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Nursing Students' Self-Efficacy and Performance in Self-Management Support for Patients in Rural Primary Care.

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  • 1About the Authors Alham Abuatiq, PhD, RN, CNE, is an associate professor, College of Nursing, South Dakota State University, Brookings, South Dakota. Robin Brown, PhD, RN, CNE is an Associate professor, College of Nursing, South Dakota State University. Valborg Kvigne, MBA, is an instructor, Sanford School of Medicine, University of South Dakota-Sioux Falls, South Dakota. Marie Schmit, MS, is grant program specialist, College of Nursing, South Dakota State University. Cassy Hultman, MS, RN, is assistant director of academic and clinical placements, College of Nursing, South Dakota State University. Christina Plemmons, PhD, RN, MEDSURG-BC, CNE, is assistant dean and clinical assistant professor, College of Nursing, South Dakota State University. Danielle Currier, MSN, RN-BC, is an instructor, College of Nursing, South Dakota State University. Heidi Mennenga, PhD, RN, CNE, is the Associate Dean for Academic Programs and professor, College of Nursing South Dakota State University. This project, entitled "Impacting Models of Practice and Clinical Training for Registered Nurses and Students (IMPACT-RNS)," was supported by the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) under Grant No. UK1HP31729. The information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by, HRSA, HHS, or the US Government. The authors would like to acknowledge the efforts of Beth Walstrom, Dr. Leann Horsley, and Dr. Linda Burdette in this project. For more information, contact Dr Abuatiq at Alham.Abuatiq@sdstate.edu .

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Summary

A primary care curriculum significantly improved undergraduate nursing students' self-efficacy and performance in chronic disease self-management support. This study highlights the curriculum's effectiveness in preparing future nurses for rural primary care settings.

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Area of Science:

  • Nursing Education
  • Primary Health Care
  • Chronic Disease Management

Background:

  • Limited evidence exists on undergraduate nursing students' self-efficacy and performance in self-management support for chronic diseases within rural primary care.
  • Effective self-management support is crucial for individuals with chronic conditions, particularly in underserved rural areas.

Purpose of the Study:

  • To assess the impact of a primary care enhanced curriculum on undergraduate nursing students' self-efficacy and performance in self-management support.
  • To address the gap in evidence regarding nursing students' preparedness for chronic disease self-management in rural primary care.

Main Methods:

  • A quasi-experimental study design was employed.
  • The Self-Efficacy and Performance in Self-Management Support instrument was used to measure outcomes.
  • Data were collected from 140 nursing students before and after curriculum implementation.

Main Results:

  • A statistically significant increase in total mean scores for self-efficacy and performance was observed (pretest M=268.01, posttest M=289.51, p=.0001).
  • The primary care enhanced curriculum demonstrated a positive effect on students' capabilities.

Conclusions:

  • Implementing a primary care enhanced curriculum effectively increases undergraduate nursing students' self-efficacy and performance in providing self-management support.
  • This curriculum enhancement is vital for improving chronic disease care in rural primary care settings by better preparing nursing students.