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Clinical Training Innovation for Prelicensure Graduate Nursing Students to Expand Roles in Primary Care

Hooper-Arana, Erica D. DNP, RN; Li, Judy N. DrPH, MBA; Borges, Wanda J. PhD, RN; Bodenheimer, Thomas MD

doi: 10.1097/NNE.0000000000000664
Feature Articles

Background With the aging population, the prevalence of chronic disease is increasing, requiring a team-based approach to care with registered nurses (RNs) playing a vital role.

Problem Nursing education generally prioritizes acute care rather than ambulatory care; however, nursing students should also be prepared to adequately respond to the population needs for longitudinal chronic care management.

Approach To address the need for RNs to assume a role in chronic care management, a School of Nursing and Health Professions piloted a clinical option in which second-degree master of science in nursing students are prepared to function as health coaches on primary care teams at a local community health center.

Conclusions Reshifting the focus of nursing education to integrate primary care nursing, it is important to embed nursing students into primary care practices where they can learn about the longitudinal care of patients with chronic conditions.

Author Affiliations: Assistant Professor (Dr Hooper-Arana); Associate Dean for Graduate Programs and Community Partnerships (Dr Borges), School of Nursing and Health Professions, University of San Francisco, California; Director of Joint Venture Health (Dr Li), School of Public Health, University of California, Berkeley; and Professor Emeritus (Dr Bodenheimer), Center for Excellence in Primary Care, University of California, San Francisco.

The authors declare no conflicts of interest.

Correspondence: Dr Hooper-Arana, 2130 Fulton St, San Francisco, CA 94117 (

Accepted for publication: January 21, 2019

Published ahead of print: March 7, 2019

Cite this article as: Hooper-Arana ED, Li JN, Borges WJ, Bodenheimer T. Clinical training innovation for prelicensure graduate nursing students to expand roles in primary care. Nurse Educ. 2019;45(1):25–29. doi: 10.1097/NNE.0000000000000664

Online date: March 9, 2019

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