The barrier remains to find preceptors and providers willing to work in underserved populations and gain valuable experience working with marginalized populations. In Bemidji Minnesota, the CNS or DNP as the preceptor for underserved populations remains a plausible focus. This will require the National Association of Clinical Nurse Specialists (NACNS) to champion the role of the CNS in credentialing bodies, DNP schools of nursing to create curriculum changes to include 75 hours of clinical service to underserved populations, offer innovative clinical sites to schools of nursing with available preceptors, and create guidelines to include 75 hours of clinical service to underserved populations to renew an APRN license for state boards of nursing. The number of CNS schools are a mere 148, with a total student number of 2020; there are a total 187 DNP students who are also CNSs (AACN, 2015).
…show more content…
The number of NP schools are 368, with a total of 56,496 students (AACN, 2015). The use of CNSs or NPs as APRNs in underserved populations to train APRNs and DNP students is prudent for nursing and stakeholders. The applicability of a population-specific advanced practice role can provide additional provider coverage in rural communities. The rural community of Bemidji Minnesota has an investment in promoting healthy living. Currently, a new 40-unit apartment complex housing homeless individuals in 2 bed units for short-term (90 days) while seeking care for mental health and substance abuse issues is being built. The complex will house a part-time nurse; however, the family homeless shelter does not have access to the nurse for the children. Families with children have needs still not addressed by the community. Budgetary Considerations The APRN can contribute as an educator in rural academic institutions and offer skill-sets in a needs assessment of faculty/staff, examining national trends, and quality issues (Gordon, Lorilla, and Lehman, 2012). The APRN, can modify its role as expressed by the needs of the rural population and health care system. Schools of nursing and rural healthcare systems should make a best practice arrangement to hire and maintain at least one active CNS to maintain the change agent APRN role and fill areas of health services not covered by the more financially lucrative NP role. …show more content…
The services offered by the APRN in a family homeless shelter is still free, however the services reduce the burden of emergency room visits. If the program is successful, expansion of the available APRNs to offer services to the family homeless shelter will need to grow.
In addition, vigilance to monitor federal grant websites related to family care nursing will continue. Grants focused on physical health of the homeless family, particularly children, need expansion. Federal funding is shifting to rural populations, recognizing the barriers in rural health care. Current grants focus on specific chronic conditions, often found in homeless populations but not on the generally healthy family burdened by homelessness. This creates a cycle further marginalizing the family unit because it is too healthy for special grants but unable to attain basic health care needs.
Recommendations for family homeless shelters A recommendation that shelters housing families with children will monitor the priority needs of the families, including healthcare through admission assessment. A list of APRNs willing to offer their free services and assist families to maintain health are in short supply, however use of local university nursing students to broaden the clinical experience role to include families in homeless shelters meet requirements for family-focus in nursing curriculum. Small service
The number of NP schools are 368, with a total of 56,496 students (AACN, 2015). The use of CNSs or NPs as APRNs in underserved populations to train APRNs and DNP students is prudent for nursing and stakeholders. The applicability of a population-specific advanced practice role can provide additional provider coverage in rural communities. The rural community of Bemidji Minnesota has an investment in promoting healthy living. Currently, a new 40-unit apartment complex housing homeless individuals in 2 bed units for short-term (90 days) while seeking care for mental health and substance abuse issues is being built. The complex will house a part-time nurse; however, the family homeless shelter does not have access to the nurse for the children. Families with children have needs still not addressed by the community. Budgetary Considerations The APRN can contribute as an educator in rural academic institutions and offer skill-sets in a needs assessment of faculty/staff, examining national trends, and quality issues (Gordon, Lorilla, and Lehman, 2012). The APRN, can modify its role as expressed by the needs of the rural population and health care system. Schools of nursing and rural healthcare systems should make a best practice arrangement to hire and maintain at least one active CNS to maintain the change agent APRN role and fill areas of health services not covered by the more financially lucrative NP role. …show more content…
The services offered by the APRN in a family homeless shelter is still free, however the services reduce the burden of emergency room visits. If the program is successful, expansion of the available APRNs to offer services to the family homeless shelter will need to grow.
In addition, vigilance to monitor federal grant websites related to family care nursing will continue. Grants focused on physical health of the homeless family, particularly children, need expansion. Federal funding is shifting to rural populations, recognizing the barriers in rural health care. Current grants focus on specific chronic conditions, often found in homeless populations but not on the generally healthy family burdened by homelessness. This creates a cycle further marginalizing the family unit because it is too healthy for special grants but unable to attain basic health care needs.
Recommendations for family homeless shelters A recommendation that shelters housing families with children will monitor the priority needs of the families, including healthcare through admission assessment. A list of APRNs willing to offer their free services and assist families to maintain health are in short supply, however use of local university nursing students to broaden the clinical experience role to include families in homeless shelters meet requirements for family-focus in nursing curriculum. Small service