Community Nursing

Midwestern State University     Wilson School of Nursing                                 Fall 2012

NURS 4153 Community Health Nursing Care

Teaching Team:

Dr.  Betty Bowles                              940-397-4048

Office: 323

Betty.Bowles@mwsu.edu

Professor Carol Collins                     940-397-4060

Office: 326

Carol.Collins@mwsu.edu

Cell: 940-704-7672

Dr.  Marty Gibson                             940-397-4097

Office 322

Martha.Gibson@mwsu.edu

Cell: 251-751-1120

Adjunct Clinical Instructor                940-781-3653

Beth Arnold

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 date, health promotion, disease prevention, health planning/teaching, and issues of diversity will be emphasized at the local, state, national, and global levels.

Prerequisites 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.

Co requisite   NURS 4152 (Clinical Component of the course).

Credit Hours

Five credit hours to include three (3) lecture hours and eight (8) clinical hours per week. Additional clinical hours will be scheduled to meet the needs of the Program Development portion of the course. Clinical hours will total ninety (90) hours for the semester. Weekly times will change throughout the clinical assignments to meet the needs of the agencies and schools assigned.  The health fair is a required component of this course and will be held on November 16^th.

Recommended Textbooks/Supplies:

Stanhope, M. & Lancaster, J. (2011).  Public Health Nursing: Population-Centered Health Care in the Community 8^th ED. St. Louis: Mosby. Note: The electronic version of this text is also available, is less expensive and has many useful tools. 

American Psychological Association. Publication manual of the American               Psychological Association (6th ed.). Washington DC

Midwestern State University BSN Handbook.

EVALUATION:

Theory Grade Required to Pass: There will be 3 online quizzes and a face to face comprehensive exam (12/5^th at 1PM). The weighted grades from the written exam and the quizzes averaged together must be 74% or above to pass this course:

Should the student be absent from an exam or quiz, arrangements must be made according to the procedure found in the B.S.N. Student Handbook.  Specifically, he/she must notify the instructor at least two hours prior to the exam or quiz. Failure to comply with this policy may 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.  The exam make-up date for missed exams/quizzes TBA.

Note: All clinical components of the course must be completed with a grade of pass to complete the course.  Students must make arrangements with the clinical instructor prior to missing a clinical to obtain alternate clinical assignments to satisfy these requirements.

Learning Experiences

Lecture, group discussion, assigned and independent readings as well as web-based research with resources, community assignments and discussion on Web CT provide clinical instruction. 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 time.

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.

Clinical Competence 

The clinical instructor using the Grading Criteria for the Community Clinical Components will 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 GROUP that reflects required assignments for the Health Fair and are to be brought to each program planning clinical. These will be turned in as directed by Dr Bowles.  There will also be clinical paperwork for all agencies and school health clinicals.  The student prints all assignments as directed and brings them to class by the Wednesday of the next week following the clinical. NO assignments will be accepted more than 2 weeks past the clinical date unless special arrangements have been made with the clinical instructor.  These assignments should only be turned in on Wednesdays at the beginning of class unless other arrangements have been made by the professors.

Clinical Components

 Clinical Evaluation        Pass/Fail

The 90 hours of clinical will be broken down into the following:

3 agency clinicals @ 8 hours each........................................................................................... 24 hours

3 program planning clinicals @ 8 hours each........................................................................... 24 hours

1 school health clinical @ 8 hours............................................................................................. 8 hours

Health Fair @ 8 hours of implementation and evaluation............................................................ 8 hours

Behavior Change project @ 2 hours a week for 10 weeks...................................................... 20 hours

Service Learning Project........................................................................................................... 6 hours

Total...................................................................................................................................... 90 hours                                                                                    

Clinical Competence will be evaluated through the student’s journals, establishment and completion of individual clinical objectives, 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 with the instructor. 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 large bows permitted.  Hair must be natural colors only.  NO feathers or adornments allowed in the hair. Jewelry may include a single wedding band and a watch with a second hand only.
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, if there is 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.  If students are not responsible stewards of the facility, there will be no eating in class.  Students are expected to come into class prepared and ready to begin the class promptly at 1:00pm.  No student will be allowed to enter the classroom late.  A 5-minute break will be given about midway 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.
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.  A reassignment 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. Computers are not needed in this course, since we will provide you with a printed copy of the lecture outline.
7. Incidents of disregarding professional ethics or standards of care may also include but are not limited to the following:

                  Nonconforming to the dress code

                  Unprofessional/inappropriate language or gestures

                  Unprofessional/inappropriate behavior

                  Disregarding patient confidentiality

Patient negligence including leaving the premises early without permission from the preceptor and/or agency and/or letting the clinical instructor know

                  Omissions and falsification and/or lying on any of your paperwork

Studying for exams, HESI, completing other course paperwork, etc. during class and/or clinical.

Clinical Failure:

1. Clinical failures are awarded 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 to include but 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 to 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 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

Grading Scale  

90 ‑ 100...................................................................................................................................... A

80 ‑ 89......................................................................................................................................... B

74 ‑ 79........................................................................................................................................ C

65 ‑ 73........................................................................................................................................ D

64 & Below.................................................................................................................................. F

Grades will be based on whole number scores. Grades are not rounded.

Course Grading 

Quizzes (3 @ 5% each)................................................................................................................ 15%

Final Exam................................................................................................................................... 25%

Discussion Boards (3@ 5% each)................................................................................................ 15%

Pro MED (2 @ 5% total)............................................................................................................... 5%

Program Development /Community Assessment............................................................................ 25%

Behavior Change Plan (Clinical hours plus)...................................................................................... 5%

Attendance................................................................................................................................... 10%

Total.......................................................................................................................................... 100%                                                                                   

Discussion Boards:

There are three discussion board exercises. These will be posted on the DB tab and will not be posted as an attachment.  They only need to be a max of about 100 words.  The due dates are as follows:  Module 1: 9/12^th by 2100, Module 2: 10/3^rd by 2100, Module 3: none (ProMED substitutes for this one), Module 4: 11/28^th by 2100.  The grading rubric for the discussion questions will be applied to each exercise. This is the Grading Form that will be used to grade your discussion boards.

ProMED

The ProMED assignment requires 2 different postings that reflects critical thinking and contributes positively to the learning environment of the class and will be due on 10/24^th and 10/31^st.  Students should read the postings in preparation for classroom discussions. The number of posts read will be assessed. The ProMED assignment will be posted on the Discussion Board thread when made available and requires a heading with the student’s name, the date, the archive number, the city/and or country, the disease or condition discussed, and a brief summary of the topic with your reflections on why it would be important for a community health nurse to learn about the topic and how the topic might affect your practice, etc. Each student will then post a thoughtful reply to one student for each date of the original post.

Behavior Change Plan

Each student will identify one behavior to change this semester. Instructions can be found on the home page. These topics should be chosen and approved via the assignment Dropbox by 9/12^th.  The completed contract should be submitted via the Dropbox by 9/26^th. The plan should started on 9/13^th and be completed by 11/21^st.  the completed project should be submitted by 11/28^th on the assignment drop box.

Online Quizzes:

There will be online quizzes assessing selected information throughout the semester. The dates are Module 1 (opens 9/19^th at 2100 and closes 9/25^th at 2100), Module 2 (Opens 10/10^th at 2100 and closes 10/16^th at 2100), and Module 3 (Opens 11/14^th at 2100 and closes 11/20^th at 2100).

Failure to do assignments, quizzes, etc.  will result in a grade of zero for that assignment.

Program Planning and Community Assessment

An assessment of the community will be completed. Program Planning groups will be assigned and students will work together to complete the assessment. A hand copy of the community assessment/windshield survey is to be brought to the first program planning clinical.  The corrected completed assignment is due 9/19^th by 2100 and is to be posted on the assignment Dropbox.

Program Planning Clinical Week 1 (9/11 Tuesday group and 9/13 Thursday group)

Topic Selection / Assessment of Needs & Resources / Goals & Objectives

Program Planning Clinical Week 2 (10/9 Tuesday group and 10/11 Thursday group)

Planning and Implementation

Program Planning Clinical Week 3 (11/6 Tuesday group and 11/8 Thursday group)

Marketing and Evaluation

Health Fair- November 16^th.

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. Discussion board assignments are posted on the discussion board to the thread indicated.  They will not be graded in any other form unless prior arrangements are made with the instructor.
4. All assignments must indicate the student’s name and name of the assignment on each page. Pages are to be numbered. This includes discussion boards.
5. Please communicate through Web CT emails that must begin with the student’s name, and subject
6. Students are to read their course email at least twice weekly and to respond to messages within the week.
7. 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 Work:

Contact the instructor immediately whenever you determine that your work 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 defines 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

Course Attendance

Students are expected to attend all classroom experiences that are scheduled.  Attendance is expected and roll will be taken during each class.  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.  Excessive unexcused absences from either classroom or clinical experiences will result in removal from the course at the discretion of the faculty.

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 and program planning.  Any clinical absences will be made up at the discretion of the faculty member and will be scheduled by the faculty.

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 required to effectively utilize the resources found at Moffitt library on campus. You are expected to tour the library after the course orientation and locate the resource librarian assign to nursing. 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.

The Community faculty reserves the right to make changes to this syllabus at any time. Please note: This is the official course syllabus for student use this semester; therefore, students enrolled in this course will be held accountable for all of the contents.