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Funded Projects

Grant Status: Completed

Grant Title: Leadership Education and Research Nursing

Project Director(s):

Susan M. Kools
The Regents of the University of California, San Francisco
Family Health Care Nursing
2 Koret Way RM N411Y
San Francisco, CA  94143-0606
Phone: (415) 476-4040
FAX: (415) 753-2161
Email: susan.kools@nursing.ucsf.edu

Problem:

The Nursing Leadership Adolescent Young Adult Health (NLAYAH) Project provides a culturally sensitive, interdisciplinary clinical and research curriculum. Diverse youth face bias, violence, pregnancy, poor mental health, preventable disease. Poverty, acculturation, insurance access are barriers.

Goals and Objectives:

Goal 1: Trainees: To develop diverse, culturally competent nurse leaders in underserved adolescent and young adult (AYAs) health through an interdisciplinary, culturally competent educational project. Objective 1: Recruit and provide stipends, including fees and tuition to 2-3 underrepresented trainees per year, at the MS and PhD levels. Objective 2: Train 3-4 long-term, 5-10 medium-term, and 20 short-term trainees per year, at the MS and PhD levels. Objective 3: Retain nursing leaders in the workforce who focus on underserved adolescents and young adults for 3 years after graduation. Goal 2: Curriculum: To teach an evidence-based curriculum to prepare trainees to identify the complex interplay of community, family, and biopsychosocial factors that affect AYAs' physical and mental health. Objective 1: Develop 3 courses at the graduate level on AYA health in years 1-3, including innovative teaching strategies such as problem-based learning, psychosocial skills sessions, and hybridization of classroom and online modalities. Objective 2: Enhance curriculum to include cultural competency in existing and new courses on AYA health each year. Objective 3: Provide trainees with a curriculum every year which includes the five training cores: Biopsychosocial; Research, Evaluation & Epidemiology; Public Health and Health Policy; Leadership Development; and Clinical Practicum/Teaching/Research Residency. Goal 3: Clinical Care: To increase graduate nurses who provide culturally competent/community-based care, and clinical services in underserved, low-income, diverse communities, with interdisciplinary teams. Objective 1: Improve access to care by providing at least 100 ambulatory care visits per year by PNP and FNP trainees for low-income and underserved AYAs with primary care and special health care needs. Objective 2: Expand and enrich clinical services for AYAs by providing 1-2 new clinical experiences for trainees in community agencies serving underserved AYAs each year, including plans for transition to adult care each year. Objective 3: Prepare leaders in the clinical care of AYAs by providing long term trainees experiences in at least three of the following settings each year: ambulatory care centers, community agencies, detention facilities, public schools, and public health programs. Goal 4: Research: To train nursing leaders who contribute to nursing science through the development of research studies on underserved adolescent and young adult (AYA) populations. Objective 1: Mentor 1-2 doctoral students per year who are studying underserved AYAs' health. Objective 2: Develop 2 new interdisciplinary research residencies for doctoral students with non-nursing leaders in AYA health by year 2. Objective 3: One trainee each year will attend a professional meeting on AYA health, and doctoral trainees will submit one abstract every year and present at one professional meeting in years 3 and 5. Goal 5: Collaboration with other MCH Training Programs: To train future nurse leaders in AYA health by providing interdisciplinary education, mentorship, and interdisciplinary research and policy analyses. Objective 1: Participate in annual in-service training experience for State Adolescent Health Coordinators with the LEAH faculty and students on topics relevant to their state leadership needs. Objective 2: Develop a collaborative mentor program for UC-wide MCHB funded Schools, including UCSF's Division of Adolescent Medicine, School of Nursing and the UC Berkeley School of Public Health by year 2. Objective 3: Collaborate with San Francisco Bay Area MCHB training programs and collaborative partners to develop a statewide continuing education conference on AYA health in years 2 and 4.

Methodology:

Project includes nursing, cultural competence, AYAs, family, community, and MCH. It expands existing LEAH program, with advanced clinical practice; mentorship; and interdisciplinary research training. Activities include: Train 28-34 students annually (including 3 underrepresented). Develop 3 courses on AYA health yrs 1-3. Provide courses in 5 training cores: Biopsychosocial; Research, Evaluation & Epidemiology; Public Health & Policy; Leadership; and Clinical/Teaching/Research Residency. Provide 100 clinical visits annually by MS trainees for underserved AYAs. Expand services by 1-2 new clinical sites for underserved AYAs annually. Develop interdisciplinary research residencies for 1-2 PhD trainees annually PhD trainees will attend (annually) and present at meetings yrs 3 and 5. Develop 2 online CE courses for nurses on AYA health yrs 3 and 5. Disseminate research and nursing models on UCSF National Adolescent Health Information Center and Policy Center websites. Translate AYA health research into practice and policy by disseminating findings to diverse stakeholders annually, including CBOs, AYAs, and MCH programs. Develop an interdisciplinary CE conference for state/county MCH staff on AYA health with the MCHB-funded programs yrs 2 and 4. Provide consultation, CE or technical assistance to 2-3 MCH agencies and professional organizations on underserved AYA health annually. Participate in annual in-service training for State Adolescent Health Coordinators.

Coordination:

UCSF Div of Adolescent Medicine- LEAH program partner UCSF Inst for Health Policy Studies- education, research, nursing care dissemination UCSF Sch Dentistry- oral health disparities UC-Berkeley School of Public Health MCH program- mentorship, interprofessional education, research MCHB California Early Childhood Comprehensive Systems project- research, education MCH Depts of Health- clinical, consultation MCH Working Conference on the Future of Leadership Training- education, consultation

Evaluation:

Evaluations- course, faculty, clinical, post-graduate surveys, focus groups. A Project Data Base tracks trainees (number, demographics, type, courses/clinical hours, employment); curriculum (courses, content, teaching modalities; clinical logs); research (PhD trainees, research residencies, conference attendance); collaboration (nature of collaborations, LEAH and in-service participation, mentorship, CEUs); diversity aims (demographics- trainees, clients, faculty, partners; employment).

Experience to Date:

We have made significant progress towards meeting and exceeding our goals in the past year. We continue to successfully recruit, retain and graduate a diverse group of trainees, including underrepresented minority students who made up 78% of our LT, 58% of MT and 35% of ST trainee groups this year. Our total numbers of trainees also exceed our goals, with 9 LT, 33 MT and 37 ST trainees participating in the program in 2010-11. This year we launched our MCH Leadership course, with 10 LT trainees (both masters and doctoral level) participating and evaluating the course with a mean score of 4 of a possible 4, and continued our Advanced Adolescent Seminar, which also received excellent evaluations but reached a smaller group of students this year. With our community partners we planned and delivered a 2 day state-wide adolescent health conference attended by over 200 participants. The conference included both professional provider and youth provider tracks, and had very positive evaluations from participants. We developed a NLAYAH program brochure, a program website which is linked to the UCSF School of Nursing, MCHB and Nursing Leadership grants websites, and were the featured program in the UCSF School of Nursing's "Science of Caring" magazine clinical focus issue. Our faculty continues to reach large numbers of practicing healthcare professionals with continuing education offerings and technical assistance.

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