Implementing evidence-based holistic admissions and well-being interventions to advance access and student success in rural nursing education: A program evaluation

Background Rural America faces significant nursing workforce shortages compounded by socioeconomic and emotional well-being challenges unique to these communities. Aims Present and assess the impact of holistic admissions and diversity, equity, inclusion, and belonging initiatives at a public 4-year baccalaureate program located in the most rural part of the United States. Methods Evidence-based interventions, including holistic admissions, strategic planning, mindfulness, peer mentoring, peer tutoring, inclusive teaching curriculum, faculty continuing education, marketing, communication, and scholarships for eligible students were implemented. Results Over 4 years, these initiatives successfully increased access to nursing education for first-generation college students and racial and ethnic minorities. Retention rates held steady despite an increase in first-generation students, with the 4-year graduation gap between first-generation college students and peers in continuing education narrowing by 35%. Conclusions Increasing access to and the quality of nursing education are vital steps toward addressing nursing workforce shortages in rural America.