Department of Nursing & Health Professions Bachelor of Science in Nursing Program BSN Student Clinical Practice Experience Guide 10.27.21 BSN Student Clinical Practice Experience Guide Greetings BSN Students: Congratulations on taking the next step in your nursing education. To further facilitate your success toward the completion of your bachelor’s degree, please carefully review the following information regarding preparation for your upcoming NUR 350: Community and Population Health Clinical Practice Experience (CPE) course. Prior to start of the CPE course: • Please review the information provided regarding the upcoming Health Education Activity that will be completed as part of a direct clinical practice experience in NUR 350: Community and Population Health. • Identify a CPE mentor and site in your state of residence • Complete the required mentor and site approval paperwork (This paperwork must be dated and submitted to the Sonia system within the first four weeks of term prior to the intended start of the NUR 350 course term). • Please submit required forms via the Sonia Clinical Tracking System (SnhuBSNnursing.sonialive.com). • The BSN placement officer must grant you approval on your identified CPE mentor and site in order for you to begin NUR 350. If a suitable mentor, site, and appropriate documentation for the CPE Health Education Activity is not presented to the placement officer within the identified pre-approval deadline, the student will not be eligible to take the course in the upcoming term. All identified forms in Sonia must be completed by the pre-approval deadline date that coincides with the NUR 350 term as identified on the BSN Sonia landing page. (SnhuBSNnursing.sonialive.com) Students are required to join their NUR 350 term group in the term prior to the start of their NUR 350 course. Once students have joined their term placement group, students will utilize the Sonia system to submit their selected mentor’s CV/resume, Nursys RN verification or healthcare provider license information, mentor’s job description, and ‘Clinical Practice Experience Acknowledgement’ form. All required documents must be current (dated within the four-week pre-approval period) in order to be approved by the BSN placement officer. Students who do not meet the pre-CPE requirements within the four-week pre-term deadline will be removed from the placement group. Students who are removed will then need to join a placement group for a subsequent term. All forms will need to be updated and resubmitted in the subsequent placement group for review during the next pre-term approval period. It is strongly recommended that students start the Sonia pre-CPE approval process as soon as possible (once they are eligible to join the term placement group) in order to ensure timely completion. Students should not select clinical practice experience sites that require an affiliation. Congratulations on your success to date and continued best wishes! The Undergraduate Nursing Team 10.27.21 NUR 350 CPE Timeline 10.27.21 Table of Contents BSN CPE Guide for Mentors and Nursing Students .................................................................................... 5 Welcome ....................................................................................................................................................... 5 University Mission ........................................................................................................................................ 5 Mission of the Nursing Department .............................................................................................................. 5 Vision of the Nursing Department ................................................................................................................ 5 Philosophy of the Nursing Department ......................................................................................................... 5 BSN Program Outcomes ............................................................................................................................... 6 General Course Information ......................................................................................................................... 6 Clinical Practice Experience (CPE) Information: ..................................................................................... 7 Mentor, Student, Faculty Roles ................................................................................................................ 8 Mentor Role .......................................................................................................................................... 8 Student Role .......................................................................................................................................... 9 SNHU Course Faculty Role ................................................................................................................ 12 Ethics, Dispositions, Proficiencies, and Professional Standards Policy and Procedure for Professional Practice Programs ....................................................................................................................................... 12 References ................................................................................................................................................... 12 Necessary Document Examples .................................................................................................................. 13 Appendix A ............................................................................................................................................. 14 Appendix B ............................................................................................................................................. 15 Appendix C ............................................................................................................................................. 16 Appendix D ............................................................................................................................................. 17 10.27.21 BSN CPE Guide for Mentors and Nursing Students Welcome This guide has been written for both the SNHU BSN student as well as the student’s mentor. To the SNHU bachelor’s nursing student, congratulations on taking this next step in your scholarly career. To the Mentor, thank you for serving as Mentor to our nursing student for their clinical practice activity. We greatly appreciate the time and energy you spend with our students and recognize that you make a significant difference in preparing outstanding nurses. This guide is meant to assist both the bachelor’s nursing student and the mentor during the clinical practice experience. Thank you, The SNHU Undergraduate Nursing Team University Mission Southern New Hampshire University transforms the lives of learners. Our success is defined by our learner’s success. By relentlessly challenging the status quo and providing the best support in higher education, Southern New Hampshire University expands access to education by creating high quality, affordable and innovative pathways to meet the unique needs of each and every learner. Mission of the Nursing Department Southern New Hampshire University Nursing is committed to empowering students to be successful leaders, prepared to promote a culture of health within a diverse society and responsive to meet the challenges of an ever-evolving healthcare system. Vision of the Nursing Department Southern New Hampshire University Nursing is recognized for preparing reflective thinkers who motivate collaboration as innovative leaders, to promote quality and safety in healthcare to meet the needs of a diverse society. Philosophy of the Nursing Department At Southern New Hampshire University, we view the students in our online nursing programs as respected colleagues who come to the learning environment with their own unique views of the world and nursing. Students are valued for the contributions they bring to the learning environment and are appreciated for their diverse values and beliefs. Students are viewed as both learners and learning resources. 10.27.21 BSN Program Outcomes SNHU’s Registered Nurse (RN) to BSN program prepares the registered nurse with the core knowledge, attitude, skills, and abilities to confront complex healthcare challenges in nursing. The coursework provides the nurse with the core competencies essential to practice as recommended by American Association of Colleges of Nursing (AACN). The design of the program is based upon transformational learning theory which promotes critical reflection and autonomous thinking. The goal is to educate the nurse to function effectively in the workforce to improve health outcomes of individuals and communities. Graduates of the Bachelor of Science in Nursing Program will demonstrate mastery of the following program outcomes (POs): BSN-PO.1: Apply skills in using patient care technologies, information systems, and clinical decision support tools to promote safe nursing practice and quality patient outcomes BSN-PO.2: Utilize evidence-based practice in planning, implementing, and evaluating outcomes of care BSN-PO.3: Formulate strategies to promote health and prevent disease in individuals and populations across the lifespan BSN-PO.4: Implement patient safety and quality initiatives within the complex clinical microsystem using leadership and communication skills BSN-PO.5: Analyze trends in healthcare policy, finance and regulatory environments and their implications for healthcare access, equity, and affordability BSN-PO.6: Evaluate life-long learning and nursing engagement to promote personal and professional transformation Students enrolled in the Bachelor of Science in Nursing program are required to complete eight clinical practice experience (CPE) hours while enrolled in NUR-350. General Course Information In keeping with SNHU’s over-arching mission of providing a high quality, transformational and affordable experience, the NUR 350 Community and Population Health course permits the student to advance knowledge through assessment, analysis, and intervention recommendation for a group or community. The NUR 350 Community and Population health course strives to incorporate the AACN Essentials (2021), those being: Domain 1: Knowledge for Nursing Practice 10.27.21 Domain 2: Person-Centered Care Domain 3: Population Health Domain 4: Scholarship for Nursing Discipline Domain 7: Systems-Based Practice This course incorporates Global Health Competencies per the Consortium of Universities for Global Health (CUGH), those being: Domain 1: Global Burden of Disease Domain 2: Globalization of Health and Healthcare Domain 3: Social and Environmental Determinants of Health Domain 5: Collaboration, Partnering, and Communication Domain 7: Professional Practice Domain 10: Sociocultural and Political Awareness Learners within the course will meet the following course outcomes: • • • • • Plan targeted, population-based interventions for diverse and vulnerable populations across the lifespan by applying principles of community health Analyze the interrelationships among theory, practice, and research for their implications on community and population health Assess the impact of local, regional, and national conditions on the delivery of nursing services to vulnerable populations Analyze the effects of healthcare policy on improvement of healthcare outcomes for diverse populations across the lifespan Identify social determinants of health through a comprehensive assessment of resources at the local, regional, and national levels Clinical Practice Experience (CPE) Information: NUR 350 Clinical Practice Experience Health Education Activity Information Students will be required to complete eight hours of Clinical Practice Experience (CPE) in NUR-350. The CPE for this course will be a Health Education Activity that you will plan, implement, and evaluate. This activity is separate from other assignments within the NUR 350 course. It is important to understand that the CPE is not equivalent to shadowing a preceptor for eight hours, and students will not be providing direct physical patient care. Instead, nursing students will accrue hours throughout the process of assessing their community and developing a health education activity. Students will plan, implement, and evaluate the effectiveness of their developed Health Education Activity with their chosen vulnerable population. Students will be assessing a vulnerable population and providing an educational activity for healthcare professionals on that vulnerable population. As discussed in the text, vulnerable 10.27.21 populations can be defined as those groups who have an increased risk for developing adverse health outcomes. A vulnerable population group is a subgroup of the population that is more likely to develop health problems as a result of exposure to risk or have worse outcomes from these health problems than the rest of the population. Examples of a qualifying health education activity include a presentation to the staff at a senior center on incorporating daily physical activity, teaching elementary instructors on health eating habits or methods of incorporating physical activity into the classroom setting, or a presentation on cultural competence for a rehab setting. Clinical practice experiences are defined in the AACN White Paper: https://www.aacnnursing.org/Portals/42/News/White-Papers/RN-BSN-Expectations-WhitePaper.pdf The student must have an identified mentor who is able to provide oversite for the health education activity experience. Mentor, Student, Faculty Roles Please see additional information regarding the individual requirements for the mentor, student, and faculty roles as described below. Mentor Role Mentor Expectations and Responsibilities The Mentor should possess the following qualifications: • Be a licensed nurse or healthcare provider who is able to provide oversight for the clinical practice experience. • Provide an active unencumbered license in the state, whereas, the Clinical Practice Experience (CPE) is located • Be an expert in his/her current position in the organization. The Mentor agrees to the following: • Will provide the student with a current CV/resume, proof of licensure (Nursys Quick confirm full report or healthcare provider license number), and job description for current position. (If a job description is not available, please provide a brief written description of current job role/responsibilities). • Provide student with knowledge of the facility rules and regulations, policies and procedures, guidelines and facility protocols when working with the CPE project. • Provide adequate site orientation to facility. • Review professional conduct, dress code, proper identification and all criteria to meet the needs and guidelines of this facility. • Plan schedule with student to meet to discuss CPE expectations and goals. • Provide support and guidance as a positive role model and leader. 10.27.21 • Provide ongoing input and constructive feedback to enhance the student’s learning experience. Provide a safe learning environment. Provide close supervision to ensure a positive outcome. Immediate notification of the clinical faculty of any incident involving the student. • • • The Mentor recognizes that: • The NUR-350 CPE focuses on developing the student’s ability to utilize the Nursing Process and to recommend positive change for health issues in community groups. • The NUR-350 CPE involves identification of a vulnerable population, utilization of the Nursing Process, development of a Health Education Activity, and evaluation of the healthcare professional’s experiences as identified in the Acknowledgement Form. • The Mentor is prohibited to be the student’s immediate superior, such as, manager or supervisor. • The Mentor is prohibited to be a blood relative or relative by marriage. Student Role Student Expectations and Responsibilities The student recognizes that the NUR 350 course and CPE experience addresses the following areas (See AACN Essentials, 2021): • • • • Basic Organizational and Systems Leadership for Quality Care and Patient Safety Scholarship for Evidence-Based Practice Healthcare Policy, Finance, and Regulatory Environments Clinical Prevention and Population Health The NUR-350 CPE focuses on developing the student’s ability to utilize the Nursing Process and to recommend positive change for health issues in community groups. The NUR-350 CPE involves identification of a vulnerable population, utilize the Nursing Process, develop a Health Education Activity and evaluate the community groups receptiveness to the activity. The NUR-350 CPE will not include direct patient care or shadow experiences as identified in the Acknowledgement Form. Criteria for site selection: The site must offer community health related services. e.g. acceptable clinical practice experiences may include but are not limited to long term care centers, community support groups, pregnancy support centers, Red Cross or local shelter/aid resources. The student is able to choose a mentor from current employment, however, must be outside of normal work area and hours. 10.27.21 Criteria for choosing a mentor includes: The Mentor must be a licensed nurse or healthcare provider who is able to provide oversight for the clinical practice experience. The Mentor must possess an active unencumbered license in the state, whereas, the Clinical Practice Experience (CPE) location resides. The Mentor must be an expert in his/her current position in the organization. The Mentor is prohibited to be your immediate superior, such as, manager or supervisor. The Mentor is prohibited to be a blood relative or domestic partner. Criteria for CPE health education activity: For this activity, you will first review available data and demographics for your local area, then choose a vulnerable population to assess, diagnose their need, then plan, implement, and evaluate a health education activity as a response to the need. The health education activity must be presented to healthcare professionals. Examples of a qualifying health education activity include a presentation to the staff at a senior center on incorporating daily physical activity, teaching elementary instructors on health eating habits or methods of incorporating physical activity into the classroom setting, or a presentation on cultural competence for a rehab setting. Other examples of organizations that may be a good fit for this activity include (but are not limited to) a local shelter or aid resource, pregnancy support centers, community support groups, federally qualified health centers, etc. You may not engage in direct physical patient care as part of your clinical practice experience. You are not to be given patient-care assignments, access protected health information, or complete a “shadow” of your mentor for the direct CPE hours. Preparing for the CPE Experience In preparation for the CPE experience: Upon BSN enrollment (or preceding NUR 350), students will receive email to welcome to the SNHU BSN Sonia system. Students will access the Sonia system and review the CPE Guide. As students prepare for NUR 350, they will identify a potential practicum site and mentor for completion of the CPE experience. 10.27.21 In the term preceding NUR 350, students will access their placement group within the Sonia system and submit required pre-term documents. Students must submit the following documents in order to receive pre-term approval for the NUR 350 CPE: Required FORMS 1. NUR 350 Clinical Practice Experience Acknowledgement Form with the designated mentor’s information and signature (Appendix A) 2. The mentor’s CV/resume (the CV/resume must be current and reflect the mentor’s current job position within the organization) 3. Job description or a written synopsis of the current job duties 4. Nursys QuickConfirm full PDF RN verification report (or healthcare provider license Information). Students may not begin CPE activities until NUR 350 begins. During the CPE experience During the CPE Experience, the student agrees to the following course requirements & professional standards: Initiate initial contact with Mentor. Give the Mentor a copy of this document and the NUR-350 course syllabus. Maintain professional comportment as representative of the nursing profession and SNHU Nursing & Health Professions department. Wear a facility identification (as required by the facility) when completing the CPE experience and have SNHU ID available. A SNHU student identification may be purchased using the following link: https://my.snhu.edu/Offices/COCE/Advising/Pages/COCEStudentIDRequest.aspx Adhere to all HIPAA regulations and all confidentiality requirements of the health care facility where the clinical practice experience is taking place. Adhere to agency policies and procedures at all times. Develop CPE schedule in collaboration with designated Mentor. Adhere to the schedule agreed upon with Mentor and notify Mentor in advance of absence. Be accountable for their own learning experiences and actions while in the setting. Maintain open communication with the Mentor and SNHU faculty. 10.27.21 Collaborate with the Mentor to achieve course outcomes and targeted student goals. Engage in CPE opportunities supported by Mentor guidance. Submit the practicum log in Sonia and within the NUR 350 course (Appendix B). Submit the Letter of Attestation regarding the completion of the Health Education Activity within Sonia and the NUR 350 course. (Appendix C) Complete and submit the evaluation of the Clinical Facility/Agency form within Sonia and NUR-350 Sonia (Appendix D) SNHU Course Faculty Role Expectations and Responsibilities: Be available to the Mentor to answer questions or concerns throughout the student’s CPE experience. Assist the student and mentor to optimize the CPE experience. Review the practicum log in the Brightspace course (See Appendix B). Review the Letter of Attestation in the Brightspace course (See Appendix C). Ethics, Dispositions, Proficiencies, and Professional Standards Policy and Procedure for Professional Practice Programs Southern New Hampshire University supports professional practice standards and behaviors aligned with regulatory and legal standards. Students enrolled in professional practice programs at SNHU will be required to demonstrate compliance with applicable professional organizations standards and code of ethics throughout their enrollment in the program. These ethics, dispositions, proficiencies, and professional standards are a critical component of the academic program and review under this policy is conducted under the academic authority of the program. See: ANA Code of Ethic References American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing education. https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf 10.27.21 Necessary Document Examples Appendix A: Nursing Clinical Practice Experience Acknowledgement Form Appendix B: Practicum Log Appendix C: Letter of Attestation Appendix D: Clinical Facility Evaluation Form 10.27.21 Appendix A NUR 350 Clinical Practice Experience Acknowledgement Form I confirm I am a nurse or healthcare provider who will be mentoring _____________________, a student of Southern New Hampshire University, during her/his Health Education Activity experience, as described below at _________________ facility, and I will provide oversight of the experience. This experience activity will consist of eight clinical practice hours utilizing the Nursing Process where the student will be required to assess a vulnerable population, diagnose a need, and then plan, implement, and evaluate a health education activity as a response to the need. A vulnerable population can be defined as those groups who have an increased risk for developing adverse health outcomes. Please note: Students will not be providing direct patient care. This activity should focus on assessing a vulnerable population and providing education to healthcare professionals on this population. Students should not be assessing individual patients or their personal records, rather assessing a vulnerable group within the community. It is the responsibility of the individual facility to provide HIPAA training as needed for the student. Description of Activity: Please provide a description of the planned health education activity, including the audience it will be presented to. _________________________________________________________________________________________ __________________________________________________________________________________________ Term Date for Health Education Activity: _________________________________________________ The Health Education Activity will be completed in the following state:________________________ Mentor Full Name and Healthcare Credentials (printed):____________________________________________ Title of Mentor: _______________________________________________________________________ Contact Information (Phone/Email): Work:____________________Cell:____________________Email:__________ Mentor signature: ___________________________________ Date: __________________ Student Signature___________________________________Date_________________ By signing above, I, the student, give permission for the course instructor to contact the mentor by phone or email to check on my progress. The course instructor provides a digital signature upon the grading of the Clinical Practice Experience Acknowledgment Form. 10.27.21 Appendix B NUR 350 Module Five Health Education Activity Planner and Log In each section below, write one to two paragraphs, double-spaced. For full instructions, review the Module Five Health Education Activity Guidelines and Rubric document. Instructions: Fill out the time log below for each activity you complete while working on your health education activity. This includes time spent on each step of the nursing process. You should plan to spend two hours assessing and diagnosing, three hours planning, and one hour each implementing, evaluating, and reflecting. Your log likely won’t be broken down into such neat pieces, but we strongly encourage you to record the time as you complete it. If you spend 1.5 hours planning one night, and then another 1.5 hours planning another night, please record them separately. TIME LOG Date Hours Activity Where does this activity fit into the nursing process? How does this activity connect to the course objectives? Date Hours Activity Where does this fit into the nursing process? How does this activity connect to the course objectives? Date Hours Activity Where does this activity fit into the nursing process? How does this activity connect to the course objectives? 10.27.21 Appendix C Letter of Attestation for Clinical Practice Hours This letter confirms that Ms./Mr. _______________________________ met with me for the health education activity described in the NUR 350 CPE Acknowledgement Form. During the clinical practice experience, the student utilized the nursing process to assess a vulnerable population, diagnose a need, and planned, implemented, and evaluated the health education activity in response to the need. The student did not provide direct patient care. The student met with me at __________________________________ (name of organization) located in the state of _________________ (indicate state) on _____________ (date). Signature of Leader: Print Name: Title: Organization: Phone: Email: Date: 10.27.21 Appendix D NUR 350 Student Evaluation of Facility All students are required to complete an evaluation of the facility where his/her Health Education Activity was performed. This evaluation is confidential and will not be disclosed with the facility. This information will allow insight for Southern New Hampshire University (SNHU) Nursing Department, to assess the quality and efficacy of facilities across the board, for needs of improvements and/or immeasurable opportunities for our future students. Please use the scale provided below to evaluate your experience of the facility where you completed your Health Education Activity. Written comments are encouraged 1 – Strongly Disagree 2 – Disagree 3 – Neutral 4 – Agree 5 – Strongly Agree Student Name: __________________________________________________________ Name of Facility: _________________________________________________________ Date: ____________________ This facility provided me adequate 1 information on its mission, purpose, culture, policies, and procedures for me to be able to enhance my learning experience. Comments The employees were supportive and 1 receptive to my experience. The experience and assignment were valuable in meeting my learning goals and objectives. I recommend this facility to future students. 2 3 4 5 2 3 4 5 Comments 1 2 3 4 5 Comments 1 2 3 4 5 Comments Please briefly describe your overall experience: _____________________________________________________________________________________ _____________________________________________________________________________________ ______________________________________________________________ 10.27.21