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ACHIEVING CLINICAL LEARNING OUTCOMES IN A COMMUNITY/PUBLIC HEALTH NURSING COURSE THROUGH AN INTERNATIONAL IMMERSION EXPERIENCE Brandy Strahan, PhD, RN Faith Garrett, EdD, ARNP, CNE
LEARNING OBJECTIVES Upon completion of the presentation, the learner will be able to: Propose an alternative method to achieve clinical learning outcomes in nursing education. Summarize the benefits of an international immersion clinical experience in relation to course outcome achievements.
INTRODUCTION Background and Significance Community and Public Health Nursing Course Competitive clinical sites Interdisciplinary collaboration with clinical experiences Unconventional setting for culturally congruent care
PURPOSE To determine if clinical course learning outcomes could be achieved in an international immersion experience.
TRADITIONAL CLINICAL EXPERIENCE Historical Program Review Pre-licensure program started in 2006, cohort of 30 Yearly admission cycle, fall semester Community/Public Health Nursing (CPHN) course offered first semester of senior year Increased enrollment to 40 in 2008, then 50 in 2013 CPHN course moved to final senior semester in 2015 Added second cohort, spring of 2016 Third cohort to be added spring of 2018
TRADITIONAL CLINICAL EXPERIENCE Limitations Competitive clinical sites Lack of a comprehensive cultural environment Escambia County Race and Ethnicity 22.9% White 68.9% 4.7% Black or African American Hispanic or Latino
TRADITIONAL CLINICAL EXPERIENCE Necessary Revisions Curriculum Clinical evaluation tool University focus of high-impact practices
INTERNATIONAL IMMERSION EXPERIENCE Learning Opportunities Partnered with Social Work Department and Hearts in Motion (HIM) Six-day clinical immersion experience Twenty-eight pre-licensure students Three graduate students Two faculty Thirteen-week didactic course Orientation to Guatemala, Department of Zacapa Office of International Studies mandatory orientation
INTERNATIONAL IMMERSION EXPERIENCE Learning Opportunities Upon Arrival Orientation provided by HIM Travel to remote and rural villages to provide care Vital signs screening Oral health assessment Physical assessments Basic wound care Nutritional assessments Health education Medication administration Respite care
INTERNATIONAL IMMERSION EXPERIENCE
INTERNATIONAL IMMERSION EXPERIENCE Clinical Outcomes Achievement understanding and application of an ecological perspective to practice incorporation of evidence-based practice to aid in healthpromotion use of social and environmental factors of health to enable students to work effectively with diverse populations integration of vital statistics and population data in planning health services in the community setting identification of team strategies, both interdisciplinary and transdisciplinary, that would improve community health
INTERNATIONAL IMMERSION EXPERIENCE Benefits Increased cultural awareness Resourcefulness Positivity Gratitude Effective learning Appreciation of healthcare team
INTERNATIONAL IMMERSION EXPERIENCE Challenges Communication barriers Lack of resources and equitable distribution Climate Ethical dilemmas Student to faculty ratio Undergraduate versus graduate student learning needs Faculty role delineation
STUDENTS PERCEPTION OF CLINICAL OUTCOMES ACHIEVEMENT Lessons Learned Applied an ecological perspective to practice Incorporation of evidencebased practice Identification and utilization of team strategies Integration of social and environmental factors of health Utilization of population data and vital statistics in planning health services
INTERNATIONAL IMMERSION EXPERIENCE Ethical Dilemmas
INTERNATIONAL IMMERSION EXPERIENCE Future Recommendations Collaboration with advanced practicing graduate students and providers Formal division of clinical groups Improved translational services Adjusted student to faculty ratio Formalization of clinical evaluation tool for international immersion experiences Broaden interdisciplinary collaboration Offer the study abroad experience for each cohort Improve resource preparedness
QUESTIONS?
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