ERIC ED396803: Community Outreach in Associate Degree Nursing Programs: AACC/Metropolitan Life Foundation Project, 1995-1996. AACC Project Brief.

14 Pages·1996·0.35 MB·English

by  ERIC

DOCUMENT RESUME
JC 960 438
ED 396 803
Barnett, Lynn
AUTHOR
Community Outreach in Associate Degree N.Jrsing
TITLE
Programs: AACC/Metropolitan Life Foundation Project,
1995-1996. AACC Project Brief.
American Association of Community Colleges,
INSTITUTION
Washington, DC.
AACC-PB-96-1
REPORT NO
96
PUB DATE
NOTE
14p.
Descriptive (141)
Reports
PUB TYPE
MFOI/PC01 Plus Postage.
EDRS PRICE
Community Colleges; Cooperative Programs; Educational
DESCRIPTORS
Innovation; Grants; *Health Needs; Health Programs;
*Nursing Education; *Partnerships in Education;
*Practical Nursing; *program Development; *School
Community Relationship; Two Year Colleges
Community Needs
IDENTIFIERS
In January 1995, five community colleges were
selected to participate in a year-long project to implement new
teaching methods in associate degree nursing programs to better meet
community needs. Supported by the American Association for Community
Colleges, with seed money from the Metropolitan Life Foundation, all
of the projects also had significant financial support from their
colleges and community partners and all continued beyond the grant
period. The following projects were funded: (1) a seven-county rural
health screening program established by Copiah-Lincoln Community
College, in Mississippi, focusing on the health needs of youth and
(2) a
older adults and involving strong community partnerships;
faculty and curriculum development initiative developed by Northern
Virginia Community College and added to an existing service learning
Center for
program involving a Mobile Nurse-Managed Health
a model home care and community-based
underserved populations; (3)
continuing education curriculum developed by Orange County Community
College, in New York, the components of which were incorporated into
the standard undergraduate nursing curriculum; (4) a home health
elective course created by the Southwestern Community College
District, in California, which drew on the resources of four
community colleges and was designed to be offered by each college in
alternate years; and (5) a practicum developed by St. Petersburg
Junior College, in Florida, using "clinical associates" in community
health agencies to train nursing students to work effectively in
community settings. Contains 21 references and a list of 5 electronic
resources.
(MAB)
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AACC-PB-96-1
Comm!
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OUTREACk IN
ASSOCIATE
DEgREE
Nu RON
PROgRAMS
AACC/A4
Life
Foundation
Ppojecl,
1995-1996
e.ropoI i.an
Lynn Barnett. Project Director
U.S DEPARTMENT OF EDUCATION
Office ol Educational llesearcn and Improvement
PERMISSION TO REPRODUCE AND
EDUCATIONAL RESOURCES INFORMATION
DISSEMINATE THIS MATERIAL
CENTER (ERIC)
7( This document has been reproduced as
HAS BEEN GRANTED BY
received from the person or organization
J. Gollattscheck
originating it.
0 Minor changes have been made to
improve reproduction quality
Points of view Or opinions stated in this
document do not necessarily represent
TO THE EDUCATIONAL RESOURCES
official OERI position or policy
INFORMATION CENTER (ERIC)
BEST COPY AVAILABLE
2
RIEF
AACC-PB-96-1
COMMUNITy OUTREACh IN ASSOCIATE
NuRsi
Nq PROqRAMS
DEgREE
1995-1996
Foundation Ppoject,
Lite
AACC/M e.popo.iI an
Lynn Barnett. Project Director
Five community college associate degree nursing (ADN) programs ventured into new ways
to teach and meet community needs in projects supported by AACC with seed money from
the Metropolitan Life Foundation from January 1995 through January 1996. From an applicant
pool of 85 colleges, the five selected institutions shaped initiatives that addressed community
needs and demonstrated strong partnerships with local health care providers. In all, they featured
community service, service learning, community development, curriculum development, student
recruitment and retention, and other activities. They established programs for rural health screen-
ing, home health nursing, and a mobile nurse-managed health center.
The $10,000 grants allowed colleges to try out brand new ideas, or to implement plans that
had been brewing for some time. College nursing faculty reported that the community enthusiasm
for the projects was common, that collaboration inside the college and out was crucial, that stu-
dents experienced personal and professional growth, and that the community relationships would
continue. All five projects had significant financial support from their colleges and community
partners, and all of the projects continued beyond the grant period.
Five colleges devised solid partnership programs:
St. F etersburg Junior College, FL, developed a
Copiah-Lincoln Community College, MS, brokered
practicum that used "clinical associates" in
strong community partnerships to undertake a
community health agencies to supervise more
seven-county rural health screening program
than 400 nursing students about non-hospital
focusing on the health needs of youth and older
health care.
adults.
Northern Virginia Community College, VA, added
a faculty/curriculum development initiative to a
Funiclisq BREAkdown
service learning program that supports a Mobile
Nurse Managed Health Center for underserved
FiVE AACC/METLIFE Com MUNITY,BASEd
populations.
NuRsing PROJECTS, 1995-W96
Orange County Community College, NY, developed
a model home care/community-based continuing
education curriculum, components of which were
Community
contributions
College
incorporated into the standard undergraduate
25%
contributions
nursing curriculum.
62%
Southwestern Community College District, CA,
drew on the collaborative skills of four community
colleges to create a home health elective course that
would be offered by each college in alternate years.
AACC/MetLife
grants
°Metropolitan Life Foundation
13%
RURAL HEAITI-I ASSESSMENT ANd
SCREENINq PROjECT
COpiAll-LiNCOIN COMMUNITy C011EgE, WESSON, Mississippi
PROJECT SUMMARY
MPEEMENTATiON
The first part of the project emphasized health promo-
Serving a seven-county population in rural southern
Mississippi, Copiah-Lincoln Community College
tion for the adults. and the second focused on adoles-
(Co-Lin) embarked on a program to address the
cent health. Both faculty and students received orienta-
health needs of its growing population of citizens aged tion prior to the screenings: faculty through professional
development in such areas as collaborative community
under 20 and over
45. Specifically,
relationships and multidisciplinary work groups, and
Co-Lin wanted to
students through coursework and additional readings.
increase citizens'
Co-Lin nursing students and faculty traveled to 24
knowledge of
RURAI HEAITI-I SCREENINg
fairs, sports events, flea markets, or local shopping areas
community re-
to provide various servicesblood pressure screening.
UNdERSERVEd POpUlATIONS
sources, provide
glucose and cholesterol assessments. health teaching,
health screening
Public INFORMATION
and referrals to community agencies. In some cases they
and make appropri-
operated a first
Youth ANd OldErt Adults
ate client referrals
aid booth.
te community
agencies. increase
Nursing
SUCCESS FACTORS
wellness activities
and science
in the counties, and strengthen community partnerships.
Local media coverage
faculty worked
This significant undertaking by thc college's year-old
closely with
Grassroots advertising
associate degree nursing program was made possible
(churches, businesses, sports
school principals.
with strong support from both college administrators and
events, recitals, etc.)
hospital person-
community members.
College administrative support
nel. home health
High school students as captive
agencies. and
audiences
others to coordi-
Nursing studentihigh school
nate specific
student compatibility
events that
This hAs bEEN A
Strong community partnerships
would engage
pRiCEIEss oppoRTUNiTy.
the high school
College van availabilit)
VICTORIA DURkEE
students, empha-
"Friendly staff.'
sizing a partici-
Nursing students' "fit- with
patory approach
community
to health aware-
Weekend screenings
ness. Nursing
An outcome of the project was a renewed aware-
students orga-
ChA HENOES
ness of the community's assets as well as needs. Pri-
.
_
nized and
vate-sector support allowed the college to reach many
a Time constraints
conducted
more individualsmore than 3.000 adults and youth
Incentives for follow-up
information
than originally imaeined. The project was a catalyst for
activities with adolescents
sessions at
additional discussions of wellness issues in this rural
Midweek screenings
so en area high
conimunt.
Scheduling reminders
SpiNoffs
COMMLINITy PARTNERS
he positive nature of the partnerships and success of
T
the start-up activities resulted in several requests for
Central Mississippi Home Health
additional health promotion activities, including weekend
Franklin County Memorial Hospital
health fairs. wellness surveys, and health instruction for
Hardy Wilson Hospital
fourth-graders. On a larger scale, the AACC/MetLife
Kings Daughters Hospital
grant reinvigorated the Co-Lin Wellness Committee and
Lawrence County Home Health
helped faculty and staff mobilize plans for a Wellness
Lawrence County Hospital
course and a Wellness Clinic that will serve the college
Magee General Hospital
and community.
Mississippi Department of Health
Mississippi Methodist
Rehabilitation Center Home Health
Agency
Simpson General Hospital
CONTACTS:
South Mississippi Home Health
Van Winkle Home Health
Billy B Thames, President
Susan Hart, Director,
Nursing Program
Victoria T. Durkee, Assistant
schools. Pamphlets, games, and special displays featured
Director, Nursing Program
information on sexually-transmitted diseases, sexuality
Copiah-Lincoln Community College
and choices, nutrition, depression, stress management,
P.O. Box 649
alcohol, gun safety, pregnancy, tobacco, exercise, and
Wesson, MS 39191
hypertension. "Mr. Dip Lip," a model that showed the
Ph: 601:643-8415
cancerous effects of chewing tobacco, was a particular
Fax: [phone]
success.
The high school students related well to the college
nursing students in these informal settings and were
forthcoming about their health questions. At each loca-
tion, high school students completed wellness surveys,
which helped Co-Lin develop a fuller picture of local
health needs. Problem areas that surfaced included
drinking, overeatinr, and stress or depression. Those and
other observations were conveyed to the high school
principals and counselors.
Co-Lin Audents conducted vision/hearing screen-
ings and height/weight measures for pre-schoolers, some
at thc Head Start center.
5
AACC
MobitE NURSE-MANAgEd
HEAITh CENTER
NORThERN ViRqiNiA C04141UNiTy C011EgE, ANNANdillE, ViRqiviA
plow
PROJECT SUM MARY
ENTAT1ON
I Noi
lanning meetinus. meetinus with key partners . the
P
Northern Virginia Community College added key
designation of an advisory committee. and definition
elements to its fledgling Mobile Nurse-Managed
of roles and responsibilities of partners. faculty. and
Health Center (MNMHC). a community-based
student participants got the project underway.
clinical practice that features a service learning ap-
prlach. Supplementing service learning activities sup-
The faculty development needs of the project
ported by the
centered on upgrading internal skills to eliminate the need
national Learn and
for outside consultants. Several nursing faculty began
+
Serve Anwrica
classes to upurade
program. the
NURSE-MANAGEd VAN
their skills. Two
AACC/MetLife
pursued ccrtifica-
SCREENINq SERViCES
grant funded three
IVURSiNq STIKIENTS ARE
tion to practice as
important compo-
UNdERSERVEd PopulATioNs
qE.4REd up TO SEEk
Family Nurse
nentsfaculty
Practitioners in
EmploymENT IN COMMLINITy
FAcully DEVElOpMENT
professional devel-
order to provide
SETTiNgS WhEN llEAlTh CARE
opment, release
prinlary health
SERViCE LEARNiNEd
time for curriculum
SERVICES ARE NEEdEd, ANd
care services on
development, and
..,:..:....:.
Will hAVE A diRECT iMpACT
the MNMHC. and
consultation ser-
also to be as-
ON ThE hEAITh Of ThE
vices for screening.
signed to nursing
COMMUNITy AS A WhOlE,
marketing. and planning strategies important to the
'students who can
center's iong-term effectiveness.
ThANkS TO ThE pROjECT.
practice under
their supervision.
Thc result, with strong community partnerships and
ChARIE
NE CONN011%
Having two nurse
nursing faculty guidance. was that morc than 100 nursing
practitioners on
students provided primary-care, health assessment
staff will help institutionalize the program after external
promotion. and disease-prevention services to 560
funding ceases. Other faculty enrolled in universit
underserved clients. Because of the funding for facult
classes or workshops on case manauement and. as
development and subsequent professional certifications.
members of the nursing curriculum committee. contrib-
thc college no longer needs to staff the MN M HC w ith a
uted toward designing a community-based curriculum
public health nurse or a full-time nurse practitioner.
model. Thc newly-designed first-semester curriculum.
Promotion of Health. covers wellness. lifestyle changes.
community environments, client teaching. primary health
care. and working in interdisciplinary health care teams.
Freshman students provided service at the MNMHC.
day care centers. senior centers. clinics, and other
community settings.
SUCCESS FACTORS
Interdepartmental cooperation
SpiNoffs
Advisory committee
Strong community partnerships
he MNMHC received thc Governor's Award for
T
Matching funds
Community Service and Volunteerism in Virginia. one
Community college/university
of seven awardees from nearly 200 nominees. The
collaboration
community has been overwhelmingly receptive to the
MNMHC, and neighborine counties. corporations, and
r
ChA HEN
other community agencies have requested services.
Onuoing fund-raisinu efforts resulted in several suc-
State hiring freeze and resultant
cesses, including the commitment of the collegc's
time loss
cducation foundation to support thc project and to allow
Lack of clients after summer
the colleue to operate the mobile van more than the
break, and resulting breakdown
original three days per week. The American Lung
in client trust
Association raised funds far a fuel-efficient, fully
Scheduling during college breaks
equipped mobile van. Community interest in the project
Need to hire technology
has given students opportunities to enhance the diversity
consultants
and depth of their service learning experiences. The
project started a college-wide initiative to implement
service learning across the curriculum.
In addition to the faculty
development activities, staff
identified a variety of mobile
screenings strategies. marketinu,
COMMUNITY PARTNERS
and educational plans that would
American Lung Association
extend beyond the grant period.
Arlington Public Health Dept.
Screeningsincluding hyperten-
Catholic Charities Diocese
sion, cholesterd. diabetes, sexually
of Arlington
transmitted diseases, and can-
cerwere provided to uninsured.
FACETS
vulnerable populations. who were
Fairfax County:
CONTACTS:
then referred to community
Area Agency on Aging
agencies. Specific educational
J. Ernst, President
Richard
Dept. of Health
plans outlined clinical rotations for
Dept. of Human Development
Charlene Connolly, Chair, Health
nursing students on the MNMHC.
Technologies
Dept. of Recreation &
Students were required to develop
Community Services
Evelyn Atchison, Director,
written action plans for each
Hopkins House
Nursing Program
client, and to complete a commu-
Howard University
Northern Virginia Community
nity assessment and a community
Medical Development International
College
plan of care. The clinical rotations
Northern Virginia Area Health
4001 Wakefield Chapel Road
were graded and students re-
Education Center
Annandale, VA 22003-3723
ceived credit once they passed the
Ph: 703/323-3426
Northern Virginia Family Services
didactic component. The college
Fax: [phone]
Reston Hospital
also negotiated with several
Reston Interfaith Agency
universities to allow nurse practi-
Washington Gas
tioner students to use the
MNMHC as a clinical practicum.
7
AACC
DEVEIOpMENT ANd IMplEMENTATION OF
HOME CARE NURSINq
ORANgE Courvry Commundry ColkgE, MiddkTON, NEU Youk
ImplEmENTATiON
PROJECT SUMMARy
ar several months in 1995. OCCC's project
ecosznizing that shifts from acute to chronic care
F
coordinator met bimonthly with representatives from
have dramatically affected the health care deliv-
its partnership agencies to design the curriculum. The
ery system. Oransze County Community College
initial meeting emphasized ways to address the shift
(OCCC) took advantasze of partnerships with local health
from hospital-based care to home care. '1 conjunction
care providers to
with the meetings. home visits helped clarify the ca:::.
develop a model
manager's responsibilities and ways to coordinate
noncredit home
:*
services. These visits also revealed effective ways to
care course that
HOME CARE
work with an interdisciplinary team of practitioners. such
includes a clinical
as physical therapists and occupational therapists.
practicum. The
CURRiCULUM DEVEIOOMENT
Home Health Care
Each partnership agency contributed to the curricu-
CONTENURsai Eduiio %
RN
course was piloted
lum design and helped organize and schedule clinical
through a continu-
practicums. Each pact= also committed an experienced
ing education
dirtxt-patient-care
course for regis-
employee to
tered nurses who
teach sections
had no prior home care training. lt was later integrated
SUCCESS FACTORS
of the course.
into the standard undergraduate nursing curriculum
which includes
Facultyagency team teaching
through the required Fundamentals of Nursing course.
topics such as
Advisory board
referrals.
Community support
regulations.
Curriculum/clinical schedule
home environ-
continuity
ment assess-
Student enthusiasm
ments. safety.
Outstanding guest speakers
ethical and legal
New networks
concerns.
a "Special project-. status
documentation.
This AllowEd US TO
and the nurse's
CREATE A ViSiON ANd
ChAlIENgES
role.
how
kNow
TO AChiEVE
Acceptance of "nursing in the
iT.
community-. concept
Judi Mt
orkload
Nurse preceptor
Agency perceptions of ADN
students
Clinical practicum acceptance
Limited experience with home care
agencies
Liability aspect of personal car
use
I Daytime scheduling
AACC
SpiNoffs
COMMUNiTy PARTNERS
ositive community response to the project resulted in
P
offers from many consultants to donate their ser-
American Care Certified Home
vices to the college. and project staff received invitatiom;
Care Agency. Inc.
to participate in the inaugural national meeting of the
Competent Care. Inc.
Home Healthcare Nurses Association. Since the grant
Hospice of Orange in Hudson
ended. other community colleges beyond the local
Valley. Inc.
OCCC arca have requested information about the Home
Oramie County Health
Health Care curriculum.
Department
Visiting Nurses Association of
Mt. Kisco
Faculty from the partnership agencies and OCCC
CONTACTS
cooperatively taught the first course to registered nurses
William F. Messner,
President
during the summer of 1995. The seven students attend-
ing were required to hold current New York State
James W. Ware,
Vice President
registered nurse licenses, to have bcen employed as
for Academic Services
nurses in an acute-care facility or long-term setting, to
Judi Jaffee,
Associate Professor.
have graduated from a nursing program within the last
Nursing
two years. or to have obtairr.d permission from the
Orange County Community College
community nursing course coordinator. Students also
I 15 South Street
were required to comply with special requirements of
Middletown. NY 10940
the agencies where they were to be placed.
Ph:914/341-4152
Fax: [phone]
The "special project.' status of this initiative
allowed for creative inquiry and, as a result, some
OCCC nursing faculty have become change agents and
advocates for home care nursing education and training.
Local media coverage helped heighten awareness of the
issues and the new course, which was offered again in
the summer of 1996.
AACC
.
CURRICULUM DEVElOpMENT FOR HOME
HEAlTh NuRsiNq
SOLITMIESTERN COMMUNiTy CollEgE DistRia, ChU114 Visr,, CANORIVIA
PROJECT SUMMARY
IMplEMENTATION
Four community colleges in southern California_
preliminary surveys of home health agencies. hospi-
Southwestern College, Grossmont College.
tals, and colleges and universities yielded information
Palomar College. and San Diego City College
on current homc health program offerings and priority
19
collaborated with
needs in the San Diego arca. The surveys had the added
several home health
advantage of increasing community awareness of the
+ + +
agencies to design a
project goals.
home health elec-
Based on survey findings and shared curricula from
HOME HEAlt h NURSiNg
tive course geared
the California Association of Health Services at Home
to practicing
WINE/HOME CARE-AgENC}
(CAHSAH ), the community college Home Health
registered nurses
CORAbORATiON
Certification course was designed in six modules. Amonu
(RNs). new gradu-
the topics covered are: roles and functions of home care
CURRiCUlUM DEvElOOMENT
ates, nursing
providers; home visits: documentation and reporting;
students, and
CO[INE CONSORTiA
reimbursement; regulatory requirements; client and
faculty. After a
family education; individual, family. and community
:-
year of planning and
assessments:
development, the
nursing care
Home Health
across the
Certification Course for Registered Nurses was ap-
lifespan: chemo-
SUCCESS FACTORS
proved by the California Board of Registered Nurses and
therapy; pain
ready for summer offering in 1996. Participants complet-
Community survey
management:
ing the six-week, 3-unit elective credit course. which
Agency collaboration
emergencies:
includes 27 classroom hours and 81 clinical hours. will be
Monthly meetings
enteral feeding.
prepared for entry level home health positions.
Information sharing
and intravenous
therapies. Also
Curriculum committee appro\ al
included in the
State board approval
curriculum are
RN Preceptors
ThE pOSiTIVE
sections on
pARTicipArioN of All
ethical dilemmas.
leual issues.
INVOIVEd WAS
Faculty time constraints
decision-making
OVERWIIEIMiNG. IT
and problem-
( ourse cost determination
ENSUREd Tiff SUCCESS Of
omplexity of collaboration
ThE PROJECT. ME
RESUITS hAVE OpENEd
MANy dOORS fOR fUTURE
pROjECTS.
-MARV NAY I.