1
San Antonio
School of Nursing
WBU Mission Statement
Wayland Baptist University exists to educate students in an academically challenging, learning-focused and distinctively
Christian environment for professional success and service to God and humankind.
Community and Public Health Nursing NURS 4535
Summer 2014
Theory Syllabus
WBU School of Nursing Mission Statement
The Wayland Baptist University School of Nursing derives its Mission from the Mission of Wayland Baptist University
which is to educate students in an academically challenging, learning focused and distinctively Christian environment for
professional success, lifelong learning and service to God and humankind. The School of nursing strives to prepare
baccalaureate nursing graduates that are competent and caring in the delivery of patient care in a diverse health care
environment.
Faculty
Course Coordinator:
Susan E. Richardson, RN, MSN, Assistant Professor
Course Faculty:
Susan E. Richardson, RN, MSN, Assistant Professor
Office Phone: (210) 486- 5810
Email: alecozays@wbu.edu (best way to contact me)
Office Hours: Phone meetings are available upon request.
Alamo University Center, 8300 Pat Booker Road, Live Oak, Texas 78233
Office: Rm. 221
Class Schedule:
On-line, blackboard and discussion board and assigned.
Catalog Description
The focus of this course is the presentation of key concepts, theories, and issues relevant to practice as a public
health/community health nurse. This course will explore the major concepts and conceptual issues underlying
the specialty of community-oriented nursing, including the dimensions of public health and community health
nursing. The course is intended to assist students in clarifying conceptual issues in the specialty and in
beginning to develop positions on critical health care issues including access to care, disparities, vulnerable
populations, health promotion across the lifespan and the implementation and progress of Health People 2020
National Health Objectives. CREDIT: 3 Credit hours. PROGRAM LEVEL: III
Prerequisites
Must have successfully completed all nursing courses offered in semesters one through six.
Required Textbooks/Materials
Allender, J., Rector C. and Warner K. (2014). Community & Public Health Nursing: Promoting the Public's
Health (8th Edition). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams and Wilkins
ISBN-10: 1609136888 | ISBN-13: 978-1609136888
Pender, N. & Murdaugh, M. (2011). Health Promotion in Nursing Practice (6th Edition). New York: Pearson
ISBN-10: 0135097215 | ISBN-13: 978-0135097212
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Recommended Textbooks/Materials
American Psychological Association. (2010). Publication Manual of the American Psychological Association
(6th Edition). Washington, DC: Author
Course Outcomes Competencies
At the end of the course, the student will be able to:
1. Use the nursing process to provide comprehensive health care for diverse client populations within the
community
2. Assess and assist in the implementation of community based care
3. Design health promotion strategies for individuals, families and aggregates.
4. Demonstrate compliance with the ANA Standards of Care in choices related to nursing care of clients in
the community.
5. Use critical thinking in analyzing contemporary issues related to the delivery of community-oriented
nursing care.
6. Collaborate with other health care team members when assessing, planning, implementing and
evaluating comprehensive care for clients in the community.
Attendance Requirements
The University expects students to actively participate in the online course. There are no scheduled meetings.
All information pertaining to then course is on the virtual campus website. The blackboard software effectively
measures participation. Logging in is your attendance record.
Disability Statement
In compliance with the Americans with Disabilities Act of 1990 (ADA), it is the policy of Wayland Baptist University
that no otherwise qualified person with a disability be excluded from participation in, be denied the benefits of, or be
subject to discrimination under any educational program or activity in the university. The Coordinator of Counseling
Services serves as the coordinator of students with a disability and should be contacted concerning accommodation
requests at (806) 291-3765. Documentation of a disability must accompany any request for accommodations.
Evaluation and Grading
A point system is used to determine the grade the theory portion of Community and Public Health Nursing.
A = 90-100
B = 80-89
C = 75-79
D = 60-74
F = 59 and below
Must have an average of 75% to pass this course
Exam #1
Exam #2
The four exams will be worth:
Exam #3
Exam #4
Final Exam
Community Health Assessment Power Point
Discussion Board
Proctored ATI Exam
Total
25%
20%
20%
10%
25%
100%
ATI Proctored Exam:
Level III
100%
Level II
80%
Level I
60%
below Level 1 40%
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Final grade will be rounded to the nearest .10 decimal place. .5 and above rounds to the NEXT whole number.
For example: If your grade is 89.49 the grade will be rounded to 89.4 which equals a ‘B’. 89.50 will be rounded
to 89.5 which rounds to 90 which equals an “A”.
Exams
Exam dates and content will be published in the course syllabi. A blueprint will be prepared by the faculty and
distributed to the student prior to the exam. There will not be a blueprint for the final comprehensive exam. The
blueprint will provide the student with the subject content, the number of questions in that subject area and the
type of question. Each question will be categorized according to Blooms revised taxonomy by cognitive level:
remember, understand, apply or analyze. For more information on Bloom’s revised taxonomy see:
http://www.celt.iastate.edu/teaching/RevisedBlooms1.html
In the event a faculty must change a test date, they will notify the students as soon as possible.
Make-up Exams
A student should contact his/her instructor and let them know that they will miss the exam. If you do not contact the
instructor, you will not be allowed to take a make-up exam. The exam must be completed within one week from date of
missed exam. The make-up exam will not be the same exam as given on a scheduled exam day and there will be no blue
print for make-up exams.
Discussion Board
You will be required to participate in discussion board each week. Topics for discussion will be posted on
discussion board. You will be required to submit 2 posts per week. Each post must have a citation from the
nursing literature to receive credit (one reference may be from the text, the other must be from a nursing
research journal). You must post on discussion board by 11:59 PM on the due date. No late entries will be
accepted. You must meet all the above requirements in order to receive full credit for discussion board.
Community Health Assessment Presentation
Students will be required to research a specific population/problem according to the guidelines provided. You
must prepare a power point presentation conveying your findings and present your research to your clinical
instructors by submitting it electronically through blackboard. See eight rules for power point presentations
below. This activity fulfills requirements for both the didactic and clinical areas. You must include all items in
guidelines to receive credit: there will be deductions for any missing items! This assignment counts as one of
your clinical grades, as well as one of your theory grades and will be averaged in with grades from your clinical
assignments and class.
Clinical
You will be required to conduct and submit a written report of 8 activities and complete a community health
assessment to fulfill the requirements for the clinical experience. See clinical handbook for list of activities. You
must meet all the requirements for writing up these activities in order to receive credit for these assignments.
Assignment will be due on a weekly basis: see course calendar for due dates. The assignments will be submitted
electronically through blackboard. You will be in danger of clinical failure if assignments are not turned in on
time. There will be a deduction of 10 points per day for late assignments. The clinical portion of the course is on
a pass/fail basis and must be passed to pass the course. A rubric for grading these assignments will be posted in
blackboard. The level three clinical evaluation forms will be used to determine the students pass or fail
performance for this course. You must pass clinical with an 85 or better (per the Board of Nursing). You must
pass the clinical portion of this course in order to pass.
Policy on Academic Integrity.
Standards of academic honesty are expected. Academic dishonesty includes, but is not limited to, cheating,
plagiarism, counterfeit work, unauthorized reuse of work, theft, and collusion.
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Date
Week # 1
5/26-6/1/14
6/1/14
Week #2
6/2-6/8/14
6/8/14
Week # 3
6/9-6/15/14
6/11/14
6/15/14
Week # 4
6/16-6/22
6/22/14
Week #5
6/23-6/29/14
6/25/14
6/29/14
Week #6
6/30-6/6/14
6/6/14
Week #7
7/7-7/13/14
7/9/14
7/13/14
Week #8
7/14-7/20
7/20/14
Week #9
7/21-7/27/14
Week #10
7/28-8/3/14
7/30/14
TBA
Week #11
8/4-8/10/14
8/6/14
Course Outline/Calendar
Topic/Event
Chapters 1 & 3: Community & Public Health Nursing: Promoting the Public's Health
Chapters 1 : Health Promotion in Nursing Practice
Discussion Board post also due.
Chapters 7 & 8: Community & Public Health Nursing: Promoting the Public's Health
Chapter 2: Health Promotion in Nursing Practice
Discussion Board Post due by midnight
Chapters 9 & 10: Community & Public Health Nursing: Promoting the Public'sHealth
Chapters 3: Health Promotion in Nursing Practice
Exam 1:
Chapters 1, 2, 7, 8, 9, 10: Community & Public Health Nursing: Promoting the Public's
Health
Chapter 1- 3: Health Promotion in Nursing Practice
Clinical Assignment # 1/Discussion Board Post due by midnight
Chapters 11 & 12: Community & Public Health Nursing: Promoting the Public's Health
Chapters 14 & 15: Health Promotion in Nursing Practice
Clinical Assignment # 2/Discussion Board Post due by midnight
Chapters 15: Community & Public Health Nursing: Promoting the Public's Health
Chapters 4 & 5: Health Promotion in Nursing Practice
Exam 2:
Chapters 11, 12, 15: Community & Public Health Nursing: Promoting the Public's Health
Chapters 4, 5, 10, 11 : Health Promotion in Nursing Practice
Clinical Assignment # 3/Discussion Board Post due by midnight
Chapters 16 & 17: Community & Public Health Nursing: Promoting the Public's Health
Chapters 14 & 15: Health Promotion in Nursing Practice
Clinical Assignment # 4/Discussion Board Post due by midnight
Chapters 18, 19 & 23: Community & Public Health Nursing: Promoting the Public's Health
Chapters 12: Health Promotion in Nursing Practice
Exam 3:
Chapters 16, 17, 18, 19 & 23: Community & Public Health Nursing: Promoting the Public's
Health (8th Edition).
Chapters 12, 14 & 15 : Health Promotion in Nursing Practice (6th Edition).
Clinical Assignment # 5/Discussion Board Post due by midnight
Chapters 24, 25, 26: Community & Public Health Nursing: Promoting the Public's Health
Chapters 13: Health Promotion in Nursing Practice
Discussion Board Post due by midnight.
Chapters 28, 29, 30 & 32: Community & Public Health Nursing: Promoting the Public's
Health
Exam 4: Chapters
Chapters 24, 25, 26, 28, 29, 30 &32: Community & Public Health Nursing: Promoting the
Public's Health
Chapter 13: Health Promotion in Nursing Practice
Community Health Proctored ATI Exam- Will take place on last clinical weekend.
Final Comprehensive Exam
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Student Responsibilities:
Students are adult learners and responsible for self-directed study to complete this course. Check postings on
blackboard each week, learn to use blackboard postings provided by professors, as they are intended to increase
your professional nursing knowledge bank. Learn to become a resource broker, speak professionally and use
citations, it is part of professional nursing. Assignments and presentation have due dates and points will be
reduced if not punctual. The profession of nursing requires punctuality in documentation and attendance. It
also requires reliability as fellow staff and administration rely on you to come to work prepared. Patients rely
on you to know the current state of their health and current professional standards. Citations and references are
to be used and documented using the professional citation of nursing, APA (5th edition) format.
Student Conduct:
(This is a statement of conduct standards. It is enforced in conjunction with the Discipline Policy and
Substance Abuse Policy found elsewhere in this handbook.) Wayland proudly adheres to high standards of
intellectual, moral, ethical, and spiritual values. Convinced that self-discipline is more desirable than outside
force and that the truly educated person must pursue what is right under all circumstances, Wayland entrusts
each student with the solemn obligation of preserving these standards.
However, in the light of revelation, reason, and the custom of the Christian community from which Wayland
has sprung, certain practices are evaluated:
1. Personal integrity in keeping with New Testament standards is expected of all students.
2. Respect for the property, knowledge, and rights of other people must prevail.
3. The use or possession of alcoholic beverages and/or illegal drugs is forbidden.
4. Gambling, hazing, and the on-campus possession of firearms or deadly weapons are prohibited. BB Guns and
Paint Ball Guns are also prohibited.
5. The use of tobacco by students is discouraged, though permitted in certain designated areas of the campus. In
consideration of the rights of others and the requirements of safety, such areas are designated.
The authority of the University is exercised over all student groups or organizations bearing the name of the
university, or any student enterprises to the extent necessary to safeguard the good name and well being of
Wayland. Specifically, each student is expected to conduct himself in such a manner as to uphold, not detract
from, the good name of Wayland Baptist University. If one feels that he/she cannot subscribe to the moral and
social practices of the University, he/she will find greater acceptance elsewhere.
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Standards of Professional Nursing Practice
(BON 213.27, 217.11, 217.12) Please refer to the Board of Nursing at www.BON.state.tx.us for any additional
information regarding the Texas Nurse Practice Act.
1. Knows rationale for side effects of medications and treatments, and correctly administers same. 217.00
(1)(c).
2. Documents nursing care accurately and completely, including signs and symptoms, nursing care
rendered, medication administration. Contacts health care team concerning significant events in patient
health. 217.11 (1) (d).
3. Implements a safe environment for patients and/or others. 217.11 (1) (b).
4. Respects client confidentiality. 217.11 (1)(e).
5. Accepts assignments commensurate with educational level, preparation, experience and knowledge.
217.11(1)(t).
6. Obtains instruction and supervision as necessary when implementing nursing procedures and practices.
217.11(1)(h).
7. Notifies the appropriate supervisor when leaving an assignment. 217.11 (1) (I).
8. Recognizes and maintains professional boundaries of the nurse/patient relationship. 217.11 (1)(J).
9. Clarifies orders, treatments, that the nurse has reason to believe are inaccurate, non-effective or
contraindicated. 217.11 (1)(N).
10. Able to distinguish right from wrong. 213.27 (b)(2)(A).
11. Able to think and act rationally 213.27(b)(2)(B).
12. Able to keep promises and honor obligations 213.27(b)(2)(C).
13. Accountable for own behavior 213.27(b)(2)(D).
14. Able to promptly and fully self-disclose facts, circumstances, events, errors and omissions when these
disclosures will enhance health status of patients or protect patients from unnecessary risk or harm.
213.27(b)(2)(G).
Reading Assignments and Learning Objectives
Will be added prior to beginning of semester.
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Guidelines for Community Health Assessment
Assessment Focus:
Select a census tract representing a neighborhood located in your clinical area. Gather a broad range of
assessment data pertaining to this location.
I.
II.
Identify the defining geopolitical entity to be assessed (census tract).
Population Characteristics
Data may be found by searching the following websites: local & state health departments; CDC; and
United States Census Bureau.
A. Demographic characteristics: gender, age, ethnicity (race), income, employment, education
levels: must include all of six (6) of these components to receive full credit.
1. Comparison of all six components in your census tract over time: 2000 to 2010. Note: If you
can not find specific data for your census tract, collect data from the city your census tract is
located in.
2. Comparison of all six components in your census tract to larger relevant populations, such as
the city you live in, the county, state, or nation. Note: If you can not find specific data for
your census tract, collect data from the city your census tract is located in and compare it to
the state or nation.
III.
Neighborhood environment in which client population resides
Data for this section can come from your windshield survey; interviews with residents and key
informants (local police & fire personal, business and industry leaders, community officials, local
disaster planning groups, department of transportation officials, insurance company representatives
and local church leaders).
A. Housing of population in location.
1. Type
2. Condition
3. Adequacy
4. Sanitation
5. Safety hazards.
 Risk of lead based paint? (this would be in houses built before 1978).
B. Public resources available to population in your census tract:
 Water supply
 Sanitation
 Protection: location/distance to nearest fire/police departments
 Transportation: type, availability, cost, adequacy.
 Parks/recreational: type, availability, cost, adequacy
 Restaurants/ grocery stores available to community? Nutritional value of products
served/sold?
C. Schools:
 Schools serve the census tract: elementary, middle school, high School
 Safety hazards
D. Significant environmental factors or hazards:
 Water pollution
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 Air pollution (air quality)
 Noise pollution
 Pollution form local industry
 Stray animals
 Traffic conditions
 Street lighting
 Sidewalks: Present? Condition?
 Roads: Condition?
 Crime rate

E. Means of communication available to client population:
 Communication (from Latin communis, meaning to share) is the activity of conveying
information through the exchange of thoughts, messages, or information, as by speech,
visuals, signals, writing, or behavior. It is the meaningful exchange of information
between two or a group of person.
 Four Types of Communication: verbal, non-verbal, written, visual
G. Local community leaders and projects related to improving the community
IV.
Health Information
Data for this section can be found on websites of local & state health departments; CDC; and
Department of Health and Human Services
A. Vital statistics: births, mortality, morbidity rates:
1. Comparison over time: 2000 to 2010.
Note: If you can not find specific data for your census tract, collect data from the city your
census tract is located in.
2. Comparison to larger relevant populations, such as the city you live in, the county, state, or
nation.
Note: If you can not find specific data for your census tract, collect data from the city
your census tract is located in and compare it to the state or nation.
B. Leading relevant health indicators including numbers and rates:
 Health indicators are quantifiable characteristics of a population which researchers use as
supporting evidence for describing the health of a population.
 Examples: life expectancy, acute and chronic illnesses, behaviors such as smoking/alcohol
consumption, diet and activity
C. Other identified health problems
D. Analyze findings and discuss implications drawing from text and relevant articles
V.
Health Resources
A. Health resources available to local population
B. Health resources lacking
C. Local public health resources and initiatives
VI.
Diagnoses – Write 2 community diagnoses (follow guideline for writing a community diagnosis
provided)
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VII. Plan: Must be specific to the population in your census tract
A. Develop a plan for the community health nurse to address each problem in this local neighborhood.
B. Utilize finding from 2 research articles for each problem, as well as your textbook to support your
plan.
C. Be very specific about how your plan could be implemented in this local neighborhood.
D. Discuss the consistency of your findings and plan with those of Healthy People 2020.
E. Address how interventions can be evaluated.
VIII. References:
A. References must be fully cited in correct APA format.
B. A minimum of 15 sources is required
1. Five of these resources must be form the nursing literature
2. One must be from a personal interview (see clinical activities)
C. References must be on the last slide(s) of your power point.
 Do not forget to cite your references on the individual slides.
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Community Health Assessment
Rubric for Power Point Presentation
Nurs 4535 – Community Health
Objectives
1. Presenter demonstrates knowledge of community assessed:
 All content throughout the presentation is accurate.
 There are no factual errors.
 Thoroughly explains all points
 Uses own words to convey understanding of content
Will look for notes on note page to determine if these objectives have
been met, so you should submit your power point with the note page
view.
2. Includes at least fifteen outside sources:
 5 from nursing research/EBP
 1 reference must be from a personal interview
 references fully cited in correct APA format
 references must support content presented
 reference sheet attached to the back of the poster.
3. Visual Aides (Power Point):
 Information is organized in a clear, logical way and follows rules
for power point presentations.
 Includes all information needed to give a good understanding of
the topic.
 All graphics are attractive (size and colors) and support the topic
of the presentation.
 Font formats (color, bold, italic) have been carefully planned to
enhance readability and content.
 Presentation has no misspellings or grammatical errors.
5. Content:
 See next page.
Total Points
Possible
Points
10
5
5
80
100
Points
Received
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Objectives
Identify the defining geopolitical entity to be assessed (census tract).
Population Characteristics:
 Demographic characteristics :sex, age, race, and ethnicity, including income, employment,
education levels (must include all of these demographic characteristics to receive full credit for
comparisons over time and to a larger population)
 Comparisons over time (2000 and 2010).
 Comparisons to larger relevant populations, such city, county, state, or nation.
Neighborhood environment in which client population resides
(most of this information would come from your windshield survey).
 Housing of population in location
 Public resources: sanitation, protection, transportation, and parks/recreation.
 Schools
 Significant environmental factors or hazards
 Means of public communication available to client population
 Local community leaders and projects
Health Information
 Vital statistics (two time periods and comparative location)
 Comparison over time (2000 and 2010)
 Comparison to larger relevant population, such as city, county, state or nation
 Leading relevant health indicators including numbers and rates
 Comparison over time (2000 and 2010)
 Comparison to larger relevant population, such as city, county, state or nation
 Other identified health problems
 Analyze findings and discuss implications drawing from text and relevant articles
Health Resources
 Health resources available to local population
 Health resources lacking
 Local public health resources and initiatives
Diagnoses
 #1
 Correct Format
 Data presented supports diagnosis
 #2
 Correct Format
 Data presented supports diagnosis
Plan: Develop a plan to address each problem (diagnosis) in census tract
 #1
 Writes appropriate objective for population in census tract
 Plan is specific to census tract
 Discusses consistency of plan with those of Healthy People 2020
 Utilizes 2 research articles and textbook to support plan
 Address how interventions can be evaluated
 #2
 Writes appropriate objective for population in census tract
 Plan is specific to census tract
 Discusses consistency of plan with those of Healthy People 2020.
 Utilizes 2 research articles and textbook to support plan
 Address how interventions can be evaluated
Total Points for this Section
Possible
Points
2
6
6
2
2
2
2
2
2
3
3
3
3
2
4
2
2
2
2
4
2
4
2
2
2
2
1
2
2
2
2
1
80
Points
Received
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Eight Rules for Better PowerPoint Presentations.
1. Remember that you are the presenter, not PowerPoint. Use your slides to emphasize a point, keep
yourself on track, and illustrate a point with a graphic or photo. Don’t read the slides.
2. Don’t make your audience read the slides either. Keep text to a minimum (6-8 lines per slide, no more
than 30 words per slide). The bullet points should be headlines, not news articles. Write in sentence
fragments using key words, and keep your font size 24 or bigger.
3. Make sure your presentation is easy on the eyes. Stay away from weird colors and busy backgrounds.
Use easy-to-read fonts such as Arial and Times New Roman for the bulk of your text, and, if you have to
use a funky font, use it sparingly.
4. Never include anything that makes you announce, “I don’t know if everyone can read this, but….” Make
sure they can read it before you begin. Print out all your slides on standard paper, and drop them to the
floor. The slides are probably readable if you can read them while you’re standing.
5. Leave out the sound effects and background music, unless it’s related to the content being presented. If
you haven’t made arrangements with the conference coordinator before your presentation, your audience
members might not be able to hear your sound effects anyway. The same goes for animated graphics and
embedded movie files. Your sounds and animated graphics will not be functional on the synchronized
version of your webcast.
6. Sure you can make the words boomerang onto the slide, but you don’t have to. Stick with simple
animations if you use them at all. Remember that some of your audience may have learning disabilities
such as dyslexia, and swirling words can be a tough challenge. These animations will not be functional
in the webcast version.
7. Proofread, proofread, proofread.
8. Practice, practice, practice. The more times you go through the presentation, the less you’ll have to rely
on the slides for cues and the smoother your presentation will be. PowerPoint software allows you to
make notes on each slide, and you can print out the notes versions if you need help with pronunciations
or remembering what comes next.