Integrating Correctional and Community Health Care: An Innovative Approach for Clinical Learning in a Baccalaureate Nursing Program

Bouchaud Mary T.; Swan Beth Ann

摘要

PROBLEM >With an evolving focus on primary, community‐based, and patient‐centered care rather than acute, hospital‐centric, disease‐focused care, and recognition of the importance of coordinating care and managing transitions across providers and settings of care, registered nurses need to be prepared from a different and broader knowledge base and skills set. A culture change among nurse educators and administrators and in nursing education is needed to prepare competent registered nurses capable of practicing from a health promotion, disease prevention, community‐ and population‐focused construct in caring for a population of patients who are presenting health problems and conditions that persist across decades and/or lifetimes. While healthcare delivery is moving from the hospital to ambulatory and community settings, community‐based educational opportunities for nursing students are shrinking due to a variety of reasons, including but not limited to increased regulatory requirements, the presence of competing numbers of nursing schools and their increased enrollment of students, and decreasing availability of community resources capable and willing to precept students in an all‐day interactive learning environment. </section> <section xml:id="nuf12164-sec-0020"> <title type="main">METHODS >A detailed discussion of one college of nursings' journey to find an innovative solution and approach to the dilemma of limited and decreasing available community clinical sites to prepare senior level prelicensure baccalaureate nursing students for healthcare practice in the twenty‐first century. </section> <section xml:id="nuf12164-sec-0030"> <title type="main">FINDINGS >This article demonstrated how medium/maximum prisons can provide an ideal learning experience for not only technical nursing skills but more importantly for reinforcing key learning goals for community‐based care, raising population‐based awareness, and promoting cultural awareness and sensitivity. In addition, this college of nursing overcame the challenges of initiating and maintaining clinical placement in a prison facility, collaboratively developed strategies to insure student and faculty safety satisfying legal and administrative concerns for both the college of nursing and the prison, and developed educational postclinical assignments that solidified clinical course and nursing program objectives. Lastly, this college of nursing quickly learned that not only did nursing students agree to clinical placement in an all‐male medium‐ to maximum‐security prison despite its accompanying restrictive regulations especially as it relates to their access to personal technology devices, but there was an unknown desire for a unique clinical experience. </section> <section xml:id="nuf12164-sec-0040"> <title type="main">CONCLUSION >The initial pilot program of placing eight senior level prelicensure baccalaureate nursing students in a 4,000‐person all male medium‐ to maximum‐security prison for their community clinical rotation has expanded to include three state‐run maximum all male prisons in two states, a 3,000‐person male/female federal prison, and several juvenile detention centers. Clinical placement of students in these sites is by request only, resulting in lengthy student waiting lists. This innovative approach to clinical learning has piqued the interest of graduate nurse practitioner (NP) students as well. One MSN, NP student has been placed in the federal prison every semester for over a year. Due to increasing interest from graduate students to learn correctional health nursing, the college of nursing is now expanding NP placement to the other contracted </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> <div class="translation abstracttxt"> <span class="zhankaihshouqi fivelineshidden" id="abstract"> <span>机译：</span><Abstract XMLNS =“http://www.wiley.com/namespaces/wiley”type =“main”> <section xml：id =“nuf12164-sec-0010”> <标题类型=“main”>问题</标题> >，以初级，社区为基础，以患者为中心的护理而不是急性，医院为中心的，以疾病为中心的关注，以及认识到协调管理和管理过渡的重要性和环境的重要性关心，注册护士需要由不同和更广泛的知识库和技能组准备。需要在护士教育和管理员以及护理教育中进行文化变革，以制定能够从健康促进，疾病预防，社区和人口的焦虑患者中练习的有能力的注册护士进行照顾培养健康问题的患者跨越数十年和/或寿命持续存在的条件。虽然医疗保健交付正在从医院从医院移动到外国人和社区设置，但由于各种原因，养老院的教育机会正在萎缩，包括但不限于增加监管要求，竞争学校的竞争数量和他们的竞争数量增加学生的入学，以及减少社区资源的可用性，并愿意在全天的互动学习环境中授予学生。</ p> </段> <部分XML：ID =“NOF12164-SEC-0020”> <标题type =“main”>方法</ title> >对一个护理学院的一个详细讨论，寻找创新解决方案和方法有限和减少可用社区临床网站的困境，以准备高级普罗拉利学士学位护理学生在二十一世纪的医疗保健实践中。</ p> </ section> <section xml：id =“nuf12164-sec-0030”> <title type =“main”> condings </ title> >本文郑重介绍如何提供理想的学习体验，不仅可以为技术护理技能提供理想的学习体验，但更重要的是加强基于社区护理的关键学习目标，提高人口的意识，促进文化意识和敏感性。此外，这位护理学院克服了在监狱设施中启动和维持临床安置的挑战，并协作开发策略，以确保学生和教师安全为护理学院和监狱的行政问题，以及发达教育的营业临床作业凝固的临床课程和护理计划目标。最后，这位护理学院迅速了解到，尽管有关限制法规，但护理学生不仅同意一个全男性媒体到最高安全监狱的临床安排，尤其是伴随着他们与个人技术设备的访问，但是对独特的临床经验的未知愿望。</ p> </ section> <section xml：id =“nuf12164-sec-0040”> <标题类型=“main”>结论</ title> >最初的飞行员将八个高级孕妇养育学生放置在4,000人中的八个高级孕妇养老院，所有男性媒体旋转的最高安全监狱已经扩大到包括三个国家的三个国家/地区所有男性监狱，是一名3000人的男性/女联邦监狱，以及几个少年拘留中心。在这些网站的学生的临床位置仅由请求，导致冗长的学生等候名单。这种临床学习的创新方法激起了研究生护士从业者（NP）学生的兴趣。一个MSN，NP学生每学期都被置于联邦监狱一年多。由于毕业生的兴趣越来越富裕，学习惩教卫生护理，护理学院现在正在向其他合同扩大NP安置 </span> <span class="z_kbtn z_kbtnclass hoverxs" style="display: none;">展开▼</span> </div> </div> <div class="record"> <h2 class="all_title" id="enpatent33" >著录项</h2> <ul> <li> <span class="lefttit">来源</span> <div style="width: 86%;vertical-align: text-top;display: inline-block;"> <a href='/journal-foreign-26179/'>《Nursing forum》</a> <b style="margin: 0 2px;">|</b><span>2017年第1期</span><b style="margin: 0 2px;">|</b><span>共12页</span> </div> </li> <li> <div class="author"> <span class="lefttit">作者</span> <p id="fAuthorthree" class="threelineshidden zhankaihshouqi"> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Bouchaud Mary T.&option=202" target="_blank" rel="nofollow">Bouchaud Mary T.;</a> <a href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Swan Beth Ann&option=202" target="_blank" rel="nofollow">Swan Beth Ann;</a> </p> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zkzz" style="display: none;">展开▼</span> </div> </li> <li> <div style="display: flex;"> <span class="lefttit">作者单位</span> <div style="position: relative;margin-left: 3px;max-width: 639px;"> <div class="threelineshidden zhankaihshouqi" id="fOrgthree"> <p>Assistant Professor and Community Clinical Coordinator Thomas Jefferson College of NursingThomas;</p> <p>Dean and Professor Thomas Jefferson College of NursingThomas Jefferson UniversityPhiladelphia PA;</p> </div> <span class="z_kbtnclass z_kbtnclassall hoverxs" id="zhdw" style="display: none;">展开▼</span> </div> </div> </li> <li > <span class="lefttit">收录信息</span> <span style="width: 86%;vertical-align: text-top;display: inline-block;"></span> </li> <li> <span class="lefttit">原文格式</span> <span>PDF</span> </li> <li> <span class="lefttit">正文语种</span> <span>eng</span> </li> <li> <span class="lefttit">中图分类</span> <span><a href="https://www.zhangqiaokeyan.com/clc/1477.html" title="护理学">护理学;</a></span> </li> <li class="antistop"> <span class="lefttit">关键词</span> <p style="width: 86%;vertical-align: text-top;"> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=Community health&option=203" rel="nofollow">Community health;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=correctional health&option=203" rel="nofollow">correctional health;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=correctional nursing&option=203" rel="nofollow">correctional nursing;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=innovations&option=203" rel="nofollow">innovations;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=nursing model&option=203" rel="nofollow">nursing model;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=public health&option=203" rel="nofollow">public health;</a> <a style="color: #3E7FEB;" href="/search.html?doctypes=4_5_6_1-0_4-0_1_2_3_7_9&sertext=nursing education&option=203" rel="nofollow">nursing education;</a> </p> <div class="translation"> 机译：社区健康;惩教健康;惩教护理;创新;护理模式;公共卫生;护理教育; 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initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：（社区护理）服务器和移动集成软件程序，用于初级/二级卫生和社会护理团队 </span> </p> </li> <li> <div> <b>5. </b><a class="enjiyixqcontent" href="/patent-detail/06130408083200.html">AN INNOVATIVE ART, METHOD, MANNER, PROCESS, PROCEDURE AND INDUSTRIAL APPLICATION FOR A UTILITARIAN MODEL FOR THE GENERAL PUBLIC TO INTEGRATE PREVENTIVE HEALTHCARE SERVICES, HEALTH OR MEDICAL INSURANCE, LIFE INSURANCE AND RETIREMENT OR PENSION PLANS SYNERGISTICALLY WITH PAYMENT SERVICE OPTIONS SUCH AS DEBIT CARD, CREDIT CARDS, PREPAID CARDS OR DIGITAL WALLETS OF BANKS OR FINANCIAL INSTITUTIONS ON A SINGLE SERVICE DELIVERY FACILITATION PLATFORM WITH AN OBJECTIVE TO CREATE A 'UNIFIED 360 DEGREE VOLUNTARY (OR CONTRIBUTORY) "SOCIAL SECURITYamp;HEALTH PROTECTION SCHEME" (VSSHPS), WHICH MAY ALTERNATIVELY BE REFERRED (AMONG MANY OTHER POSSIBLE COMBINATION TERMINOLOGIES) TO AS "SUSTAINABLE HEALTH ASSURANCEamp;SOCIAL SECURITY INVESTMENT PLATFORM (ALSO REFERRED TO AS "SHASSIP" AND FURTHER SHORTENED BY A COINED WORD MARK "SECQUED</a> <b>[P]</b> . <span> 外国专利：  EP3335184A2 </span> <span> . 2018-06-20</span> </div> <p class="zwjiyix translation" style="max-width: initial;height: auto;word-break: break-all;white-space: initial;text-overflow: initial;overflow: initial;"> <span>机译：通用模型的大众化通用模型的创新艺术，方法，方式，过程，程序和工业应用，以整合预防性保健服务，健康或医疗保险，人寿保险和退休或退休计划，并与付款服务选项协同使用单一服务交付平台上的信用卡，预付卡或银行或金融机构的数字钱包，其目的是创建统一的360度自愿（或贡献）“社会安全性（特别是）”，以确保安全（在许多其他可能的组合术语中），以“可持续的健康保障和社会安全投资平台”（也称为“ SHASSIP”，并进一步用粗体字标记“ SECQUED” </span> </p> </li> </ul> </div> </div> </div> <div class="theme cardcommon" style="overflow: auto;display:none"> <h3 class="all_title" id="enpatent55">相关主题</h3> <ul id="subject"> </ul> </div> </div> </div> </div> <div class="right rightcon"> <div class="details_img cardcommon clearfix" style="margin-bottom: 10px;display:none;" > </div> </div> </div> <div id="thesis_get_original1" class="downloadBth" style="bottom: 19px;z-index: 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