The U.S. health care system presents American Indian/Alaska Native populations with inequitable challenges that result in some of the worst health outcomes in the country. The literature indicates that increasing the proportion of American Indian/Alaska Native health professionals can improve these health disparities. This study aimed to explore the severe under-representation of American Indians and Alaska Natives in Nebraska’s health professions workforce by examining barriers and facilitators in this population’s pursuit of health professions careers. We conducted demographic questionnaires and three talking circles with students in reservation and urban settings to better understand their lived experiences of pursuing health professions careers. We analyzed these qualitative data through content analysis and identified eight emergent themes—four barriers and four facilitators. These findings can inform the development of strategies to improve Indigenous education, research, and pathways that promote increased American Indian/Alaska Native representation in health care.

Outdoor time is positively associated with improved physical and mental health in adults. Little is known about the specific effects of outdoor time on health outcomes for parents and educators of preschool-aged children. Early childhood is a critical window for growth and development, as parental and educator stress negatively impacts young children; thus, it is of paramount importance to systematically support parents and educators during these developmental years. The objectives of this research were to use a cross-sectional natural experiment to (1) evaluate the association between outdoor time and physical and mental health in caregivers and educators who engage with preschool-aged children; (2) evaluate the association between income and physical and mental health in caregivers and educators who engage with preschool-aged children; and (3) identify benefits and barriers of outdoor time and the importance, availability, and accessibility of community resources for outdoor time. Participants were recruited from three stakeholder groups: preschool educators, parents of children attending an outdoor preschool, and parents of preschool-aged children in the local community. Participants completed a health needs assessment (n = 46) to assess demographics, mental and physical health outcomes, and benefits, barriers, and resources for outdoor time. Caregivers and educators in the higher income group (≥USD 70,000) were 41% (95% CI: 12%, 70%) more likely to report very good or excellent self-reported health. Mean anxiety, depression, and perceived stress were lower in the higher-income group. Caregivers and educators in the higher outdoor time group had lower body mass index (−5.5 kg/m²; 95% CI: −11.6, 0.7), and outdoor time appeared to be protective for general health independent of income. Thus, outdoor time may be a critical protective factor to enhance biological resilience for caregivers and educators, especially for those facing financial adversity.