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Nursing Pathways: Community Alliance for Health

Health Resources and Services Administration (HRSA)
7/1/2016 – 6/30/2017

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The purpose of the Nursing Pathways: Community Alliance for Health (Nursing Pathways) Workforce Diversity (WFD) project is to increase the retention, graduation, and NCLEX pass rates of disadvantaged generic pre-licensure BSN (Generic); and the retention and graduation of disadvantaged RN to BSN nursing students (RN-BSN students); living in the most rural, diverse, and low income regions of Washington State. We expect to achieve this by continuing and building on evidence-based practices implemented and verified by our previous WFD HRSA funded work. Evidence-based retention strategies include: mentoring, peer and academic support with ESL and learning specialists, rigorous advising, collaborative workshops, community clinical experiences, summer student leadership programs, and, scholarships and stipends.

In order to increase the retention, progression and program completion of disadvantaged students, Nursing Pathways will serve 115 disadvantaged nursing students; of these 55 nursing students (45 generic and 10 RN-BSN) will receive scholarships and/or stipends. Project goals are to: 1) Support Generic and RN-BSN students from disadvantaged backgrounds to successful nursing program completion through workshops, academic and peer support, resources, and tutoring; 2) Prepare BSN students from disadvantaged backgrounds for academic success and professional readiness through mentoring and leadership development; 3) Promote BSN students from disadvantaged backgrounds as emerging nursing and health care leaders by collaborating with established institutional (internal) and community (external) partners that will also leverage resources and sustainability; 4) Foster student success and retention by providing financial support, and, awarding scholarships and stipends for the significant barriers that disadvantaged students experience. Project outcomes are: a) 95% retention rate during the funding period; b) at least an 80% first time NCLEX passing rate; and c) 90% will remain in the region post-graduation to serve in rural HPSA and MUC communities served by this grant.

The proposed project is carefully designed to achieve these goals through a participatory community approach, education of disadvantaged students, and the cultivation of strong partnerships and ties to our target communities. The region and people we will serve have significant health disparities related to social determinants of health. Poverty, geographical location, education levels, employment, discrimination, health status, and health care access are examples of social determinants we are concerned with. Our setting is a rural region of Washington State that is home to a significant migrant farm worker population and four major American Indian reservations. Our target population is disadvantaged rural families with Latino and Native American students.

Primary Investigator

Debbie Nogueras, PhD, RN, MSN, ANP/FNP-BC, FAANP