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Creating a Culture of Caring

A Shared Academic-Practice Clinical Curriculum

Letcher, Deborah C. PhD, RN; Massey, Ann M. MSN, RN-BC; Nelson, Mary J. MSN, RN, CNE; Elverson, Cynthia Anderson PhD, RN, NNP-BC

doi: 10.1097/NNE.0000000000000735
Nurse Educator: PDF Only

Background Preparation of nursing students has traditionally occurred in academic settings where faculty develop programs of study. Practice settings often find themselves investing in significant education and support as the new-graduate nurse transitions into the RN role.

Problem A gap in preparation exists between academic and practice expectations for the generalist RN role.

Approach Collaboration among academic and practice partners in the development of a core clinical curriculum, along with supporting content and learning activities, provides enriched clinical experiences that enhance readiness for the practicing role.

Outcomes The Culture of Caring (COC) Model guides academic and practice partners as a teaching-learning framework for the preparation of nursing students.

Conclusions The COC clinical curriculum bundles together supporting resources that include a handbook, workbook, faculty pocket guide, calendar, and nursing student cards used to foster the clinical experience.

Author Affiliations: Senior Director (Dr Letcher) and Lead RN Clinical Educator (Ms Massey), Leadership, Education and Development–LEAD, Sanford Health; and Nursing Instructor, Department of Nursing (Ms Nelson), Augustana University, Sioux Falls, South Dakota; and Associate Professor (Dr Elverson), College of Nursing, South Dakota State University, Sioux Falls.

The authors declare no conflicts of interest.

Correspondence: Dr Letcher, Leadership, Education and Development–LEAD, Sanford Health, 2200 E Benson Rd, Sioux Falls, SD 57104 (

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Accepted for publication: July 15, 2019

Published ahead of print: October 10, 2019

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