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Clinical Training Innovation for Prelicensure Graduate Nursing Students to Expand Roles in Primary Care
Erica D Hooper-Arana1, Judy N Li, Wanda J Borges
1Author Affiliations: Assistant Professor (Dr Hooper-Arana); Associate Dean for Graduate Programs and Community Partnerships (Dr Borges), School of Nursing and Health Professions, University of San Francisco, California; Director of Joint Venture Health (Dr Li), School of Public Health, University of California, Berkeley; and Professor Emeritus (Dr Bodenheimer), Center for Excellence in Primary Care, University of California, San Francisco.
Registered nurses (RNs) are crucial for managing chronic diseases in an aging population. Nursing education must evolve to include primary care and health coaching for longitudinal patient care.
Area of Science:
- Nursing Education
- Public Health
- Chronic Disease Management
Background:
- The aging global population is experiencing a rise in chronic diseases.
- Effective chronic disease management necessitates a collaborative, team-based healthcare approach.
- Registered nurses (RNs) are integral to delivering comprehensive patient care.
Purpose of the Study:
- To address the gap in nursing education regarding ambulatory and chronic care.
- To prepare nursing students for essential roles in longitudinal chronic care management.
- To integrate primary care nursing principles into the curriculum.
Main Methods:
- A pilot clinical option was developed for master of science in nursing students.
- Second-degree nursing students were trained as health coaches.
- Students were embedded within primary care teams at a community health center.
Main Results:
- The pilot program prepared nursing students to function effectively as health coaches.
- Students gained experience in the longitudinal care of patients with chronic conditions.
- The initiative highlighted the importance of practical experience in primary care settings.
Conclusions:
- Nursing education should shift focus to integrate primary care nursing.
- Embedding students in primary care practices is vital for learning chronic care management.
- This approach enhances preparedness for addressing population health needs.
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