Developing a dedicated education unit in long-term care: a pilot project.

Within long-term care, the transitional care setting provides post-acute and short-stay rehabilitation to older adults, easing the transition between the acute care hospital and home or long-term care. The current nursing shortage makes it difficult for these facilities to attract and retain qualified nursing staff. In order to meet the rehabilitation needs for this patient population while at the same time addressing the challenge in nursing education of limited clinical placements and severe nurse faculty shortages, an academic-practice partnership was developed to establish a Dedicated Education Unit (DEU). The DEU is an innovative clinical education model in which experienced staff nurses serve as clinical teachers to nursing students. This paper describes the process of developing a DEU using the Partners in Caring Model as the framework. Formative and summative evaluation results and recommendations for program improvement of this pilot project are discussed.

Building a successful community coalition-university partnership at the Arizona-Sonora border.

PURPOSE: The purpose of the case study is to explore a successful community-university partnership through community-based participatory action and to examine the partnership's ability to make policy changes toward improving health behaviors. BACKGROUND: Diabetes mortality at the U.S.-Mexico Border is twice the national average. Poor health care access is also a concern. These factors prompted Douglas community members to form a community coalition and invite university participation. HISTORICAL OVERVIEW: Douglas coalition members and University of Arizona (UA) partners worked together to improve chronic disease prevention and control in Douglas, Arizona, by engaging programmatic and policy activities and working with the local schools and government. COALITION/PARTNERSHIP EFFECTIVENESS, STRENGTHS, AND WEAKNESSES: Data were collected from multiple sources, including key informant interviews, the Wilder Collaboration Factors Inventory, and annual evaluations to document effectiveness, strengths, and weaknesses. CONCLUSION: A successful community coalition-university partnership is the result of long-term collaboration, equal participation, and acknowledgement that policy work takes time. The Douglas partnership, through policy, has effected local health behavior changes.