Background: Universities are communities with specific health care needs, and rural campuses often do not have access to student health services (SHS).Problem: Lack of basic services can increase health risks for students and the greater community.Methods: A theory-informed quality improvement project utilizing an organizational assessment, study survey, and proof-of-concept intervention designed to demonstrate feasibility and acceptability of a SHS clinic.Intervention: An NP-directed influenza immunization clinic was conducted on a small rural college campus in southeastern United States.Results: Seventy-eight students received influenza vaccinations, demonstrating to local stakeholders the feasibility and acceptability of SHS for primary preventative services. Ninety-seven percent of these students expressed a high likelihood that they would obtain the vaccine again.Conclusions: Results of this study can be used as an exemplar to guide health care initiatives focused on college students in rural communities.nurse practitioner-directed clinics, rural college health, student health services
| INTRODUCTION AND BACKGROUNDApproximately 12.5 million students are enrolled in over 3400 colleges and universities in the United States. Campuses that offer student health services (SHS) provide care for acute conditions, chronic diseases, health promotion, immunization administration, counseling, and health education. 1 However, 20% of the aforementioned students attend a campus that does not offer SHS at a clinic located on-site. 2 Lack of access to medical care could affect students' physical health, psychological health, and academic success. While data are limited, 3 evidence supports that regional campuses have partial or no healthcare services available.