Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA 30322, USA.
Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA 30322, USA.
J Prof Nurs. 2024 Jul-Aug;53:25-34. doi: 10.1016/j.profnurs.2024.04.006. Epub 2024 May 3.
Addressing threats to the nursing and public health workforce, while also strengthening the skills of current and future workers, requires programmatic solutions. Training programs should be guided by frameworks, which leverage nursing expertise and leadership, partnerships, and integrate ongoing evaluation.
This article provides a replicable framework to grow, bolster, and diversify the nursing and public health workforces, known as the Nurse-led Equitable Learning (NEL) Framework for Training Programs. The framework has been applied by several multipronged, federally funded training programs led by investigators embedded in an academic nursing institution.
The NEL framework focuses on: (1) increasing equitable access to the knowledge, skills, and competencies needed to prepare a diverse workforce to deliver effective interventions; (2) fostering academic-practice linkages and community partnerships to facilitate the deployment of newly gained knowledge and skills to address ongoing and emerging challenges in care delivery; and (3) continuously evaluating and disseminating findings to inform expansion and replication of programs.
Ten programs using this framework have successfully leveraged $18.3 million in extramural funding to support over 1000 public health professionals and trainees. Longitudinal evaluation efforts indicate that public health workers, including nurses, are benefiting from the programs' workplace trainings, future clinicians are being rigorously trained to identify and address determinants of health to improve patient and community well-being, and educators are engaging in novel pedagogical opportunities to enhance their ability to deliver high quality public health education.
Training programs may apply the NEL framework to ensure that the nursing and public health workforces achieve equitable, sustainable growth and deliver high quality evidence-based care.
应对护理和公共卫生劳动力面临的威胁，同时加强现有和未来劳动力的技能，需要制定方案。培训计划应遵循利用护理专业知识和领导力、建立伙伴关系、整合持续评估的框架。
本文提供了一个可复制的框架，用于增加、加强和多样化护理和公共卫生劳动力，即护士主导的公平学习（NEL）培训计划框架。该框架已被几个由嵌入学术护理机构的调查员领导的、多方面的联邦资助培训计划所应用。
NEL 框架侧重于：（1）增加公平获得知识、技能和能力的机会，以培养多元化的劳动力，提供有效的干预措施；（2）促进学术-实践联系和社区伙伴关系，以促进新知识和技能的部署，解决护理提供方面持续存在和新出现的挑战；（3）不断评估和传播研究结果，为扩大和复制计划提供信息。
十个使用该框架的计划成功利用了 1830 万美元的外部资金，支持了 1000 多名公共卫生专业人员和学员。纵向评估工作表明，公共卫生工作者（包括护士）从这些项目的工作场所培训中受益，未来的临床医生正在接受严格的培训，以确定和解决健康决定因素，以改善患者和社区的健康状况，教育工作者正在参与新的教学机会，以提高他们提供高质量公共卫生教育的能力。
培训计划可以应用 NEL 框架，以确保护理和公共卫生劳动力实现公平、可持续的增长，并提供高质量的循证护理。
