Enhancing nursing education through mobile health clinics: Aligning AACN core competencies with pediatric clinical experiences in rural and indigenous communities

IF 3.3 3区 医学 Q1 NURSING Nurse Education in Practice Pub Date : 2024-11-01 DOI:10.1016/j.nepr.2024.104200
Shelly Hogan, Madeline Metcalf, Ann Galloway, Nicole Krueger, Laura Larsson
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Abstract

Aim

A well-prepared nursing workforce is essential to meet the healthcare needs of rural, underserved, and Indigenous communities. This study examines nursing students' perceptions of a Mobile Health Training Program (MHTP) that integrates AACN core competencies, with a focus on culturally responsive care, interprofessional collaboration, and professional development. Over the past two years, the MHTP conducted preschool health screenings for children aged 0–5 at four Tribal nations in Montana.

Design

Survey followed by qualitative analysis.

Methods

A total of 160 nursing undergraduate nursing students completed post-clinical surveys between September 2022 and May 2024. The survey responses were analyzed qualitatively to identify themes related to rural healthcare, culturally responsive care, exposure to diverse communities and professional growth.

Results

The MHTP was valued by 95 % of students. Four key themes emerged: insights into rural healthcare, practicing culturally responsive care, exposure to diverse communities, and professional growth. American Indian/Alaska Native students emphasized the need for culturally reflective opportunities for all. The MHTP aligned with AACN competencies, enhancing skills in patient-centered care, cultural competence, interprofessional collaboration, and systems-based practice.

Conclusion

The MHTP represents a practical model for nursing education, providing immersive, pediatric patient-focused experiences while engaging with high-priority communities. This study contributes to the limited literature on rural and Tribal clinical placements, highlighting the value of balancing simulation with direct clinical practice and preparing nursing students to address healthcare challenges in underserved areas.
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通过流动诊所加强护理教育:将 AACN 核心能力与农村和土著社区的儿科临床经验相结合。
目的:一支准备充分的护理队伍对于满足农村、服务不足和土著社区的医疗保健需求至关重要。本研究探讨了护理专业学生对移动健康培训计划(MHTP)的看法,该计划整合了美国护理学会(AACN)的核心能力,重点关注文化适应性护理、跨专业合作和专业发展。在过去的两年中,MHTP 在蒙大拿州的四个部落民族为 0-5 岁的儿童进行了学前健康检查:设计:先进行调查,再进行定性分析:共有 160 名护理本科生在 2022 年 9 月至 2024 年 5 月期间完成了临床后调查。对调查回复进行了定性分析,以确定与农村医疗保健、文化响应护理、接触多元化社区和专业成长相关的主题:结果:95% 的学生对 MHTP 给予了高度评价。出现了四个关键主题:深入了解农村医疗保健、实践文化响应型护理、接触多元化社区和专业成长。美国印第安人/阿拉斯加原住民学生强调了为所有人提供文化反思机会的必要性。MHTP符合AACN的能力要求,提高了以患者为中心的护理、文化能力、专业间合作和基于系统的实践等方面的技能:MHTP代表了一种实用的护理教育模式,它提供了身临其境、以儿科患者为中心的体验,同时与高度优先社区合作。这项研究为有关农村和部落临床实习的有限文献做出了贡献,强调了平衡模拟与直接临床实践的价值,并为护理专业学生应对服务不足地区的医疗保健挑战做好了准备。
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来源期刊
CiteScore
5.40
自引率
9.40%
发文量
180
审稿时长
51 days
期刊介绍: Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.
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