Online Program

A social determinants framework to promote student success and diversify the public health workforce

Sunday, November 3, 2013

Julie A. Kruse, PhD, RN, College of Nursing, Lourdes University, Sylvania, OH
Judy A. Didion, PhD, RN, College of Nursing, Lourdes University, Sylvania, OH
Kathy L. Perzynski, MS, RN, College of Nursing, Lourdes University, Sylvania, OH
Background: Multiple challenges face underrepresented diverse populations from entering the public health nursing workforce. Ultimately, residents of communities are not served well because its healthcare workforce is not responsive to the variety of cultural needs of the population. Consistent with the goal of the Public Health Service Act to improve the diversity of the nursing workforce, a small Midwestern University initiated an education program which utilized a social determinant of health framework in the construction of a comprehensive success program. This project was funded by a HRSA Nursing Workforce Diversity grant with the purpose to increase the number of students from underrepresented populations who are admitted to the BSN major, graduate and successfully pass the NCLEX-RN exam. Methods: Data for this analysis came from a prospective longitudinal cohort study of students from disadvantaged backgrounds who were enrolled in an education program to assist in retention and graduation. Data from years 1-3 were analyzed using T-tests, ANOVAs, and correlational analysis. Results: Data indicate that program participants (n=83) are retained at rates higher than non program participants (70.4% versus 61.3%). Ten out of 11 participants passed the NCLEX on their first attempt (n=11). In addition, sense of belonging scores of all participants improved significantly. Students who were not retained had connectedness scores that were less than students who were retained. Project completion is June 1st, 2013 with final results to be presented on the conference date. Conclusions: Findings suggest that interventions tailored to social determinants increased student nurse retention rates.

Learning Areas:

Diversity and culture
Public health or related education
Public health or related nursing
Public health or related research

Learning Objectives:
Identify barriers for a diverse public health nursing workforce. Identify at least five interventions tailored to social determinants to increase student nurse retention rates.

Keyword(s): Nursing Education, College Students

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the coordinator of evaluation and research for two HRSA funded grants related to diversity of the nursing workforce. My scientific interests include cultural competence in the workforce as well as examining sense of belonging and social support in disadvantaged students for the retention of these students to create a diverse nursing workforce.
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.