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Equity in action: Advancing practice-ready nursing education through climate change-informed community clinical
Kathryn Sabo1, Eleonor Pusey Reid2, Suellen Breakey3
1Ruth Sleeper Nursing Center for Clinical Education and Wellness, MGH Institute of Health Professions School of Nursing, Boston, MA.
Background:
Addressing health equity, social determinants of health (SDOH), and climate-related health challenges is essential to preparing practice-ready nurses. Experiential learning in community settings offers valuable insight into these complex issues.
Purpose:
To explore prelicensure nursing students' reflections on SDOH, climate-related health risks, and health equity following community-based clinical placements supported by a mobile health initiative.
Methods:
This program evaluation utilized thematic analysis of open-ended survey responses collected from 55 nursing students between 2023 and 2025. Reflections were analyzed using Braun and Clarke's six-phase framework.
Discussion:
Seven themes emerged, highlighting how experiential learning strengthened students' awareness of community assets, structural barriers, and their readiness to address equity in practice. Students reported increased understanding of advocacy, interprofessional collaboration, and contextualized care.
Conclusion:
Findings support the integration of community-based experiences into nursing curricula to build equity competencies and inform curricular design for population health and public health nursing education.
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