A model for clinical learning experiences in integrated health care networks

Clinical learning experiences in nursing education are an essential part of the curriculum. In the changing health care environment, there is a need to evaluate the organization of these experiences. In this article, a model for clinical learning experiences in integrated health care networks is presented. A new approach to clinical instruction is proposed in which students move into integrated health care networks for their entire clinical learning experience (vertical pathway), guided by a clinical teaching team of faculty and clinical experts from the network. The focus of student learning is nurse case management and the provision of coordinated care as individuals and families move into and out of organizations within the network. A horizontal curricular pathway establishes opportunities for students to study the dynamics of multiple networks and their relationship to the broader community.