262801 Impact of Innovative Training Constructs to Public Health Nursing and Retention

Wednesday, October 31, 2012 : 10:50 AM - 11:10 AM

Luis Rodriguez Gonzalez, MD, MPH, DrPH(c) , Department of Public Health and Management, School of Health Sciences and Practice of New York Medical College, Valhalla, NY
Nanci Coppola, DPM, MS , Chief Executive Officer, Program Reach, Inc, Bronx, NY
Mercy Mwaria, PhD , Research Analyst, Program Reach Inc., Bronx, NY
Mary Phifer, MD , Lead Facilitator, Program Reach Inc., Bronx, NY
Eric Witmer, MPH , Project Coordinator, Program Reach Inc., Bronx, NY
Deborah Viola, PhD , Department of Health Policy and Management, School of Health Sciences & Practice, Valhalla, NY
Strategies implemented by Public Health employers will need to be assessed to confront the community nursing shortage. Current nursing curricula still focuses on hospital acute and long-term care and not on community service. A holistic exposure to Public Health nursing education that includes specific conditions affecting the community, population health outcomes, and advocacy for preventive measures in undergraduate training will result in greater numbers entering the field. Gradual phasing-in to nursing culture will increase retention in the first year of employment. The present curricula have high student attrition, high graduate one year employment turnover in the clinical setting, and low numbers choosing community nursing. These unfinished quitting-students and graduates are part of a healthcare workforce crisis that creates a challenge from the high vacancy found in the profession. In a study carried out in an undergraduate program, exposure is addressed by changing the training to an incremental experience in adapting from an academic to a clinical and community service ambient. Introductory community health information and coping-mechanisms to stressors taught in the baccalaureate program are intended to assist the student in acclimating to real work professional experiences. The outcome is a cultural-clinical-community work environment that strives to prevent dissatisfaction, fatigue, stress, medical-accidents, and abandonment of the profession without compromising quality assurance. The study demonstrates a measurable association comparable to post-graduate nurse residency programs retention results. Replicating constructs of this program will result in increased numbers choosing this field and augmenting retention rates in Public Health Nursing.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related nursing

Learning Objectives:
List two indicators that link undergraduate nurse training to increase numbers numbers in Public Health. Explain the procedure for assessing introductory exposure and gradual phasing-in with choosing Public Health nursing and retention. Describe an innovative undergraduate curricula using an academic-clinical-community exposure with a nurse-culture transition.

Keywords: Public Health Nursing, College Students

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have an MD (1977) and MPH (2010) degree from NYMC and currently a DrPH candidate (2013) doing research on this topic under the mentorship and supervision of Dr. Deborah Viola, PhD, Associate Professor and Associate Director of Doctoral Program at the SHSP of NYMC.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5154.0: Late Breaker -1