INDIVIDUAL TABLE NOTES. Ohio Action Coalition, Thursday, June 21, Summary Tables 1, 2, 3

Transcription

1 INDIVIDUAL TABLE NOTES Ohio Action Coalition, Thursday, June 21, 2012 Summary Tables 1, 2, 3 Which models appear most promising to advance the current status of educational transformation In Ohio? Priority 1 Accelerated options, RN to BSN, RN to MSN, RN to DNP Priority 2 Common shared regional / statewide Priority 3 Competency based curriculum long term with simulation centers shared [concern that it will become skills based Other Comments Concerns expressed about BSN at Community Colleges [already have RN to BSN programs without enough students] Doctorally prepared faculty a major challenge in Ohio, those in practice salary range causes individuals who have a passion for education to not enter academia Funding for education is a major issue consider a model that would support faculty while they go back for higher education Who in Ohio is already underway with the implementation of the models? How are they working? Accelerated options available in Ohio, articulation available, more ease of RN to BSN with online options Some colleges continue AD to BSN to MSN Mercy College talking about AD to BSN to MSN Owens CC working with OU for BSN seamless transition U Akron has RN to MSN U Toledo has Bachelors to MSN entry level practice CWRU has RN to MSN Wright State and U Toledo have joint DNP Kent State and U Akron have joint PhD No current models at AD or BSN level of common shared curriculum

2 What is the process for getting others on board? Respect integrity of core content [NCLEX content] curriculums tend to vary based on theorist Joint meetings of OCDD and OCADNEA in collaborative working relationship on ongoing basis Get AARP, Insurance industry, and finance to partner with nursing Focus on what is best for nursing and health care Resources needed: tuition support, Change attitude regarding transitioning to BSN What are the challenges that lie ahead for model implementation? OBN and OBR requirements Need to have enough respect for profession to have selective admissions based on set standards Put aside personal agendas and make changes within the profession and not through legislation Increase diversity including male nurses Availability of tuition reimbursement from employers or through vouchers from academics institutions Challenges between public, private, proprietary Multiple theoretical models and curricular frameworks How do Practice Partners fit in with the models? What is the role Practice Partners play? Tuition reimbursement assistance Flexible schedules Clinical faculty availability Student experience while in school for example through float pools Get Long Term Care engaged Involve partners in discussion from the beginning Demand for BSN degree Career Ladder and pay differentials Support expectation that nursing is life long learning Provide assistance for clinical placements

3 What are the next steps for moving forward? Promote partnerships of AD and BSN programs Explore all options Hybrid Model #5 Identify resources Identify stakeholders Develop relationships with legislators Identify state and federal dollars Solidify commitment for nursing to move forward Collect data Make changes in the BON Get more bedside nurses and students involved Consider Oregon s model how did they move forward? Possibilities: Legislate, Grant opportunities, OCADNEA and OCDD working together regularly to discuss these issues

4 Summary of OAC breakout sessions (Tables 4,5,6,7) Table # 4 Table #5 Table #6 Table #7 Facilitators Janet Boeckman Tim Gaspar Penni Lynn Rolen Judy Kinchi-Woods Prioritization of Models Shared Competency Accelerated Options Shared statewide curriculum RN-BSN at Community College (CC) Accelerated options Shared Competency RN- BSN CC Statewide shared curriculum Competency based Shared Statewide RN BSN CC Accelerated options RN BSN CC Shared curriculum (articulation agreements) Accelerated options (some in place now) Who is implementing One or more of the Models? Process for onboarding University of Miami Sinclair CC Urseline University (using QSEN) Create incentives via grants for Implementation. Enbed in accreditation process Increase colleagiality among educators Use grad students to help develop a Plan. Website: adncip.waketech.edu/index.htm Check out University of Northern California U. of Toledo RN to BSN and RN to MSN. DNP with Wright State Coming next RN to DNP Mt Carmel 2 nd degree for 13 mth completion. Option to accelerate to FNP, educator, admin., adult geriatric trauma More info to other nurses about options Need nursing speakers bureau Need clearinghouse of programs (already available) Practice gap pilot Project in NE Ohio LCCC & Ursuline Currently working With four hospitals Agreement on outcomes Between practice and academia. Involve OBN in process Statewide shared competency Articulation agreements Transfer credit Dual admission agreements Common curriculum All of these make it smoother for the students Ongoing dialogue Look at Massachusetts model Challenges for model Cost Aging faculty Funding Lack of data

5 Implementation Role of Practice Partners Next Steps Educators fear of change and job loss No increased pay for increased education Feedback on how the change will impact their employees Need hospital/ education partnerships. Professional organizations adopt and present to public and legislators Use RWJF to support Reduce/decrease elitism Regulatory barriers (OBR, legislators) Attitudinal barriers Develop academic partnerships Develop practice plans Clinical placement of students ( hands on) Need better collegial relationships between practice and academics Keep meeting Resistance to change Personal agendas Dissemination of results and activities NEONI a good model Essential to the education process Practice is the receiver of the educated product Networking Need more data Continue OAC Practice partners meet with deans and directors Continue dialogue Identify common goal(s)

6 Table Model Table 8 Priority Table 9 Priority Table 10 Priority Table 11 Priority RN to BSN at Community College Common Accelerated RN to MSN Competency Based Model Competency Based Accelerated RN-BSN RN to BSN at Community College Common Who is doing? How working? There are CC that may be exploring BSN awarding Who is doing? How working? To a very small degree some BSN programs are working with AD programs on accepting There is in NE Ohio initiative working on common curriculum Small schools have little Process for getting others on board? Need incentives Eliminate barriers Mandate BSN in 10yrs Transdisciplinary models Process for getting others on board? Need to land on a consistent curriculum get BSN to agree on prerequisites Need a professional communications plan to explain to: -Hsp. Presidents -Public Implementation challenges Elimination of barriers Non support from employers Turf barriers Physical & agency resistance Major differences between rural and urban settings Implementation challenges Pre-requisite Model for entry into nursing school Compensation & tuition reimbursement Faculty Shortage-GRE requirement -Evaluate NLNAC & OBN standards Role of practice partners Role of practice partners Creative partnerships for practice partners & academic settings a. Models for Faculty practice partners b. Sharing Simulation Centers c. Grant funding for additional regional centers Next Steps Incentives to nurses agencies and educators to advanced practice education Eliminate barriers Mandate BSN in 10 We have to maximize transdisciplinary models Next Steps Need pre-requisite consolidation models for state Need to evaluate scope of level with education change Public Communication in place

7 influence -Community Partners Collegial conversations to dispel myths of brick and mortar, better than others. Presidents need to get together to strategize. Institutions will be harder to get on board versus nursing groups Figuring out a way to build partnerships, use joint appointments and sharing resources Clinical Placement Federal funding may impact progress Proprietary programs are paying hospitals for clinical Proprietary programs have now put onerous reports on traditional programs (required by OBN) Can t get people to sit down and see larger picture many have demands from their programs They have to help define their expectations of the BSN prepared nurse (vs. AD) Nurses don t always see the advantages of BSN level Cannot differentiate pay unless different job descriptions and expectations Practice expectations need to be realistic, new grad will not function at level of experienced nurse Dialogue between practice and education Funding for faculty shortage, communication place and to manage plan at Executive Director role. More dialogue days Pilot models in different parts of the State Role of OBN/OBR in better alignment Reaching consensus Large proliferation of schools in State of Ohio that might have the same common goal: -cost -seamless transition We have old curriculum now it will take much

8 Miscellaneous Comments Mt. St. Joseph has model for curriculum integration contact Sue Johnson Sinclair to Wright State University Model for Transition Mt. St. Joseph reach out to onsite programs in Cincinnati Creative model RN-BSN clinical rotations for leadership preparation Many have articulation agreements between AD to BSN working better regionally than statewide Students taking courses at CC because less expensive but plan to transfer or go onto university Students purposefully go AD to get license to get job to get paid for next level of education RN-BSN in Community College, Shared, Accelerated options already exist in some forms across the state however many barriers need to remove barriers

9 Tables 12,13,14 Model Table 12 Priority Table 13 Priority Table 14 Priority RN to BSN at Community College Common Accelerated RN to MSN Competency Based Model Competency Based Who is doing? How working? Not occurring in Ohio; NEONI beginning work w/in last year on this w/ hospital leaders, educators, practice leaders Process for getting others on board? OCDD, OCADNEA need to endorse, support, lead; Need to use evidence to drive change; Informational meetings to get word out; Look to OHA entities as the connection or driver to encourage other regions of Ohio to do something similar to NEONI Implementation challenges Requires mindset change; Concerns re: adequate transition of new nurses; Need to clearly define terms and what is being measured and must do it consistently; Finding agreement re: core competencies and assessment metrics; Getting educators to teach differently; Treating students as more than guests when at clinical sites; Emphasis on on-line can be a challenge; Clinical faculty must be on board; Role of practice partners Need to increase collaboration and cooperation; Need to be part of development of competencies; Tuition reimbursement; Scheduling flexibility for staff; Collaboration with faculty and hospitals; Interdisciplinary approach is important Univ. of Akron is an example; Hospital systems are willing to dedicate resources to this (at least at NEONI) Next Steps Connection b/t educator groups OCDD and OCADNEA; Partnerships b/t practice sites and faculty as practitioners to facilitate faculty practice; Mimic NEONI across state; Access grant dollars; Recognize regional diversity may preclude agreement statewide

10 Interdisciplinary exposure not always possible, especially at smaller schools Accelerated RN- BSN Are a number of accredited RN-BSN programs in Ohio (Ex: Mt. Carmel, U. Cincy, Cleveland St.); Lot of Ohio RNs taking only BSN and MSN programs; Ohio should embrace accelerated RN- MSN with BSN opt out; Existing programs (statewide to some extent) are competitive and graduating strong graduates; Ohio should look at RN- DPN programs Need Ohio data; Employer strategy urban employer strategy; rural employer strategy; Report improved outcomes with higher proportion of BSN distribute national/ohio evidence; Demand has led to many options already; Lack of technology; Faculty shortage (teaching and clinical faculty); Uneven salary for RNs BSN salary should be higher to incentivize BSN attainment; Need to build in opportunity to develop diverse student pipeline and diverse workforce; Issues re: step out to BSN must be well thought out; Small schools have limited resources; Getting agreement re: what the DNP or other advanced degrees actually mean; Consistency in preparation; some issues re: access to online programs; some believe programs are too fast and students don t get enough clinical decision making Practice and Education collaboration and dialogue; Practice and students need to identify needs and collaborate with schools to fill need; Support need for APNs in practice setting; Need to change billing practices; Encourage funding by employers of advanced degrees; Make sure employers will employ these folks after completion of advanced degree Need to engage non-nurses; Support for BSN in 10 legislation; Keep the synergy going; Explain differences b/t DNP and PhD in ways that public understands; Require BSN opt out for accelerated programs; Better communication to potential students as to what they are getting into; Educate high school guidance counselors

11 ability; Cost of BSN programs RN to BSN at Community College Common Not occurring in Ohio; Higher priority among non-educators; Educators say too many barriers; Lot of RN-BSN partnerships going on, but not in all parts of state Has been attempted without success; are some agreements b/t AD and BSN programs Miscellaneous Comments AD programs note enough faculty or access to highly educated nurse educators Need improved articulation agreements Nursing program accreditation issues OBN approves programs, but many are not accredited; Fear of poor product/diploma mills (not clear from notes, but I assume this concern relates to proprietary schools)

12 Tables 15, 16, 17 Model Table 15 Priority Table 16 Priority Table 17 Priority RN to BSN at Community College Common Accelerated RN to MSN Competency Based Model Competency Based Accelerated RN- MSN RN to BSN at Community College Common Who is doing? How working? Seems to lead to common curriculum. Doesn t seem to be used currently. Exists at several schools in OH Not widely used. Does not exist currently. More interest in rural areas. Local articulation agreements in NW, NE, Columbus, and Cincinnati Need to be more statewide. AD deans have discussed shared curriculum Process for getting others on board? Communication all nursing schools need to be collaborating so we can get to shared curriculum. Better feedback mechanisms. Implementation challenges Role of practice partners Next Steps

13 General Comments TAG program helping this? Inflammatory language. Funding issues. Need more transparency in curriculum. Faculty shortage and pay for faculty. Where does simulation fit in? Acceptance of extra cost to transition to hospitals Need to be at decision making table. Hospitals & educators collaborate Acceptance of nurse residency programs. Practice may drive change by only hiring BSNs or requiring BSN in 5 years Prayer. Need to be inclusive. Perhaps different groups doing different things. Staying current.