NRSG 420 Community Health Nursing

Orientation ModuleJuly 13, 2009

Community Health Nursing NRSG 420A

University of Nebraska Medical CenterCollege of NursingDepartment of Community-based Health1PULL UP UNMC TODAYROSTER CHECK

CLINICAL GROUPS ARE IN AND FACULTY ASSIGNED

Please listen to the podcast while viewing the following slides to accomplish these objectives..To know classroom and clinical faculty and how to reach themTo be familiar with syllabus including required texts, how you will be evaluated, course calendar, and resources provided in addendumTo complete and submit a student profile2Some MYTHS You May Have Heard About This Class

3MYTH.This class does not matter, it does not add to my nursing preparation.

4FACT: This course is important to your nursing preparation. Here are some reasons why:You will see clients in own environment, see the many influences affecting their healthYou will have an opportunity to provide holistic nursing care

5Importance of this course to your nursing preparation (continued).On NCLEX, Health Promotion and Maintenance is one of the major content areas and accounts for 6-12% of questionsHealth promotion and maintenance defined as the nurse providing and directing nursing care of the client/family that incorporates the knowledge of expected growth and development principles, prevention and/or early detection of health problems and strategies to achieve optimal health

6Give examplesImportance of this course to your nursing preparation (continued).Medical treatment can prevent only about 10% of early deaths in US while population-focused public health approaches have the potential to help prevent approximately 70% of early deaths by targeting those factors that contribute to those deaths tobacco use, diet and sedentary lifestyle Individual behaviors and environmental factors are responsible for about 70% of all premature deaths in the United States (Healthy People 2010)

7Importance of this course to your nursing preparation (continued).Increase in maternal deaths; 3 studies showed that 40% could have been preventedNumber of uninsured children increasing have higher incidence of preventable diseases than insured childrenNeglect seen in 1 in 50 infants less than one year of ageGap in life expectancy between affluent and poor is growing

Maternal deaths C-sections and obesityInfant neglect mothers substance use8Yet there is less public health available in the US than is needed..The mean per capita spending for public health in 2004-2005 was $149, compared to $6,423 for overall health care (http://www.fsu.edu/news/2006/07/19/health.spending/).

9MYTH.Students in NRSG 420 dont need to read the assigned readings

10FACT: You need to read assigned readings to .Prepare for classUnderstand materialPrepare for quizzes & exams that will have questions from readings

11Have made conscious effort to limit readings to pages that are applicable to this class and your clinicalMYTH..NRSG 420 students lose their nursing skills..

12FACT: NRSG 420 will add to your nursing skills. Skills you will learn or enhance..Relationship buildingProviding emotional supportHolistic nursing carePulling together/synthesize of knowledge from previous classes and application to families and populationsGaining autonomy in nursing roleReferral to community agencies, case managementStrengthening assessment and teaching skills you have learned

13Not a home health agency no nursing tasks What is this class about?

Listen to the short video Public Health Nursing: Its for youWrite answers to the following questions and bring with you to class on July 20th:What comes through as important to Public/Community Health Nurses?What caught your attention or impressed you the most? Least?Were you surprised by anything?

14Take out sheet of paper and as watching the video want you to answer the questions listed here

Know it is important to be nonjudgmental

Remember change occurs slowlyWhat is this class about?

REVIEW and note:Course title (cover page)Course description (p 2)Course outcomes / competencies for students (pp 4-5)Unit objectives (pp 5-9)15Student Evaluation Classroom C or above to passClinicalPass/fail

16Classroom Evaluation

EXAMSMidterm 25%Final 35% (comprehensive)Quizzes 5%ATI pass/failMidterm & Final exam scores posted on Blackboard under NRSG 420A

17Clinical EvaluationEach student will have formal clinical evaluation at midterm and at end of semester using Clinical Performance Evaluation Tool (CPET) Evaluation feedback by clinical faculty on weekly basis, will be asked to sign that you have read facultys feedback

18

Professional behavior reflects being respectful and civil to peers and faculty.Faculty retain option to ask students who are disruptive to leave class.

Enhancing Professional Behavior19Understand have families and need way to call you if expecting call because of emergency or family need please let faculty know ahead of timeExamples of being disruptive include:Talking during classCell phones going off. Please turn cell phones, pagers, etc off or to vibrate during class. Notify faculty before class if you are expecting communication that is of an emergency nature Coming late to class. If you come late to class, wait until break to get handoutsLeaving the room during the middle of class with no explanation

Enhancing Professional Behavior20Students expected to prepare for class and clinical in advance, but there is NO PRE-LAB for this clinicalStudents are expected to attend class and clinicalIf unable to attend clinical, need to notify your clinical facultyIf unable to attend class, need to notify Barbara Head (course coordinator)Students need to notify Barbara Head(course coordinator) if unable to take an exam and to arrange for make-up timeEnhancing Professional Behavior21Important Values Academic IntegrityAny student who engages in any form of cheating, plagiarism, or deception regarding classroom assignments or clinical activities will be subject to disciplinary action (page 12 of syllabus)Student Obligation to Provide CareIf you have a concern let your clinical faculty know as soon as possible22ASK TO GIVE EXAMPLES OF EACH CHEATING, PLAGIARISM, DECEPTION,Bad WeatherPolicy if UNO closes because of bad weather, then UNMC College of Nursing is closed

23Asked to inform students during orientation Course CalendarDate, time and room for classTopic for classRequired readings for each classDue dates for assignmentsIndicates mandatory clinical hours other than usual assigned clinical day (need to make up if not present) Gives address and password to access assigned readings other than from textbook eres.unomaha.edu (password ka420) Only one assigned reading that will need to access from library (print reserve)

24CLINICAL EXPERIENCETOOLS NEEDEDNUMBER TOOLS NEEDEDPERCENT OF GRADEINDIVIDUAL OR SHARED PROJECTFAMILYGeneralized Family Assessment (CHIRS, medication sheet, and Family Nursing Process) and Specialized Assessment Clinical Tool (ADDENDUM D)1 tool for each family followed total of 2 will be completed during the semester10%Individual Student AssignmentPOPULATIONCommunity-Oriented Data Collection, Analysis and Health Program Planning Tool (ADDENDUM C)Shared or 1 tool per population site25%Can be individual or sharedCommunity-Oriented Nursing Process Paper (Criteria for paper found in ADDENDUM A)Shared or 1 paper per population site

Can be individual or shared

Community Forum Class presentation of Population Project (ADDENDUM A)1 presentation per population siteCan be individual or shared25THERE IS NO PRE-LABBING FOR THIS CLINICAL FOLLOW SAME 2 PATIENTS AND ATTEND SAME POPULATION SITEAddendum ACriteria for grading Generalized Family Assessment and Specialized Assessment Clinical ToolsCriteria for grading Community-Oriented Data Collection, Analysis and Health Program Planning Tool, and Community-Oriented Nursing Process Paper Criteria for Community Forum and Community Forum Peer Evaluation Tool

26Addendum BClinical Lab Responsibilities (covered in clinical orientation)Need a car or plan for transportation Safety be aware, do not go into situation that makes you feel uncomfortable, always call and make appointment so clients are expecting you, do not provide rides for anyone, only enter assigned client homesUniform see page 18Students to maintain confidentiality at all times

27Confidentiality means???? Means information not shared with anyone, is private and confidentialWhy is this important? HIPAA provides protection of health related information and in order to make home visits need their names, addresses, phone numbers, etc and this is considered protected health information

AddendumsAddendum C & D are clinical tools needed for your assignmentsAddendum E includes handouts that will be used for either class or clinicalAddendum F contains three case studies that will be completed in later classesAddendum G includes web sites that will help you in completing clinical assignments

28How NOT to be successful in this class

29How to be successful in this classYou are strongly encouraged to use your syllabus because:Has course topical outline to help organize notes and to focus your studyHas all assignments and due dates, criteria for grading, criteria for how evaluated, forms that will need in clinical settings, handouts used in class and clinical, web sites, responsibilities need to fulfill in both classroom and clinical settings to pass

30What do you use a syllabus for? What are the most important things that are in a syllabus

Go through syllabus How to be successful in this class

Participate Be preparedBe respectfulOpen communicationRepresent UNMC well in community

31Watch ISMs (found on blackboard NRSG 420A under course documents)Complete quiz at end of each ISMISM Quizzes to be completed by 8:00 am Wednesday July 16th

By Thursday July 16th

No grade for these just need to complete to show that you have reviewed the video32

It tells you what the course is aboutSomething pinkWe may be at the end, but we give a lot of places to goThese are required# of graded assignments, name them# families will followWhat it takes to pass this courseYou dont know me yet, but I help you get a good picture of the family you will be followingI am often called the blue toolWhat I need to know about clinical

Can you recall33Student ProfilePlease complete the following questions and hand in at July 20th class

34Please answer on sheet of paper:1. What is your learning style? How do you learn best?2. Which teaching methods best help you to learn?3. What are your goals or expectations for this class?

35THANKS FOR LISTENINGRemember toRefer to your syllabusNote and bring questions about the course to classTurn in student profile on July 20thWelcome to the course from the420A Summer Faculty!