University of Utah
College of Nursing, Nursing 591 "Reflections on Service-Learning"
Taught Every Quarter
Penny Brooke, Susan Cameron

The following application includes a current syllabus for the following courses which are included in the College of Nursing Service Learning Project:

N380 - Prevention of Child Abuse
N380 - Cultural Diversity
N340 - Pediatric Nursing: Theory
N338 - Gerontologrical Nursing: Concepts and Practice N431 - Psychosocial Nursing: Theory
N433 - Group Process in Nursing Practice N435 - Community Health Nursing: Assessment N425 - Advanced Physiological Nursing: Theory N591 - Reflections on Service-Learning

Methods in which service learning course requirements are met:

1.) Students will address unmet community needs that have been identified by community partners who will work closely with the College of Nursing. The descriptions of the collaborating community partners are also included in this application and include, Success by Six, Project Hope, Wasatch Homeless Project, - Utahn's Against Hunger, and the Utah Foster Care Project. Additional cooperating community partners and the opportunities available for students to provide needed services are described in these attached community partner descriptions.

2.) The services that students will offer in addressing unmet community needs are relevant to the subject matter of the courses in the College of Nursing in which students are currently enrolled. Each student will additionally enroll in N591Reflections on Service Learning, which will assist the students in integrating their nursing course didactic information with their service experience.

3.) The activities in the Reflections on Service Learning, course will provide an opportunity and methods for the students to think about what they have learned through the service experience, reflecting on how these lear nings relate to the subject of the class. Additionally, the "Reflections" class wi ll allow the student participants to learn of each other's service experiences. These stud ents will maintain a journal which will further assist them to reflect on their ongoing service learning experiences.

4.) The Reflections course offers methods to assess learning derived from the service. The nursing courses which are involved with this service project provide a minimum of two academic credits. The "Reflections" course is a three-hour course which must be taken by the student participating in the service learning project. A minimum of two hours of service per week will be expected and the academic coursework related will range between three to six hours depending upon the nursing courses in which the students are currently enrolled in. Credit is given for the learning and its relation to the course, not for the service alone. Criteria which will be utilized to assess student success in meeting the course objectives will include journals, case analyses, active classroom participation, including a presentation.

5.) An Outside Evaluator is being hired to develop data collection methodologies that will provide the opportunity for recipients to give feedback on their perceptions of the service they received through the project. The community partners have been identified based on their project's recognition of the unmet needs of our community. The perceptions of the community partners will be an important part of the evaluation of the project.

6.) The service opportunities which have been identified for students were specifically designed because of the importance of having nursing and other health science students become aware of the need for and the opportunity to meet unmet health needs of our community's citizens. It is this project's and these courses' goal to develop the altruistic sense of responsibility in health science students to provide ongoing service to our community.

7.) The knowledge that students gain in the nursing courses will enhance the services they will provide. These courses provide information that is both useful and helpful in understanding unmet community needs and how to work with others to meet those needs. The didactic information used in the nursing courses will be mutually beneficial to the students and the clients served in the community.

8.) The Reflections class offers an opportunity to learn from other classmembers as well as from the instructors. The Reflections on Service Learning course is specially designed for students to share each other's experiences. Learning methodologies used in all nursing courses involve the active participation of students as well as draw on the instructors' expertise.

Course
Nursing 591
"Reflections on Service Learning"
Credits 3 quarter hours

Overview: This interdisciplinary course will foster and enhance students' already existing attitudes of caring for others. Students will be qualified ot compete and be recognized as service-learning scholars. Shared learning and reflectionabout students' experiences will take place.

Objectives:

Students from differn health care professions will

  1. Compare and contrast their professions and experiences;
  2. Participate in an interdisciplinary health care team project;
  3. Develop leadership skills to sustain service learning projects;
  4. Develop cultural sensitivity to the health care needs of the population(s) served.

Teaching Methods:

Small and large group discussion, lectures, guest lecturers from community projects, student presentations, outside readings and student journals of service experiences.

Evaluation:

Student participation as measured through class attendance; regularity of service hours completed and depth of journal, and a class presentation either individually or as a group project.

SERVICE PARTNERS DESCRIBED

These service learning opportunities will foster the attitudes of these students and provide the time to enhance the already existing attitude of caring for others. The State of Utah has recognized a growing need for school nurses yet has not to date been able to fund these positions. Collaboration with the Project Hope and Success By Six projects, and Utahns Against Hunger School Nutrition Program have developed in an attempt to meet these unmet community needs. These community agencies are eager to involve our students in service projects. The service learning courses available throughout our curriculum will expose nursing students to the role of the nurse in the community and offer them the opportunity to provide these services.

Currently there are onlv two school nurses in the Salt Lake City School District serving over 24,000 school age children. Project Hope has identified seven of the schools at greatest risk and enthusiastically welcome our students participation in meeting the unmet health needs of these students. These children do not have the benefit of health screening and preventative health education in their schools. Utahns Against Hunger School Nutrition Program is also targeted towards meeting the educational and nutritional needs of students in these schools. Students involved in this project will be able to provide culturally sensitive preventative education and health screening for school age children.

The Success by Six Program is attempting to prepare students for success in school and throughout their lives. The service learning experiences available to students through this project will include identifying the "at risk" families and linking them with effective services. Students will work with the families in identifying health needs and monitor follow up care. Bilingual student assistance is greatly needed by the Success by Six Project.

The explosion of homelessness in our community has been related back to the issue of family illness. When a parent becomes ill and cannot provide for their family, the threat of homelessness greatly increases. Health care expenses are included in an estimated 80 percent of all bankruptcy cases. Children reflect the health of their entire family. Students involved in service learning projects with preschool and school age children can help to identify the early signs of family health problems and hopefully intervene before these families become homeless. Early intervention and coordination with existing community resources will help to prevent extraordinary health care expenses. The baccalaureate nursing students and other health science students will collaborate with the NP students in assessing and intervening to meet these families' needs. The community need to be met through this service learning project is enormous. Preventative education and referrals to appropriate existing community resources will be experiences that the student will accomplish.

The Wasatch Homeless Health Care Project, which includes the Fourth Street Clinic, is very anxious to have the services of our students. They have stressed that they would appreciate having students contribute to their program on a regular basis and not just for one quarter. The development of service learning at the beginning of the students' experience at the college and continuing through their nursing program will help to make this request possible. The NP students will precept undergraduate students in meeting the outreach services identified by the Wasatch Homeless Health Care Program. The service learning experiences will include assessing the agencies that are providing services to the clientele. The students will need to become familiar with these agencies in order to meet this need. The development of a health assessment form and revisal of existing forms is also needed by this agency. The staff at the Fourth Street Clinic has agreed to serve as preceptors and will orient the students to the clinic and other community agencies with whom they work. The students will assume responsibility for the continuity of the outreach services. After the students have become familiar with the goals, services and staff of the Clinic and with the health care issues of the homeless, each student will be assigned to a site to provide weekly outreach. Students will meet weekly at the clinic to discuss the clients issues and follow up on referrals made by clinic providers. Students will serve as advocates for the homeless in helping them understand the process of working within the referral system and accompany clients to their appointments and help clients understand instructions they are being given. The NP students will consult with the community health facility and create a bibliography on health and illness issues and facilitating building relationships with other agencies. Outreach sties for homeless persons are in extreme need of follow up services for clientele living in these projects. Examples of these sites include the Sunday Viaduct Breakfast, the YWCA Women in Jeopardy Program and the Indian Recovery Center.

Access to health care systems will be greatly enhanced by this advocacy effort. The nursing, medical and pharmacy students in collaboration with the NP students will be involved in the actual assessment, problem solving and intervention with these homeless clients. The fourth Street clinic is in great need of the service learning students assistance in outreach to the other facilities where their clientele are living. The clinic estimates that an additional 50 encounters per week with clients and agencies could occur with the assistance of these service learning students.

The Division of Family Services Foster Care Program has made an urgent plea for the involvement of our students to meet the needs that they have been mandated to provide through a case settled on May 17, 1994 between child advocates and the State of Utah. For example, within 30 days of a report of abuse or neglect a visit must be made to determine if the child can remain safely in the home. The Utah State Child Welfare Reform Act of 1994, Section 53A-6-302 mandates reporting of physical or sexual abuse of students by educators, including volunteers and temporary employees. Many of the children reported are placed in foster care. The letter of support from the Division of Family Services found in the appendices describes the great number of families who are involved in this program and the needs our students can meet. Monthly visits, parenting and homemaking skills training, and drug and alcohol assessments are needs. A parent mentor program for the natural parents of foster children will involve service learning students. Students will help to assess the needs of the children and their families; establish health plans; refer these families to existing agencies; advocate for these families and provide preventative and parenting educations.

This service learning project is a cost effective means of meeting the above stated needs. The collaboration between nursing students at the undergraduate level with the pharmacy and medical students in conjunction with the supervision offered by the NP students at the graduate level will be further facilitated by the education and supervision provided by the community agencies' staff. Each of the described community agencies have committed to providing technical assistance, training to the Students and faculty and evaluation of the progress of the project.

Date: Thu, 28 Dec 1995 14:56:51MST
From: Renee Buchanan <RBUCHAN@ssb1.saff.utah.edu>