Indiana University-Purdue University Fort WayneCollege of Health and Human Services

Department of Nursing

NUR 41800 Community/Public Health NursingFall 2013 Syllabus

Course Description:Blends the profession of nursing with the science of public health. Nursing and other theories are applied in the community setting. Survey social and health trends which affect community health nursing practice. Emphasize preventive care across the life span using the nursing process in the community setting. Examine nursing of aggregates and epidemiology as a public health science. Home healthcare and case management as a component of community health nursing are examined. Assess environmental and other current community health issues; examine the community health nurse's role in working with these issues. Assess the importance of cultural differences, norms, and values when planning care for diverse populations in the community.

Clinical Description:Clinical provides opportunities to deliver and/or supervise care in healthcare settings and community agencies. Aspects of community/public health and leadership are integrated in senior clinical courses. Only RN completion students may select variable credit for one of the three 400 level clinical nursing courses (NUR 418, NUR 419, NUR 442). The three credit variable option includes lecture hours and no clinical hours.

Pre- or Co-requisite: NUR 33400, NUR 33700 or undergraduate statistics, NUR 33900, NUR 34400, NUR 37700, and NUR 34600.

Course Credits and Hours: 5 credits: 3 lecture, 6 clinical; 3 credits: 3 lecture 

Dates and Times: August 26 – December 22, 2013.

Set Meetings: Blackboard Learn for our course is available August 26, 2013 for all students.

For RN to BS students, the course is fully online. Each online week of study begins on Monday 8:00 AM and ends on Sunday 11:59 PM of each week, with the exception of exam week which ends on a Friday at 11:59 PM.

For Generic students, the course is hybrid (campus classroom and online). Online weeks start on Monday 8:00 AM and end on Sunday 11:59 PM of each week. The face-to-face class meetings take place in Neff Hall NF 101on Thursdays from 4:30 – 7:15 PM on the following dates.August 29,September 5, October 3,October 24,December 12.

The clinical component takes place on Wednesday 9-3:30 or Thursday 9-3:30 as assigned.

Room: The online course is accessed through Blackboard Learn which is our IPFW electronic campus. Important: (1) After you log into Blackboard Learn, look for NUR 41800 Community/Public Health Nursing on your list of course. Click the course name to enter the course site to find all your course directions, activities, and assignments. (2) Go to Online Learning for tutorials on online learning, how to set up your computer, and links to technical help. The face-to-face class meetings take place in Neff Hall NF 101. Clinical experiences are as assigned.

Faculty Instructor Information:

Denise M. Jordan, MA, RN, Clinical Assistant Professor.

Online Office: The virtual office for the instructor and teaching assistant for this course is available throughout the term at our Blackboard Learn course site. Students should post questions of general interest any time in this Online Office; replies will be posted there so that all students can see the answers. This Online Office is checked frequently during the week and students will usually receive a reply to messages within 48 hours. If the nature of a question or concern is more personal or a student is not comfortable having classmates see a message, the student should use another means of communication.

Campus Office: Liberal Arts Building 331B. Office hours: Tuesday 9 AM – 12 PM. Students who wish to have a meeting with the instructor at the campus office should request an appointment. When leaving a message at the office phone, students should make sure to also leave a call back number or email contact for the instructor.

E-mail: Use Blackboard Learn. If Blackboard Learn goes down, then use jordand@ipfw.edu. Office Phone 260-481-0250; Cell Phone (Before 8 p.m.) 260-804-1594; FAX 260-481-6482.

Clinical Faculty Instructor Information:

LeAnn Mayer MSN, RN,Visiting Assistant Professor;Cell Phone (Before 8 p.m.) 260-227-0906;E-Mail: mayerlj@ipfw.edu ; FAX 260-481-6482Susan Halley, MSN, RN,Visiting Assistant Professor;Cell Phone (Before 8 p.m.) 260-704-1855;E-Mail: halleys@ipfw.edu ; FAX 260-481-6482Treva Strasen, Clinical Instructor and Teaching Assistant;Cell Phone (Before 8 p.m.) 260-450-5222;E-Mail: straty01@ipfw.edu;FAX 260-481-6482.

Learning Outcomes

Our course learning outcomes align with the six foundations identified by IPFW faculty for the Baccalaureate Program (acquisition of knowledge, application of knowledge, personal and professional values, a sense of community, critical thinking and problem solving, and communication). Students can see how these foundations are expressed in the Student Information Manual: Undergraduate Nursing Program.

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Major Themes in Course Assignments:

Gerontological Assessment

Our course assignments focus on nursing practice to minimize loss of independence for older adults in community settings (Baccalaureate gerontological competencies 3,4,7,10,14, and 17) and meeting related Gerontological Nursing Competencies recommended by the American Association of Colleges of Nursing. An objective for these assignments reads as follows: By the end of this unit, each student will have had the opportunity to utilize various tools, models, and strategies to guide nursing practice for older adults in community-based settings.

Emergency Preparedness

Emergency preparedness, response, and recovery are integral to community/public health nursing. Activities include but are not limited to tabletop exercises and guided online activities.

Service Learning

Service Learning is embedded in Community/Public Health Nursing. Course projects provide students the opportunity to operationalize the three primary functions of Public Health: assessment, policy development, and assurance as well develop competency in the areas of patient-centered care, team work and collaboration, evidence based practice, quality improvement, safety, and informatics. Course and clinical Service Learning Projects include but are not limited to planning and implementation of community health fairs, in-home client assessments, development and implementation of teaching projects for community agencies or their clients based upon agency or community needs utilizing evidence based practices.

IPFW defines Service Learning as “a credit-bearing, educational experience in which students participate in an organized service activity that meets identified community needs and reflect on the service activity in such a way as to gain further understanding of course content, a broader appreciation of the discipline, and an enhanced sense of civic responsibility. Find out more about service learning opportunities at the What is Service Learning? web site.

Learning Outcomes:

By the end of the course each student will have had the opportunity to achieve these outcomes.

1. Integrate professional behaviors that promote safe and effective healthcare delivery in a variety of community-based settings.

2. Utilize informatics in planning and implementing nursing care for diverse communities.

3. Evaluate the effectiveness of nursing care for diverse clients in a community setting utilizing evidence-based nursing research.

4. Apply critical thinking to analyze data in the implementation and promotion of positive health-related behaviors for culturally diverse clients.

5. Demonstrate client-centered, culturally sensitive communication techniques to deliver health care information to diverse client populations in the community setting.

6. Analyze the role of the professional nurse as a participant of a collaborative interdisciplinary community-based health-care team.

7. Utilize nursing and other theories, various tools, models, and strategies to guide nursing practice for older adults in community-based settings.

8. Utilize the Public Health Intervention Model in the planning and implementation of nursing care and the promotion of positive health-related behaviors for culturally diverse clients in a variety of community based settings.

9. Apply teaching and learning principles in the development, implementation, and dissemination of health promotion and disease prevention information.

10. Evaluate achievement of learning outcomes through scholarly reflection.

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Topical Outline:

Community and public health nursing defined.

History and evolution of community and public health nursing.

Structure and function of community and public health nursing.

Public and private settings for community and public health.

Principles of public health nursing.

Healthy People 2020.

Evidence-based practice and community health.

Ethics.

Social justice.

Epidemiology.

Communicable diseases

Nursing process and the community as client.

Community assessment.

Theory for community and public health nursing.

Communication and community health.

Transcultural nursing.

Global health.

Diversity.

Vulnerable populations.

Rural, migrant, urban health.

Emergency preparedness, response, and recovery.

Health promotion.

Disease prevention.

Teaching and learning in community health.

Environmental health and safety.

Assurance.

Assessment.

Policy development.

Role of nurse.

Professionalism.

Advocacy.

Community partnerships.

Coordination of care, manager.

Methods of Instruction:

This is an online and hybrid learning course as described earlier in this syllabus for RN to BS (all online) and Generic (campus classroom and online) students. All students are responsible for study of materials and completion of assignments and activities in each weekly online folder of the course. These folders include readings, lecture, multimedia, and discussion forums. RN to BS students will submit all work online. In online learning, students must make a significant time commitment as well as use excellent organizational skills. Online study takes the same amount of time as a campus classroom course, not less; online students simply have more flexibility in scheduling time to complete assignments during a given week. Generic students will do many of the assigned activities and assignments in the campus classroom, but during non-classroom weeks, when studying and working online, must make the same time commitment as during the classroom week. Face-to-face class meetings for Generic students include, but are not limited to, classroom discussion, small group collaboration, listening to guest speakers, viewing audiovisual presentations, and analyzing case studies. Readings and activities are to be completed as assigned (these are posted online), whether online or in the classroom.

Course Requirements:Required Texts and Materials:

Allendar, J. A., Rector, C., & Warner, K. D. (2014). Community and public health nursing Promoting the public’s health, 8th Edition. Philadelphia: Lippincott Williams & Wilkins. ISBN – 13: 978-1-60913-688-8

VandenBos, G.R., Gasque, A.W., & Jackson, P. (Eds.). (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: American Psychological Association. ISBN 1433805596

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or

VandenBos, G.R., Gasque, A.W., & Jackson, P., (Eds.). (2010). Concise rules of APA style.(6th ed.). Washington DC: American Psychological Association. ISBN: 978-1-4338-0560-8

Other Required Educational Materials:

Articles, videos, web resources, and study materials will be posted at the Blackboard Learn course site for NUR 41800 or will be accessed online via The Point. Students will need to access the code found under the scratch off panel on the inside front cover of the textbook to activate The Point account. Research articles are available through the IPFW Helmke Library Databases and scholarly Internet resources.

Storage Media for Assignments

Instructions for viewing audio and visual materials will be posted at the course web site. In general, use of the most up-to-date Firefox browser will work best and students should plan to download this browser, as well as a second browser such as Google Chrome. Students unfamiliar with how to do these tasks and who want guidance with browser downloads and updates, should contact IT Services for help at helpdesk @ipfw.edu, phone 260-481-6030, or Kettler Hall Room 206.

Required Clinical Math Test

All clinical students are to complete the ATI Dimensional Analysis Math Module online. The associated math competency exam must be passed with a score of 100%. The math test must be completed and passed no later than 11:59 PM on Monday, September 9, 2013. Students who are unsuccessful in the math completion after 2 attempts must remediate until successful completion of the exam. Students can access this module online utilizing the ATI password he or she already has set up.

Required ATI Content Exam Testing

Generic students within NUR 41800: The NUR 41800 ATI Community/Public Health content exam is a non-proctored exam. The exam may be attempted Week 14 after completion of the Environmental and Occupational Health content. The results for the ATI Community/Public Health content exam must be submitted no later than Friday, December 5, 2013. Please turn in to faculty the grading report for the assessment.

The following guidelines apply to this exam: Non-proctored: 90%.

An earned score of 90% is defined by ATI as “considered to exceed most expectations for performance in this content area. Scores at this level were judged by the content expert panel to indicate a student as likely to exceed NCLEX-RN standards in this content area. ATI advises these students to engage in continuous focused review to maintain and improve their knowledge of this content.”

If the student does not earn 90% on the non-proctored exam:1. The student must meet with the course instructor and utilize ATI review book.2. The student must allow at least three days between retake of tests.3. ATI student transcript must accompany test results given to the course instructor.4. If the student is unable to earn 90%, an Incomplete (I) will be recorded as the course

grade until 90% is achieved.

* RN to BS students do not need to complete the ATI content exam.

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Assignments: Potential Points(NUR 41800-01) 3 credits & (NUR 41800-02) 5 credits:

Mark the due dates on your personal calendar for each item listed below.

Exams

100 Possible Points, Exam 1, September 22. 100 Possible Points, Exam 2, October 13.100 Possible Points, Exam 3, November 10.100 Possible Points, Exam 4, December 8.200 Possible Points, Exam 4, December 19.

Census Tract Assignments

100 Possible Points, Census Tract and Windshield Survey, as assigned.25 Possible Points, Census Tract Comparison and Contrast Presentations, as assigned.100 Possible Points, Census Tract and Windshield Survey, as assigned.

Service Learning Project

100 Possible Points, Service Learning Project: YRBSS (Youth Risk Behavior Surveillance System), November 1750 Possible Points, Service Learning Project Reflection Paper, November 24

Older Adult and Healthy Cities

25 Possible Points, Older Adult Assessment, November 1750 Possible Points, Healthy Cities Health Fair and Veterans Stand Down, November 1

Weekly Modules

Dates, materials, and activities are posted at the Blackboard Learn site for this course.

15 Possible Points, Module 110 Possible Points, Module 220 Possible Points, Module 350 Possible Points, Module 425 Possible Points, Module 525 Possible Points, Module 620 Possible Points, Module 715 Possible Points, Module 815 Possible Points, Module 915 Possible Points, Module 1015 Possible Points, Module 1115 Possible Points, Module 1215 Possible Points, Module 1315 Possible Points, Module 1415 Possible Points, Module 15

Required Assignments

Required, Nursing Student Spectacular, November 22P, Required, E-Portfolio Rationale for Item Inclusion, November 24P, Required for Generic students only, ATI Content Assessment, December 8

Total Possible Course Points

1115

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Clinical Requirements for NUR 41800-02 5 credits

All of the following are required.

90 Clinical Hours

Community Assessment/Teaching Plan

Weekly Journal Entries (clinical learning objectives)

RF2F Post-conferences as assigned

Citilink Bus Assignment and Day of Service (Community Harvest Food Bank)

Evaluation Methods:

Assessments include exams, quizzes, and writing assignments. Exams and quizzes will consist of NLCEX-RN type questions, multiple choice, short answer and select all that apply. Assessments address material covered in the weeks preceding the assessment and are an assessment of major concepts covered in the course. The Final Exam will be comprehensive in nature. Exams and quizzes are given online. Writing assignments are submitted electronically via Blackboard Learn.

Online test taking includes a time limit of 60 minutes for a 50 item test. Questions may not be revisited during online exams and the exam must be completed by the assigned end time. For example, if the test is assigned to end at 11:59 PM, the student cannot enter it at 11:45 PM and receive credit for any questions answered after the end time. The student is expected to plan accordingly and to take the exam from a secure computer or on campus computer lab site. If a student is “kicked out” of an exam due to computer issues, the student must schedule with the course faculty to take an alternate paper exam. Students are expected to take exams independently.

Honor Code Statement re: Online Assessments:

The nature of exams in an online format necessitates that extra steps be taken to ensure that academic misconduct does not occur during them. Therefore, you will be asked to indicate that you agree with the following statement as part of every online assessment you take in this class; omission of this agreement will result in your exam being discarded.

“I attest that I am the registered student in this course, am the one who is taking this exam, and that the answers to this exam are solely the result of my own efforts. I have not consulted any textbooks, notes or other outside aids in writing this exam, nor do I know of anyone else who has consulted outside individuals or resources for help on this exam.”

Assessment questions may arise from student led presentations, lectures, and guest speakers. Missed assessments will be recorded as a “zero” (0).

Students must achieve at least a 75% on combined exam scores before other course scores are calculated for the final grade.

Late or Missed Assignments

Students have the option of turning assignments in as scheduled or turning assignments in at a later date. Major assignments will lose a letter grade for up to three days late. After three days, the assignment will lose five points per day in addition to whatever points were lost for the letter grade. Minor assignments will lose 5 points per day. (The Windshield Survey or Service Learning Reflection Papers are examples of major assignments, learning modules are examples of minor assignments.) In class quizzes or activities cannot be made up if missed.

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Clinical/Simulation Requirements:

All clinical and simulations are required. Clinical uniforms and other necessary items such as a watch, stethoscope, personal hand devices, etc. are required for each clinical and simulation. Students are required to wear the IPFW student uniform when in the clinical area unless otherwise indicated.

Department Announcements:

Students are responsible for monitoring Blackboard and the IPFW e-mail for department announcements.

Students enrolled in clinical courses will sign an agreement in each of their clinical courses that they will allow a period of at least eight hours since the end of their last work shift before attending their clinical.

The Fall Nursing Student Spectacular will be held on Friday, November 22, 2013 from 8:00 a.m. to 12 noon in the Walb Memorial Union. Registration and sign-in begins at 8:00. Attendance at this event is a course requirement. Please make schedule arrangements now.

Course Announcements

Healthy Cities Health Fair and Veteran’s Stand Down will take place on November 1 from 8 to 3:30 PM. NUR 41800 students are expected to participate.

Course PoliciesCommunication:

The official university communication for NUR 41800 is by IPFW email using the university student email address. Email includes information sent to the nursing listserv. Students’ must maintain the mailbox, including sufficient space to receive emails. Students are responsible for information sent via email. I will respond to your email within 48 hours on business days. Anticipate a delay for email sent on Saturday or Sunday.

Academic Honesty and Plagiarism

According to the American Psychological Association (2010), plagiarism is the representation of another author's work as your own work. “The key element of this principle is that authors do not present the work of another author as if it were their own work” (p. 16). The Plagiarism Policy of the nursing department indicates that any student who plagiarizes has committed academic dishonesty and misconduct that may lead to the student's dismissal from the program or college. Any student, who has been identified to have plagiarized, will receive a zero for that assignment.

VandenBos, G.R., Gasque, A.W., & Jackson, P. (Eds.). (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: American Psychological Association.

Grading Scale

A = 92 – 100% (1026 – 1115 points of total possible in this course).B = 84 – 91% (937 –1025 points of total possible in this course).C = 75 – 83% (837 – 936 points of total possible in this course).D = 66 – 74% (736 – 836 points of total possible in this course).F = Below 66% (below 736 points of total possible in this course).

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Rounding:To pass a nursing course, the student must achieve 75% on exams without rounding. Example: a grade of 74.9% will be recorded as 74%.

Licensure Requirement:

Students must have a 2.0 grade-point average to be eligible for graduation and to take the National Council Licensure Examination (NCLEX-RN). Purdue University is on a 4.0 scale.

Student Conduct and Professionalism:

You are preparing for a career in which punctuality, dependability, attentiveness, and professionalism are expected at all times. Therefore attendance at lectures is expected, as is preparation, participation, attentiveness, and respect for others. Such traits are indicators of how you may be expected to behave in a working environment and will be noted by the instructor. Deficiencies in any of these areas can affect your grade or continued participation in the program. Please refer to the Department of Nursing Professional Misconduct Policy found in the Department of Nursing Student Information Manual Undergraduate Nursing Programs.

Grade Appeals Policy:

Please refer to the College of Health and Human Services Grade Appeals Policy.

Professional Electronic (E) Portfolio:

The Professional E-Portfolio has been adopted as a form of evaluation for the undergraduate nursing program. Students are required to keep copies of all completed assignments (nursing and non-nursing), both electronically and hard copy. NUR 41800 students are to write Rationale for Item Inclusion in the E-Portfolio to the Program Outcome Objectives: Communication and Evidence-Based Practice. See course assignments and rubric related to this activity posted at our Blackboard Learn course site.

Confidentiality:

Maintenance of confidentiality is of primary importance in any method of patient data collection. Each student enrolled in a nursing course with an associated clinical must complete the Purdue Health Insurance Portability and Accountability Act (HIPAA) PowerPoint self-study, HIPAA Quiz earning 100%, and turn in the signed confidentiality agreements of Purdue University and IPFW College of Health and Human Services. See Department of Nursing Student Information Manual Undergraduate Nursing Program for policy related to use of social media.

Utilization of Patient Information:

No identifying patient information, including computer generated information, may be removed from the agency. This includes all protected health information. Students may only access patient information related to their own assignments.

Classes in the nursing program will be canceled:

At all instructional sites if IPFW is officially closed by the administration of the university, or

At the practicum or clinic site if it is closed by officials of that institution. Decisions to close IPFW and practicum/clinic sites are left to the chief administrators of

those respective facilities. In the event of inclement weather, listen to local radio or television announcements, go to the IPFW web page (a notice will appear at the top of the page), or call the campus weather emergency number, 481-6050 or 481-5770 for a recorded message. (The URL for the IPFW web page is: https://ipfw.edu/.)

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Undergraduate HandbookStudents are responsible for all policies contained in the Department of Nursing Student Information Manual Undergraduate Nursing Programs. These policies include:

Grading Policy Student Progression Grade Appeal Attendance Student Conduct and Attire Confidentiality Class Cancellations (inclement weather, etc.)

As information changes repeatedly, frequent and regular checking is important.

NoteThis syllabus is based on the most recent information about the course content and schedule planned for this course. Its content is subject to revision and as needed to adapt to new knowledge or unanticipated events. It will remain focused on achieving the course objectives Students will receive notification of such changes and are responsible for such changes or modifications distributed in class or posted on the Blackboard learning site for this course.

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Additional Assignments for 5 Credit Class (Clinical Component)Clinical Component

Clinical is graded as satisfactory or unsatisfactory behavior. Evaluation of student performance will be conducted by the agency involved as well as the clinical faculty. Students must complete clinical hours satisfactorily or will be subject to course failure and risk dismissal from the program. Students who are evaluated as unsatisfactory or unsafe in the clinical setting may be immediately dismissed from the setting and receive a failing grade for the course and clinical.

Unsatisfactory behavior that does not result in an immediate failure will require the student to make up any clinical hours assigned by the clinical faculty. Alternate assignments may be administered in the event the hours cannot be made up at the assigned agency.

Teaching Plan

Students will present a Teaching Plan to an individual client, family, or group. In most cases the Teaching Plan will be presented during regularly scheduled clinical time and the student needs to make arrangements in advance for the instructor to be present. The topics for the Teaching Plan will be decided, with instructor approval, in conjunction with the individual, group, or with agency personnel. Students are to use a minimum of four (4) research articles in the development of teaching plans for community agencies or their clients based upon agency or community needs utilizing evidence based practices.

Additional instructions and grading criteria can be found in the clinical folder on Blackboard Learn. Discuss due dates with the assigned clinical faculty. Students should remember the clinical instructor must be present when the Teaching Plan is presented.

Clinical Journals and Clinical Post Conference

Clinical journal entries are to be submitted every other week for a total of six (6) journal entries. Students must address each of the clinical learning objectives as found in the syllabus; i.e. Evidence based practice, critical thinking, etc. No more than three (3) journals may be submitted from one clinical site. This assignment correlates with Clinical Learning Objectives 1-6.

Clinical post-conference topics will address Healthy People2020 and other concepts as assigned. See the course calendar for post-conference dates. This assignment correlates with Clinical Learning Objectives 1-6.

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NUR 41800 Clinical Requirements and InformationClinical Learning Objectives 

1. Professionalism: Integrates professional behaviors that promote healthcare delivery in a variety of community-based settings.

a. Discuss various applications of the nursing process in the community setting.

b. Display respect for patients from diverse backgrounds.

c. Demonstrate ability to communicate effectively with other healthcare professionals and agency personnel.

d. Examine the role of the agency personnel as compared to the role of the community health nurse role at the local, state, and national level.

e. Identify ways to advocate appropriate referrals for patients in the community setting.

f. Demonstrates professional accountability for self-directed learning and documentation of care.

2. Information Literacy: Synthesizes current evidence-based research to develop long-term goals in planning nursing care for diverse communities.

a. Apply critical thinking and information literacy skills to develop a teaching project.

b. Evaluate the effectiveness of evidence-based nursing research findings to the nursing care of clients in a diverse community setting.

c. Discuss current community health problems found at the local, state, national, and international level.

d. Examine services provided by private, not-for-profit health, and social service agencies.

3. Evidence-based Practice: Evaluates the effectiveness of nursing care for diverse clients in a community setting utilizing evidence-based nursing research.

a. Validate data to be used in assessing patients from diverse backgrounds.

b. Collaborate with the patient at each stage of the nursing process to address complex health care issues in diverse community settings.

c. Analyze culturally competent nursing interventions using evidence-based practice in the clinical setting.

4. Critical Thinking: Integrates critical thinking skills in the analysis of collected data, implementation of nursing care, and promotion of positive health-related behaviors for culturally-diverse clients in a variety of community-based settings.

a. Analyze intra-, inter-, and extra-personal stressors, which hinder adaptation in the patient chosen for the Individual/Family Assessment.

b. Reflect on one’s own values and assumptions that impact the delivery of effective, culturally sensitive healthcare.

c. Demonstrate creative problem solving when working with problems/issues in the community setting.

d. Apply critical thinking concepts when implementing the Individual/Family Assessment and Teaching Plan.

e. Consider appropriate referrals for patients in the community setting.

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5. Therapeutic Communication: Integrates effective therapeutic, culturally sensitive communication techniques to deliver health care information to diverse client populations in the community setting.

a. Initiate and maintain a helping nurse-patient relationship.b. Display effective communication skills when presenting an individual or group

teaching plan.c. Validate appropriateness of care plan for intervention with interdisciplinary

agency personnel.d. Maintains client confidentiality in documentation of client interactions in the

delivery of healthcare.

6. Leadership: Analyzes role of professional nurse as a participant of a collaborative interdisciplinary community-based healthcare team.

a. Identify strategies the nurse can use as an advocate to promote adaptation in the community setting.

b. Plan nursing interventions taking into consideration the physiological, social, cultural, psychological, economic, and spiritual aspects of the patient or group.

c. Evaluate specific leadership strategies in meeting the needs of diverse populations.

d. Advocate for the needs for diverse populations in the community setting.

e. Collaborate with members of the multidisciplinary team in meeting the needs of the client in a community setting.

Clinical Hours

There are 90 required clinical hours for NUR 41800. The clinical settings and hours vary dependent upon the population served and services provided. Students may be requested in advance to attend a community based clinical setting outside of normally scheduled clinical hours. Clinical placements have been arranged such that the student is able to achieve the 90 clinical hours. Settings include but are not limited to the homeless population, Parkview Community Health Improvement services, Healthy Cities, Allen County Department of Health, home healthcare, hospice, and others. Agency sites may be in the greater Fort Wayne Allen County region or immediate surrounding counties.

Students are responsible to contact their assigned agency at least one week prior to the experience to confirm time and location.

Students are responsible for transportation to and from the clinical agency.

Students are responsible for arriving at the clinical agency at the requested time.

A clinical log is provided by which to document clinical hours attained and must be signed by agency personal at the time of the clinical.

Post conferences are scheduled throughout the semester and students are required to attend unless Professor has granted an exception PRIOR to scheduled date.

If a student is unable to attend a clinical session, the student must notify the agency and the faculty member as soon as possible.

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Clinical Absence and Tardiness

In the case of illness or emergency that results in the student needing to miss clinical, it is the student’s responsibility to inform the instructor and/or the clinical agency of absence according to the course guidelines. Attendance is required in all clinicals. Clinical absence must be made up. Repeated tardiness or not calling in for absence may result in clinical failure for unprofessional behavior. See the Absence Policy and Tardiness Policy in the Department of Nursing Student Information Manual: Undergraduate Nursing Programs.

Clinical Professional Behavior

Patient Safety

Students must have adequate sleep and rest to care for clients safely. Please see the nursing program policy r/t sleep and rest prior to a daytime clinical. Students found not to be in compliance will be sent from the clinical area and receive a clinical grade of unsatisfactory for the day.

Confidentiality

Maintenance of confidentiality is of primary importance in any method of patient data collection. Each student enrolled in a nursing course with an associated clinical must complete the Purdue HIPAA PowerPoint self-study, HIPAA Quiz earning 100%, and turn in the signed confidentiality agreements of Purdue University and IPFW College of Health and Human Services.

Utilization of Patient Information

No identifying patient information, including computer generated information, may be taken out of the agency. This includes such information as patient initials, date of admission, date of discharge, room number, and social security number.

Professional Misconduct

Students may be failed in a nursing course and/or dismissed from the IPFW/Parkview Department of Nursing for unprofessional conduct that jeopardizes the health and/or safety of patients/clients and/or others or has a potentially detrimental effect on the Department of Nursing. Due to the serious consequence of certain unprofessional behaviors, procedures for dismissal from the program may be initiated. If the student is in a clinical setting at the time that professional misconduct occurs, the person will be immediately removed from the site. The student will be suspended from all clinical settings pending the outcome of the disciplinary process. Students are held to the standards of the Indiana Nurse Practice Act and as such, they are liable for their own actions. Behaviors of professional misconduct occurring at any time while the person is a student in the nursing program may result in disciplinary action include, but are not limited to:

Patient Abandonment and/or neglect Commission of fraudulent acts/documentation Breach of Confidentiality Theft of property from a clinical agency, client, others, or IPFW Disorderly conduct Verbal abuse that involves an expressed or implied threat to a person’s safety Physical abuse of any person Possession of a weapon Failed drug screen and/or possession of drugs or controlled substances Failed drug screen and/or possession of alcohol while at a clinical agency Any behavior that constitutes misconduct as defined by the IPFW Student Handbook

and Planner and/or the IPFW Undergraduate Bulletin

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The Department of Nursing follows the processes outlined in the College of Health and Human Services (CHH) Policy on Professional Misconduct and the IPFW Student Disciplinary Procedures. The CHH Policy on Professional Misconduct may be obtained from the office of the Dean. The IPFW Student Disciplinary Procedures is found in the IPFW Student Handbook and Planner and/or the IPFW Undergraduate Bulletin.

Please refer to the Department of Nursing, Professional Misconduct Policy found in the Department of Nursing Student Information Manual: Undergraduate Nursing Programs.

Evaluation of Clinical Experience

Students will be evaluated for satisfactory behaviors and performance in the clinical setting periodically throughout the semester. Faculty will provide a written evaluation to the student at midterm and the final week of clinical. Students are expected to read and sign their evaluations. These may be submitted electronically to the student.

Satisfactory

Students must be considered satisfactory in clinical objectives to successfully complete the NUR 41800 clinical portion. Students who are considered unsatisfactory will fail the clinical thus fail the course.

Unsatisfactory

Students who receive an unsatisfactory clinical day but not an immediate clinical failure will be required to make up the clinical hours at the discretion of the faculty and agency member.

Students with an unsatisfactory clinical objective at final evaluation will receive a clinical failure and subsequent failure for the course.

Clinical Dress and Equipment Requirement

Clinical dress requirement will be based upon the agency policy in which the student attends. The student must have available an IPFW approved lab coat with appropriate IPFW Nursing identification, and name badge must be worn at all times. No sweatshirts, hoodies, jackets, or other attire may be worn in the clinical area.

Some facilities may request students to not wear a uniform but to wear business casual attire instead. In that instance, clothes must be appropriate to the setting and modest. No open toe shoes, sandals or Crocs. No visible body piercing or tattoos. Please see Department of Nursing Student Information Manual: Undergraduate Nursing Programs for further information regarding dress policy.

Students must have access to or sign out from the lab appropriate patient assessment equipment such as stethoscope, blood pressure cuff, etc. for special events.

Students must also have access to and bring to the clinical settings clinical PDA’s, drug or other reference material. It is expected the student will be able to and prepared to teach when the situation arises.

Students must have adequate transportation to and from agency sites. This is a mandatory requirement for NUR 41800. Transportation is not provided by the University in any way. Students may be required to travel from one clinical site to another on the same clinical day.

Students assigned to Visiting Nurse and Hospice Home (VN&HH) are to drive separately to the agency even though two students from the same group may be assigned on the same day. Students may be asked to meet the preceptor in the community rather than at the office. The student will typically ride with the preceptor. However, on days that post-conference is being held, the student will need to take his or her own vehicle in order to accommodate scheduling deadlines.

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NUR 41800 Community/Public Health Nursing

Fall 2013 Weekly Calendar

Week 1 August 26-September 1: (Clinical: August 28 and 29)Topic: Syllabus, Introduction to Community Health Nursing, History and Evolution of Community Health Nursing, Setting the Stage for Community Health Nursing, Healthy People (HP) Goals and Objectives.Readings: Syllabus; Text Chapters 1, 2, 3, ATI Book Ch. 1, and HP 2020Due August 29 (1st day of class): Syllabus Quiz, 8-hour rule form. Clinical Orientation: Wear uniforms and name tags for clinical orientation, and all clinical assignments. [Clinical Orientation is 9-3:30 PM. Wednesday clinical groups meet on August 28 (LA 35C); Thursday clinical groups meet on August 29 (NF 101) as assigned.]Start Math Module: Go to ATI website. Begin dimensional analysis math module. (The four case studies in this module with final exams are due September 9, 11:59 PM).

Week 2 September 2 – 8: (Clinical: September 4 and 5)Topic: Community Health Planning and Assessment, Social Determinants of Health, Health Promotion and Disease Prevention, Program Planning.Readings: Text Chapters 11, 12, 14 pp 446-447, ATI Book Ch. 3 September 5 F2F class: In-Class Activities: Videos, Writing Assignment SDOH, Writing Assignment Teaching and Learning Principles, Logic Model, YRBSS. See Module 2 on Blackboard Learn for more details.Clinical Work: No journals due or accepted this week.Due September 9, 11:59 PM (at Blackboard primary course site): Complete the ATI dimensional analysis math test and post the ATI transcript to the ATI Math Modules via the assignment tool at the Blackboard Learn primary course site by Monday, September 9, 11:59 PM. As Assigned: Begin clinical experiences in clinical agencies.Clinical Post-conference, September 4 or 5, 2-3 PM: Arrive by 2 PM at the 4th floor of Helmke Library, join your clinical group, and meet together with your individual clinical instructor. Focus your discussion on this topic: HP 2020 and application to assigned clinical sites, teaching projects, evidence-based practice and flu fighting teach plans for schools.

Week 3 September 9 – 15: (Clinical: September 11 and 12) Topic: Public Health Theories, Public Health Intervention Wheel, Community as ClientReadings: Text Ch. 14 & 15, ATI Book Chapter 1, pp 12 – 13, Logic Model, YRBSS.

Online Class: See Blackboard Learn for Module 3 activities and due dates.As Assigned: Continue clinical experiences as assigned.

Clinical Work Due: Biweekly Clinical Journal 1 due by 9 a.m. Wednesday (September 11 or Thursday September 12) according to assigned clinical day; journal is to be posted via assignment submission tool on clinical course website.Clinical Post-conference: Arrive by 2 PM at the 4th floor of Helmke Library, join your clinical group, and meet together with your individual clinical instructor.

Clinical Post-conference Topic: Teaching projects, evidence-based practice and needs for teaching project, application of HP 2020 to teaching projects and flu fighting teach plans.

Week 4 September 16 – 22: (Clinical: September 18 &19); Exam 1

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Topic: Disaster Preparedness Readings: Text Chapters 17, ATI book Ch. 6 pp. 85-93Online Class: See Blackboard Learn for Module 4 activities and due dates.As Assigned: Continue clinical experiences as assigned.Clinical Work Due: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day. Clinical Post-conference: No post-conference this week. Students will stay at clinical sites for the allotted time.

Week 5 September 23 – 29: (Clinical: September 25 and 26) Topic: Epidemiology and Communicable Diseases. Readings: Text Chapters 7 & 8, ATI book Ch. 6 pp 80-85.Online Class: See Blackboard Learn for Module 5 activities and due dates.As Assigned: Continue clinical experiences as assigned.Clinical Work Due: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day. Clinical Post-conference: No post-conference this week. Students will stay at clinical sites for the allotted time.

Week 6 September 30 - October 6: (Clinical: October 2 and 3) Topic: Epidemiology, continued; calculation of prevalence and incidence; Youth Risk Behavior Surveillance System.Readings: Text Chapters 11, 12, 14 pp 446-447, ATI Book Ch.1. September 5 F2F class: In-Class Activities: Writing Assignment Using Data Sets, Critical Thinking and Collaborative Activity, Writing Assignment Hepatitis A and Strawberries, Windshield Surveys Comparison and Contrasts Presented by Groups 1, 2, & 3. See Blackboard Learn for Module 6 activities and due dates.Clinical Work: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day.Due September 9, 11:59 PM (at Blackboard primary course site): Complete the ATI dimensional analysis math test and post the ATI transcript to the ATI Math Modules assignment tool at the Blackboard Learn primary course site by Monday, September 9, 11:59 PM. As Assigned: Begin clinical experiences in clinical agencies.Clinical Post-conference, September 4 or 5, 2-3 PM: Arrive by 2 PM at the 4th floor of Helmke Library, join your clinical group, and meet together with your individual clinical instructor. Focus your discussion on this topic: HP 2020 and application to assigned clinical sites, teaching projects, evidence-based practice and flu fighting teach plans for schools.

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Week 7 October 7 – 13: (Clinical: October 9 and 10); Exam 2

Topic: Settings for Community Health Nursing, Schools, Correctional Facilities, Home Health, Hospice. Readings: Text Chapters 30 and 32, ATI book Ch. 4 pp. 42 – 49, 57.Online Class: See Blackboard Learn for Module 7 activities and due dates.As Assigned: Continue clinical experiences as assigned.

Clinical Work Due: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day.

Clinical Post-conference: No post-conference this week. Students will stay at clinical sites for the allotted time.

Week 8 October 14 – 20: (Clinical: October 16 and 17) Topic: Family assessment, promoting family health, family health assessment and evaluation, violence and effect on families. Readings: Text Chapters 18, 19, & 20 ATI book Ch. 4 pp. 55 - 56Online Class: See Blackboard Learn for Module 8 activities and due dates.As Assigned: Continue clinical experiences as assigned.Clinical Work Due: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day. Clinical Post-conference: No post-conference this week. Students will stay at clinical sites for the allotted time.

Week 9 October 21 – 27: (Clinical: October 23 and 24) Topic: Vulnerable Populations and Older AdultsReadings: Text Ch. 24 and 25; ATI Book Ch. 2 and Ch. 4 pp. 54 - 55October 24 F2F Class Meeting: NF 101; In-Class Activities: Windshield Surveys Comparison and Contrasts Presented by Groups 4, 5, & 6, and 7, videos, collaborative activity, theories, tools, models and strategies, to guide practice for older adults in community based setting, Older Adult Assessment Paper introduced and assigned. See Module 9 on Blackboard Learn for more details.Due Date: Older Adult Assessment Paper is due by 11:59 PM on November 17. Clinical Work: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day.As Assigned: Clinical experiences as assigned.Clinical Post-conference 2-3 PM: Arrive by 2 PM at the 4th floor of Helmke Library, join your clinical group, and meet together with your individual clinical instructor. Focus your discussion on this topic: HP 2020 and application to assigned clinical sites, teaching projects, evidence-based practice and flu fighting teach plans for schools.

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Week 10 October 28 – November 3; (Clinical: October 30 and 31) Topic: Vulnerable Populations continued; consider diversity as a factor, introduce veterans, homeless, and migrant populations as members of the vulnerable population.Readings: Text Chapters 5, 28, 29, ATI book Ch. 5 pp. 72-79.Online Class: See Blackboard Learn for Module 10 activities and due dates.As Assigned: Continue clinical experiences as assigned.Clinical Work Due: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day. Clinical Post-conference: No post-conference this week. Students will stay at clinical sites for the allotted time.

Week 11 November 4 – 10: (Clinical: November 6 and 7); Exam 3 Topic: Violence affecting families, intimate partner violence, families with disabilities and behavioral health issues such as substance abuse and others.Readings: Text Chapters 20, 26,& 27, ATI book Ch. 5 pp 64 - 72Online Class: See Blackboard Learn for Module 11 activities and due dates.As Assigned: Continue clinical experiences as assigned.Clinical Work Due: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day. Clinical Post-conference: As assigned. Students will stay at clinical sites for the allotted time.

Week 12 November 11 – 17: (Clinical: November 13 and 14) Topic: Children, Teens, Adults, Maternal HealthReadings: Text Chapters 21, 22, 23, ATI book Ch. 4 pp. 50 - 53Online Class: See Blackboard Learn for Module 12 activities and due dates.Due on November 17: Older Adult Assessment PaperService Learning Projects: All service learning projects must be completed by 11:59 PM on Sunday, November 17. Reflection papers are due the following week.As Assigned: Continue clinical experiences as assigned.Clinical Work Due: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day. Clinical Post-conference: No post-conference this week. Students will stay at clinical sites for the allotted time.

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Week 13 November 18 – 24: (Clinical: November 20 and 21) Topic: Environmental health, occupational health, and global health.Readings: Text Chapters 9, 16, & 31, ATI book Ch. 4 pp 45 – 46, Online Class: See Blackboard Learn for Module 13 activities and due dates.Important Date: Nursing Student Spectacular November 22, 2013 Walb UnionRationale for Item Inclusion to the Eportfolio to be submitted by 11:59 PM Sunday, November 24. Reflection Papers: Reflection Papers for the Service Learning Projects are due no later than 11:59 PM Sunday, November 24.As Assigned: Continue clinical experiences as assigned.Clinical Work Due: Biweekly Clinical Journal submitted via the assignment submission tool on clinical course website; due by 9 a.m. Wednesday or Thursday according to assigned clinical day. Clinical Post-conference: No post-conference this week. Students will stay at clinical sites for the allotted time.

Week 14 December 2 – 8: (Clinical: December 4 and 5); Exam 4 Topic: Policy Making, Structure and Economics, Private Settings Readings: Text Chapters 6, 13, & 31, ATI Ch. 2 Online Class: See Blackboard Learn for Module 14 activities and due dates.ATI Content Exam to be submitted this week by Generic Students.As Assigned: Continue clinical experiences as assigned.Clinical Work Due: All clinical journals, teaching plans, and bus simulation reflection pieces should have been completed and submitted this week. Clinical Post-conference: No post-conference this week. Students will stay at clinical sites for the allotted time.

Week 15 December 9 –15: (Clinical: December 11&12); Dead WeekTopic: Communication, Collaboration and Contracting, Health Literacy; preparing for Final Exam.Readings: Chapter 10, Review Text, ATI book, lecture notes, and other study aids in prep for Final.F2F Class: Student Windshield Surveys Comparison and Contrasts Presented by Groups 8, 9, and 10. Discussion and reflection over Service Learning Projects and community health nursing clinical experiences. Due in class today: Proof of Remediation and successful completion of ATI Community Health Nursing Content Exam. All other course related assignments should have been submitted previously. As Assigned: Wrap up clinical experiences and final clinical evaluationsClinical Work Due: None. All clinical assignments should have been submitted by Week 14. Clinical Post-conference: Clinical evaluations during post-conference as scheduled.

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Week 16 December 16 – 20: No clinical this week; Final ExamFinal Exam: Online. The Final Exam will be available on Wednesday, December 18 at 8 AM through Thursday, December 19 at 11:59 PM.

URLs:These are the URLs for the web sites referred to in the syllabus, in alphabetical order:

American Association of Colleges of Nursing: http://www.aacn.nche.edu/

Baccalaureate Program: http://ipfw.edu/academics/programs/baccalaureate-framework.html

Blackboard Learn: https://ipfw.blackboard.com/webapps/portal/frameset.jsp

College of Health and Human Services Grade Appeals Policy: http://ipfw.edu/departments/chhs/resources/appeal.html

Department of Nursing Student Information Manual: Undergraduate Nursing Programs: http://www.ipfw.edu/dotAsset/0718bc9f-560f-4104-af1d-6c8949f125f9.pdf

Email IT Services Help Desk helpdesk@ipfw.edu

Healthy People 2020 Topic Preparedness: http://healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=34

Healthy People 2020: http://www.healthypeople.gov/2020/about/default.aspx

IPFW Web Page (check for announcements): https://ipfw.edu/

IT Services Help Desk https://www. ipfw.edu /its/help

Online Learning: http://www.ipfw.edu/online/

The Point: http://thepoint.lww.com/gateway

What is service learning? http://new.ipfw.edu/service-learning

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INDIANA UNIVERSITY-PURDUE UNIVERSITY FORT WAYNECOLLEGE OF HEALTH AND HUMAN SERVICES

Eight-Hour Timeframe Between Work and Clinical Attendance Student Agreement

In providing patient care, patient safety and preventing errors must be the number one goal of all nurses, nursing students, and the IPFW Department of Nursing. Numerous research studies have reported that patient errors increase significantly when the nurse has worked more than 12 hours. Consequently, in keeping with the recent (December 14, 2011) Sentinel Event alert from The Joint Commission and the evidence from numerous research studies, the IPFW Department of Nursing is requiring that all students who present for early morning clinicals have had at least eight (8) hours off for rest before caring for patients. It is also highly recommended that students presenting for evening and/or night clinicals have eight hours off before caring for patients.

By signing this statement, I agree to always have an 8 hour rest period before taking care of patients.

Student’s printed name: Date:

Student’s signature: Date:

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