Accelerated Nursing ProgramsPresented by: Holly Leveille RNFerris State University

Objectives Issue Identify programs available Candidates Quality or safety issues Impact on patient safety

Issues Increased amount

of stress Higher failure rate Low financial aid

availability Merging

programs? Poor faculty

evaluations

(Stress, 2014)

Programs available Paramedic to RN RN to BSN LPN to RN Bachelors degree

to BSN BSN to MSN

(MadLab, 2014)

Candidates for Bachelors to BSN program Motivated Older Academic

expectations Clinical

expectations

Articles referenced: (D’Antonio, et al., 2010 and Korvick, et al., 2008) (Clip Art, 2010)

Nursing Theory Betty Neuman

(Health Care Systems Model)

Stress and reaction to stress

(Neuman Systems Model, Inc, 2011)

Nursing Theory cont. The

Neuman System Model

(Neuman System Model, Inc., 2011)

Nursing Theory cont. The Neuman

System Model

Related? Wellness

Illness

GOAL!!

Nursing Theory cont. Seyle’s Theory

General Adaptation Syndrome (GAS)-Theory of Stress

“Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.” - Viktor Frankl

Related?

Another Discipline Self-Determination

Theory The theory of

motivation

Related?

(Dump-a-day, 2014)

Interdisciplinary Perspective Many individuals are faced with incredible

challenges everyday but yet find the motivation to push through them. How these individuals cope with their amount of stress will affect their bodies well-being.

Motivation and positive coping mechanisms of stress will lead to successful completion of an accelerated nursing program.

Assessment of Health Care Environment

Policies Accreditation (from 2012 data)

46 States plus the District of Columbia and Puerto Rico

255 accelerated baccalaureate programs 71 accelerated master’s programs 25 new accelerated baccalaureate

programs were in the planning stages with 7 new master’s programs (AACN, 2012).

Hiring

Resources How do

accelerated students do in the clinical environment?

Article referenced: (D’Antonio, et al., 2010)

(Muhawi, 2014)

Quality and Safety Issues NCLEX pass rates

Are accelerated graduates safe?

Articles referenced: (Korvick et al., 2008, Raines, 2008, and Tanner, 2006.)

Root Cause Analysis Fishbone Diagram

Analyzing the High Failure Rate from Accelerated Baccalaureate Programs

Inferences and Implications/Consequences What could change?

Are there any potential patient impacts?

Article referenced: (McNiesh, 2011)

Recommendations for Quality and Safety Improvements

QSEN Competencies Teamwork and

Collaboration

Definition: Working together

Applying it Communicate by

using SBAR format

(Clip Art, 2010)

QSEN Competencies Evidence-Based

Practice (EBP)

Definition: Taking current

evidence, with clinical knowledge and using it

Applying it Have the student

identify an issue in their current workplace

(Clip Art, 2010)

ANA Standards Standard 11: Communication

“The Joint Commission suggest that ineffective communication is a top contributor to sentinel events (ANA, 2012, p. 154).

Improvements Questioning rationales Adding to discussions in care

ANA Standards Standard 12: Leadership

“RN’s provide direction and guidance and exercise the process of influence every day, in every aspect of practice” (ANA, 2012, p. 164).

Improvements Assess current practices Seek EBP’s Foster change

ANA Standards Standard 14: Professional Practice

Evaluation The goal of evaluations are to foster

professional growth and development (ANA, 2012, p. 187).

Improvements Advocate Feedback

Conclusion Unique group of students that require a

dedicated group of teachers Programs can help with the nursing

shortage Safe and effective

Take home message“Second-career students are a wonderful resource both for the varied experiences and potential

maturity they bring to the learning situation as well as for their potential to

seek advanced education in nursing” (D’Antonio, et al., 2010)

ReferencesAmerican Association of Colleges of Nursing. (2014). Accelerated Nursing Programs. Retrieved from

http://www.aacn.nche.edu/students/accelerated-nursing-programs

CurrentNursing. (2013). General Adaptation Syndrome (GAS)- Theory of Stress. Retrieved from http://www.currentnursing.com/nursing_theory/Selye%27s_stress_theory.html

D’Antonio, P., Beal, M., Underwood, P., Ward, F., McKelvey, M., Guthrie, B., & Lindell, D. (2010). Great Expectations: Points of Congruencies and Discrepancies Between Incoming Accelerated Second-Degree Nursing Students and Faculty. Journal Of Nursing Education, 49(12), 713-717. doi:10.3928/01484834-20100831-08

Dump-a-day. (2014). Best of Motivational Pictures and Quotes. Retrieved from http://www.dumpaday.com/random-pictures/best-of-motivational-pictures-and-quotes-45-pics/

Grdina, R. (2014). Teaching Pre-Licensure nursing students to communicate in SBAR in the clinical setting. Retrieved from http://qsen.org/teaching-pre-licensure-nursing-students-to-communicate-in-sbar-in-the-clinical-setting/

Korvick, L., Wisener, L., Loftis, L., & Williamson, M. (2008). Comparing the academic performance of students in traditional and second-degree baccalaureate programs. Journal Of Nursing Education, 47(3), 139-141. doi:10.3928/01484834-20080301-10

MadLab. (2014). Retrieved from: http://content.answers.com/main/content/img/ahd4/A4caduce.jpg

ReferencesMcNiesh, S. G. (2011). The Lived Experience of Students in an Accelerated Nursing Program: Intersecting

Factors that Influence Experiential Learning. Journal Of Nursing Education, 50(4), 197-203. doi:10.3928/01484834-20101029-03

Muhawi, D. (2014) Flicker.com. Retrieved from https://www.flickr.com/photos/seafoodpunch/3700771140/

Neuman Systems Model, Inc. (2011). Retrieved from http://www.neumansystemsmodel.org/

Pines, E. W., Rauschhuber, M. L., Cook, J. D., Norgan, G. H., Canchosa, L., Richardson, C., & Jones, M. (2014). Enhancing Resilience, Empowerment, and Conflict Management Among Baccalaureate Students: Outcomes of a Pilot Study. Nurse Educator, 39(2), 85-90. doi:10.1097/NNE.0000000000000023

Raines, D. (2008). Accelerated Second-Degree Program Evaluation at Graduation and 1 Year Later. Nurse Educator. 32(4), 183-186.

SDT. (2014). Self-Determination Theory. Retrieved from http://www.selfdeterminationtheory.org/

Stress, 2014. Definition of Stress. Retrieved from http://www.stress.eu.com/index.php/comprendre-le-stress-2/definition-du-stress-2/

Tanner, C. (2006). Changing times, evolving issues: the faculty shortage, accelerated programs, and simulation. Journal Of Nursing Education, 45(3), 99-100.