Advanced Nursing Education: University of Michigan – Flint Partnership
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The overall purpose of the project titled: Advanced Nursing Education (ANE) University of Michigan-Flint Academic Partnership is to provide and evaluate academic-practice partnerships with the University of Michigan-Flint Department of Nursing and the Genesee County Health Department (GCHD) that will add 54 clinical training preceptorships for Nurse Practitioner (NP) students in an underserved setting that provides primary care to HIV positive patients and their families within the HIV Treatment Cascade model. The HIV Treatment Cascade model is a full continuum of care for persons living with HIV with the ultimate goal in the treatment cascade being viral load suppression. The model utilizes a team approach including a nurse practitioner with a joint appointment at the GCHD and the UM-Flint Department of Nursing and a HIV specialist physician and has higher rates of HIV positive patients remaining in treatment than standard care. The joint appointment model will ensure high-quality clinical training and preceptor preparedness. This partnership will be expanded in years 2 and 3 to additional sites within the GCHD (sexually transmitted disease clinic and women’s health clinic) and other agencies within the Health Professional Shortage Area (HPSA) and Medically Underserved Areas (MUA) of Flint, Michigan, and Genesee County. These include Hamilton Community Health Center, a Federally Qualified Health Center (FQHC), and Genesee Health, another FQHC, both in Flint, Michigan. This aligns with the 2015 HRSA statutory purpose of Title VIII and Healthy People 2020. The six project objectives are as follows: 1. Increase the number of high-quality primary care clinical practice placements for the Doctor of Nursing Practice (DNP) and Master of Science in Nursing (MSN) nurse practitioner programs at the University of Michigan-Flint by adding 54 placements in an academic partnership with the Genesee County Health Department delivering primary care in the HIV Treatment Cascade model and other settings over years 1-3 of the grant. Expand clinical placements by an additional 24 in years 2-3 by replicating the partnership with two FQHCs in Flint, Michigan; 2. Provide and evaluate 20 preceptors in assessment, teaching, and evaluation of students via the addition of three online preceptor training modules with learning assessment outcome measures and other preceptor training initiatives as appropriate; 3. Evaluate DNP and MSN student clinical experiences for increased effectiveness in primary care management of HIV positive patients via pre- and post-clinical placement surveys of students and preceptors and knowledge testing of NP students; 4. Evaluate and make quarterly improvements in the learning experiences in this partnership using the plan, do, study, act model; 5. Increase the number of graduates who practice with underserved populations from baseline year 1 at 40% through grant year 3 to 50% by requiring commitment letters from students in the new clinical placements to practice in these areas; 6. Disseminate project findings for replication via grant website in years 1-3, conference presentations, and publications by nursing faculty, MSN and DNP students, and others in year 3. We are requesting funding preference based on the ability of this grant proposal to improve care to underserved populations. We have a strong track record of placing NP graduates in underserved and HPSAs. In 2013, 40% of our graduates were working in these areas.