COURSE DESCRIPTION
| This course focuses on the roles of nursing in establishing partnerships with communities in customizing therapeutic care in order to protect, promote and restore optimal community health. The clinical practicum provides students with opportunities to deliver quality community health care across all levels of prevention and to explore the planning and implementation of customized community health programs. Students collaborate with agencies/institutions and health care delivery systems as leader/manager partners in community health. . |
CREDIT AND TIME ALLOCATION
| 5
semester hours (2 hours class, 3 hours clinical) |
PREREQUISITES
| NURS 4425, 4435, and 4410 prerequisite, NURS 4203 and 4614 concurrent (GENERIC) |
COURSE OBJECTIVES
- Design nursing process to promote health with community partners across
the life span in community settings with both predictable and unpredictable circumstances.
- Create partnerships with communities in the customized therapeutic
care process to protect, promote, and restore optimal community health.
- Incorporate appropriate therapeutic communication skills when engaged
in professional relationships with community partners.
- Evaluate practice decisions within the community using critical thinking.
- Evaluate strategies to improve community health through scholarship.
- Manage, lead and collaborate with health care providers from multiple
disciplines to deliver quality care across levels of prevention and with diverse community organizational
structures and settings.
- Adhere to ethical and legal conduct that reflects the standards of
community health nursing practice.
- Display behaviors that demonstrate values of self directed professionals
within context of community partnerships.
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CLINICAL OBJECTIVES
- Uses selected community health assessment instruments to collect community health data.
- Apply epidemiology, systems and environmental theories to organize data collection.
- Accesses multiple community health status indicators from public & private information databases.
- Use epidemiological theory and formulas to analyze community data and formulate community diagnosis.
- Formulates appropriate community nursing diagnosis.
- Establishes goals consistent with National/International health goals (HP2010).
- Follows ANA Standards of Practice and public health core functions to formulate customized therapeutic nursing interventions.
- Integrates concepts of health promotion, risk reduction and disease management when formulating customized therapeutic nursing interventions within community settings.
- Demonstrates cultural sensitivity when formulating customized therapeutic nursing with the community.
- Follows principles of evidence based practice when formulating a customized therapeutic nursing intervention.
- Identifies health care access, cost and quality of care issues during community assessment.
- Demonstrates safe, therapeutic, and customized nursing care.
- Implements customized, community specific health promotion project to promote or restore community health, applying theoretical and evidence based practice principles.
- Incorporates appropriate teaching and learning principles to design customized, community specific health promotion education projects.
- Suggests or identifies plans for policy change specific to health care access, cost or health care quality of care issues identified in community assessment process.
- Establishes and maintains professional relationships with community partners.
- Uses professional and culturally appropriate communication techniques when interacting with community partners.
- Employ a variety of communication strategies to elicit, validate, or share information with community health partners.
- Demonstrates professionalism in all interactions with community partners.
- Examines the relationship between community health assessment data, nursing diagnosis, and health policy, when implementing community health plans.
- Evaluate customized therapeutic nursing interventions with community partners.
- Collaborate with community partners.
- Uses current literature, health objectives and standards of care to support evaluation strategies.
- Practice with nurses in selected community health nursing roles.
- Demonstrates leader/manager nursing roles when collaborating with multiple disciplines in community settings.
- Collaborates with community as partner to examine the process of developing or changing health policy.
- Demonstrates accountability and responsibility for own behavior.
- Employs and demonstrates ethical/legal community nursing practice.
- Demonstrate sensitivity to human diversity, caring and social justice in community nursing practice.
- Maintains ethical legal standards of care when interacting with community partner.
- Assumes personal responsibility for learning.
- Seeks assistance and uses guidance from faculty appropriately to foster own learning.
- Demonstrates professional judgment and safe behavior across community settings.
- Seeks opportunities to enhance professional growth.
- Interacts with clinical faculty and community partner(s) as a self-directed professional.
- Actively participates in all aspects of community health clinical practicum
CLINICAL GUIDELINE EXPECTATIONS OF STUDENTS FOR PROFESSIONAL ACCOUNTABILITY:
- Students are expected to attend all clinical experiences.
- In the event of extenuating circumstances that prevent a student from attending a clinical experience, the student will:
- NOTIFY THE CLINICAL INSTRUCTOR BEFORE THE CLINICAL EXPERIENCE BEGINS VIA BEEPER OR PHONE, AS INSTRUCTED BY THE FACULTY MEMBER.
- Arrange with the clinical instructor for an evaluation of clinical progress. Make-up of lost time is at the discretion of the faculty member.
- Students are expected to be prepared for all clinical activities. Faculties have an obligation to remove a student from the clinical setting if the student is not prepared to perform all clinical activities of the day
- If the clinical activity is cancelled by the clinical agency or if the activity is completed before clinical hours are over for the day, the student is responsible for notifying the clinical instructor. The instructor may direct the student to an alternate experience.
- Students that are found to not be at their assigned clinical location may be subject to dismissal from the course.
- Student s are required to notify their clinical instructor prior to leaving the clinical setting.
- Students are responsible for transportation to the agencies and to individual activities. Failure to comply may result in dismissal from the course.
- Dress--the clinical instructor will determine the option for the clinical location. The uniform for community health is consistent with business dress (no jeans, flip-flops, clogs or mules). Professional scrubs and /or lab coats may be required in some settings. The UTHSCSA SN name tag is to be worn at all times. Students will comply with the additional guidelines outlined in the Student Handbook.
- PATIENT SAFETY--students are expected to be aware of the policies on patient safety stated in the Student Guide.
- Cell phone usage will be limited to breaks or lunch times. Cell phones and beepers need to be on silent mode during clinical time
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CRITERIA FOR EVALUATION / GRADES
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Successful completion of NURS 4514 requires successful completion of both the clinical and theoretical components of the course. Failure to satisfactorily complete clinical objectives will result in a grade of F in the course, regardless of the theory grade. Students are required to take at least one practice Community ATI assessment. Students are required to take the Community ATI Proctored exam. To gain admission to this exam, students must bring verification that they have taken at least one ATI assessment. Students that arrive after the designated start time for the proctored Community ATI will not be admitted. Students that do not take the proctored Community ATI will receive an incomplete and will be given an opportunity to take the exam after final exams are completed. The date for this exam will be set by the school of nursing and cannot be negotiated.
In order to pass the theory portion of the course, the student must
achieve an average of at least 70% on the following graded activities:
15% - Exam 1
15% - Exam 2
15% - Exam 3
20% - Final Exam-
10% - Participation
25% - Projects
100% - Total |
Theory is given a letter grade assigned on the following scale:
A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60% |
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Assessment Technologies Institute®, LLC (ATI) RN Content Mastery
Series®
UTHSCSA School of Nursing utilizes the ATI RN Content Mastery Series® & the
RN Comprehensive Predictor® practice and proctored exams to assist
students in preparing for the NCLEX-RN® exam (generic and LVN
flexible process students). Through practice and proctored examinations,
students are able to assess their own knowledge and receive feedback
and direction for content review throughout the program of study.
The
proctored exams are administered in specific courses in both undergraduate
tracks (i.e. ATI Pharmacology in N3312 Pharmacotherapeutics; ATI Fundamentals
in N3610 Chronic Health Transitions, ATI Leadership in N4410 Leader-Manager,
etc.). The proctored exam is required to complete the course.
In order
for a student to take the course related proctored exam, documentation
of achieving ≥ 70% on the content series practice
exam is required. The content practice exams can be taken as many times
as necessary to achieve ≥ 70%.
Students will receive additional points
added to the corresponding course grade for a Level 3 or Level 2 performance
on the proctored exam (after achieving ≥ 70% on graded course requirements).
For a Level 3 performance on the exam, 3 points will be added. For
a Level 2 performance on the exam, 1 point will be added.
SCHOLASTIC DISHONESTY
| Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22. |
American with Disabilities Act (ADA) Accommodations
| Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Students within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: 1.118-16 |
REQUIRED TEXT / REFERENCE
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Stanhope, M.E. & Lancaster, J.. (2006). Foundations of Nursing in the Community. (2th ed.). St. Louis, MO: Mosby Elsevier.
American Psychological Association. (2001). Publication Manual of the
American Psychological Association. (5th ed.). Washington, DC: Author.
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RECOMMENDED (OPTIONAL) TEXT / REFERENCE
| Hale, Patty J. (2005). Real World Community Health Nursing [ Computer Software]. St. Louis , MO: Mosby Elsevier. |
CALENDAR - First Week Only
Please check the Fall 2008 Schedules for recent updates on Class Dates & Room.
Section 001: Generic Process - Semester 4
| Date |
Topic / Assignment Due |
Date |
Week One
Date: Wednesday - 08/27/08
Time: 8:00 AM-5:00 PM
Room: Room: 1.206
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8:00-9:00 Orientation
9:20-10:10-History of Public Health Nursing (Obj 3.1& 3.2 (1-2)
10:20-12:00: Continued
1:30-2:30: Health Promotion (Obj 3.2(3-5)
2:40-3:40: Roles of Public Health Nurses
3:50-5:00: Clinical Sites
Assignment Due: Stanhope and Lancaster: Chapter 1- 5, (pages 168-169 only in Chapter 9, under Levels of Prevention, and page 345, about health risk
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Date: Thursday, August 28
Time: 1:00-3:50 PM
Room : 1.206
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Class Objective 3.4
1:00-3:00 Community Assessment
3:00-3:50 Clinical Conference #1
Assignment Due: Stanhope and Lancaster, Chapter 12
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Week Two: (Two Class Days)
Date: Wednesday: September 3
Time: 8:00 AM - 5:00 PM
Room: 1.102
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8:00-9:00 Vulnerable Populations
9:00-9:20 Guest speaker: Homeless in San Antonio
9:30-10:30 Professional Conduct in the Community
10:30-12:00 Ethical and Legal Conduct in the Community
12:00-1:00 Lunch
1:00-5:00 Community Survey
Assignment Due: Stanhope and Lancaster
Stanhope and Lancaster : Chapter 12, 21 and 23
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Week Two:
Date: Thursday – September 4
Time: 1:00-3:50
Room: 1.106
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Class Objective: 3.3
1:00-3:00 :Education
Assignment Due: Stanhope and Lancaster::Chapter 11
Clinical Conference #2
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