NURS 4335 Community and Public Health Nursing
COURSE DESCRIPTION: The focus of
this course is the presentation of key concepts, theories, and issues relevant
to practice as a public health/community health nurse. This course will explore the major concepts
and conceptual issues underlying the specialty of community-oriented nursing,
including the dimensions of public health and community health nursing. The course is intended to assist students in
clarifying conceptual issues in the specialty and in beginning to develop
positions on critical health care issues including access to care, disparities,
vulnerable populations, health promotion across the lifespan and the
implementation and progress of Health
People 2010 National Health Objectives.
CREDIT: 3 Credit hours
PROGRAM LEVEL: III
TEXTBOOKS:
Mosby’s Nursing Drug Reference 2007.
Allender, J., Rector, C., and
Warner, K.D. (2005). Community Health Nursing. (7th
Edition). Lippincott, Williams and
Wilkens.
Instructor: Mrs. Anna C. Tabet, MSN, RN
Office #:
COURSE OBJECTIVES:
At the end of the course, the
student will be able to:
EVALUATION AND GRADING: A point system
is used to determine the grade in Community and Public Health Nursing.
A = 90-100
B = 80-89
C = 75-79
D = 70-74
F = 69 and below
There will be 3 Exams,
including final exam that is worth a total of 45%, (each will be worth 15%) of
the final grade, a teaching project that is worth 10% of the grade, an oral
presentation worth 15%, and a community assessment paper worth 30%.
15% Exam #1
15% Exam #2
15% Final Exam
15% oral presentation
30% community assessment
paper
10% teaching project
Total= 100%
The clinical portion of the
course is on a pass/fail basis and must be passed to pass the course. The level three clinical evaluation forms
will be used to determine the students pass or fail performance for this course. The evaluation form is attached to the end of
this syllabus.
Presentations will occur in
groups of two people, and will be presented during the last 1-1 1/2 hours of
class, power points will be required per group and it is expected that each
member of the group will have equal participation in oral presentation and
preparation of power point slides.
COURSE OUTLINE:
Unit I Foundations of Community Health Nursing
Chapter 1 The Journey
Begins: Introduction to Community Health
Nursing
Chapter 2 History and
Evolution of Community Health Nursing
Chapter 3 Setting the Stage
for Community Health Nursing
Chapter 4 Evidence-based
Practice and Ethics in Community Health Nursing
Chapter 5 Transcultural
Nursing in the Community
Unit III Community Health Nursing Toolbox
Chapter 10 Communication,
Collaboration, and Contracting
Chapter 11 Health Promotion:
Achieving Change through Education
Chapter 12 Planning and
Developing Community Programs and Services
Chapter 13 Policy Making and
Community Health Advocacy
Unit IV The Community as Client
Chapter 14 Theoretical Basis
of Community Health Nursing
Chapter 15 Community as
Client: Applying the Nursing Process
Chapter 16 Global Health and
International Community Health Nursing
Chapter 17 Being Prepared:
Disasters and Terrorism
Unit V Family as Client
Chapter 18 Theoretical Bases
for Promoting Family Health
Chapter 19 Working with
Families: Applying the Nursing Process
Chapter 20 Violence Affecting
Families
Unit VI Promoting and Protecting the Health of
Aggregates with Developmental Needs
Chapter 21 Maternal-Child
Health: Working with Perinatal, Infant, Toddler, and Preschool Clients
Chapter 22 School-age
Children and Adolescents
Chapter 23 Adult Women and
Men
Chapter 24 Older Adults:
Aging in Place
Unit VII Promoting and Protecting the Health of Vulnerable
Populations
Chapter 25 Working with
Vulnerable People
Chapter 26 Clients with
Disabilities and Chronic Illnesses
Chapter 27 Behavioral Health
in the Community
Chapter 28 Working with the
Homeless
Chapter 30 Public Settings
for Community Health Nursing
Chapter 31 Private Settings
for Community Health Nursing
Chapter 32 Clients Receiving
Home Health and hospice Care
Chapter 6 Structure and Economics
for Community Health Nursing
Chapter 7 Epidemiology in
Community Health Care
Chapter 8 Communicable
Disease Control
Chapter 9 Environmental
Health and Safety
|
Date |
Course Outline |
|
5/26/2009 |
Unit 1 |
|
6/02/2009 |
Unit 3 Presentation #1 |
|
6/09/2009 |
Unit 4 Presentation Assignment |
|
6/16/2009 |
Vision/Hearing Certification 9A-3P |
|
6/23/2009 |
Test #1 Unit 5 |
|
6/30/2009 |
Unit 6 Presentation #2 and #3 |
|
7/07/2009 |
Unit 7 Presentation #4 and #5 |
|
7/14/2009 |
All day city wide screenings/ Immunizations
School Children |
|
7/21/2009 |
Test #2 Unit 2 |
|
7/28/2009 |
Unit 8 Community Paper Due/ Presentation #6 |
|
8/04/2009 |
Comprehensive Final Exam |
Rubric for Class Presentation
Community Health
|
Objectives |
Possible
Points |
Points Received |
|
1.
Presentation meets objectives for class material listed in syllabus. |
15 |
|
|
2. Presenters
demonstrate knowledge of content. Ø
All content throughout the presentation is accurate.
Ø
There are no factual errors. Ø
Thoroughly explains all points |
20 |
|
|
3.
Presentation includes at least two outside sources (research), with
References, that support content presented. |
10 |
|
|
4. Power Point Ø Information
is organized in a clear, logical way. Ø Includes
all information needed to give a good understanding of the topic. Ø All
graphics are attractive (size and colors) and support the topic of the
presentation. Ø Font
formats (color, bold, italic) have been carefully planned to enhance
readability and content. Ø Presentation
has no misspellings or grammatical errors. |
15 |
|
|
5. Cooperation Ø Group
shares tasks equally |
10 |
|
|
6. Delivery Ø Members
spoke at a good rate, volume and with good grammar. Ø Eye
Contact: Constantly looks at someone or some groups at all times Ø
Vocal
Skills: Demonstrates a strong positive feeling
about topic during entire presentation Ø Interest
level of the audience is maintained |
10 |
|
|
7. Group develops questions that promote class
discussion on topic. |
10 |
|
|
8. Group uses an activity that reinforces
material presented (Case
study, virtual hospital, game etc.) |
10 |
|
|
Total
Points |
100 |
|
Comments:
Course Content Units
Students are responsible for all of the objectives at
the beginning of each chapter. These
objectives are only the first few; students are responsible for reading all of
the chapters written in syllabus.
Unit 1: Objectives
Chapter 1-5
Chapter 1:
1. Define community health and distinguish it
from public health.
2. Explain the concept of community.
3. Name three of the 10 leading health
indicators
4. Describe the 8 characteristics of community
health nursing.
Chapter 2:
1. Describe the four stages of community health
nursing’s development
2. Recognized the contributions of selected
nursing leaders throughout history of the advancement of community health
nursing.
3. Analyze the impact of societal influences on
the development and practice of community health nursing.
4. Explore the academic and advanced
professional preparation of community health nurses.
Chapter 3:
1. Identify the 3 core public health functions
basic to community health nursing.
2. Describe and differentiate among seven
different roles of the community health nurse.
3. Discuss the seven roles within the framework
of public health nursing functions.
Chapter 4:
1. Discuss the concept of evidence-based practice
(EBP).
2. List the necessary steps in the process of
EBP
3. Explain the difference between quantitative
research and qualitative research.
Chapter 5:
1. Define and explain the concept of culture
2. Discuss the meaning of cultural diversity and
its significance for community health nursing.
3. Describe the meaning and effects of
ethnocentrism on community health nursing practice.
Unit 3: Objectives
Chapters 10-13
Chapter 10
1. Identify the 7 basic parts of the
communication process
2. Describe 4 barriers to effective
communication in community health nursing and how to deal with them.
3. Explain 3 sets of skills necessary for
effective communication in community health nursing.
Chapter 11
1. Explain the 3 stages of change
2. Identify 3 planned-change strategies
3. Summarize 6 principles for effecting change
in community health.
Chapter 12
1. List sources of information that can be used
to identify group and community health problems.
2. Identify change strategies that maximize
cooperation of target populations.
3. Identify methods to gain input fro target
populations to define the scope of a health problem.
Chapter 13
1. Define health policy and explain how it is
established
2. Analyze the influence of health policy on
community health and nursing practice.
3. Explain the role of special interest groups
in health care reform and policy making.
4. Explain the role that professional
organizations play in public policy.
Unit 4
Chapter 14-17
Chapter 14
1. Discuss 2 essential characteristics of
nursing service when a community is the client: community-oriented,
population-focused care, and relationship-based care.
2. Describe the contributions of at least 5
models of nursing practice to community health nursing practice.
3. Explain the benefits of applying the 8
principles of public health nursing to community health nursing.
Chapter 15
1. Describe the characteristics of a healthy
community
2. Describe the meaning of community as client
3. Articulate three specific considerations of
each of the 3 dimensions of the community as client
4. Explain methods the
community health nurse might use to interact with the community
Chapter 16
1. Describe a context and framework for
delivering community based nursing within the context of international
community health nursing
2. Describe the major health
care conditions currently affecting the world’s populations and the types and
preparation of health care workers addressing them.
3. Describe the community health nursing
interventions and strategies commonly used within an international context.
Chapter 17
1. Describe a variety of characteristics of
disasters, including causation, number of
causalities, scope, and intensity.
2. Discuss a variety of factors contributing to
a community’s potential for experiencing a disaster.
3. Identify the 4 phases of disaster management.
Unit 5
Chapter 18-20
Chapter 18
1. Analyze changing definitions of family
2. Discuss characteristics all families have in
common
3. Identify 5 attributes that help explain how
families function as social systems.
Chapter 19
1. Describe the components of the nursing
process as they apply to enhancing family health.
2. Identify the steps in a successful family
health intervention
3. Describe useful activities and actions when
intervening on family health visits.
4. List at least 6 specific safety measures the
community health nurse should take when traveling to a home or making a home
visit.
Chapter 20
1. Explain the difference between developmental
crises and situational crises and give examples of each within families.
2. Discuss strategies to prevent the impact of a
situational crisis and a developmental crisis at primary, secondary, and
tertiary level pf prevention.
3. Discuss the global incidence and prevalence
of family violence.
Chapters 21-24
Chapter 21
1. Identify major health
problems and concerns for infant, toddler, and preschool populations globally
in the
2. Identify the Healthy People 2010 goals
established for the maternal child population.
3. Discuss major risk factors and special
complications for childbearing families.
Chapter 22
1. Identify major health problems and concerns
for
2. Explain how health status can influence
academic achievement.
3. State the recommended immunization schedule
for school-age children and adolescents.
Chapter 23
1. Identify key demographic characteristics of
women and men throughout the adult lifespan.
2. Provide a health profile of adult women and
men living in the
3. Discuss the major chronic illnesses found in
adult women and men in the
Chapter 24
1. Describe the global and national health
status of older adults.
2. Identify and refute at least four common
misconceptions about older adults.
3. Identify four types of elder abuse.
Unit 7
Chapter 25-28
Chapter 25
1. Describe what the term “vulnerable
populations” mean.
2. Describe and explain a conceptual model of
vulnerability.
3. Discuss the effects of vulnerability and
relative risk.
4. Differentiate between the concepts of social
capital and human capital.
Chapter 26
1. Discuss the national and global implications
of disability and chronic illness.
2. Describe the economic, social, and political
factors affecting the well being of individuals with disabilities and chronic
illness.
3. Provide an example of primary, secondary, and
tertiary prevention practices for disabled individuals.
4. Describe the American with Disabilities Act.
Chapter 27
1. Discuss the incidence and prevalence of
mental illness and substance use in the
2. Compare and contrast various theories
theories on the etiology of substance use disorders.
3. Discuss the treatment approaches at the
community level related to behavioral health.
Chapter 28
1. Define the concept of homeless
2. Describe the demographic characteristics of
the homeless living in the
3. Discuss factors predisposing characteristics
of the homeless living in the
4. Compare and contrast the unique challenges
confronting selected subpopulations within the homeless community.
Unit 8
Chapter 30-32
Chapter 30
1. Explain the focus of the nursing process and
how public health nurses and other nurses working in the public sector use it
to provide care in their communities.
2. Describe how federal, state, and local public
health infrastructures influence the population’s health.
3. Evaluate the potential benefits of
school-based health centers, and discuss possible parental or community
objections.
Chapter 31
1. State the historical roots of nurse-managed
health centers.
2. Identify the distinctiveness of various
nurse-managed health center models.
3. Describe funding sources for nurse-managed
health center models.
Chapter 32
1. Summarize the history and contemporary
circumstances of home health and hospice care.
2. Describe Medicare standards for home health
and hospice programs.
3. Explain family caregiver burdens of providing
home care.
Unit 2
Chapter 6-9
Chapter 6
1. Trace historic events and philosophical
developments leading to today’s health services delivery systems.
2. Outline the current organizational structure
of the public health care system.
3. Examine the three core functions of public
health as they apply to health services delivery.
4. Differentiate between the functions of public
versus private sector health care agencies.
Chapter 7
1. Explore the historical roots of epidemiology.
2. Explain the host, agent, and environment
model.
3. Describe theories of causality in health and
illness.
4. Explain a web of causation matrix that
assists you with recognizing multi-causal factors in disease or injury
occurrences.
Guidelines for Community Assessment
I. Assessment Focus
In agreement with your
instructor select a census tract representing a neighborhood located in your
clinical area. Gather a broad range of
assessment data pertaining to this location.
II. Introduction
A.
Identify the defining geopolitical entity to be assessing (census
tract).
B.
Locate this area relative to larger
C.
Present an introductory description of this location
D.
Discuss relevance to Community Health Nurse Practice and local health.
III. Population
Characteristics
A.
Demographic characteristics (sex, age, race, and ethnicity, including
income, employment, education levels).
B.
Comparisons over time (1990 and 2000) and to larger relevant
populations, such as
IV. Neighborhood environment
in which client population resides.
A. Describe
relevant features affecting population’s health.
B.
Housing of population in location, and industry
C.
Public resources: sanitation, protection, transportation, and
parks/recreation.
D.
Schools
E.
Significant environmental factors or hazards
F.
Means of communication available to client population
G.
Local community leaders and projects
V. Health Information
A.
Vital statistics (two time periods and comparative location)
B.
Leading relevant health indicators including numbers and rates
C.
Other identified health problems
D.
Analyze findings and discuss implications drawing from text and relevant
articles
VI. Health Resources
A.
Health resources available to local population
B.
Health resources lacking
C.
Local public health resources and initiatives
VII. Diagnoses – Write 2
community diagnoses
VIII. Plan- Develop a plan
for the community health nurse to address each problem in this local
neighborhood. Utilize finding from 2
research articles for each problem, as well as your textbook to support your
plan. Be very specific about how your
plan could be implemented in this local neighborhood. Discuss the consistency of your findings and
plan with those of Healthy People 2010.
Address how interventions can be evaluated.
IX. Conclusion
References
Adhere to professional and
APA standards of writing. The use of all
references must be fully cited in the body of the paper, and correctly
documented on reference page. A minimum
of 12 sources is required.
Criteria for Evaluation of Community Assessment Paper
Minimum 20 pages
1. Identify the population assessed 10 points
A.
Introduces paper
B.
Describes location, basis as a community, and relevance to
CHN practice.
2. Describes community utilizing:
10 points
A.
Data from first-hand assessment (what area looked like,
sounds like) of environment and local
resources
B.
Interviews with relevant resource persons
3. Describe the population including:
20 points
A.
Objective data collected from official sources
B.
Comparison of data with that of a previous time period to identify
trends.
C.
Comparison of data with other relevant communities to identify unique
aspects of population.
D.
Analysis of each parameter to identify trends changes of population.
E.
Implications of analysis to potential health risks.
F.
Note what data are desirable but unobtainable
4. Describe the health of population
including: 25
points
A.
Data from vital statistics or other relevant source
B.
Health problems specific to location.
C.
Health resources available with assessment of adequacy
D.
Describe public health resources and efforts
5. Diagnoses of major health problems in
community indicated by assessment. 10
pts.
6. Develops plan for CHN to address this
problem. Plan is specific to local 20 pts. neighborhood. Discusses congruency of plan with national
planning efforts.
Identifies how these
interventions can be evaluated.
7. Professional presentation: 5
pts.
A.
APA format
B.
References for each source
C.
Timely submission of 2 copies with criteria sheet attached to one copy.
D.
Logical, clearly written and edited.