Summer 2012

NURS 4327-001 Population Focused Health: Theoretical Foundations

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

Welcome to Population Health!
Class will begin on June 18, 2012 at 9:00 AM, in room 1.463
Please see the agenda below:

9:00-9:30 Orientation
9:30-11:00 Intro to Public Health and History of Public Health Nursing
11:00-12:00 Vulnerability Issues
12:00-1:00 Lunch
1:00-3:30 Vulnerability Issues continued

We will have breaks each hour

Prior to class, please read Chapters 1 & 2 from the Stanhope Text, and Chapter 2 from the Anderson Text.
Please complete the Quiz on Blackboard under Assessments by 9am June 18. The quiz will count toward participation points.

Please also refer to the information on Blackboard for any updates to reading assignments or preparation before class.
We are looking forward to a wonderful semester!


Ruth Grubesic
Room 2.334
210-452-6581 (Cell-call only, no text)
210-567-3846 (office)


This course addresses population focused health promotion, and disease and injury prevention based on determinants of local, national and global health including lifestyle, environmental, cultural, and genetic factors.


3 semester hours (3 hours theory)


Completion of Semester III


  1. Identify concepts from the liberal arts and sciences that can be incorporated into the management of population focused healthcare.  (Essential I)
  2. Analyze organizational, leadership, and quality improvement concepts to promote safe, quality care for local, national, and global populations.  (Essential II)
  3. Examine the interrelationships among theory, practice, and research as a foundation for population health nursing practice.  (Essential III)
  4. Describe information systems and healthcare technologies that promote population healthcare.  (Essential IV)
  5. Analyze the impact of financial and regulatory healthcare policies on the delivery of nursing services to groups and populations.  (Essential V)
  6. Describe the effects of effective collaboration and communication on improvement of healthcare outcomes for groups and populations.  (Essential VI)
  7. Identify population health determinants by assessing protective and predictive factors including culturally appropriate health promotion and disease prevention strategies.  (Essential VII)
  8. Compare the core values of public health nursing with professional nursing standards of moral, ethical, and legal conduct.  (Essential VIII)
  9. Discuss the role of the baccalaureate prepared nurse in promoting professional healthcare to diverse groups and populations.  (Essential IX)


Midterm 25 points
Final 30 points
Quizzes/Participation 10 points
Learning Module Assignments 35 points
Total points=100
Details about each of these opportunities can be found on the Blackboard site!



  1. Examination items are the proprietary intellectual property of the university and are not to be shared by students. Sharing of exam items by students is considered cheating and is subject to disciplinary action. There are no legal test item banks available to students in the SON other than those provided with the ATI NCLEX –RN exam preparation materials.
  2. Exams are required.
  3. Students are expected to take examinations at the scheduled time.
  4. The student must notify the course coordinator prior to the scheduled exam time if they are unable to take the exam as scheduled.  Failure to make this notification in advance will result in a "zero" for that examination.
  5. If the excuse is accepted as reasonable and necessary, arrangements will be made for a make-up examination.
  6. Exam content is based on course, class, and clinical objectives.  Included are all required readings, lecture and discussion, related material in the course packet, media presented in or required for class, material handed out, and material on Blackboard.
  7. Students should follow the School of Nursing dress code during exams. 
  8. Students must leave all food and drink, books, purses, and backpacks in an area designated by exam proctors.  If available, students are encouraged to leave personal items in lockers.  No hats, caps or head coverings may be worn during exams, with the exception of those required for religious purposes.
  9. When entering the classroom for an exam, students will show their School of Nursing badge to the proctor.  Proctors will ensure only the students eligible to take the exam receive access to the test and take the exam in an approved testing location.  During the exam, students will wear their badge on the upper chest area.
  10. Calculators, scratch paper and pencils are provided by the School of Nursing for exams.  Proctors will distribute the scratch paper after students have initiated the exam.
  11. If students arrive late, no extra time to complete the exam will be given.
  12. Each student is responsible for making sure that he or she has completed the exam before the exam is turned in to a proctor.  Under no circumstances will a student be allowed to retrieve his or her exam materials after turning them in to the test proctor.
  13. Students will be given the opportunity to review exams.  


  1. To pass the course, a student must have a weighted average of 75% on all graded activities.
  2. Students must make a "C" (75) or higher in all nursing courses to progress in the program.


The final grade will be calculated to two decimal places and rounded mathematically as follows:


Attendance in class is an expectation of each student.


  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.


The APA Publication Manual 6th edition is required for use in all nursing school programs.


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.


Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website:


American Psychological Association.  (2010). Publication manual of American Psychological Association. (6th Ed.). Washington D.C.:  American Psychological Association. ISBN-10: 1-4338-0561-8

Anderson, E. & McFarlane, J. (2011). Community as partner: Theory and practice in nursing. (6th Ed.). Philadelphia: Lippincott Williams & Wilkins. ISBN-978-1-60547-855-5

Stanhope, M, & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community. (8th Ed.). St. Louis: Elsevier Mosby. ISBN-9780323080019




Concept One: History

I.                    Public Health

A.      Timeline

B.      Milestones of Public Health

C.      Five Core Elements of Public Health

1.       Biostatistics

2.       Epidemiology

3.       Environment

4.       Health Services Administration

5.       Social and behavioral Sciences

II.                  Public Health Nursing

A.      Nightingale begins population-based nursing

B.      Milestones of public health nursing

C.      Significant people in public health nursing

D.      Events in public health nursing

1.       War

2.       Disasters

3.       Political/economic change

Concept Two: Health Promotion

I.                    Nursing

A.      Definitions of Nursing

1.       Public health nurse

2.       Community health nurse

3.       Metaparadigm

a.       Person

b.      Environment

c.       Health

d.      Nursing (caring)

4.       Community defined

5.       Professional Organizations

B.      Functions

1.       Core functions

a.       Assessment

b.      Assurance

c.       Policy Development

2.       Core Values

a.       Social justice

b.      Beneficence

c.       Respect for autonomy

d.      Nonmaleficence

3.       Clinical reasoning and decision-making

C.      Community-focused nursing practice

1.       Community as Client

2.       Community-focused nursing practice

a.       Community Assessment

b.      Nursing diagnosis

c.       Planning

d.      Implementation

e.      Evaluation

D.      Roles and settings

E.       Culture

II.                  Health

A.      Definitions of Health

B.      Health Promotion

1.       Healthy People 2010

2.       Ottawa Charter 1986

C.      Disease prevention

1.       Primary

2.       Secondary

3.       Tertiary

D.      Disease and injury management

III.                Health Promotion

A.      Definitions of health promotion

B.      Healthy People

C.      Institute of Medicine’s The Future of Public Health

D.      Influential multilevel community studies

1.       Framingham heart study

2.       Human population laboratory

E.       Application to Public and community health nursing

1.       Create partnerships with communities to promote their health

2.       Community members gradually take on more responsibility

3.       Build community capacity

F.       Application of an integrative model for community health promotion at the individual, family, and community level:

1.       Health promotion

2.       Disease and injury prevention

3.       Illness care

4.       Inclusion of the people, the community, and the interrelationships of both

Concept Three: Communities at Risk

I.                    Vulnerable Populations

A.      Conditions/situation within a community

1.       Non-dominant racial/ethnic groups

2.       Homelessness, increased poverty, unemployment, increased teen pregnancy rate

3.       Increased rate of chronic disease

B.      Conditions/situation outside the community

1.       Social/political unrest

2.       War

3.       Financial instability

4.       Climate change

5.       Natural or manmade disasters

6.       Emergencies

II.                  Health Disparities

A.      Social conditions or determinants

1.       Government or political interactions

2.       Economics

3.       Culture

4.       Lifestyle

5.       Population concentration, density

III.                Global Health

A.      Major global health organizations

1.       WHO & Alma Ata

2.       Unicef

3.       Pan American

4.       Religious

5.       Philanthropic orgs.

B.      Global Health and Economics

C.      Global health problems

D.      Burden of disease

E.       Communicable Disease

F.       Diarrheal disease

G.     Nutrition

H.      Maternal health

I.        Surveillance

J.        Bioterrorism

IV.                Environment

A.      Geographic location

B.      Topography

C.      Climate

D.      Infection exposures

E.       Chemical exposures

V.                  Subsystems

A.      Physical environment

B.      Health and Social Services

C.      Economics

D.      Safety and Transportation

E.       Politics and Government

F.       Communication

G.     Education

H.      Recreation

VI.                Health Literacy

VII.              Genomics

Concept Four: Epidemiology

I.                    Definitions

II.                  Disease and Surveillance

A.      Prevention

B.      Control

C.      Immunity

D.      Transmission

E.       Notifiable Diseases

III.                Models

A.      Epidemiology Triangle

B.      Web of Causation

IV.                Measures

V.                  Screening

A.      Reliability

B.      Validity

VI.                Descriptive and analytic epidemiology

VII.              Social Epidemiology

VIII.            Experimental studies

IX.                Immunity

X.                  Nursing roles

XI.                Role of CDC, health department

Concept Five: Emergencies

I.                    Disaster

A.      National Response Framework

B.      Prevention

C.      Preparation

D.      Response

E.       Recovery

F.       Nurses’ Role in disaster

II.                  Bioterrorism

A.      Categories of agents

B.      Impact

C.      Prevention

D.      Response

III.                Pandemics

A.      Definitions

B.      Prevention

C.      Response

Concept Six: Policy

I.                    Economics

A.      Health Care System

B.      Resource Allocation

C.      Health Payment Systems

D.      Factors influencing cost

II.                  Organizations and Agencies

A.      International

B.      Federal Health

C.      Federal non-health

D.      State and local health department

III.                Advocacy

IV.                Quality and safety

A.      TQM/CQI in community/public health settings

B.      Safety

V.                  Political competencies

A.      Negotiation skills

B.      Conflict Resolution

C.      Power dynamics

Concept Seven: Technology

I.                    Information Systems

A.      Census

B.      CDC

C.      Health Department

D.      Public and private agencies

E.       Information management

1.       Access, utilization

2.       Storage, privacy

3.       Cost, feasibility

4.       Data accuracy

II.                  Virtual care delivery systems

III.                Surveillance systems

A.      Immunization tracking

B.      Disease tracking


CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

For full calendar and details, please refer to information posted on Blackboard

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