Identify one (1) of your policies specific to your specialty and explain how healthcare inequity is addressed. NR 327 Maternal Child.

 Identify one (1) of your policies specific to your specialty and explain how healthcare inequity is addressed. NR 327 Maternal Child. at Vaginia hospital

Focused Community Clinical Experience (FCCE): Priority Nursing Action Plan

Student Name: ______________________________________ Date: ___________________

Course: ___________________________ FCCE Site: _________________________________

Instructions: Develop a priority nursing action plan for nurses addressing the healthcare disparities, health equity, and structural racism in the community or population your assigned agency serves.

An action plan is a detailed list of scheduled activities, tasks, and objectives to achieve goals. It helps in prioritizing and executing these activities, ensuring success. The plan includes objectives, comprehensive planning, and the steps taken to achieve them. It also includes the steps taken to complete each set of activities, ensuring a well-structured and effective plan.

· Identify three (3) resources that are safe, effective, efficient, and available to support the priority action plan.

Resources ( Time/People/Materials Needed)

1.

2.

3.

· Identify three (3) priority actions nurses can take to advocate for the community or population.

Tasks/ Action Steps/Deadline ( What will be done?)

1.

2.

3.

· Evaluation Process: How will you determine your Nursing Priority Action Plan goals have been reached? ( What are you measuring?)

References

FCCE Priority Nursing Action Plan ©2025. Chamberlain University. All Rights Reserved.

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Purpose

This Focused Community Clinical Experience (FCCE) clinical learning assignment aims to prepare students for engagement and patient care, develop students' understanding of social determinants of health (SDOH), healthcare disparities, health equity, structural racism, and the impact on the community population. The priority nursing action plan will heighten students’ awareness of nurses’ role in advancing health equity for all and mitigating disparities.

Program outcomes: This activity enables the student to meet the following course outcomes. For complete alignment with associated outcomes and competencies, please refer to your Course Specific Clinical Learning Competency Alignment Table.

1. Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates and communities, from entry to the healthcare system through long-term planning.

2. Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance and rehabilitative activities.

3. Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates and communities.

4. Integrates clinical judgment in professional decision making and implementation of the nursing process.

5. Demonstrates responsibility for continued personal and professional development through enrollment in graduate education, continuing education degree programs, professional reading and participation in professional organizations and community service.

6. Implements professional nursing standards by practicing within the legal definitions of nursing practice and acts in accordance with the nursing code of ethics and American Nurses Association (ANA) standards of practice.

7. Practices in established professional roles consistent with entry-level BSN graduates to provide cost-effective, quality healthcare to consumers in structured and unstructured settings.

8. Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates and communities.

Assignment Requirements:

· Required training completed before the first scheduled FCCE clinical day (see below).

· Complete a minimum of four (4) hours of FCCE at a clinical site in each course with a clinical credit hour component.

· Complete and submit written assignment. The written assignment has two components: CORE (all students except those in NR441/NR442/NR444 complete) and Leveled (all students complete). The CORE assignment requires the submission of a priority action plan by each student. The Leveled assignment also requires a submission by each student. Follow the grading rubric. All assignments submitted must be typed and in APA format.

Required Training: The training listed below must be completed once, in NR326, NR327, NR328, NR341, NR342, NR442/NR444 depending on which is your first course participating in the FCCE. Students who (1) do not complete the training, (2) do not upload the certificate of completion, and (3) do not bring a hard copy of the completion certificate to the FCCE clinical site are not permitted to attend, resulting in an absence. Refer to the Student Handbook Attendance section for more details.

· Students must complete the following:

· CUL215 Addressing Implicit Bias: A Primer for Healthcare Providers (2 hours)

· Upload the certificate of completion to Week 8: Clinical Learning Assignment

· Show the certificate to the faculty/non faculty facilitator who is facilitating the clinical experience on the scheduled day

Due date: Your faculty member will inform you when the FCCE Core and Leveled (as appropriate) assignment is due. The assignment is uploaded to Week 8: Clinical Learning Assignment. The CUL215: Implicit Bias Training certificate is due before your scheduled FCCE and is uploaded to Week 8: Clinical Learning Assignment.

Grade possible: Satisfactory/Unsatisfactory. A Satisfactory rating meets the following on the Clinical Learning Evaluation:

· Clinical Learning Competency: Completes all clinical learning experiences and requirements successfully (PO 5).

· Performance Descriptor: Completes all assignments related to the clinical learning experience within established guidelines.

Preparing the assignment

Follow these guidelines when completing this assignment.

1. All students:

a. Complete the required training (see above).

b. Complete Part A: CORE assignment as outlined below (except students in NR441/NR442/NR444).

c. Complete Part B: Leveled assignment depending on which course the assignment is completed.

d. Be prepared to share and engage in dialogue during pre & post-conference. Consult with your faculty member if you have questions.

Part A: CORE Assignment (Pre-work, During focused community clinical experience FCCE day, and Post Focused Community Clinical Experience FCCE):

(ALL students EXCEPT for students in NR441/NR442/NR444 complete the CORE assignment):

1. Pre-work (prior to the community clinical experience day): In collaboration with your clinical group or independently, identify contributing social determinants of health (SDOH)/healthcare disparities, health equity factors, and structural racism in the community where your community agency is located and complete the following. Be prepared to engage in dialogue during preconference about your findings:

a. Explore the agency:

· What is their county and/or zip code?

· What is their vision/mission/purpose?

· Who do they serve?

· What services/resources do they offer?

b. Review video County Health Rankings & Roadmaps – Our Model (approximately 1 min).

c. Review county health rankings to understand the community your assigned agency resides in, exploring all areas of the rankings.

· Within the county health rankings website, type in the county or zip code and click search.

· Scroll down and review the information on the page.

· Identify three (3) Health Factors/Health Behaviors with the highest percentage, number, or ratio that could contribute to healthcare disparities and health equity opportunities.

· Review video County Health Rankings & Roadmaps – Our Model (approximately 1 min).

d. Identify the target aggregate population.

· Include specific populations as appropriate (i.e., Unsheltered/unhoused, LGBTQIA+, veterans, people with disabilities)

· View the course: Acknowledging Gender and Sex: Supporting Healthcare Providers in Serving Transgender Patients and Clients (approximately 9 min)

· Click on “Launch Interactive Course” to view

· Navigate to the https://library.chamberlain.edu/home and locate the following article, then review:

· Ross, J. (2020). Identifying human trafficking victims in healthcare. Journal of PeriAnesthesia Nursing, 35, 215-216.  https://doi.org/10.1016/j.jopan.2019.11.006

Optional resources:

Navigate to the https://library.chamberlain.edu/home. Locate the following articles and review.

· Nichter, B., Tsai, J., & Pietrzak, R.H. (2022). Prevalence, correlates, and mental health burden associated with homelessness in U.S. military veterans.  Psychological Medicine, 53, 3952-3962. https://doi.org/10.1017/S0033291722000617

· Khatana, S.A.M., Wadhera, R.K., Choi, E., Groeneveld, P.W., Culhane, D.P., Kushel, M., Kazi, D.S., Yeh, R.W., & Shen, C. (2020). Association of homelessness with hospital readmissions—An analysis of three large states.  Journal of General Internal Medicine,  35(9), 2576–2583. https://doi.org/10.1007/s11606-020-05946-4

· McEwing, E., Black, T., Zolobczuk, J. & Dursun, U. (2022). Moving beyond the LGBTQIA+ acronym: Toward patient-centered care.  Rehabilitation Nursing, 47(5), 162-167.  https://doi.org/10.1097/RNJ.0000000000000378

2. During focused community clinical experience (FCCE) day:

a. Pre-conference:

· Engage in dialogue with clinical faculty/non-faculty facilitator (preceptor/affiliate clinical nurse, etc.) and clinical group the findings from all aspects of the county health rankings compared to the national and global benchmarks.

· Ensure you note which has the highest percentages/number/ratio of factors related to Health Factors/Health Behaviors, Clinical Care, Social Economic Factors, and Physical Environment

· Include information gleaned from the interactive video and your review of the articles related to human trafficking and the unhoused.

· Use this information to collaborate with clinical faculty/preceptor/affiliate clinical nurse and the clinical group to identify SDOH/healthcare disparities, health equity factors, and structural racism in the community.

b. Clinical:

· Provide care to the population and ensure the use of Preferred Terms: Preferred Terms for Select Population Groups & Communities | Gateway to Health Communication | CDC .

· Evaluate for healthcare disparities contributing to health equity opportunities.

· Complete the Social Determinants of Health Questionnaire (SDOH).

· Engage agency leaders in dialogue about gender-expansive care, policies, or procedures.

· Explore what interprofessional collaboration opportunities exist in the agency to advance health equity.

c. Post-conference, in collaboration with your clinical group, discuss:

· Public Health System-Clinical Healthcare Interaction

· Priority Nursing Action Plan

· Nurses' Advocacy Actions

· Structural Disparity and Health Equity

· Impact of Implicit Bias on Health Equity

· Leveled assignment findings & progress

3. Post Focused Community Clinical Experience (FCCE): Utilize the Priority Nursing Action Plan Template

a. Type and submit:

· Develop a priority plan for nurses to address healthcare disparities, health equity, and structural racism in the community or population your assigned agency serves.

· Identify three (3) resources that are safe, effective, efficient and are available to support the priority plan.

· Identify three (3) priority actions nurses can take to advocate for the community or population.

· Include how the priority plan would be evaluated.

PART B: Leveled Assignment (Completed post FCCE).

Type and submit the appropriate leveled assignment.

Course

Leveled Assignment Requirement

Level 2 Courses

(NR226)

No additional leveled assignment required.

Level 3 Courses

(NR324/NR329, NR325/NR330, NR326, NR327, NR328, NR341/NR342)

ALL Level 3 courses complete the Level 3 assignment in addition to the CORE assignment.

NR324/NR329, NR325/NR330:

· Identify two (2) federal, local, or state policies that support the mitigation or reduction of SDOH/healthcare inequities/inequalities.

· Example sites:

· https://www.govinfo.gov/ 

· https://www.state.gov/policy-issues/  

· Explain how each of the policies you identified affects the health of the individual, population, or community. 

NR326, NR327, NR328, NR341/NR342:

· Identify one (1) of your policies specific to your specialty and explain how healthcare inequity is addressed.

Level 4 Courses (NR441/NR442/NR444, NR446, NR452/NR453)

Leveled Assignment Resources:

Navigate to the Chamberlain University Library to locate and review the following resources:

· How to Write a Health Policy Brief (apa.org)

· Engaging nurses in health policy in the era of COVID‐19. Nursing Forum, 56(1), 89–94. https://doi.org/10.1111/nuf.12514

ALL NR441/NR442/NR444, NR446, and NR452/NR453 students complete the Level 4 assignment.

NR441/NR442/NR444:

· Develop and outline a policy that supports health equity using the current community clinical site/agency or a previous community clinical site/agency.

· Use the information gathered from faculty-guided discussions during pre and post-conference, and the Priority Nursing Action Plan during the Focused Community Clinical Experience day.

NR446:

· Develop a letter to a local or national politician that champions the policy you developed and outlined.

· Include the importance of the policy, anticipated mitigation, evidence-based practice references, and methods to socialize, enforce, and sustain the policy.

NR452/NR453:

· Complete any necessary revisions to the policy.

· Faculty will review all submissions and determine which policies and letters will move forward.

· If selected, share your letter and policy with your politician.

· If selected, engage in purposeful dialogue for potential implementation.

**Students include policy development on your resume/CV as a student once you have submitted your policy in NR452/NR453**

Focused Community Clinical Experience (FCCE): Student Clinical Assignment Guidelines

Focused Community Clinical Experience (FCCE): Clinical Assignment Guidelines

Focused Community Clinical Experience (FCCE): Clinical Assignment Guidelines

©2025 Chamberlain University. All Rights Reserved

1

© 2025 Chamberlain University. All Rights Reserved

©2025 Chamberlain University. All Rights Reserved

Grading Rubric

Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and

Required Criteria

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Prior to Community Clinical Experience Day

Satisfactory

Unsatisfactory

Required criteria – CORE assignment (all students complete except for NR441/NR442/NR444)

1. Completes and summarizes the agency review.

a. Mission/vision/purpose.

b. Population being served.

c. Resources offered.

2. Reviews and identifies county health rankings findings that correlates to assigned community agency.

3. Identifies target aggregate population.

Includes no fewer than 3 requirements for section.

Did not complete the criteria or less than 3 requirements for section.

During Community Clinical Experience Day

Satisfactory

Unsatisfactory

Required criteria – CORE assignment

1. Explores what interprofessional collaboration opportunities exist in the agency to advance health equity.

2. Provides culturally appropriate and safe, quality care to the population, ensuring the use of proper pronouns.

3. Participates in the review of data and exploration of potential plan and preconference.

4. Participates in post conference and the revised plan and post conference.

Includes no fewer than 4 requirements for section.

Did not complete the criteria or less than 4 requirements for section.

After Focused Community Clinical Experience (FCCE) Day (Priority Nursing Action Plan)

Satisfactory

Unsatisfactory

Required criteria

1. Explore understanding of nursing concerning healthcare disparities, health equity, and structural racism within the served community/population during the clinical learning experience.

2. Consider personal and professional contributions to social change.

3. Discuss recommendations for future actions, including the necessity/intent of proposed changes and the stakeholders involved, along with their level of influence.

4. Develop a Nursing Priority Action Plan:

– Identify three resources that are safe, effective, and efficient.

– Determine three priority actions for nurses to advocate within the community.

– Outline the evaluation process for the priority plan.

– Ensure the document is APA-formatted and typed in Word.

– Mechanics, spelling, punctuation, and grammar should be logical and professional.

Includes no fewer than 4 requirements for section.

Did not complete the criteria or less than 4 requirements for section.

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After Focused Community Clinical Experience (FCCE) Day (Leveled Assignment)

Satisfactory

Unsatisfactory