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.
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. 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 use simulation-based
experiences to 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.
A $1.5 million, three-year grant from the U.S. Department of Labor, which began September 30, 2024, will support 13 senior nursing students during each of the three years by covering full tuition, books, and fees. The program will also offer 12 months of mentoring and specialized clinical education. In addition, it will provide support for one year after graduation for up to 30 nurse graduates who are working in rural or underserved hospitals. Over three years, the Delta Scholars Program will assist at least 69 nurse graduates working in rural and underserved hospitals in the region. The principal investigator is Associate Professor and Assistant Dean of Undergraduate Programs Randy Johnson, PhD, RN.
Collaborations Expand Outreach
A $500,000, two-year grant led by faculty from the College of Nursing will increase outreach, education, and health care workforce development in rural areas of the state. The effort is a collaboration of UT Health Science Center nursing faculty with members of the nursing faculty at the University of Tennessee at Martin and the University of Tennessee Southern in Pulaski. The grant was awarded through the UT Grand Challenges program. The program funded by the grant will deploy three mobile health units branded with One UT messaging to rural counties. One mobile health unit will travel from each of the three campuses involved to provide education, outreach, and training to nearby rural communities and to the health care workforces in those areas. The grant is led by Associate Dean of Research Ansley Stanfill, PhD, RN, FAAN, and Associate Professor Alisa Haushalter, DNP, RN, PHNA-BC.
College of Nursing Dean Wendy Likes, PhD, DNSc, APRN-BC, FAAN, FAANP, has received a $300,000 grant from the Tennessee Department of Labor and Workforce Development to fund the Tennessee Rural Nurse Scholars program. This 17-month program will expand work-based opportunities in rural communities by strengthening their nursing pipeline. The grant will fund additional training, financial support and active learning experiences for eight rural nursing students: four at UT Martin and four at UT Southern. The students will receive financial support in their final year of nursing school, a paid student nurse internship experience, and additional training. The health care institutions involved include the Southern Tennessee Regional Health System in Pulaski, Baptist Memorial Hospital in Union City, and the UTHSC Nursing Mobile Health Unit. The program will serve the following counties: Giles, Lake, Lauderdale, Obion, and Weakley.
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.