osp project group two · web view“schools are uniquely situated to support healthy...
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Running Head: HEALTHY CONNECTIONS
Healthy Connections
Sherri Gautney, Richardia Gibbs-Hook, Kathy LaPonsie, Mariah Lab, Lauren Luckett,
Adrianne Tozer, Wendy Webster, and Jackie Wirth
Ferris State University
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Abstract
The purpose of this project is to meet the requirement as specified for Ferris State University’s Nursing 440, Leadership in Nursing as part of the RN-BSN program. The project is called Organizational Strategic Plan (OSP). The idea is to work in a group to establish a healthcare need within the community and develop a plan to fulfill the need. After completing an assessment of children in the public school system, it was decided that there was a distinct need for healthcare education and prevention. The plan entails the assessment phase, mission statement, philosophy, goals, objectives, job descriptions, implementation strategy, and budget guidelines.
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OSP Project Group Two
Step One
External Assessment
“Schools are uniquely situated to support healthy behavior of children and adolescents as
they acquire lifelong habits that include maintaining a healthy weight (Hoxie-Setterstrom &
Hoglund, 2011, p. 330).” Schools are required by the federal government to have wellness
policies in place to participate with in the National School Lunch Program that promote healthy
eating and exercise (Hoxie-Setterstrom & Hoglund, 2011). Hoxie-Sterstrom & Hoglund (2011)
found schools evaluated had vaguely written policies resulted in limited changes in school
environment.
In the current economic climate, schools are being asked to provide more services with
less money. Budget cuts within the public school system have made it difficult for many
organizations to maintain extra support staff, including school nurses. The historic role of a
school nurse was put in place to tend to injuries, manage medications due during the school day,
and monitor children for illness. As evidence has shown, preventative healthcare is just as
important as treating current illnesses. Through the years, the role of the school nurse became
much larger. Including the nurse’s previous duties, nurses began to educate children on eating
healthy, blood pressure, heart rate, exercise, smoking prevention, and drug/substance abuse
prevention.
The number of youth who experience preventable health related problems has tripled
since 1991. “More effective school health programs and other policy and programmatic
interventions are needed to reduce risk and improve health outcomes in the youth” (Center
Disease Control, 2012). Many schools have a health education class, but the classes cover a
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wide range of information in a short amount of time and do not focus on topics that affect those
in the class. The health programs and education need to incorporate topics that affect the
students now and can influence their future.
There are programs that schools can implement like Play 60 to promote wellness. The
Robert Wood Johnson Foundation (RWJF) (2013) has developed a program for schools to
strengthen polices and approaches on health and wellness to help change the culture of the
school through a six step process. This program has personnel that help provide the tools and
education to school staff on the six step process. The school staff then has the ability to educate
children. With school staff shortages and decreasing budgets, it is challenging for schools to
utilize these resources.
A program that provides the staff and funding for a wellness program with screening and
education for health specific needs of the school population could be beneficial. Many nursing
programs are encouraging students to participate in community projects like volunteering in
schools. A program that promotes wellness and a healthy school environment will provide
nursing students with clinical experience. A web search of similar programs did not yield any
results. For these reasons, the proposal for Healthy Connections was developed.
Healthy Connections will be beneficial to both aspiring nursing students and the youth.
The objective is to identify at risk individuals, at risk behaviors, providing education to prevent
disease, and promote a healthy lifestyle. The nursing student curriculum varies per state and
program, but a community partnership will build professional identity. The college can
incorporate this learning experience under multiple titles including: community service,
delegation, and nurse educator. The nursing student is able to identify the objective, the nursing
roles, practice standards, and how to meet these expectations in regard to the profession and the
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clients that they are aiding (Ramierz, Zimmerman, & Judson, 2013). The education of the school
aged students and nursing students is expanded when this partnership reaches its full potential.
Internal Assessment
In developing Healthy Connections, it was determined by the external assessment that
there is a definite need for healthcare education and prevention in the school system. An internal
assessment was then performed to identify staffing matrix, education requirements for student
nurse educators, clinical instruction, funding, scheduling, and job descriptions.
The program works hand in hand with local nursing schools and incorporated into the
nursing programs requirement for program completion. The nursing program will rotate all
nursing students through at a consistent basis to ensure that the needs of the students are met. A
clinical instructor or organizational staff will be available at all times to assist the student nurse.
The student nurse is not meant to replace a school nurse, but to supplement and potentiate the
school nurse’s role.
The school is also provided with additional resources such as websites and state
mandated reports in regards to health promotion. This information will be shared with families
for educational purposes and reinforcement on the importance of the program. Identifying health
concerns earlier in life makes it easier for school age children to transition into adulthood with
the ability to make educated decisions toward living a healthy lifestyle.
The group will look at community organizations, local hospitals, grants and the college as
potential funding sources. The number of staff needed to implement this program is to be
determined and would depend on the partnership between the college and Healthy Connection.
There is a need for a minimum one person to oversee and coordinate services.
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Step Two
Mission Statement
Our mission is to provide educational services to schools and children throughout
Michigan. Healthy Connections has the ability to provide these services using measurements
and diagnostic skills. Our purpose is to provide education to students and their families with the
use of preventative techniques to help guide and influence future healthcare choices and
decisions.
Step Three
Philosophy
The philosophy of Healthy Connections is to provide unrivaled access to preventative
healthcare and educational needs. Dedicated healthcare professional students and faculty will
provide primary, secondary, and tertiary education of the highest standard to school age children.
Educational needs will be assessed and supplemented as needed on both a group and individual
basis.
Step Four
Organizational Goals
“Goal-setting is the process of developing, negotiating, and formalizing the targets or
objectives of an organization (Yoder-Wise, 2011, pg.313).” The goals are created with the
intention of guiding employees and students to strive to be successful and work toward common
goals. Healthy Connections goals are:
Empower school age youth with the knowledge to make appropriate healthy lifestyle
choices and apply those choices to their daily lives.
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Ensure the school children have the support, resources and knowledge to implement
healthy behaviors into their daily lives.
Recognize children who may be at risk for mental or emotional issues and ensure the
proper chain of follow through as needed.
Involve parents in the implementation of family education programs that promote
healthy eating, exercise, and managing chronic diseases that can affect school
attendance.
Provide nursing students with the opportunity to expand their community healthcare
service experience through assessing, goal setting and teaching children health
education in the public school every semester.
Step Five
Organization Objectives
Healthy Connections objectives were created using specific, measurable, attainable,
reasonable, and time bound (SMART) criteria. The objectives created are to help achieve the
goals created in timely and reasonable manner. The objectives for Healthy Connections are as
follows:
To implement a program that fits the schools educational needs determined by
completing an assessment of the school’s current wellness policies and health education
programs within two weeks from partnering with the school.
To empower school age youth with the knowledge to make appropriate healthy lifestyle
choices and apply those choices to their daily lives.
To perform an assessment of the school’s educational needs regarding healthy lifestyle
choices within two weeks of the program’s implementation.
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To provide nursing students with the opportunity to expand their community healthcare
service experience through assessing, goal setting and teaching children health education
in the public school every semester.
To enforce the benefits of community and volunteerism by joining forces between local
colleges and public schools at weekly meetings
To provide nursing students with the ability to develop autonomy and accountability by
allowing them to decide what topic of health best meets the needs of the children and
then evaluate its effectiveness on a weekly basis.
To ensure the school children have the support, resources and knowledge to implement
healthy behaviors into their daily lives.
To provide educational resources online and in print format for the students and parent
with program implementation.
To recognize children who may be at risk for mental or emotional issues and ensure the
proper chain of follow through as needed.
To encourage parent involvement in the implementation of family education programs
that promote healthy eating, exercise, and managing chronic diseases that can affect
school attendance on a daily basis.
Step Six
Organizational Chart
“Organizational structure allows the expressed allocation of responsibilities for different
functions and processes to different entities such as the branch, department, workgroup and
individual” (Jacobides, 2007, pg. 456). Healthy Connections recognizes the importance of
organization and decision making that is both goal oriented and budget oriented. For this reason,
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a matrix organizational chart was chosen to best represent the hierarchy of Healthy Connections.
Matrix organizational charts can be used to provide a foundation in which a project can start to
build on.
As noted in Table 1, the matrix organizational chart starts with the program coordinator
and the school district’s superintendent. The chart then branches off into three different sections
to illustrate the three different sites Healthy Connections will implement. Each site will have a
site coordinator/registered nurse (RN) that will work directly with the building administrator.
The site coordinator/RN will oversee the student nurses as they work with the students. Healthy
Connections has proposed three sites for program delivery to achieve a district wide approach.
This structure can be adapted to meet the district buildings and layouts as needed. Involvement
of superintendent and the building administrators in the participating schools are vital to ensuring
that Healthy Connections are meeting the needs of the school district, so they are included in our
organizational structure. The superintendent and the building administrators will change with
each district and they are not a direct member of our organization but an important connection.
Step Seven
Job Descriptions
Merriam Webster’s Dictionary (2010) defines a job description as “an orderly record of
the essential activities involved in the performance of a task that is abstracted from a job analysis
and used in classifying and evaluating jobs and in the selection and placement of employees”.
Accurate job descriptions are essential to ensure that all needs within Healthy Connections are
met. Job descriptions should entail work performance standards, job requirements,
responsibilities, a position overview and desirable attributes. It should also be noted that Healthy
Connections is an Equal Opportunity Employer and will show no bias against applicants.
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Healthy Connections will be partnering with the schools and will be utilizing the college
school of nursing’s staff and students. Job descriptions available for the following positions:
Program Coordinator (Appendix A)
(3) Site Coordinators/RN Clinical Instructor (Appendix B)
Nursing student (Appendix C)
Step Eight
Job Advertisement
Healthy Connections will be working directly with the college to advertise for a Program
Coordinator and three site coordinators (See appendix A & B). The positions will be posted in
the local newspaper, The American Nurse, and surrounding area hospitals. Although the site
coordinators will be employees of the college, Healthy Connections and the college will be
partnering together to find the right individuals for these positions.
This group chose to create an advertisement for the Program Coordinator (appendix E)
since theoretically this position would be hired and maintained by Healthy Connections. The
advertisement is intended to find an individual who is self-motivated and committed to the
success of Healthy Connections.
The cost of the advertising will be viewed as an investment as it is important to reach
qualified individuals. The American Nurse Journal provides an excellent financial investment
for advertising (Appendix D). Per The American Nurse Journal, readers of this journal have the
following statistics, 29% of readers have a bachelor’s degree, 40% have a master’s degree, and
11% have a doctorate degree (2013).
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The local newspaper will help attract local candidates that may qualify for the position. The
newspaper also allows for the job posting to be posted online to allow a greater audience to view
at no additional cost (Lansing State Journal, 2013).
Step Nine
Budget
A budget is essential in any business or program to ensure that the necessary funds are
available to allocate for income and any necessary expenditures. Operating costs for Healthy
Connections, a non-profit organization will be greatly absorbed by the school in which it will
operate out of. Typical monthly costs such as rent, utilities, internet, fax machine use, and large
amounts of overhead are not necessary for Healthy Connections to operate. Instead an annual
fee of $3600 will be paid to the school district to encompass these costs. Healthy Connections
will employ one full time RN/BSN for the position of Program Coordinator for an annual salary
of $35,000 in addition to $6,000 annually to go toward health benefits.
To initially get the program up and running, it is necessary to invest in advertising to find
the right individual. Consumable products include letterhead, envelopes, postage, paper, and
medical supplies for an additional $2000. Additionally, $1000 will be spent on medical supplies
such as band aids, 4x4’s, tape, stethoscopes, BP cuffs, thermometers, triple antibiotic ointment,
ice packs, splints, ace wraps and scales. A one-time stipend of $1000 will be allotted for office
furnishings. This equates to an annual cost of $48,600. In addition, $6,054 will be put toward
advertising initially and will allow for an ad in the Lansing State Journal, American Nurse
Journal, and allow the ability to actively search online applicants for two weeks.
Annual revenue is based off of grants, donations from the community, and fundraisers for
a total of $80,500. The grant money provided by the Michigan School Nurse Tax Fund has the
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ability to help find funding for the program for the first two years along with the start-up of the
program. The program will work vicariously with the college to appropriate funding for
continuation of the program if deemed successful. See Appendix F for budget proposal.
Conclusion
Healthy Connections developed a program in which the local college would be able to
partner with the local school district to provide a clinical site for nurses and provide healthcare
education to students. The plan entails the assessment phase, mission statement, philosophy,
goals, objectives, job descriptions, implementation strategy, and budget guidelines.
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References
Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and
Control. STRYVE: Striving to reduce youth violence everywhere. Atlanta: CDC.
Retrieved from: http://www.safeyouth.gov External Web Site Policy
Hoxie-Setterstrom, G., & Hoglund, B. (2011). School wellness policies: Opportunities for
change. The Journal of School Nursing, 27(5), 330-339.
Jacobides., M. G. (2007). The inherent limits of organizational structure and the unfulfilled role
of hierarchy: Lessons from a near-war. Organization Science, 18, 3, 455-477.
Job description. (2010). In Merriam-Webster’s online dictionary. Retrieved May 8, 2011,
from http://www.merriam-webster.com/dictionary/jobdescription
Ramierz, Y. I., Zimmerman, R., & Judson, L. H. (2013). A Student Nurse Externship
Program: Academia and Service Collaboration. Journal of Nursing Regulation,
4(1), 39-44.
Robert Wood Johnson Foundation (2013). How to make our schools healthy: Healthy
Schools Program. Retrieved from
http://www.rwjf.org/en/research-publications/find-rwjf-research/2012/11/how-to-
make-our-schools-healthy.html.
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Table 1
Healthy Beginnings Organizational Chart
School District Superintendent
Program Coordinator
RN Site Coordinator #1
Student Nurse
Student Nurse
Building Administator #1
RN Site Coordinator #2
Student Nurse
Student Nurse
Building Administrator #2
RN Site Coordinator #3
Student Nurse
Student Nurse
Building Adminastrator
#3
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Appendix AProgram Coordinator
Job Title: Program Coordinator/RN Job Code: NURS 450Department: Administration/Nursing Job Grade: 450-1Revision Date: 10/15/13 Equal Opportunity Employer
Position Overview
The program coordinator will be responsible for promoting Healthy Connections and recruiting participating schools. He/she will coordinate with the partnering college to provide resources and student nurses to participate in the program. This position requires supervising and participating in the assessment, development and implementation of a health wellness program. The program provides nursing students with the opportunity to work directly with students in primary and secondary schools. The program coordinator will ensure that the program will follow curriculum guidelines as outlined by the college of nursing and fulfill the identified needs of the participating schools. This position will be responsible for overseeing site coordinators/registered nurses for multiple locations. Communication between the college of nursing, superintendents, principals, site coordinators, and students is essential. The program coordinator will follow Healthy Connections mission statement, goals, and objectives.
Essential Job Functions
Responsible for promoting the program and recruiting schools Responsible for overseeing program development and implementation Facilitate communication between college, employees, and schools Ensure curriculum guidelines are followed Creating protocols and work handbook Supervision of multiple locations Creating and implementing budgets Problem solving Budgeting resources
Minimum Requirements
Previous 3-5 years of experience in a managerial/operations position, preferably in a healthcare setting. BSN, Bachelors in Healthcare Administration or Business Administration required.
Possesses advanced computer skills Past experience writing grants and managing budgets Self-motivated and ability to follow tasks to completion Possesses the ability to communicate effectively Proactive and able to work independently Organized and detail oriented
Appendix B
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Site Coordinator
Job Title: Site Coordinator/Clinical Instructor
Job Code: NURS 450-2
Department: Nursing Job Grade: 450-2
Revision Date: 10/15/13 Equal Opportunity Employer
Position Overview
The site coordinator will be responsible for developing and implementing a health wellness program in which nursing students will work directly with school aged children under the supervision of the program coordinator. They will oversee the nursing students’ assessments and interaction with students and will be responsible for providing all teaching supplies and resources. The site coordinator is also responsible for ongoing assessment and evaluation of program.
Essential Job Functions
Ability to communicate with various groups and individuals Ability to multi-task and monitor student progress Scheduling Ensure the nursing students are working within their scope of practice Provide the nursing students with ongoing education and evaluation in order to facilitate
learning and self-improvement. Recommend and assist in developing educational material for the children, including
nutrition, exercise, medication and healthy lifestyle choices. Promote team building and communication Work closely with the program coordinator. Ensure the proper resources and learning material are available
Minimum Requirements
Must hold a current RN license with a Bachelor of Science in Nursing. Minimum of 3-5 year nursing experience, preferably in nursing education or pediatrics Outstanding organizational skills Strong communication and problem solving skills Self-motivated and ability to follow tasks to completion Up to date on all immunizations including TB test
Appendix CStudent Nurse
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Job Title: Student Nurse Job Code: NURS 450-3
Department: Nursing Job Grade: 450-3
Revision Date: 10/15/13 Equal Opportunity Employer
Position Overview
The student nurse will be responsible for implementing the Healthy Connection program for primary and secondary school-aged children. The student nurse will work with the site coordinator (RN) to educate school-aged children how to make healthy lifestyle choices. The site coordinator will provide guidance and assistance to the student nurse to help facilitate their educational needs.
Essential Job Functions
Assess children for their knowledge of healthy lifestyle choices Educate students on healthy lifestyle choices Implement Healthy Connections according to goals and objectives Deliver care in a non-judgmental or discriminatory manner Maintain a secure and trusting environment Maintain confidentiality and privacy of students Effectively communicate with site coordinator, school-aged children and parents
Minimum Requirements Currently enrolled in a nationally accredited nursing program Successfully pass background check Successful completion of first year clinical rotation Basic Life Support Certificate Up to date on all immunizations including TB test Influenza vaccination if it is required from the hosting facility
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Appendix DAdvertisement costs
For more information or to place your order, please contact: Tyra London Healthcom Media 215-489-7000 ext. 117
Ad Size 1x 3x 6xFull Page $7675 $7180 $6860Mini Page $5345 $5135 $5035Half Page $5035 $4955 $48803/10 Page $3450 $3320 $31951/5 Page $2905 $2770 $26451/10 Page $2365 $2260 $2198
Issue Dates: The American Nurse is published six times a year, mailed the first week of the 2nd month (the Jan/Feb issue is mailed the first week of Feb), periodicals-class mail. It is also posted on the NursingWorld website.
Lansing State Journal
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Appendix E
Advertisement for Program Coordinator
Healthy Connections, an innovative, non-profit health promotion organization is seeking a
dynamic, self-directed professional for the position of Program Coordinator. This position is
responsible for recruiting area schools as well as promoting and implementing the program as
well as overseeing its success. If making a lifelong difference in the lives of youth is your
passion, we want to talk to you. Qualified individuals must possess 3-5 years of managerial
experience, preferably in a healthcare setting. BSN, Bachelors in Healthcare Administration, or
Business Administration required. Contact Healthy Connections and get started in a career that
truly matters.
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Appendix F- Budget Proposal
Nonprofit Yearly Expenses
Yearly Revenue
Donations: $500
Grants: $75,000
Fundraisers: $5000
Employee Wages/Benefits
Program Coordinator Salary: $35,000
Work Hours: September-June (Summers off)
Monday-Friday (8am-5pm)
No benefits: $6000 reimbursement
Rent paid to public school
Includes use of fax machine, printer, phones, internet service, utilities and office room: $3600.00
Medical Supplies
Band aids, 4x4’s, tape, stethoscopes, BP cuffs, thermometer, triple antibiotic ointment, ice packs, splint, ace wrap, scales: $1000.00
Office Furnishings (One time expense)
Desk, chair, filing cabinets, etc.: $1000.00
Supplies
Letterhead, envelopes, paper, postage, writing utensils, etc.: $2000.00
Advertising
Ad Design: No cost (Custom design artwork via the web)
Job Advertisement: $6,054- Ads to be placed in Lansing State Journal, American Nurse Today, and online feature to actively search applicants via online resumes.
Gross Annual Overhead-$54,654