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70/*# sourceURL=global-styles-inline-css */
71</style>
72
73<link rel='stylesheet' id='wpa-style-css' href='https://healthaffairs.uci.edu/wp-content/plugins/wp-accessibility/css/wpa-style.css?ver=2.3.5' media='all' />
74<style id="wpa-style-inline-css">
75:root { --admin-bar-top : 7px; }
76/*# sourceURL=wpa-style-inline-css */
77</style>
78<link rel='stylesheet' id='cpsc-styles-css' href='https://healthaffairs.uci.edu/wp-content/themes/uci-hs/css/theme.min.css?ver=0.9.0.1773053415' media='all' />
79<link rel='stylesheet' id='cpscc-styles-css' href='https://healthaffairs.uci.edu/wp-content/themes/uci-hs-cohs-health/css/theme.min.css?ver=0.9.0.1773053415' media='all' />
80<script id="jquery-core-js-extra">
81var msreader_featured_posts = {"saving":"Saving...","post_featured":"This post is featured","feature":"Feature","unfeature":"Unfeature"};
82//# sourceURL=jquery-core-js-extra
83</script>
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83
84<script id="jquery-core-js" src="https://healthaffairs.uci.edu/wp-includes/js/jquery/jquery.min.js?ver=3.7.1"></script>
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84
85<script id="jquery-migrate-js" src="https://healthaffairs.uci.edu/wp-includes/js/jquery/jquery-migrate.min.js?ver=3.4.1"></script>
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85
86<script id="jquery-js-after">
87var ajaxurl = 'https://healthaffairs.uci.edu/wp-admin/admin-ajax.php';
88//# sourceURL=jquery-js-after
89</script>
89
90<link rel="https://api.w.org/" href="https://healthaffairs.uci.edu/wp-json/" /><link rel="alternate" title="JSON" type="application/json" href="https://healthaffairs.uci.edu/wp-json/wp/v2/cpsc_blog/13804" /><meta name="generator" content="WordPress 7.0.6" />
91<link rel="canonical" href="https://healthaffairs.uci.edu/news-and-media/digital-publications/expanding-access-to-care-through-community-based-nursing-practice/" />
92<link rel='shortlink' href='https://healthaffairs.uci.edu/?p=13804' />
93	<style>
94		@media screen and (max-width: 782px) {
95			#wpadminbar li#wp-admin-bar-log-in,
96			#wpadminbar li#wp-admin-bar-register {
97				display: block;
98			}
99
100			#wpadminbar li#wp-admin-bar-log-in a,
101			#wpadminbar li#wp-admin-bar-register a {
102				padding: 0 8px;
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105	</style>
106<style id="simpler-css-style" type="text/css">
107#branda_content_footer {
108  display: none;
109}
110
111a:focus img,
112a:focus-visible img {
113  outline: 3px solid #007bff;
114  outline-offset: 4px;
115}</style><!-- end of custom css -->
116<script>document.documentElement.className += " js";</script>
116
117
118        
118<script type="text/javascript">
119            var jQueryMigrateHelperHasSentDowngrade = false;
120
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122				// Break out early, do not processing if a downgrade reqeust was already sent.
123				if ( jQueryMigrateHelperHasSentDowngrade ) {
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128				var nonce = 'b7129b8416';
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180		<meta name="mobile-web-app-capable" content="yes">
181<meta name="apple-mobile-web-app-capable" content="yes">
182<meta name="apple-mobile-web-app-title" content="UCI Health Affairs - ">
183					<!-- Google Analytics tracking code output by Beehive Analytics Pro -->
184						
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184
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185<script>
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194		<style type="text/css">
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199<style id="wp-custom-css">
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206}
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208</head>
209
210<body class="wp-singular cpsc_blog-template-default single single-cpsc_blog postid-13804 wp-embed-responsive wp-theme-uci-hs wp-child-theme-uci-hs-cohs-health narrow-content group-blog has-hero has-hero-image has-featured-image singular">
211
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213	<a class="skip-link sr-only sr-only-focusable" href="#content">Skip to content</a>
214
215	<div class="wrapper-navbar-outer">
216		<div id="navbar-secondary" class="navbar has-background has-header-secondary-bg-color-background-color">
217    <div class="navbar-container container d-flex justify-content-between align-lg-items-center">
218        <div class="navbar-brand-holder">
219	
220	<a href="https://healthaffairs.uci.edu" class="navbar-brand custom-logo-link" rel="home">
221		<img 
222			width="420" 
223			height="78" 
224			src="https://healthaffairs.uci.edu/files/2026/05/sitelogo-ucirvine-ha-1.png"
225			alt="UCI Health Affairs logo">
226	</a>
227</div>        
228                    <div class="navbar-give-cta-holder">
229                <a class="button-nav-cta" href="https://brilliantfuture.uci.edu/uci-health-affairs/">
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231                        <span>Give to UC Irvine</span>
232
233                            <span class="sr-only">: </span>
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235                                Give to UC Irvine                            </span>
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240                    <div id="navbar-main-nav-buttons" class="d-lg-none">
241            <ul class="nav navbar-nav navbar-button-nav-right">
242                <li id="navbar-main-btn-slide-in-menu" class="d-lg-none">
243                    <button class="btn-hl-icon" data-toggle="modal" data-target="#modal-slide-in-menu">
244                        <i aria-hidden="true" class="cps-icon cps-icon--hamburger"></i>
245                        <span aria-hidden="true" class="d-none">Menu</span>
246                        <span class="sr-only">Toggle extended navigation</span>
247                    </button>
248                </li>
249            </ul>
250        </div>
251    </div>
252</div>		
253		<div id="wrapper-navbar-main" class="wrapper-navbar" itemscope
254		     itemtype="http://schema.org/WebSite">
255			<div class="container">
256				<nav id="navbar-main" class="navbar navbar-expand-md row"				     aria-label="main">
257					<div class="navbar-container container-fluid d-flex justify-content-between align-items-center">
258						<div class="navbar-navs-container d-flex justify-content-between">
259							<div id="navbar-main-nav-desktop" class="navbar-nav-container d-none d-lg-flex align-items-center"><ul id="menu-main-desktop" class="nav navbar-nav"><li itemscope="itemscope" itemtype="https://www.schema.org/SiteNavigationElement" id="menu-item-menu-main-desktop-3726" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children dropdown menu-item-3726 nav-item"><a class="nav-link" title="About" href="https://healthaffairs.uci.edu/about/" id="menu-item-dropdown-menu-main-desktop-3726">About</a><button type="button" data-toggle="dropdown" class="dropdown-toggle" aria-expanded="false"><span class="sr-only">Toggle &quot;About&quot; dropdown</span></button>
260<ul id="menu-item-dropdown-menu-main-desktop-3726-dropdown"  class="dropdown-menu" aria-labelledby="menu-item-dropdown-menu-main-desktop-3726">
261	<li itemscope="itemscope" itemtype="https://www.schema.org/SiteNavigationElement" id="menu-item-menu-main-desktop-12981" class="d-md-none menu-item menu-item-type-post_type menu-item-object-page menu-item-12981 nav-item"><a class="dropdown-item" title="About Overview" href="https://healthaffairs.uci.edu/about/">About Overview</a></li>
262	<li itemscope="itemscope" itemtype="https://www.schema.org/SiteNavigationElement" id="menu-item-menu-main-desktop-11028" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-11028 nav-item"><a class="dropdown-item" title="Strategic Priorities" href="https://healthaffairs.uci.edu/about/strategic-priorities/">Strategic Priorities</a></li>
263	<li itemscope="itemscope" itemtype="https://www.schema.org/SiteNavigationElement" id="menu-item-menu-main-desktop-13706" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-13706 nav-item"><a class="dropdown-item" title="Meet the Team" href="https://healthaffairs.uci.edu/about/meet-the-team/">Meet the Team</a></li>
264	<li itemscope="itemscope" itemtype="https://www.schema.org/SiteNavigationElement" id="menu-item-menu-main-desktop-11030" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-11030 nav-item"><a class="dropdown-item" title="Health Sciences District" href="https://healthaffairs.uci.edu/about/health-sciences-district/">Health Sciences District</a></li>
265</ul>
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267<li itemscope="itemscope" itemtype="https://www.schema.org/SiteNavigationElement" id="menu-item-menu-main-desktop-3725" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-3725 nav-item"><a class="nav-link" title="Leadership" href="https://healthaffairs.uci.edu/leadership/">Leadership</a></li>
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314							            <div class="post__category-label">Bridging the Gap</div>
315		
316                                <h1 class="hero__title entry-title h h2 post-title">
317									Expanding Access to Care Through Community-Based Nursing Practice                                </h1>
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327							August 11, 2026						</span>
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349<article class="post-13804 cpsc_blog type-cpsc_blog status-publish has-post-thumbnail hentry cpsc_category-btg" id="post-13804">
350	
351	<div class="entry-content">
352		
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354<div class="wp-block-group is-layout-flex wp-block-group-is-layout-flex">
355<figure class="wp-block-image size-full is-resized"><img decoding="async" width="136" height="120" src="https://healthaffairs.uci.edu/files/2026/08/author-candice-whealon.png" alt="Candice Whealon" class="wp-image-13825" style="width:68px;height:60px" /></figure>
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359<figure class="wp-block-image size-full is-resized"><img decoding="async" width="136" height="120" src="https://healthaffairs.uci.edu/files/2026/08/author-tiffany-nielsen.png" alt="Tiffany Nielsen" class="wp-image-13824" style="width:68px;height:60px" /></figure>
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363<figure class="wp-block-image size-full is-resized"><img decoding="async" width="136" height="120" src="https://healthaffairs.uci.edu/files/2026/08/author-nisa-zacharias.png" alt="Nisa Zacharias" class="wp-image-13823" style="width:68px;height:60px" /></figure>
364</div>
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369<div class="wp-block-group is-style-narrow-left"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained">
370<h3 class="wp-block-heading">Introduction</h3>
371
372
373
374<p class="wp-block-paragraph">At UC Irvine, we believe that improving health begins with understanding the needs of the communities we serve. Through research, education and clinical care, our faculty are working to expand access to high-quality healthcare and improve the health and well-being of individuals and families across Orange County. In this edition of <em>Bridging the Gap</em>, we highlight the Sue &amp; Bill Gross School of Nursing&#8217;s community-based faculty practice model, which demonstrates how academic nursing can strengthen community partnerships, expand access to care and prepare the next generation of providers to serve our region.</p>
375
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377
378<p class="wp-block-paragraph"><strong>Michael J. Stamos, MD<br>Interim Vice Chancellor, UC Irvine Health Affairs</strong></p>
379</div></div>
380</div></div>
381
382
383
384<p class="wp-block-paragraph"><strong>Featuring</strong>:<br><em>Candice Whealon, DNP, FNP-C, FAANP, director of clinical faculty practice and associate clinical professor, Sue &amp; Bill Gross School of Nursing</em><br><em>Tiffany Nielsen, DNP, senior director of DNP programs and associate clinical professor, Sue &amp; Bill Gross School of Nursing</em><br><em>Nisa Zacharias, DNP, FNP-C, assistant clinical professor and director of the Nurse OC Family Nurse Practitioner Residency Program, Sue &amp; Bill Gross School of Nursing</em></p>
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393<p class="wp-block-paragraph">
393Across Orange County, many patients face significant barriers to healthcare. Limited insurance coverage, transportation challenges, language differences and long waits for specialty services can delay treatment, complicate chronic disease management and worsen health outcomes.</p>
394
395
396
397<p class="wp-block-paragraph">These challenges are particularly acute for underserved communities, where access to timely, high-quality care often depends on the availability of providers equipped to address both medical needs and the broader circumstances that influence health.</p>
398
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400
401<p class="wp-block-paragraph">At the UC Irvine Sue &amp; Bill Gross School of Nursing, an innovative faculty practice model is helping address these challenges by bringing advanced nursing care directly into the community. Through this integrated approach, nursing faculty provide care in federally qualified health centers and other clinical settings while simultaneously teaching and mentoring future nurse practitioners. The model expands access to care for vulnerable populations, strengthens community health and helps ensure Orange County has providers prepared to meet the needs of an increasingly complex healthcare landscape.</p>
402
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404
405<h3 class="wp-block-heading">An Innovative Model for Community Care&nbsp;</h3>
406
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409<figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="784" height="360" src="https://healthaffairs.uci.edu/files/2026/08/Facutly-Practice.jpg" alt="group of nursing faculty who practice at UCI family health centers" class="wp-image-13814" srcset="https://healthaffairs.uci.edu/files/2026/08/Facutly-Practice.jpg 784w, https://healthaffairs.uci.edu/files/2026/08/Facutly-Practice-768x353.jpg 768w, https://healthaffairs.uci.edu/files/2026/08/Facutly-Practice-340x156.jpg 340w, https://healthaffairs.uci.edu/files/2026/08/Facutly-Practice-270x124.jpg 270w" sizes="auto, (max-width: 784px) 100vw, 784px" /></figure>
410
411
412
413<p class="wp-block-paragraph">At many nursing schools, faculty members maintain their clinical practice outside of their academic responsibilities. At UC Irvine, faculty with clinical doctorates provide direct patient care as part of their teaching appointments, creating a unique connection between education and practice.</p>
414
415
416
417<p class="wp-block-paragraph">Faculty currently serve patients through the UCI Health Family Health Centers in Anaheim and Santa Ana, the oldest federally qualified health center in Orange County, as well as the UC Irvine Student Health Center. Their patient care responsibilities are integrated into their academic roles. At the Student Health Center, clinicians care for a unique patient population: college students who are often managing their healthcare independently for the first time. Many are navigating decisions about preventive care, vaccinations, sexual and reproductive health, chronic disease management and acute illnesses without the support and guidance of parents or caregivers. These encounters provide opportunities to promote health education and disease prevention while helping students build the knowledge and confidence to manage their own health.</p>
418
419
420
421<p class="wp-block-paragraph">“It is important that we show our students that we are still practicing, that we are clinically relevant,” says Tiffany Nielsen, DNP, senior director of DNP programs and associate clinical professor. “We are walking the walk, not just talking about it in class.”</p>
422
423
424
425<p class="wp-block-paragraph">For Candice Whealon, DNP, director of clinical faculty practice and associate clinical professor, the model strengthens both patient care and student learning. “Our clinical competence is maintained through practice within UC Irvine,” Whealon says. “It is not the norm nationally, but it is incredibly meaningful because students learn alongside faculty who are actively caring for these populations.”</p>
426
427
428
429<p class="wp-block-paragraph">The result is a model in which clinical care, education and community service continuously inform one another, helping ensure that patients benefit from current expertise while students gain firsthand experience caring for diverse populations.</p>
430</div></div>
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434<div class="wp-block-group is-style-narrow-left"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained">
435<h3 class="wp-block-heading">Meeting Patients Where They Are</h3>
436
437
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439<figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="784" height="360" src="https://healthaffairs.uci.edu/files/2026/08/paperwork-1.jpg" alt="Nurse and patient looking at paperwork together" class="wp-image-13820" srcset="https://healthaffairs.uci.edu/files/2026/08/paperwork-1.jpg 784w, https://healthaffairs.uci.edu/files/2026/08/paperwork-1-768x353.jpg 768w, https://healthaffairs.uci.edu/files/2026/08/paperwork-1-340x156.jpg 340w, https://healthaffairs.uci.edu/files/2026/08/paperwork-1-270x124.jpg 270w" sizes="auto, (max-width: 784px) 100vw, 784px" /></figure>
440
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443<p class="wp-block-paragraph">For many patients, navigating the healthcare system can be nearly as challenging as managing the health condition itself. “When you are caring for a patient with limited access to care, you have to be very mindful about where you refer them,” Whealon says. “It is not helpful to refer someone to a clinic they cannot afford or where they may wait a year for an appointment.”</p>
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447<p class="wp-block-paragraph">These realities require providers to think beyond diagnosis and treatment. Clinicians often help patients navigate insurance limitations, coordinate services and identify practical pathways to care that align with each patient&#8217;s circumstances. Transportation barriers, financial constraints, health literacy, language access and competing family responsibilities can all affect a person&#8217;s ability to receive care and follow treatment recommendations. Addressing these challenges requires an approach that considers the realities of patients&#8217; daily lives.</p>
448
449
450
451<p class="wp-block-paragraph">“The needs of these communities often exceed the capacity of available providers,” Whealon says. “The Sue &amp; Bill Gross School of Nursing is helping bridge that gap.” Through long-term relationships with patients and community partners, nursing faculty help ensure that care remains accessible, compassionate and responsive to local needs.</p>
452
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455<p class="wp-block-paragraph">These experiences also reinforce the importance of culturally responsive care and ensuring that all c
455ommunities have access to the high-quality healthcare they need.</p>
456</div></div>
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460<div class="wp-block-group is-style-narrow-left"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained">
461<h3 class="wp-block-heading">Building Trust and Improving Outcomes</h3>
462
463
464
465<figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="784" height="360" src="https://healthaffairs.uci.edu/files/2026/08/Nisa-fqhc.jpg" alt="Nisa Zacharias in front of UCI Health Family Health Center at Santa Ana" class="wp-image-13821" srcset="https://healthaffairs.uci.edu/files/2026/08/Nisa-fqhc.jpg 784w, https://healthaffairs.uci.edu/files/2026/08/Nisa-fqhc-768x353.jpg 768w, https://healthaffairs.uci.edu/files/2026/08/Nisa-fqhc-340x156.jpg 340w, https://healthaffairs.uci.edu/files/2026/08/Nisa-fqhc-270x124.jpg 270w" sizes="auto, (max-width: 784px) 100vw, 784px" /></figure>
466
467
468
469<p class="wp-block-paragraph">The impact of community-based nursing practice is often most visible in the relationships providers build with patients.&nbsp;</p>
470
471
472
473<p class="wp-block-paragraph">Nisa Zacharias, DNP, FNP-C, assistant clinical professor and director of the Family Nurse Practitioner Residency Program, recalls a patient with uncontrolled diabetes who repeatedly declined additional evaluation for unrelated but concerning test results. A DNP-FNP student spent time building rapport with the patient, listening to her concerns and helping her feel comfortable pursuing further care. Eventually, the patient agreed to additional evaluation, leading clinicians to identify a complex gynecologic mass that was later diagnosed as cancer. “If the student had not spent that extra time building trust and understanding the patient’s fears, we might not have gotten the information we needed,” Zacharias says. “That human connection made all the difference.”</p>
474
475
476
477<p class="wp-block-paragraph">The experience reflects a broader principle of community-based care: improving access is not simply about increasing the number of appointments available. It is also about building trust, reducing barriers and creating environments where patients feel supported in seeking care.</p>
478</div></div>
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482<div class="wp-block-group is-style-narrow-left"><div class="wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained">
483<h3 class="wp-block-heading">Sustaining Community Impact&nbsp;</h3>
484
485
486
487<figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="784" height="360" src="https://healthaffairs.uci.edu/files/2026/08/student-nurses.jpg" alt="student nurses" class="wp-image-13817" srcset="https://healthaffairs.uci.edu/files/2026/08/student-nurses.jpg 784w, https://healthaffairs.uci.edu/files/2026/08/student-nurses-768x353.jpg 768w, https://healthaffairs.uci.edu/files/2026/08/student-nurses-340x156.jpg 340w, https://healthaffairs.uci.edu/files/2026/08/student-nurses-270x124.jpg 270w" sizes="auto, (max-width: 784px) 100vw, 784px" /></figure>
488
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490
491<p class="wp-block-paragraph">While expanding access to care remains the primary goal, the faculty practice model also helps ensure that communities continue to benefit from skilled providers in the future. Students in UC Irvine&#8217;s DNP program complete clinical rotations alongside faculty mentors, gaining experience caring for patients in community settings and developing a deeper understanding of care coordination, patient advocacy and the factors that influence access to healthcare.</p>
492
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495<p class="wp-block-paragraph">Many students also complete quality improvement projects within the clinics, helping identify opportunities to strengthen patient care and improve clinical operations. “We are seeing positive changes within the clinics because our students are conducting these projects,” Nielsen says. “That is another unique opportunity we have been able to establish.”</p>
496
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498
499<p class="wp-block-paragraph">The Sue &amp; Bill Gross School of Nursing is also helping address provider shortages through its Family Nurse Practitioner Residency Program, supported by a CalOptima Health Nurse-OC grant. The program provides newly graduated nurse practitioners with an additional year of structured clinical training focused on serving community-based populations. “The idea is that we are creating a pipeline of community nurse practitioners for Orange County,” Zacharias says.</p>
500</div></div>
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505<h3 class="wp-block-heading">Expanding Access, Strengthening Community Health</h3>
506
507
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509<figure class="wp-block-image size-full"><img loading="lazy" decoding="async" width="784" height="360" src="https://healthaffairs.uci.edu/files/2026/08/accessible.jpg" alt="Entrance of UCI Health Family Health Center in Santa Ana" class="wp-image-13816" srcset="https://healthaffairs.uci.edu/files/2026/08/accessible.jpg 784w, https://healthaffairs.uci.edu/files/2026/08/accessible-768x353.jpg 768w, https://healthaffairs.uci.edu/files/2026/08/accessible-340x156.jpg 340w, https://healthaffairs.uci.edu/files/2026/08/accessible-270x124.jpg 270w" sizes="auto, (max-width: 784px) 100vw, 784px" /></figure>
510
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512
513<p class="wp-block-paragraph">As Orange County continues to face growing healthcare needs, expanding access to care will require innovative approaches that connect clinical expertise with community need. UC Irvine&#8217;s faculty practice model demonstrates how nursing can play a critical role in expanding access to high-quality care. By embedding experienced clinicians within community settings, the Sue &amp; Bill Gross School of Nursing is helping patients overcome barriers to care while improving health outcomes across Orange County.&nbsp;</p>
514
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516
517<p class="wp-block-paragraph">At the same time, the model creates opportunities for students and residents to learn within environments where compassion, community engagement and clinical excellence work hand in hand. Together, these efforts are helping bridge the gap between healthcare systems and underserved communities, ensuring that more patients have access to the care, support and resources they need to achieve better health.</p>
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