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alliedacademies
Journal of Current Pediatric Research | Volume: 22
Joint Event
August 16-17, 2018 | Paris, France
Primary Healthcare
12th International Conference on International Conference and Medicare Expo on
&
Pediatrics Health Care
Background: Strengthening the core of primary health care
service delivery worldwide is key to improving patient care
experiences, understanding of the chronic disease process,
and engagement in shared decision making and self-care. On
a broader scale, primary health care contributes to better
population health, lower healthcare costs, and improved
provider satisfaction. With the current emphasis on including
registered nurses (RNs) on the primary care and other
community-based interdisciplinary care teams to achieve
the health acre goals, it is essential that pre-licensure nursing
programs make concerted efforts to prepare nurses to be full
partners in care across the care continuum, including primary
care. In 2015, congruent with the current healthcare needs and
trends, our College engaged in curriculum transformation with
the strong emphasis on population health and preparing nurses
for work in community-based clinics and other outpatient
settings.
Purpose: (1) To provide the current state of affairs in primary
care; (2) To provide an overview of the pre-licensure nursing
curriculum transformation process and describe the key
components of the revised curriculum (3) to present results
from the pre-licensure program curriculum evaluation
conducted to explore the stakeholders’ experiences at one-year
post implementation.
Sample and Methods: Curriculum transformation was guided
by the principles of social justice and educating nurses to meet
the healthcare needs of the 21st century. National level experts
on teaching and learning, community stakeholders, faculty, and
the literature review findings on the current trends in healthcare
guided the curriculum transformation process. The key features
of the transformed curriculum include strong emphasis on
population health and thereby finding meaningful clinical
experiences for students in community-based care settings
across the clinical specialties. At one year post implementation,
preliminary curriculum evaluation was conducted. Institutional
IRB approval was obtained. Appreciative inquiry approach
guided the curriculum evaluation. Data were obtained from
student volunteers, faculty, nurse leaders in the industry, and
nurse preceptors in primary care and outpatient clinics. All
informants participated in open-ended interviews conducted
by the PI and RAs on the project. Conventional Content Analysis
method, as described by Hsieh and Shannon (2005), guided
data analysis.
Findings: Data analysis revealed the following themes: (1)
Divergent understandings of primary health care among faculty:
An unanticipated gap; (2) Craving clarity and consistency of the
Nursing role in primary health care; (3) Learning the roles of
nurses in community-based care: An eye opening experience
for students; (4) Recognizing the need to embrace the new
curriculum by all stakeholders to ensure success in practice
(6) Bringing an ideal to reality: characteristics of a successful
primary health care rotation fromtheparticipants’ perspectives.
Conclusions: Preparing nursing students to serve in expanded
roles in the primary and other care settings requires exposing
learners to all types of nursing care, including caring for
patients across lifespan and across care settings from hospital
to community health centers, schools, homes, and homeless
shelters. In addition to basic patient care, students should be
exposed to learning about care management and coordination
in interdisciplinary settings, encouraged to explore a variety of
career options to meet the healthcare needs of our nations
in the 21st century. Expanding educational options for the
students in a variety of community-based settings is not
without challenges and requires faculty knowledge and desire
to lead the change. Strong partnerships between leaders from
academia and clinical practice and learning about the successes
and challenges internationally are also imperative.
Speaker Biography
Danuta Wojnar is a Professor and Associate Dean, Seattle University, College of
Nursing. She was a Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellow
(ENF) (2012-2015). Her research interests include promoting health and health
care for underserved and vulnerable populations and improving population health
through better preparation and utilization of Registered Nurses (RNs) in expanded
roles in primary healthcare. As a member of the RWJF Leadership Action Group of
ENF fellows she participated in the American Board of Internal Medicine (ABIMF) and
American Academy of Nursing (AAN) meetings to define the optimal role and scope
of practice for RNs in the primary healthcare environment. In her presentation she
will address the current state of affairs, the findings from one pre-licensure program’s
curriculum evaluation and the opportunities and challenges for the schools of nursing
and healthcare partners to ensure meaningful and robust roles for nurses in primary
healthcare in the 21st century.
e:
Danuta Wojnar
Seattle University, USA
Preparing nurses for work in Primary Healthcare: Lessons learned
Danuta Wojnar, Pediatrics & Primary HealthCare 2018, Volume 22
DOI: 10.4066/0971-9032-C1-001