ABSTRACT Academic–clinical partnerships demonstrated sustained learning experiences for nurse practitioner students to apply concepts of social determinants of health and cultural competency learned in classrooms. The purpose of this project was to evaluate concept mastery and clinical application of social determinants of health and cultural fluency in NP students, while assessing the impact of ACPs as clinical settings on student performance in this area. Students were evaluated by clinical preceptors at mid-semester and final semester time points in academic–clinical partnerships or non-academic–clinical partnerships clinical settings on concept mastery of social determinants of health and cultural fluency. Students in both settings had better final evaluation scores for social determinants of health and cultural fluency. Yet, students in non-academic–clinical partnership settings performed better than academic–clinical partnerships on cultural fluency scores at midterm and final evaluations. Findings suggest the expansion of advanced practice educational curriculum to include evaluation measures for cultural fluency and social determinants of health. Diverse clinical assignments provide immersion experiences that incorporate the application of expanded content into clinical situations.

中文翻译：

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健康和文化流畅性的社会决定因素的内容评估以衡量执业护士在临床情况下的应用

摘要 学术-临床伙伴关系为执业护士学生展示了持续的学习经验，以应用在课堂上学到的健康和文化能力的社会决定因素概念。该项目的目的是评估 NP 学生对健康和文化流利程度的社会决定因素的概念掌握和临床应用，同时评估 ACP 作为临床环境对学生在该领域表现的影响。在学期中期和最后一个学期的时间点，学生在学术-临床合作或非学术-临床合作临床环境中由临床导师对健康和文化流畅性的社会决定因素的概念掌握情况进行评估。在这两种情况下，学生在健康和文化流畅性的社会决定因素方面的最终评估分数更高。然而，在中期和期末评估中，非学术-临床合作环境中的学生在文化流利度分数上的表现优于学术-临床合作环境中的学生。调查结果表明，扩展高级实践教育课程，以包括对文化流畅性和健康的社会决定因素的评估措施。多样化的临床任务提供沉浸式体验，将扩展内容的应用融入临床情况。