Clinical introduction into population health management using a peer mentoring strategy
Bibliographic record
Abstract
Background/objective: Baccalaureate nursing clinical experiences must prepare graduates to assess and support the health of vulnerable populations within communities. Clinical experiences need to align with theoretical coursework throughout the entire curriculum. This pilot project evaluated an innovative method to introduce second-semester Accelerated Baccalaureate Students (ABS) into a service-learning community experience using a peer-mentoring strategy.Methods: Eleven second-semester and twelve fourth-semester ABS students were paired in learning dyads in a low-income, ethnically diverse urban housing development, along with community health workers and social workers. Second-semester students were peer-mentored by fourth-semester students. Second-semester students performed health screenings, health promotion education, and medication reconciliation guided by fourth-semester students. Learning objectives and changes in knowledge were evaluated before and after the experience in a retrospective pretest/posttest format for all students. Additionally, second-semester students reported their perception of the mentoring experience on self-confidence, satisfaction, and helpfulness.Results: The learning objective rated highest related to the role of social determinants of health in the overall health of the residents (M = 4.38). Paired t-test analysis revealed significant positive increases in levels of knowledge about social determinants of health, role of culture, and importance of the interprofessional team. On a scale of one to five, second-semester students reported increased self-confidence (M = 4.2), satisfaction with the learning experience (M = 4), and help providing health promotion strategies (M = 4.4) due to mentorship by the fourth semester students.Conclusions: Students’ comments reflected an appreciation of the complexity of healthcare issues affecting vulnerable members of the community. Second-semester students reported more confidence and perceived themselves to be more effective due to the mentorship of the fourth semester students when providing education to residents with complex health needs.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.008 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.026 | 0.004 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".