Institute of Pediatric Nursing3rd Annual Invitational Forum for Pediatric Nursing October 27, 2011

Joan Stanley, PhD, CRNP, FAAN, FAANP

Ghost of Nursing Education Present

IOM Future of Nursing: Leading Change, Advancing Health4 Key Messages:Nurses should practice to full extent of their education and trainingNurses should achieve higher levels of education and training through an improved education system that promotes seamless academic professionNurses should be full partners in redesigning health care in U.S.Effective workforce planning and policy making require better data collection and an improved information infrastructure.

IOM Impact on Nursing Education to Improve care of children and familiesIncrease the proportion of RNs with baccalaureate degree to 80% by 2020Double # of nurses with doctorate by 2010Ensure that nurses engage in life-long learningPrepare nurses to lead change to advance healthImplement nurse residency programsAfter pre-licensure or APRN program Transitioning into new clinical practice areas

Reflections on Pediatric Nursing Education of the Present

IPN Curriculum Survey, 2011 Mean of 3 faculty teaching in UG program with graduate degree in pediatrics83% said UG program did an excellent or good job preparing graduates to provide care to children and families49% said had a pediatric stand alone course20 % said had stand alone course & integrated contentHI Curriculum Survey, 2003Less than 1/3 of schools have gerontology certified faculty memberOnly 76% of schools have at least 1 expert in gero on FT faculty34% BSN programs had stand alone gero course 92% had integrated gero specific content (was 63% in 1997)

Reflections on Pediatric Nursing Education of the Present

IPN Curriculum Survey, 2011Competition for clinical practice sites is significant or moderate barrier for 75%Insufficient number of FT qualified faculty 33%saw as a moderate or significant barrier

AACN 2010-2011 Enrollment & Graduations ReportReasons for not accepting all qualified applicants in generic BSN programs 62% insufficient number of faculty; 65% insufficient clinical sites

Glass may not be full enough but it isnt half-empty !

Opportunities, Opportunities, Opportunities!Kids are in the national spotlight

Michele Obamas campaign Lets Move

Concussions and sports injuries

NHTSA Keeping Our Kids Safe

AACN series: Essentials for Nursing EducationThe Essentials of Baccalaureate Education for Professional Nursing Practice (2008)The Essentials of Masters Education in Nursing (2011)The Essentials of Doctoral Education for Advanced Nursing Practice (2006)The Research-Focused Doctoral Program in Nursing: Pathways to Excellence (2010)

Provides the foundation for all baccalaureate nursing education generic, RN to BSN, and entry-level MSN programs

Building the CaseBaccalaureate education must include content and experiences across the lifespan, including the very young who are especially vulnerableThe percentage of the population under 18 years of age is 24.6%U.S. infant mortality in 2006 ranked 38th in the worldAACN Baccalaureate Essentials (2008, p. 6)

Enhancing Pediatric Nursing in todays Baccalaureate CurriculumLiberal Education for Baccalaureate Generalist Nursing PracticeBehavioral healthFamily theoryGrowth & developmentDiversity Social justice

Basic Organizational and Systems Leadership for Quality Care and Patient SafetyQuality improvementPatient safetyIdentifying risksSystem change strategiesSafe practicesEvidence based practice

Scholarship for Evidence-Based practiceBest practicesTranslating evidence into practiceIdentifying practice issues and gaps in careSafe guarding vulnerable populationsNurse sensitive indicators

IV. Information Management & Patient Care TechnologySafe use of new technology in care of childrenDatabases focused on care of children and outcomes of care

V. Healthcare Policy, Finance, and Regulatory EnvironmentsPolicy and regulation developmentSocial justiceHealth care inequitiesAdvocacy for kids and their families

VI. Interprofessional Communication and CollaborationCaring for kids and their families in teamsRoles of nursing and other professionals in caring for kidsCommunicating with families and other members of the healthcare team

VII. Clinical Prevention and Population HealthHealth promotion, disease and injury prevention across the lifespanLifestyles, behavioral changeRole of the environment on healthGenetic factors

Professionalism and Professional ValuesSocial justiceImpact of attitudes, values and expectations on the care of the very youngProtect patient privacy and confidentialityProfessional boundaries with patients and families

IX. Baccalaureate Generalist Nursing PracticePrepared to provide care for patients across the lifespan from the very young to the older adultUnderstand and respect variations of care, increased complexity and the increases use of resources in caring for patients who are vulnerable due to age, the very young as well as disabilities and chronic diseases.Prepared to practice in a multicultural environmentRecognize the relationship of genetics and genomics to health, prevention, screening,.Implement holistic, patient-centered care that reflects an understanding of human growth and development,,, across the lifespan and in all healthcare settings.

Opportunities/Strategies for Enhancing Pediatrics in the Baccalaureate CurriculumCurriculum Resource GuideBuilds on Baccalaureate EssentialsHelps faculty integrate pediatric-focused content into the entry-level curriculumIdentifies available resources (web-based, journals, texts, associations)Identifies learning strategies and what Essentials/outcome competencies can be addressed

Web-based resourcesPERCAPTR, Healthy People Successful PracticesNYU, Oral Health InitiativeHeart Smart KidsHead Start I am Moving I am learningLittle Voices for Healthy ChoicesParenting Skills

Interactive, web-based case studies (only 32% said they used)Podcasts or downloadable modules conversations with expertsSimulations (only 19% said they used for clinical experiences)Identify available screening tools, e.g. cognitive level, child abuseIdentify best or innovative practices for clinical experiences & other learning strategies; for example day care, schools, libraries, day camps, specialty schools, after-school programs

Identify resources in communityCourses & resources on campus, in other departmentsShare courses, electives, facultyService learning opportunities across disciplinesExemplars

Faculty DevelopmentWebinars Conference sessionsPre-conference sessions

NCLEXWork with NCSBN to X-walk NCLEX and identify questions & content areasNominate item writers

AACN/UHC Post-Baccalaureate Residency Programhttp://www.aacn.nche.edu/education-resources/nurse-residency-programMarketing toolkitEvaluation dataList of academic-practice partnershipshttp://www.aacn.nche.edu/ccne-accreditation/standards-procedures-resources/nurse-residency

For additional thoughts or information:

Joan Stanley, PhD, CRNP, FAAN, FAANPSenior Director of Education PolicyAmerican Association of Colleges of Nursingjstanley@aacn.nche.edu202-463-6930, ext. 254

***Implications for increasing the number of faculty, particularly those with a focus or expertise in care of children and families ************************