Rural Health Practice Program AHEC Fellowship FY18-19

Project: Research project

Description

In accordance with the mission of the Arizona Rural Health Professions Program (RHPP), this proposal aims to provide clinical opportunities for graduate nursing students (primary care nurse practitioners) to work in rural and Medically Underserved Areas (MUA) throughout the state, while fostering interdisciplinary educational opportunities that stimulate and cultivate students' interest in careers in rural/MUA settings. This project aims to meet the needs of rural/MUA communities in an effort to reduce disparity in health status and health outcomes in vulnerable Arizona residents by offering student clinical experiences that foster the AZAHEC mission of recruitment, diversity, distribution, and retention of culturally competent primary healthcare personnel.
The ASU College of Nursing and Health Innovation (CONHI) program goals include enhanced clinical experience working with rural and MUAs while completing the primary care rotations that support and nurture students' interest in careers in rural/MUA primary care settings and interprofessional collaboration. The aim of this approach is to assist students to develop knowledge and expertise in the unique challenges of working in rural and medically underserved areas, along with the relevant health and access issues these populations face. In addition, the collaboration offers opportunities for scholarship, community-based projects, and support for interdisciplinary clinical experiences in the identified rural or MUAs. The project team will design the clinical experience to include not only placement in these designated areas, but also with an emphasis on mentorship. Students will be paired with two mentors; one clinical professional and one academic faculty familiar with the interprofessional AHEC program. It is expected that this mentor relationship will further enhance the clinical experience through development of learning goals, collaborative care models, interprofessional practice, and assist students in expanding an awareness of issues surrounding health equity and health disparities. The goal will be to foster positive experiences through the clinical experience, community project work, and mentorship, which will further encourage the fellow to remain in one of the AHEC areas upon graduation. In addition, this project will support students applying for the AHEC Scholars Program (ASP), a two-year interprofessional program comprised of community-based experiential training conducted in rural and/or underserved settings within each of the Arizona AHEC five regional centers. The ASP builds from the Rural Health Professions Program (RHPP) and curriculum content devised in collaboration with each participating RHPP program and each regional AHEC center.
Through collaboration between the ASU RHPP program, Student Health Outreach for Wellness (SHOW), the Center for Advancing Interprofessional Practice, Education, and Research (CAIPER), and regional AHEC centers, this project will provide direct clinical care, educational outreach, doctoral project work, and interprofessional education and networking opportunities among and with vulnerable populations. As part of this ongoing collaboration, ASU College of Nursing has developed extended clinical residencies to promote long-term rotations (up to 18 months) in some practice sites. This process will meet AHEC requirements of providing opportunities for students to experience practice challenges and interpersonal gratification of rural/MUA health practice while fostering therapeutic and professional relationships between students and rural/MUA healthcare providers from a variety of disciplines.
These combined programs will facilitate establishing partnerships among rural/MUA sites, practitioners, faculty, and interdisciplinary students to meet the objective of RHPP. The expanded clinical residency program will foster extended placement experience in the same setting, with the same preceptor/mentor team, patient cohort and community for long-term continuity and social embeddedness, furthering the aims of preparing primary care professionals to remain in target areas upon graduation.
StatusFinished
Effective start/end date7/1/186/30/19

Funding

  • HHS: Health Resources and Services Administration (HRSA): $109,931.00

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Rural Health
Medically Underserved Area
Students
Health Occupations
Mentors
Primary Health Care
Health
Foster Home Care
Internship and Residency
Health Status Disparities
Nursing
Fitness Centers
Education
Nurse Practitioners
Nursing Students
Vulnerable Populations
Health Personnel
Curriculum
Learning