BUILDING THE FRAMEWORK FOR THE FUTURE OF NURSING EDUCATION AND PRACTICE

Next Steps

Creativity and Connections

This Session’s Journey

Structure, Process , Outcome Framework to Identify Achievements and Next Steps

Set foundation for upcoming feedback session

Creativity and Connection:Building a Framework for the Future of

Nursing Education and Practice

DHECompetencyDevelopment

Group

MONE Academic Practice Integration

CommitteeTransition into Practice

Curriculum and Practice Models for the Future

Nursing Core

Competencies

The Massachusetts Model

Academic Practice Integration Committee

The Current State of Preceptorship in MONE Organizations

2010

Survey Purpose and Design

• To identify the current role, preparation and expectations of nurse preceptors in MONE member organizations.

• 20 hospitals volunteered to participate• IRB process completed• 35 question online survey with survey

monkey open for three months • 554 staff nurses voluntarily participated• Data analyzed in aggregate by APIC

committee members

Participating Facilities

Fairview HospitalMarlborough Hospital Good Samaritan HospitalQuincy Medical CenterEmerson HospitalSouth Shore HospitalChildren’s HospitalNewport HospitalLahey ClinicMGHNorwood Hospital

Kent HospitalSaint Anne’s HospitalHallmark Health SystemSturdy Memorial HospitalThe Miriam HospitalNewton Wellesley HospitalBoston Medical CenterCooley DickinsonHeywood HospitalNoble HospitalThank You!

Gender• 94% Female, 6% Male

Age:

0.0%

11.7%14.6%

21.7%

26.0% 26.0%

0%

5%

10%

15%

20%

25%

30%

Less than 20 21-25 years 26-30 years 31-40 years 41-50 years Over 51 years old

What is your highest education level?

10.7%

29.2%

51.1%

4.9%

0.0%

9.4%

0%

10%

20%

30%

40%

50%

60%

Diploma RN - ADN RN - BSN RN - MSN RN - PhD Other

Number of years you have been an RN?

21.7%

17.5%

9.3%

15.3%

31.5%

0%

5%

10%

15%

20%

25%

30%

35%

1 - 3 years 4 - 7 years 8 - 11 years 12 -19 years More than 20 years

Number of years you have served as a preceptor?

19.7%

28.1%

20.5%

8.6%

23.2%

0%

5%

10%

15%

20%

25%

30%

Less than 1 year

1 - 3 years 4 - 7 years 8 - 11 years More than 12 years

Other Key Data

65% of respondents worked more than 32 hours.76.5% has served as a preceptor in the past 2 years74.2% said they precept because the like to teach

What Preceptors Say They Need

Education/Communication• Different style of learning and ways to present

informationEducation theory/communication strategies

Ways to be assertive and delegate

How to offer constructive criticism

Ways to deal with conflict

How to be flexible

Workload Considerations

• Smaller patient assignments so can concentrate on the new person

• Recognizing how difficult and time consuming the role is

• Amount of paperwork.

What Preceptors Say They Need

Support • Need a lot of support from nursing leadership for

preceptee to feel confident• Need to have patience• Peer support for preceptor• “I am surprised at the lack of guidance provided from the

college my student attends”

Recognition• Valuing opinions of preceptors about preceptees

The difference a good preceptor can make to a new nurse.

State of Preceptorship

Predominance of precepting is for nurses new to the practice setting Money is not a critical factorCritical factors• Organizational support• Workload reduction/adjustment• Nursing faculty support

Academic Practice Integration CommitteeOngoing work

2009-2010Best practices related to

• Preceptors• Preceptees• Organizational/Professional practice climate

2010-2011Integration of research into transition model

• Preceptor work group• Residency work group• Competency module work group

DONABEDIAN MODEL: STRUCTURE PROCESS & OUTCOME

Nursing Initiative and Nurse of the Future

Ongoing Work

Next Steps in the Journey

Nurse of the Future Project

DHECompetencyDevelopment

Group

MONE Academic Practice Integration

CommitteeTransition into Practice

Steering Committee

Moving the Work Forward

Ideas and support for ongoing work

Competency Group Members

Judy Beak MACNKaren Cervizzi Manning MCN/facultyGino Chisari MONESusan Conrad MACNEileen Costello MARILNPat Creelman CC DirectorThomas Connelly MACNSharon Gale MONEGayle Gravlin MONEAntoinette Hays MACNLaurie Herndon MA Senior

CareElizabeth Kudzma CCNE/FacultyJanet Lusk MARILNKaren Melillo MACN

Stephanie Mello Home CareAssoc.

Carol Miller Staff f Nurse Council

Judith Pelletier BORN Marybeth Pepin LPN

DirectorKathleen Scoble MACNJanet Secatore MONEPaulette Seymour Route

MONEMaureen Sroczynski DHEMary Tarbell MARILNCynthia Stewart MA

Senior CareErin Mawn DHE

Academic/Practice Integration Committee

Carolyn Abruzzo-PracticeBrydie Baker-EducationBeth Campbell - PracticeMargery Chisholm-EducationPatti Ann Collins- EducationJohn Fedo- PracticeAnne Fryer- EducationAntoinette Hays-EducationDayle Joseph- EducationLeesa-Lee Keith-PracticeCarolyn Lamoureux-Practice

Laurie Lauzon Clabo-EducationSusan Lesser-PracticeSandra Lucas-PracticeClaire MacDonald-PracticeMarie McCarthy-EducationJoan M.K. Russo- PracticeLorraine Schoen-PracticeMarie Tobin-PracticeDiane Welsh- EducationMaureen Sroczynski-PracticeSharon Gale-Practice

Current Active Members

Creativity and ConnectionsMembers of Steering Committee

Gino Chisari Nurse of Future- PracticeGayle Gravlin Nurse of Future-PracticeMargery Chisholm APIC- EducationJanet Secatore Nurse of Future-PracticeJanet Lusk Nurse of Future-EducationToni Hays Nurse of Future and APIC-EducationLeesa Lee Keith APIC-PracticeLiz Kudzma Nurse of Future-EducationCarol Miller Nurse of Future-Practice

Maureen Sroczynski Nurse of Future and APIC

Creativity and ConnectionsJoint Meeting Outcomes

Define the approach to completing prioritiesDevelop the framework for each of the prioritiesSet the ongoing agenda

Measure communication and collaboration process to involve all stakeholdersBring both groups together more frequently

Purpose of Steering Committee

Next StepsQuestions to Guide the Process

What do we need to prioritize in the work we have done?What are the outcomes that we want to move forward?Who needs to be involved to move the outcomes forward?

How do we move this beyond our groupHow do we involve staff How do we involve faculty

How do we communicate our work to the stakeholders?

Creativity and ConnectionsNurse of the Future Project

Competent Nurses for the Future

NOFCompetency

Committee

Competency Development

Curriculum Redesign

MONE APICCommittee

Preceptor Survey

Best Practices• Preceptor Preceptee

• Organizational Climate

Integration of current research, literature and best practices

New Curriculum Models

Integration of current research, literature and best practices

(In Progress)

Identification of Next StepsIdentification of

Next Steps

Nursing Core

Competencies

Nursing Initiative Identification of Next Steps

Website UpdatingUpdated competencies and simulation scenarios

now postedSubcommittee met to discuss ongoing frame work for the siteMock up model completedFull content update in progress- January completion

Nursing Initiative Home Page

Current Program Offerings Section

Resources Section

Grants Section

Nursing Initiative Next Steps

Nurse of Future WebinarsTo share the work on a wider scale

Will begin with Oregon Collaborative for Nursing Education ModelScheduled for Jan. Feb. MarchPractice and education staff and faculty are focus

Nursing Initiative Request for Proposals for Education Redesign

Funding

$ 250,000 availablePurpose

To develop additional models of curriculum redesign to create seamless transition between levels of nursing education.To expand utilization of Nurse of the Future Core Nursing CompetenciesTo increase numbers of BSN prepared nurses in accordance with Carnegie and IOM reportsTo continue to foster academic practice partnerships as foundation of education redesign

Nursing Initiative Request for Proposals for Education Redesign

Funding

Variety of approaches are eligible to be fundedNew curriculum modelsClinical education models

• DEUs, OthersInclusion of competencies in clinical practice sitesUse of alternative sites (Home Care, Long term Care) for clinical practice sites

Nursing Initiative Request for Proposals for Education Redesign Funding

ExpectationsMust incorporate Nurse of the Future CompetenciesMust involve ADN, BSN and Practice Partners

or

Collaborative education/ practice program to move current ADN staff nurse to BSN levelMay build upon previous grant workMay involve curriculum or clinical education redesign workCollaborative of multiple schools may apply

Nurse of the Future ProjectNext Steps

Current Ideas

Creativity and ConnectionsNurse of the Future Project

Competent Nurses for the Future

Role of Clinical Faculty

Integration ofPreceptors and

Clinical Educators

NOFCompetency

Committee

Competency Development

Curriculum Redesign

MONE APICCommittee

Preceptor Survey

Best Practices• Preceptor Preceptee

• Organizational Climate

Development of NOF Competency

Modules Posting on CCP site

Integration of current research, literature and best practices

Best Practice Models•DEUs

•Others

New TransitionInto Practice

Models

New Models for Transition Into Practice

•Residency Models •DEUs

•Other Models

New Curriculum Models

Clinical EducationRedesign

Integration of current research, literature and best practices

(In Progress)

Feedback and Dialogue

Our Guide to the Future

To envision the future , we must look to the past, validate the present and move to the future

Florence Nightingale