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There is a shortage of primary care healthcare workers knowledgeable about working with medically underserved communities (MUCs). Project REEP* prepares BSN students to practice in primary care by increasing MUC exposure, knowledge, confidence, and skills. The program includes a community-health course and short- and long-term rotations in community-based primary healthcare settings.
A repeated-measures design examined REEP effects on MUC knowledge, self-management support (SMS) confidence, and self-management support (SMS) performance. Dramatic increases in student MUC knowledge emerged. Path analysis showed clinical experiences increasing MUC exposure directly resulted in higher SMS performance, while the positive rotation effects were transmitted indirectly through increased SMS self-confidence and MUC knowledge. Study results suggest training programs should consider more complex models when determining impact.