Date of Graduation

Spring 5-8-2017

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Family Nurse Practitioner

First Advisor

Alexa Cosgrove Curtis

Second Advisor

Jodie Sandu



Rural communities are disproportionately underserved and have been identified as a priority population to improve health outcomes and access to care (Agency for Healthcare Research and Quality [AHRQ], 2015). National organizations have recognized a deficit in primary care providers, recommended nurse practitioners (NPs) as a solution, and supported NP residency programs as a means to prepare and recruit qualified practitioners into communities (Institute of Medicine [IOM], 2010; The Patient Protection and Affordable Care Act [PPACA], 2010). However, there are only three primary care NP residency programs in rural California (National Nurse Practitioner Residency and Fellowship Training Consortium [NNPRFTC], 2015). A pilot NP residency program and feasibility analysis was designed to evaluate current program structures and funding sources while promoting the development and implementation of NP residency programs within rural Federally Qualified Health Centers (FQHCs). Evaluation metrics included competency self-assessments, content-based evaluations of a web-based didactic module, and qualitative program evaluations. The results of this pilot study showed an increase in self-reported clinical competence as well as knowledge acquisition with the didactic module. An opportunity exists to model new NP residency programs off the pilot activities and structures identified in this project within rural FQHCs.

Included in

Nursing Commons