Saturday, November 1, 2003
4:00 PM - 6:00 PM
Sunday, November 2, 2003
7:00 AM - 8:00 AM
Sunday, November 2, 2003
9:30 AM - 10:30 AM

This presentation is part of : Accepted Posters

Children in Out-of-Home Placements: An Innovative Nursing Practice

Sara G. Fuller, RNCS, PhD, CPNP, FAAN, Nursing, University of South Carolina, Columbia, SC, USA and Phyllis K.C. Poyner, MSN, PNP, Nursing, Children & Family Healthcare Center, Columbia, SC, USA.
Learning Objective #1: identify selected health needs of children in out-of home placements.
Learning Objective #2: discuss the benefits of partnering with childcare agencies in the provision of primary care to children in out-of-home placements.

Paragraph 1- Children and youth in out-of-home placements are vulnerable to multiple health risks and negative situations. The Children and Family Healthcare Center (CFHC) of the University of South Carolina College of Nursing through a network of partnerships with the Department of Social Services, children's homes, and foster parents provides nurse-managed primary care to these children. These children and youth often have unmet health needs resulting from the circumstances leading to removal from their homes, i.e. physical abuse, sexual abuse, neglect, and trouble with law enforcement agencies. The CFHC conducts admission physicals, case management, foster and house parent education, and on-going primary care for these children and youth. Paragraph 2- Established in 1998, the CFHC is staffed by nurse practitioner faculty and support staff and links graduate and undergraduate student experiences with the modeling of expert nursing practice. Graduate nurse practitioner students rotate through the CFHC for their preceptorships as well as faculty evaluation of their clinical progress. Additionally, students in their public health residency focus on program planning for the clinic. Undergraduate students in the pediatric and community courses are placed for extrinsic experiences with the CFHC. In the fall of each, combined graduate and undergraduate students conduct a major health screening of children in the Headstart Centers. The combined efforts have been useful to both sets of students. Paragraph 3- Faculty at the CFHC link scholarship with direct clinical practice. Through clinical research studies and the use of case studies from their own patient loads, faculty demonstrate expert practice to students and to the community. This partnership with children agencies has improved the health outcomes of children in out-of-home placement and the education of nursing students.

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