection) 24HESI case studies 12Alcoholics Anonymous with Journal 3A Beautiful Mind 3Additional alternative application 3Evaluation 1Totals 43 6 13

Each student is expected to inform faculty member immediately if ethical or legal problems arise during the course of clinical activities. Additional details regarding specific clinical assignments will be provided in class.

Course Clinical Evaluation Methods:See the Clinical Evaluation Tool on blackboard

Additional policies, procedures, and guidelines that apply to this course in the classroom and clinical environments are located in the Nursing Student Handbook.

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Appendix Content

A. Course Calendar B. Course Clinical Evaluation GuidelinesC. Clinical Evaluation ToolD. HESI Case Study Due DatesE. Course Affirmation Form

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APPENDIX ACOMMUNITY HEALTH NURSING

NURS 4622FALL 2015

DATE DESCRIPTIONAugust 26 Syllabus

September 2 Chapter 1 Community-Oriented Nursing and Community-Based NursingChapter 2 The History of Public Health and Public and Community Health NursingChapter 3 The U.S. Health and Public Health Care Systems

September 9 Chapter 4 Ethics in Community Health Nursing PracticeChapter 5 Cultural Influences in Nursing in Community HealthChapter 7 Government, the Law, and Policy ActivismChapter 8 Economic Influences (These chapters will be covered with online lecture and self-study.)

September 16 Exam 1

September 23 Chapter 9 Epidemiologic ApplicationsChapter 15 Surveillance and Outbreak InvestigationChapter 26 Infectious Disease Prevention and ControlChapter 27 HIV Infection, Hepatitis, Tuberculosis, and STD

September 30 Chapter 11 Using Health Education in the Community Chapter 12 Community Assessment and Evaluation

October 7 LeTourneau Health Fair

October 14 Exam 2October 21 Chapter 14 Disaster Management

Chapter 6 Environmental HealthOctober 28 Chapter 18 Family Development and Family Nursing Assessment

Chapter 19 Family Health RisksChapter 20 Health Risks across the Life Span

November 4 Disaster DrillNovember 11 Exam 3

November 18 Chapter 21 Vulnerability and Vulnerable Populations: An OverviewChapter 23 Poverty, Homelessness, Mental Illness, and Teen Pregnancy

November 25 Thanksgiving WeekDecember 2 Chapter 24 Alcohol, Tobacco, and Other Drug Problems in the Community

Chapter 25 Violence and Human AbuseDecember 7 Exam 4

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APPENDIX B

COURSE CLINICAL EVALUATION GUIDELINES:

The clinical component of this course will be evaluated as "P" (pass) or "F" (fail). Students must be successful in both lecture and clinical components of the class in order to earn credit for the course. The clinical grade will depend upon written assignments, clinical performance and post conference interactions.

Students must complete the clinical log component of the Clinical Evaluation Tool on an ongoing basis to assist in documenting completion of clinical objectives. Faculty may review this documentation at times throughout the course. Additional evaluation by faculty will include direct observation of student performance, preceptor feedback on student performance, and/or other methods deemed appropriate based on course design and expectations.

Formal evaluation conferences between the instructor and student will occur at mid-term and at final course completion; more frequent conferences may occur at the discretion of course faculty.

Students are expected to adhere to the ETBU student handbook and the Nursing Student Handbook, attendance policies, professional clinical behavior policies, and dress codes. Failure to do so may result in clinical failure(s). Two clinical failure days will result in failure of the course.

A completed and signed clinical evaluation is necessary for successful completion of this course. Students must achieve a “pass” on each critical element to be successful in the clinical component of the course. Critical elements are essential components of clinical behavior necessary for the performance of professional nursing.

Examples of failing clinical behaviors include, but are not limited to:

1. Any act of omission or commission that may result in harm to the patient 2. Violating or threatening the physical, psychological, microbiological, chemical, or thermal

safety of the patient3. Violating previously mastered principles or learning objectives when implementing nursing

interventions and/or delegated medical interventions4. Assuming inappropriate independence in action or decisions5. Not adhering to current CDC guidelines for infection control6. Failing to recognize own limitations, incompetence and/or legal responsibilities7. Failing to accept moral and legal responsibility for own actions, thereby violating professional

integrity as expressed in the ANA Code for Nurses8. Arriving at the clinical setting in an impaired condition or otherwise unprepared to give patient

care as determined by the clinical instructor

Further elaboration on professional behavior is found in the Nursing Student Handbook.

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APPENDIX CEast Texas Baptist UniversityDepartment of Nursing

LEVEL 3: CLINICAL EVALUATION TOOL

Student:_______________________________ NURS 4622 Community Health/ Mental Health Semester: Fall 2015

Clinical Objectives Evidence of Satisfactory PerformanceI. Member of the Profession: (QSEN: Patient-centered Care, Evidence Based Practice, Safety, Informatics)A. Function within the nurse’s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting.B. Assume responsibility and accountability for the quality of nursing care provided to patients, families, populations, and communities.C. Promote the practice of professional nursing through leadership activities and advocacy.D. Practice responsibility and competency in nursing preparation, and develop insight through reflection, self-analysis, and self-care, and lifelong learning.

Key elements which the student must independently complete for satisfactory performance are:Demonstrate patient confidentiality.Notify instructor and agency prior to absence or tardiness. Come to clinical prepared.Complete skills checklist per school policy.Conform to student dress code.Seek experiences to enhance learning.Conform to student clinical behavior as specified in student handbook.Report relevant patient issues to appropriate members of the healthcare team.Deliver care in a manner that preserves/protects patient autonomy, dignity, and rights.

Provides care based on patients' rights and established nursing practice standards.

Complies with institutional policies & procedures related to patient safety & cost containment.

Practices therapeutic communication as learned in class. Incorporates ethical principles such as nonmaleficence, justice, veracity, etc,

when caring & interacting with patients and families. Changes behavior when necessary for own & other's wellbeing. Reports relevant patient issues to appropriate members of the healthcare

team. Contributes to professional development of peers by sharing information in

post conference, clinical settings, and competencies lab. Demonstrates responsibility for own behavior and growth as a learner and

professional. Evaluates behavior and clinical experiences objectively and honestly. Seeks experiences to enhance learning.

Demonstrates leadership in the clinical setting.

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Student Name ______________________________ NURS 4622

I. Member of the Profession:A. Function within the nurse’s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting.B. Assume responsibility and accountability for the quality of nursing care provided to patients, families, populations, and communities.C. Promote the practice of professional nursing through leadership activities and advocacy.D. Practice responsibility and competency in nursing preparation, and develop insight through reflection, self-analysis, and self-care, and lifelong learning.

Provide examples of how you met this competency in the patient care setting. Please include the date of the entry, the number of the objective, and a short description of how this objective was met.

Example 1:

Example 2:

Example 3:

Example 4:

Example 5:

Example 6:

Example 7:

Example 8:

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Clinical Objectives Evidence of Satisfactory PerformanceII. Provider of Patient-Centered Care: (QSEN: Patient-centered Care, Evidence Based Practice, Safety, Informatics)

A. Use clinical reasoning and established evidence-based policies as the basis for decision making and comprehensive patient care.B. Determine the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients, based upon interpretation of assessment findings compared with evidence-based research findings.C. Synthesize comprehensive assessment data to identify problems, formulate goals/ outcomes, and develop plans of care for patients and families using information from evidenced- based practice and published research in collaboration with patients, families, populations, communities, and the interdisciplinary health care team.D. Provide safe, compassionate, comprehensive nursing care to patients, families, populations, and communities through a broad array of health care services.E. Implement the plan of care for patients, families, populations, and communities within legal, ethical, and regulatory parameters and in consideration of disease prevention, wellness, and promotion of healthy lifestyles.F. Evaluate and report patient, family, population, and community outcomes, and responses to therapeutic interventions in comparison to benchmarks from evidenced- based practice and research findings, and plan follow-up care.

Key elements which the student must independently complete for satisfactory performance are:Systematically collects and analyzes subjective and objective data needed for care of patients with critical health problems across the life span.Perform selected nursing procedures safely and accurately.Seek guidance from appropriate person or faculty.Maintain safe patient environment.State rationale and side effects of medication.Demonstrate awareness of nursing implications for drug administration.Assess patient response to drugs and document appropriately.

Demonstrates caring and respectful behaviors when interacting with patients, families, populations, and communities with critical health problems and across the life span.

Illustrates purposeful and therapeutic relationships with patients, families, populations, and communities.

Discovers therapeutic communication techniques that contribute to a helping relationship with the patients and their families with critical health problems and across the lifespan.

Focuses on patient’s needs rather than personal needs. Illustrates awareness of and respect for cultural, ethnic, and spiritual differences

of the patients dealing with critical health problems and across the life span. Examines subjective & objective data needed for care of patients with mental

health and/or social problems and across the life span. Completes appropriate physiological, psychological, sociocultural,

developmental, and spiritual assessments on selected patients with mental health problems and across the lifespan.

Applies critical reasoning to analyze data and select appropriate nursing diagnoses for patients with critical health problems.

Mutually determines patient centered goals. Selects appropriate interventions based on assessment data and scientific

evidence. Applies primary, secondary, & tertiary levels of prevention in the care of

patients with psycho/social/spiritual problems. Reports errors immediately to faculty. Identifies and reports assessments and changes to appropriate staff member and

instructor. Uses therapeutic communication appropriately with patients. Demonstrates appropriate patient teachings for patients of critical health

problems and across the lifespan. Modifies appropriate teaching/learning principles when developing and

implementing teaching plans for patients with critical health problems and across the lifespan.

Demonstrates understanding of and use of the nursing process. Uses evidence-based practice to develop a plan of care for patients in the clinical

setting.

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II. Provider of Patient-Centered Care:A. Use clinical reasoning and established evidence-based policies as the basis for decision making and comprehensive patient care.B. Determine the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients, based upon interpretation of assessment findings compared with evidence-based research findings.C. Synthesize comprehensive assessment data to identify problems, formulate goals/ outcomes, and develop plans of care for patients and families using information from evidenced- based practice and published research in collaboration with patients, families, populations, communities, and the interdisciplinary health care team.D. Provide safe, compassionate, comprehensive nursing care to patients, families, populations, and communities through a broad array of health care services.E. Implement the plan of care for patients, families, populations, and communities within legal, ethical, and regulatory parameters and in consideration of disease prevention, wellness, and promotion of healthy lifestyles.F. Evaluate and report patient, family, population, and community outcomes and responses to therapeutic interventions in comparison to benchmarks from evidenced- based practice and research findings, and plan follow-up care.

Provide examples of how you met this competency in the patient care setting. Please include the date of the entry, the number of the objective, and a short description of how this objective was met.

Example 1:

Example 2:

Example 3:

Example 4:

Example 5:

Example 6:

Example 7:

Example 8:

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Clinical Objectives Evidence of Satisfactory PerformanceIII. Patient Safety Advocate: (QSEN: Patient-centered Care, Evidence Based Practice, Safety, Informatics)

A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards.B. Implement measures to promote quality and a safe environment for patients, self, and others.C. Formulate goals and outcomes using an evidence- based and theoretical analysis of available data to reduce patient risks.D. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices.E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.

Key elements which the student must independently complete for satisfactory performance are:Report relevant patient issues to appropriate members of the healthcare team.Use Standard Precautions at all times.Administer medications using legal standards (including the 6 rights).

Promote and manage a safe, effective environment conducive to the optimal health and dignity of the patient and family.

Accurately identify patient with at least two patient identifiers. Safely perform preventive and therapeutic procedures and nursing

measures including safe patient handling.Use evidence-based findings to initiate accident prevention measures for patients and implement measures to prevent risk of patient harm resulting from errors and preventable occurrences

III. Patient Safety Advocate:A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards.B. Implement measures to promote quality and a safe environment for patients, self, and others.C. Formulate goals and outcomes using an evidence- based and theoretical analysis of available data to reduce patient risks.D. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices.E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.

Provide examples of how you met this competency in the patient care setting. Please include the date of the entry, the number of the objective, and a short description of how this objective was met.

Example 1:

Example 2:

Example 3:

Example 4:

Example 5:

Example 6:

Example 7:

Example 8:

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Clinical Objectives Evidence of Satisfactory Performance

IV. Member of the Health Care Team: (QSEN: Patient-centered Care, Evidence Based Practice, Safety, Informatics)

A. Coordinate, collaborate, and communicate with patients, families, populations, communities, and the interdisciplinary health care team to plan, deliver, and evaluate care.B. Participate as an advocate in activities that focus on improving the health care of patients, families, populations, and communities.C. Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain optimal health status of the patient, family, populations, and communities.D. Communicate and manage information using technology to support decision making to improve patient care.E. Use multiple referral resources for patients, families, populations, and communities considering cost; confidentiality; effectiveness and efficiency of care; continuity and continuum of care; and health promotion, maintenance, and restoration.

Examines community resources available to the patients with mental health problems and/or social problems in specific patient populations in community settings.

Works cooperatively and interacts professionally with patients. Organizes time effectively. Documents appropriately, accurately, and timely according to legal parameters and

institutional criteria. Collaborates with various members of health care team. Participates in discharge

planning. Identifies other available resources within the community setting to enhance patient

knowledge of various programs and services. Support the patient’s rights of self-determination and choice even when these

choices conflict with values of the individual professional. Participate in quality improvement activities. Assess the adequacy of the support system of the patient, family, populations, and

communities. Facilitate communication among patients, families, populations, communities, and

interdisciplinary team to use institutional or community resources to meet health care needs.

IV. Member of the Health Care Team:A. Coordinate, collaborate, and communicate with patients, families, populations, communities, and the interdisciplinary health care team to plan, deliver, and evaluate care.B. Participate as an advocate in activities that focus on improving the health care of patients, families, populations, and communities.C. Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain optimal health status of the patient, family, populations, and communities.D. Communicate and manage information using technology to support decision making to improve patient care.E. Use multiple referral resources for patients, families, populations, and communities considering cost; confidentiality; effectiveness and efficiency of care; continuity and continuum of care; and health promotion, maintenance, and restoration.

Provide examples of how you met this competency in the patient care setting. Please include the date of the entry, the number of the objective, and a short description of how this objective was met.

Example 1:

Example 2:

Example 3:

Example 4:

Example 5:

Example 6:

Example 7:

Example 8:

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Student Self-Evaluation of Clinical Experience:

Strengths: ______________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

Weaknesses: ____________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

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APPENDIX DHESI Case Study Due Dates

Herpes Simplex Virus September 23, 2015Natural Disaster in a Small Community October 21, 2015Bioterrorism October 21, 2015Hospice December 2, 2015The Role of the School Health Nurse December 9, 2015

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East Texas Baptist UniversityCOURSE AFFIRMATION FORM

NURS 4622 Community Health Nursing

As a student in this course, I agree to protect the privacy of faculty, peers, patients and family members of patients by not inappropriately disclosing confidential information about faculty, peers, patients or their family members that is disclosed to me in my capacity as an East Texas Baptist University nursing student. In addition, I agree not to inappropriately disclose confidential information about any agency or institution that is disclosed to me in my capacity as an East Texas Baptist University nursing student.

I agree to the release of immunization records and other human resources information to appropriate agencies, hospitals, and preceptors.

I have read the syllabus for this course, and I understand the criteria established for grading my course work and the grading scale. If this course has a clinical/lab component, I understand that I must perform satisfactorily in that component in addition to earning a passing theory grade in order to earn a passing grade for the overall course.

I understand that all policies and guidelines in the ETBU Nursing Student Handbook apply to this course.

Student's Printed Name Course Number and Name

Student's Signature Date

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