PURPOSE NR442 Health Nursing Required Uniform Assignment: Care of Populations The purpose of this assignment is to provide an opportunity for students to work collaboratively while applying community health concepts and the nursing process to care of a population. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: 1. Provides comprehensive care with increasing autonomy to individuals, families, aggregates, and communities in a variety of health care settings based on theories and principles of nursing and related disciplines. (PO 1) 2. Integrates clinical judgment in professional decision making and implementation of the nursing process in the community health setting. (PO 4) 3. Communicates effectively with client populations and other healthcare providers in managing the healthcare of individuals, families, aggregates, and communities. (PO 3) 4. Practices in established professional roles to provide cost effective, quality healthcare to consumers in structured and unstructured settings. (PO 7) 5. Demonstrates leadership skills and collaboration with consumers and other health care providers in direct care or delegation of responsibilities within all levels of health care. (PO 2) 6. Accepts accountability for personal and professional development as part of the life long learning process. (PO 5) 7. Incorporates evidence based practice in the provision of professional nursing care to individuals, families, aggregates, and communities. (PO 8) DUE DATE: SEE COURSE CALENDAR TOTAL POINTS POSSIBLE: 100 POINTS REQUIREMENTS ASSESSMENT & DIAGNOSIS 1. Student teams of 3 4 persons will form either by faculty assignment or self selection. 2. The team will conduct a community assessment that includes a windshield survey a. The windshield survey may include a synthesis of the findings from individual team members windshield survey findings. b. Collect a minimum of two additional elements of demographic data that provide support for the community health nursing diagnosis. Ideas for obtaining additional demographic data include but are not limited to: i. County Health Rankings at http://www.countyhealthrankings.org/ ii. Census Reports at www.census.gov iii. Centers for Disease Control and Prevention Vital Signs at http://www.cdc.gov/vitalsigns/issues.html
NR442 Health Nursing 3. Review the Healthy People 2020 Leading Health Indicators at https://www.healthypeople.gov/2020/leading Health Indicators a. Identify a target population and geographic area based on age, vulnerability, culture, or chronic disease. b. List the identified risk(s) that impose a negative impact on the health of the community of interest. 4. List three community health needs diagnoses n the order of priority and one community wellness diagnosis. a. Include: i. The population of interest. ii. The level of prevention. 5. Identify the community health nurse s role in developing the intervention that will address the priority health issue diagnoses 6. From the Public Health Intervention Wheel (Nies & McEwan, page 14) that best describes the proposed intervention: i. Identify the category ii. Identify the level of practice 1., Systems or Individual/Family 7. Develop the priority health issue diagnosis supported by the assessment data, written in S.M.A.R.T. format i. (Specific, Measurable, Attainable, Relevant, and Time bound components) Plan 1. Describe the intervention in detail. 2. Identify community partners or agencies that can serve as resources (minimum of two) for carrying out the proposed a. Identify websites or other electronic sources that provide support for the proposed 3. Identify the specific resources found at the community partner or clinical agency that can be utilized to carry out the proposed 4. Provide rationale for why the community partner or clinical agency is the ideal partner for the proposed Evaluation 1. Outline an evaluation plan which includes: a. Short term goal(s) b. Long term goal(s) i. Written in S.M.A.R.T. goal format ii. Describe the measures that will be used to evaluate the success of the intervention iii. Identify the outcome criteria that will be used to evaluate the effectiveness of the iv. List the ways in which the plan allows for client involvement. v. Describe the levels of prevention for which the intervention applies vi. Explain the ways in which the intervention plan advances the knowledge of members of the community and the community health nurse. NR442 RUA Care of Populations for JUL16.docx Revised 06/2016 2
NR442 Health Nursing Intervention 1. Identify a minimum of three (3) scholarly sources that provide evidence based support for the 2. Identify gatekeepers and key informants who will assist the community health nurse in gaining access to and the attention of the population of interest. 3. Detail the steps that will be taken to carry out the PREPARING THE PRESENTATION a. The presentation: a. Will be no longer than fifteen (15) minutes in length with an additional five (5) minutes for answering questions from the audience. b. Will include: 1. The Assessment & Diagnosis 2. Findings from the Windshield Survey and demographic data. 3. Description of the target population and geographic area. 4. Healthy People 2020 Leading Health Indicator that will be addressed by the 5. List in order of priority of three (3) community health needs diagnoses and one community wellness diagnosis. i. Include the population of interest. ii. Level of prevention. 6. Identify the role of the community health nurse in the development of the 7. From the Public Health Intervention Wheel (Nies & McEwan, page 14) that best describes the proposed intervention a. Identify the category b. Identify the level of practice c., Systems or Individual/Family 8. The priority health issue diagnosis supported by the assessment data, written in S.M.A.R.T. format a. (Specific, Measurable, Attainable, Relevant, and Time bound components) c. The Plan 1. Detailed description of the 2. Minimum of two community partners or agencies that can serve as resources for carrying out the proposed 3. Identify websites or other electronic sources that provide support for the proposed 4. Identify the specific resources found at the community partner or clinical agency that can be utilized to carry out the proposed 5. Provide rationale for why the community partner or clinical agency is the ideal partner for the proposed NR442 RUA Care of Populations for JUL16.docx Revised 06/2016 3
NR442 Health Nursing d. The Evaluation 1. Short term goal(s) 2. Long term goal(s) a. Written in S.M.A.R.T. goal format 3. Description of the measures that will be used to evaluate the success of the intervention 4. Includes the outcome criteria that will be used to evaluate the effectiveness of the 5. List the ways in which the plan allows for client involvement. 6. Describe the levels of prevention for which the intervention applies 7. Explain the ways in which the intervention plan advances the knowledge of members of the community and the community health nurse. e. The Intervention 1. Identify a minimum of three (3) scholarly sources that provide evidence based support for the 2. Identify gatekeepers and key informants who will assist the community health nurse in gaining access to and the attention of the population of interest. 3. Detail the steps that will be taken to carry out the f. Submit reference pages in APA 6 th edition format. g. All team members must present. h. Professionalism must be maintained by all team members throughout the presentation. NR442 RUA Care of Populations for JUL16.docx Revised 06/2016 4
DIRECTIONS AND ASSIGNMENT CRITERIA NR442 Health Nursing Assignment Criteria Assessment, including team s windshield surveys Nursing Diagnoses Priority Health Issue Health Intervention Identification of Resources Points % Description 25 25 Provide description of community based on team s windshield survey, offering critical information about the community and a thorough description of the target population. Use data from databases, interviews, and textbook to support assessment. 10 10 Should include three community health diagnoses and one wellness diagnoses 10 10 Issue is justified by the data findings & analysis. Issue is in SMART format to include specific, measurable, attainable, relevant, and time bound components. 30 30 The health promotion goals are in SMART format to include specific, measurable, attainable, relevant, and time bound components. Proposed interventions are appropriate to the health issue identified and are substantiated by findings in the literature as best practice. The evaluation plan includes structure, process, and outcome criteria. 10 10 Minimum of two community partners or agencies that can serve as resources for carrying out the proposed Identify websites or other electronic sources that provide support for the proposed Identify the specific resources found at the community partner or clinical agency that can be utilized to carry out the proposed Health Diagnosis Presentation Style 5 5 Three community health diagnoses and one wellness diagnosis identified 1010 10 Professional Presentation using presentation software. References: Proper use of APA 6 th. Edition formatting Presentation: Proper use of APA format, grammar, mechanics, and spelling. Total 100 100 A quality presentation will meet or exceed all of the above requirements. NR442 RUA Care of Populations for JUL16.docx Revised 06/2016 5
GRADING RUBRIC NR442 Health Nursing Assignment Criteria Outstanding or Highest Level of Performance A (92 100%) Very Good or High Level of Performance B (84 91%) Competent or Satisfactory Level of Performance C (76 83%) Poor, Failing or Unsatisfactory Level of Performance F (0 75%) Assessment Description is clear and complete; Presents a thorough community profile (23 25 points) Description is incomplete and/or unclear; Addresses most components of a community assessment adequately (21 22 points) mostly vague or missing; Multiple components incompletely addressed. (19 20 points) vague or missing; Multiple components missing. (0 18 points) Nursing Diagnoses Three community health diagnoses and one wellness diagnosis identified (10 points) Diagnoses not substantiated by the community profile or data findings but are properly worded (9 points) Incomplete diagnoses (8 points) Missing diagnoses (0 7 points) Priority Health Issue for Target Population Health issue justified by research with all five elements of a SMART goal and describes the target population (10 points) Health issue not the priority but substantiated and/or only 3 4 elements of the SMART goal stated and adequately describes the target population (9 points) Health issue not the priority but substantiated and none to two of the SMART goal (8 points) Not a relevant health issue for the target population and none to two of the SMART goal (0 7 points) Health Intervention mostly vague or missing; Components missing or incompletely addressed ( 28 30 points) mostly vague or missing; Components missing or incompletely addressed (25 27 points) mostly vague or missing. Evaluation plan is lacking elements and/or results (23 24 points) Major elements of plan are missing. Evaluation plan is lacking elements and/or results (0 22 points) Identification of Resources Incomplete or missing diagnoses Incomplete or missing diagnoses Identifies irrelevant resources available/used to resolve the dilemma; Identifies some Identifies irrelevant resources available/used to resolve the dilemma; Identifies some NR442 RUA Care of Populations for JUL16.docx Revised 06/2016 6
NR442 Health Nursing (10 points) (9 points) resources being used by patient; Does not address available resources not used, but should have been used in the situation; OR If identified, does not support ideas with any rationale and/or literature (8 points) resources being used by patient; Does not address available resources not used, but should have been used in the situation; AND If identified, does not support ideas with any rationale and/or literature (0 7 points) Health Diagnoses Not a relevant health issue for the target population and none to two of the SMART goal Not a relevant health issue for the target population and none to two of the SMART goal Incomplete diagnoses (3 points) Missing diagnoses (0 2 points) (5 points) (4 points) Presentation Style Major elements of plan are missing. Evaluation plan is lacking elements and/or results (10 points) Major elements of plan are missing. Evaluation plan is lacking elements and/or results (9 points) Ideas were difficult to follow; Ideas are vague /not clearly presented; APA formatting inconsistent with more than 5 errors; reference list and/or in text citations missing; fewer than two sources required; no journal article; 5 10 spelling and grammar errors combined. Professionalism was not maintained. ( 8 points) Ideas were difficult to follow; Ideas are vague /not clearly presented; APA formatting inconsistent with more than 5 errors; reference list and/or in text citations missing; fewer than two sources required; no journal article; 5 10 spelling and grammar errors combined. Professionalism was not maintained. (1 7 points) Total Points Possible = 100 points NR442 RUA Care of Populations for JUL16.docx Revised 06/2016 7