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Service Learning toEnhance the Curriculumfor Nursing StudentsRosanne Pruitt, PhD, RN, FNP, ProfessorWanda Taylor, PhD, RN Assistant Professor
Importance of Nursing in the CommunityOver the past decade, the healthcare landscape has changeddrasticallyMajor changes in many of the available public healthservicesClosing of rural hospitals (43 since early 2010 )Fewer hospital admissions, shorter stays.The homeless population continues to growThese changes call for more creativity in service learningOur students need to be comfortable promoting health inmultiple settings
Service Learning in the CommunityMost nursing specialties should be involved in someaspect of the community.Community Health Nursing focuses on health careto promote quality of life and health care ofcommunities and populations and is a great fit forservice learning.Service learning also provides opportunity forcultural immersion and value clarification.
Getting startedFaculty need to make initialconnections in the community: Reach out to community leaders andhealthcare professionals to identifya population group or aggregate. Identify gatekeepers and keyinformants Successful community selectiondepends on:Accessibility & OpennessEstablished partnership
Partnering with the Community Service learning is a partnership. Focus on the mutual benefits foryour students and thecommunity Community aggregates can beany age: Church Preschool,Head Start, Schools, After schoolprogram, Senior centers, Groupsaddressing special needs in thecommunity
Community Assessment Assignment Windshield Survey (data collection while drivingthrough the community) Analyze existing data (public documents, healthsurveys, statistical data, health records) Interview key informants Develop a problem/need list Work with faculty and group leaders todetermine the service learning intervention
Community Characteristics(Sample Windshield Survey)LibraryCity HallPoliceDepartmentFire departmentTrain StationBankWeekly News“Moon’s HomeMedical” StoreApple FestivalDot’s SoupKitchenInglesUnited MethodistBaptist ChurchChurchHardee’sSubway
Childhood Obesity Following community interviews &assessment, we identified childhood obesityas the largest growing health concern. With a fallen economy in this rural town,many mothers are working full time. Afterwork, they pick up fried foods for theirchildren, or quickly cook unhealthy foods athome.
Plan for Sustainability1. Recipes sheets2. Pamphlet on healthychoices at fast foodrestaurants3. Shopping Guide oncoupons and sales4. Price Analysis ofhomemade versusrestaurant foods
Service Learning ProjectIn order to attract people toour event, we sent flyers tothe town library.We advertised free food,healthy kid-friendlyrecipes, information onhealthy eating habitsand lifestyle choices.
Head StartI look forward to scheduling vision/hearing screening and physicals forour children know your services are greatly needed. DB, RN, BSNSHARE Head Start
Junior level Health Promotion Class“I really enjoyed doing thecommunity project. Thisproject helped me tosolidify my confidence inwhat I have learned thusfar in nursing. It wasalso a great opportunityto apply what we havelearned in the communityand interact with peopleoutside the University.”
Health Fair“I loved the opportunity to brainstorm withthe school administration over needsidentified by students and faculty. It was veryneat to brainstorm, come up with ideas thenput them into action, and know that we couldbe saving lives.” Nursing student“Thank you for your support of our wellnessfair again this year. The students did a greatjob. [We need to value our health.] Everyonelearned something, even me. Clemsonnursing students are a blessing!” Bishop M.A.,Holy Ground Church
Recent service learning projectsProjectPopulationBasic hand washing,hygiene & first aidInternational group in BahamasSex educationSpecial needs groupDevelopment of healtheducation toolsCrisis Pregnancy CenterAuto safety, school wideHigh school with 6 auto deathsassembly focused on riskprior yearbehaviors: texting, alcohol,lack of seat beltsPromotion of Breast feeding Local mall with communitypartners
Head StartI look forward to scheduling vision/hearing screening and physicals forour children know your services are greatly needed. DB, RN, BSNSHARE Head Start
Commitment to ServiceClemson University School of Nursingis committed to the goal of developingnurses who are educated to providenursing care that improves the healthand quality of life for people locally,nationally and internationally.To provide this care, students aretaught how to go to the client’senvironment and work with otherhealth care team members to provideholistic health care.JG, Senior Lecturer
Additional preparation may be required, heresimulation enhances cultural competenceScenarios addressed cultural issues among the Amish,Hindu, and a homeless Latino.
Nursing students, (undergraduate & graduate) pose with faculty &hosts before leaving Dominican Republic.Clemson Nursing faculty also take students to Guatemala and the BahamasInternational ServiceLearning
EvaluationStudent report should includeProject evaluation by recipients,key informantsstudent experiencewhat went wellhow experience could be improved# servedfollow upFaculty reflection on experience includingevaluation of student performance,ways to improve experience
Integrating service learning forAccelerated 2nd Degree Nursing StudentsNursing has a long history of working withcommunities to improve healthWe wanted our students to embrace theconcepts of advocacy and socialresponsibility early in their education
Service learning for Accelerated 2nd DegreeNursing StudentsIn our Accelerated Second Degree Nursingprogram we implemented service learning in theirfirst semester.This was a win-win because it met course objectivesrelated to advocacy, social responsibility, and selfcare.We partnered with Momentum Bike Clubs toprovide this opportunity for middle school agedgirls living in an underserved community
Momentum Bike Club Director, DavidTaylor, facilitated introductions with keycommunity leaders
Pastor Darian Blue,local communityleader, wasinstrumental in thesuccess of our GIRLPOWER group. Hissupport in the localcommunity helpedus worksuccessfully withthe community.
“I was definitely a little bit nervous. What if wecouldn’t find any girls to join? Would the girls likeus and feel like they could talk to us? However,after talking to Pastor Blue and getting our 1st girlto join, I knew this bike club was going to be asuccess.”
Girls who commit to ride for one year are ableto earn their bikes! Many of these kids remainactive and continue cycling.
Our male nursing students were given theopportunity to ride with groups that werenot exclusively girls. One of our students, anexperienced cyclist, chose to ride with thechallenge group“There are many socialbarriers between thevarious communities inGreenville. People tend towant to spend time withpeople that share theirinterests, affiliations, andsocioeconomic status.Momentum Bike Club-byits very nature-helps tobreak down those barriers.This club showed me that Ihave as much or more tolearn from the middleschool aged riders as theydo from me.”
Student Comments“Many of the girls have very differentupbringings than I had, but it has taughtme to appreciate every walk of life.Regardless of how we are raised,everyone wants to be loved and choosingto love despite the differences has beenlife changing.”“Before becoming part of thebike club, I was completelyunaware of how important itreally is to serve in yourcommunity.”“In relation to nursingit has made me realizethe importance ofholistic needs withevery individual.”“Many of them don’t have anybody totalk to.sometimes having someone elseto talk to is just what I need. The girlscan really be themselves and open up tous.”
Some of the girls report this is theironly opportunity for exercise all week!
Learning benefits for our studentsSelf-care: All too often, nursing students(and nurses) do not care for themselves.Self-care is important so that we are in thebest condition physically, mentally, andemotionally to care for our clients.Caring is at the core of nursing. Ourstudents have developed caringrelationships built on mutual trust betweenthem and the youth they serve.
Learning benefits for our studentsSocial Responsibility. Students wereprovided an opportunity to give back to theircommunity.Cultural competence. We practicedcultural sensitivity while recruiting andriding with kids whose cultural backgroundsdiffered from that of the students/mentors.
Service Learning : a WIN-WIN!More opportunities are opening up to ourstudents that benefit the community aswell as our studentsPastor Blue has approached nursingfaculty with additional opportunities inservice learning such as local health fairsand nurse practitioner clinics
Service Learning : a WIN-WIN!As a result, we are developing acommunity academic partnership thatwill support academic learning whileimproving the health of a localcommunityStudents were thankful for theopportunities and were willing tovolunteer above and beyond the servicelearning course requirements
Service Learning impacts us all!“What I didn’t know washow big of an impact thegirls were going to make onMY life. Each week, I am somoved by what these girlsare teaching me. It reallydoes feel like our own bikeclub family! I amunbelievably excited tocontinue building myrelationship with each andevery one of them.”
Service learning for Accelerated 2nd Degree Nursing Students In our Accelerated Second Degree Nursing program we implemented service learning in their first semester. This was a win-win because it met course objectives related to advocacy, social responsibility, and self-care. We partnered with Momentum Bike Clubs toFile Size: 1MB
