A Compendium of Innovative Practices and Partnerships: Third Edition. October 2010

Transcription

1 A Compendium of Innovative Practices and Partnerships: Epanding Educational Capacity In California Schools of Nursing Third Edition October 00 Compiled by Carolyn M. Orlowski, MSN, RN Regional Coordinator Southern California Funded Through a Generous Grant from Kaiser Permanente Southern California Community Benefits - -

2 A Compendium of Innovative Practices and Partnerships: Epanding Educational Capacity in California Schools of Nursing October 00 - rd Edition Introduction Epanding educational capacity in California schools of nursing was perhaps the state s most urgent need for addressing the nurse shortage and is Goal of the Master Plan for the California Nursing Workforce. The California Institute for Nursing &Health Care (CINHC) developed the statewide strategic plan building upon successful programs already underway. With that in mind, in 00, the Compendium of Innovative Practices and Partnerships, First Edition was published and identified successful practices that merit replication throughout the state. Many ecellent innovations and programs have been created through public/private partnerships to respond to the challenges facing nursing education today. These efforts include partnerships between schools of nursing, hospitals, health systems, and foundations. The information contained in the First Edition was used to demonstrate the collaborative, statewide approach to epansion of educational capacity in California at the 008 National Nursing Education Summit. This Summit was sponsored by the Center to Champion Nursing in America, under the auspices of AARP. The Compendium, Second Edition, updated the successful practices and the partnerships that support them published in the First Edition and added new programs and partnerships initiated in 008. This Third Edition now serves as a resource in providing information on current programs and successful practices in California. To create the Compendium, deans and directors of nursing programs, and healthcare nursing service administrators shared their successful innovative approaches with us. They completed an information form describing the program, the partnerships supporting the practice, and the outcomes. This Compendium reflects the program information as submitted by the participants. It does not include all the innovative practices and partnerships in the state, but is reflective of the ecellent work that occurs through the numerous public/private partnerships underway in California that support nursing education. CINHC wishes to thank the deans, directors, nursing educators, administrators and other nurse leaders who provided this information and contributed to this work. A special acknowledgement goes out to the hospitals, health systems, and foundations, whose contributions are documented in this Compendium and have so graciously stepped forward to support their local colleges and universities in their efforts to epand nursing school capacity and strengthen California s nursing workforce. Deloras Jones, RN, MS Carolyn M. Orlowski, MSN, RN Eecutive Director Southern California Regional Coordinator 66 th Street, Suite 00 South Figueroa Street, Suite 00 Oakland, CA 96 Los Angeles, CA 9007 Office: (0) Office: (0)

3 Inde of Schools, Hospitals/Health Care Providers and Organizations Lead Institution (Note: Partnering institutions are identified within each report) Schools CSU UC CC Private Page California State University Channel Islands 8-9 California State University Dominguez Hills 0- California State University East Bay -9 California State University Fullerton 0- California State University San Marcos (with Mira Costa Community College) (with Palomar Pomerado Health) - -6 Chabot Community College 7-0 College of the Canyons -6 Copper Mountain College 7-8 East Los Angeles College 9-0 Evergreen Valley College - Fresno Community College (with Santa Monica Community 6-6 College Grossmont College - Mira Costa Community College (with CSU San Marcos) - Mission College -6 Modesto Junior College 7-9 Monterey Peninsula College 0- Mount Saint Mary s College - Mount San Jacinto College - Ohlone Community College 6-7 Riverside Community College 8-9 Saddleback Community College 60-6 Santa Monica Community College (with Fresno Community 6-6 College) University of San Francisco School of Nursing 6-7 Western University of Health Sciences 7-8 Hospitals/Health Care Providers Page Kaiser Permanente Southern California Palomar Pomerado Health (with California State University San -6 Marcos) Other Organizations Page California Institute for Nursing & Health Care (CINHC) 90-9 Health Workforce Initiative 9-9 San Jose Community College District Workforce Institute

4 Inde of Programs and Projects Category Lead School or Organization Page Capacity Academic Success Through Assessment and Remediation d Enrollment Mount San Jacinto College d Enrollment-Diversity New Programs DNP FNP DNP - Leadership DNP - Eecutive Level Clinical Simulation Clinical Simulation Human Patient Simulation Lab Increasing Student Retention Through Simulation RN Simulation Lab Coordinator Simulation Technician Collaborative Model Programs (articulation, pathways) LVN to RN Program ADN to BSN Program ADN to MSN Program BSN to DNP FNP BSN to DNP (Leadership) Diversity d Enrollment/Diversity Men In Nursing Project Chabot Community College California State University East Bay College of the Canyons Modesto Junior College California State University East Bay University of San Francisco University of San Francisco University of San Francisco Western University of Health Sciences, College of Graduate Nursing Copper Mountain College Modesto Junior College Ohlone Community College Grossmont College Saddleback College East Los Angeles College Mission College Riverside City College California State University Channel Islands California State University East Bay California State University San Marcos College of the Canyons Evergreen Community College Mira Costa Community College California State University Dominguez Hills Fresno Community College Santa Monica Community College Western University of Health Sciences College of Graduate Nursing University of San Francisco University of San Francisco California State University East Bay Monterey Peninsula College

5 Facilities, Equipment and Supplies Building of Microbiology Lab, Anatomy Section, Skills Lab(s) Facility Remodel, Supplies and Equipment Faculty (increase in, development of) Additional Faculty Clinical Faculty Development Program Healthy Workplace Relationships Interactive Videoconferencing-Lectures Mentoring, Providing Adjunct Clinical Faculty Preceptor Instructor Program QSEN-Faculty Development Learning Outcomes Clinical Scholars Partnership EVATEC Model for Engaged Learning Improved Clinical Learning: Environment, QSEN NCLE Lunch and Learn QSEN Competencies Residency Program Mentoring, Tutoring, and Support Academic Success Through Assessment and Remediation Men In Nursing Project Student Success Advisor Retention of Students Case Manager for Nursing Increasing Retention Through Simulation Men In Nursing Project Retention Program Student Success Advisor Chabot College Modesto Junior College California State University Dominguez Hills California State University East Bay College of the Canyons Modesto Community College University of San Francisco California Institute for Nursing & Health Care (CINHC) Western University of Health Sciences, College of Graduate Nursing Chabot College Kaiser Permanente Southern California Health Workforce Initiative Modesto Junior College Western University of Health Sciences, College of Graduate Nursing Western University of Health Sciences, College of Graduate Nursing Kaiser Permanente Southern California Grossmont College Modesto Junior College California State University San Marcos Mount San Jacinto College Monterey Peninsula College Grossmont College Saddleback College Ohlone Community College Monterey Peninsula College College of the Canyons Grossmont College Specialty Course Development Preceptor Instructor Program Health Workforce Initiative 9-9 Teaching Methodology (including distance and technology) Assessing Performance Using Video Technology Clinical Scholars Partnership Distance Education EVATEC Model for Engaged Learning Western University of Health Sciences, College of Graduate Nursing Western University of Health Sciences, College of Graduate Nursing Modesto Junior College California State University Dominguez Hills Western University of Health Science

6 Internet Protocol Video Cassette Recorder Interactive Videoconferencing-Lectures Online Teaching Transition to Practice (including new graduate RN programs) Clinical Scholars Partnership Eternship/Residency Program Preceptor Instructor Program RN Eternship Course Residency Program South Bay RN Transition Program Modesto Junior College Chabot Community College Copper Mountain College California State University Dominguez Hills Western University of Health Sciences, College of Graduate Nursing California State University Fullerton Health Workforce Initiative Mount Saint Mary s College California State University East Bay California State University San Marcos San Jose Evergreen Community College District Workforce Institute

7 Innovative Practices and Programs: Nursing Schools - 7 -

8 Lead Institution or Organization (provide full name and place an in the appropriate Education Service California State University Channel Islands Innovative Practice (provide the name of the program or practice) CSU Channel Islands ADN to BSN Collaborative with Santa Barbara City College (SBCC), Ventura and Moorpark Community Colleges Innovative Practice Description (provide a brief description) A fourteen month curriculum to articulate students who graduated winter or spring from SBCC, Ventura and Moorpark directly into the BSN program at CSU Channel Islands in the summer and graduate with a BSN in fourteen months the following summer. Partners (provide full name and place an in the appropriate Education Service Santa Barbara City College Moorpark Community College Ventura Community College Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Admit at least twenty-two students from the three community colleges for admissions into the collaborative track program. Successfully graduate at least twenty students by July 0. Set up processes for a program that will be self supporting in the future. Measurements-Outcomes (indicate outcomes achieved and measures of success) Admission of seventeen students May 00. Admission of 6 of the 7 from Moorpark College. Processes for admissions, recruitment, program director and curriculum in place. Maintain communications between community colleges and CSU Channel Islands with a yearly meeting to discuss and revise program. Cost (indicate the cost of the program or practice) $9,000 Funding Source(s) (list each and place a in the appropriate Private State Federal Foundation California Community Colleges - 8 -

9 Were epected outcomes met? Yes No If not met, why? Only seventeen students enrolled and majority from one community college. Identify challenges or issues Students need to be recruited and admitted into the program earlier such as in the second semester of the ADN program. Identify any breakthrough concepts or key learning Work with faculty from all community colleges to promote program with students early in their educational program. Work with faculty from all institutions to support students pursuing their BSN directly upon completion of the program. Advise adaptability of practice to other settings Program is administered through etended education. The program is self-sustaining and does not consume FTE s. This can be reproduced in other areas with CSU s and community colleges. Provide time frame funded (from month/year to month/year) and plans for sustainability Sustainable by net year s class admitted 0. Other Comments Name: Karen Jensen Title: Chair of Nursing Organization: CSU Channel Islands Contact Phone: Et: [email protected] Mailing Address: One University Drive Camarillo, CA 90 Website:

10 Lead Institution or Organization (provide full name and place an in the appropriate California State University Dominguez Hills Innovative Practice (provide the name of the program or practice) Education Service RN-BSN and MSN programs offered offsite in conjunction with rural and urban medical centers Innovative Practice Description (provide a brief description) Provide a combination of BSN and MSN courses taught at medical centers with online courses offered through the Internet to facilitate retention and graduation for working RNs. Partners (provide full name and place an in the appropriate Education Service Presbyterian Intercommunity Hospital in Whittier, CA Ventura County Medical Center in Ventura, CA Salinas Valley Memorial Hospital in Salinas, CA Marian Medical Center in Santa Maria, CA St. John s Health Center in Santa Monica, CA Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Offer BSN program onsite and online to increase number of BSN-prepared RNs in the agency. Offer MSN core courses onsite and role preparation online to increase the number of advanced practice RNs in the agency and the community. number of qualified nursing faculty in outlying areas Measurements-Outcomes (indicate outcomes achieved and measures of success) Retention of students to graduation ( up to 90% retained) # of graduates varies by program and agency. Ranges from - per program cohort Retention of qualified faculty (up to 90% retained and re-hired) Cost (indicate the cost of the program or practice) RN-BSN = $6,000; MSN = $70,000 Funding Source(s) (list each and place a in the appropriate Private State Federal Clinical Agencies - 0 -

11 Were epected outcomes met? Yes No If not met, why? Identify challenges or issues d tuition fees, budget constraints on medical facilities which have less funds for nursing education Identify any breakthrough concepts or key learning While students initially like the onsite instruction offered at the agency, they also appreciate the convenience of online courses once they advance in the program. Advise adaptability of practice to other settings Really need to have a strong online option so that students who stop out or can t attend the evening classes have the opportunity to continue in the program to graduate. Provide time frame funded (from month/year to month/year) and plans for sustainability Each BSN cohort takes courses on a PT basis over 9 semesters (FL, SP and SU). MSN program is much more varied as the total number of credits per role option varies. Funding is provided by the agency on a semester basis. We can continue to offer the courses onsite provided the agency meets the enrollment numbers ( for BSN and 0 for MSN). Other Comments Name: Carole A. Shea Title: Professor (Former Director of the School of Nursing) Organization: California State University Dominguez Hills Contact Phone: Et: [email protected] Mailing Address: CSU Dominguez Hills, School of Nursing, 000 E. Victoria St, Carson, CA 9077 Website: - -

12 Lead Institution or Organization (provide full name and place an in the appropriate California State University, East Bay Innovative Practice (provide the name of the program or practice) Education Service New RN Residency Program 009- Innovative Practice Description (provide a brief description) The new RN residency program provides the competency-based transition to practice training for new graduates who have not secured employment as nurses, preparing them for available nursing positions across the healthcare continuum. Partners (provide full name and place an in the appropriate Education Service Eden Medical Center St Rose Hospital Valley Care Health System John Muir Health Walnut Creek Stanford Hospital and Clinics 6 Highland Hospital 7 Washington Hospital Health Care 8 John Muir Health-Concord 9 Children s Hospital and Research Center, Oakland 0 Stonebrook Health Care Center Veteran s Administration (VA), Palo Alto Contra Costa County Regional Medical Center Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Improve clinical competency, confidence, critical thinking, management of responsibilities, and professional role behaviors of new graduate nurses skills employability of new graduates; total of 0 new graduates enrolled or planned Measurements-Outcomes (indicate outcomes achieved and measures of success) Attain the nursing employment rate of 80% or better at the end of the project Minimize the residency attrition rate < % Apply QSEN core competencies in clinical practice levels of clinical competency, confidence and socialization skills - -

13 Cost (indicate the cost of the program or practice) $9,000 Funding Source(s) (list each and place a in the appropriate Private State Federal Alameda County Workforce Investment Board CINHC funded by the Gordon and Betty Moore Foundation Kaiser Permanente Fund for Health Education at the East Bay Community Foundation Were epected outcomes met? Yes No If not met, why? Partially met, Evaluation data to be completed by Year 0 Identify challenges or issues Involvement of clinical partners and challenges getting their administrative support; and placements of residency participants Identify any breakthrough concepts or key learning Improvement of clinical competencies, confidence, and socialization skills Advise adaptability of practice to other settings Adaptable to any willing, thoughtful, organized members in school settings with the support of clinical agencies Provide time frame funded (from month/year to month/year) and plans for sustainability January, 00 December, 0 Other Comments Name: Kimberly Kim, RN, Ph D Title: Associate Professor; New RN Residency Program Director Organization: California State University, East Bay Contact Phone: Et: 70 [email protected] Mailing Address: 800 Carlos Bee Blvd. Hayward, CA 9 Website: - -

14 Lead Institution or Organization (provide full name and place an in the appropriate California State University, East Bay Innovative Practice (provide the name of the program or practice) Education Service Song-Brown Registered Nurse Education Program Innovative Practice Description (provide a brief description) The Song-Brown Grant supports the BSN program at Cal State East Bay to educate 0 additional nursing students from diverse ethnic backgrounds who may reside in Alameda County; and after the training, the potential nursing workforce hopefully will have a higher propensity to take a job at one of the underserved communities. Partners (provide full name and place an in the appropriate Education Service Office of Statewide Health Planning and Development, Song Brown RN Education Program Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Enroll 0 additional nursing students into the BSN program Measurements-Outcomes (indicate outcomes achieved and measures of success) Attain nursing graduation rate > 90% (current rate > 9%) Pass NCLE-RN > 8% (current pass rate > 9%) Minimize attrition rate < 0% Cost (indicate the cost of the program or practice) $80,000 ($0,000/0 students in two periods of time between ) Funding Source(s) (list each and place a in the appropriate Private State Federal OSHPD Song-Brown Capitation Grant Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Identify any breakthrough concepts or key learning Advise adaptability of practice to other settings Provide time frame funded (from month/year to month/year) and plans for sustainability July, 008 June 0, 00; and July, 009 June 0, 0 Other Comments - -

15 Name: Kimberly Kim, RN, Ph D Title: Associate Professor; Song-Brown Program Director Organization: California State University, East Bay Contact Phone: Et: 70 [email protected] Mailing Address: 800 Carlos Bee Blvd. Hayward, CA 9 Website: - -

16 Lead Institution or Organization (provide full name and place an in the appropriate California State University, East Bay Innovative Practice (provide the name of the program or practice) Education Service ADN to BSN Program Innovative Practice Description (provide a brief description) Partnership to provide nursing education to a cohort of 0 ADN students to the BSN program. Faculty from both community colleges and BSN program will teach these students. At the end of the program, students will receive BSN degree. Partners (provide full name and place an in the appropriate Education Service Bay Area Colleges of Nursing Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Bridge and enroll 0 ADN students into the BSN program Measurements-Outcomes (indicate outcomes achieved and measures of success) Attain nursing graduation rate > 90% Keep attrition rate within 0% Cost (indicate the cost of the program or practice) $0,000 Funding Source(s) (list each and place a in the appropriate Private State Federal Kaiser Permanente Fund for Health Education at the East Bay Community Foundation Were epected outcomes met? Yes No If not met, why? Will admit students in fall 00 Identify challenges or issues Identify any breakthrough concepts or key learning Advise adaptability of practice to other settings Provide time frame funded (from month/year to month/year) and plans for sustainability July 00 June 0 Other Comments - 6 -

17 Name: Carolyn Fong, RN, Ph D Title: Professor and Chair Organization: California State University, East Bay Contact Phone: Et: [email protected] Mailing Address: 800 Carlos Bee Blvd. Hayward, CA 9 Website:

18 Lead Institution or Organization (provide full name and place an in the appropriate California State University, East Bay Innovative Practice (provide the name of the program or practice) Education Service Partnership to increase nursing workforce Innovative Practice Description (provide a brief description) Partnership with John Muir Health to provide nursing education to a cohort of 0 pre licensure students. As part of the program, JMH staff nurses and new clinical instructors are hired to teach clinical and theory courses. Partners (provide full name and place an in the appropriate Education Service John Muir Health Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Enroll 0 additional students in the BSN program Measurements-Outcomes (indicate outcomes achieved and measures of success) Attain nursing graduation rate > 90% Pass NCLE-RN > 8% Keep attrition rate within 0% Cost (indicate the cost of the program or practice) $600,000 Funding Source(s) (list each and place a in the appropriate Private State Federal John Muir Health Were epected outcomes met? Yes No If not met, why? Identify challenges or issues none Identify any breakthrough concepts or key learning Advise adaptability of practice to other settings Community colleges or universities with affiliated clinical agencies Provide time frame funded (from month/year to month/year) and plans for sustainability July 008 June 00 and plan to continue for net years Other Comments - 8 -

19 Name: Carolyn Fong, RN, Ph D Title: Professor and Chair Organization: California State University, East Bay Contact Phone: Et: [email protected] Mailing Address: 800 Carlos Bee Blvd. Hayward, CA 9 Website:

20 Lead Institution or Organization (provide full name and place an in the appropriate California State University, Fullerton Innovative Practice (provide the name of the program or practice) Education Service Facilitating Transition to Practice --- A New Graduate Eternship/Residency Program Innovative Practice Description (provide a brief description) The current economic recession has negatively impacted hiring trends for new graduate nurses with 0% of graduate nurses remaining unemployed and unable to find a job as a Registered Nurse (RN). A statewide concern for legislators, employers, and educators is that new graduates who do not find employment, will lose the skills they acquired while studying to become an RN, thus making them unemployable in nursing. A similar concern evolved at CSUF with new RNs in the EL-MSN program who were not able to find employment after successfully completing the RN licensure eam in year of the program. In response to this concern, the CSUF faculty transitioned a paid Nursing Eternship course into an unpaid new graduate residency eternship, where students were able to maintain clinical recency in a 6-week preceptored course while continuing enrollment in graduate level coursework. Partners (provide full name and place an in the appropriate Education Service Kaiser Permanente Hospital, Anaheim and Irvine St. Jude Medical Center Orange Coast Memorial VA Medical Center of Long Beach Mission Hospital Regional Medical Center Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Maintain new graduate RN clinical skills while enrolled in a University course Student transition to RN role Facilitate student orientation and acclimation to new graduate RN job requirements (time management, communication, patient care delivery, charting, and specific hospital/unit requirements) Enhance collaboration with local healthcare partners in an unpaid eternship eperience for licensed but unemployed new graduate RNs Student transition to RN role Meeting future workforce need Measurements-Outcomes (indicate outcomes achieved and measures of success) Student completion of eternship course (n=). All of the students completed the eternship course ecept for a student who had a baby and students (n=) who became employed during the eperience. Student and faculty satisfaction with the preceptor program. The majority of students and preceptors (96%) epressed satisfaction with the eperience. Student employability upon completion of eternship. Only students were offered employment at the hospital site where they did their preceptorship. A contributing factor to this outcome was that several hospitals planned to delay hiring until the student(s) completed all their graduate coursework (- semesters). Students who were employed after the residency course epressed increased self-confidence and an easier transition to the RN role at their place of employment

21 Cost (indicate the cost of the program or practice) The University costs of the program were faculty salary costs for a -unit course and the student costs were enrollment in a unit Nursing Eternship elective. There were no costs to the practice setting since this was an unpaid eternship. Funding Source(s) (list each and place a in the appropriate Private State Federal Student fees for enrollment in a unit elective course Were epected outcomes met? Yes No If not met, why? Students epressed a high level of satisfaction with the course and many reported that this course was the highlight of the semester for them. Preceptors also appreciated the opportunity to work with students over the duration of - semesters and to be a part of the new graduate transition to practice. Identify challenges or issues Challenges included identifying a sufficient number of preceptors, especially in fall and spring semesters, when hospitals were impacted by a larger number of clinical placements requests from other schools. Another challenge was that hospitals and preceptors did not understand the nature of the student since they were not used to preceptoring new graduate RNs, ecept in conjunction with hospital-based new graduate programs. Identify any breakthrough concepts or key learning The key learning from this project is that it is essential for education and service to work together creatively in meeting current and future workforce needs. The hospital partners in this project are to be commended for their willingness to think outside the bo in supporting placements for this course. Hospitals could benefit from the program if residency students were hired by the facility, since these students would already be acclimated to the facility. Advise adaptability of practice to other settings Other universities and colleges that have an eternship course could modify the course in a similar manner. The course could also be offered through Etended Education to generate revenue for the program. Provide time frame funded (from month/year to month/year) and plans for sustainability This CSUF Eternship course etended over semesters (08/009 to 8/00) and will continue to be offered as an ongoing elective. Other Comments Please contact either Dr. Mary Wickman or Dr. Rebecca Otten with any questions you may have about this project. Name: Mary Wickman and Rebecca Otten Title: Coordinator/Assistant Coordinator, Pre-licensure Programs Organization: California State University, Fullerton Contact Phone: (67)78-6/8 Et: - -

22 Mailing Address: PO Bo 6868, Fullerton, CA Website: - -

23 Lead Institution or Organization (provide full name and place an in the appropriate California State University San Marcos and Mira Costa Community College Innovative Practice (provide the name of the program or practice) Education Service Collaborative Track Innovative Practice Description (provide a brief description) Implementation of collaborative track model between a BSN and ADN program. Ten students from the CSUSM waiting list were admitted to Mira Costa Community College program in Fall 00 and they will complete this program and then seamlessly articulate to CSUSM RN- BSN program. Partners (provide full name and place an in the appropriate Education Service California State University San Marcos Mira Costa Community College Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Create seamless articulation from an ADN program to a BSN program to increase the numbers of BSN graduates number of BSN graduates Measurements-Outcomes (indicate outcomes achieved and measures of success) Evaluation of didactic content based on eamination and other course requirements. Clinical evaluation based on evaluation of clinical competencies. Cost (indicate the cost of the program or practice) $0,000 Funding Source(s) (list each and place a in the appropriate Private State Federal Song Brown Program - -

24 Were epected outcomes met? Yes No If not met, why? Will start in Fall 00 Identify challenges or issues Will start in Fall 00 Identify any breakthrough concepts or key learning Will start in Fall 00 Advise adaptability of practice to other settings Will start in Fall 00 Provide time frame funded (from month/year to month/year) and plans for sustainability Will start in Fall 00 Other Comments Name: Dr Judith Papenhausen Title: Director School of Nursing Organization: California State University San Marcos Contact Phone: Et: Mailing Address: S. Twin Oaks Valley Road San Marcos, CA Website: - -

25 Lead Institution or Organization (provide full name and place an in the appropriate California State University San Marcos and Palomar Pomerado Health Innovative Practice (provide the name of the program or practice) Education Service Residency Program Innovative Practice Description (provide a brief description) Two semester residency program offered to senior level BSN students during their last year in the BSN program. The program includes 8 units of didactic content and 80 hours of preceptored clinical eperience each semester. The program includes and replaced new graduate orientation and graduates are ready for employment at the end of the program. Partners (provide full name and place an in the appropriate Education Service California State University San Marcos Palomar Pomerado Health Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Prepare BSN students for employment immediately after graduation. Measurements-Outcomes (indicate outcomes achieved and measures of success) Evaluation of didactic content based on eamination and other course requirements. Clinical evaluation based on preceptor evaluation of clinical competencies Cost (indicate the cost of the program or practice) $9.000 Funding Source(s) (list each and place a in the appropriate Private State Federal San Diego County Work Force - -

26 Were epected outcomes met? Yes No If not met, why? Program to start Fall 00 Identify challenges or issues Program to start Fall 00 Identify any breakthrough concepts or key learning Program to start Fall 00 Advise adaptability of practice to other settings Program to start Fall 00 Provide time frame funded (from month/year to month/year) and plans for sustainability Program to start Fall 00 Other Comments Name: Dr Judith Papenhausen Title: Director School of Nursing Organization: California State University San Marcos Contact Phone: Et: Mailing Address: S. Twin Oaks Valley Road San Marcos, CA Website:

27 Lead Institution or Organization (provide full name and place an in the appropriate Chabot Community College Innovative Practice (provide the name of the program or practice) Education Service Interactive Videoconferencing with Partner Hospital Innovative Practice Description (provide a brief description) Lectures are video cast between the college and the participating hospital partnership Skills lab. The partnership was established to increase enrollment by 0%. Both the partnership and the video casting have been very successful. Partners (provide full name and place an in the appropriate Education Service Valley Care Health Systems (Livermore-Pleasanton CA) Chabot Community College (Hayward CA) Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) enrollment Decrease the need for students to drive heavy commute distances between the two campuses Resource for additional full-time and part-time faculty (hospital provided) Measurements-Outcomes (indicate outcomes achieved and measures of success) Student evaluations indicate that those who are in the distant site (Livermore-Pleasanton) section appreciate not having to drive the distance. Partnership has provided Valley Care Health Systems with graduate nurses who are familiar with their system, staff, and policies. They have epressed their satisfaction with this outcome. We (Chabot College) have mentored several of the Valley Care Health Systems nursing staff and have hired one fulltime faculty member in a tenure-track position and several adjuncts on temporary-part-time. Cost (indicate the cost of the program or practice) Cost was equally born by Chabot College and Valley Care Health Systems. Probably in the neighborhood of $,000,000 Funding Source(s) (list each and place a in the appropriate Private State Federal Chancellor s grant - 7 -

28 Valley Care Health Systems (and Foundation) VTEA funds (lab equipment, some simulation equipment) Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Coordination of activities between the two sites. Boredom eperienced by students who do not have the live lectures. Issues of union (college) and non-union (hospital). Maintaining consistency in audiovisual media library between the two campuses Identify any breakthrough concepts or key learning Collegiality between nursing education and nursing service. Both entities taught each other about constraints and values of such a venture. Advise adaptability of practice to other settings Can t think of any, other than the constant emotional support that is need for faculty and nursing service. Provide time frame funded (from month/year to month/year) and plans for sustainability In 00, a MOU was signed (currently revised into a contract) between the two sites. The continuing eistence of the project has been pretty well established. There are no plans for the project to end. Ever. Other Comments Great eperience!! Wonderful liaison between the two entities. Name: Dr. Nancy L. (Cowan) Pinio Title: Chabot College Nursing program Director (retiring as of May, 00) Organization: Chabot College Contact Phone (0) Et: N/A [email protected] Mailing Address: Hesperian Blvd. Hayward, CA Website:

29 Lead Institution or Organization (provide full name and place an in the appropriate Chabot Community College Innovative Practice (provide the name of the program or practice) Education Service Partnership with a local hospital (Valley Care Health Systems in Pleasanton, CA) to increase the # of enrolled students from 0-60 annually. Innovative Practice Description (provide a brief description) This partnership includes the utilization of nurses in education and service to educate nursing students at the ADN level. Valley Care Health Systems funded the building of a Microbiology Lab and an additional section in Anatomy. They also furnished a state-of-the-art Skills Lab which includes computers, a lecture room and a Skills Lab at an etended campus site. The lectures are delivered by interactive videoconferencing which was a joint effort by education and service. The hospital hires a significant number of graduates each year who have attended the etended campus facilities/hospitals. Partners (provide full name and place an in the appropriate Education Service Chabot-Las Positas Community College District Chabot College Valley Care Health Systems Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) The primary goal was to increase the number of Registered Nurses The secondary goal was to provide knowledgeable adjunct and full-time staff who could supervise and mentor students at the etended campus site Measurements-Outcomes (indicate outcomes achieved and measures of success) Since 00, the nursing class has epanded from 0 admitted to 60 admitted annually. The additional sections have persisted to graduation at a 7% rate, thereby adding to the work force Many of the Clinicians who were recruited from the hospital to teach the students have reported the need for epanding their own education (seeking BSN, MSN, and doctoral work. Nursing faculty have become more aware of the challenges and needs of nursing service in terms of the needed skills and knowledge of today s staff nurses. This has resulted in a collegial approach to the many facets of health care delivery Cost (indicate the cost of the program or practice) $00,000 annually (plus costs of equipment another $0,000 annually) - 9 -

30 Funding Source(s) (list each and place a in the appropriate Private State Federal Chancellor s Grants (approimately $,000 annually) Song-Brown Grant Fund for the Improvement of Postsecondary Education (FIPSE) Were epected outcomes met? Yes No If not met, why? Identify challenges or issues We continually work at collaborating with education and service so that students see the program as ONE program instead of two programs.one being the initial program site and one being the new etended campus. Identify any breakthrough concepts or key learning How valuable it is for all nurses to work together in educating the new work force. Advise adaptability of practice to other settings It is another indication of how education and industry can work together to achieve more than the sum of their individual parts. We both learn from each other. Provide time frame funded (from month/year to month/year) and plans for sustainability From 00 to???? No plans to decrease the number of admissions. Program remains sustainable in the foreseeable future Other Comments Name: Nancy L. Cowan Pinio Title: Director Emeritus Organization: Chabot College Nursing Program Contact Phone: (0) Et: NA [email protected] Mailing Address: Chabot College, Hesperian Blvd. Hayward, CA 9 Website:

31 Lead Institution or Organization (provide full name and place an in the appropriate College of the Canyons Innovative Practice (provide the name of the program or practice) Education Service College of the Canyons and California State University Northridge Concurrent Enrollment ADN to BSN Program Innovative Practice Description (provide a brief description) Students will take BSN courses concurrently with ADN program to complete their ADN followed by their BSN. Partners (provide full name and place an in the appropriate Education Service California State University Northridge Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) the number of students completing their BSN Measurements-Outcomes (indicate outcomes achieved and measures of success) Number of students retained in concurrent enrollment ADN BSN program Number of graduates from ADN program Passing NCLE after graduating with ADN Completion of BSN Cost (indicate the cost of the program or practice) $0,000 funding for the initial curriculum development. Ongoing cost to be absorbed by each institution. Funding Source(s) (list each and place a in the appropriate Private State Federal Chancellors Grant for seamless articulation of ADN to BSN - -

32 Were epected outcomes met? Yes No If not met, why? In progress. Pilot in progress. 0 students enrolled initially. One student dropped out - accepted to UCLA and was replaced. Currently 9 students in program. Second student dropped out due to the additional cost. Curriculum revised at COC and CSUN. Identify challenges or issues Challenges: Coordination of two program schedules to allow for students to complete courses at both schools. Rigorous program for students. Cost of both concurrently may be prohibitive to some students. Identify any breakthrough concepts or key learning Both programs have improved their curriculum through this process. Collaboration of the two programs. Advise adaptability of practice to other settings This is adaptable to other school collaborations. Provide time frame funded (from month/year to month/year) and plans for sustainability Pilot group will complete the program from /00 to /0 (ADN) to /0 (BSN). Plan is to evaluate upon their completion and enroll further groups with any revisions in place. The goal is sustainability with hopefully a 0 student cohort either every year or every two years depending on commitment from both institutions. Other Comments Name: Diane Morey Title: Interim Director of Nursing Organization: College of the Canyons Contact Phone: Et: [email protected] Mailing Address: 6 Rockwell Canyon Road, Valencia, CA 9 Website: - -

33 Lead Institution or Organization (provide full name and place an in the appropriate College of the Canyons Innovative Practice (provide the name of the program or practice) Education Service Retention program and funding for additional students. Innovative Practice Description (provide a brief description) Students have access to retention specialists and nursing counselor to increase retention and success in program. Funding also provided for 8 additional students. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) the number of students completing their ADN student success during program. success and retention Measurements-Outcomes (indicate outcomes achieved and measures of success) Number of graduates from program Cost (indicate the cost of the program or practice) Funding for the salary for nursing counselor, retention specialists, and for 8 additional students over baseline. Funding Source(s) (list each and place a in the appropriate Private State Federal Song Brown Program - -

34 Were epected outcomes met? Yes No If not met, why? First years completed, now beginning second two years. 8 additional students began program in fall of 00. This is a continuation of a program supported by a grant for the past two years. Identify challenges or issues Increasing number of students utilizing nursing counselor and retention specialists Identify any breakthrough concepts or key learning Developed a retention program. Advantages of having a designated counselor for nursing. Advise adaptability of practice to other settings This is adaptable to other schools. Provide time frame funded (from month/year to month/year) and plans for sustainability Program begun in 008 for two years. New grant beginning Fall 00 for two years. Unable to guaranteed sustainability without grant funding at this time. Other Comments Name: Diane Morey Title: Interim Director of Nursing Organization: College of the Canyons Contact Phone: Et: [email protected] Mailing Address: 6 Rockwell Canyon Road, Valencia, CA 9 Website: - -

35 Lead Institution or Organization (provide full name and place an in the appropriate College of the Canyons Innovative Practice (provide the name of the program or practice) Education Service Funding additional faculty Innovative Practice Description (provide a brief description) Funding for one full time faculty. Partners (provide full name and place an in the appropriate Education Service Henry Mayo Newhall Memorial Hospital Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) the number of full time faculty students in program by having additional faculty Measurements-Outcomes (indicate outcomes achieved and measures of success) of 0 graduates from program Cost (indicate the cost of the program or practice) Salary for one full time nursing faculty Funding Source(s) (list each and place a in the appropriate Private State Federal Henry Mayo Newhall Memorial Hospital - -

36 Were epected outcomes met? Yes No If not met, why? This is an ongoing funding source that has been renewed this year. Identify challenges or issues None Identify any breakthrough concepts or key learning Successful partnership Advise adaptability of practice to other settings This is adaptable to other schools. Provide time frame funded (from month/year to month/year) and plans for sustainability Academic Year: 00-0 Other Comments Name: Diane Morey Title: Interim Director of Nursing Organization: College of the Canyons Contact Phone: Et: Mailing Address: 6 Rockwell Canyon Road, Valencia, CA 9 Website:

37 Lead Institution or Organization (provide full name and place an in the appropriate Copper Mountain College Innovative Practice (provide the name of the program or practice) Education Service Clinical Simulation and On Line Teaching Innovative Practice Description (provide a brief description) Clinical Simulation, using computerized human simulation models for adult or infant, is a component of each course in the RN program. First year nursing courses employ both online and face to face teaching modalities. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Clinical simulation will be used in every nursing course as a means to provide students with clinical eperience in a controlled setting. Learning modality Clinical simulation is a means to assure students have access to clinical eperiences when clinical resources are inadequate in their capacity to receive students. Provide theory-based (lectures, assignments, discussion, video, etc.) content online thereby increasing student access to the information and increasing program capacity. Measurements-Outcomes (indicate outcomes achieved and measures of success) Clinical simulation is a component of every course in the CMC RN program The theory based content of second year nursing courses and specialty courses (Ob/peds, mental health) will be included in an online as well as face to face format. Cost (indicate the cost of the program or practice) Funding Source(s) (list each and place a in the appropriate Private State Federal - 7 -

38 Were epected outcomes met? Yes No If not met, why? Outcome # is accomplished: Clinical simulation is a component of Med/Surg and Ob/Peds courses. Outcome # is in progress. Identify challenges or issues The challenge in using clinical simulation is staff education for both the technology and for the teaching techniques Identify any breakthrough concepts or key learning Advise adaptability of practice to other settings Provide time frame funded (from month/year to month/year) and plans for sustainability Other Comments Name: Ellie Smith Title: Interim Director of Nursing Organization: Copper Mountain College Contact Phone: Et:00 [email protected] Mailing Address: Health Sciences/Nursing, Copper Mountain College, 66 Rotary Way, Joshua Tree, CA 9 Website:

39 Lead Institution or Organization (provide full name and place an in the appropriate East Los Angeles College Department of Nursing Innovative Practice (provide the name of the program or practice) Education Service LVN to RN Innovative Practice Description (provide a brief description) SFCC/Saint Francis Medical Center in collaboration with East Los Angeles College over the past two years have established a scholarship/grant program that supports students financially, emotionally, and educationally to assist LVNs from their organization in obtaining their RN. Students complete the bridge program and complete the RN program within nine to months, with the promise of obtaining employment at SFMC or one of its partner hospitals. We are currently in the third year of this three year positive collaboration. Partners (provide full name and place an in the appropriate Education Service St Francis Medical Center Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) To move the LVN up the career ladder as positions for the LVN are rapidly going away. Further to help keep potentially good nurses in CA. Measurements-Outcomes (indicate outcomes achieved and measures of success) Successful completion of the program Successful passage of NCLE Job placement as Registered Nurses Cost (indicate the cost of the program or practice) Funding Source(s) (list each and place a in the appropriate Private State Federal Grants - 9 -

40 Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Obtaining financial support to continue the collaboration at the end of years Identify any breakthrough concepts or key learning Students were placed in cohorts of 0 to students that shared like eperiences which seem to motivate each other. The support system provides for the student academically, practically, and emotionally. Advise adaptability of practice to other settings Students quickly adapted to setting utilized by the program outside of their usual settings Provide time frame funded (from month/year to month/year) and plans for sustainability January 008 /0 June 0 Other Comments Name: Lurelean B Gaines Title: Chairperson Organization: East Los Angeles College Contact Phone: Et: [email protected] Mailing Address: 0 Avenida Cesar Chavez Monterey Park CA 97 Website:

41 Lead Institution or Organization (provide full name and place an in the appropriate Evergreen Valley College Innovative Practice (provide the name of the program or practice) Education Service RN to BSN in Nursing Innovative Practice Description (provide a brief description) Provide pathways for RN students to transition into a BS in Nursing program during their last year at community college. Students targeted to graduate from San Jose State University with a BSN within Semesters of entering, versus Semesters Partners (provide full name and place an in the appropriate Education Service Evergreen Valley College San Jose State University Good Samaritan Hospital The Health Trust Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) number ADN to BSN RN Graduates # BSN s Seamless transition for ADN s from community college to -year university Measurements-Outcomes (indicate outcomes achieved and measures of success) Professional Values Scale (baseline at beginning of collaboration, will repeat at completion of BSN program) Qualitative interviews individual and focus groups (multiple interviews throughout the program) Successful completion of university courses while enrolled in the final year of a -year RN degree program Cost (indicate the cost of the program or practice). $ 0,000 -year grant from the Community College Chancellor s Office. $,000 San Jose State University, College of Applied Sciences and Art - year grant to evaluate research data Funding Source(s) (list each and place a in the appropriate Private State Federal Community College Chancellor s Office - -

42 College of Applied Sciences and Arts Grant The Health Trust scholarships for students who meet the criteria of representing underserved populations in nursing, e. g male, Hispanic, Asian Indian, Chinese, Vietnamese, Korean. Were epected outcomes met? Yes (on target) If not met, why? Cohort graduated from EVC and will begin the BSN program at SJSU this week. Research results pending Cohort progressing and will begin at SJSU in fall 0 Identify challenges or issues State Budget cuts. Unanticipated costs to students. Unanticipated roadblocks at the university level policy changes due to budget. Identify any breakthrough concepts or key learning We have research data that suggests this program can work. The SJSU facilitator and a cohort design play a large role in the success of Cohort. Advise adaptability of practice to other settings This type of education pathway can work in other community colleges that also run on the Semester system. A collaboration with more than one community college may increase funding, decrease roadblocks Provide time frame funded (from month/year to month/year) and plans for sustainability Time frame for funding: Jan 009 December 00. Not sustainable due to state budget cuts would need continued funding to provide pay for a program coordinator for the University side (also acts as advisor, facilitator etc) as well as an instructor to teach - classes as needed. Other Comments May 00 we were awarded a grant to evaluate our research to date and are in the process of evaluating the program so far. We have collected quantitative and qualitative data from the onset Name: Deepika Goyal, PhD Title: Associate Professor Organization:San Jose State University Contact Phone: Et: [email protected] Mailing Address: School of Nursing, One, Washington Square, San Jose, CA Website: - -

43 Lead Institution or Organization (provide full name and place an in the appropriate Grossmont College Innovative Practice (provide the name of the program or practice) Education Service Student Success Advisor. NCLE Lunch and Learn. RN Simulation lab coordinator Innovative Practice Description (provide a brief description) Student Success Advisor: Meets with every student in their first semester to assess both educational and socio-economic issues. Faculty refers to the SSA when student remediation is required. NCLE Lunch and Learn: Taught by both the SSA and a faculty member to prepare student in every semester for the NCLE. RN simulation coordinator: Two days per week students in second year float to the simulation lab days in place of hospital clinical. This provides students with the opportunity to provide care for a patient they might not ordinarily be able care for while in the clinical setting. Partners (provide full name and place an in the appropriate Education Service Scripps Healthcare Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Improve retention Improve NCLE pass rates Eposes students in the simulation lab to emergencies and a variety of learning opportunities. Measurements-Outcomes (indicate outcomes achieved and measures of success) Retention improved by 7-0 %. Pass rates on NCLE demonstrate continued improvement with % increase anticipated. Students implement the plan of care effectively at the bedside during an emergency event and/or comple medical/surgical diagnosis. Cost (indicate the cost of the program or practice) $80,000 Funding Source(s) (list each and place a in the appropriate Private State Federal State Chancellor s Grant - -

44 Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Funding for continued support of the SSA. Identify any breakthrough concepts or key learning Early identification of students at risk through eamination of their TEAS score is helpful in preventing attrition. Working with the SSA provides students a safe place to discuss barriers to success. Providing simulation eperiences promotes effective learning in a safe environment. Advise adaptability of practice to other settings Yes Provide time frame funded (from month/year to month/year) and plans for sustainability August -June 0, 0 Other Comments Name: Deborah Yaddow Title: RN,MSN Associate Dean of Nursing Organization: Grossmont College Contact Phone: Et: [email protected] Mailing Address: 8800 Grossmont College Drive El Cajon, Ca. 900 Website: - -

45 Lead Institution or Organization (provide full name and place an in the appropriate Mission College Innovative Practice (provide the name of the program or practice) LVN to RN Role Transition Course Collaboration Education Service Innovative Practice Description (provide a brief description) The innovative practice was the development of collaboration with Evergreen Valley College (EVC) in which the Mission College Nursing Program provides the Role Transition Course (LVNRN0 & LVNRN0A) for the licensed vocational nurse (LVN) seeking advanced placement in Evergreen Valley College s Nursing Program. The two nursing programs agreed that the Mission Role Transition course meets the requirements for course substitution for EVC s Role Transition (NURS00). This collaboration benefited both nursing programs as it helped with course efficiency in terms of enrollment and budget. In addition, the students benefitted in terms of eposure to different nursing programs and future working relationships. Partners (provide full name and place an in the appropriate Education Service Evergreen Valley College Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) student enrollment at Mission College LVN students are provided an opportunity to meet the course requirement for Evergreen Valley College nursing program as low enrolled class was cancelled Measurements-Outcomes (indicate outcomes achieved and measures of success) Successful completion of the role transition course with a score of 7% or better Cost (indicate the cost of the program or practice) - -

46 Funding Source(s) (list each and place a in the appropriate Private State Federal State Apportionment Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Class size required more time for nursing skill check offs Identify any breakthrough concepts or key learning Using simulation for clinical accommodated increased class size Advise adaptability of practice to other settings Easily adaptable to other programs for LVN students advanced placement in generic ADN program Provide time frame funded (from month/year to month/year) and plans for sustainability Plan for second trial cohort in the 0-0 academic year Other Comments Name: Cynthia Harrison Title: Director Registered Nursing (LVN-RN) Program Organization: Mission College Contact Phone: Et: [email protected] Mailing Address: 000 Mission College Blvd. Santa Clara, CA 90 Website: or

47 Lead Institution or Organization (provide full name and place an in the appropriate Modesto Junior College Innovative Practice (provide the name of the program or practice) Distance Education, Internet Protocol Video Cassette Recorder (IP/VCR), Human Patient Simulation Lab. Quality, Safety, Education in Nursing (QSEN) competencies, Enrollment growth Innovative Practice Description (provide a brief description) Education Service Distance Education provides RN education to distance sites within our district using live interactive television IP/VCR provides video streaming for live interaction or archived lectures for access from home or remote sites Human Patient Simulation lab provides high fidelity simulation for interactive learning in a safe environment QSEN Introduction of competencies to increase pt safety and decrease medical errors. d enrollment with funding from Hospital Consortium and Enrollment Growth Grant Partners (provide full name and place an in the appropriate Education Service. Modesto Junior College. Columbia College. Hospital Council of Northern California. CA State Chancellor s Office Enrollment Growth Grant. Doctor s Medical Center 6. Memorial Medical Center 7. Emanuel Medical Center 8. Sonora Regional Medical Center 9. Oak Valley Hospital 0. Doctor s Behavioral Health Center. Kaiser Permanente Medical Center Goal(s) (briefly state primary goals and place an in the appropriate. Epand capacity of RN program to Mother Lode County. 0 students/semester=0, additional faculty, support staff person. Epand access and availability of training. Epand capability of training and increase critical thinking in a safe environment Capacity Faculty Other (please list) Support staff Access to training. Provide faculty training in innovative new approaches for quality and safety competencies in nursing practice. Faculty training Admit a minimum of 7 new students for both Fall and Spring semesters 6 Use grant funding and consortium funding to hire personnel, remodel facilities, provide student support and purchase supplies and equipment needed to operate the A.D.N. program - 7 -

48 Measurements-Outcomes (indicate outcomes achieved and measures of success) 6. Distance Education in Sonora presently has 0 students admitted and 0 graduates. Nursing shortage in the rural area has declined. Evaluations show students using IP/VCR and credit access and availability of archived learning decreases stress and enhances success All students rotate through HPSL and evaluations demonstrate great enthusiasm and appreciation for learning in this setting. Five faculty attended the QSEN conference in Colorado. MJC funded the QSEN speaker to present a conference at MJC and invited neighboring college California State University, Stanislaus. Overwhelmingly positive response to information and plans are to begin incorporating QSEN competencies at both colleges. Enrollments maintain at 7 per semester. Without hospital consortium funding (thru Hospital Council) enrollments would be 0 students per semester. Ongoing support of resources for students, classroom and personnel to accommodate increased enrollment and technology. Hospital consortium supports Full time faculty, 8. part time faculty and classified staff. Cost (indicate the cost of the program or practice) Distance Education unknown absorbed by college. IP/VCR initial cost $,000, college matched funds. HPSL faculty cost ~ $8,000 per year, manikins/supplies ~ $00,000. QSEN - ~$0,000 total. Hospital Consortium $8,000 per year years. Enrollment Grant - $,0 over years (last ). Funding Source(s) (list each and place a in the appropriate Private State Federal College Hospital Consortium (Hospital Council of Northern CA) CA State Chancellor s Office Were epected outcomes met? Yes No If not met, why? Yes Identify challenges or issues Clinical space and college funding. Time to conduct activities and manage grant. Faculty acclimating to distance education and increased challenges of technology use and coordination between departments. Identify any breakthrough concepts or key learning Critical Thinking in HPSL, QSEN concepts, adaptive learning through distance education Advise adaptability of practice to other settings Set policies for distance education and HPSL. Provide time frame funded (from month/year to month/year) and plans for sustainability Time frame for consortium funding is a three year contract from July 009-June 0. Time frame for grant funding is July 008- December 00. A new enrollment grant just begun in July 00- June 0 in the amount of $6,000. Other Comments Name: Lisa Riggs - 8 -

49 Title: A.D.N. Program Director Organization: Modesto Junior College Contact Phone: (09) 7-68 Et: Mailing Address: College Ave. Modesto CA 90 Website:

50 Lead Institution or Organization (provide full name and place an in the appropriate Monterey Peninsula College Innovative Practice (provide the name of the program or practice) Education Service Men in Nursing Project Innovative Practice Description (provide a brief description) The Men in Nursing project was developed as a response to the School of Nursing administration s awareness of high attrition rates among male students. A review of attrition rates in the previous 6 years identified a pattern of higher than normal attrition rates for the men. A review of the literature revealed that higher attrition among men was common in health care educational programs. We developed a plan to better understand and address this phenomenon which included collaboration with a behavioral health specialist colleague, Wayne Lavengood, LCSW, to consult in developing a realistic approach to address the problem. All male students and graduates were invited to a series of meetings to obtain feedback about potential issues and barriers to success in the program for male students. We surveyed male students who had terminated the program prior to graduation. After reviewing the survey results, incorporating suggestions from current and former male students, and reviewing literature related to men in nursing success in educational programs, it was decided to schedule a monthly meeting for male students led by the social worker consultant that provided a format for both general discussion of issues but also a learning opportunity on topics of special interest i.e. issues of touch, communication differences, caring styles. Male RN s actively participated by sharing their own eperiences and suggestions. In addition, the consultant became available to meet with any male nursing student who was eperiencing difficulties that would impact his success. We also recruited a male clinical instructor to serve as a role model for male students. Partners (provide full name and place an in the appropriate Education Service Community Hospital of the Monterey Peninsula Wayne Lavengood, LCSW, retired hospital employee Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) success rate of male students, ultimately increasing the number of RN graduates Measurements-Outcomes (indicate outcomes achieved and measures of success) Male nursing student success rate is actually equivalent to that of female nursing students. Decline in attrition rate for male students from 0% prior to program to % - 0 -

51 Cost (indicate the cost of the program or practice) $6,000 (meetings, events, teambuilding functions) Funding Source(s) (list each and place a in the appropriate Private State Federal RHORC Local private donors who have heard about the project Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Continued funding to provide lunch meetings and reimbursement for the project leader, Mr. Lavengood, LCSW Identify any breakthrough concepts or key learning Mentoring by eperienced nurses, developing and encouraging relationships and sharing among the male students and local RN s Advise adaptability of practice to other settings Any nursing program could establish a similar program; best to not utilize a nursing faculty member to run the monthly meetings, since men seem reluctant to share problems and issues of concern to those who will evaluate them. Provide time frame funded (from month/year to month/year) and plans for sustainability Started in academic year and continues indefinitely. We seek private and grant funding to sustain this, and the male RN s continue to volunteer their time. Other Comments Name: Debra Schulte, RN, EdD Title: Director School of Nursing Organization: Monterey Peninsula College Contact Phone: Et: [email protected] Mailing Address: 980 Fremont St.; Monterey, CA 990 Website: - -

52 Lead Institution or Organization (provide full name and place an in the appropriate Mount St. Mary s College Innovative Practice (provide the name of the program or practice) Education Service RN Eternship Course Innovative Practice Description (provide a brief description) This elective course was developed for newly licensed RNs to strengthen his/her skills acquisition, develop professional role competence, and facilitate the new RN s transition to practice. The course was also suitable for RNs desiring to return to practice by updating their skills in an acute care setting. The course consists of seminar and practicum. Seminar topics included communication and teamwork, patient-centered care, evidence-based practice, quality improvement, informatics, and ethics. The practicum is done under the supervision of one-toone preceptorship, eperiencing clinical analyses and judgments while engaged in patient care in a select nursing area. The student is offered shift and unit preferences, as available Partners (provide full name and place an in the appropriate Education Service Huntington Hospital Goal(s) (briefly state primary goals and place an in the appropriate The purpose of the innovative practice was to provide unemployed newly licensed RNs the opportunity to continue professional role competence while earning college credit. Capacity Faculty Other (please list) Maintain Interest in RN position Measurements-Outcomes (indicate outcomes achieved and measures of success) The course was launched in Fall 00 and received much interest and appreciation. All enrolled students were placed at Huntington with an eperienced preceptor. Many of these students have decided to continue their education in our ADN to MSN program. - -

53 Cost (indicate the cost of the program or practice) Tuition cost for the student is units. Funding Source(s) (list each and place a in the appropriate Private State Federal Student provided own funding. Were epected outcomes met? Yes No If not met, why? Yes Identify challenges or issues This innovative partnership developed quickly and with ease. It was efficient and satisfying to witness a small partnership between education and service evolve into a timely response to the economic climate. Identify any breakthrough concepts or key learning There is significant value in small and spontaneous partnerships especially when both have a vested interest. The pivotal point is the assumption of responsibility shared equally by both partners. Advise adaptability of practice to other settings Absolutely Provide time frame funded (from month/year to month/year) and plans for sustainability This is student-funded. The intent was to fill the void created by the economy by providing a way to sustain the newly licensed or unemployed RN. The practice was not developed as a long-term project. Other Comments Name: Marsha Sato, Director of MSN Programs, Mount St. Mary s College Lynette Dahlman, Manager of Clinical Education, Huntington Hospital Title: (as above) Organization: Mount Saint Mary s College Contact Phone: Marsha Sato Et: [email protected] Mailing Address: 0 Chester Place, Los Angeles Website: - -

54 Lead Institution or Organization (provide full name and place an in the appropriate Mt. San Jacinto College Innovative Practice (provide the name of the program or practice) Education Service ASTAR (Academic Success Through Assessment and Remediation) Innovative Practice Description (provide a brief description) Workshops are administered to students to increase success on the TEAS Testing (Test of Essential Academic Skills) which is mandated by the State Chancellor s Office. There are two separate workshops offered: the Pre-Teas Workshop and the Remediation Workshop. Math, English, Reading, and Science are the subjects reviewed in the workshops. During the Pre-Teas Workshops, each subject matter has three hours of face to face instruction. The TEAS Test is administered - days after the attendance of the workshop. Students that are unsuccessful on the TEAS Test are recommended to attend the Remediation Workshops. These workshops are administered over a course of four weeks. The Remediation Workshops are administered on a Black Board on-line learning platform. There are only two face to face sessions provided. The TEAS Test is administered within - days after attendance of the Remediation Workshop. Mt. San Jacinto College has partnered with two healthcare delivery systems in the Inland Valley area. The service partners screen their employees for interested nursing program applicants. All applicants must meet the Mount San Jacinto College criteria for admission and take the TEAS Test. Partners (provide full name and place an in the appropriate Education Service Southwest Health Care Valley Health System Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Preparation for passing the TEAS eamination Review basic skills for students prior to entrance into the Nursing Program Measurements-Outcomes (indicate outcomes achieved and measures of success) in passing rates on the TEAS Test for first time test takers - -

55 Cost (indicate the cost of the program or practice) 7 Hours of Instruction provided for Pre-Teas and Remediation Workshops Reading & English= hours, Math = 0 hours, Science = hours Hourly rate for each instructor $0. Stipend for ASTAR Coordinator $00 TOTAL COST: $00.00/ semester. (MSJC admits during the Fall and Spring semesters) Funding Source(s) (list each and place a in the appropriate Private State Federal Healthy Community Forum Grant Enrollment Growth Grant Valley Health System and Southwest Health Care System Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Finding qualified faculty willing to work for a small hourly rate. Identify any breakthrough concepts or key learning The four week remediation workshop provided for students that are unsuccessful on the TEAS is very effective on-line with only two face to face meetings. Pharmacology dosage calculation eaminations Advise adaptability of practice to other settings The Pre-Teas Workshops and Remediation Workshops are valuable to the LVN-RN Transition student returning to school from a long academic hiatus. The workshops can also be adapted for students to attend a live on-line method of instruction. A live online method would increase attendance. Provide time frame funded (from month/year to month/year) and plans for sustainability Funded for three years: /007 to /00. Plans for sustainability would be to provide the ASTAR workshops as a fee based course through Community Education. Other Comments Demographic data is being collected and reported to the State Chancellor s Office. A course evaluation is administered to students post attendance of the workshops. Name: Raelene Brooks Title: Assistant Director Registered Nursing Program Organization: Mount San Jacinto College Contact Phone: Et: [email protected] Mailing Address: 87 La Piedra Road, Menifee, CA 98 Website: - -

56 Lead Institution or Organization (provide full name and place an in the appropriate Ohlone Community College District Innovative Practice (provide the name of the program or practice) Education Service Increasing Nursing Student Retention through Simulation Innovative Practice Description (provide a brief description) The Ohlone College Registered Nursing Program offers an Associate of Science Degree program that can be completed in four semesters. The program is accredited by the California BRN and is one of five Northern California associate degree programs to be accredited by the NLNAC. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) capacity of nursing students. Build a state of the art simulation suite. Measurements-Outcomes (indicate outcomes achieved and measures of success) d capacity to students and graduated 8. Built a state of the art simulation lab. Every nursing course utilizes the simulation suite for various student teaching/learning eperiences. Cost (indicate the cost of the program or practice) Funding Source(s) (list each and place a in the appropriate Private State Federal State of California, general Fund 0-6 -

57 Grant from California Community College Chancellor s Office Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Clinical placements for increased student population. Hiring clinical adjunct teaching faculty who would work for the salary the college offered. Identify any breakthrough concepts or key learning First semester students benefit from simulation. Developing a basic patient safety/communication scenario assists students to prepare themselves for their first real live patient care eperience. Last semester students benefit from an all inclusive, multipart scenario which follows a patient from initial admission, through a code blue scenario including a death scenario. Last semester students are able to apply their medical-surgical-communication and psychiatric theory during this three part simulation. Advise adaptability of practice to other settings Scenarios provide an opportunity for nurses to eperience those rare clinical eperiences (such as blood transfusion reactions) and apply hospital protocol, procedures while caring for a patient eperiencing an emergency situation. Provide time frame funded (from month/year to month/year) and plans for sustainability The grant period was from Fall 007 through Spring 00. We are currently researching how we can make our simulation suite into a center other organizations might want to rent for outside education teaching/learning opportunities. Other Comments Name: Dr. Gale Carli Title: Dean, Health Science and Environmental Studies Organization: Ohlone Community College District Contact Phone: Et: [email protected] Mailing Address: 999 Cherry Street, Newark, CA 96 Website:

58 Lead Institution or Organization (provide full name and place an in the appropriate Riverside City College Innovative Practice (provide the name of the program or practice) Education Service Fleible LVN to ADN Program Innovative Practice Description (provide a brief description) Program is designed to allow working LVNs at partner clinical facilities a fleible education where they can access all Nursing lectures from their home or work computers. Lectures are video streamed and may be viewed live or at a time that is convenient for the student. Students come on campus for Skills Labs only and to take eaminations. The program also serves to increase student access to RN courses when additional classroom space is unavailable. Partners (provide full name and place an in the appropriate Education Service Riverside County Regional Medical Center Riverside Community Hospital Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Assist partner institutions in upgrading their LVNs to RNs working LVN access to an RN program Assist in student retention by allowing students to view lectures more than once Measurements-Outcomes (indicate outcomes achieved and measures of success) Over 00 graduates from the program High program demand Ecellent NCLE Pass rates (over 90%) Cost (indicate the cost of the program or practice) Initial equipment costs of appro. $00,000 Funding Source(s) (list each and place a in the appropriate Private State Federal HRSA NEPR Grant - 8 -

59 Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Student follow-up-although instructors are available by phone, computer, or in office, students do not always access them Identify any breakthrough concepts or key learning Advise adaptability of practice to other settings Easily adaptable to other settings Provide time frame funded (from month/year to month/year) and plans for sustainability We are continuing the program due to its popularity Other Comments Name: Sandra Baker, DNP,RN,CNE Title: Dean, School of Nursing Organization: Riverside City College Contact Phone:(9)--808 Et: Mailing Address: 800 Magnolia Ave, Riverside, CA 906 Website:

60 Lead Institution or Organization (provide full name and place an in the appropriate Saddleback College Innovative Practice (provide the name of the program or practice) Education Service Case Manager for Nursing and a Simulation Technician Innovative Practice Description (provide a brief description) Case Manager for Nursing was continued with the enrollment Growth Grant 0- and a Simulation Tech was funded. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Continue to retain students and provide a quality education. Continue to increase capacity Measurements-Outcomes (indicate outcomes achieved and measures of success) Completion rate for the December 00 is approimately 9%. Capacity is maintained at 0 students per year are admitted. NCLE rate for 09-0 was 99.07% Cost (indicate the cost of the program or practice) Testing Margins Funding Source(s) (list each and place a in the appropriate Private State Federal Enrollment Growth Grant

61 Were epected outcomes met? Yes No If not met, why? Identify challenges or issues: Fall classes usually have high attrition. Identify any breakthrough concepts or key learning High grades do not promote retention. Advise adaptability of practice to other settings Provide time frame funded (from month/year to month/year) and plans for sustainability Plan to continue Student Success Case Manager for two more years. Other Comments Name: Tammy Rice, MSN, RN, CNE Title: Assistant Dean of Health Science and Human Services Director of Nursing Organization: Saddleback College Contact Phone: Et: Mailing Address: 800 Marguerite Parkway, Mission Viejo, CA 969 Website:

62 Lead Institution or Organization (provide full name and place an in the appropriate Santa Monica College and Fresno Community College Innovative Practice (provide the name of the program or practice) Education Service Develop seamless ADN-MSN Program Innovative Practice Description (provide a brief description) Develop curriculum, academic policies and admission procedures to facilitate the progression and admission of students at community colleges into BSN and MSN programs California State University Dominguez Hills. Partners (provide full name and place an in the appropriate Education Service California State University Dominguez Hills in Carson, CA California State University Fresno in Fresno, CA California State University Stanislaus Fresno Pacific University National University Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Develop standardized curriculum to facilitate seamless admission and matriculation between community colleges and universities Revise policies as necessary to streamline curriculum and eliminate duplication and overlap of content. number of BSN and MSN-prepared nurses. Measurements-Outcomes (indicate outcomes achieved and measures of success) Recruit and retain nursing students according to pledges made by institutions. Graduation rate above 80% Cost (indicate the cost of the program or practice) Santa Monica Community College $0,000, Fresno Community College $0,000 Funding Source(s) (list each and place a in the appropriate Private State Federal Kaiser Permanente Fund for Health Education at the East Bay Foundation - 6 -

63 Chancellor s Office (Governor s Workforce Initiative) Were epected outcomes met? Yes No If not met, why? Very comple process! Community college students are not yet acculturated to seek higher education. This may change as more clinical facilities seek to hire only new BSN, not ADN graduates. Identify challenges or issues Territorial issues; wide discrepancies in curriculum requirements; lack of resources d tuition fees, budget constraints on medical facilities which have less funds for nursing education Identify any breakthrough concepts or key learning The new law AB 9 may provide a process for community colleges and the universities to collaborate more effectively. Also, the major changes in the nursing workforce market are favoring RNs with higher degrees, putting pressure on those with ADNs to continue their education. Advise adaptability of practice to other settings Need funding for consistent face-to-face meetings over time to achieve true collaboration. Provide time frame funded (from month/year to month/year) and plans for sustainability years and ongoing. Sustainability is helped by the Chancellor s Offices getting involved and supporting the work of the faculty groups. Other Comments This proposed collaboration model is challenging to accomplish given ingrained and disparate historical nursing programs. Name: Carole A. Shea Title: Professor (Former Director of the School of Nursing) Organization: California State University Dominguez Hills Contact Phone: Et: [email protected] Mailing Address: CSU Dominguez Hills, School of Nursing, 000 E. Victoria St, Carson, CA 9077 Website:

64 Lead Institution or Organization (provide full name and place an in the appropriate University of San Francisco School of Nursing Innovative Practice (provide the name of the program or practice) Post-baccalaureate Doctor of Nursing Practice (DNP) program, Family Nurse Practitioner (FNP) emphasis Education Service Innovative Practice Description (provide a brief description) The Doctor of Nursing Practice is an advanced-level practice degree that emphasizes application of research to clinical nursing practice. The degree prepares nurses to function as a healthcare system leader in a wide variety of clinical and administrative environments. This program of study qualifies successful students to be certified as a California Family Nurse Practitioner and to apply for national certification through eamination. Graduates of this program will be qualified to furnish (prescribe) medications and devices, and apply for DEA privileges. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) number of doctorally-prepared nurse leaders Improve patient outcomes through epert evidence-based practice improve patient care Measurements-Outcomes (indicate outcomes achieved and measures of success) Number of DNP graduates Number of DNP students currently completing program Successful accreditation by CCNE Work success of DNP graduates Cost (indicate the cost of the program or practice) Approimately $00 per semester unit; program is 88 units including clinical practica to reach 000 required hours; 60 hours are fulfilled as part of the FNP coursework - 6 -

65 Funding Source(s) (list each and place a in the appropriate Private State Federal Were epected outcomes met? Yes No If not met, why? The FNP program was approved by the BRN in 00 and FNP courses will begin in summer 0. The first BSN to DNP/FNP cohort started in Fall 009 and will graduate with their master s degree in Fall 0. Identify challenges or issues The cohort is limited to students to assure quality clinical eperiences. Identify any breakthrough concepts or key learning The integration of the CNL role (Microsystems perspective) and the DNP role (macro systems approach) prepare nurses to function effectively in a wide variety of healthcare situations. Advise adaptability of practice to other settings Continued encouragement (person, professional and financial) to nurses who wish to provide leadership at the DNP level. Provide time frame funded (from month/year to month/year) and plans for sustainability Post-baccalaureate students enter the program in the Fall semester only. They complete the MSN/Clinical nurse leader degree in the first 6 semesters with coursework integrated at the master s and doctoral level. After receiving their MSN, they continue with DNP and FNP coursework until the completion of the doctoral degree. Other Comments The post-master s DNP/FNP program is 88 semester units including 60 practicum hours to reach the 000 clinical hours required for the DNP degree. Name: Susan Prion EdD, MEd, MSN, RN Title: Associate Professor and Chair, DNP Program Organization: University of San Francisco School of Nursing Contact Phone: Et: [email protected] Mailing Address: Cowell #, University of San Francisco, 0 Fulton Street, San Francisco, CA 97 Website:

66 Lead Institution or Organization (provide full name and place an in the appropriate University of San Francisco School of Nursing Innovative Practice (provide the name of the program or practice) Education Service Post-baccalaureate Doctor of Nursing Practice (DNP) program, Healthcare Systems Leadership (HCSL) emphasis Innovative Practice Description (provide a brief description) The Doctor of Nursing Practice is an advanced-level practice degree that emphasizes application of research to clinical nursing practice. The degree prepares nurses to function as a healthcare system leader in a wide variety of clinical and administrative environments. The BSN to DNP/HCSL program gives graduates both the Microsystems and macro systems perspective when viewing healthcare issues. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) number of doctorally-prepared nurse leaders Improve patient outcomes through epert evidence-based practice improve patient care Measurements-Outcomes (indicate outcomes achieved and measures of success) Number of DNP graduates Number of DNP students currently completing program Successful accreditation by CCNE Work success of DNP graduates Cost (indicate the cost of the program or practice) Approimately $00 per semester unit; program is 88 units including clinical practica to reach 000 required hours; 60 hours are fulfilled as part of the FNP coursework

67 Funding Source(s) (list each and place a in the appropriate Private State Federal Were epected outcomes met? Yes No If not met, why? The first BSN to DNP cohort started in Fall 009 and will graduate with their master s degree in Fall 0. Identify challenges or issues Identify any breakthrough concepts or key learning The integration of the CNL role (Microsystems perspective) and the DNP role (macro systems approach) prepare nurses to function effectively in a wide variety of healthcare situations. Advise adaptability of practice to other settings Continued encouragement (person, professional and financial) to nurses who wish to provide leadership at the DNP level. Provide time frame funded (from month/year to month/year) and plans for sustainability Post-baccalaureate students enter the program in the Fall semester only. They complete the MSN/Clinical nurse leader degree in the first 6 semesters with coursework integrated at the master s and doctoral level. After receiving their MSN, they continue with DNP and HCSL specialty coursework until the completion of the doctoral degree. Other Comments The post-master s DNP/FNP program is 8 semester units including practicum hours to reach the 000 clinical hours required for the DNP degree. Name: Susan Prion EdD, MEd, MSN, RN Title: Associate Professor and Chair, DNP Program Organization: University of San Francisco School of Nursing Contact Phone: Et: [email protected] Mailing Address: Cowell #, University of San Francisco, 0 Fulton Street, San Francisco, CA 97 Website:

68 Lead Institution or Organization (provide full name and place an in the appropriate University of San Francisco School of Nursing Innovative Practice (provide the name of the program or practice) Education Service Post-master s Doctor of Nursing Practice (DNP) program, Family Nurse Practitioner (FNP) emphasis Innovative Practice Description (provide a brief description) The Doctor of Nursing Practice is an advanced-level practice degree that emphasizes application of research to clinical nursing practice. The degree prepares nurses to function as a healthcare system leader in a wide variety of clinical and administrative environments. This program of study qualifies successful students to be certified as a California Family Nurse Practitioner and to apply for national certification through eamination. Graduates of this program will be qualified to furnish (prescribe) medications and devices, and apply for DEA privileges. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate number of doctorally-prepared nurse leaders Capacity Faculty Other (please list) Improve patient outcomes through epert evidence-based practice improve patient care Measurements-Outcomes (indicate outcomes achieved and measures of success) Number of DNP graduates Number of DNP students currently completing program Successful accreditation by CCNE Work success of DNP graduates Cost (indicate the cost of the program or practice) Approimately $00 per semester unit; program is 67 units plus clinical practica to reach 000 required hours; 60 hours are fulfilled as part of the FNP coursework

69 Funding Source(s) (list each and place a in the appropriate Private State Federal Were epected outcomes met? Yes No If not met, why? The FNP program was approved by the BRN in 00 and courses will begin in summer 0. Identify challenges or issues The cohort is limited to students to assure quality clinical eperiences. Identify any breakthrough concepts or key learning DNP graduates are providing critical leadership in translating research findings into improved patient care outcomes. DNP students are mastering doctoral-level skills and contributing in their healthcare settings even before they graduate. Advise adaptability of practice to other settings Continued encouragement (person, professional and financial) to nurses who wish to provide leadership at the DNP level. Provide time frame funded (from month/year to month/year) and plans for sustainability The program is approimately 7-8 semesters in length, including summers. Post-master s students are accepted into the program for Fall and Spring semester starts. Post-baccalaureate students enter the program in the Fall semester only. Other Comments The post-master s DNP/FNP program is 67 semester units including 60 practicum hours to reach the 000 clinical hours required for the DNP degree. Name: Susan Prion EdD, MEd, MSN, RN Title: Associate Professor and Chair, DNP Program Organization: University of San Francisco School of Nursing Contact Phone: Et: [email protected] Mailing Address: Cowell #, University of San Francisco, 0 Fulton Street, San Francisco, CA 97 Website:

70 Lead Institution or Organization (provide full name and place an in the appropriate University of San Francisco School of Nursing Innovative Practice (provide the name of the program or practice) Education Service Post-master s Doctor of Nursing Practice (DNP) program, Healthcare Systems Leadership emphasis Innovative Practice Description (provide a brief description) The Doctor of Nursing Practice is an advanced-level practice degree that emphasizes application of research to clinical nursing practice. The degree prepares nurses to function as a healthcare system leader in a wide variety of clinical and administrative environments. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) number of doctorally-prepared nurse leaders Improve patient outcomes through epert evidence-based practice improve patient care Measurements-Outcomes (indicate outcomes achieved and measures of success) Number of DNP graduates Number of DNP students currently completing program Successful accreditation by CCNE Work success of DNP graduates Cost (indicate the cost of the program or practice) Approimately $00 per semester unit; program is units plus clinical practica to reach 000 required hours Funding Source(s) (list each and place a in the appropriate Private State Federal

71 Were epected outcomes met? Yes No If not met, why? Yes, we graduated our first class in Fall 008 and have already matriculated about 0 students total. Identify challenges or issues The discussion about the role of the DNP graduate continues, and there is an ongoing temptation to highlight the differences among the different doctoral preparations rather than the complimentary and synergistic roles. Identify any breakthrough concepts or key learning DNP graduates are providing critical leadership in translating research finding into improved patient care outcomes. DNP students are mastering doctoral-level skills and contributing in their healthcare settings even before they graduate. Advise adaptability of practice to other settings Continued encouragement (person, professional and financial) to nurses who wish to provide leadership at the DNP level. Provide time frame funded (from month/year to month/year) and plans for sustainability The program is approimately 7-8 semesters in length, including summers. Post-master s students are accepted into the program for Fall and Spring semester starts. Post-baccalaureate students enter the program in the Fall semester only. Other Comments The post-master s DNP/Healthcare Systems Leadership program is semester units plus practicum hours to reach the 000 clinical hours required for the DNP degree. Clinical hours earned in a graduate program are used in the calculation of the 000 hours. Name: Susan Prion EdD, MEd, MSN, RN Title: Associate Professor and Chair, DNP Program Organization: University of San Francisco School of Nursing Contact Phone: Et: [email protected] Mailing Address: Cowell #, University of San Francisco, 0 Fulton Street, San Francisco, CA 97 Website:

72 Lead Institution or Organization (provide full name and place an in the appropriate University of San Francisco School of Nursing Innovative Practice (provide the name of the program or practice) Education Service Post-master s Doctor of Nursing Practice/Eecutive level (EL-DNP) Innovative Practice Description (provide a brief description) The Eecutive Leadership Doctor of Nursing Practice is an advanced-level practice degree that emphasizes application of research to clinical nursing practice at the highest administrative levels. Designed specifically for nurse eecutives, this degree etends and enhances the knowledge, skill and performance of healthcare system leaders in a wide variety of clinical and administrative environments. The curriculum for eecutive leadership is based on the AACN Essentials for DNP, in addition to the AONE core competencies for nursing eecutives. The curriculum also conforms to the standards and epectations set forward by Council on Graduate Education for Administrative Nursing (CGEAN), the American Nurses Association, and the National Center for Healthcare Leadership (NCHL) Health Leadership Competency Model. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) number of doctorally-prepared nurse eecutives Improve patient outcomes through epert evidence-based practice improve patient care Measurements-Outcomes (indicate outcomes achieved and measures of success) Number of DNP graduates Number of DNP students currently completing program Successful accreditation by CCNE Work success of DNP graduates Cost (indicate the cost of the program or practice) Approimately $00 per semester unit; program is a cohort-model, 8 month academic units including clinical practica to reach 000 required hours

73 Funding Source(s) (list each and place a in the appropriate Private State Federal Were epected outcomes met? Yes No If not met, why? The first EL-DNP cohort will start in Spring 0 and will graduate in Summer 0. Identify challenges or issues Identify any breakthrough concepts or key learning The program is structured around three teaching intensives that occur during the semester, with meaningful online learning engagement between intensives, to allow busy nursing eecutives to fulfill both professional and academic epectations. Advise adaptability of practice to other settings Continued encouragement (person, professional and financial) to nurses who wish to provide leadership at the DNP level. Provide time frame funded (from month/year to month/year) and plans for sustainability EL-DNP students enter the program in the Spring semester only and progress with their peers in an 8-month, academic units plus practicum program culminating in the DNP Internship and DNP Project. Other Comments Admission is limited to nursing eecutives at the department/division level or above. Eecutives from all aspects of healthcare delivery and practice are encouraged and invited to participate in this innovative, fast-paced, and informative program. Name: Susan Prion EdD, MEd, MSN, RN Title: Associate Professor and Chair, DNP Program Organization: University of San Francisco School of Nursing Contact Phone: Et: [email protected] Mailing Address: Cowell #, University of San Francisco, 0 Fulton Street, San Francisco, CA 97 Website:

74 Lead Institution or Organization (provide full name and place an in the appropriate Western University of Health Sciences, College of Graduate Nursing Innovative Practice (provide the name of the program or practice) Education Service Healthy Workplace: Building Positive Relationships in Academic and Clinical Practice Innovative Practice Description (provide a brief description) Faculty and staff members attended a workshop highlighting the main elements of crucial conversations and a brief overview of the research and history of to err is human. Each faculty and staff member was given a copy of the book and/or book on tape and requested to read/listen within three months. Because the College adopted the model within the framework of fostering emotional intelligence, there is a common process to utilize when addressing issues and all members understand the professional shared rules of discussion. One director recently distributed the elements of crucial conflicts, and future workshops are planned during faculty and staff retreats. Partners (provide full name and place an in the appropriate Education Service N/A Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) effective communication, satisfaction, motivation, performance, and leadership among faculty and staff. the ability to effectively and efficiently work through disagreements to creatively brainstorm, identify, and adopt new models of ecellence within the college. Measurements-Outcomes (indicate outcomes achieved and measures of success) cohesion and effectiveness of groups and the college. Enhance group s ability to work together on multiple projects and meet deadlines. Create a safe environment where colleagues can work toward a model of appreciative inquiry. Cost (indicate the cost of the program or practice) Purchase of books/cd s for all staff and faculty (6 people) Funding Source(s) (list each and place a in the appropriate Private State Federal College purchased the books for faculty members and adopted book for leadership students Were epected outcomes met? Yes No If not met, why? In progress The model was introduced a few months ago and groups are making progress at varied rates. Anecdotal evidence from various members and Directors of the groups report increased cohesion and ability to focus on dialogue rather than points of disagreement as well as enhanced collegiality. Students report increased empowerment, confidence, and skill in raising issues relating to patient safety and during student learning eperiences. Identify challenges or issues The faculty are divided into four groups based upon the degree granted, which can create divisions. Additionally, some faculty are on and some off campus due to the hybrid program, and many have clinical assignments, creating challenges with meetings, epectations and standards of practice

75 Identify any breakthrough concepts or key learning Having the common understanding of the crucial conversations and the framework to address differences has been useful for moving through conflict and strengthening relationships. Advise adaptability of practice to other settings Integration of the Crucial Conversations into the curriculum and into the practice setting has potential to decrease lateral violence, increase communication across disciplines and within groups of nurses in the clinical setting. This can increase quality, safety, and patient/provider satisfaction. Provide time frame funded (from month/year to month/year) and plans for sustainability Changing how people interact is a cultural shift that requires time to practice and time in faculty development to revisit the topic, the challenges, and provide support. To enhance effectiveness, the college could hire an outside facilitator trained and certified in Crucial Conversations to ensure the faculty and staff are on track and remain on track. Other Comments Name: Jan Boller Title: Director, Nursing Leadership Program; Associate Professor Organization: Western University of Health Sciences, College of Graduate Nursing Contact Phone: Et: [email protected] Mailing Address: 09 E. Second Street, Pomona, CA Website:

76 Lead Institution or Organization (provide full name and place an in the appropriate Western University of Health Sciences, College of Graduate Nursing Innovative Practice (provide the name of the program or practice) Education Service Clinical Scholars Partnership: Academic/Service Collaboration to Enhance Educational and Clinical Outcomes Innovative Practice Description (provide a brief description) The Leadership and Management courses identified key leaders in clinical settings to create partnerships with in designing, delivering, delivering, and evaluating coursework for advanced practice graduate students and to provide faculty partners to advance clinical practice outcomes specific to patient safety and quality. Partner teachers meet with the lead faculty on a course-by-course basis to review the syllabus, discuss epectations and assignments before the semester begins. Partner teachers provide valuable contributions to the lectures and small group activities. They may or may not contribute to testing/grading, feedback on discussion boards in the distance portion of the curriculum, and advise on the direction of capstone projects. In the future, the program plans to incorporate video technology to enable practitioners to provide feedback on presentations and other active demonstrations of skill, without requiring the practitioners to be present. This fleibility may increase the practitioner s ability to contribute and provide feedback. Faculty partners provide coaching and mentoring on health systems and clinical outcomes improvement projects led by the nursing staff. Many of the hospitals are currently pursuing Magnet status and it is anticipated that these partnerships will support progress on the Magnet Journey. Partners (provide full name and place an in the appropriate Education Service Pomona Valley Medical Center Children s Hospital Orange County NorthBay HealthCare Kaiser Permanente Southern California Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Decrease the gap between graduating students preparedness and employer needs. student eposure to leaders in the clinical setting, enhance role understanding, and provide opportunities for dialogue about leadership. Enhance patient safety, quality, and staff development outcomes in the clinical settings. Measurements-Outcomes (indicate outcomes achieved and measures of success) Student feedback on course evaluations and in discussion board threads identifies the contributions of clinical partners in teaching as invaluable in transforming their thinking toward becoming leaders and managers. Clinical partners report high levels of satisfaction in teaching and working with graduate students, as well as intention to return and continue the partnership. Lead faculty report high levels of satisfaction in the partnership, providing students with the opportunity to learn from people in the roles they aspire to attain, and in ensuring the curriculum meets the needs of service and practice. Faculty clinical scholar s project is currently in pilot study phase with NorthBay Health Care and Kaiser Permanente Southern California

77 Cost (indicate the cost of the program or practice) $ College assumes cost of honorariums for adjunct service eperts Funding Source(s) (list each and place a in the appropriate Private State Federal Cost per semester ranges between $,000 - $,000 Were epected outcomes met? Yes No If not met, why? Epectations have been met. The faculty assumes the primary workload of teaching the course and the adjunct faculty member is able to co-create and enrich the curriculum with real world eperiences. Identify challenges or issues Students are required to attend two intensive seminar weekends on campus as part of their hybrid online curriculum. Scheduling for the practice partner needs to be done in advance. Identify any breakthrough concepts or key learning If a scheduling conflict occurs during seminar weekends, lead faculty can use video technology to tape sessions and provide to the partner for feedback as well as asynchronous discussions on the BlackBoard Learning Management System. Advise adaptability of practice to other settings College of Graduate Nursing is now eploring other courses to add content eperts from service for leadership programs. Provide time frame funded (from month/year to month/year) and plans for sustainability These strategies can lead to sustainability and act as a first step in building service academia partnerships. This benefits the students, the curriculum, the school, and the service institution. Other Comments Name: Jan Boller Title: Director of Nursing Leadership Program, Associate Professor Organization: Western University of Health Sciences, College of Graduate Nursing Contact Phone: [email protected] Mailing Address: 09 E. Second Street, Pomona, CA Website:

78 Lead Institution or Organization (provide full name and place an in the appropriate Western University of Health Sciences, College of Graduate Nursing Innovative Practice (provide the name of the program or practice) Education Service ADN to MSN program Innovative Practice Description (provide a brief description) The full time, hybrid program enables students to advance their degree, enhance their earning potential, and increase their capacity for advancing their career. The program offers ADN students three tracks requiring two years for completion (ambulatory care, leadership and management, and clinical nurse leader), and Family Nurse Practitioner in three years. An NLN faculty collaborative research grant proposal for studying transformational learning outcomes was submitted in 00 and not funded. We will resubmit in 0. We are collaborating with Dr. Arlene Morris and Debbie Faulk at Auburn University to replicate their study using Mezirow s theory for transformational learning. Partners (provide full name and place an in the appropriate Education Service No contract is required with a community college. All programs have been reviewed for congruence in curriculum to meet prerequisites. We have been presenting at several community colleges in the area. We have applicants from: Mt San Antonio College, Saddleback College, Riverside Community College, East Los Angeles Community College, College of the Canyons, Victor Valley College. West Coast University, College of the Desert, Pasadena City College, West Los Angeles Community College, Los Angeles Valley College, Los Angeles Harbor College, LA County Medical Center, and Mt. St. Mary s College Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) The ADN MSN program eliminates the need for the BSN and allows the nursing student to advance his or her professional career more quickly. The hybrid program enables the nursing student to maintain his or her full time job in the community where he or she is living, requiring only si weekends on campus per year. This will increase the likelihood that he or she can stay in that community and provide care for more rural areas. Measurements-Outcomes (indicate outcomes achieved and measures of success) Retention and completion rates for student cohorts. Ratings by students on course evaluations. Ratings by preceptors on clinically precepted eperiences with ADN students. Ability of graduates to advance their career into their desired positions. Perceived quality and reputation of the program, combined with recruitment, as evidenced by growing number of applicants and interest in the program

79 Cost (indicate the cost of the program or practice) $ The program costs roughly $,000-$0,000 depending upon the track selected. Funding Source(s) (list each and place a in the appropriate Private State Federal Were epected outcomes met? Yes No If not met, why? The program admitted its second cohort in the Fall 00. Thirteen were admitted in 009 and were admitted in 00. Identify challenges or issues Retention is an issue. Only % in the charter advanced to the MSN. The remaining students either moved to LOA, due to competing job and school workload issues (n=); did not meet academic requirements (n=); or voluntarily withdrew (n=). Course revisions addressed the student workload issue; screened and interviewed course applicants, using the model used for our MSN-E program, which has improved the match between students and the College of Graduate Nursing, and have a structured faculty advisement program for early identification of student issues. Those who moved into Graduate Program studies have been successful graduate scholars. Identify any breakthrough concepts or key learning Integrated students early with the MSN-E and BSN to MSN students as a community of scholars and believe this has been central to successful transition to graduate studies. All students have learned the appreciative inquiry and Crucial Conversations approach; successful in defusing traditional biases among different entry into practice tracks (ADN, BSN, non-nursing Bachelors) Advise adaptability of practice to other settings With appropriate attention to selection, preparation for work/school/family balance issues and preparation for graduate level scholarship we encourage schools to consider the ADN to MSN route for those with advanced education practice as a career plan. Provide time frame funded (from month/year to month/year) and plans for sustainability Other Comments Name: Jan Boller Title: Director of Nursing Leadership Program, Associate Professor Organization: Western University of Health Sciences, College of Graduate Nursing Contact Phone: [email protected] Mailing Address: 09 E. Second Street, Pomona, CA Website:

80 Lead Institution or Organization (provide full name and place an in the appropriate Education Service Western University of Health Sciences, College of Graduate Nursing Innovative Practice (provide the name of the program or practice) Use of technology to evaluate student performance in a preceptored educational clinical practicum for the Master of Science in Nursing Family Nurse Practitioner Program Innovative Practice Description (provide a brief description) For the past several years the the MSN/FNP program utilizes the an electronic tracking system (Typhon Group Healthcare Solutions, Student Tracking System) to ensure students meet the clinical requirements and meet the outcome competencies of the program. Faculty are required to assess student performance each semester. Traditionally this is accomplished by a site visit by a faculty member to each student s site and augmented by our standardized patient program. Due to increasing costs for travel, faculty workload, and the need for more direct communication with students and preceptors, CGN launched a virtual site visit using technology to enhance communication and oversight of students. This is accomplished using Elluminate, video cams, and the encounter is recorded and included in the student s electronic record. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate I the over site and clinical performance/evaluation of MSN/FNP students. Due to the distance format of the MSN/FNP program innovative strategies are needed for clinical faculty to effectively monitor and mentor students. Decrease costs to the College, decrease travel time for faculty and provide for increased timeliness of site visits for an increasing number of students enrolled in the FNP program. CGN students enroll from many states and often in rural and remote locations. Capacity Faculty Other (please list) Measurements-Outcomes (indicate outcomes achieved and measures of success) Typhon tracking log enables faculty to collect additional demographics of patient population (underserved populations) of student encounters which can be helpful in completing grant applications. Faculty can easily monitor student progress and make adjustments in advising or monitoring student progress. Site visits have increased fleibility with increased use of technology, and the college can decrease the high cost of repeated visits to sites that are already approved or in remote locations. This also enables faculty increased time to devote to teaching and research, given reduced travel time. The cost savings is estimated at approimately $,000 annually

81 Cost (indicate the cost of the program or practice) $ Funding Source(s) (list each and place a in the appropriate Private State Federal Were epected outcomes met? Yes No If not met, why? The epected outcomes for Typhon have been met. The virtual site visits were implemented Fall 00, outcome measures are in process. Identify challenges or issues Training is required to enable students to use the Typhon system, and administrative assistance is ongoing. Identify any breakthrough concepts or key learning Advise adaptability of practice to other settings Many other academic institutions can adopt a virtual site visit approach and use electronic software to track student/patient encounters. The software does require customization, which requires more time for implementation. Provide time frame funded (from month/year to month/year) and plans for sustainability Other Comments Name: Diana Lithgow, PhD, FNP-C, RN Title: Assistant Dean of Distance Education, Director MSN/FNP Program, Professor Organization: Western University of Health Sciences, College of Graduate Nursing Contact Phone: Et: [email protected] Mailing Address: 09 E. Second Street, Pomona, CA Website:

82 Lead Institution or Organization (provide full name and place an in the appropriate Western University of Health Sciences, College of Graduate Nursing Innovative Practice (provide the name of the program or practice) Education Service Integrating Simulation into Masters in Nursing Entry Program Innovative Practice Description (provide a brief description) The MSN-E program offers students the ability to enter with a Bachelors degree in a non-nursing field, and complete the prelicensure portion of the curriculum at an accelerated pace (four semesters). Students then choose a track (ambulatory, family nurse practitioner, leadership and management, clinical nurse leader) and complete their master s degree in a total of two or three years. Students in the pre-licensure portion of the curriculum attend a clinical skills lab equipped with medium and high fidelity mannequins. The large lab space enabled the College to create an environment that simulates a hospital setting. Students practice basic skills on patients, work in nursing teams, and simulation case studies where some students emulate providers from other professions. Once each year, nursing students also complete an interprofessional eperience with physical therapy students. The faculty use unfolding case studies. A computerized software system with simulated case studies also facilitates learning by enabling students to view a patient s case file and related material before attending the skills lab. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Provide a safe environment for pre-licensure students who do not have a nursing background to practice basic skills on mannequins and receive real-time feedback from a simulated patient, faculty, and peers. Integrate active skills sessions early in the curriculum before clinical eposure to ensure students are safe to work with patients. student motivation to integrate information and begin critically thinking about patients and situations early in the curriculum. student confidence in skills and comfort in the patient care setting. Measurements-Outcomes (indicate outcomes achieved and measures of success) Students are able to complete health assessments professionally and demonstrate necessary skills. Students complete case studies in a group setting, demonstrating communication and delegation skills. Students receive high ratings from clinical preceptors, especially compared with students from other schools. Cost (indicate the cost of the program or practice) $ - 8 -

83 Funding Source(s) (list each and place a in the appropriate Private State Federal Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Identify any breakthrough concepts or key learning Advise adaptability of practice to other settings Provide time frame funded (from month/year to month/year) and plans for sustainability Other Comments Name: Mary Lopez, PhD, RN, OCN Title: Director of MSN-E Program, Assistant Professor Organization: Western University of Health Sciences, College of Graduate Nursing Contact Phone: [email protected] Mailing Address: 09 E. Second Street, Pomona, CA Website:

84 Lead Institution or Organization (provide full name and place an in the appropriate Western University of Health Sciences Innovative Practice (provide the name of the program or practice) Education Service Testing the EVATEC model for engaged learning Innovative Practice Description (provide a brief description) Dr. Jan Boller and Dr. Shirley Trout (Teachable Moments) developed a model for engaged learning based on transformational and eperiential learning theories and their eperience with applying the theories in practice. The model utilizes si dimensions for designing engaged learning eperiences for learners in all educational settings. The si dimensions include: Gather EVIDENCE to inform a plan; Assess the learning VENUE for parameters (boundaries/limits) and resources (Opportunities); Identify appropriate ACTIVITIES for engaged learning; Place TWISTS into the activities to deepen learning and fill gaps; Stage student EPRESSIONS of what they have learned; and Integrate generative CONVERSATIONS and narrative reflections throughout the learning eperience. Partners (provide full name and place an in the appropriate Education Service Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Enhance learning outcomes for transfer to practice. Optimize effectiveness of teaching/learning time Measurements-Outcomes (indicate outcomes achieved and measures of success) Student satisfaction Learner competence (epression of learning) Teacher satisfaction Three case-based study reports utilizing the model in different educational settings: full-day workshop for new graduates and preceptors; national nursing faculty research conference; community college faculty development workshop Feedback from seasoned faculty member at WesternU who has used this: The EVATEC Model gives a teacher the tools to provide a student-centered classroom eperience whether actual or virtual. It stays true to the method of developing curriculum for the eperienced teacher and allows the novice to begin with practical how to's for transformational learning. The Model has captured what it takes to move a learning eperience from good to great with the step called "Twists". I have been teaching nursing at various levels for years and found the EVATEC Model to help me teach in a trans-formative way - 8 -

85 Cost (indicate the cost of the program or practice) $ Funding Source(s) (list each and place a in the appropriate Private State Federal No eternal funding Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Used most successfully by early adopters and eperienced who have already taken up transformational learning philosophy and are looking for ways to enhance their teaching. For those not familiar with theories for engaged learning, we have written an eplanatory paper and have developed prompts to help the novice move through each of the si design aspects. Masters students are now using the model on small patient education projects. Identify any breakthrough concepts or key learning Positive reports from both novices and eperts in education of more effective use of both planning time as well as teaching and evaluation time. Our focus had been on outcomes, but the time savings will be something to eamine as well with further testing of the model Advise adaptability of practice to other settings Appropriate for all settings: classroom, self-study, distance learning, simulation Provide time frame funded (from month/year to month/year) and plans for sustainability We have applied for research grants to further refine and test the model. So far we have not received funding, but will continue to pursue. Other Comments Name: Jan Boller Title: Associate Professor, Director of ADN to MSN and Leadership Programs Organization: Western University of Health Sciences Contact Phone: School: Cell: Et: [email protected] Mailing Address: 09 E. Second Street, Pomona, CA Website:

86 Innovative Practices and Programs: Hospitals and Health Care Providers

87 Lead Institution or Organization (provide full name and place an in the appropriate Kaiser Permanente Southern California Innovative Practice (provide the name of the program or practice) Education Service Narrowing the Preparation-Practice Gap: A Collaborative Program between Service and Academia Innovative Practice Description (provide a brief description) Develop Kaiser Permanente Staff RNs to assume the role of Clinical Adjunct Faculty. The focus of the partnership has been to increase student nurse competency and improve the clinical learning environment. Partners (provide full name and place an in the appropriate Education Service Kaiser Permanente Southern California Santa Monica College Chaffey College Cal State Fullerton Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) Mentor Kaiser Permanente staff nurses in the role of clinical adjunct faculty. Provide increased learning opportunities for students in the clinical setting by providing clinical adjunct faculty from service for a : student to instructor ratio in selected medical-surgical nursing courses. Improve the clinical learning environment. student nurse competen cy Promote ecellence in nursing education Measurements-Outcomes (indicate outcomes achieved and measures of success) student nurse competency. Program evaluation measurement tool Nurse Self Description Form (NSDF). Improve clinical learning environment on pilot units. Program evaluation measurement tool Clinical Learning Environment Inventory (CLEI) d awareness of QSEN competencies by students, Clinical Adjunct Faculty, and Staff RNs. Program-wide integration of quality & safety curriculum and strategies. Cost (indicate the cost of the program or practice) $0,000 over three years Funding Source(s) (list each and place a in the appropriate Private State Federal

88 Kaiser Permanente (Community Benefits Department) Were epected outcomes met? Yes No If not met, why? Currently at the midpoint in the partnership. Identify challenges or issues Adequate clinical time to implement the planned learning activities. Identify any breakthrough concepts or key learning QSEN pre-licensure competencies Advise adaptability of practice to other settings Could be adapted to any level in the nursing curriculum Provide time frame funded (from month/year to month/year) and plans for sustainability January 009-December 0. No plans for sustainability at this time. Other Comments The students have greatly benefited from having a : ratio in the clinical setting. Students administer medications every day. More time for questioning of students and helping them to develop clinical reasoning. As an instructor, it has been inspiring to collaborate with our Kaiser Permanente service partners. Name: Vini Angel, DNP, RN, CNE Title: Assistant Director, Nursing Program Organization: Santa Monica College Contact Phone: (0) - Et: [email protected] Mailing Address: Santa Monica College, 900 Pico Blvd., Santa Monica, CA, 900 Website:

89 Practices and Programs: Other Organizations

90 Lead Institution or Organization (provide full name and place an in the appropriate California Institute for Nursing & Health Care (CINHC) Innovative Practice (provide the name of the program or practice) Education Service Clinical Faculty Development Program Innovative Practice Description (provide a brief description) This is an intensive educational program to prepare eperienced registered nurses to become effective clinical faculty. Graduates of this program qualify to work as adjunct clinical faculty for ADN and BSN clinical rotations for schools for schools of nursing in California. The unit course provides units of classroom instruction, including both classroom and on-line components, and unit of a clinical teaching practicum working with an eperienced faculty preceptor. The program s framework is consistent with guidelines from major accrediting bodies. There is a participant teaching commitment following completion of the course as a condition of participation in this fully grant funded program. Partners (provide full name and place an in the appropriate Education Service California State University Dominguez Hills Humboldt State University Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) the number of clinical faculty available to help address the faculty shortage Identify eperienced nurses interested in teaching Provide preparation and support the role development of nurses prior to obtaining their first faculty position Measurements-Outcomes (indicate outcomes achieved and measures of success) Graduates will meet or eceed the minimum qualifications of the BRN as an Assistant Instructor. Graduates will be equipped with basic skills and knowledge to effectively lead a clinical rotation of nursing students. Graduates of this program will obtain a clinical faculty position and teach at least one clinical rotation for three semesters or four quarters over three years following completion of the course as part of the conditions of participation for this grant funded program. Cost (indicate the cost of the program or practice) $ 8,000 total funding ( sources) for 6 cohorts: Los Angeles Area (), Humboldt County in rural Northern California (), future locations TBD () Funding Source(s) (list each and place a in the appropriate Private State Federal

91 Kaiser Permanente Southern California Patient Care Services California Employment Development Department (EDD) Workforce Investment Act (WIA) Kaiser Permanente Fund for Health Education at the East Bay Community Foundation in Northern California Were epected outcomes met? Yes No If not met, why? Candidates for the program were pre screened to assure minimum BRN qualifications were met (Assistant Instructor level). A Memorandum of Understanding was implemented to obtain agreement of teaching commitment over a year period following completion. Three courses conducted from October 009 to May 00 for 79 nurses in the Los Angeles region. Several nurses completing the program have obtained adjunct teaching positions with some also considering full time faculty positions. As of July, nurses have taught clinical courses and provided over, hours of clinical instruction working for schools of nursing. Identify challenges or issues Course participants were eperienced nurses generally working full time so scheduling challenges needed to be considered. Communication of schedules in advance of the program, providing full day classes to support fewer scheduled days, and fleible options to self-schedule the 8 hour clinical practicum helped minimize these issues. Lead time to establish MOU agreements with each school providing the clinical practicum need to be considered. Guidance for participants to meet required prerequisites unique to each school and clinical affiliate prior to the start of their clinical practicum requires coordination and monitoring. Identify any breakthrough concepts or key learning There are several contributing factors related to the nursing faculty shortage in California. Eperience with this program found there is not a shortage of eperienced nurses with an interest and passion to teach. This program provided the resources and support needed for nurses to move forward on a career path that included teaching. The course provided nurses with an important foundation of knowledge and skills to succeed in transitioning to clinical faculty roles. Advise adaptability of practice to other settings The course can be adapted and implemented for use in other regions and the candidate selection process modified to target candidates with specific specialties to meet identified faculty shortage needs. Partnership with a nursing school to provide the program and grant course credit is advised to support the transfer of elective course credit toward the ongoing education of nurses enrolled in or considering starting a Masters program. Partnerships with nursing schools in the region to provide faculty as preceptors during their eisting clinical rotations is essential to providing the clinical practicum portion of the course. Provide time frame funded (from month/year to month/year) and plans for sustainability Jan 009 to Dec 0 with combined grant funding from three sources. The course could be offered with some or all of the registration fees paid by course participants if needed. The program can be replicated in other locations as an etended education course offering for a fee, and the materials and services provided in the program adjusted to cover costs. Other Comments Communication and networking with both service and schools in the communities served by the course is advised to assure awareness of the program, provide support for working nurses to attend, and ultimately to link schools with open faculty positions with nurses available to teach. A needs assessment survey of clinical faculty vacancies indicates an ongoing need for courses like this to be provided to both generate interest and support the preparation and role transition of new faculty. Name: Carolyn M. Orlowski, MSN, RN Title: Regional Coordinator Southern California Organization: California Institute for Nursing & Health Care Contact Phone: Et: [email protected] - 9 -

92 Mailing Address: South Figueroa Street, Suite 00 Los Angeles, CA 9007 Website:

93 Lead Institution or Organization (provide full name and place an in the appropriate Health Workforce Initiative Innovative Practice (provide the name of the program or practice) Education Service Preceptor Instructor Program Innovative Practice Description (provide a brief description) Two day Train-the-trainer program for health care educators and eperienced preceptors. A highly interactive and comprehensive workshop provides the participant with the tools and motivation to conduct preceptor training workshops. Emphasis is placed on the preceptor s responsibilities of role model, educator, facilitator, and evaluator. The course encompasses learning styles, facilitating critical thinking, giving feedback, and various teaching techniques to enhance learning. Partners (provide full name and place an in the appropriate Education Service Clinical facilities and education providers Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) To encourage clinical facilities to adopt a formalized preceptor program to increase staff retention and satisfaction and to improve workplace environment. To provide an organized preceptorship for new employees to enhance self confidence, skill and competency development. To provide better preparation for staff preceptors who are assigned to work with schools and students. Measurements-Outcomes (indicate outcomes achieved and measures of success) Clinical facilities will develop formalized preceptor programs. Improved satisfaction of students and new employees in organizations with formalized preceptor programs. Cost (indicate the cost of the program or practice) Participant fee $0 covers materials only. It does not cover food or Instructor time hours or prep time. Funding Source(s) (list each and place a in the appropriate Private State Federal Participant fees - 9 -

94 Health Workforce Initiative Were epected outcomes met? Yes No If not met, why? Identify challenges or issues Convincing administration that formalized preceptor programs are worth the cost. They are more costly up front, but increased retention will save more money in the long run. Identify any breakthrough concepts or key learning Many hospitals are still using a buddy system and have given very little preparation for preceptors. Advise adaptability of practice to other settings Preceptor preparation applies to all work areas and all health occupations. Provide time frame funded (from month/year to month/year) and plans for sustainability Sustainability is through participant fees. Other Comments Curriculum is available on CD at See Product Ordering. It is listed under Resources for California Community College Associate Degree Nursing Programs 0 CD Set. Name: Mary O Connor Title: Director Health Workforce Initiative for Orange, LA, Riverside, San Bernardino Organization: Health Workforce Initiative, Golden West College Contact Phone: Et: [email protected] Mailing Address: 7 Golden West Street, Huntington Beach, CA 967 Website:

95 Lead Institution or Organization (provide full name and place an in the appropriate San Jose Evergreen Community College District (Workforce Institute) Innovative Practice (provide the name of the program or practice) Education Service South Bay RN Transition Program Innovative Practice Description (provide a brief description) The RN Transition program is an immersive 6-week continuing education program specifically created for unemployed new graduate RNs. The purpose of the program is to provide recent RN graduates with preceptor-guided eperiences and interactive didactic seminars. This program provides an opportunity for the newly licensed RN to put all elements of prior learning into guided clinical practice situations and to begin the transition to RN professional role development. A variety of learner-centered strategies will be used that focus on professional role development and leadership skills. To align the program with current practice initiatives, the QSEN competencies are integrated throughout the program s curriculum. Partners (provide full name and place an in the appropriate Education Service San Jose State University Evergreen Valley College Workforce Institute / Evergreen Community College District Santa Clara Valley Medical Center Mission Hospice 6 O Connor Hospital Goal(s) (briefly state primary goals and place an in the appropriate Capacity Faculty Other (please list) s new grad clinical learning using a model that emphasizes RN professional role development and leadership skills. The clinical competency and professional identity of the new grad RNs will be enhanced through course program objectives. Enhance new grad practice and role development Curriculum builds on clinical competencies and utilizes a variety of teaching-learning strategies. Enhance new grad development Provides an opportunity for participants to eperience the continuum of care for the patient population and to maintain knowledge and skills obtained prior to graduation. Enhance new grad development Measurements-Outcomes (indicate outcomes achieved and measures of success) CINHC competency evaluation data Workforce Institute training participant evaluation forms - 9 -

96 Cost (indicate the cost of the program or practice) Funding Source(s) (list each and place a in the appropriate Private State Federal Funded in part by the Gordon and Betty Moore Foundation, Kaiser Permanente Fund for Health Education at the East Bay Community Foundation, and Kaiser Permanente Northern California Community Benefit. Program is managed by the California Institute for Nursing & Health Care (CINHC) Workforce Institute Were epected outcomes met? Yes No If not met, why? Outcome data is not available. Cohort will be completed by Oct., 00. Identify challenges or issues Most services are provided by in kind support. Sustainability beyond grant funding period is questionable. Clerical tasks are overwhelming for faculty providing course content. Identify any breakthrough concepts or key learning Participants identify their post graduate clinical eperiences as highly valuable in learning to develop professionally. Advise adaptability of practice to other settings Provide time frame funded (from month/year to month/year) and plans for sustainability January 00- September 0 Other Comments Cohort January 0; Cohort June 0 Name: Colleen O Leary-Kelley, PhD, RN, CNE / Karen Bawel-Brinkley PhD, RN / Lynette Apen MS, RN /Ingrid Thompson, PhD Title: Co-coordinators of South Bay RN Transition Program Program & Fiscal Management: Workforce Institute Organization: San Jose State University School of Nursing / Evergreen Valley College Contact Phone: [academic program] [program management] [email protected] [academic program] [email protected] [program management] Mailing Address: SJSU, One Washington Square, San Jose, CA [academic program] Workforce Institute, 600 South Bascom Avenue, Suite-T-0, San Jose, CA 98 [program and fiscal management] Website: Et:

97 The Compendium of Innovative Practices, Edition, October 00 can be found on the CINHC Website: Note: The California Institute for Nursing & Health Care embraces successful and innovative strategies for epanding nursing school capacity, but cannot endorse or guarantee the success of any strategy implemented from the compendium