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Community Health Nursing

Course Details

Course Number
4153
Semester
Spring 2015
Location
Bridwell Hall
Classroom Number
108
Professor
Dr. Betty Carlson Bowles PhD, MSN, RNC, IBCLC (view Profile)

Textbooks

Course Objectives
Midwestern State University
Wilson School of Nursing
NURS 4152/4153 Community Health Nursing Care (Spring, 2015)
Teaching Team
Dr. Betty Bowles, BH 323, 940-397-4048, betty.bowles@mwsu.edu
Professor Julia Knauff, BH 308F, 940-397-3254, julia.knauff@mwsu.edu, Cell: 940-229-269-6163
Adjunct Clinical Instructor, Beth Arnold, 940-781-3653, barnold@vernoncollege.edu
Course Description
The focus is on application of holistic nursing principles in the community. Application of nursing process within the community will be explored. Utilization of epidemiological data, health promotion, disease prevention, health planning/teaching, and issues of diversity will be emphasized at the local, state, national, and global levels.
Prerequisites / Co-requisites
Student will be eligible to be a graduating senior by either being enrolled in NURS 4013 and/or NURS 4613 or will have completed those courses. NURS 4152 is the clinical component of NURS 4253.
Credit Hours
Five credit hours to include three (3) lecture hours and two (2) clinical hours (90 hours for the semester). Weekly times will change throughout the clinical assignments to meet the needs of the agencies and schools assigned. Participation in the health fair is also a required component of this course.
Required Textbooks
Stanhope & Lancaster. (2014). Foundations of Nursing in the Community: Community-Oriented Practice, 4th Ed. ISBN: 9780323100946.
Midwestern State University BSN Handbook.
Coded AACN Essentials and Coded DECS of Graduates of Texas Nursing
AACN Essentials:
For further information regarding the AACN Essentials identified for each course objective, refer to http://www.aacn.nche.edu/education-resources/baccessentials08.pdf
DEC Competencies:
In the DEC Competencies below, the following designations apply: I: Member of a Profession II. Provider of Patient-Centered Care, III: Coordinator of Care, III: Patient Safety Advocate and IV: Member of the Health Care Team. For further information regarding the competencies identified for each course objective, refer to http://www.bon.texas.gov/about/pdfs/delc-2010.pdf
Objectives
Upon completion of the course, the student should be able to:
AACN Essentials
DEC Competencies
1.
Discuss the development of community health practice and community health nursing from a theoretical and historical perspective.
I,VII
IB, IC,IIB,IIE
2.
Discuss the concepts of wellness in communities and quality of care.
IV,V,VI,VII
1A,ID,IID,IIE,IVAIVD
3.
Apply the concepts of health promotion and disease prevention to individuals and families in the global community
IV,VII,VIII,IX
IID,IIE,IIG,IIIA,IIIC
4.
Synthesize knowledge to develop sustainable wellness programs.
V,VI
IIE,IIF,IIG,IVA,IVD,IVE
5.
Examine the impact of cultural diversity on health promotion and disease prevention within the global community.
VII,
IB,IC,IIE,IIG
6.
Analyze the impact of vulnerable populations on health promotion and disease prevention within the global community.
VIII
IIG,IIIA
7.
Based on research findings analyze community needs and global health to identify interventions for wellness programs.
II,III
IIA,IIB,IIF,IIG,IIH,IVB,IVC,IVD
8.
Identify community resources for health promotion and disease prevention based on current research.
III,V
IIA,IIB,IIG,IIH,IVB,IVC,IVD
9.
Discuss and analyze the role of programs such as coordinated school health in the wellness of a community.
VII
IIE,IIIE
10.
Demonstrate a nursing role in identifying and coordinating community health resources to meet the needs of individuals and families within the community.
I,II,V,VI,IX
IB,IC,IIB,IIC,IIIB,IIIC,IIID,IVA,IVD,IVE
11.
Describe the nurse’s role in community preparedness, global health and bioterrorism.
II,
IC,IIB
12.
Demonstrate understanding of epidemiological principles in health promotion and disease prevention.
II,VII
IC,ID,IIB,IIE,IIGIIIB,IIIC,IIID
Learning Experiences
Lecture, group work, projects, assigned readings, web-based educational assignments, and community clinical assignments comprise the learning experiences for this course. Students are expected to be self-directed in the acquisition of basic community health nursing knowledge. Students should arrive to lecture and clinical prepared to participate, having read assignments prior to class. Students are encouraged to ask questions for clarification purposes as appropriate during the didactic and clinical learning experiences.
Class Attendance
Students are expected to attend all classroom experiences that are scheduled. Attendance is expected and roll will be taken. There will also be assignments that will be done in class that students will not receive credit for if absent from class. Students are responsible for notifying their instructor of any absences. Unless it is an emergency, notification must be prior to the scheduled time of the classroom or clinical experience. Excessive unexcused absences from either classroom or clinical experiences will result in removal from the course at the discretion of the faculty.
Evaluation
Exams (3 @ 25% each) ............................................................................................................................ 75%
Health Fair / Program Planning written assignments (in addition to 32 clinical hours) ......................... 15%
Behavior Change Project (in addition to 16 clinical hours)................................................................ ... 5%
Attendance/Participation in class ............................................................................................................... 5%
Total ....................................................................................................................................................... 100%
Exams
There will be 3 module exams this semester each counting 25% of the final grade. In order to pass the course, the exam average must be at least 75%, regardless of the overall grade average. Students scoring less than 74% on any exam must make an appointment with the instructor for exam review / remediation strategies at least one week prior to the next scheduled exam. Students failing to comply with this requirement will not be permitted to take the next exam but may take a make-up exam at the discretion of the faculty when this requirement is accomplished.
Students who do not achieve a passing score (74%) on an exam may schedule a meeting with Brent Walker, Retention Specialist for additional study resources. His office is located in BH 308. Appointments should be made by email brent.walker@mwsu.edu.
Should the student be absent from an exam, arrangements must be made according to the procedure found in the B.S.N. Student Handbook. Specifically, it is the student’s responsibility to notify the course coordinator at least two hours prior to the exam. Failure to comply with this policy will result in a "0" for the exam missed. Any make-up exam may be different from the original exam and may include multiple choice, essay, short answer, true/false, and/or matching questions.
Grading Scale (Grades will be based on whole number scores. Grades are not rounded up.)
90 - 100 ................................................................................................................................................... A
80 - 89 ......................................................................................................................................................B
74 - 79 ......................................................................................................................................................C
65 - 73 ..................................................................................................................................................... D
64 & Below .............................................................................................................................................. F
Clinical Components
The 90 hours of clinical will be broken down into the following:
Community Assessment/Windshield Survey ...................................................................................... 4 hours
3 Program Planning clinicals @ 8 hours each .................................................................................. 24 hours
4 Community Agency clinicals @ 4-8 hours each ............................................................................ 24 hours
School Health clinical ......................................................................................................................... 6 hours
Health Fair (implementation and evaluation) ..................................................................................... 8 hours
Behavior Change Project (1 hour / week for 12 weeks + 4 hours of paperwork) ............................. 16 hours
Post clinical conferences (4 @ 45 minutes each) ................................................................................ 4 hours
Service Learning Hours ...................................................................................................................... 4 hours
Total ................................................................................................................................................ 90 hours
Note: Clinical components are graded as Pass / Fail. All clinical components of the course must be completed with a passing grade to successfully complete the course.
Behavior Change Project
Each student will perform a personal risk assessment and work to change a behavior to reduce that risk and improve their health this semester. Instructions can be found under the Behavior Change module on the D2L home page.
Community Assessment / Windshield Survey and Program Planning
Students will self-select teams to complete a Community Assessment and plan a health promotion project to be presented at a Community Health Fair. A completed copy of the Community Assessment /Windshield Survey will be brought to the next Program Planning clinical day. Daily written assignments will be submitted at the end of each Program Planning clinical day. Assignments submitted after that time will not receive full credit. Instructions can be found under the Community Health Fair section in Module 1 on the D2L home page.
Program Planning Clinical 1 - Topic Selection / Needs Assessment / Resources / Objectives
Program Planning Clinical 2 - Planning and Implementation of Health Promotion Program
Program Planning Clinical 3 - Evaluation / Data Collection / Dress Rehearsal
Set up for Community Health Fair, Thursday, March 5, Flatt Gym in D.L. Ligon Coliseum
Community Health Fair- Friday, March 6, Flatt Gym in D.L. Ligon Coliseum
ProMED-mail
http://www.promedmail.org/
Each team will select a global disease outbreak and follow its development on ProMED. The first report will be given on the first Program Planning Day (to include information about the disease, method of transmission, and symptoms), with follow up reports on global outbreaks on subsequent Program Planning days. Each student in the team is expected to give a report. A form will be kept in the group folder to keep track of those reports. Completion of these reports will count under class participation.
Clinical Attendance
Students are expected to attend all clinical experiences that are scheduled. Students are responsible for notifying their clinical instructor if they are to be absent from clinicals. Students are also to notify the agency of the absence as well. Unless it is an emergency, notification must be prior to the scheduled clinical experience. All clinical time missed must be completed to pass the class. This includes schools, agencies, service learning and program planning. Any clinical absences will be made up at the discretion of the faculty member and will be scheduled by the faculty.
Clinical Competence
All clinical components (attendance, participation and assignments) will be graded as Pass / Fail.
The clinical instructor, in collaboration with the clinical preceptor, will use the Grading Criteria for the Community Clinical Components to evaluate competence in clinical performance. All components must be completed with a grade of “Pass” to complete the course. A Program Development portfolio will be maintained by each program planning team and turned in at the end of each program planning clinical day.
There will also be clinical paperwork for all agencies and school health clinicals. The student submits all clinical paperwork via the drop box by the Monday after the clinical experience. NO assignments will
be accepted more than 2 weeks past the clinical date unless special arrangements have been made with the clinical instructor.
Clinical Competence will be evaluated through establishment and completion of individual clinical objectives, participation in clinical post-conferences, participation in online clinical discussions, and interaction with clinical instructor and preceptors. Participation in clinical will exemplify professional community nursing. Students must comply with guidelines and contract stipulations at their clinical site. In order to successfully complete the clinical, a clinical evaluation must be completed by the preceptor and faxed to the clinical faculty. Talk with your clinical faculty for further information.
Professional Image
Students are to present a professional image at all times.
1. Clean and well-maintained professional or athletic shoes. Hair clean, neat and trimmed including facial hair for men. Hair is to be worn in a manner that prevents it from falling forward over the patient. Hair must be self-contained and unadorned. Clips, pins, ties must be the same color as the hair; no bows permitted. Hair must be natural colors only. NO feathers or adornments allowed in the hair. Jewelry may ONLY include a watch with a second hand.
2. An approved MSU BSN name badge is to be worn at all times. No cologne or perfume; makeup in moderation. Nails must be maintained as clean, neat and trimmed short with NO polish. Artificial nails are not permitted by the health care agencies. NO visible tattoos.
3. In addition to the requirements found in the BSN Handbook the students will maintain professional dress when not in the BSN uniform. Professional dress does NOT constitute jeans or casual clothing. The student will wear slacks that are neat and clean. The shirt or blouse or jacket will cover the student while the student is actively participating in clinical. For example, separation between the shirt and slacks it is not acceptable. Shirt / blouse must not fall forward when bending forward. The image you present reflects the university, your profession and yourself. If you are not in compliance with these guidelines you will receive a clinical failure for the day and will be required to make up that clinical.
4. Behaviors that detract from the learning process or disruptive behavior will NOT be tolerated. Professional behavior is expected in class as well as clinical. Students are expected to come into class prepared and ready to begin the class promptly at 1:00 pm. No student will be allowed to enter the classroom late (after the door is closed). A 5-minute break will be given about the midpoint of the class. Late students may enter at that time to receive content material; however no attendance points will be given. In addition, disruptions occurring from students entering or leaving the classroom during class time will not be tolerated. Students should use the 5-minute break time to their advantage rather than disrupting class with their activities. If there is an emergency that requires you to leave during class, please refrain from re-entering the room until the next break or at the end of the class.
5. Students should be prompt to clinical. In the event of an emergency that might necessitate your tardiness, you are to contact the clinical instructor and agency representative. A re-assignment of a make-up clinical will be done if deemed more appropriate.
6. Beepers and cellular phones are to be muted during all class sessions and clinical experiences so that others will not be disturbed. You are only allowed to use cell phones during breaks away from the clinical setting or after the clinical experience is over.
7. Computers are not needed in this course since you will be provided with a printed copy of the lecture notes. Studying for exams, completing other course paperwork, or using your computers / electronic devices during class and / or clinical will not be allowed.
Clinical Failure
Clinical failures are earned by students who fail to meet the objectives of the clinical experience, students who fail to uphold the ANA Practice Standards and the ANA Code of Ethics, students who fail to maintain patient safety, and students who fail to complete all of their clinical hours.
Infractions constituting clinical failure:
STUDENTS ARE NOT TO ADMINISTER MEDICATIONS UNLESS DIRECTLY SUPERVISED BY A FACULTY MEMBER OR PRECEPTOR
Failure of the clinical component of the course occurs when the student receives an unsatisfactory rating in any area of the evaluation tool or does not complete the 90 hours of clinical. Absences will be rescheduled at the discretion of the course coordinator.
Certain behaviors result in an unsatisfactory rating in the professional behavior section of the evaluation rubric. Please understand that these infractions can occur during the same clinical and result in a failure.
Three incidents of infractions to the standard of professional behavior include but are not limited to: Arriving to a clinical experience without completing the pre-clinical assignment even if allowed to stay in the clinical Not conforming to the dress code even if allowed to stay in the clinical Not bringing appropriate supplies to the clinical experience even if allowed to stay in the clinical Unprofessional / inappropriate language or gestures Unprofessional / inappropriate behavior such as disrespectful behavior, chewing gum, using tobacco
products in non-smoking areas, disruptive behavior, or failure to comply with a written or verbal
instruction including reminders to update immunizations and other clinical requirements Arriving late to any clinical site even if allowed to stay in the clinical Non-compliance with the policy to notify the instructor and the agency of a clinical absence prior to the
absence or as soon as possible if immediate notification is not possible Non-compliance with the policy to receive written prior approval before attending the clinical and/or
the policy to notify the clinical instructor of absences prior to attending the clinical or as soon as the
student realizes he/she must leave the clinical experience. Leaving the premises without permission from the clinical instructor Failure to complete assignments by the due dates Failure to return from meals or breaks at the assigned time Use of a cell phone for calling, texting, e-mailing or receiving calls, texts or e-mails in the clinical area
unless given permission by the clinical instructor
Two incidents of infractions to the standard of professional behavior include but not limited to: Disregarding patient confidentiality without malice or intent to disclose Patient negligence that does not result in patient injury An error in care that does not harm a patient Committing two infractions from the list above as well as one in this list
Infractions to the standard of professional behavior that results in immediate failure of the clinical component of the course to include by not limited to: Administering medications or implementing invasive procedures without the direct supervision of a faculty member or preceptor Failing to check two patient identifiers prior to administering medications. The smell of alcohol on the breath Testing positive for illicit drugs or alcohol
An error in care or patient negligence that harms a patient Falsification, omissions, and/or lying Intentionally revealing confidential information Placing self, staff or patient at risk of harm due to abandonment of duties and/or sleeping during
clinical experiences Cheating, collusion, plagiarism, or stealing. Cheating / collusion / plagiarism / cheating means
intentionally using or attempting to use unauthorized materials, information, or study aids in any
academic exercise; collusion means the unauthorized collaboration with another person in preparing
work offered for credit; plagiarism means intentionally representing the words or ideas of another as
one’s own in any academic exercise. Performing in an unsafe manner. Failure to report a patient care error or incident. Physical or verbal abuse of patients, patient’s family members, faculty or staff.
Student Responsibilities
Students are responsible for all policies found in the BSN Handbook. Non-compliance with BSN requirements may lead to clinical and course failure. Students and faculty are expected to read and use the information presented in “Netiquette” and the course “Code of Conduct”.
Non-compliance in the expectations of these documents will incur a reduction in your grade.
1. The learner is expected to function as an adult learner in college level study. The learner is to comply with the following assignment guidelines.
2. All assignments will be written in Microsoft word. Assignments that are written in other programs will not be graded unless other arrangements are made with the instructor.
3. All assignments must indicate the student’s name and name of the assignment on each page. Pages are to be numbered.
4. Please communicate through D2L emails that must indicate it is from student’s last name, with “Community” in the subject line.
5. Students are to read their course email at least twice weekly and to respond to messages within the week.
6. The faculty is expected to respond to the course email within the week it is sent. Faculty is not expected to respond on weekends. Feedback on assignments can be expected within two weeks of the assignment due date.
Late Assignments
Contact the instructor immediately whenever you determine that an assignment will be late.
Grade adjustments and penalties will be given as warranted. Late assignments will incur a five-point deduction from the grade for each day the assignment is late, including weekend days. Contact the instructor immediately if circumstances exist that will make your work late.
Grade Posting
Faculty may include comments to your grade when submitted on the assignment drop box. Carefully read the comments for further clarification of the grade and required additions or corrections to the assignment. Contact the instructor if you have questions or concerns.
Failure Policy
Students must meet all course requirements. A grade of “F” will be assigned if requirements are not met. Students are expected to pass both clinical and theory components of the course. Failure in either clinical
performance or theory components will result in failure of the course. The faculty reserves the right to recommend to the School of Nursing Chair and College of Health and Human Services Dean withdrawal of a student from the nursing program for health, legal, or academic reasons, particularly if client care is jeopardized. In addition, the student must perform within the ANA Standards of Practice and Code of Ethics. See MSU B.S.N. Student Handbook for additional requirements. If student performance falls below acceptable standards of practice, then the student will not successfully complete the clinical component of the course.
Cheating Policy
The B.S.N. Program does not condone cheating in any form and considers it as a serious offense that could result in removal from the program. Dishonesty on examinations, falsifying any paperwork, using other student’s work, and plagiarism define cheating. Plagiarism is further defined as "the act of using source materials of other persons (either published or unpublished) without following the accepted techniques of crediting, or the submission for credit of work not the individual's to whom credit is given.” (MSU Student Handbook, Standards of Conduct, Item 10). Offending material that may constitute plagiarism includes, but is not limited to bibliography cards, formal papers, book reports, written nursing care plans, etc. For further information regarding cheating and any subsequent actions to be taken please refer to the policy statement in the B.S.N. Student Handbook.
Plagiarism Statement
By enrolling in this course, the student expressly grants MSU a “limited right” to all intellectual property created by the student for the purpose of this course. The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality, and for educational purposes.
MIDWESTERN STATE UNIVERSITY STUDENT HONOR CREED
“As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else to do so.”
As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.
Thus, we, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.
We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one’s own work, work or ideas which are not entirely one’s own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.
We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.
Written and adopted by the 2002-2003 MSU Student Senate
Academic Support and Advising
The student is required to review the resources found on the Academic Support home page http://academics.mwsu.edu/supportcenter/. Further information may located by contacting the offices of each department found listed on this page. The student is expected to effectively utilize the resources found at Moffitt library on campus. Distance policies for library usage are to be located by asking at the resource desk. Review the library home page http://library.mwsu.edu/ for further information.
The Americans with Disabilities Act
Midwestern State University does not discriminate on the basis of an individual's disability and complies with Section 504 and the Americans with Disabilities Act in its admission, accessibility, and employment of individuals in programs and activities. MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic employment requirements. For assistance call (940) 397-4618 or (940) 397-4515.It is the student's responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.
Please note: This is the official course syllabus for student use this semester, and students enrolled in this course will be held accountable for its contents. The Community faculty reserves the right to make additions or changes to this syllabus on D2L at any time. If a change is made, it will be announced in the “News” on D2L.
Submission Format Policy Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.
Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at https://mwsu.edu/academics/wpr, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at https://mwsu.edu/campus-carry/rules-policies.

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at patrick.coggins@mwsu.edu.