NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

The purpose of this information packet is to serve as a reference for College of Nursing policies and information about the practicum course, NSG4076, RN to BSN Capstone Synthesis. Students are required to read this information packet and the South University RN-BSN Students Handbook to promote effective communication and positive student outcomes. The College of Nursing revises information and policies contained in this information packet periodically and will keep students informed of any such changes. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

BUY A PLAGIARISM-FREE PAPER HERE

The clinically focused capstone course in the RN-BSN program reflects the requirements of our accrediting body, the American Association of Colleges of Nursing (AACN). AACN released a position statement in 2012, requiring practice experiences for all baccalaureate students, including RN-BSN students. This clinical experience should lead to the development of higher-level psychomotor skills and critical thinking for the RN-BSN students. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Practice experiences for the RN-BSN include direct and indirect care.

The following definitions of direct and indirect care (listed below) can be found in the AACN white paper Expectations for Practice Experiences in the RN to Baccalaureate Curriculum (AACN 2012, p. 3):

· Direct care refers to nursing care activities provided at the point of care to patients or working with other healthcare providers that are intended to achieve specific health goals or achieve selected health outcomes. Direct care may be provided in a wide range of settings, including long term care, home health, community-based settings, and education settings (Suby, 2009; Upenieks, Akhavan, Kolterman, et al., 2007). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· Indirect care refers to nursing decisions, actions, or interventions that are provided through or on behalf of patients. These decisions or interventions create the conditions under which nursing care or self-care may occur. Nurses might use administrative decisions, population or aggregate health planning, or policy development to affect health outcomes in this way (Suby, 2009; Upenieks, Akhavan, Kotlerman, et al., 2007). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

NSG4076 course description:

In this clinical course, the student integrates and synthesizes the curricular components of assessment, health promotion/clinical prevention, research, professionalism, teaching, leadership, information management and technology, as well as healthcare policies to create and implement a clinical project relating to the healthcare needs of an aggregate within the community. Creation and implementation of the project will include direct and indirect care of clients in the selected aggregate. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

This is the last course in the students’ program of study. The focus of this practicum is community health. The following information provides guidance in the implementation of a community health and population-focused health promotion activity. A final note: Throughout this course, the student will draw on previous learning. Students may also find that previously completed course assignments, projects, and textbooks are useful for completing the assignments in this course. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Additional information about the clinical practicum is located in the practicum preparation classroom modules (for online students).

HEALTH PROMOTION PROJECT

Students will use a community assessment model (e.g. Community as Partner) to do an abbreviated assessment of their selected aggregate/community. The students will create or obtain materials from the agency for the project. The assessment must include data collection and a windshield survey. The students will perform a data analysis to determine trends showing strengths and weaknesses that may identify community health problems for a particular aggregate at-need or at-risk. The students will then collaborate with a community agency to develop a nursing care plan and implement a health promotion project to address the problems and needs of the aggregate. The students in collaboration with the community agency will implement the health promotion project. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

An evaluation of the entire project must be included. The entire process requires study and interpretation of content from NSG4074 Health Promotion and Clinical Prevention.

Students will identify a community health concern of a specific aggregate population to plan and implement a health promotion project to address this issue.

The students will select an aggregate population. (Note: the students will not be able to select a client population from their place of employment.) This is a community project; in-patient groups are not appropriate for this project. The students will need to select a population that they may physically access. The students may choose their community, county, city, or another group or organization. Some examples include: NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

1. Senior citizen's center

1. School or a particular grade level in a school

1. Faith based group

1. Support group

1. Non-profit organization (e.g., AHA, ADA, Alzheimer’s)

1. Day care

1. Local public health department.

Students will be required to meet with their selected patient aggregation. The purpose of these meetings will be to conduct an environmental assessment; assess the aggregate, family, and the community where the aggregate resides; and then implement a health plan with a group from the aggregate. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Students will be working with a student identified organization and sponsor /preceptor in this clinical course. Students are required to complete 150 clinical hours – indirect care accounts for 110 hours and direct care accounts for 40 hours. Indirect hours include – time students spend with preceptors discussing the community assessment, identifying a project for the community, and completing research for the project. The direct care time includes the time students are actually completing the community assessment, and presenting health promotion projects to community members. Students should plan to allocate at least 15 hours per week for the practicum experience (150 hours/practicum). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

PRACTICUM SITE AFFILIATION AGREEMENT

Approval of the practicum site must be complete 1 month prior to the start of class. A clinical affiliation agreement is required for students’ practicum site. This process can take weeks to several months to obtain approval. Begin to plan this community experience early.

SPONSOR/PRECEPTOR SELECTION

The sponsor/preceptor must hold a decision making position at the facility. This person could be an employee or volunteer if a non-profit organization. The sponsor/preceptor must be able to provide access to the aggregate and assist the students in planning, implementing and evaluating the students’ project. A CV or resume’ of the preceptor/sponsor is required. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

PROJECT PROPOSAL

The project proposal is due 1 month prior to the start of class. The students must submit the Project Proposal form to the Assistant Clinical Coordinator (online students) for approval by the Program Director or the campus Program Director. The students will also submit the proposal to the course faculty at the start of the course. (Form is included in packet).

REFLECTIVE PRACTICUM JOURNAL

A reflective journal will be submitted focusing on students’ health promotion project and practicum goals.

CLINICAL HOURS LOG

Please note that students are required to keep a log of clinical hours using the Verification of Clinical Hours form. Students will record direct and indirect hours in their clinical hour’s log. The clinical sponsor/preceptor must sign the clinical log and submit to course faculty as directed. (Form is included in packet). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

STUDENTS’S EVALUATION OF THE PRACTICUM EXPERIENCE

Students must complete an evaluation of the practicum experience. (Form is included in packet).

REVIEW OF STUDENTS

The sponsor/preceptor will complete a final review of the student and submit the completed review to the course faculty as directed.

PRACTICE SETTING REQUIREMENTS

· A practice setting is defined as any time students have contact involving patients, patient care settings, students or student learning settings, or community organizations for a University project or course requirement.

· Students are responsible for having an approved letter of agreement (Affiliation Agreement) in place when practicing. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· Students are responsible for ensuring that the letter of agreement (Affiliation Agreement), sponsor/preceptor information and all other necessary documents are received at least 30 days prior to the start of the session.

· Practicum locations must meet the course objectives for the enrolled course. Program Directors approve all practicum locations. Students may not enter a practice setting until official notification from the Program Director or faculty has been received. Hours spent at a clinical site that has not received final approval will not count.

· Practicum rotations at the students’ place of employment is prohibited.

· Students may only be involved in obtainment of practicum hours with students South University approved sponsor/preceptor. Students may NOT utilize other individuals at the facility without prior approval of the course faculty. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· Students must wear nametags (Photo ID) identifying them as a South University students and a professional lab coat with South University emblem (if a lab coat is required by the facility).

· Attire must be professional and appropriate to the setting.

· Communication for students occurs through students’ university email addresses. If students do not have a South University email address or do not know how to access it, check with the Academic counselor (online students) or Program Director (campus students).

STUDENTS HEALTH REQUIREMENTS

Students are required to obtain a health assessment at least four (4) weeks prior to the start of their clinical experience and each year while in the program. Hepatitis B, Mumps, Measles, Rubella, Rubeola, and Varicella Titers and/or vaccinations are required. An annual assessment for TB is required. A PPD or QuantiFERON test is required. If a positive tuberculosis screen is reported, students must submit one negative Chest X-Ray report with the original Health Assessment and obtain an annual physical examination to rule out active chest disease. TDAP is required within 10 years. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Students will submit completed health assessment forms to CastleBranch. (Online students, the form is included in packet and available in the modules).

Students who are on a medical leave will need to obtain a medical clearance prior to returning to the practicum setting. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

HEALTH INSURANCE

South University requires nursing students to carry Health Insurance or comparable coverage for emergency medical care. Some of the clinical facilities and agencies require proof of health insurance coverage prior to students’ participation at clinical sites. Students are responsible for any expenses related to any illness or accidents that may occur while participating in the South University nursing program. Submit a copy of students’ insurance card and signed attestation to CastleBranch. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

VALID NURSING LICENSE

A valid unencumbered* license as a Registered Nursing in all U.S. state or territory which the student is licensed, including the state in which the student completes all assignments for the program. (Note that military, federal and foreign educated nurses must meet this state requirement for nursing licensure.) An unencumbered license(s) must be maintained throughout the program. It is the student’s responsibility to inform the Program Director and/or Academic Clinical Coordinator if the student’s license(s) becomes encumbered. Failure of such notification of encumbered status can lead to failure to progress in the program. If relocating, please ensure that the RN-BSN program is approved for clinical placement within that state. Contact the Program Director (campus students) or Academic Counselor (online students) for this information. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

*Unencumbered License – A license that is not revoked, suspended, or made probationary or conditional by the State licensing or registering authority as the result of disciplinary action. A copy of student’s current license must be on record with CastleBranch. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

STUDENTS’ LIABILITY INSURANCE

South University provides professional liability insurance to all students attending practicum courses. This policy is limited to students participating in their clinical practicum courses taken at South University. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

CARDIOPULMONARY RESUSCITATION

Students must provide proof of completion of the American Heart Association Health Care Provider level CPR course prior to participation in any practicum course. Students agrees to maintain current CPR Provider status throughout their attendance at South University. Students cannot attend any practicum experience without a valid CPR card. A copy of a valid CPR card must be on record with CastleBranch. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

COMPREHENSIVE BACKGROUND CHECKS

Nurses are entrusted with the health, safety and welfare of patients. The nursing curriculum contains a didactic and clinical component. Clinical facilities where student nurses practice are required by accreditation agencies to obtain background checks for security purposes on individuals that render patient care. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

All students applying for the South University nursing program are required to obtain a criminal background investigation (Level 2) prior to starting the first day of class. Any students who fails to provide a background check prior to the first day of the term when their enrollment begins will be unregistered from class and will not be allowed to attend class until the background check is provided. A student's failure to provide a criminal background check prior to their start date will result in the following: NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

• Removal from class

• Cancellation of enrollment

• No final course grades

• No transcript

Students are responsible for the cost of the criminal background investigation. Certification of a clear criminal/background history is required to place students in clinical environments. A student whose investigation shows a felony conviction or findings/misdemeanors that constitute a significant breach of moral or ethical conduct cannot be cleared for clinical and thus will be withdrawn from consideration or if accepted must withdraw or cancel from the nursing program. During the nursing program, an enrolled student must notify the program director or clinical coordinator of a criminal conviction and/or of behaviors that constitute a significant breach of moral or ethical standards. Annual updates will be required during the program of study. A felony conviction and/or behaviors/misdemeanor conviction that constitute a significant breach of moral or ethical standards will result in immediate dismissal from the nursing program. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Acceptance into a South University educational program, or its completion, does not imply or guarantee that a student will be able to obtain such licensure or certification. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

The Nursing Program Director may be required to submit written documentation regarding student status to boards of nursing and clinical agencies as early as upon receipt of the student’s CON application. Students may be required to obtain additional background checks as requested by clinical agencies or boards of nursing. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Comprehensive Background Directions:

Overview: Castlebranch.com is a service that allows students to order their own background check online. All drug testing information is obtained through Castlebranch.com. Information collected through Castlebranch.com is secure, tamper-proof, and kept confidential. The services performed by Castle Branch are based on guidelines provided by students’ organization, so students get the information students need, all from one source. The results are posted on the Castlebranch.com website where the students, as well as the school, can view them. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Ordering Instructions:

1. Go to www.Castlebranch.com and click on "Place order."

2. In the Package Code box, enter the package code provided by the Campus Program Director or Assistant Clinical Coordinator.

3. Enter payment information – Visa, MasterCard, or Money Order. Follow the online instructions to complete students’ order. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Retrieval Instructions

Once an order is submitted, students will receive a confirmation email containing the password needed to view the results of students’ background check. To view student results, visit www.Castlebranch.com, and enter password in the area provided on the lower right side of the homepage, then enter the last four digits of students Social Security Number. Results are typically available in approximately three days, though some searches take longer so please allow adequate time when ordering. The Program Director will be able to view student results in CertifiedBackground.com once complete. For A Summary of Students Rights Under the Fair Credit Reporting Act visit www.ftc.gov. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

DRUG TESTING

Many health care facilities require that all persons caring for patients submit to drug screening. Students will submit to urine drug screening during the RN-BSN program and as required by practice facilities. Students who refuse to obtain a urine drug screen or have a positive urine drug screens may NOT attend clinical practice courses, which could result in dismissal from the nursing program. A student with a positive urine drug screen will be required to obtain medical clearance to assess “fitness for duty”. Students are responsible for the financial costs of required drug tests. Students without medical justification for positive drug screen will be removed from the program. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

HIPAA/OSHA POLICY

All students are required to submit a current (within the last 12 months) certificate of completion for HIPAA and OSHA training. South University will accept a certificate of completion from student’s employer, as most nurses complete this training as part of an annual competency. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Documentation of HIPAA/OSHA training is required prior to entering the practicum site. Students may send a certificate of completion from students’ employer (completed in last 12 months), or find an online site that provides training (suggestions are noted below). In addition to HIPAA, required OSHA training must consist of blood borne pathogens and hazard communication training. Students are responsible for submitting the certificate of completion to the CastleBranch site. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

There are many HIPAA/OSHA training sites on Internet. The sites listed below are not endorsed by South University, but appear to meet all of the requirements for HIPAA/OSHA training. Students may also find students own online sites for HIPAA/OSHA training.

*HIPAA and OSHA training is at the expense of the students since it is required by clinical facilities prior to practicum placement. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

HIPAA

· HIPAA Training.com: https://www.hipaatraining.com/hipaa-training-for-healthcare-providers

· HIPAA General Awareness Training Course My HIPAA Training: http://myhipaatraining.com/

Basic HIPAA Training Course

OSHA (blood borne pathogens and hazard communication needed)

OSHAcademy Occupational Safety & Health Training: http://www.oshatrain.org/courses/index.html

· Hazard Communication Program (Course number 705)

· Blood borne pathogens (course number 755)

Although the courses are free there is a cost to download the certificate needed.

All clinical requirements, including but not limited to physical, background check, drug screen, vaccines, and trainings are to be updated annually. There are no exceptions to this rule.NSG 4076 Health Promotion and Clinical Prevention Essay Assignments 

SPONSOR/PRECEPTOR RESPONSIBILITIES

The following responsibilities are identified and will be used as a guide for the clinical practicum experiences:

The practicum sponsor/preceptor will:

· Orient students to the setting including identification of facility policies and procedures.

· Become familiar with course objectives. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· Provide documentation of student’s hours at mid-term and at completion of the course.

· Maintain open communication with Faculty and Students and provide current phone numbers, address and email.

· Supervise the students in the facility setting.

· Provide suggestions that will assist students in developing and implementing the proposed project.

· Contact course faculty member concerning any issues that may arise.

· Complete a final review of the students. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

STUDENTS RESPONSIBILITIES

The students will:

· Comply with all academic, clinical or community facility policies and procedures.

· Comply with all South University College of Nursing policies and procedures identified in the University Catalog and/or RN-BSN Students Handbook. Failure to exhibit integrity, ethical conduct, or professional standards may warrant dismissal from South University. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· Establish with sponsor/preceptor, the Project Proposal and successfully complete the terms established within it.

· Adhere to all practicum facility policies.

· Be present at the approved practicum site with the approved sponsor/preceptors for the specified course.

· Ensure sponsor/preceptor has a copy of the current course syllabus.

· Identify project goals for the practicum experience with course faculty and practicum sponsor/preceptor. Review learning goals before starting the practicum with course faculty and practicum preceptor.

· Comply with health and other professional requirements of the clinical facility prior to the start of the practicum experience.

· Be prepared to work in the practicum setting in a safe manner that demonstrates professional standards and arrive at the agreed time. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· Attend all established practicum days, or notify sponsor/preceptor and faculty of absence and establish clinical make-up experience.

· Dress in a professional manner consistent with clinical facility guidelines and be clearly identified as being a South University student. ID Badges and lab coat must be worn at all times in the community/practicum settings identifying the students as a South University student. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

For online students, contact SUOIDrequest@southuniversity.edu to obtain an ID badge.

For online students, in order to provide students with an ID card, please provide the following information:

· Full Name

· Students ID Number

· Mailing Address

· Name of the Program

· Headshot Photo:

· jpeg format (less than 100kb)

· Front face (no profiles) NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· No sunglasses or hats/headgear

· Copy of Driver’s License

ID Badges should be ordered 5 weeks in advance of enrolling in the first practicum course.

Lab coat

· Students are to order their lab coat through MEDWEAR. Note that ALL EMBROIDERED ITEMS ARE A FINAL SALE. Please allow up to 5 weeks for delivery. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

http://medwearuniforms.com/group-sales/southuniversity/onlinestudentstore.php

.

COURSE FACULTY RESPONSIBILITIES

The course faculty member will:

· Establish communication between sponsor/preceptor and the faculty member.

· Be available to sponsor/preceptor to discuss any issues that may arise with the students.

· Counsel with sponsor/preceptor and students during the course.

· Identify students at risk and notify the program director by midterm. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· Initiate and follow up on remediation plans as needed.

· Maintain active communication with the students regarding classroom and clinical performance.

· Maintain responsibility for the final grade determination based on the grading rubric and the clinical performance evaluation.

STUDENT CHECKLIST FOR PLANNING PRACTICUM EXPERIENCE

· The student is responsible for researching, identifying and contacting a facility or organization and arranging for the Practicum experience. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· The student must obtain agreement from an individual in a position to act as the sponsor/preceptor.

· The Clinical Coordinator and/or Program Director must review and approve the arrangement prior to start of the practicum courses.

· The student MUST provide the sponsor/preceptor with a copy of the Practicum Information Packet.

· The student MUST direct the sponsor/preceptor to complete and sign the Practicum Proposal form. All information must be provided on the agreement including the sponsor’s/preceptor’s position title, licensure information, if applicable, and contact information (telephone number, CV/resumé, and email address). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· The Affiliation Agreement must be executed between South University and the clinical setting institution. PLEASE NOTE: the Affiliation Agreement is usually reviewed by legal counsel of the clinical site facility. This may take some time to complete. Students are advised to start the process as soon as possible prior to the start of the academic session in which the Practicum will be started.

· Submit the signed Affiliation Agreement and Practicum Proposal to the South University Clinical Coordinator and/or Program Director prior to the start of the practicum. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· In general, two copies of the signed affiliation agreement are forwarded to the Clinical Coordinator and then one copy of the signed and fully executed affiliation agreement is returned to the practicum institution.

· Prior to starting the Practicum Course, all documents must be completed and the arrangements for the practicum approved by the Clinical Coordinator. The agreement MUST be in place one-month PRIOR to the students engaging in any practicum experiences at the designated practicum institution. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

· Students will maintain contact with their professor in the Practicum Course. There will be contact between the student’s South University Professor and his/her Practicum Sponsor/Preceptor during the practicum experience via telephone and or email.

· The student will complete a log of his/her practicum experiences.

APPENDICES

SOUTH UNIVERSITY

College of Nursing AND PUBLIC HEALTH

RN-BSN DEGREE Program

RN-BSN Practicum Proposal

Please complete this document outlining student’s proposed site and planned project. This form must be returned to student’s Clinical Coordinator for approval by the Program Director. The proposal must be submitted 4 weeks prior to the start of class. Review the course syllabus for objectives. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Student Name: Date Submitted: Course Start Date:

Contact Method:

Phone:

Email:

Practicum Information

Agency/Organization:

Address (street/city/state/zip):

Phone Number: Fax Number:

Sponsor/preceptor Person’s Name:

Position at agency:

Sponsor/preceptor Signature:

APPENDIX B

SOUTH UNIVERSITY

COLLEGE OF NURSING AND PUBLIC HEALTH

RN-BSN DEGREE PROGRAM

DIRECT ACTIVITIES LOG

This log is to start on the first day that the students is physically present at the Practicum site and begins working with his/her contact person. It continues until the Practicum is completed. This signed form must be submitted by student’s sponsor/preceptor via email to the course instructor at week five and week nine. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

The total number of clinical hours required is 150, direct care hours’ minimum is forty (40).

Student Name: Practicum: Organization:

First date at Practicum site: Course Start Date:

Date Hours completed

Direct

Brief Description of Activity
Total Hours

Total Number of Hours Completed:

Sponsor/Preceptor Signature: Date: NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Student Signature: Date:

Total Number of Hours Completed:

Sponsor/Preceptor Signature: Date:

Student Signature: Date:

APPENDIX C

SOUTH UNIVERSITY

College of Nursing AND PUBLIC HEALTH

RN-BSN DEGREE Program

INDirect Activities log

This log is to help students track student’s indirect care hours. The total number of clinical hours required is 150, indirect care hours’ minimum is one hundred ten (110). This form must be submitted every other week with student’s journal to allow student’s course facilitator to be sure students are staying on track with student’s hours. The sponsor/preceptor will email the signed log to the classroom faculty in weeks 5 and 9. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Students Name: Practicum: Organization: Course Start Date:

Date Hours completed

Indirect

Calculate the number of indirect hours each every other week when submitted Brief Description of Activity
Total Hours

Total Number of Hours Completed:

Sponsor/Preceptor Signature*: Date:

Student Signature: Date:

Total Number of Hours Completed:

Sponsor/Preceptor Signature*: Date:

Student Signature: Date: NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

*My signature confirms only those indirect student hours at the facility

APPENDIX D

SOUTH UNIVERSITY

COLLEGE OF NURSING AND PUBLIC HEALTH

RN-BSN DEGREE PROGRAM

REVIEW OF STUDENT BY SPONSOR/PRECEPTOR

Student Name:

Site/Sponsor/Preceptor:

Date: Course

Please review the student by responding to the items below. Student comments are valuable. If student has any questions or concerns, please contact the course instructor.

Use the following scale to complete the student review:

SA Strongly Agree

A Agree

U Uncertain

D Disagree

SD Strongly Disagree

The student:

1. Consistently demonstrates caring behavior to members

of aggregate and facility. SA A U D SD

2. Was punctual and present in the facility as arranged. SA A U D SD

3. Wore professional attire and identification. SA A U D SD

4. Came to the facility prepared to participate and learn. SA A U D SD

5. Project presented accurate information that met the needs

of the aggregate. SA A U D SD

Additional Comments: NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Sponsor/Preceptor Signature: Date:

APPENDIX E

SOUTH UNIVERSITY

College of Nursing AND PUBLIC HEALTH

RN-BSN DEGREE Program

STUDENT EVALUATION OF PRACTICUM EXPERIENCE

Complete this evaluation form and submit to the course instructor via the Dropbox in Week 10 of the Practicum course. Answer all questions please. The Practicum is not considered complete until this form has been submitted. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Student Name: Preceptor Name: Agency/Organization Name:

Practicum Start Date: End Date Form Completed/Submitted:

Describe the initial goals and objectives of the project. Were the goals and objectives met?

Why or why not?

Describe the major (3‐5) activities

related to student’s Practicum and how much time (%) was spent on each.

Do students think those activities

contributed to student’s learning experience? If so, which activities did students find most helpful and least helpful?

What do students this were the most important skills that students gained through this experience?
List the core competencies addressed through student Practicum.
Would students recommend this agency/organization to others for a Practicum? Why or why not?
Describe student working relationship with the Preceptor. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments
How could this experience be improved?

Student signature: _________________________________________Date: _________________

APPENDIX F

SOUTH UNIVERSITY

College of Nursing AND PUBLIC HEALTH

RN-BSN DEGREE Program

STUDENTS HEALTH ASSESSMENT FORM

Name Date / /

Address

Date of Birth / / Male Female Phone

Please note: This health assessment must be completed by an MD, DO, PA or ARNP. Assessment by other health care providers will NOT be accepted.

PHYSICAL ASSESSMENT

Height Weight Vital Signs: BP __________P _________R _________ Temperature___________

Visual Acuity (R) (L) Uses Eyeglasses YES NO Uses contact lens YES NO

Hearing Acuity (R) (L) Uses hearing aid YES NO

Immunization Record (must include dates)

MMR 1. Date / / Hepatitis Series 1. Date / / 2. Date / / 2. Date / /

Varicella 1. Date / / 3. Date / /

2. Date / /

Seasonal flu Date / / Tetanus Diphtheria acellular pertussis (Tdap) Date /

MEDICAL HISTORY:

PHYSICAL ASSESSMENT (CONTINUED)

Normal Abnormal Comments if Abnormal
Skin
HEENT
Heart
Lungs
Abdomen
Musculoskeletal
Neurological

THE FOLLOWING DIAGNOSTIC TESTS MAY BE REQUIRED:

Please attach a copy of all lab results including titer levels

TITERS: DATE IMMUNE NON-IMMUNE
Rubeola (if no proof of vaccines)
Rubella (if no proof of vaccines)
Mumps (if no proof of vaccines)
Varicella (if no proof of vaccines)
Hepatitis B (required if immunized) NSG 4076 Health Promotion and Clinical Prevention Essay Assignments
Urinalysis DATE NORMAL FINDINGS ABNORMAL FINDINGS
Hemoglobin/Hematocrit DATE NORMAL FINDINGS ABNORMAL FINDINGS
*PPD

1 Step (Quantiferon, Mantoux, or T-Spot)

DATE POSITIVE NEGATIVE

 

BUY A PLAGIARISM-FREE PAPER HERE

If PPD is positive the students must provide documentation of a negative chest x-ray within the past 5 years and annual negative symptom analysis signed by the provider. If any of these titers do not show immunity, the appropriate vaccine(s) or boosters are to be administered unless medically contraindicated as listed by the CDC. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Does this individual have any physical or mental conditions, disabilities or medical limitations that would prohibit the individual from functioning in the capacity of an Advanced Practice Registered Nurse?

YES NO (if yes, state reason)

Healthcare Provider Name and Title (PRINT)

Healthcare Provider Signature Date

Healthcare Provider Address City State Zip

Healthcare Provider Telephone Number ( ) NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

APPENDIX G

SOUTH UNIVERSITY

College of Nursing AND PUBLIC HEALTH

RN-BSN DEGREE Program

CASTLEBRANCH CLINICAL REQUIREMENTS

Students Health Insurance Must submit proof of insurance ANNUALLY (copy of insurance card with student’s name on it or document from employer or insurance company which identifies students by name and verifies coverage) NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Must sign Attestation document once

Measles/Mumps & Rubella (MMR) Evidence of immunity includes any of the following:

Written documentation of vaccination with 2 doses of MMR vaccine (minimum of 4 weeks apart)

Positive antibody for all three components

If negative or equivocal (and no evidence of 2 doses of vaccine) – will need 1 booster and a repeat titer 1 month following booster

Exemptions must be in accordance with state guidelines for vaccine exemption and submission of 1) attestation signed by religious leader or medical provider and 2) Acknowledgement of Unvaccinated Status Form signed by site that they acknowledge and accept the student’s lack of immunity. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Varicella (Chicken Pox) 1. Evidence of immunity includes any of the following:

written documentation of vaccination with 2 doses of varicella vaccine (minimum of 4 weeks apart) Positive antibody.

If negative or equivocal (and no evidence of 2 doses of vaccine) – will be prompted to repeat the 2 vaccine series

Exemptions must be in accordance with state guidelines for vaccine exemption and submission of 1) attestation signed by religious leader or medical provider and 2) Acknowledgement of Unvaccinated Status Form signed by site that they acknowledge and accept the student’s lack of immunity. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Hepatitis B 1. Evidence of immunity includes ALL of the following:

Signed Hepatitis B Vaccine Statement (available for download)

Written documentation of completed 3 vaccination series

Positive surface antibody (HBsAb) titer

If titer is negative, will be prompted to repeat the 3 vaccine series followed by a titer. If the titer is still negative after a second vaccine series, testing for HBsAg and total anti-HBc is needed to determine infection status. OR Documentation of a Signed declination waiver. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

TB Testing 1. Annual negative test result on any of the following:

1 step TB skin test (TST/Mantoux)

QuantiFERON TB Gold (QFT-GIT) test

T-SPOT TB test (T-Spot). If positive; need an initial Chest X-Ray (current within 5 years) AND annually submit a Symptom Assessment for TB Form signed by a medical provider

If assessment reveals symptoms, a chest X-ray would be required to determine presence of active infection. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Tetanus, Diphtheria, & Pertussis (Tdap) 1. Evidence of a Tdap vaccine within 10 years.

After evidence of initial Tdap vaccine within 10 years, a booster every 10 years with standard Td vaccine is acceptable.

Exemptions must be in accordance with state guidelines for vaccine exemption and submission of 1) attestation signed by religious leader or medical provider and 2) Acknowledgement of Unvaccinated Status Form signed by site that they acknowledge and accept the student’s lack of immunity. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

CPR Certification Must be American Heart Association Healthcare Provider or a certification issued in accordance with AHA HCP curriculum. Provide proof of either:

AHA eCard

AHA printed card. Must submit front and back of the card and must be signed (will accept pending status if written evidence of successful course completion and card is delayed)

The renewal date will be set according to the expiration date of the CPR certification.

**ACLS is not acceptable in place of Healthcare Provider**

Influenza Vaccine 1. Documentation of flu vaccine within the most recent or current influenza season

Exemptions must be in accordance with state guidelines for vaccine exemption and submission of 1) attestation signed by religious leader or medical provider and 2) Acknowledgement of Unvaccinated Status Form signed by site that they acknowledge and accept the student’s lack of immunity. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Physical Examination 1. Must submit Students Health Assessment form ANNUALLY. It must be completed and signed by a medical professional.
RN License 1. Submit a copy of current unencumbered RN License or verification of licensure through the state website. The renewal date will be set according to the expiration date of the license.
HIPAA Education 1. Submit HIPAA training documentation to this requirement– must show date. Renewal date will be one year from date of documentation. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

If completed at place of employment, submit certificate of completion and content outline.

May access at: My HIPAA Training: http://myhipaatraining.com/ Basic HIPAA Training Course

OSHA-Blood Borne Pathogens 1. Submit OSHA-Blood-Borne pathogens training documentation to this requirement-must show date. Renewal date will be one year from date of documentation. If completed at place of employment, submit certificate of completion and content outline. May access at: OSHAcademy Occupational Safety & Health Training: http://www.oshatrain.org/courses/index.html Bloodborne Pathogens Program Management (course number 755) NSG 4076 Health Promotion and Clinical Prevention Essay Assignments
OSHA-Hazardous Materials 1. Submit OSHA-Hazardous Materials training documentation to this requirement- must show date. Renewal date will be one year from date of documentation. If completed at place of employment, submit certificate of completion and content outline. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

May access at: OSHAcademy Occupational Safety & Health Training: http://www.oshatrain.org/courses/index.html Hazard Communication Program (course number 705)

Certified Background Screening 1. Annually

7-Year County Criminal Search

7-Year Employment Verification (initial only)

Nationwide Sex Offender Search

Nationwide Healthcare Fraud & Abuse Search

Medicare & Medicaid Sanctioned, Excluded individuals

Office of Research Integrity (ORI)

Office of Regulatory Affairs (ORA)

FDA Debarment Check

State Exclusion List

Office of Inspector General (OIG) List of Excluded Individuals/Entities

Office of Foreign Assets Control (OFAC)

US Department of Treasury

Specially Designed Nationals (SDN)

General Services Administration (GSA) NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Excluded Parties List

Patriot Act

Social Security Alert

Residency History

Verification of Professional License

Nationwide Fingerprinting

Certified 10-Panel Urine Drug Screen 1. Annually
Adult and Child Mandatory Reporter Training (Iowa only) 1. Submit Adult and Child Mandatory Reporter Training documentation to this requirement. Renewal date will be 5 years from date of documentation. If completed at place of employment, submit certificate of completion and content outline. May access further information at: http://idph.iowa.gov/abuse-ed-review

Writing the your Research Project and Scholarly Paper from Start to Finish

To assist you writing your Problem Statement, please access the link:

https://owl.english.purdue.edu/owl/resource/957/01/

APA Template: http://tinyurl.com/suapa
Course Research Guide
Log in to your portal by clicking “My Campus” at http://inside.southuniversity.edu/

Scroll down and on the right column of your home screen, you will find LIBRARY RESOURCES

Locating Articles: Nursing Research

· CINHAL Plus with Full text

· Nursing and Allied Health (ProQuest)

· OVID Allied Health Collection

· PubMed

· Cochrane Library. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Implementation & Evaluation of Health Promotion Plan

The purpose of this paper is to [Put the text of your paper here telling what you are going to write about in this paper and the last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed].

Health Promotion Plan Background

Summarize the background of your health promotion plan here…. [Put the text of your paper here – Clearly describe why you chose this particular project, giving important background information and statistics related to the problem you have chosen to address and include REFERNECES AS APPROPRIATE. The last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed]. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Evaluation of the Initial Plan

[Put the text of your paper here; Clearly describe how you planned to implement your plan – the steps you went through during your planning phase and the last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed].

Action Plan Implemented

[Put the text of your paper here – Clearly describe what you did as your health promotion plan and the last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed]. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Evaluation of the Health Promotion Plan

Project’s Cost-Effectiveness

[Put the text of your paper here discussing the project’s cost-effectiveness (i.e., how much your project cost and was the money spent worthwhile – could you have accomplished the same effect for less money?) The last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed]. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Project’s Practical Use and Sustainability

[Put the text of your paper here discussing why your plan is practical (or not) and how it could be sustained. The last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed]. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

BUY A PLAGIARISM-FREE PAPER HERE

Project’s Financial Implications

[Put the text of your paper here comparing the cost of continuing the project compared to the cost to the public of not having such a program available REFERNECE AS APPROPRIATE. The last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed]. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Over-All Summary and Expectations

[Put the text of your paper here and present an overall summary of your project and your expectations regarding the future of your representative of the aggregate related to his/her overall health and response to this project (i.e., will the individual continue to successfully follow the plan you have initiated, and what will be the results, etc.). The last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed]. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Conclusion

[Put the text of your paper here Summarizing your entire project in two or three paragraphs – the good parts, the bad parts, etc., and it’s potential impact if it is continued. The last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed]. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

References

Harwood, L., Ridley, J., Wilson, B., & Laschinger, H. (2010). Workplace empowerment and

burnout in Canadian nephrology nurses. CANNT Journal, 20(2), 12-17. Retrieved from CINAHL with Full Text database.

McCaffrey, R., Hayes, R., Stuart, W., Cassell, A., Farrell, C., Miller-Reyes, C., et al. (2010). A

program to improve communication and collaboration between nurses and medical residents. Journal of Continuing Education in Nursing, 41(4), 172-178. doi:10.3928/00220124-20100326-04.

The purpose of this paper is to discuss the creation and implementation of a health promotion project by synthesizing all information collected throughout the RN to BSN completion program. Complex issues are involved with implementing effective health programs.  These issues arise from the unique barriers that exist in culturally-stricken communities as well as from the inherent complexity of the health care field.   NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Introduction & Problem Statement

In order to catalyze behavioral changes at a societal scale, health education programs must address the cultural and social dimensions of health care. This means that healthcare necessities will not be used unless accompanied by effective and culturally appropriate education.  When working in a different cultural and social context, it is necessary to engage with a community “from within” in order to build an environment of trust.  Culturally appropriate education efforts are tailored and framed from the perspective of the target community.  Thus, to develop a culturally relevant education program, one must engage strategically with local culture to look at the way in which culture influences lifestyle and behavior. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Trends and Statistics

Hillsborough County has a diverse population in terms of race and ethnicity, age, and

income. Chronic diseases continue to be a concern in terms of their incidence, prevalence, and

the impact they have on the quality of life of individuals, families, and communities. Various

health conditions continue to disproportionately impact minority populations. According to

current data from the Florida Community Health Assessment Resource Tool Set (CHARTS), of

residents who reported being of one race, about 78% were White and about 17% were Black or

African American. Collectively, Asian, Native American Indian, Native Alaskan, Native

Hawaiian, and Pacific Islander accounted for 3.7% of the population. About 23.4% of the

population also reported being of Hispanic or Latino origin. Approximately 14.5% of people

residing in Hillsborough County in 2015-2016 were foreign born; 85.5% were native, including

39.0% who were born in Florida. Among those, 24.2% spoke a language other than English in

the home. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Related Sources

Implementing a healthcare education initiative without an adequate understanding of the local culture can be counter-productive, giving rise to more problems than solutions. For example, when working in a new cultural environment, health workers cannot assume that other cultures readily share, or are ready to submit to, their philosophies and belief systems. Diversity: is a word that means something different to each and every person. The changing demographics and economics of our growing multicultural world and the long-standing disparities in the health status of people from culturally diverse backgrounds have challenged health care providers and organizations to consider cultural diversity as a priority. Peer reviewed and research articles have demonstrated that there is a direct relationship between culture and health practices. In fact, of the many factors that are known to determine health beliefs and behaviors, culture is the most influential (Hardwood, 1981). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

The Client: Objective & Subjective Assessment

Mr. J.P is a 75 years old, male client, diagnosed with Dementia, Diabetes Mellitus and

Obesity. J.P resides in a small ALF in Town and Country area. Client’s general health: Patient

diagnosed with HTN.DMII and Dementia. Cigarette smoker for 15 years and does not like to

exercise or been in a diet, complaining of feeling tired, fatigued and mild headache. Blood

pressure: 160/90. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Case Study

The following Functional Health Pattern assessment is based on a 75 year old Spanish man who lives in an ALF at Town and Country Community. Some of the issues found during this assessment were the lack of knowledge, cultural barriers and the resistant to change his behaviors. For subjective and objective data please see above. The purpose of this case study is to present a model that will be helpful in providing culturally competent care. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Aggregates’ Demographics

The physical boundaries include Memorial Hwy and clear boundaries that indicates where the community ends and begins. The economic boundaries in this community are very distinct. The rural areas contain a mix of both high-low income housing. The age of the housing range from 1965-1990. The urban area has several new retail centers that keep themselves busy and well maintained. Very few people have been seen walking around or on the street. The majority of the community is Hispanics and a small American influence is noted too. Most of the religious establishments are Catholics but the community shows homogeneity in religious preferences. The primary method of transportation is the car, with a very few sidewalks so walking is not a viable mean. Few political campaign posters were posted on houses or in store windows. Party affiliations were not readily apparent. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Gordon’s 11 Functional Health Pattern

J.P is aware of the need to maintain his health and undertakes preventative measures in order to have a fair health record. The diagnosed hypertension he experiences is appropriately monitored, but he is not compliant with his medication, diet and activity as reflected by his assessment. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Health Perception and Health Management

J.P perceives his health to be reasonably fair, not 100%, but fairly well for his age. Although J.P takes medication for the management of Hypertension (High Blood Pressure), he complaints of blurred vision and headaches frequently. When not controlled, Hypertension puts strain on the heart, damages blood vessels in the kidneys and damages the retina, resulting in a loss of vision (Herlihy 2007, p.331). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Nutrition and Metabolism

During a 24 hour period J.P usually consumes three main meals and rarely has snacks during the day. He believes his culture influences his eating pattern. He has no food allergies but does not modify his diet regularly based on his body image and weight fluctuations. Research suggests people who potentially suffer from a binge-eating disorder have a history of weight fluctuations and obesity (Edlin et al. 1997). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Activity and Exercise

He does not like to exercise. The risks of developing cardiovascular disease are greatly decreased by regular exercises such as walking and aerobic activity in addition to increasing the benefits of physiological and psychological wellbeing (Crisp and Taylor 2005, p.920).

Cognition and Perception

The average brain shrinks approximately 5-10% in weight between the ages of 20 and 90 resulting in a decrease in working memory, however, the brain can adapt and grow new cells, but this is dependent on physical activity, stimulation and learning (Santrock 2006). J.P is AOX2, disoriented to time and becoming more forgetful. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Self-Perception and Self-Concept

Of the most interest and focus, and highlighted throughout this assessment, was J.P's image of himself. Although he states he is reasonably satisfied with his current status in life and what he has achieved for himself and his family, his perception of how he looks demonstrates issues around physical dissatisfaction, possible low self esteem and a lack of confidence in social situations. Erikson (1965) theories maintaining a positive self image and feelings of self worth is essential in order to achieve a successful transition to old age despite changing abilities and limitations. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Values and Belief

An individual's sense of spirituality can be influenced by culture, life experiences and religious beliefs (Brush 2000). J.P is a practicing Catholic and spiritual person. His family and faith have always been the most important part of his life.

Windshield Survey

The leading cause of death for Hillsborough County residents is heart disease. While

the heart disease death rate has shown some improvement, it has remained the leading

cause of death for years, mimicking national data. The two major forms of cardiovascular

disease that make the greatest contribution to mortality are stroke and coronary heart

disease. In 2017, 2,756 average annual deaths from cardiovascular disease occurred in

Hillsborough County, with 1,517 people who died of coronary heart disease, and 421 who

died from stroke. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Concept Map

 

Genogram: One Individual in Aggregate

Plan of the Project

Taking this into account, nurses must initiate case finding activities and then provide appropriate patient education. For instance, once and older adult is identified as being at risk for heart disease, the nurse can teach the patient or caregiver to reduce the chance by exercising regularly, reviewing medications with their doctors and following a proper diet. The primary care practitioners in Town and Country include physicians, physicians’ assistants, and nurse practitioners. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Community Stakeholder’s Identified

PHYSICAL HEALTH: Free or sliding-scale medical facilities and other similar programs provide a clear benefit for low-income people and can improve community health.

SAFETY AND SECURITY: Neighborhood watch or patrol programs, better policing in high-crime neighborhoods, work safety initiatives – all of these and many other efforts can improve safety for specific populations or for the community as a whole. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

MENTAL HEALTH: Community mental health centers and adult day care can be extremely important not only to people with mental health issues, but also to their families and to the community as a whole

Financial and Political Implications

Recently, much policy attention has been focused on the use of personal financial incentives to effect changes in health related behavior. Examples include schemes aimed at helping smokers to quit, people to eat healthily, and to adhere to their medication. On the other hand, incentive schemes all place individual choice and responsibility for personal behavior at the center of policy, and it is arguable that they are more respectful of autonomy than alternative, more frankly coercive or structure‐ rather than agency‐focused approaches to population health. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Feasibility of the Project

Hypertension is a highly prevalent risk factor for cardiovascular disease, and its early identification and management results in reductions in morbidity and mortality. My objectives were to: (1) determine the extent to which the emergency department (ED) has been used to screen patients for undiagnosed hypertension; (2) estimate the incidence of undiagnosed hypertension in the Town and Country population; (3) identify and describe the programs for hypertension screening; and (4) determine the feasibility of hypertension screening programs and the requirements for further study. An online search of databases (i.e., OVID Search, CINAHL, Scopus, Web of Science), unpublished sources (i.e., ProQuest Dissertation & Theses and Papers First), and a manual search of the reference lists of relevant studies was also completed. Hypertension screening in the ED is feasible. Individuals with elevated blood pressure (BP) in the ED should be referred for follow‐up. Further study is needed to develop a screening tool that is predictive of persistently elevated BP in undiagnosed individuals. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Provision of Alternate Plan and Interventions

Create coalitions and pursue health promotion education with community leaders to create health initiatives that teach chronic disease prevention strategies. The following elements should be included: Create education programs and materials for older adults to make necessary changes in diet. Teach patient to ask about medications that have been prescribed for him or her. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Refer patient and family to community resources that may offer assistance to the patient when

needed.

Role of Change Agent

Communication is at the center of all advocacies, getting the message out there, gaining the support of stakeholders and the public and putting pressure on decision makers will make the difference. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Implementation

Encourage patient to maintain a diary of food intake, including when and where eating takes place and the circumstances and feelings around which the food was eaten. Refer to dietitian as indicated. Instruct and assist in appropriate food selections, such as a diet rich in fruits, vegetables, and low-fat dairy foods referred to as the DASH Dietary Approaches to Stop Hypertension) diet and avoiding foods high in saturated fat (butter, cheese, eggs, ice cream, meat) and cholesterol (fatty meat, egg yolks, whole dairy products, shrimp, organ meats). NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Evaluation of the Project

Health resource utilization was collected by self-report as the number of hospitalizations, emergency room (ER) visits, and physician office visits during the study period. Pharmacist recommendations were collected, categorized, and evaluated for physician acceptance. From the patient perspective, nurses provided tailored educational services and home BP monitoring equipment to engage them in their hypertension care. From the physician perspective, nurses provided information regarding medication use and home BP measurements and collaborative patient care occurred. Importantly, physicians were willing to work with nurses to improve patient care. Clearly, this strategy would not be effective if either the physician or nurse was not willing to collaborate. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Implications to Nursing Practice in the Local Community

A community health nurse can reach out to the president, council members, and

community leaders of Town and Country in an effort to reach out to the community via meetings, seminars, and school presentation, which will facilitate community education and bring about awareness about major community issues. The need for more accessible health insurance and screening clinics, as well as increased health education needs to be

implemented. Similarly, the importance of regular doctor’s visits and health screenings should

be emphasized through community health initiatives. The elderly may be in need of services

like home health aides, assisted living, or tele-health technology. Utilizing community

resources and health initiatives would enable the neighborhood to be educated as well as be

involved in disease management which will bring about positive changes. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Implications to Nursing Practice and Global Health

Global health work is complicated by a variety of factors.  First, the local environment of each target community varies widely, each presenting unique challenges to the delivery of health care.  This means that education efforts must be locally conceived, tailored, and implemented.  Secondly, barriers to accessing care are widespread and require innovative strategies to overcome them.  Third, the healthcare field is complex in nature, requiring trained professionals and follow-up care to ensure adherence to drug regimens. In order for global health programs to be effective, these complexities must be recognized, understood and addressed. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Summary, Recommendations and Conclusion

Continued improvement and increased participation in health initiatives, improved cleanliness, increased income, community safety, and continued access to healthcare are all long term elements that should continue to be addressed. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

References

Campinha-Bacote, J., (January 31, 2003). "Many Faces: Addressing Diversity in Health Care".

Online Journal of Issues in Nursing. Vol. 8 No. 1, Manuscript 2. Available: www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContent

Volume82003/No1Jan2003/AddressingDiversityinHealthCare.aspx

The Provider's Guide to Quality and Culture http://erc.msh.org/quality&culture

National Center for Cultural Competence (NCCC) www.georgetown.edu/research/gucdc/nccc/

Transcultural and Multicultural Health Links http://web.nmsu.edu/~ebosman/trannurs/index.shtml

Thomas, Stephen B., Michael J. Fine, and Said A. Ibrahim. "Health Disparities: The Importance of Culture and Health Communication." Am J Public Health Dec 2004 Web.23 Jun 2009.

Edward O’Neil Jr., A Practical Guide to Global Health Service (American Medical Association, 2006), 24. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Running head: CAPSTONE COMMUNITY AGGREGATE PAPER 16

Running head: CAPSTONE COMMUNITY AGGREGATE PAPER 21

N:\3. RN-BSN Completion Program\RN to BSN Curriculum\RN to BSN WPB\NSG4075\2015_4 - Fall\Items to Upload to eCompanion\4-TEMPLATE.Capstone Project Paper.docx

Appendices

Appendix A

Housing The age of the housing range from 1965-1990. The urban area has several new retail centers that keep themselves busy and well maintained. Very few people have been seen walking around or on the street. The majority of the community is Hispanics and a small American influence is noted too. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments
Public Spaces Pollo Tropical. KFC. Taco Bell. Joe¶s Sports Bar and Grill appeared crowed.

 

Itwas located in Afton Park and is a place for sports fans to come together on the weekend or after work. It was advertising the NCAA basketball tournament. There were severalshopping plazas, with Concord Mills being themost popular. Many people (especiallyteenagers) walk around the mall as a way tosocialize. Children were observed playing onthe playground at the elementary schoo

Joe¶s Sports Bar and Grill appeared crowed. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

 

Itwas located in Afton Park and is a place for sports fans to come together on the weekend or after work. It was advertising the NCAA basketball tournament. There were severalshopping plazas, with Concord Mills being themost popular. Many people (especiallyteenagers) walk around the mall as a way tosocialize. Children were observed playing onthe playground at the elementary school.The common areas, particularly located near Lowe¶s Motor Speedway and Concord MillsMall, appeared welcoming and open to the public. It was inferred that this is related to thedraw of people from all over the region, stateand country to these venues

Joe¶s Sports Bar and Grill appeared crowed. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

 

Itwas located in Afton Park and is a place for sports fans to come together on the weekend or after work. It was advertising the NCAA basketball tournament. There were severalshopping plazas, with Concord Mills being themost popular. Many people (especiallyteenagers) walk around the mall as a way tosocialize. Children were observed playing onthe playground at the elementary school.The common areas, particularly located near Lowe¶s Motor Speedway and Concord MillsMall, appeared welcoming and open to the public. It was inferred that this is related to thedraw of people from all over the region, stateand country to these venues

Joe¶s Sports Bar and Grill appeared crowed. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

 

Itwas located in Afton Park and is a place for sports fans to come together on the weekend or after work. It was advertising the NCAA basketball tournament. There were severalshopping plazas, with Concord Mills being themost popular. Many people (especiallyteenagers) walk around the mall as a way tosocialize. Children were observed playing onthe playground at the elementary school.The common areas, particularly located near Lowe¶s Motor Speedway and Concord MillsMall, appeared welcoming and open to the public. It was inferred that this is related to thedraw of people from all over the region, stateand country to these venues

Joe¶s Sports Bar and Grill appeared crowed. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

 

Itwas located in Afton Park and is a place for sports fans to come together on the weekend or after work. It was advertising the NCAA basketball tournament. There were severalshopping plazas, with Concord Mills being themost popular. Many people (especiallyteenagers) walk around the mall as a way tosocialize. Children were observed playing onthe playground at the elementary school.The common areas, particularly located near Lowe¶s Motor Speedway and Concord MillsMall, appeared welcoming and open to the public. It was inferred that this is related to thedraw of people from all over the region, stateand country to these venues

Joe¶s Sports Bar and Grill appeared crowed. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

 

Itwas located in Afton Park and is a place for sports fans to come together on the weekend or after work. It was advertising the NCAA basketball tournament. There were severalshopping plazas, with Concord Mills being themost popular. Many people (especiallyteenagers) walk around the mall as a way tosocialize. Children were observed playing onthe playground at the elementary school.The common areas, particularly located near Lowe¶s Motor Speedway and Concord MillsMall, appeared welcoming and open to the public. It was inferred that this is related to thedraw of people from all over the region, stateand country to these venues

Joe¶s Sports Bar and Grill appeared crowed. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

 

Itwas located in Afton Park and is a place for sports fans to come together on the weekend or after work. It was advertising the NCAA basketball tournament. There were severalshopping plazas, with Concord Mills being themost popular. Many people (especiallyteenagers) walk around the mall as a way tosocialize. Children were observed playing onthe playground at the elementary school.The common areas, particularly located near Lowe¶s Motor Speedway and Concord MillsMall, appeared welcoming and open to the public. It was inferred that this is related to thedraw of people from all over the region, stateand country to these venues

Parks Trail
Culture and Entertainment AMC theater. Town and Country library
Street Use Very few people walking on the street.
Commercial Activity A mix of large and small businesses: grocery stores and supermarkets, pharmacies, and other stores that provide necessities in all parts of the community
Signs There are signs directing people to various parts of the community (downtown, museums, highways, etc.) in English and Spanish. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments
Industry Water plant.
Land Use Major roads or railroad tracks divide neighborhoods, but spaces are well distributed.
Infrastructure The community seems to be equally served by electricity, water, phone, fiber optic, wastewater treatment, waste disposal, and other infrastructure services.
Public Transportation The primary method of transportation is the car, with a very few sidewalks so walking is not a viable mean. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments
Traffic Private cars mostly
Environmental Quality The air does not smell of smoke, garbage, car exhaust, chemicals, industrial waste, etc… and the water in streams, ponds and lakes seem reasonably clear.
Race/Ethnicity. The majority of the community is Hispanics and a small American influence is noted too.
Faith Communities Most of the religious establishments are Catholics but the community shows homogeneity in religious preferences.
Health Services There are two main hospitals and several clinics in the community with easy accessibility.
Community And Public Services There are identifiable community service providers and organizations such as mental health centers, food banks, homeless shelters, welfare offices, etc…easily to reach by public transportation.
Community Safety Police and fire stations are located within the community, in good repair and the community in general is well-lit at night.
Public Schools Schools are in different neighborhoods in noticeably different states of repair.
Higher Education There are two- and four-year colleges and/or universities in the community located near to Dale Mabry. They seem open to the community.
Political Activity Few political campaign posters were posted on houses or in store windows.
Community Organizations Evidence is there of organizations in the community such as Masons.
Media No local media outlets found.
Differences Among Neighborhoods Or Areas Of The Community There are some differences among different parts of the community: stores, public and other buildings, streets, etc…in which the areas seem neglected, while others are clearly maintained. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments
Over-All Impression of the Community My overall impression of the community is good and safe.

Appendix B

Gordon's Functional Health Patterns

Client’s general health: Patient diagnosed with HTN.DMII and Dementia.

Any colds in the past year? Pneumonia

Most important things you do to keep healthy? None

Use of cigarettes, alcohol, drugs? Cigarette smoker for 15 years

Perform self-exams, i.e. testicular self-examination? No

Accidents at home, work, school, driving? None

In past, has it been easy to find ways to carry out doctor’s or nurse’s suggestions? (If

appropriate)NSG 4076 Health Promotion and Clinical Prevention Essay Assignments - No

What do you think caused current illness? I do not like to exercise or been in a diet.

What actions have you taken since symptoms started? None

What things are most important to your health? No answer

Typical daily food intake? Rice, beans, pork, pasta, bread, buttermilk, juice

Typical daily fluid intake? 4 glasses (8oz) of water.

Appetite? Good

Food or eating: Discomfort, swallowing difficulties, diet restrictions, able to follow? Low

Sodium

Healing problems – None

Examination (examples of objective data):

Weight loss/gain? Weight gain (20lbs) NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Height loss/gain? 5’6’’

Skin problems: Dryness

Dental problems? Dentures

Temp. 97.9F

Abdominal assessment.

Soft and non-tender. LBM 04/18/18. Protuberant. Problems with constipation.

Urine: yellow, clear. Denies any urgency, frequency or retention.

This pattern centers on activity level, exercise program, and leisure activities.

History (subjective data):

Sufficient energy for desired and/or required activities? I do not have energy to do anything

Exercise pattern? Type? regularity? None

Spare time (leisure) activities? I like to sleep most of the day

Perceived ability for feeding, grooming, bathing, general mobility, toileting, and home

maintenance, bed mobility, dressing and shopping? Minimal Assistance needed

Examination (examples of objective data): NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Gait: Unsteady

Posture: Normal

Range of motion (ROM) joints: Good

Hand grip – Strong and equal

Respiration: 20

Blood pressure: 160/90

General appearance: Well groomed

Cardiac assessment: No murmurs. Regular heartbeat.

Respiratory assessment: LCTA

Assesses sleep and rest patterns.

History (subjective data):

Generally rested and ready for activity after sleep? Somnolence

Sleep onset problems? None

Sleep routine? 7 hours

Sleep apnea symptoms? None

Assesses the ability of the individual to understand and follow directions, retain

information, make decisions, and solve problems. Also assesses the five senses.

History (subjective data): NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Hearing difficulty? Impaired

Hearing aid? None

Vision? Normal

Wears glasses? Yes

Last checked? I do not remember

Any change in memory? Disoriented to time. Confused. Forgetful.

Concentration? Easily distracted

Important decisions easy/difficult to make? Difficult to make

Easiest way for you to learn things? Visual

Pain? Arthritis

Examination (examples of objective data):

Language spoken: Spanish

Vocabulary level: 12 Grade

Attention span: Fair. Long term

How do you describe yourself? Most of the time, I feel good

Anxious? : Sometimes. NSG 4076 Health Promotion and Clinical Prevention Essay Assignments

Depressed? No

Eye contact: Yes

Voice and speech pattern: Calm and fluently

Body posture: Relaxed

Genogram

Mr. J.P resides in small ALF with 5 other residents. He is widowed, no children and family

history of cardiac problems.

NSG 4076 Health Promotion and Clinical Prevention Essay Assignments