Essential Nursing Actions to Reduce Inequities for Black Women in the Perinatal Period.

Perinatal nurses play a critical role in the care of, advocacy for, and research with Black women in the perinatal period. Despite awareness of inequities in the perinatal health care system that stem from racism in the United States, many nurses report feeling detached from the crisis. In this critical commentary, we provide a five-step nursing action guide to address this health disparity that is aligned with the Future of Nursing report and the American Nurses Association Code of Ethics. We recommend nursing activities in each step: understand drivers of health inequities among Black women, reflect on implicit bias, use respectful care frameworks with Black women, conduct ethical research, and advocate for change. The article includes a sharable and printable action sheet that can be used in the work environment to remind nurses of their roles in enacting change.

Comprehensive initial evaluation of an innovative yearlong population health internship for undergraduates.

BACKGROUND: The innovative Population Health Internship (PHI) addresses the evolving need for baccalaureate-prepared nurses to achieve population health competency. A comprehensive evaluation of the inaugural year of the PHI was conducted using the Centers for Disease Control and Prevention (CDC) Framework for Program Evaluation in Public Health and the Context, Input, Process, Product (CIPP) curricular evaluation model. Students and community agency partners-both key stakeholders-contributed to the evaluation. METHODS AND RESULTS: Quantitative data were used to address functional and outcome areas of the PHI for purposes of PHI logistics, student learning gains, and program impact and sustainability. Qualitative data were used to provide insights into challenges in instituting curricular change, complexity in student-agency communications, importance of student preparedness/attitude, issues of role confusion, misperceptions about the population health nursing role, student learning, and impacts on partner agencies and their populations. IMPLICATIONS: Educational implications include the importance of assessing both learning gains and student buy-in, the need for a long-term evaluation approach to accommodate for challenges related to radical curriculum change, and the importance of strong stakeholder support to facilitate mutually beneficial relationships and a positive learning experience.

A yearlong population health internship: Operationalizing an innovative model for population health nursing education.

In recent years, evidence has emphasized the critical role that nurses play as public health leaders and the urgent need to prepare nurses for interprofessional collaboration in fulfilling those roles. Sharing best practices in population health nursing education is especially critical now, in the era of COVID-19, when more nurses will be called to apply public health principles to patient care regardless of their work setting. Although evidence from national nursing education bodies outline several critical implications for nursing curricula, undergraduate nursing programs lack operational guidance for instituting effective curricular changes to population health nursing teaching and learning. The purpose of this paper is to outline the process by which a college of nursing translated this evidence into innovation through program development of a yearlong Population Health Internship (PHI) in its BSN program. The inaugural PHI cohort placed 81 nursing students in 19 population health agencies to work with 64 interprofessional mentors. The author details the six steps taken to operationalize the curricular innovation to enable replication by others. Initial student evaluation data show participation in the PHI enables positive mentor relationships and exposes students to roles of population health nurses and the scope of their activities. Community agency evaluation data indicate satisfaction with the yearlong model, noting that nursing intern contributions extended agency missions.