Nursing 442: rn to bsn community health nursing syllabus Winter Quarter 2012 icon

Nursing 442: rn to bsn community health nursing syllabus Winter Quarter 2012


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TítuloNursing 442: rn to bsn community health nursing syllabus Winter Quarter 2012
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Department of Nursing



Winter Quarter 2012


Dr. Brenda Pulskamp, RN, Ed.D

Phone: 661-319-2990 Cell


Office: Room 112, Nursing

Office hours: as posted

COS on Wednesday and Bakersfield PHD on Thursday

Michelle Pearl-Krizo, MSN, CNS, RN

Phone: 661-304-0879 Cell


Office: 868-0511

Office hours: as posted

PHD on Wednesday’s

Noona Goosen RN. PHN

Phone: 868-0511



Office hours: as posted

Lamont Shafter Kings NOR Visalia

12014 Main St. 329 Central Valley Hwy 330 Campus Dr 125 El Tejon 5957 S. Mooney

Lamont, CA 93241 Shafter, Calif. Hanford, Calif Bakersfield, Visalia, Calif Bakersfield, Cal 746-7563 868-5253 559-623-0197

Office: (661)868-0502 ^ DHS

Bakersfield Health Dept Wasco Delano Emergency Response

1800 Mt. Vernon 810 8th St. 455 Lexington St. 100 E. California

Bakersfield, CA 93306 Wasco, Calif.93280 Delano, Calif 93215 Bakersfield, 93307

Office: (661)868-5824 758-3006 721-3827 631-6775

Fax: (661)868-0218

Units: 5 quarter clinical units: 3 hours per clinical unit x 5 units=15 clinical hours x 50 minutes/hour =12.5 clinical hours per week.

9 hours of clinical each week to be recorded on log by student. Those with preceptors should request a variety of cases so all the final objectives can be met.

1 hour of online discussion , preparation and case discussion online.

^ 2.5 hours of Community assessment time per week.

Course Description:

Concepts and theories of community health nurses are utilized in the application of the systems model. Special emphasis is given to use of the nursing process with families, groups or aggregates.

Prerequisites: Level III Nursing courses or equivalent for RN-BSN students.

Corequisite: NURS 441.

Course Objectives:

Upon successful completion of N442, the student will be able to:

^ Map of Course Objectives to Expected Outcomes for CSUB BSN Students

BSN Outcomes


Course Objective Description






Apply the principles of epidemiology to health promotion and prevention based on ^ Healthy People 2020 objectives. (CPET I.)






Apply the principles & techniques of health education with families and aggregates across the lifespan. (CPET II.)


5, 13



Apply professional nursing practice within the scope of federal, state & local community health laws & regulations. (CPET III. and IX.)





Assess nursing diagnosis with individuals, families & groups or aggregates for system stability (physiological, psychological, sociocultural, & behavioral). (CPET IV.)





Analyze effectiveness of community resources and the referral process as one means of nursing intervention with families and aggregates. (CPET V.)


2, 4



Identify environmental factors influencing health or health related practices with specific populations including children and older adults. (CPET VI.)





Conduct a community assessment or aggregate needs assessment & identify nursing diagnosis and needs. (CPET IV., V., VII., and X.)


1, 2




Utilize nursing interventions based on a plan of action & including roles of clinician, educator, leader, or researcher. (CPET VII.)




9, 11


Develop competence in nursing practice based on critical thinking, self-evaluation and faculty, preceptor and peer review. (CPET VIII)




Utilize research findings in community health nursing process. (CPET X.)





^ E: The Essentials of Baccalaureate Education for Professional Nursing Practice (AACN)

Q: Quality and Safety Education for Nurses (AACN)

S: Major Strands of the BSN Curriculum (CSUB)

TO: Terminal Objectives of the BSN Curriculum (CSUB)

*Note: all course objectives contribute to satisfaction of Essential IX: Baccalaureate Generalist Nursing Practice

Teaching Methods:

Clinical orientation emphasizes public health policies and nursing documentation; clinical conferences utilize weekly discussion questions and selected conference topics; case management activities provide knowledge and skills with families, and aggregates; journaling presents documentation and reflection of clinical activities; and community care planning (assessment) yields proposed interventions. Blackboard.

Clinical Experiences:

Nursing process applied to individuals, families and aggregates in the community will involve home visits with individuals and families, including community resources, referrals and health education; “community as client” is applied through community assessment, data collection and diagnosis, with proposed intervention(s) for a targeted community; and community outreach focuses on selected population-health needs such as clinics.

Required Textbooks:

Allender, J., Warner, K., and Rector, C. (2010). Community health nursing: Promoting & protecting the public’s health (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

APA. (2010). ^ Publication manual of the American psychological association (6th ed.). Washington, DC: Author.

CSUB (2011). Undergraduate Nursing Student Policy Handbook. Available at:

Heymann, D. (Ed.) (2008). ^ Control of communicable diseases manual (19th ed). Washington, D.C.: American Public Health Association.


Spector, R. (2009). Cultural diversity in health and wellness. (7th ed.). Upper Saddle River, NJ: Prentice Hall Health.


Student Evaluation:

1. Grading Scale:

A = 93 - 100 C = 73-76

A- = 90-92 C- = 70-72

B+ = 87-89 D+ = 67-69

B = 83-86 D = 63-66

B- = 80-82 D- = 60-62

C+ = 77-79 F = 59 and below

A grade of C or better (73%) is required to proceed in nursing courses. All written assignments will be graded according to the evaluation criteria provided on Blackboard, on quality of writing (grammar, spelling, logical flow of content); on demonstration of critical thinking; and student analytic ability. Use of APA style and format will also be assessed with assignments, where applicable.

^ Progression Policy: According to CSUB Department of Nursing Policy, a grade of “C” is the minimal grade acceptable for progression into subsequent nursing courses. Students who fail to achieve at least a “C” in a nursing course may request reentry into the program (based on seat availability) to repeat the course one time. Students who have previously failed a nursing course will be ineligible to remain in the nursing program if any subsequent nursing course (repeat of same course OR different course) is failed. Please see the Undergraduate Nursing Student Policy Handbook for further information.

^ Policy Regarding Late Papers:

Five percent (5%) will be subtracted for each day an assignment is late. Only on the basis of extraordinary circumstances and beyond the student’s control, may a student request an extension of the due date. An email to faculty no later than 24 hours prior to the due date of the assignment is expected in order for late penalties to be waived.

^ 2. Evaluation Methods/Assignments:

Clinical Performance Evaluation P/F

Organization 15%

Participation 15%

Documentation 10%

Journals 15%

Community Assessment 30%

Article Write up /Presentation 15%

The final grade will consist of the total points earned in the categories above. Seventy-three percent (73%) is the lowest passing score. ^ There will be no rounding up to 73% at the end of the quarter. A student with 72.9% will receive a C-, as stated by the course grading scale.

  1. Clinical Performance Evaluation

Each evaluation criteria is designed to determine the student’s ability to meet one or more of the course objectives. Each student must pass the course objectives as indicated by the Clinical Performance Nursing Evaluation Tool [see BB]. In order to receive a passing letter grade for the course, the student must receive a “pass” grade on each item of the clinical evaluation tool. If a student receives a “fail” grade on any item, he/she has failed the course regardless of other grades earned. The Home Visit Evaluation scheduled with the faculty is included in this clinical performance evaluation. Clinical performance evaluations are based on student weekly completion of journals, weekly progression of faculty meetings, and all applicable assignments. Faculty evaluation of student progression will be scheduled with faculty/students beginning:.

  1. Home Visit Evaluation

The student will arrange at least one family home visit with faculty for the purpose of evaluation. The student decides which family in her/his caseload to visit, schedules the visit with the family, develops the plan of care, and provides health education and resources. The student must discuss the plan of care with faculty prior to the home visit. Nursing documentation of the visit is part of the evaluation [see Home Visit Evaluation on BB]. Students should attempt to schedule the Home Visit Evaluation with their selected family during week seven or eight of clinical and coordinate with the faculty’s schedule.

  1. Organization

Organize clinical activities with assigned family caseload, including communicating with the referral source, identifying the needs of the families, scheduling visits to meet their needs, prioritizing home visits, finding resources for the family, and consulting with and updating the faculty regarding family progress and outcomes. Students also should consider the time needed for gathering data for the community assessment. Students are expected to accomplish all graded assignments in a timely manner. Organization will include punctuality on all clinical days, weekly conferences, and incorporate appropriate use of clinical time.

  1. Participation

Participation will be evaluated on the basis of student dialogue during clinical conferences, discussions and online community assessment group discussions.

Effective student evaluations will address initiative and current information. Students must utilize a variety of resources, that is, appropriate public health nursing resources, orientation materials and community resources. Faculty will also evaluate the progress made with the community assessment, including group participation, and weekly communication with faculty. (See BB for instructions for online discussion under assignments)

  1. Documentation

Each student is responsible for completion of accurate and descriptive charting for their assigned families, any reports (epidemiological and home visit investigations), and clinical assignments. Your faculty and nursing staff will provide guidance on the nursing charting format and documentation. Students will be evaluated on their completed nursing record documentation. Grading for documentation will be based on clarity, relevance, completeness, and nursing care standards.

  1. Journals

A weekly journal, briefly detailing home visits/actual clinical activities/major learning/insights is also required. The journal provides a means of sharing your feelings, thoughts and activities to add relevance and meaning to clinical experiences. The journal should detail accomplishments with families and discuss specific nursing interventions with health education and community resources. Additionally, include faculty case reviews and specific clinical activities or projects arranged by your faculty. Journals must be submitted online each Friday, detailing the week’s clinical progress. With each Journal entry include the date of Home visit, and assigned clinical public health site [see Journal format on BB].

  1. Community Assessment

This group activity will be directed by faculty and will involve all assigned community assessment group members. A vulnerable population will be selected by students to facilitate completion of a community assessment [see Community Assessment Guide on BB]. Each student will be responsible for an assigned community subsystem of the assessment [sections II – VI, individual grade]. All group members will collaborate to develop the nursing diagnoses, proposed community interventions and subsequent community assessment presentation [sections I – VII, VIII, and IX, group grade].

Please note: Students are required to meet weekly through online discussion in the assigned community assessment group.

  1. Windshield Survey

The Windshield Survey [section X] precedes the community assessment and will be completed by each assigned community assessment group (one survey per each group). The information gathered in the survey will assist with the community assessment data and guide areas for data collection. Each community assessment group will responsible for the survey that includes a motorized assessment of community strengths/weaknesses/resources through pictures and observation of the selected community [see Windshield survey assignment on BB].

  1. Article Presentation

Each student will select one article from a Community Health Nursing journal, or a pertinent local newspaper article to examine a community health issue/problem and suggest appropriate nursing interventions to improve the issue/problem during an oral or online presentation. If students have preceptors an online presentation will include the article and 4 pertinent discussion areas. [See BB for instructions]

Assignment Due Dates (See above for details):

(a) Clinical Performance Evaluation Midterm Evaluation Week 5

Final Evaluation Week 10

(b)Home Visit Evaluation Schedule with your instructor during Week 6 through through Week 8

Clinical Conference Postings Weekly. Initial post due Wednesday

(d)Participation Response to peer post due


(e) Documentation in clinical area As required by specific agency, usually in same week as clients seen.

(f)Journals Weekly each Friday/Weeks 2 – 9

(i)Article Presentation Date and presentation format (on line or in post conference) assigned by faculty..

During clinical conference or online.

(h)Windshield Survey presented on line. Week 4, due Friday Feb. 3. 5 PM

(g)Community Assessment [powerpoint] Week 9, due Friday March 9. 5 PM

See Faculty for online or hard copy requirement

^ 3. Clinical Warnings:

Students are advised to familiarize themselves with the Clinical Warning Procedure (see the Undergraduate Nursing Student Policy Handbook). Clinical warnings may result in a reduction in the student’s grade.

4. Clinical Practice:

A nursing student must follow the Nurse Practice Act and the policies of the agency in which he/she is assigned for clinical experience. Students must have met all Annual Requirements prior to beginning clinical. See Undergraduate Nursing Student Policy Handbook.

^ Sign-Out Procedure: It is important that the instructor and the agency know how to locate you during the clinical hours. The procedure for signing out during home visits will be described during orientation. When signing out you need to provide complete information. This includes name and telephone number where making home, clinic, or agency visits. If you change your plans while away from the health department, call your instructor or the agency personnel to advise them of the change. It is also helpful to provide a cell phone number in case of needed contact.

Transportation: Each student is responsible for his/her own transportation. The student is required to follow the laws of the State of California regarding a driver’s license, insurance and traffic regulations. Having your own transportation is necessary in order to complete N442 home visits and clinical assignments.

Caseload: To provide a well-rounded community health nursing experience, students will be assigned to a variety of families. Each student’s caseload may be adjusted during the quarter, at the discretion of the faculty. Home visits made during the quarter include case management activities specific to family interventions, health teaching, community resources and nursing documentation. The family plan will include assessment, individual/family nursing diagnoses, nursing interventions/and an updated plan for follow-up as documented in the family nursing record [see Orientation packet for nursing documentation]. A minimum of one shared home visit will be conducted by faculty during Home visit evaluation.

5. Conferences:

Clinical groups will have regularly scheduled clinical conferences. The purpose of the clinical conference is to provide direction for learning; to set the groundwork for analysis of experiences; to reinforce theory; and to provide an opportunity to explore the roles and responsibilities of the Community Health Nurse. All students are expected to actively participate in the clinical conferences.

In addition, each student must meet with preceptor weekly (or faculty if no preceptor) to discuss progress with caseload management and nursing documentation for advise regarding individual case management and clinical progression. It is the students responsibility to contact the preceptor (or faculty if no preceptor) by email or phone to give progress reports.

^ 6. Policies for Withdrawals and Incompletes:

According to Department of Nursing policy, withdrawal from a nursing course will be considered a nursing course failure if the student was not passing the course with a “C” or better at the time of withdrawal. Although the University transcript may reflect a “W,” the course will be viewed as a nursing course failure by the Department of Nursing. Please review the Progression Policy (above) very carefully.

The grade of “Incomplete” can only be assigned 1) at the discretion of the instructor, 2) when a majority of the course has been satisfactorily completed by the student, and 3) when the student is unable to complete the coursework on time due to unforeseen and fully justified reasons. A grade of “I” may prevent the student from continuing in nursing courses until the “I” is replaced with a passing grade through satisfactory completion of the remaining coursework according to the student/instructor contract. The “I” grade will automatically convert to an “F” if the student fails to complete the contract within one quarter.

^ Important Dates:

January 9 First Day of CSUB classes

January 10 First day of N442 Clinical Orientation for all students in all Bakersfield Areas

January 11 First day of N442 Clinical Orientation for all students in Tulare and Kings CO.

January 16 Holiday

Feb. 27 Last day to WITHDRAW from class without a "W" being recorded on official

Transcript, withdrawals from classes after this date and continuing through the next four-week period will be permitted only for serious and compelling

reasons and require written approval by the Dean or Department Chair

March 19 Last Day of classes

March 26 Grades Due

^ 7. Services for Students with Disabilities:

To request academic accommodations due to a disability, please contact the Office of Services for Students with Disabilities (SSD) as soon as possible. Their office is located in SA 140, and they may be reached at 661-654-3360 (voice), or 661-654-6288 (TDD). If you have an accommodations letter from the SSD Office documenting that you have a disability, please present the letter to me during my office hours as soon as possible so we can discuss the specific accommodations that you might need in this class.

^ 8. Academic Honesty:

Cheating: California State University, Bakersfield has a strict policy on academic dishonesty

(cheating). Cheating on assignments, care plans or presentations will not be tolerated. The Honor Commitment signed by all nursing students also requires the reporting of unethical behaviors, including cheating.

Plagiarism: All work must be original work written for this course by the individual submitting it. All students are expected to read and adhere to the Academic Honesty policy detailed on page 82 of the CSUB 2009-2011 University Catalog and the Nursing Department policies described in the Undergraduate Nursing Student Policy Handbook. Review these pages carefully.

Acts of cheating or plagiarism will result in strong penalties which may include an “F” in the course and dismissal from the nursing program. This policy will be enforced. Ignorance will not be accepted as an excuse. It is the responsibility of the student to be familiar with the above described policies and adhere to them. For any questions or clarifications, the instructor is readily available. Students should also review the Academic Integrity Policies posted by the Office of Student Rights and Responsibilities (OSRR):

^ 9. Attendance Policy:

Students are required to attend all clinical sessions.

    1. An excused absence consists of time missed due to illness or extenuating circumstances (such as sudden illness or death of a family member). The student is responsible for notifying the instructor about the illness or extenuating circumstances prior to the start of the assigned clinical day. Check with your clinical faculty as to how this contact is to be made. The student is responsible for making arrangements for make-up hours.

    2. An unexcused absence is any absence not due to illness or extenuating circumstances, and without prior notification of the instructor. All unexcused absences must be made up. An unexcused absence which is not made up will result in failure of the course.

    3. Provision for make-up of clinical time will be offered at the discretion and availability of faculty, with priority given to those with excused absences.

Illness Policy: Students with chronic or contagious health conditions limiting their ability to perform all aspects of nursing care must submit a doctor's certificate stating that it is safe for the student to perform nursing care at 100% capacity before returning to the clinical area. All absences more than 12 hours, even if excused, must be made up and at the discretion and availability of the nursing faculty.

Late Policy: Students failing to arrive to the clinical setting at the appointed time will be considered late. After 15 minutes, the student may be sent home and this will constitute an unexcused absence. It will be the responsibility of the student to make up the clinical time before the end of the quarter. Be aware that arranging this make up time may be difficult. A pattern of arriving late to the clinical setting will result in a lower course grade.

^ 10. Lab/Clinical Attire:

Students should wear conservative professional clothing at the Health Department. It is expected that students will dress in conventional professional attire as dictated by the agency. No jeans. Name tags identifying you as a CSUB nursing student must be worn at all times, as well as, a public health identification badge.

11. Social Media

All cell phones and social media devices should be turned off during class and clinical time. This includes no text messaging or postings on face book, twitter, or any other social media sites during class or clinical time. Cell phones may only be used during breaks and meal time (if meal time is not utilized as part of clinical time for conference).

No inappropriate content should be text messaged, or posted on face book, twitter or on any other social media networks; this includes responding to another student’s post. Inappropriate content includes but is not limited to: patient information, stories or pictures related to patients or families cared for during clinical, and information related to health care agencies, co-workers, faculty and/or managers. Information should not be shared with family members, friends, or posted on social media even if names or other identifying information are not used. Absolutely no pictures should be taken, saved, forwarded or posted of patients or family members, even if you have their permission. Patient confidentially must be upheld at all times. You can be fined for a HIPAA violation, and/or sued independently for breeching of confidentially or for ruining the reputation of patients, family members, faculty, or co-workers. Please see the Undergraduate Nursing Student Policy Handbook for further information regarding patient’s rights to privacy and confidentiality.

Failure to follow these guidelines related to use of social media may result in grade reduction, course failure, and/or dismissal from the nursing program.

Please note: Exclusion of health clearance, CPR card, or Malpractice insurance will

result in unexcused clinical hours.



Week 1

Jan 10-12

Activities: 1. Syllabus Overview

2. Mandatory Clinical Orientation

  1. Safety Video – View Online

Discussion Questions: What are your goals and/or expectations for Community Practicum?

Clinical Orientation:

Tues/Wed. Refer to Orientation schedule posted on BB [review safety video Week 1].

Week 2

Jan 17- 19

Activities: 1. Mandatory Clinical Orientation

2. Community Assessment [CA]: groups assigned and population selected for targeted community assessment

3. Review Windshield Survey

Discussion Question: Review the levels of prevention and provide an example of how you can implement nursing interventions for your population of interest in primary prevention, secondary prevention and tertiary prevention.

Clinical Orientation:

Due 2nd Week

Journal due Friday, and weekly clinical conference for CA group discussion.

Week 3

Jan 24-26

Activities: 1. Review Family Care Plan

2. Review Community Assessment

Discussion Questions: Examine your role in Family assessment and planning. How is your participation in family nursing different and/or similar to what your role is in the hospital setting?

Due 3rd Week

Journal due Friday, and weekly clinical conference for CA group discussion

Week 4

Jan 31,

Feb 1-2

Activities: 1. Update Clinical performance

Evaluation tool with examples:

Midterm Evaluation

^ Discussion Questions: Public health nurses step into the client’s culture when stepping into the home environment. Share an example of how you have been able to deliver culturally competent care to your clients in the home setting.

Due: Friday Feb. 3 Windshield Survey.

Due 4th Week

Journal due Friday, and weekly clinical conference for CA group discussion

Week 5

Feb. 7-9

Activities: 1. Midterm Evaluation

with faculty [Tues/Wed.]

2. Review HV Evaluation Tool

^ Discussion Questions: How you have been engaged in health teaching, health promotion, and community resources with your clients. How have you had to change your teaching to accommodate the patient’s education level, culture, age or socioeconomic condition?

Due: Midterm Clinical Evaluations

Due 5th Week

Journal due Friday, and weekly clinical conference for CA group discussion

Week 6

Feb. 14-16

Activities: 1. Schedule Home Visit Evaluations

Discussion Questions: Describe some observations that you have made regarding barriers to accessing healthcare for the community members you are visiting. What are the factors affecting healthcare costs and financing?

Due 6th Week

Journal due Friday, and weekly clinical conference for CA group discussion

Week 7

Feb. 21-23

Activities: 1. Home Visit Evaluations with

Faculty [Tues/Wed.]

Discussion Questions: Go to and identify HP objectives that relate to a population in your clinical setting. Share the objectives and how your nursing interventions are working to improve population-health outcomes.

Due 7th Week

Journal due Friday, and weekly clinical conference for CA group discussion

Week 8

Feb. 28,28

March 1

Activities: 1. Home Visit Evaluations with

Faculty [Tues/Wed.]

2.Q & A Forum: Community


^ Discussion Questions: During your clinical experience, are you regularly assessing for signs of domestic violence, child abuse, or elder abuse. How do you engage in assessment of violence with individuals/families/aggregates?

Due 8th Week

Journal due Friday, and weekly clinical conference for CA group discussion

^ Week 9

March 6-9

Activities: 1. Completion of Nursing Records

[Home visits/Documentation]

2. Update/complete clinical

evaluation tool.

Discussion Questions: What will you take away from the public health learning experience i.e. what have you learned (affective, cognitive, or psychomotor learning)?

Due: 9th Week

March 9, Wed, Community

Assessment due 5 PM

Due 9th Week

Journal due Friday.

Week 10

March 13-15

Activities: 1. Online Course Evaluations: due See BB for Course evaluation.

  1. Final Clinical Evaluation:

Meet with faculty as arranged.


Due 10th Week

Final Clinical


and Clinical

Wrap-up with all


Reviwed: Gjd: 11/06—03/11, JP 7/11 Bbp 11/2011

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