Improving the Quality of PHN Student Experiences in Wisconsin ASTDN Annual Conference - 2009 Oklahoma City, Oklahoma

7. Cultural competency: Cultural Competency Awareness for Clinical Teaching/Learning event April 1, 2009 in S Region: 18 attendees from academia and practice including 2 nurses from Ho Chunk Nation,Thai visiting scholar, 1 student. Refuge Health workshop scheduled for June 2009 Environmental Health: Global Warming, GPS Tools & PH Strategies-52 participants, 10 ELEAP Practice Agencies - 2 agencies @ Marshfield Site-2 RPHNC , 9 UWEC Faculty+ 1 UW GB, Total 32 students; 26 PHN students + 6 UWEC ENPH Public Health Nursing Intervention Wheel: 1/29/2008 – Identification of PH Intervention Wheel in PHN with highlight of WI PHN Practice Model, # Total participants – 112 # agencies – 7 local health departments including Ho Chunk Tribal Center schools/faculty – 4 Schools/ 10 faculty # students – 53 students from Winona & Viterbo, # other: 27 nurses from La Crosse County Case Management Organization; 1 school nurse, 1 representative from La Crosse Medical Health Science Consortium **A library access training session was held in partnership with faculty from UW-Milwaukee and the SE regional office which emphasized finding evidence based practices using the exemplar of environmental health. **Communication workshops have stressed population based communication methodology, cultural considerations and the importance of PH gaining exposure to mass media. Cultural competency: Cultural Competency Awareness for Clinical Teaching/Learning event April 1, 2009 in S Region: 18 attendees from academia and practice including 2 nurses from Ho Chunk Nation,Thai visiting scholar, 1 student. Refuge Health workshop scheduled for June 2009 Environmental Health: Global Warming, GPS Tools & PH Strategies-52 participants, 10 ELEAP Practice Agencies - 2 agencies @ Marshfield Site-2 RPHNC , 9 UWEC Faculty+ 1 UW GB, Total 32 students; 26 PHN students + 6 UWEC ENPH Public Health Nursing Intervention Wheel: 1/29/2008 – Identification of PH Intervention Wheel in PHN with highlight of WI PHN Practice Model, # Total participants – 112 # agencies – 7 local health departments including Ho Chunk Tribal Center schools/faculty – 4 Schools/ 10 faculty # students – 53 students from Winona & Viterbo, # other: 27 nurses from La Crosse County Case Management Organization; 1 school nurse, 1 representative from La Crosse Medical Health Science Consortium **A library access training session was held in partnership with faculty from UW-Milwaukee and the SE regional office which emphasized finding evidence based practices using the exemplar of environmental health. **Communication workshops have stressed population based communication methodology, cultural considerations and the importance of PH gaining exposure to mass media.

8. **UW Oshkosh staff presented their “Second Life” virtual public health dept at the 2009 Faculty Development Conference and invited participation from LEAP partners. **PHNs: Creating & Influencing Health Policy-scheduled for April 20th Library Services for ELEAP Facilitators-EBP- 1/20/2009. Preceptors received training and library access for EBP, collaboration between UWEC- CNHS & McIntyre Library-working on grant targeting PHN Supervisors for EBP. Service Learning Workshop emphasized the mutually realized benefits to both agency and student when hosting students in agencies. CHIP workshops reviewed guidelines necessary for completion of community health improvement plans and activities students may be involved in such as data collection. **UW Oshkosh staff presented their “Second Life” virtual public health dept at the 2009 Faculty Development Conference and invited participation from LEAP partners. **PHNs: Creating & Influencing Health Policy-scheduled for April 20th Library Services for ELEAP Facilitators-EBP- 1/20/2009. Preceptors received training and library access for EBP, collaboration between UWEC- CNHS & McIntyre Library-working on grant targeting PHN Supervisors for EBP. Service Learning Workshop emphasized the mutually realized benefits to both agency and student when hosting students in agencies. CHIP workshops reviewed guidelines necessary for completion of community health improvement plans and activities students may be involved in such as data collection.

10. ELEAP Fall Kick Off-Educational Event to: 1) Promote LEAP Project 2) highlight Preceptors contribution to the student field experience 3) Preceptor Panel who spoke to Preceptor Course & acknowledgement of their role in student’s interest in PHN. 69 Total Participants, 10 agencies including Tribal Representation, 9 faculty from UWEC & 40 students ELEAP Fall Kick Off-Educational Event to: 1) Promote LEAP Project 2) highlight Preceptors contribution to the student field experience 3) Preceptor Panel who spoke to Preceptor Course & acknowledgement of their role in student’s interest in PHN. 69 Total Participants, 10 agencies including Tribal Representation, 9 faculty from UWEC & 40 students

11. Betty Bekemeier, University of Washington: Newly released ANA PHN Scope and Standards Kristine Gebbie, Columbia University, Mailman School of Public Health: Standards and Curricula Work together to Improve Public Health Nursing Practice Janet Allan, Dean, University of Maryland School of Nursing: The Clinical Prevention and Population Health Curriculum Framework: Relevance for Public Health Nursing Betty Bekemeier, University of Washington: Newly released ANA PHN Scope and Standards Kristine Gebbie, Columbia University, Mailman School of Public Health: Standards and Curricula Work together to Improve Public Health Nursing Practice Janet Allan, Dean, University of Maryland School of Nursing: The Clinical Prevention and Population Health Curriculum Framework: Relevance for Public Health Nursing

12. The SE WI learning collaborative (SEWEAP) embarked upon a rigorous review of curricula in 8 SoN, all located in the Milwaukee metropolitan area. This project was done in partnership with the RWJF PIN grant for PHN workforce development. Faculty from this region, known for high levels of competition for both student enrollment and student field site placements, were able to come together to share their curriculum contents using a matrix mapping toll that was developed by the collaborative based on the QC PHN competencies. Faculty members met for over one year and celebrated sharing their findings with a breakfast in honor of the schools’ deans and curriculum chairs and are also presenting to the SEWEAP learning collaborative. The SE WI learning collaborative (SEWEAP) embarked upon a rigorous review of curricula in 8 SoN, all located in the Milwaukee metropolitan area. This project was done in partnership with the RWJF PIN grant for PHN workforce development. Faculty from this region, known for high levels of competition for both student enrollment and student field site placements, were able to come together to share their curriculum contents using a matrix mapping toll that was developed by the collaborative based on the QC PHN competencies. Faculty members met for over one year and celebrated sharing their findings with a breakfast in honor of the schools’ deans and curriculum chairs and are also presenting to the SEWEAP learning collaborative.

13. Faculty Mixer: Faculty gathered to share ideas on teaching strategies and how their curriculum is designed. Utilization of windshield surveys, letters to the editor and legislators while incorporating issues in environmental health were highlighted. Faculty discussed and compared number of clinical hours FDC: Participants develop matrix between PHN Scope and Standards and the newly adopted Baccalaureate Essentials population health curriculum. Faculty Mixer: Faculty gathered to share ideas on teaching strategies and how their curriculum is designed. Utilization of windshield surveys, letters to the editor and legislators while incorporating issues in environmental health were highlighted. Faculty discussed and compared number of clinical hours FDC: Participants develop matrix between PHN Scope and Standards and the newly adopted Baccalaureate Essentials population health curriculum.

14. **The intent of the Local and Tribal Health Department Profile is to provide a “snap shot” of a local health department for a student and their academic instructor who may be using the health department as a clinical learning site. This profile is designed to provide information to academia and students about the local/tribal health department staff, programs and services, county demographics and student requirements for field experiences at the health departments. In addition, it is also a tool to stimulate communication between academia and health departments. **The purpose of this tool is to facilitate the student nurse and preceptor relationship during the public/community health field site experience by providing a format for students to share with their preceptors and instructors their goals of the PHN field experience, their learning styles, previous course work, and personal hobbies/interests. This facilitates the development of rapport and provides preceptors an opportunity to learn about the student in a quick way that identifies some inital strengths and potential public health nursing field experience interests. **The brochure for promotion of students in agencies was developed by the SEWEAP learning collaborative in partnership with The RWJF Partners in Nursing grant. The metropolitan region of Milwaukee has 9 SoN and highly competitive for field site placements. The brochure delineates the benefits that can be realized by agencies from hosting students and their faculty by way of projects, research and enhanced capacity of their PHN workforce. The agency feedback form was developed by the NEWLEAP learning collaborative in an effort to provide a communication tool for agencies to inform activities performed by students while under the supervision of the agency staff or preceptor. It is based upon the students’ exposure to PHN activities from the intervention wheel during the field practicum at the agency. **The intent of the Local and Tribal Health Department Profile is to provide a “snap shot” of a local health department for a student and their academic instructor who may be using the health department as a clinical learning site. This profile is designed to provide information to academia and students about the local/tribal health department staff, programs and services, county demographics and student requirements for field experiences at the health departments. In addition, it is also a tool to stimulate communication between academia and health departments. **The purpose of this tool is to facilitate the student nurse and preceptor relationship during the public/community health field site experience by providing a format for students to share with their preceptors and instructors their goals of the PHN field experience, their learning styles, previous course work, and personal hobbies/interests. This facilitates the development of rapport and provides preceptors an opportunity to learn about the student in a quick way that identifies some inital strengths and potential public health nursing field experience interests. **The brochure for promotion of students in agencies was developed by the SEWEAP learning collaborative in partnership with The RWJF Partners in Nursing grant. The metropolitan region of Milwaukee has 9 SoN and highly competitive for field site placements. The brochure delineates the benefits that can be realized by agencies from hosting students and their faculty by way of projects, research and enhanced capacity of their PHN workforce. The agency feedback form was developed by the NEWLEAP learning collaborative in an effort to provide a communication tool for agencies to inform activities performed by students while under the supervision of the agency staff or preceptor. It is based upon the students’ exposure to PHN activities from the intervention wheel during the field practicum at the agency.

15. **Tools-Pre-Project Worksheet & Tool Kit used for reference & capture ideas as needs arise between semester. Partner Project Worksheet-used to develop the project when opportunity for students/practice/instructor to identify project details. **The purpose of this tool is to facilitate the student nurse and preceptor relationship during the public/community health field site experience by providing a format for students to share with their preceptors and instructors their goals of the PHN field experience, their learning styles, previous course work, and personal hobbies/interests. This facilitates the development of rapport and provides preceptors an opportunity to learn about the student in a quick way that identifies some inital strengths and potential public health nursing field experience interests. **The agency feedback form was developed by the NEWLEAP learning collaborative in an effort to provide a communication tool for agencies to inform activities performed by students while under the supervision of the agency staff or preceptor. It is based upon the students’ exposure to PHN activities from the intervention wheel during the field practicum at the agency **Using a WIKI Site for C/PHN Student Projects- The ‘Public Health Nursing Student Projects’ WIKI site was initiated by the NEWLEAP learning collaborative, as a repository for student public health nursing projects. Members of this collaborative include regional public health agencies and schools of nursing in Northeast Wisconsin (UW Oshkosh, UW Green Bay, Bellin College of Nursing and Marian University). The actual WIKI was created by UW Oshkosh College of Nursing through the efforts of Dr. Jill Collier and campus instructional media support. The main objective of the site is to share information as a source of ideas from projects that have been done by students. A specific format was developed to provide consistency in posting the projects. The Quad Council PHN Competencies are used as the guiding framework for organizing projects on the site. Members of the group encourage projects to both foster collaborative spirit, and that are directed at competency-based, population-focused public health nursing practice. Via this site, agencies, faculty and students can post completed projects, obtain ideas for new projects, or continue a project that has already been started by another group of students. Utilizing a WIKI site has the benefit of providing online access to real time documents. Accessing the link http://idea.uwosh.edu/newleapwiki will provide participants the opportunity to view the project list, and/or follow instructions to post their own projects. Site developers welcome competency-based projects developed by all public health nurses and community health nursing faculty. **Tools-Pre-Project Worksheet & Tool Kit used for reference & capture ideas as needs arise between semester. Partner Project Worksheet-used to develop the project when opportunity for students/practice/instructor to identify project details. **The purpose of this tool is to facilitate the student nurse and preceptor relationship during the public/community health field site experience by providing a format for students to share with their preceptors and instructors their goals of the PHN field experience, their learning styles, previous course work, and personal hobbies/interests. This facilitates the development of rapport and provides preceptors an opportunity to learn about the student in a quick way that identifies some inital strengths and potential public health nursing field experience interests. **The agency feedback form was developed by the NEWLEAP learning collaborative in an effort to provide a communication tool for agencies to inform activities performed by students while under the supervision of the agency staff or preceptor. It is based upon the students’ exposure to PHN activities from the intervention wheel during the field practicum at the agency **Using a WIKI Site for C/PHN Student Projects- The ‘Public Health Nursing Student Projects’ WIKI site was initiated by the NEWLEAP learning collaborative, as a repository for student public health nursing projects. Members of this collaborative include regional public health agencies and schools of nursing in Northeast Wisconsin (UW Oshkosh, UW Green Bay, Bellin College of Nursing and Marian University). The actual WIKI was created by UW Oshkosh College of Nursing through the efforts of Dr. Jill Collier and campus instructional media support. The main objective of the site is to share information as a source of ideas from projects that have been done by students. A specific format was developed to provide consistency in posting the projects. The Quad Council PHN Competencies are used as the guiding framework for organizing projects on the site. Members of the group encourage projects to both foster collaborative spirit, and that are directed at competency-based, population-focused public health nursing practice. Via this site, agencies, faculty and students can post completed projects, obtain ideas for new projects, or continue a project that has already been started by another group of students. Utilizing a WIKI site has the benefit of providing online access to real time documents. Accessing the link http://idea.uwosh.edu/newleapwiki will provide participants the opportunity to view the project list, and/or follow instructions to post their own projects. Site developers welcome competency-based projects developed by all public health nurses and community health nursing faculty.

16. “LEAPing Across States: Exchanging Rural-Urban C/PHN Nursing Student Windshield Surveys   This project represented an ‘unbound clinical experience’ as a collaborative effort between Winona University School of Nursing, Winona, Minnesota & Alverno College School of Nursing, Milwaukee, Wisconsin using windshield surveys as a teaching method to explore and compare rural and urban communities for undergraduate c/phn nursing students. Project objectives included a best practice strategy for teaching students cultural competency in diverse community settings. This innovative field experience was designed to videotape communities utilizing windshield methodology, develop power-points based on findings, and share between schools from vastly different geographical areas. Each school’s individual group of students reviewed each other’s power-points and videotapes. The culmination of the project brought both groups together for real-time discussion by participating in a video-satellite conference. This final step facilitated the integration of the differences of the communities, and how key components in community assessment can affect population health in rural and urban communities. Participants were extremely motivated during the project and reported high degrees of satisfaction in this field experience. Key verbal comments included, “this is the only time I’ve really seen what an urban area looks like; I’ve never been to a city,” (rural student) and “I can’t think of anyone who would be willing to take in a homeless person like they did in rural communities” (urban student). “LEAPing Across States: Exchanging Rural-Urban C/PHN Nursing Student Windshield Surveys   This project represented an ‘unbound clinical experience’ as a collaborative effort between Winona University School of Nursing, Winona, Minnesota & Alverno College School of Nursing, Milwaukee, Wisconsin using windshield surveys as a teaching method to explore and compare rural and urban communities for undergraduate c/phn nursing students. Project objectives included a best practice strategy for teaching students cultural competency in diverse community settings. This innovative field experience was designed to videotape communities utilizing windshield methodology, develop power-points based on findings, and share between schools from vastly different geographical areas. Each school’s individual group of students reviewed each other’s power-points and videotapes. The culmination of the project brought both groups together for real-time discussion by participating in a video-satellite conference. This final step facilitated the integration of the differences of the communities, and how key components in community assessment can affect population health in rural and urban communities. Participants were extremely motivated during the project and reported high degrees of satisfaction in this field experience. Key verbal comments included, “this is the only time I’ve really seen what an urban area looks like; I’ve never been to a city,” (rural student) and “I can’t think of anyone who would be willing to take in a homeless person like they did in rural communities” (urban student).

17. Practice Participation: Invitation of PHN Supervisors to class-meet students/group, identified Project Topics with general description, brainstorming to further refine project, students develop project to meet the needs of LHD Practice Participation: Invitation of PHN Supervisors to class-meet students/group, identified Project Topics with general description, brainstorming to further refine project, students develop project to meet the needs of LHD

19. Tribes: Ho-Chunk, Oneida, Menominee and St. CroixTribes: Ho-Chunk, Oneida, Menominee and St. Croix