| | An enriched research experience for minority undergraduates—a step toward increasing the number of minority nurse researchers☆☆☆Abstract This article describes a partnership between a research-intensive university and a historical minority-serving institution to create a year-long Research Enrichment and Apprenticeship Program for 9 undergraduate minority nursing students. The apprenticeship program provides undergraduate students an opportunity to directly experience nursing research and has the long-term goal of increasing the number of racial and ethnic minority researchers in nursing. Nurs Outlook 2003;51:20-24.
African-Americans experience a greater health burden than that found in the majority, white population.1, 2, 3, 4, 5 Healthy People 2010 identifies the elimination of this disparity in health care as one of the nation's top health priorities.2 Nursing research can play an important role in providing the knowledge needed to move us toward this goal. Research is needed to increase our understanding of what causes health disparities and to develop and test effective strategies for reducing them. Research on health disparities is greatly enriched by the participation of minority investigators.2, 6 Minority researchers contribute a distinctive perspective on the conceptualization, conduct, and dissemination of the research on minority individuals and groups. Their personal knowledge and experience of cultural differences can shaperecruitment and retention strategies and the development of culturally appropriate instruments and methodologies. Their understanding of how information is shared within different cultural groups can facilitate dissemination of research findings. Perhaps, most importantly, minority nurses can give voice to the direction health disparity research should take.
Despite the important contributions they can make, there are too few minorities engaged in nursing research. Minorities are under-represented in nursing in general, and their under-representation is even greater among doctorally prepared nurse researchers.7 In North Carolina, African-Americans comprise 22% of the population but make up only 8% of the registered nurse workforce and 5% of enrollees in the state's only nursing doctoral program; this creates particular concern.8
Increasing the number of minority nurse researchers will require recruitment efforts at multiple levels. We will need to increase the number of minorities entering undergraduate programs and, in turn, the number of undergraduates choosing to pursue graduate studies.9 The purpose of this article is to describe a partnership between a research-intensive nursing school in which the majority of students are nonminoritiesand a historically black college or university (HBCU) to create an enriched research experience designed to encourage minority undergraduate nursing students from both institutions to consider graduate education and a research career.
The partners  In 2001a partnership was created between the Department of Nursing at North Carolina Central University (NCCU), an HBCU, and the School of Nursing at the University of North Carolina at Chapel Hill (UNC-CH). With funding from the National Institute of Nursing Research at the National Institutes of Health (NIH), the 2 schools implemented a year-long Research Enrichment and Apprenticeship Program (REAP) for 9 undergraduate minority nursing students. Many of the African-American nurses with a bachelor's of science degree in nursing in North Carolina received their training at an HBCU. HBCUs and their faculty effectively recruit, support, and graduate minority nursing students. Because of their focus on teaching, HBCU faculty have less experience conducting research. Presently, none of the HBCUs in the state offers graduate level programs in nursing and, as a result, minority undergraduate nursing students often are not exposed to graduate education programs and graduate faculty. Exposure to research and graduate faculty is essential to encourage minorities to consider continuing their education beyond the bachelor's of science degree in nursing and to pursue research careers. UNC-CH ranks among the top 5 schools of nursing in the amount of research funding received from NIH, with 18 NIH-funded research grants in 2001. Eight of these research projects include a focus on racial/ethnic minorities, including studies on ethnic variation in diabetes, HIV transmission in Mexican-Americans, cardiovascular risk factors in African-American and Caucasian youth, African-American parenting of premature infants, and managing uncertainty in African-American and Caucasian breast cancer survivors. Through the REAP program, we were able to combine the strengths of UNC-CH and NCCU. We combined UNC's base of research and researchers with NCCU's research and its experience with minority undergraduates to create an enriched research experience for minority students from both schools with the long-term goal of increasing the number of racial and ethnic minority researchers in nursing.
The REAP program  The REAP program incorporates the following critical elements identified in the literature for working with minority undergraduates: faculty mentors,10, 11 a peer support group of minority students,10, 11 and consultative support for students who need help with their written language skills.10 The central goal of the REAP program is to instill an interest in nursing research, with a focus on research to eliminate health disparities. To achieve this central goal, we included the following key components in the REAP experience:
•A focus on undergraduate students
•A partnership between each undergraduate student and a faculty mentor with an active program of research
•Paid employment as a student assistant on the faculty mentor's research project
•Completion of a student project related to the faculty mentor's research
•Student participation in seminars and conferences
•A project coordinator to facilitate the mentor-student relationships and the overall program
We recruited 9 undergraduate nursing students to participate in the program from June 1, 2001, until May 15, 2002; 5 of the participants were from NCCU, and 4 were from UNC-CH. The majority of the students were risingseniors, and all were racial/ethnic minorities and had an interest in decreasing health disparities. Six students were African-American, 1 was African, 1 was Hispanic, and 1 was Filipino. A focus on undergraduate students Since our ultimate goal was to increase the number of minority nurse researchers, it might appear most efficient to focus our enrichment efforts on students who are close to that goal—master's and doctoral students. However, there are so few minorities enrolled in North Carolina's master's and doctoral nursing programs that we chose to focus our efforts on undergraduate students with the hope of increasing their enrollment in graduate programs. Our expectation was that exposure to graduate research faculty during their undergraduate experience would increase the likelihood of minority students returning to the campus for graduate studies. A partnership Each student was paired with a faculty mentor with an active research program involving subjects from a health disparity group. Students were paired with 8 faculty members (1 of these faculty members mentored 2 students). Seven of the mentors were at UNC-CH, and 1 was at NCCU. Students worked on faculty research projects including an intervention with older breast cancer survivors, a qualitative study of spirituality in African-American women with HIV/AIDS, an analysis of alcohol use on HBCU campuses, and an intervention to reduce depressive symptoms in low-income mothers of young children. Paid employment as a student assistant During the summer, we paid students for 20 hours a week—15 hours spent working on their mentor's research projects and 5 hours spent on other education-related activities. The time participants spent on the REAP program would otherwise have been spent earning money for tuition and living expenses. We therefore needed to compensate them for their time so that they could afford to participate. Students' time commitment was reduced to 5 hours during the academic year to allow time for their course work and clinical rotations. At the start of the program, REAP participants and their faculty mentors developed a contract and timetable that specified activities to be completed during the program. The contract included the student's role and schedule for participation on the mentor's research project and regular meetings with the mentor. Students participated in a wide variety of research experiences, including interviewing research participants, delivering interventions, coding data, and establishing the reliability of biobehavioral measures. Completion of a research project REAP participants worked on their own research projects with the goal of presenting their completed work in a 2-page abstract and research poster format. During the summer, students met with their mentors, who provided guidance on identification of a research problem and initial plans for studying it. At the end of the summer, students received additional feedback when they presented their project proposals to a meeting of the project coordinators and REAP participants. During the academic year, students worked on completing their projects in coordination with the requirements of their senior research course. Examples of student projects include conducting focus groups to determine African-American women's preferences for exercise videotapes, delivering an intervention to teach HIV/AIDS prevention strategies to Latinas, and conducting a secondary analysis of data on the relationship between alcohol use and social support in minority undergraduate students. To facilitate the design, conduct, and presentation of sound studies, the REAP program provided extensive support. Methodologic and statistical consultation was available to help students develop their projects, editorial assistance was provided for writing their abstracts and posters, and the UNC-CH Medical Illustration Department assisted them with creating professional quality posters. In April 2002 we hosted an evening program at NCCU at which student participants from both schools presented their research projects to faculty, families, and friends. Seminars and conferences From June through mid-August, we offered weekly seminars that covered a diverse range of topics, such as the use of biobehavioral measures in nursing research, how to write a research paper, and where to find health-related statistics on the Internet. Students also completed training on the safe and ethical conduct of research with human subjects. The location of the seminars alternated between the 2 campuses, with faculty from both institutions taking the lead. Students also attended 2 national research conferences. During the first month of the program, they attended a week-long “Minority Health Research Institute” sponsored by the UNC-CH School of PublicHealth. In February, 7 students traveled to San Antonio, Texas, to attend the Southern Nursing Research Society's annual conference. The REAP program's project coordinator attended the conference with the students and oriented them to ways to make the most of the opportunities provided. A project coordinator Project coordinators at both UNC-CH and NCCU oversaw the REAP program. Students had regular contact with the project coordinators. During the summer, they met with the project coordinators during weekly group meetings to review progress, maintain group cohesion, and ensure that participants were receiving the support they needed to complete their student projects. The project coordinators served several key roles. Perhaps the most important role was that of advocate and counselor. Minority students often face many challenges to their efforts to complete their education. Students work multiple jobs to pay for schooling, often have young children, and are more likely to struggle with language barriers.10, 11 The project coordinator can play a vital role in helping students connect with on-campus resources and to negotiate options within their undergraduate programs of study. The project coordinators also served as liaisons between the REAP program and other faculty involved in the undergraduate nursing programs. In this role, they met with the director of the honors program to develop a mechanism for integrating the REAP project with the honors project when a REAP student also chose to be in the honors program. They met with the faculty for the senior year research course to ensure that the REAP project requirements were consistent with the research course requirements.
Lessons learned  As we near the completion of REAP's first year, we are able to reflect on a number of important lessons learned. The need for careful selection of research projects On the basis of student and faculty feedback, we identified 3 critical factors that defined the most successful research project placements. Students become most invested in the research process when they are partnered with researchers working in an area of interest to them, when the researcher values the students' expertise, and when there are opportunities for them to engage in meaningful research-related activity. As an example, one student, who is the mother of a prematurely born child, was partnered with a researcher working on assessing risk in preterm infants. The student got to participate in research that directly related to an issue that was very important in her life, and the researcher benefitted from the input of an African-American who is the mother of a prematurely born child. In this case the researcher hired the student, after completion of her REAP employment, to serve as a consultant to her grant. In another example, a Mexican-born student worked with a researcher on her HIV/AIDS prevention work with a community of recent Mexican immigrants. By placing the student on this project, the REAP program turned the student's greatest challenge in the nursing program—his first language is Spanish—into his greatest asset for the research program. Since the faculty researcher is not a native Spanish speaker, she benefitted from the student's language skills and his perspective, whereas the student benefitted from the recognition of his distinctive value to the discipline. Another student joined a researcher's project to prevent HIV/AIDS by intervening with women while they are in prison. African-Americans are disproportionately represented in the prison population, and the researcher benefitted from having an African-American interviewer. The student, in turn, was very engaged in what she was learning when she went to the prison to interview these women. These examples illustrate the importance of ensuring that increasing numbers of racial/ethnic minority nurses pursue research careers so that they can enrich the research on health disparities. They also illustrate the potential for a program like REAP to make nursing research come alive for undergraduate students, potentially motivating them to continue their studies to the graduate level. However, not all research projects have the capacity to incorporate undergraduate students in such a meaningful way. Despite the very best intentions of the researcher, some research projects do not invite the inclusion of an undergraduate student. In our case, we ran into problems when we assigned 2 students to a researcher who was conducting a highly controlled nurse-delivered telephone intervention. The students could not participate in the intervention delivery, data collection, or data analysis. As a result, they had no direct contact with subjects or data and were employed to assemble data collection materials and to prepare mailings to subjects. Even though these are important parts of the research process, they are not inherently compelling and did not serve our goal of getting students excited about research. Finding the right balance of didactic training versus hands-on experience One of the top concerns raised by current REAP participants was the frustration with trying to develop a research proposal before taking their research course. Introducing the participants to a research experience was successful in capturing their interest in the research endeavor, and at the end of the summer, they all expressed excitement about their upcoming senior research course. We do not believe that we would have captured the same level of interest if we introduced them to research through a didactic experience; undergraduate nursing students often give poor ratings to their academic research course. The challenge we face in designing the REAP program is how to maintain the sense of relevance and excitement created through the hands-on research experience while also reducing students' frustration with their lack of knowledge related to research theory and methodology. Some REAP students also spoke of their research mentor's inexperience with undergraduate students. As faculty build their research programs, they often have decreasing contact with undergraduate students. As a result, a number of the faculty mentors were unfamiliar with the capabilities of undergraduate students and the nature of an undergraduate research project. The next time we offer the REAP program, we plan to address this challenge by increasing the project coordinators' role in overseeing the research project and by changing the content of the seminars to focus more specifically on research methodology. The project coordinators will keep abreast of the students' research activities and research projects to ensure a realistic level of expectations on the part of their mentors. The seminars will provide some research basics by capitalizing on students' excitement with their research activities and by focusing on research methodology and theory that is directly related to the students' projects. For example, we could discuss the theory and methodology behind qualitative research with specific examples from students' qualitative projects. Creating an effective collaboration between research mentors and project coordinators The research mentors and project coordinators play important but distinct roles in the program. We initially had difficulty with clearly articulating their respective roles, resulting in some confusion for both faculty and students. We resolved this problem by establishing and communicating clear guidelines, specifying that the research mentors will guide students' work on both their mentor's and their individual research projects. The role of the project coordinator is to facilitate the students' access to resources offered through the REAP program and to monitor the nature and progress of the research projects and activities. If project coordinators have concerns about the progress or feasibility of a student's activities, they will meet with the student and research mentor to collaboratively revise the research project and work plan.
Conclusions  The REAP program has enabled us to provide 9 minority nursing students a direct experience with an ongoing nursing research project that is addressing health disparities. As we complete our first year, we offer the following as the key components to ensuring a successful research enrichment program for minority undergraduate students:
•In selecting research projects for inclusion in the program, care needs to be taken to ensure that the projects will allow for meaningful undergraduate participation. To the extent possible, care also should be taken to assign students to mentors conducting research in an area of interest to them.
•A project coordinator should be identified at each school to serve as student advocate, connecting the student with necessary resources on campus and negotiating with the undergraduate program to ensure that students are able to fully integrate their REAP program activities. Research faculty may be inexperienced at working with undergraduate students, and the project coordinators play an important role in facilitating the mentor-undergraduate student partnership, ensuring that project requirements and activities are at an appropriate level.
•Minority students often have fewer resources; therefore a program that requires them to commit more of their time needs to provide them with adequate financial compensation.
•Many students may find a hands-on research experience more inspiring than the typical didactic approach of a research course. However, students may become frustrated with their own lack of knowledge if the hands-on experience is not supplemented with some didactic content explaining research theory and methodology. We therefore plan to use in our future weekly seminars content directly related to the hands-on research with which students are engaged.
Through REAP, undergraduate students were offered an opportunity to become acquainted with the UNC-CH campus, to directly experience nursing research, and to get to know graduate faculty. The graduate faculty, in turn, were provided with student research assistants and with the opportunity to encourage promising minority undergraduate students to continue onto graduate level education. Through their comments during group meetings and individual feedback to the project coordinators, the students have expressed their enthusiasm about the REAP experience. We are hopeful that the excitement that they are experiencing now will translate into graduate studies and careers in nursing research for at least some of these students.■
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J Nurs Ed. 2001;40:245–250. Jennifer Leeman is a research assistant professor at the School of Nursing, University of North Carolina, Chapel Hill. Jean Goeppinger is a professor at the School of Nursing, University of North Carolina, Chapel Hill. Sandra Funk is a professor at the School of Nursing, University of North Carolina, Chapel Hill. E. Joyce Roland is an adjunct faculty member at the Department of Nursing, North Carolina Central University ☆ This study was funded by a supplement to grant No. P30 NR03962 from the National Institute of Nursing Research, National Institutes of Health, to the Center for Research on Chronic Illness at the University of North Carolina at Chapel Hill. ☆☆ Reprint requests: Jennifer Leeman, MDiv, DrPH , School of Nursing, Carrington Hall, CB #7460, Chapel Hill, NC 27599-7460. PII: S0029-6554(03)50008-2 doi:10.1067/mno.2003.6 © 2003 Published by Elsevier Inc. | |
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