Week 2 Discussion

Week 2: Omaha System Case Study & Home Visiting

Go to Omaha System Case Studies:

https://www.omahasystem.org/casestudies

The case studies are listed at the bottom of the page (Emma, Janice, Francis, Bill, John, Julie, Tamika, or Joe). Choose one of the case studies and use your textbooks and other resources to answer the following questions:
1. What key criteria will the PHN need to consider for a successful first visit?
2. How will the PHN establish and maintain professional boundaries?
3. What is an ethical challenge that the PHN may encounter with the client?
4. How does the scope of PHN practice guide the responsibilities of the public health nurse in the chosen case study?
5. Identify key communication skills to assure respectful interaction with the client.
6. Describe the components of the nursing process in the planned home visit?
7. Identify components of a Family Assessment that could be used to assess this individual/family (refer to Family Assessment tools used in Nurs 362).
8. Identify priority problems for this individual/family.
9. Identify a plan and nursing interventions for this individual/family. Expand on what was written in the case study.
10. Identify a plan to evaluate the problem outcome.

N482W Calendar Spring 2023 – 8 Week 1st Session

Week

Topic

Assigned Content/Readings

Discussion Topic

Written Assignments/

Quiz Due

Due Sunday by 11:59pm in assignment dropbox (unless otherwise specified)

Week 1

January

9-15

Introduction to Public Health Nursing

Savage (2020) Chapters 1

&

2

Schoon et al. (2019) Chapter 1 & 2

Review resources in content area

Watch N482W orientation video

Public Health Nursing Online Orientation Training link:
http://www.phtc-online.org/learning/pages/catalog/oph/

Introductions

Foundation for public health nursing

Group Discussion

Watch the orientation and experiential learning videos located in the content area under “Course Orientation & Experiential Learning Assignment Videos.”

Assignment & Quiz:

1. Online Public Health Nursing Certificate [see syllabus p. 16; scan or take a screen shot and upload to D2L]

2. Quiz 1 (online)

3. Read and reply to the discussion titled RN-BS Program Academic Honesty Pledge & Waiver

Week 1: Group Discussion

1. Help your classmates get to know you as a person, nurse, and community member. Share yourself–For example, where do you work? If someone were to visit your town or your state for the first time, what are your top two recommendations of things to do, places to eat, or sights to visit? Tell us about your family. What are your future nursing goals? Tell us about your local community.

2. Complete a draft of your potential experiential learning assignment preparation worksheet and attach to your discussion post. If you are having difficulty identifying activities, ask your peers for suggestions. This is only the first week, so your draft worksheet may change and will most likely be updated. So, don’t panic if your draft has “holes” in it. This discussion will help you start to think about your experiential learning.

Note: All group discussions are asynchronous in D2L. The initial post is due by midnight, Wednesday and responses to at least two of your group members by midnight, Sunday. Refer to the discussion grading rubric on p. 6 of the syllabus for further guidelines.

Week 2

January

16-22

Applying the Nursing Process

Individual/

Family Level

Home Visiting Preparation

Schoon et al. (2019) Chapters 3, 5, 6, 8, 10, & 11

Review resources in content area

Select one Omaha Case Study from:
https://www.omahasystem.org/casestudies

Case studies are listed on right hand side (9 to choose from).

For preparation for home visit (see assignment in content area), consider who you may choose for your home visiting client in your community, an older adult with functional limitations or MCH – prenatal/postpartum family?

1. If your chosen client will likely be an older adult

· Read Savage (2020) Chapter 19 Health Planning for Older Adults

· Visit NIH National Institute on Aging:
https://www.nia.nih.gov/health

2. If your chosen client will likely be a MCH client

· Read Savage (2020) Chapter 1

7

Health Planning for Maternal-Infant and Child Health Settings

Visit U.S. Center for Disease Control:
https://www.cdc.gov/reproductivehealth/index.html

Omaha System Case Study & Home Visiting

Group Discussion

Assignment:

Preparation for Home Visit Worksheet [see syllabus p. 17-20]

Week 2: Group discussion

Go to Omaha System Case Studies:
https://www.omahasystem.org/casestudies

The case studies are listed on right hand side (Emma, Janice, Francis, Bill, John, Julie, Tamika, or Joe). Choose one of the case studies and use your textbooks and other resources to answer the following questions:

1. What key criteria will the PHN need to consider for a successful first visit?

2. How will the PHN establish and maintain professional boundaries?

3. What is an ethical challenge that the PHN may encounter with the client?

4. How does the scope of PHN practice guide the responsibilities of the public health nurse in the chosen case study?

5. Identify key communication skills to assure respectful interaction with the client.

6. Describe the components of the nursing process in the planned home visit?

7. Identify components of a Family Assessment that could be used to assess this individual/family (refer to Family Assessment tools used in Nurs 362).

8. Identify priority problems for this individual/family.

9. Identify plan and nursing interventions for this individual/family. Expand on what was written in the case study.

10. Identify plan to evaluate problem outcome.

Week 3

January

23-29

Public Health Nursing Interventions

Community Level

Savage (2020) Chapters 13, 15, & 16

Schoon et al. (2019) Chapters 2, 7, & 9

Review resources in content area, and resources for evidence-based interventions.

· View the 2030 Healthy People Topics/Objectives:
https://health.gov/healthypeople/objectives-and-data

Familiarize yourself with the public health agency where you reside or a nearby agency (their website would be a great place to start).

Community Programs

Group Discussion

Assignment:

Interview of school nurse, public health nurse, faith community nurse, occupational health nurse, or correctional facility nurse [see syllabus p. 33-36]

Week 3: Group Discussion

Community Program Evaluation [Please note the activities in this discussion are associated with your experiential learning hours]

1. Identify your county public health department in the community in which you reside or nearby.

2. List 5 programs offered by your county public health agency and indicate which specific HP 2030 objectives they address (not topic area).

3. Select one program to explore more in-depth. Describe the program. Describe how this program is meeting the needs of the community. Include statistical data on the priority health concern being addressed. Identify program objectives or goals/mission and vision.

4. Describe how the program is evaluated. If you cannot locate this information, state how you would recommend the program be evaluated?

5. Analyze how the program is consistent with the public health model (Schoon et al., 2019, p. 155).

6. Identify a HP 2030 objective that you feel is not being addressed by your public health agency.

7. Using the resource list provided in the module or another resource, identify an evidence-based program that you feel could be implemented in your community to address the objective.

8. Identify a possible barrier in local implementation.

9. Who would be your community partners? Identify an entity or agency that may be willing to collaborate on this program.

10. Respond to at least two of your group members. Some thoughts to guide your two responses to your peers: similarities, differences, challenges, rural/urban/ partners, etc.

Week 4

January 30 –

February

5

Epidemiology

&

Disaster Management

Savage (2020) Chapters 3, 8, & 9

Schoon, Porta, & Schaffer (2019) Chapter 4

Review resources in content area

Savage (2020) Chapter 22

Schoon, Porta, & Schaffer (2019) Chapter 5

(Disaster Preparedness Assessment Tools – Links are in Table 5.6 on p. 110)

Review resources in content area

Epidemiology in the News

Disaster Management

Group Discussion

Assignment & Quiz:

1. Home Visiting Assignment [see syllabus p.22-25]

2. Quiz 2 (online)

Week 4: Group Discussion

Epidemiology Discussion:

Find a general news article that pertains to public health either nationally, state or locally. It is important that your information is not older than

 

approximately 14-30 days and was published in the general mainstream news media, newspapers, general circulation magazines, website news (not professional literature).

There are enough public health issues in the news so no credit will be given for duplicate articles within groups. Thus, if you know which article you will use, it’s okay to post that information in your group’s discussion prior to your initial post.

1. Attach a link to the original source or copy (control c) and paste it (control v) into D2L discussion.

2. Describe the issue.

3. Using resources from week 1- identify the role of public health in addressing the issue. Cite sources.

4. Using resources from this week, how will the tools of epidemiology assist in identifying ways to intervene in this problem? Cite sources.

5. Identify and describe one Public Health Intervention (
hint 17 wedges pick something other than health education/teaching) that could be used as an action to address this issue.

Disaster Management Discussion:

Using three of the topic resources, text, movie, online simulation or PDF articles, complete the following questions and post to your discussion group. References to at least
three separate resources must be cited in your answers and referenced at the end of your posting.

1. Identify and differentiate key strategies used by each WHO, CDC and State Department of Health in managing a global crisis.

2. Describe the health and safety hazards of disasters and public health emergencies.

3. From your activities or experiences, briefly describe a few safety and infection control measures, including personal protective equipment, you have implemented during the Covid-19 pandemic and why they are essential for public health during a disaster.

4. Emergency preparedness brings up rights of the individual versus the good of all (ethics/social justice). Identify and discuss an issue from the course resources that illustrate this conflict.

5. As nurses you will be on the front line in emergency preparedness. What are moral/ethical issues that arise for you personally/professionally? Why? Refer to course content.

6. Locate the website for the Public Health Emergency Preparedness Agency (national, state or local community). Choose one useful topic link and share a summary with your group.

Week 5

February

6-12

Health Disparities

Poverty, Food Insecurity, & Homelessness

Savage (2020) Chapters 7

Schoon, Porta, & Schaffer (2019) Chapters 11, 12, & 13

Review resources in content area

Health Disparities

Group Discussion

Assignment:

Interdisciplinary/Collaboration [see syllabus p. 31-32]

Week 5: Group Discussion

General

Poverty

1. Play Spent Activity:

The Urban Ministries of Durham have a great online poverty simulation that goes through a month in the life of a person living in poverty. To access the simulation, click this link:
http://playspent.org/ Summarize your experience with this simulation activity

Did you have money left over?

What difficult decisions did you need to make?

What was your overall feeling when the month was over?

2. After reading the Culture of Care Policy Brief 

What does the Covid-19 pandemic teach us about health disparities in the U.S?

Identify policy recommendations that would address these inequalities.

Food Security

Go to the website, United States Food Drug Administration- Household Food

Security at

http://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us.aspx

How is food insecurity defined?

Which populations are most at risk for food insecurity?

What programs are available to improve food access? Consider Supplemental Nutrition Assistance Program (SNAP)

Homelessness

1. Who are the homeless and why are they homeless?

Go to the website of the National Coalition for the Homeless:

https://nationalhomeless.org/about-homelessness/

Click on Issues – Read about 2 topics that interest you.

Click on Campaigns – read about one campaign.

Hoover over About NCH and then click on Policy Priorities – read about one policy recommendation.

2. Describe the face of “homeless”.

What are the numbers?

Who is homeless?

Why are they homeless?

How are health and homelessness related?

Identify and describe one policy project to reduce/end homelessness.

Go to Policy Map in the MSU library database. What information can you find on housing and homelessness in your community? As a public health nurse, why is it important to know this information?

3. Describe what is meant by having “affordable housing”.

Review the Mortgage Lending Report at the following link:

NCRC 2020 Home Mortgage Report: Examining Shifts During COVID

Based on your review, how do current trends in mortgage lending impact affordable housing and homelessness?

What populations are most likely to have challenges with mortgage lending, and why?

What similarities do you see in populations most impacted by homelessness and mortgage lending?

What recommendation would you give to a potential home buyer who may be most impacted by current trends in mortgage lending?

Week 6

February 13-19

Public Health Ethics Social Justice

Poverty

Savage (2020) Chapters 7 & pages 114-116 on social justice

Schoon, Porta, & Schaffer (2019) Chapter 13

Review resources in content area

Ethics in Nursing Practice

Social vs. Market Justice

Unnatural Causes

Poverty – Building on Last Week

Group Discussion

Assignment:

1. Community Needs Assessment Project Submit First Draft to Tutor.com in D2L course & Assignment dropbox [see syllabus p. 26-28] and turn in the feedback from tutor.com (the feedback back can be turned in on Tuesday or Wednesday as it generally takes 1-2 days to get the feedback from tutor.com)

Week 6: Group Discussion

1. Social Justice vs. Market Justice

Public health nurses are also guided by the principles of market justice and social justice (Cornerstones of Public Health Nursing, MDH 2007). The economy of the United States has been shaped by the concept of market justice. Under this principle, people are entitled only to those things that they have acquired by their own individual efforts, actions, or abilities. The principle of social justice on the other hand is that the benefits of society should be fairly and equitably distributed to assure the functioning of society as a whole. Social justice reflects the belief that everyone should have the same access to societal resources and those societal resources should be used to provide the greatest good for the greatest number. Market justice reflects the belief that people deserve what they earn. At times, the principles of market justice and social justice are in conflict. Both perspectives have value. However, citizens do not necessarily agree with each other on which form of justice or set of beliefs should direct how health care is provided to the population as a whole. Review the Market Justice-Social Justice Table 13.4 (p. 257) and section on Market Justice vs. Social Justice (p. 256) in Schoon, Porta, & Schaffer (2019) to answer the following questions.

 

a. Which concept of justice is the best fit for you?  Explain. No right or wrong answer. This is only an opportunity for reflection.

b. Pick either market or social justice and explain how advocating for that type of justice could improve the health of vulnerable populations and eliminate health disparities?

c. Why is it important for you to understand your beliefs around social justice?

 

2. Unnatural Causes Reflection

While we all will die, the video “Unnatural Causes” introduces you to what is called excess death. For instance, the video considers death in populations as it relates to unexpected age of death, degree of suffering, and to what degree causes are due to preventable diseases compared to what we would expect. Population health is shaped by social and economic conditions in which we are born, live and work. Though this video is dated, many of the issues addressed may still have relevance. After watching the video, answer the following questions.

 

a. How may your position on the class pyramid affect your health? Provide examples. 

b. What social changes have been most responsible for the 30-year increase in American life expectancy over the 20th century?

c. Identify at list two public health issues addressed in the video, and provide rationale for if these currently remain issues. Include any associated/potential lasting effects of these public health issues.

d. Identify a local issue that came to mind for you in viewing this film in the community that you live, work, or play. What can public health nurses do to influence change related to this issue?

3. Health Equity & Health Disparities

a. Provide an actual example in which your local community has met/addressed a health equity or health disparity need within your community. What health concern or social determinants were addressed? How did your community address this need? What population benefited from this initiative?

b. Identify a health equity or health disparity concern in your local community that still needs to be addressed. Identify and describe at least 2 causes or social health determinants associated with this concern. What population is most vulnerable? What are potential long-term consequences for the vulnerable population if this concern is not addressed? Describe an example of a community or systems level of practice public health intervention to address this public health concern?

Week 7

February 20-26

System Level Interventions

Legislative Process

Environmental Health

Savage (2020) Chapter 21

Schoon, Porta, & Schaffer (2019) Chapters 6, 7, & 14

Review resources in content area

Savage (2020) Chapter 6

Schoon, Porta, & Schaffer (2019) Chapter 5
Review resources in content area

Watch 10 Americans Video:

Legislative Bill

Environmental Health & Climate Change

Group Discussion

Assignments:

1. Community Needs Assessment Project Final Submission [see syllabus p. 26-28]

2. Service-Learning Volunteer Hours Reflection [see syllabus p. 37]

Week 7: Group Discussion

Legislation Discussion:

1. Identify a bill in your state House or State. Give the bill number and chief author of the bill.

2. Brief description of the bill.

3. Identify the personal or professional interest that you have in this bill and state the reason why you would or would not encourage your representative to support this bill.

4. What could you do to advocate for this position?

Local Environmental Health Issue Discussion:

1. Using one of the following resources, identify a public health issue in
your community. I encourage you to use one of the first 3 resources but if you need to you can use online resources.

a. Interview with local official

b. Local newspaper article

c. Contact local environmental group

d. Online resources or others you may find.

2. Identify the county and state in which you live.

3. What are current local efforts being undertaken to address this issue?

4. Citing course resources, what is the significance of the role of public health nursing in environmental issues? Identify a public health nursing intervention that could be taken locally to address this particular concern (refer to MDH Intervention Wheel).

5. What Healthy People 2030 objective/goal would be addressed with this intervention?

When responding to your peers, compare your community with their community and give a suggestion of another public health nursing intervention that could be taken or identify an agency (other than public health) that could assist the community in addressing the issue.

Climate Change:

1. Identify a recent (within the past 5 years) national or global environmental health outcome that occurred due to climate change.

2. What were potential/actual causes of climate change that contributed to this environmental health outcome?

3. What were the consequences of climate change on health, the environment, and/or the way we live? Give specific/actual examples related to your specific environmental health outcome.

4. What role may public health nurses take to address the needs of individuals and families at the time of your specified environmental health concern?

5. What are 2 specific actions/roles public health nurses can take to mitigate the long-term impact of climate change on health, healthcare, and/or the environment? What organizations may public health nurses join or collaborate with to address future environmental concerns related to climate change?

Week 8

February

27-March 3

Global Health

& U.S. Health Care System

&

Course Reflection

Savage (2020) Chapter 13 & 21

Schoon, Porta, & Schaffer (2019) Chapter 1 (pp. 10-11) & Chapter 7

Review resources in content area

Schoon, Porta, & Schaffer (2019) Chapter 15

Global Health

Aha Moment – Reflection

Group Discussions

Assignments (ALL DUE March 3):

1. Policy Advocacy Project
[see syllabus p. 29-30]

2. Experiential Learning Hours Tracking Log

Week 8: Group Discussion

Global Health Discussion:

Section 1: This section can be put into table format.

· Using the U.S. as high-income country, chose an upper or lower middle and low-income country for the table in the content section. 

· Identify the leading causes of death and illness    

· Identify infant mortality rates

· Identify the life expectancy at birth rates m/f

· Identify total expenditure on health per capita

· Identify expenditure on health as % of GDP

· Describe the health care system and how it is funded

· What are the current identified number COVID-19 cases?

 

Section 2:

1. In the countries that you chose, do you see a correlation between economic status and health of the population? Explain your answer, give specifics.

1. Read
Coronavirus is exposing all of the weaknesses in the US health system

1.
https://www.vox.com/policy-and-politics/2020/3/16/21173766/coronavirus-covid-19-us-cases-health-care-system

“
The international response to 

the novel coronavirus

 has laid this bare: America was less prepared for a pandemic than countries with universal health systems”. (D. Scott, Vox). Agree? disagree? Why?

1. In reflecting upon this assignment and the course readings on global health, why must we as nurses in the U.S. think globally regarding health, illness and disease? How can we as a profession use our “power” our voice —to make an impact so needed in our world?

Course Reflection Discussion:
For the final discussion forum, I would like you to share a story of an” aha moment” you experienced during this course. Tell us the story of how it changed or will change your current practice, professional goals or your life passion. There will be one general discussion forum to post your story. Use this opportunity to read through all of your group members’ stories and respond to at least two of your peer’s entries before Friday.

7