1. Use of a Foot Clinic as a Teaching Learning Strategy that Allows Students to Apply the Concepts of Social Justice and Health Promotion Joy Hoffman, DNP, RN, APHN-BC The University of Memphis Loewenberg School of Nursing jehoffmn@memphis.edu APHA Annual Meeting November 1, 2015 Session 2081.0: Public Health Nursing Students & Education Round Table

2. Learning Objective Describe an innovative teaching and learning strategy implemented within a baccalaureate community health nursing practicum which integrates social justice concepts and health promotion nursing skills while caring for a vulnerable population group

3. Why a Foot Clinic? In response to a vulnerable population in a homeless shelter in one of the of the poorest American cities, Community Health Nursing Faculty designed a BSN Practicum experience to integrate Social Justice concepts with health promotion nursing skills in the community. The 2014 Point in Time Count reports approximately 1600 homeless persons in Memphis, Tennessee on any given night. There are several common health concerns of the homeless, one of which is foot problems due to poorly fitting shoes, long-term walking, and exposure to heat, cold, and wetness for long periods of time. Focus Health prevention and promotion with the main focus being on the primary and secondary levels of prevention while enhancing the student practice with relevant social justice practice opportunities Purpose To provide basic foot care to homeless men at a large urban homeless shelter located in downtown Memphis, Tennessee

4. Preparation for Foot Clinic Baccalaureate Community Health Nursing Practicum, second semester in a five semester nursing program One week before Foot Clinic Administer the Knowledge, Skills, Attitudes (KSA) Questions Orientation to foot care and needs of populations that are vulnerable and homeless, incorporating social justice and health promotion Education on referral resources Some of our Supplies

6. Foot Clinic Students work in groups of two to: Interview client and record responses on data sheet Perform foot assessment Provide basic foot care Foot soak and wash Toe nail clipping, filing, removal of debris as able Lotion applied New socks provided Selected OTC treatments provided Educate client Make referrals Foot care protocol

7. Foot Clinic Each student assesses and performs foot care for one client, and then is the data recorder for another client Students are given a tour of the shelter and explanation of programs and services available Students serve lunch to the homeless men Students return to campus for debriefing and to take KSA once more

10. Foot Clinic Outcomes Students demonstrate Increased knowledge and awareness of vulnerable populations Increased communication skills Implementation of social justice practices within an academic-community collaborative partnership PHN Core Competencies Domain 5 Community Dimensions of Practice Skills Domain 6 Public Health Sciences Skills The BSN Essentials Essential I- Liberal Education for Baccalaureate Generalist Nursing Practice Essential VI-Interprofessional Communication and Collaboration for Improving Patient Health Outcomes Essential VIII- Professionalism and Professional Values Essential IX- Baccalaureate Generalist Nursing Practice