Error loading player: No playable sources found

P074

Academic-Practice Partnership Builds Student Nurse Competencies in Ambulatory Care

Date
April 22, 2022

Background: Public Health Seattle King County (PHSKC) and Seattle Pacific University (SPU) School of Nursing have partnered to create a training center of excellence for undergraduate baccalaureate nurses who have an interest in providing primary care to medically underserved populations (MUP). This academic-practice partnership is afforded by a 4-year health resources and services administration; nurse education, practice, quality and retention grant awarded to PHSKC in 2018. The project called ambulatory care system supported by education and training (ASSET) is currently in project year four.

Purpose: The purpose of this project is to create a training center of excellence utilizing the dedicated education unit (DEU) model to build student nurse competencies in ambulatory care and public health nursing. This transition to practice experience is designed to foster knowledge, skills, and attitudes to care for MUP in ambulatory care and public health settings. The intended outcome is a highly competitive pool of new graduates prepared for direct entry to ambulatory care and public health specialties.

Methods: PHSKC and SPU implemented a DEU model for nurse education in public health primary care settings. This innovative model allows for senior practicum immersion, called “ASSET fellowship,” in a longitudinal clinical experience where foundational concepts in social determinants of health, trauma-informed care, health equity, social justice, harm reduction, motivational interviewing, and patient-centered care are practiced. Fellows apply these concepts to the nursing process as they manage chronic disease, population health, behavioral health, and substance use disorders. The DEU model provides students with consistent, expert, reflective, and relationship-based mentorship throughout the fellowship.

Progress is monitored through survey data collection with the general self-efficacy (GSE) scale, clinical learning environment, supervision and nurse teacher (CLES-T) scale, seminar training surveys, preceptor evaluation of students, academic-practice partnership evaluation, and a daily student service logs.

Results: The ASSET grant is currently in project year four. Preliminary evaluation data show the following findings.
• DEU students experienced positive self-efficacy in 15 out of 16 GSE metrics compared to non-DEU students.
• CLES-T results suggest better outcome for DEU students in 24 of 34 metrics compared to non-DEU students.
•    The preceptors’ evaluation of students reveals staff value the precepting role and report the fellows greatly contribute to the agency in positive ways.
•    Seminar training surveys consistently show increases in students’ abilities and knowledge related to training topics.
•    The academic-practice partnership evaluation shows increasing collaboration and process development over the first three years of the grant.

Conclusions: To date, the data suggest that this innovative model of academic-practice partnership and DEU training is improving student self-efficacy, skill attainment, and enhancing staff satisfaction.

Implication to nursing practice: Academic-practice partnerships are essential for preparing student nurses for direct entry to ambulatory care and public health practice. The DEU model in a public heath primary care setting prepares nurses to work with MUP grounded in principles of health equity, social justice, and trauma-informed care. Further exploration of the DEU model in ambulatory care is needed to assess efficacy of building nursing competencies, nurse recruitment, retention, and staff satisfaction.

Speakers

Speaker Image for Tyra Dean-Ousley
Tyra Dean-Ousley, EdD, ARNP, FNP-BC
Speaker Image for Lena Hristova
Lena Hristova, DNP, ARNP, AGCNS-BC, CNE, NPD-BC, OCN

Related Products

Thumbnail for An Innovative Academic Clinical Coordination Model Supporting Academic-Practice Partnerships, Competency Development, and Patient Outcomes
An Innovative Academic Clinical Coordination Model Supporting Academic-Practice Partnerships, Competency Development, and Patient Outcomes
Purpose: To describe an innovative academic clinical coordination model that supports developing academic-practice partnerships, promotes BSN student competency development, and improves patient outcomes in underserved populations…
Thumbnail for Development and Implementation of a Clinical Ladder for Nurse Coordinators in Ambulatory Care
Development and Implementation of a Clinical Ladder for Nurse Coordinators in Ambulatory Care
Purpose: As healthcare transforms and rapidly expands from inpatient to outpatient sites, the role of nursing continues to expand in ambulatory care settings…
Thumbnail for Leadership Lessons for the Future of Nursing: Student-Preceptor Dyads in Ambulatory Care
Leadership Lessons for the Future of Nursing: Student-Preceptor Dyads in Ambulatory Care
Purpose: Our four-year program evaluation of a primary care/public health immersion experience from 55 students and 14 preceptors aims to inform best practices in student-preceptor, urban ambulatory care immersion experiences and increase the practice scope and numbers of BSN graduates who are prep…
Thumbnail for Code Lavender: A Holistic Choice of Support for Staff Resilience in an Ambulatory Care Setting
Code Lavender: A Holistic Choice of Support for Staff Resilience in an Ambulatory Care Setting
Emory Saint Joseph's Hospital long-standing mission is to provide compassionate, clinically excellent healthcare in the spirit of loving service to those in need, with special attention to the poor and vulnerable…
Privacy Policy Update: We value your privacy and want you to understand how your information is being used. To make sure you have current and accurate information about this sites privacy practices please visit the privacy center by clicking here.