6/18/ Susan J. Zahner, DrPH, RN Barbara Duerst, MS, RN Gale Barber, MA Karen Solheim, PhD, RN

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1 Accelerating Preparation for Public Health Nursing Susan J. Zahner, DrPH, RN Barbara Duerst, MS, RN Gale Barber, MA Karen Solheim, PhD, RN 2013 ACHNE/APHN Joint Meeting June 6-8, 2013 Cary, North Carolina 6/18/ The 21 st Century Public Health Workforce A public health professional is a person educated in public health or a related discipline who is employed to improve health through a population focus Expect competency in: Core: epidemiology, ogy, biostatistics, s environmental e health, health administration, social & behavioral sciences) Ecological model: informatics, genomics, communication, cultural competency, CBPR, global health, policy & law, and public health ethics Interdisciplinary (education & practice) Integrated-primary care & public health (education & practice) -IOM. Who will keep the public healthy? (2003) -IOM. Primary Care and Public Health: Exploring Integration to Improve Population Health (2012) 6/18/2013 University of Wisconsin Madison 2 The 21 st Century PHN Workforce Public health nursing is the practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences. (1996, PHN Section) The Future of Nursing (IOM, 2011): Nurses to achieve higher levels of education Nurses roles: care coordinator, health coach, system innovator Nurse shortage/competition Graduate education required for moving into leadership 6/18/2013 University of Wisconsin Madison 3 1

2 The University of Wisconsin-Madison is a public land-grant institution established in UNIVERSITY OF WISCONSIN-MADISON Mission To create, integrate, transfer, and apply knowledge through innovative programs of research, teaching, and public service. UW-Madison is the flagship campus of Wisconsin s state university system. The Wisconsin Idea: A longstanding tradition that defines the boundaries of the university as the boundaries of the state and beyond. UNIVERSITY OF WISCONSIN-MADISON 2

3 Enrollment: 42,818 Undergraduate, graduate and professional students from 50 states and 130 countries Faculty and staff: 21,355 Budget: $2.8 billion 935-acre lakefront campus UNIVERSITY OF WISCONSIN-MADISON Academics 133 undergraduate majors 150 master s programs 108 doctoral programs Rankings 4 th in total research expenditures among American public universities 2 nd in Peace Corps volunteers 4 th in patents granted to U.S. universities 10 th among public universities (U.S. News & World Report) UNIVERSITY OF WISCONSIN-MADISON F S S C H F 2014 T T 3

4 PHN education UW Madison School of Nursing Master of Science in Community Health Nursing N=60 graduates ( ) Master of Public Heath School of Medicine and Public Health (2005) MS/ Dual Degree Option (60 credits) N=6 graduates ( ) Doctor of Nursing Practice (2010) Post-Masters & Post-Baccalaureate Adult, pediatric, mental health; acute and primary care No public health/community health Discontinued admission to MS in Nursing (2010) 6/18/2013 University of Wisconsin Madison 10 Call for Innovation New partnerships Innovative teaching strategies PH education opportunities for nurses 6/18/2013 University of Wisconsin Madison 11 BS in Nursing to Master of Public Health Advanced Placement Degree Option Accelerate and enhance the preparation of nurses for 21 st century public health practice through a partnership between the UW-Madison School of Nursing and the School of Medicine and Public Health 6/18/2013 University of Wisconsin Madison 12 4

5 Rationale Substantial interest in PHN careers (19-23%) Low enrollment of nurses in Talented undergraduate pool likely to seek graduate education program existing and open to partnership (multiple dual graduate programs) Campus emphasis on innovation Existing advanced placement structure at UW Discontinued admission to MS 6/18/2013 University of Wisconsin Madison 13 BS in Nursing to Master of Public Health Advanced Placement Degree Option Process Faculty/staff from the SON and developed the option plan was reviewed and approved by SON and governing bodies SON s Community Health Nursing Interest Group serves in an advisory capacity for ongoing maintenance and development of option 6/18/2013 University of Wisconsin Madison 14 BS in Nursing to Master of Public Health Advanced Placement Degree Option BS in Nursing 124 credits 22 science 22 soc studies/humanities nursing electives 42 credits 20 required core 6 required field experience 3 methods 13 elective Capstone project 6/18/2013 University of Wisconsin Madison 15 5

6 BS Advanced Placement Option Provisional admission (Year 1) Application Residency form Resume Transcripts Three professional references Personal statement GRE not required 3.20 GPA Automatic admission (Year 2) B or above in courses GPA of 3.2 or above 6/18/2013 University of Wisconsin Madison 16 Year 1 Sample SEM I Pharmacology Health care systems Human responses to health and illness Clinical nursing I Health history and assessment TOTAL: 16 credits Pathophysiology Apply for provisional acceptance by Human responses to health and illness II February 1 Nursing care in inpatient setting Essentials of family-centered perinatal and pediatric Nursing Intro to systematic investigation TOTAL 17 credits 6/18/2013 University of Wisconsin Madison 17 Year 1 Sample I (Summer) Community health nursing immersion clinical (rural or global)-option I (Summer) elective TOTAL: 3 credits Photo by UW-Madison, University Communications Board of Regents of the University of Wisconsin System 6/18/2013 University of Wisconsin Madison 18 6

7 Year 2 Sample SEM I Community health nursing Community health nursing practicum Essentials of gerontological nursing Mental health and mental illness TOTAL: 13 credits SEM I Public health principles and practice Introduction to public health seminar TOTAL: 4 credits Legal and social forces in nursing Organizational influences on interdisciplinary practice Apply for formal admission core course (EH, Social & behavioral health or health policy) Advanced concepts in nursing practice TOTAL: 3 credits Nursing care of persons and families with complex health care needs 6/18/2013 TOTAL: University 13 credits of Wisconsin Madison 19 Year 2 Sample I Elective TOTAL: 3 credits Photo by UW-Madison, University Communications Board of Regents of the University of Wisconsin System Graduate! 6/18/2013 University of Wisconsin Madison 20 Year 3 Sample SEM I Introduction to biostatistics for public health Introduction to epidemiology electives TOTAL: 11 credits Core Core planning, evaluation, and quality improvement Field work seminar elective TOTAL: 13 credits 6/18/2013 University of Wisconsin Madison 21 7

8 Year 3 Sample I (Summer) Field experience Capstone project TOTAL: 6 credits GRADUATE! Photo by UW-Madison, University Communications Board of Regents of the University of Wisconsin System 6/18/2013 University of Wisconsin Madison 22 Current student profile 5 students completed the BS portion 1 had prior degrees; 4 were traditional students 2 were from under-represented groups 3 students admitted for the second cohort 6/18/2013 University of Wisconsin Madison 23 Student perspectives Advantages Challenges Efficiency (2 degrees in 3 year period) Better preparation for public health work Getting graduate credits while an undergraduate Arranged to meet my educational needs Having 2 degrees will open doors Rigorous program Busy but manageable Redundancy between programs Lack of flexibility for nontraditional students Concern about completing while in nurse residency/new RN positions Interest/need for clinical practice 6/18/2013 University of Wisconsin Madison 24 8

9 & faculty perspectives Advantages Advanced placement structure already existed so no approval process at campus level Immediate access to graduate studies in public health builds public health workforce skills Faster path for students with strong public health interests Capture interested students earlier as recognized public health graduate degree for leadership Challenges Multiple advisors Need for good coordination between programs Potential to lose them to clinical roles not in public health Redundancy in basic content Participation in undergraduate honors program or capstone certificates Limited pre-understanding of public health for some students 6/18/2013 University of Wisconsin Madison 25 Pilot Evaluation Future plans Student interviews at BS graduation Track jobs post graduation Track completion/attrition Track change in FT status post BS graduation Increase promotion of the option Consider DNP/ program option 6/18/2013 University of Wisconsin Madison 26 For more information: Photo by UW-Madison, University Communications Board of Regents of the University of Wisconsin System Susan Zahner, School of Nursing Gale Barber, School of Nursing: Barbara Duerst, : bduerst@wisc.edu 6/18/2013 University of Wisconsin Madison 27 9