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N375P Public Health Nursing Practicum - RN Only Course
Course Information PLACEMENT N375P is a senior-level course taken concurrently with N CREDITS/CLOCK HOURS 3 credit hours; 135 clock hours (Determined by the university’s semester credit hour to clock hour per week ratio: 1 semester credit hour: 3 clock/hours x 15 weeks in the semester = 135) CLINICAL 8 hours per week in instructor-supervised or precepted practicum arranged with faculty approval, and independent application activities CLINICAL CONFERENCE MEETING TBA on selected Fridays 12:30 – 1:30 NUR 5.1 74 Course Flag: N375P has been designated a writing flag for the University of Texas at Austin Core Curriculum FACULTY Dr. Carol Gaskamp PhD, RN, PHNA-BC Office NUR 5. Office Phone 512- 471 - 7306 Email [email protected] Office Hours: 8-9 am, Tues, Weds, Thurs & by appointment Jennifer Murray-Chavez MSN, RN Office NUR 4. Office Phone 512- 232 - 8343 Email: [email protected] Office Hours: Friday mornings by appointment Course Description : This practicum requires students to apply public health nursing concepts, theories, and processes used in health promotion, disease or injury prevention, health protection, and risk reduction with individuals, families, groups, communities, and populations. Course Objectives:
- Holistically assess the health status of a group, community or population using data, public resources, and input from community partners.
- Analyze health disparities and root causes in communities and populations.
- Plan public health nursing interventions addressing health promotion, health protection, and disease or injury prevention and risk reduction.
- Evaluate changes in aggregate or public health status to determine effectiveness of interventions.
- Practice public health nursing with individuals, families, groups and communities that reflects ethical, legal, and professional standards of public health nursing.
Grading Scale
- Fall - Unique #57
- Course Information Table of Contents
- Practicum Hour Guide...........................................................................................................................................................
- COURSE SCHEDULE.................................................................................................................................................................
- Practicum Log
- Reflections
- Independent Applications of Public Health Nursing Process
- Community Health Resource Investigation
- Community/population health assessment: Windshield Survey and Secondary Data Assessment
- Epidemiology Case study
- Home Environment Health Assessment
- Practicum Agency Experience
- Clinical Project
- Clinical Project Deliverables: Project Plan and Evaluation
- Clinical Project Paper.......................................................................................................................................................
- Policies
- University Policies
- Student Conduct Policy
- Course Policies
- A = 89.5-
- B = 79.5 – 89.
- C = 69.5-79.
- D = 59.5 – 69.
- F = 0-59.
The required practicum hours are met as described in the following table: Practicum Hour Guide Estimated Time Agency Experience
- Orientation, Observations, work on clinical agency project and other activities as directed by preceptor or clinical instructor
- Documented through weekly entries in Reflective Learning Log, project plan and project evaluation
- Clinical Paper Deliverable meets writing flag for course 90 hours Independent Public Health Nursing Learning Experiences
- Community Resource Investigation (8 hours)
- Community/population health assessment (16 hours)
- Epidemiology Case study ( 3 hours)
- Asthma Home Environment Assessment (3 hours) Documented through:
- Reflective Learning Logs
- Completion of Assignment Guides 30 hours Clinical conferences (online or face-to-face) 15 hours Total 135 COURSE SCHEDULE Practicum Conference Schedule: SELECTED FRIDAYS 1230-1330 in NUR 5.1 74
- Face-to-face conferences will be coordinated with N322 Transition to Professional Nursing meeting dates; Canvas discussion board will be used for sharing experiences during weeks we are not meeting in person. N322 online: 9/8, 9/22; 10/13; 10/20; 11/10; (11/24); 12/8. Schedule for meetings may change depending on N322 schedule
- Conference time will be used for sharing experiences, troubleshooting issues, discussion of assignments and expectations
- Assignments will be turned in via Canvas unless otherwise indicated; assignment due dates may change due to external circumstances
- Weekly log of practicum hours to be turned in via Canvas WEEK DATE ASSIGNMENT CONFERENCE PRACTICUM ACTIVITY 1 9/1/17 Read Chapter 9 in Garcia, Schaffer & Schoon. ‘Establishes and maintains caring relationships with communities, systems, individuals, and families’ Meet (^) • Course Orientation - Begin Court Ward Visitor online training module - Select community for Community Assessment assignment and plan community assessment - Receive Community Resource Investigation Assignment and plan investigation
Read Chapters 2 &3 in Skemp et al , “Culturally Informed community health practice” and “Learning the culture and health of communities Online 3 9/11/17- 9/15/ Community Resource Investigation Assignment Post due before midnight 9/17/ Meet (^) • Complete Court Ward Visitor Training
- Receive Ward assignments and plan visits 4 9/18/17- Reflective Log Weeks 1- 4 - Online
Levels of Practice: “Practicing Public Health Nursing”, Garcia, Schaffer & Schoon, pages 16- 19 Core Competencies for Public Health Professionals: Garcia, Schaffer & Schoon, pages 451- 454 (Appendix Participation in Clinical Conferences (15 hours). Faculty and students will connect weekly either as a group for one hour to review progress on practicum assignments and experiences in clinical agencies, or an asynchronous discussion in Canvas. The course schedule indicates which conferences are as a meeting or online. Students are expected to attend the meetings and to notify faculty in case of tardiness or absence. If distance or work schedules interfere with attending weekly conferences, student will arrange to have individual conferences with faculty (in person or using distance technology) Individual mid-term and final evaluation conferences (Include time in practicum log). Faculty and students will meet individually at mid-term and end of term to review practicum performance. The Practicum Performance Evaluation Tool will be used to guide the conference discussion. Practicum Log Account for your practicum hours by completing the weekly hour log assignment in Canvas. Time used for both the clinical agency work and independent applications will be included. Complete the worksheet provided with the Canvas log assignment. Reflections Reflecting on your clinical practice is an important facet of developing your nursing practice as a BSN prepared nurse. You will turn in 4 reflections over the semester, due as specified in the course schedule and Canvas Assignments. You will discuss what you are learning about public health nursing and how other courses you are taking for the BSN degree tie in with your practicum experience. Reflections 1 and 4 have additional requirements related to the practicum project that you are to include. More detailed information about what to include in the reflections is included on Canvas. Evaluation: See practicum evaluation tool. Independent Applications of Public Health Nursing Process
- Community Resource Investigation (8 hours)
- Community/population health assessment (16 hours)
- Epidemiology Case study (3 hours)
- Home Environmental Health Assessment (3 hours) Community Health Resource Investigation (8 hours) Level of PHN practice: Individual/family PHN Competency: Community Dimensions of Practice Learning outcome. By completing this assignment, you will be able to: Identify appropriate community resources to meet selected needs for chronic disease management in low- income, uninsured, under-insured, or undocumented immigrant populations. Complete the assignment as provided on Canvas Evaluation: Practicum Evaluation Tool See Canvas for detailed instructions for this assignment. Community/population health assessment: Windshield Survey and Secondary Data Assessment (16 hours of practicum experience) Level of PHN practice: Population, community or group
PHN competency: Analytic/Assessment Skills; Policy Development and Program Planning Skills; Cultural Competency Skills; Community Dimensions of Practice; Basic Public Health Science Skills; Communication Skills; Leadership and Systems Thinking Skills Learning outcome: Based on observation of a geographical area, you will be able to:
- Assess a local population’s determinants of health
- Identify a community’s health-related needs and assets
- Activities performed and hours worked on Independent Application to be accounted for in Reflective Log.
- Complete Assessment Guides to report data gathering, and analysis Documentation:
- Upload completed work to Canvas by date specified in the course schedule.
- Evaluation: Practicum Evaluation Tool See Canvas for detailed instructions for completing this assignment Epidemiology Case study (3 hours) Level of PHN practice: Community PHN Competency: Public Health Sciences Skills Learning Outcome: You will describe the incidence and prevalence of a selected infectious disease in a population. Complete the Epidemiology Case Study (provided on Canvas) and return to faculty via Canvas Evaluation: Contributes to the Practicum Performance Evaluation Tool Home Environment Health Assessment (3 hours) Level of PHN practice : Individual/Family PHN Competency: Public Health Sciences Skills; Assessment/Analytical Skills Learning Outcome: You will be able to conduct a risk assessment using an environmental risk assessment tool. Complete the assessment guide provided on Canvas Document completion of assignment via Canvas. Upload the completed Checklist. Write your summary and recommendations in the assignment textbox Evaluation: See the practicum evaluation tool See Canvas for detailed instructions on completing this assignment. Practicum Agency Experience Level of PHN practice: May be community or individual/group, depending on the experience PHN competency: Analytic/Assessment Skills; Policy Development and Program Planning Skills; Cultural Competency Skills; Community Dimensions of Practice; Basic Public Health Science Skills; Communication Skills; Financial Planning and Management Skills; Leadership and Systems Thinking Skills You will spend 6-8 hours per week (total of 90 hours) working with your clinical instructor or nurse preceptor in a public health or community agency to learn the role of the public health nurse. Clinical activities will vary, depending on the type of agency and the role of your preceptor in the agency. Examples of the kinds of activities you may be doing include: attending agency and community meetings; making home visits; health counseling or education; case management; and, program planning, implementation or evaluation. You will also complete a clinical project during your time at the agency. You will arrange your schedule for completing your precepted experience with your preceptor or instructor.
The University of Texas at Austin has designated this course as a writing flag course. Writing Flag courses are designed to give students experience with writing in an academic discipline. In this course you will use writing as one tool to learn public health nursing concepts, synthesize ideas in the field of public health nursing, and demonstrate understanding of public health nursing skills. You can expect to write regularly during the semester and complete a major writing assignment. You should therefore expect a substantial portion of your grade to come from your written work. Writing Flag information for students is available through The University of Texas at Austin School of Undergraduate Studies: http://www.utexas.edu/ugs/core/flags/studentwriting Writing Center: We strongly encourage you to use the Undergraduate Writing Center, 471- 6222: http://www.uwc.utexas.edu/. Located in FAC 211 (Flawn Academic Center), the UWC is open from 9 a.m. to 7 p.m. Monday through Thursday and from 9 a.m. to 3 p.m. on Friday. They serve students on a walk-in or appointment basis (471-6222). The Undergraduate Writing Center offers free, individualized, expert help with writing for any UT undergraduate, by appointment or on a drop-in basis. Any undergraduate enrolled in a course at UT can visit the UWC for assistance with any writing project. They work with students from every department on campus, for both academic and non-academic writing. Whether you are writing a lab report, a resume, a term paper, a statement for an application, or your own poetry, UWC consultants will be happy to work with you. Their services are not just for writing with "problems." Getting feedback from an informed audience is a normal part of a successful writing project. Consultants help students develop strategies to improve their writing. The assistance they provide is intended to foster independence. Each student determines how to use the consultant's advice. The consultants are trained to help you work on your writing in ways that preserve the integrity of your work. Student Conduct Policy : Students and faculty in The School of Nursing each have responsibility for maintaining an appropriate learning environment. Faculty have the professional responsibility to treat students with understanding, dignity and respect and to guide the teaching/learning process. Students are expected to refrain from verbal and nonverbal behaviors in the classroom and clinical that may be distracting to others, such as, but not limited to: arriving late or leaving early, side conversations, text messaging, note passing, surfing the internet or answering e-mail on laptops, and answering cell phone or pager. Students who persistently engage in behaviors that are disruptive to the teaching/learning process may be required to leave the setting. For further information refer to General Information, Institutional Rules on Student Services and Activities, Chapter 11: Student Discipline and Conduct. The School of Nursing is a professional school and we often have members of the public visiting our facility; therefore, we require students to dress in a professional manner at all times. There is a very specific School of Nursing uniform policy for clinical settings and within the School of Nursing building we can be a bit more relaxed; however, general rules of dress still apply.
- Body piercing, other than ears, must not be visible.
- Revealing clothing must not be worn or, at a minimum, must be covered while in the School of Nursing. Revealing clothing consists of: i. midriff baring shirts ii. short-shorts or short skirts iii. low-rise pants &/or low-cut shirts that reveal “cleavage” Please remember that you are representing the School of Nursing and the nursing profession. As such you are expected to maintain an appropriate level of professionalism at all times. Use of Canvas in Classes: This course uses Canvas, a Web-based course management system in which a password-protected site is created for each course. Student enrollments in each course are updated each evening. Canvas can be used to
distribute course materials, to communicate and collaborate online, to post grades, to submit assignments, and to take online quizzes and surveys. You will be responsible for checking the Canvas course site regularly for class work and announcements. As with all computer systems, there are occasional scheduled downtimes as well as unanticipated disruptions. Notification of these disruptions will be posted on the Canvas login page. Scheduled downtimes are not an excuse for late work. However, if there is an unscheduled downtime for a significant period of time, I will make an adjustment if it occurs close to the due date. Canvas is available at http://courses.utexas.edu. Support is provided by the ITS Help Desk at 475- 9400 Monday through Friday 8 am to 6 pm, so plan accordingly. University Electronic Mail Notification Policy (Use of E-mail for Official Correspondence to Students): All students should become familiar with the University's official e-mail student notification policy. It is the student's responsibility to keep the University informed as to changes in his or her e-mail address. Students are expected to check e-mail on a frequent and regular basis in order to stay current with University-related communications, recognizing that certain communications may be time-critical. It is recommended that e- mail be checked daily, but at a minimum, twice per week. The complete text of this policy and instructions for updating your e-mail address are available at http://www.utexas.edu/its/policies/emailnotify.html. In this course e-mail will be used as a means of communication with students. You will be responsible for checking your e-mail regularly for class work and announcements. Note: if you are an employee of the University, your e-mail address in Canvas is your employee address. Scholastic Dishonesty Policy and Professional Integrity: Refer to the General Information for information on the Scholastic Dishonesty Policy Sec. 11-802. Scholastic dishonesty includes, but is not limited to cheating, plagiarism, collusion, falsifying academic records, and misrepresenting facts. The Dean of Students Office records acts of dishonesty and notifies the School of Nursing of each incident. In addition to all of the University statements and policies relative to academic dishonesty, the School of Nursing recognizes the strong link between honesty in academic work and professional integrity. Any act of academic dishonesty, including fabrication of reports or records of interactions with clients, is considered incompatible with ethical standards of nursing practice. The School of Nursing does not admit students who have a record of violations to the professional sequence. Students who engage in scholastic dishonesty may be subject to dismissal and may jeopardize their eligibility for licensure as a registered nurse. Academic and Program Accommodations for Students with Disabilities: Refer to the General Information for information on Academic and Program Accommodations for Students with Disabilities or contact the Services for Students with Disabilities office in the Office of the Dean of Students at 471-6259. The School of Nursing works to ensure that students who have disabilities have equal access to the University’s programs and services. If you have any questions about services or accommodations for students with disabilities, please talk with the faculty member, the Assistant Dean for Undergraduate Programs, or the Assistant Dean for Student and Clinical Affairs or directly call the Office of the Dean of Students, Services for Students with Disabilities, 471-
Religious Holidays: Religious holy days sometimes conflict with class and examination schedules. If you miss an examination, work assignment, or other project due to the observance of a religious holy day you will be given an opportunity to complete the work missed within a reasonable time after the absence. It is the policy of The University of Texas at Austin that you must notify each of your instructors at least fourteen days prior to the classes scheduled on dates you will be absent to observe a religious holy day. Course Policies
(Chapter 11) and The University of Texas at Austin’s Honor Code apply to all nursing students: The core values of The University of Texas at Austin are learning, discovery, freedom, leadership, individual opportunity, and responsibility. Each member of the University is expected to uphold these values through integrity, honesty, trust, fairness, and respect toward peers and public. Additionally, the School of Nursing has its own honor code: As a student in The University of Texas at Austin’s School of Nursing, I pledge myself to be honest in all of my student activities including, but not limited to, all of my scholastic work and interactions with patients, members of the public, faculty, and peers. Furthermore, I will not use any substance prior to or during my interaction with patients that could alter my judgment or ability to render safe care: this includes but is not limited to any use of alcohol, illegal drugs, and prescription or over-the counter drugs that may impair my mental and/or physical abilities required to perform safe patient care. I will disclose to my instructor any violations of the above standards of conduct. Student Conduct Policy and Professional Integrity: Students and faculty in The School of Nursing each have responsibility for maintaining an appropriate learning environment. Faculty have the professional responsibility to treat students with understanding, dignity and respect and to guide the teaching/learning process. Students are expected to refrain from verbal and nonverbal behaviors in the classroom and clinical that may be distracting to others, such as, but not limited to: arriving late or leaving early, side conversations, text messaging, note passing, surfing the internet or answering e-mail on laptops, and answering cell phone or pager. Students who persistently engage in behaviors that are disruptive to the teaching/learning process may be required to leave the setting. For further information refer to General Information, Institutional Rules on Student Services and Activities, Chapter 11: Student Discipline and Conduct. Class Attendance: Regular attendance at all class meetings is expected. Faculty is responsible for implementing an attendance policy and must notify students of any special attendance requirements. A student who is absent from a class or examination for the observance of a religious holy day may complete the work missed within a reasonable time after the absence, if proper notice has been given. Notice must be given at least fourteen (14) days prior to the classes scheduled on dates the student will be absent. For religious holy days that fall within the first two weeks of the semester, notice should be given on the first day of the semester. It must be personally delivered to the instructor and signed and dated by the instructor, or sent certified mail, return receipt requested. A student who fails to complete missed work within the time allowed will be subject to the normal academic penalties. Special regulations of colleges and schools, required by the unique nature of their programs of study, may be enacted through the normal legislative process and printed in The Undergraduate Catalog. These special regulations may not conflict with University regulations on class attendance and absence. Late Work: Graded written assignments turned in past the due date will automatically receive 5 points per day reduction in total possible grade. The student must contact the faculty within 2 days of the due date to set an agreed upon timeframe for turning in late work. If late work is not turned in by the agreed upon date, the grade will be zero for that assignment. If the student does not contact faculty regarding the late work due date, the grade will be zero for that assignment. Transportation Policy: Students are not permitted to transport clients or family members of clients in their own or other vehicles at any time. Malpractice liability insurance does not provide coverage should an accident or other untoward events occur while transporting a client. Students are encouraged to assist the client to make transportation arrangements with family, friends, neighbors, volunteer agencies or public transportation resources. Dress Code/Uniform Policies:
UNIFORM
Uniform Policy:
- Public Health settings usually do not require the standard uniform, but require professional street clothes. Your instructor will inform you regarding specific clothing requirements other than professional street clothes. Your School of Nursing nametag must be worn at all times. No open-toe shoes are allowed in clinical settings. a. A lab coat should be worn in some situations including screenings. A three-quarter length or full lab coat is required. b. When a lab coat is worn, appropriate professional clothing should be worn underneath it. c. Shorts and jeans are not considered appropriate professional clothing. Professional casual includes slacks and knit tops, blouses, or shirts, skirts and dresses of modest length, no mini-skirts. d. If the agency or situation allows street clothes to be worn, street clothes are under the same restrictions as clothing to be worn under a lab coat. Bare midriffs and plunging necklines are not acceptable professional appearance. e. Flip-flop type sandals may not be worn. Closed shoes are recommended for screenings and clinics. Hose (when wearing a dress or skirt) or socks (when wearing slacks) must be worn in the clinical area. f. Regardless of the situation, when you represent yourself as a University of Texas student nurse, you should be attired in clothing that projects a professional image.
- Jewelry must be kept to a minimum. A watch with second hand is necessary. Limit rings to one and it must not have large stones. Remember that hands may be going into gloves and giving care. Small stud-type or small hoop earrings are acceptable in the practicum. Large or dangling earrings may get in the way and often attract small children and disoriented clients to catch hold and pull them through the earlobe.
- Practicum faculty reserve the right to request removal of body piercing and covering of body art or to remove a student from any setting where health or professional image may be compromised by a student’s appearance (i.e., clothing, body piercing, and body art). NAME TAG AND PATCH a. Photo identification nametags will be available through the Learning Center. They must be worn to all clinical sites. Replacements or additional nametags will cost $5.00 each. b. An orange and white patch bearing the seal of The University of Texas at Austin must be worn on the upper left front portion of the lab coat. These may be purchased at Co-Op East. c. Failure to wear your name tag in clinical will result in a reduction in your final grade by 5 points. Emergency Evacuation Policy Occupants of buildings on the UT Austin campus are required to evacuate and assemble outside when a fire alarm is activated or an announcement is made. Please review the School of Nursing Emergency Evacuation and Emergency Preparedness information is posted on the course Canvas site.
