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Alpha Xi Chapter, Sigma Theta Tau
Poster Abstracts

Mary Ann Parsons Lectureship (Formerly Viewpoints)

 

Alpha Xi Index page 

2007

Cox, De Anna, MN, APRN, BC, University of South Carolina College of Nursing.
Teaching Physical Assessment Techniques: Clinical Breast Exams

An interactive, hands-on method of teaching the core competencies of clinical breast examination (CBE) during a physical assessment course for advanced practice registered nurse (APRN) students. Statistical data from a southern state (South Carolina) are given to increase awareness of health disparity issues and to support reasons why CBE skill mastery is an essential part of APRN professional development as it relates to state and national goals for early breast cancer detection and mortality reduction.  An innovative partnership among an academic institution, a community agency, and state department of public health is described in relation to teaching CBE to APRN students.
 
Previous Poster for Viewpoints
 
2005
 

Alexander, Judith, Alexander, Ann, Burgess Stephanie,  Guffey, Donald , & Haynes, Bonnie  J., University of South Carolina, Columbia, SC; 
Lee, Ann , Cumbey, Dorothy, Green, Vicki, Heim, Marge, Johnson, Linda & Tucker, Sandra, South Carolina Department of Health and Environmental Control, Columbia, SC
Addressing the Public Health Nursing Shortage:  A Collaborative Education/Practice Partnership to Create Experiences for BSN Students


Purpose/Specific Aims:
South Carolina is experiencing a shortage of both nursing faculty and public health nurses.  To address these shortages, the University of South Carolina and South Carolina Department of Health and Environmental Control collaboratively implemented a project that provides community/public health clinical experiences for BSN senior students in health departments and trains public health nurses to serve as preceptors for these students. 
Design/Methods:
The project provided a daylong training session for 20 public health nurses on the role of a student preceptor and break out sessions on the preceptor role and the project attended by 40 public health nurses each of  the 2003 and 2004 statewide public health nursing meetings.  To date, 105 BSN nursing students have participated in experiences in nine county health departments across the state.  The experiences have emphasized population health and core public health functions. Students are involved with clinical services related to child health including immunizations and rehabilitation, family planning, sexually transmitted diseases, and TB; care of clients in the home; case management of pregnant teens, newborns, and HIV+ clients; disease investigation and surveillance; environmental health related to inspections of restaurants and sewer systems; and bioterrorism. 
Findings:
Evaluation of the project included conference calls with the project team, focus group interviews with the students, survey feedback from the preceptors, and tracking of students related to employment following graduation.  Student feedback was very positive with the students being impressed with the level of autonomy of PHNs, being grateful for knowledge gained and seeing benefit of the experiences regardless of their future practice setting. Negative feedback from the students related to the time and expenses of the travel and frustrations with down time in clinic when show rates were low. Likewise, preceptors had positive responses, enjoyed this role, and were willing to participate in the future.  Of the first 76 students to participate, 25 graduates responded. All, but one, are employed in acute care facilities with 19 planning to attended graduate school. Six were considering careers in public/community health nursing, and one RN student who was a school nurse continues in that role.
Implications: 
This collaborative project was successful; however, expanded preceptor development through health department is needed to increase pool of preceptors. On-going planning meetings with DHEC administrative staff and preceptors are essential prior to the start of each semester.
Supported  by HRSA Grant #6 D52HP00553-01-02

 

 

 
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