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Strengthening Workforce Readiness Through Enhanced Academic-Practice Partnerships: Longitudinal Outcomes of Family
Christian Ketel1, Jannyse Tapp, Shannon Cole
1Author Affiliations: University of Alabama at Birmingham School of Nursing, Birmingham, Alabama (Dr Ketel); Vanderbilt University School of Nursing, Nashville, Tennessee (Drs Tapp, Cole, Pfieffer, and Vick); and Emory University, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia (Dr Pitts).
Background:
Rural and underserved communities face persistent shortages of Family Nurse Practitioners (FNPs), limiting access to high-quality care. Academic-Practice Partnerships (APPs) offer a strategy to build workforce readiness.
Purpose:
This study evaluated the effects of an enhanced APP model on FNP learners' practice confidence and employment outcomes in underserved settings.
Methods:
Using a longitudinal, repeated-measures design, 33 FNP learners completed assessments at baseline, program completion, and 1-year post-graduation. Surveys measured confidence across 6 domains.
Results:
Practice confidence significantly increased across all domains post-program (P < .001), with sustained gains at one year. Behavioral health and pharmacology showed initial surges followed by slight declines. One year after graduation, 63.6% remained at APP partner sites and 48.5% worked in rural areas.
Conclusions:
Enhanced APP models effectively build and sustain FNP practice confidence and retention in high-need settings, though continued post-graduation support is warranted.
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