A Multi System Approach to the Health of the Community: The Practicum
Credit hours: 2
Placement in curriculum: seventh semester (first semester, senior year)
Prerequisites: successful completion of first six semesters' courses.
Co requisites: S470: Restorative Health Related to Multi System Failures; S471: Restorative Health Related to Multi System Failures: The Practicum; S472: A
Multi System Approach to the Health of the Community; and S474: Applied Health Ethics
Faculty
Joyce Splann Krothe, DNS, RN Associate Professor, Department of Environments for Health
Campus address: Sycamore Hall, Rm.400
Phone: (812) 855 1731
E mail: jkrothe {at} indiana(.)edu
Description
Students will have the opportunity to apply the concepts of community assessment, program planning, prevention, and epidemiology to implement and evaluate interventions for community centered care to groups or aggregates. Professional nursing will be practiced within diverse groups in communities.
Course competencies
Upon the successful completion of the course, the student will be able to:
- Assist individuals, families, and communities in meeting identified health needs and maximizing health potential.
- Demonstrate the ability to individualize nursing and medical regimes in consultation with members of the health care team, the individual and family.
- Make practice decisions based on an analysis of costs associated with achieving quality care outcomes with minimal direction from instructor.
- Develop, deliver, and evaluate teaching strategies that promote learning to increase health promotion and illness prevention by individuals, families, and communities.
- Arrive at decisions after critically analyzing assumptions that were made related to the problem and information that was processed in reaching decisions related to professional practice situations in the community.
- Facilitate access to community resources with increasing self direction.
- Integrate cultural beliefs, values, and practices of individuals, families, and communities in providing culturally relevant nursing therapeutics with increasing self direction.
- Promote development of needed health care resources for individuals, families, and targeted communities through appropriate actions.
- Advocate of individuals, families and communities by informing them of their legal and ethical rights with increasing self direction.
- Synthesize communication techniques to promote positive outcomes in the community.
- Collaborate in delivering health care with multiple health team members in a variety of structured and semi structured settings.
- Provide safe, effective, nurturing care that promotes the health of individuals, families and the communities.
- Role model professional nursing behaviors as a positive public image.
- Evaluate intervention employed to reduce real or potential risk for targeted individuals, their families, and community groups.
- Determine the degree to which outcomes of health care have been met for individuals, families, and communities.
- Articulate the profession of nursing and nursling's contribution to the public's health and well being to others.
Texts / readings
Stanhope, M., Lancaster, J. (2002). Foundation of Community Health Nursing: Community-oriented Practice. St. Louis: Mosby.
Teaching strategies
- Interaction with individuals, families and groups in the community
- Weekly seminar includes group discussions, class exercises, and assigned readings.
- Critical thinking activities
- Family home visiting to assess, plan, intervene and evaluate care
- Assessment of an aggregate to plan, implement, and evaluate health education/promotion program
- Seminar presentation and participation
- Critique of research articles
- Self assessment
- Demonstrate evidence of responsibility and accountability for professional nursing practice.
- Evaluation
This clinical course is graded as satisfactory or unsatisfactory.
Brown County Health Support Clinic
The following expectations relate to student clinical experience at the Brown County Health Support Clinic:
- Attend meetings of the Community Advisory Board that are scheduled during the semester. Reflect on the role of clients on the board; the dynamics of delivering culturally competent care in a rural community; and the utilization of the Community Development Model.
- Participate in any outreach activities sponsored by the clinic during your rotation. Examples include, kindergarten round up,, the Brown County Fair; and the spring Health and Wellness Fair held in collaboration with the Brown County Community School System and the Brown County Health Dept.
- Attend bi-weekly seminars led by clinical faculty in collaboration with Brown County Health Support Clinic staff,, clients,, and members of the Community Advisory Board.
- Submit a weekly journal reflecting on your clinical experience. Focus on the nurse managed model of care. Compare this to other health care settings where you have had clinical experience. Reflect on the factors in society which affect access to health care in this community, the state and the nation. Consider the relationship of health to social justice,, and the role of community health nursing in the health policy arena. Include reflections from your attendance at Community Advisory Board meetings and clinical seminar.
- Schedule a final evaluation meeting with the clinical faculty and the community health nurse at the clinic.

