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Rural and Underserved Health Care Research

The College of Nursing has been intentional about focusing on issues related to rural and underserved residents in recent years, developing an Area of Excellence in Rural and Underserved Health Care. 

 

Nursing student with woman

A $4 million, four-year grant from the Health Resources and Services Administration (HRSA) to increase the number of Nurse-Midwives in the Delta region was awarded to the college in September 2023. The HRSA grant will provide stipends to educate 12-14 nurse midwifery students annually and will allow an expansion of clinical learning sites. Professor Kate Fouquier, PhD, APRN, CNM, FACNM, is the principal investigator on this grant.

A $3.98 million, four-year HRSA grant was awarded to the college in 2022 for a nursing mobile health unit that provides primary care in the underserved, rural counties of Lake and Lauderdale. The goals of this effort are to increase health care access to vulnerable populations while increasing variety in representation in the nursing workforce. The grant also enables the integration of rural health care into the program curriculum. The principal investigator is Director of Clinical Affairs and Assistant Professor Diana Dedmon, DNP, APRN, FNP-BC, AFN-C.

Supporting Education

A $2.6 million, four-year HRSA grant renewal in 2023 provides stipends to support the education of 19 advanced practice nursing students committed to serving rural and underserved communities to increase health care access and variety in the nursing  workforce. The principal investigator is Professor Sarah Rhoads, PhD, DNP, WHNP-BC, RNC-OB, APRN, FAWHONN, FAAN, who chairs the Department of Community and Population Health.

A $1.5 million, three-year HRSA grant to fund a much-needed expansion of training and certification for Sexual Assault Nurse Examiners (SANE) in West Tennessee was awarded to the college in 2021. The grant team received a no-cost extension on the grant through June 30, 2025.

During the grant's first three years, 90 nurses received SANE training.  The goal of the SANE grant is to increase access to timely, expert care for all sexual assault survivors in West Tennessee. West Tennessee Healthcare, which serves rural West Tennessee, has more than quadrupled its number of SANE nurses since partnering with the college on the grant. Assistant Professor Andrea Sebastian, DNP, APRN, CPNP-PC, AFN-C, SANE-C, DM-AFN, is the principal investigator.

A $1.5 million, three-year HRSA grant awarded in October 2023 will help students identify and address issues related to health disparities that contribute to patients’ health problems. The grant is called “Training and Education to Advance Critical Health Equity Readiness Using Simulation,” or TEACH US. Assistant Professor Christie Manasco, PhD, RN, CNE, is the project director for the grant which will use simulation-based experiences to help students address factors related to access that improve health outcomes. The simulations will use a standardized patient – a person acting in the role of a patient.

Vaccine Outreach

The college continues to take a leading role in addressing vaccine hesitancy and improving immunization education in rural and underserved areas of Tennessee. Since receiving vaccine-related grants in 2021, 2022, and 2023, the college has built on this momentum, expanding outreach efforts, and fostering collaborative partnerships to promote education and awareness around adult immunizations.

The college is currently spearheading an initiative aimed at increasing adult vaccine education in at least 40 rural primary care practices across West Tennessee. This project works with rural clinics to provide nurses and rural residents with accurate knowledge, address vaccine myths, and foster trust in adult immunizations. The project is part of an Interagency Agreement between the USDA National Institute of Food and Agriculture and the Centers for Disease Control, supported by a $206,000 grant. Under this initiative, the college has partnered with the UT Extension as part of the Extension Collaborative on Immunization Teaching & Engagement (EXCITE) program. The goal of this initiative is to connect rural health care organizations, nurses and providers with Extension professionals to provide effective adult immunization outreach and education strategies.

Additionally, the college has received a $100,000 intrainstitutional grant from UT as part of the UT Grand Challenge, which will support efforts to address vaccine hesitancy in rural and underserved areas. This grant complements ongoing efforts by integrating health education, outreach, and collaboration with community partners to ensure vaccine educational support for rural populations. This important work will continue through 2026, strengthening rural health networks and supporting positive community impact.

Jan 30, 2025