TERNOPIL STATE MEDICAL UNIVERSITY

TERNOPIL STATE MEDICAL UNIVERSITY

INSTITUTE OF NURSING

DEPARTMENT OF CLINICAL IMMUNOLOGY, ALLERGOLOGY

AND GENERAL PATIENT CARE

 

 

“CONFIRMED”

Vice-rector of tsmu

Prof. Ihor R. Mysula

M.D., Ph.D, d.m.

27.06.2009

 

SylLabus: FALL 2009

 

COMMUNITY AND PUBLIC HEALTH NURSING

for 2^nd year foreign students to be taught in field – 1101 Medicine

 Specialty 6.110100 “Nursing”

Educational – Qualification level – Bachelor

 

Structural Academic Plan

 

Prepared by                                                                Nataliya Haliyash, MD, BSN

 

The program was discussed at Department meeting. Minute № 17 from June 12, 2009.

The Head of department                                                  Prof. I. Ya. Hospodarsky

 

The program was confirmed at Nursing School cycle methodological commission.

Minute №___6____ from __June 23, 2009__

The Head of commission                             As. Prof. S.O. Yastremska, Ph.D, BSN

 

Ternopil 2009

Faculty:

Nataliya Haliyash     MD, BSN

room No.:   Nursing 06

office telephone No.:  +380 352 430927

office hours:   posted or additional by appointment

e-mail: [email protected]

 

I.          COURSE DESCRIPTION

 

Provides study of the patterns of a community and the nurse’s role in promoting and preserving the health of the population as a whole.

 

 

Two 2 hrs lectures per week (for 16 weeks: Sept 1 – Dec 19) 

US Credit hours: 3

ECTS credits: 2

UA: Total hours 62

        Contact hours: 48

        Lecture hours: 48

        Practical classes’ hours (clinical): 0

        Student independent work: 14

 

II.    COURSE APPROACH

 

This course introduces students to the theoretical concepts of community and population based community health nursing practice. Emphasis will be on promotion of community health with focus on community theories, the history of community health nursing, community health nursing models, community health nursing roles, biostatistics and epidemiological standards of community health nursing practice, political processes and practices basic to community health nursing practice, critical evaluation of community health nursing research, environmental health, and health care delivery systems. The student will assess, diagnose, plan, intervene and evaluate the health status of individuals, families, groups, and communities within urban and rural settings, with emphasis on health promotion and disease prevention at the community level.

           

III.    COURSE OBJECTIVES

 

Upon completion of this course, the participant will be able to:

 

Competency

1. Communicate clearly about community health theory and practice to other health professionals.
2. Use community health theory and concepts in clinical practice.

Critical Thinking

3. Analyze current community health nursing theories and models.

4. Analyze the concept of community: structures, models, processes, resources, health, and aggregate health.

5. Analyze the structure and function of the health care delivery system in providing care on international, national, state and local levels.

6. Evaluate research applicable to community health nursing.

7. Analyze the influence of policies/political processes impacting community health nursing.

8. Evaluate ethical problems that pertain to community health nursing.

9. Analyze the concept of population-based community health nursing practice.

10. Analyze the consequences of the historical background of community health nursing on modern practice.

Caring

11. Analyze caring on the community level.

Culture

12. Evaluate cultural issues in community health nursing practice.

Communication

13. Communicate clearly about community health theory and practice to other health professionals.

Health

14. Evaluate the history, principles, and practices of community health nursing in relation to the health of communities.

15. Analyze the health of individual, family & community interactions and linkages to promote, maintain, and restore the health of communities.

16. Evaluate the principles of primary, secondary and tertiary prevention/intervention in meeting the health needs of families and communities across the health-illness continuum.

Environment

17. Integrate community health concepts and principles of epidemiology in communicable disease, chronic disease, and social dysfunction.

18. Compare and contrast settings where population-focused community health nursing is practiced

19. Analyze environmental health hazards in relation to the health of communities.

Learning-Teaching

20. Evaluate models, concepts, and methods of community education.

Professionalism

21. Compare and contrast the past, present and future roles of the professional nurse in community settings.

 

IV.       COURSE OUTLINE

 

The following topics will be covered:

Module 1. Perspectives and Health Care Delivery Community Health Nursing
1.   Community Based Nursing	Objectives Describe what is meant by population-focused practice. State the mission and function of public health nursing. Discuss community health nursing practice in the 19th and 20th centuries. Discuss Nightingale’s role, and Lillian Wald’s and Mary Breckenridge’s role in the development of community based nursing.	TEXTBOOK READING Chapters 1, 2	Multiple choice module test 1 (Date TBA)
2.   Perspectives in Health Care Delivery	Objectives Describe trends in the United States that are affecting Health Care Identify levels of economic theories Analyze the major components of health care reforms Identify the factors indluencing health care economics Trace the role of government and other payers in health care financing	Chapters 3, 5
3.   Influences on Health Care Delivery and Community Health Nursing	Objectives Identify the relationship of ethical rules and principles in community health nursing practice. Discuss the application of ethical principles in community health nursing practice. Discuss client’s rights in our health care system. Demonstrate “advocacy” in community health nursing. Describe the major governmental functions in Health Care Describe how nurses ,can shape health policy by participating in the regulation-making Process and the political arena. Identify laws that impact community health nursing.	Chapters 6, 9
Module 2. Conceptual Framework Applied to Community Health Nursing
1.      Organizing Frameworks	In this module we will analyze current community health nursing theories and models. We will analyze the concept of community: structures, models, processes, resources, health, and aggregate health. We will evaluate the principles of primary, secondary and tertiary prevention/ intervention in meeting the health needs of communities across the health-illness continuum. We will also compare and contrast settings where population-focused community health nursing is practiced. Objectives * Define theory, model, and conceptual model * Identify uses of conceptual models iursing. * Understand nursing process as applied to community health	Chapter 10	Multiple choice module test 1 (Date TBA)
2.      Community as Client	Objectives: * Describe components of the Community as Partner Model * Understand nursing process as applied to community health. * Use the nursing process in select community settings.	Chapter 15, 18, 19
Module 3. Community Health Nurses: Roles and Functions
1.      Roles and Functions of the Community Health Nurse	CHN as Clinician CHN as Educator CHN as Advocate CHN as Manager CHN as Collaborator CHN as Leader CHN as Researcher	Chapters 12 and 13; review Chapter 1	Multiple choice module test 1 (Date TBA)
2.      Settings for Community Health Nursing	Home Health and Hospice Care Community Health in the Schools Occupational Health Other Community Health Nursing Roles	Chapters 40, 43, and 42;  review Chapter 18
Module 4. Promoting and Protecting the Health of Populations and Groups
1.      Cultural Aspects of Community Health Nursing	Objectives: Discuss the importance of cultural competence to community health nursing. Discuss barriers to developing cultural competence.	Chapter 7	Multiple choice module test 2 (Date TBA)
2.      Community and Public Health Nursing in Rural Environments	Objectives: Discuss definitions rural vs. urban Compare and contrast health status of rural vs. urban Discuss community resources, interactions, and linkages to promote, maintain, and restore the health of communities	Chapter 16
3.      Vulnerable Populations	Objectives  Define vulnerability Describe vulnerable population groups Analyze the effects of public policy on vulnerable populations. Give examples of how a community health nurse might plan interventions for vulnerable groups. Analyze the concepts of poverty and homelessness. Describe the social, political, cultural, and environmental factors that influence Poverty. Discuss community health nursing interventions for poor and homeless individuals.	Chapters 31, 32, 33, 37
Module 5. Environmental Health and Epidemiology
1.      Communicable Disease -Health Risk and Prevention	International Health Perspective Transmission of Communicable Diseases Surveillance of Communicable Diseases Prevention and Control of Communicable Diseases Community Health Nurses role in Prevention and Provision of Services Immunizations – Risks, Benefits	Chapters 4, 38, 39	Multiple choice module test 3 (Date TBA)
2.      Epidemiology – Applications in Community Health Nursing	Basic concepts of Epidemiology Methodology Data, Morbidity, Mortality Common epidemiological study designs Agent, Host, Environment triad The Role of the Community Health Nurse	Chapter 11
3.      Environmental Health	Overview of external Hazards, Hazardous substances, Environmental concerns Linking Environmental exposures to Disease Environmental Health Assessment Environmental Health Resources Nursing and Environmental Health – Advocacy and Education	Chapter 8

 

V.     REQUIRED TEXTBOOKS

Stanhope, M., & Lancaster, J. (2000). Community and Public Health Nursing (5th Edition) St. Louis: Mosby.

 
Stanhope, M., & Lancaster, J. (2006). Foundations of Nursing in the Community: Community-Oriented Practice (2^nd Edition) St. Louis: Mosby-Elsevier.

 

Recommended Optional Materials/References

 

Hitchcock, J.E., Schubert, P.E, & Thomas S.A. (1999) Community Health Nursing: Caring in Action /  Delmar.

American Psychological Association. (1994) Publication Manual of the American Psychological Association (4th ed.). Washington, DC: Author.

 
See required Websites:

http://www.health.gov/healthypeople/.

www.health.state.mn.us/divs/chs/phn/definitions.pdf

 

Course Website – Log in @ http://www.tdmu.edu.te.ua/ukr/general/index.php

VI.      STUDENT RESPONSIBILITIES

 

1.         The instructional work is designed for class attendance and participation. Students are responsible for the content of all classes as outlined in the course syllabus. This includes any information provided through announcements related to policies or academic activities.

2.         The following are thought to facilitate and enhance group learning:

            a.         Being present and on time for class

            b.         Open discussion of selected topics

            c.         Maintenance of distraction free environment

            *Pagers and cell phone use during class is not permitted.

3.         Students participation will be facilitated through critical thinking exercises, i.e. individual/group presentations, and class discussion.

4.         Students are expected to complete assigned readings prior to class. Class time will be used to discuss, clarify and supplement written materials. The student is responsible for the assigned content.

5.         Students are expected to be present for all scheduled tests. In the event that a student is unable to attend a scheduled test, the student must:

a.       Notify the faculty member regarding absence PRIOR to the scheduled time for the test. In the event of an emergency on the day of the test, notify the faculty member as soon as possible.

b.      Faculty reserve the right to change the test format when giving make-up test.

6.         It is the responsibility of the student to inform the faculty member of any circumstance that warrants the extension of special accommodations.

7.         All written work must be completed and submitted as scheduled in order to pass the course. Failure to complete work as assigned may result in a grade of Incomplete in the course.

 

VII.     COURSE REQUIREMENTS / EVALUATION:

 

A.        Course Requirements

                        1.         See course outline for specific reading assignments

                        2.         Multiple choice examinations

                        3.         On-Line Exercise

                       4.         Student’s Power Point Presentation

 

           

B.        Final Grade Calculation

Multiple choice module tests (3) ……………………………………………………….. 45 %

On-Line Exercise …………………………………………………………………………….. 15 %

Student’s Power Point Presentation ……………………………..……….15 %

Final Multiple Choice Examination ………………………………..……25 %

 

 

C.        Class Attendance

1.         Attendance of all classes’ sessions is required in order to receive credit for the course. All absences should be made up during next two weeks.

2.         Specific attendance guidelines

            a.         Failure to attend an entire lecture or practical constitutes one full absence.

           b.         Lectures start at 9.00 am sharp.

3.         Presentations will be presented during class time.  Groups of students will work together on these projects.  Students should select their groups carefully.  Each member of a group presentation will be given the same grade.  Each member of the group must show evidence of participation during the presentation.   Time limit to be determined based oumber of groups.

           

             D.      Grading Scale

                       

1-12 Points Grade (TSMU)	% of points	Amount of right answers (of 60)	Amount of right answers (of 100)	Letter Grade (US)	1-5 Mark (UA)
“12”	97-100	60-58	97-100	A+	5+ (Excellent)
“11”	93-96	57-55	93-96	A	5 (Excellent)
“10”	89-92	54-52	89-92	A–	5– (Excellent)
“9”	85-88	49-51	85-88	B+	4+ (Good)
“8”	81-84	48-46	81-84	B	4 (Good)
“7”	76-80	45-43	76-80	C+	4 – (Good)
“6”	72-75	42-40	72-75	C	3+ (Satisfactory)
“5”	68-71	39-37	68-71	D+	3 (Satisfactory)
“4”	64-67	36-34	64-67	D	3 – (Satisfactory)
“3”	60-63	33-31	60-63	F	2 (Failed)
“2”	61 & less	30 & less	61 & less	F	1 (Failed)

 

       

VIII.       Course Content: Lectures

 

N	Theme	Contact hours	Instructor	Date
1.	Community Based Nursing. Perspectives in Health Care Delivery	2	Dr. N. Haliyash	September 8, 2009
2.	Influences on Health Care Delivery and Community Health Nursing	2	Dr. N. Haliyash	September 11, 2009
3.	Organizing Frameworks applied to Community Health Nursing	2	Dr. N. Haliyash	September 17, 2009
4.	Epidemiologic and Research Applications	2	Dr. N. Haliyash	September 22, 2009
5.	Epidemiology, Demography – Applications in Community Health Nursing.	2	Dr. N. Haliyash	September 25, 2009
6.	Theories applied to Community Health Nursing.	2	Dr. N. Haliyash	October 1, 2009
7.	Models and Concepts applied to Community Health Nursing.	2	Dr. N. Haliyash	October 6, 2009
8.	Conceptual models: The Omaha System, Neuman System Model	2	Dr. N. Haliyash	October 9, 2009
9.	Community As Client: The Nursing process in the promotion of Health	2	Dr. N. Haliyash	October 15, 2009
10.	Settings for Community Health Nursing	2	Dr. N. Haliyash	October 20, 2009
11.	The Nursing Center: A Model for Community Health Nursing Practice.	2	Dr. N. Haliyash	October 23, 2009
12.	Case Management	2	Dr. N. Haliyash	November 3, 2009
13.	Roles and Functions of the Community Health Nurse	2	Dr. N. Haliyash	November 5, 2009
14.	Cultural Diversity and Community Oriented Nursing Practice	2	Dr. N. Haliyash	November 9, 2009
15.	Ethical Quandaries in Community Health Nursing	2	Dr. N. Haliyash	November 10, 2009
16.	Informatics and Community Health Nursing	2	Dr. N. Haliyash	November 12, 2009
17.	Community and Public Health Nursing in Rural Environments	2	Dr. N. Haliyash	November 16, 2009
18.	Vulnerable Populations. Poverty and Homelessness.	2	Dr. N. Haliyash	November 18, 2009
19.	Vulnerable Populations. AIDS and cancer patients	2	Dr. N. Haliyash	November 20, 2009
20.	Promoting Healthy Partnerships with Community Elders	2	Dr. N. Haliyash	November 23, 2009
21.	Communicable Disease -Health Risk and Prevention	2	Dr. N. Haliyash	November 26, 2009
22.	Environmental Health	2	Dr. N. Haliyash	November 30, 2009
23.	Teen Pregnancy. Conception through adolescence.	2	Dr. N. Haliyash	December 1, 2009
24.	Violence and Human Abuse	2	Dr. N. Haliyash	December 3, 2009
	Together	48

 

IX. COURSE CONTENT: Student Independent Work

 

#	Theme	Hours	Instructor
1	Community-Based Care	2	Dr. N. Haliyash
2	Cultural Aspects of Health	2	Dr. N. Haliyash
3	Substance Abuse	2	Dr. N. Haliyash
4	HIV, Hepatitis B Virus, and Sexually Transmitted Diseases	2	Dr. N. Haliyash
5	CHN in the Community	3	Dr. N. Haliyash
6	End-of-life Care	3	Dr. N. Haliyash
	Together	14

 

 

 Prepared by                                                                    Nataliya Haliyash

 

June 8, 2008

 

Approved by Department of Clinical Immunology, Allergology and General Patient Care. Minute № 17 from June 12, 2008.

Revised by Department of Clinical Immunology, Allergology and General Patient Care. Minute № 17 from June 12, 2009.

 

 

The Head of department                                                  Prof. I. Ya. Hospodarsky