Hogan Shelly, Metcalf Madeline, Galloway Ann, Krueger Nicole, Larsson Laura
Mark & Robyn Jones College of Nursing, Montana State University, Bozeman, MT, USA.
Mark & Robyn Jones College of Nursing, Montana State University, Bozeman, MT, USA.
Nurse Educ Pract. 2024 Nov;81:104200. doi: 10.1016/j.nepr.2024.104200. Epub 2024 Nov 12.
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.
Survey followed by qualitative analysis.
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.
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.
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.
一支准备充分的护理队伍对于满足农村、医疗服务不足和原住民社区的医疗保健需求至关重要。本研究考察了护理专业学生对一项整合了美国护理学院协会（AACN）核心能力的移动健康培训项目（MHTP）的看法，重点关注文化响应式护理、跨专业协作和专业发展。在过去两年里，MHTP在蒙大拿州的四个部落为0至5岁的儿童进行了学前健康筛查。
先进行调查，然后进行定性分析。
共有160名护理本科学生在2022年9月至2024年5月期间完成了临床后调查。对调查回复进行定性分析，以确定与农村医疗保健、文化响应式护理、接触不同社区和专业成长相关的主题。
95%的学生认为MHTP很有价值。出现了四个关键主题：对农村医疗保健的见解、实践文化响应式护理、接触不同社区和专业成长。美国印第安/阿拉斯加原住民学生强调所有人都需要有文化反思的机会。MHTP与AACN的能力要求相一致，提高了以患者为中心的护理、文化能力、跨专业协作和基于系统的实践方面的技能。
MHTP是护理教育的一个实用模式，在与高优先级社区接触的同时，提供以儿科患者为重点的沉浸式体验。本研究为关于农村和部落临床实习的有限文献做出了贡献，强调了在模拟与直接临床实践之间取得平衡以及让护理专业学生做好准备应对医疗服务不足地区医疗保健挑战的价值。
