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July 26,2012
Susan Reinhard, PhD, RN, FAAN
Senior Vice President & Director,
AARP Public Policy Institute;
Chief Strategist, Center to Champion
Nursing in America

Mary Sue Gorski, RN, PhD
Regional Education Coordinator, CCNA
ccna.msgorski@gmail.com
                                       2
Maureen Sroczynski, DNP, RN
ccna.msroczynski@gmail.com




Maureen Wallace EdD,RN
ccna.mwallace@gmail.com

                              3
Source: Gajda, R. & Koliba, C. (2007). Evaluating the Imperative of Interorganizational Collaboration.
American Journal of Evaluation, (28)1,26-44
                                                                                                         4
Continuing the Dialogue of the Education Learning Community



• Northeast Regional Meeting Evaluations: Addressing the
  needs of the group
     – What’s in place
     – What’s planned
• Updates on states’ progress since Northeast Meeting
• Identification of ongoing needs
• Next steps and evaluation



                                                              5
• We are all focused on the same goal: Increasing the supply
  of BSN and doctorally prepared nurses
• Each state is moving at its own pace
• CCNA wants to provide support as states continue
  progress toward education transformation

            “This is a marathon, not a sprint”
Thank you for your
      feedback!



www.championnursing.org/webinars


                                   7
You feel confident that you can contribute to the national understanding of the
     four models that have been identified as showing the greatest promise for
                              education transformation.
                                     ….




                                                                                  8
…furthermore you have an understanding of which models will work best in
                                 your state




                                                                           9
And….You feel confident to develop or advance an action plan in your state or region




                                                                                10
You plan on applying this strategy?




                                      11
“What resources or tools do you need to make this strategy work in
                                  your state?
                            Response themes
•     Initial phase consultant to present the Model
•     Identification of ways to implement the Model
•     Concrete examples of the models (schools who are using them)
•     An expert to present to group on selected model




                                                                         12
What you need
    “What resources or tools do you need to make this strategy work in your state?”

           You stated it in many ways but essentially:
•      “Funding, including process to seek funding”
•      “Grants”
•      “Time”, which you stated “equates to money”




                                                                                      13
Previous Funding Webinars
http://championnursing.org/webinars

   10-17-11: Corporate, Foundation and Private Funding: The
    Process and Opportunities for ACs
   11-10-11: Government Funding: The Process and Opportunities
    for ACs
   06-26-12: Exploring Funding Opportunities for Your AC


                                                               14
•   Funding Opportunities for ACs
     APIN (Applications closed)
     SIP (Webinar on July 24 )
          Application deadline August 27, 2012
          FAQ for SIP: http://championnursing.org/FON-SIP
          Individual questions about SIP: SIP@AARP.org

•   Funding Toolkit: “Fundraising Guide for Action Coalitions”

•   Expert Consultation
                                                             15
What you need
Ability to engage stakeholders:
 “Creating consensus”
 “Ongoing contact with this group”
 “Consensus building”            “
 “Buy in “
 “Ability to present to stakeholders”




                                         16
OUR NEW WEBSITE:
                          Coming soon!




Options to easily link to discussions about education topics,
    to review data by state, to pose a question to the group,
                     to share your innovations


                                                                17
•   Partnerships within your own state
    – CCNA Webinar 1/2012 “Recruiting other health
      providers and key stakeholders”
       http://championnursing.org/webinars
    – Education transformation regional meetings
    – Resource Guide
    – National office resources: Contact your national
      liaison

                                                         18
CCNA National Liaisons
Education transformation leader Mary Sue Gorski
           Nursing education experts
          Consultants & staff support
  Existing resources at Championnursing.org
        Presentations at major meetings


                                                  19
Northeast Regional Action Coalition Education Webinar
February 28 – March 1, 2013




                              21
“How do you measure your progress? Dashboard data
           and measuring nurse education”
• Learning from one another
• Sharing best practices




                              23
• All states within the Northeast region have many activities
  occurring within their Action Coalitions

• We are focusing on the education transformation work and
  the information that has been shared with us following the
  Northeast meeting and in recent updates




                                                                24
• Conducting statewide Survey on Utilization of the MA
  Nurse of the Future Core Competencies
• Developing specific goals, strategies and activities
  timeline for a statewide plan for academic progression in
  Nursing
• Conducting an Academic Progression Survey statewide to
  inform the work of developing a statewide Nursing
  Education Transfer Compact
• Success in engaging stakeholders across the state to
  provide funding support




                                                        25
Northeast Perspective on the
Models

         •Has both competency based and shared curriculum
         models within the state
         •CUNY is developing the competency based model in four
         of its community colleges with shared admission criteria
         and seamless progression to two senior colleges
         • St. Joseph‟s College and LeMoyne College have a dual
         degree, dual admission shared curriculum model
         • This model is now being replicated in other colleges in
         various regions of the state including two schools within
         the CUNY system
         •State work is an excellent example of how different
         approaches can be used within a state and even within a
         system to reach the 80/20 goal


                                                            26
• Focused on developing a plan for a competency based
  curriculum
• In discussion with PA Coalition for the Advancement
    of Nursing Education (PCANE) and AC Steering
    Committee to determine if there is consensus on this
    model
• Issued a “white paper” in June of 2012 which involved
  extensive data collection from students and multiple
  constituencies about barriers to advancement,
  institutional support for advancement and education
  capacity

• Well on their way with RN to MSN accelerated model
• Thinking about competency based model
                                                     27
• The Virginia Nurses Association and Board of Nursing
  website has posted school of nursing prerequisites,
  general education courses and nursing curricula
  statewide
• Defining shared curriculum and gaining consensus on
  this model
• Has developed a nursing workforce forecasting model
  for policy development.
• Surveying CNOs on barriers to education and
  supporting innovative strategies to correct
• Surveying current RN to BS students on overcoming
  obstacles to education



                                                    28
•In the process of writing a common
curriculum
•Moving toward a common admissions
application, central portal and common
philosophy with roll out planned for fall of
2013
•Also beginning the discussion of a
competency based curriculum

•Currently developing a plan to move
forward with competency based curriculum
from ADN through BSN
•Focusing on sharing competency based
model framework with education and
practice leaders
                                               29
• Developed competency based model through an
  RWJF PIN grant
• All five nursing programs have completed gap
  analysis on all competencies
• Developed one bridge course to be taught in all
  nursing programs
• Established Charter school for nursing for
  academic progression starting in high school
• Exploring opportunities to develop accelerated
  model for ADN to MSN




                                                30
• Working on a competency based model
• Three partnerships of ADN and BSN programs
  and their practice partners did Gap Analysis of
  curriculum and orientation programs
• Two seamless progression models
• Two new BSN programs (Plymouth and Keene
  State colleges) used competency model to
  develop curriculum
• Next steps - increase education level of
  incumbent workforce ADN to BSN and
  accelerated models




                                                    31
•Working on the competency based model for over a
year
•Beginning exploration of common/shared
 curriculum model
•Action Coalition focused on developing a
marketing/communication plan to engage additional
local funders in education transformation work


•Has two competency based curriculum models at
Norwich University and Castleton State College
•The University of Vermont is focusing on moving the
RN to MSN program to a RN to DNP model



                                                 32
• Deans and Directors Council to sponsor
  statewide education summit to inform practice
  partners across all health care sites on the
  Competency model
• Have a common curriculum among the state
  community colleges
• Also focusing on expanding LPN to RN fast track
  model and overall enrollment in RN to MSN
  programs
• Seeking partnership with Quinnipiac College for
  polling to assist with data analysis




                                               33
• Focusing on competency based model based on
  MA Nurse of the Future Competencies
• Have begun Gap Analysis process within
  partnerships of ADN and BSN programs and
  practice partners with Leadership competency.
• Planning a statewide summit on October 4th to
  share the national perspective on the education
  transformation work
• Meeting with NJ Collaborating Center to focus on
  data needs




                                                     34
• Community Colleges Grant RN to BSN Degree

• Accelerated Options: RN to MSN Programs

• State or Regional Competency Based Programs

• State or Regional Shared Curriculum


                                                35
State or Regional   Community        Accelerated   State/ Regional   Bridge
                Shared or           College RN/BSN   RN-MSN        Competency        course
                Common              comp.                          model
                curriculum
Connecticut     √ AD level                           WOW           Starting
Delaware                                             WOW           Thinking about
Maine           √                                    WOW           √
Maryland                            Starting         WOW           Starting
Massachusetts                                        WOW           √
New Hampshire                                        WOW           √
New Jersey                                           WOW           √
New York        √                                    WOW           √                 √
Pennsylvania                        Starting         WOW           √
Rhode Island                                         Starting      √                 √
Vermont                                              WOW           √
Virginia        √                   Thinking about WOW             Starting
West Virginia   √                   Starting         WOW           √
Agreement on
                    Competencies



                                        Diploma, ADN,
Implementation of
                                         BSN Nursing
     Seamless
   Progression
                                         Programs &
Curriculum Models                          Practice
                                           Partners




          Designing
                                   Gap Analysis
         New Models
                                    Process of
        by Addressing
                                    Curricula
          the Gaps
                                                        37
Agreement on
                         Competencies




•Engage school administration in plan for curriculum redesign
early on in the process
•Can select from various competencies
     •Develop your own
     •QSEN
     • Nurse of the Future
•Align all with AACN Essentials for Baccalaureate Education and
NLN AC Competencies
                                                                  38
Competency Model Process


                          Partnerships of
                         Diploma, AD, BS
                        Nursing Programs &
                         Practice Partners




    •Practice partners bring insight into current healthcare
    environment and clinical learning opportunities
    •May begin with “coalition of the willing”




                                                               39
Competency Model Process


                                     Gap
                               Analysis Process




  •Technique for determining the steps to be taken in moving from a
  current state to a desired future state.
  •It begins with the present situation (“what is”), cross-lists factors required
  to achieve the future objectives (“what could be”), and then highlights the
  „gaps' that exist and need to be 'filled‟.
  • Diploma, AD and BS programs assess curriculum against
  competencies
  •Must demonstrate evidence of the competency in curriculum or clinical
  experiences
  •Practice partners may examine orientation programs                               40
Gap Analysis Process Sample

                Competencies


1. Assessment of Current Status               How many opportunities are currently available for your
                                              students to learn the K/A/S by graduation?
2. Validation of Current Status               Where are these learning opportunities in your curriculum
                                              and how are they taught? Can include course objectives,
                                              lecture content , clinical objectives, clinical experiences,
                                              written assignments , case studies or other documented
                                              evidence and how evaluated

3. Desired Outcomes Nursing Program           How many opportunities do you (the faculty) believe
                                              should be available for your students to learn the K/A/S by
                                              graduation
4. Desired Outcomes Practice Partner(s)       How many opportunities does your practice partner believe
                                              should be available for your students to learn the K/A/S by
                                              graduation?
5. GAP Between Desired Outcomes and Current
Status

6. GAP Between Practice Partners Desired
Outcomes and Nursing Program Desired
Outcomes
Designing New Models
                            by
                   Addressing the Gaps




•May be designed at undergraduate level or within RN to BSN
programs
•May involve dual or co-admission
•May involve assessment and/or alignment of prerequisites,
general education requirements and credit transfer issues
which will necessitate involvement of school administration


                                                              42
Implementation of
                   Seamless Progression
                    Curriculum Models




•Competency based models provide seamless progression models
•Competency based models can also serve as foundation for
shared or common curriculum models
•Some models based on 1 plus 2 plus 1 approach
•Some states have begun with a cohort approach that can be
expanded within a system or across the state or region




                                                               43
Agreement on
                    Competencies




Implementation of                       Diploma, ADN,
     Seamless                            BSN Nursing
   Progression                           Programs &
Curriculum Models                          Practice
                                           Partners




          Designing
                                   Gap Analysis
         New Models
                                    Process of
        by Addressing
                                    Curricula
          the Gaps
                                                        44
• This process addresses the fact that education and practice
  do not always speak the same language
• Practice needs be involved early in the review and
  development of new curriculum models
• Diploma, AD and BS programs all have gaps in reviewing
  current competency models
• Divergence and convergence are part of the process
• Iterative process of innovation

                                                           45
Maureen Sroczynski, DNP, RN
ccna.msroczynski@gmail.com




Maureen Wallace EdD,RN
ccna.mwallace@gmail.com

                              46
• Education Learning Collaborative

• Summary document from Regional meetings

• Please continue to provide input about how we can best
  help you advance nursing education progression!



                                                           50
• Please take a few moments to complete the survey
  online.
   – In a moment the survey will be on your screen.
   – When you have completed the survey, click done.
   – You will be re-directed the Center to Champion Nursing in
     America’s website. You can close your browser when complete.




                                                                48

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Northeast Regional Action Coalition Education Webinar

  • 2. Susan Reinhard, PhD, RN, FAAN Senior Vice President & Director, AARP Public Policy Institute; Chief Strategist, Center to Champion Nursing in America Mary Sue Gorski, RN, PhD Regional Education Coordinator, CCNA ccna.msgorski@gmail.com 2
  • 3. Maureen Sroczynski, DNP, RN ccna.msroczynski@gmail.com Maureen Wallace EdD,RN ccna.mwallace@gmail.com 3
  • 4. Source: Gajda, R. & Koliba, C. (2007). Evaluating the Imperative of Interorganizational Collaboration. American Journal of Evaluation, (28)1,26-44 4
  • 5. Continuing the Dialogue of the Education Learning Community • Northeast Regional Meeting Evaluations: Addressing the needs of the group – What’s in place – What’s planned • Updates on states’ progress since Northeast Meeting • Identification of ongoing needs • Next steps and evaluation 5
  • 6. • We are all focused on the same goal: Increasing the supply of BSN and doctorally prepared nurses • Each state is moving at its own pace • CCNA wants to provide support as states continue progress toward education transformation “This is a marathon, not a sprint”
  • 7. Thank you for your feedback! www.championnursing.org/webinars 7
  • 8. You feel confident that you can contribute to the national understanding of the four models that have been identified as showing the greatest promise for education transformation. …. 8
  • 9. …furthermore you have an understanding of which models will work best in your state 9
  • 10. And….You feel confident to develop or advance an action plan in your state or region 10
  • 11. You plan on applying this strategy? 11
  • 12. “What resources or tools do you need to make this strategy work in your state? Response themes • Initial phase consultant to present the Model • Identification of ways to implement the Model • Concrete examples of the models (schools who are using them) • An expert to present to group on selected model 12
  • 13. What you need “What resources or tools do you need to make this strategy work in your state?” You stated it in many ways but essentially: • “Funding, including process to seek funding” • “Grants” • “Time”, which you stated “equates to money” 13
  • 14. Previous Funding Webinars http://championnursing.org/webinars  10-17-11: Corporate, Foundation and Private Funding: The Process and Opportunities for ACs  11-10-11: Government Funding: The Process and Opportunities for ACs  06-26-12: Exploring Funding Opportunities for Your AC 14
  • 15. Funding Opportunities for ACs  APIN (Applications closed)  SIP (Webinar on July 24 )  Application deadline August 27, 2012  FAQ for SIP: http://championnursing.org/FON-SIP  Individual questions about SIP: SIP@AARP.org • Funding Toolkit: “Fundraising Guide for Action Coalitions” • Expert Consultation 15
  • 16. What you need Ability to engage stakeholders:  “Creating consensus”  “Ongoing contact with this group”  “Consensus building” “  “Buy in “  “Ability to present to stakeholders” 16
  • 17. OUR NEW WEBSITE: Coming soon! Options to easily link to discussions about education topics, to review data by state, to pose a question to the group, to share your innovations 17
  • 18. Partnerships within your own state – CCNA Webinar 1/2012 “Recruiting other health providers and key stakeholders” http://championnursing.org/webinars – Education transformation regional meetings – Resource Guide – National office resources: Contact your national liaison 18
  • 19. CCNA National Liaisons Education transformation leader Mary Sue Gorski Nursing education experts Consultants & staff support Existing resources at Championnursing.org Presentations at major meetings 19
  • 21. February 28 – March 1, 2013 21
  • 22. “How do you measure your progress? Dashboard data and measuring nurse education”
  • 23. • Learning from one another • Sharing best practices 23
  • 24. • All states within the Northeast region have many activities occurring within their Action Coalitions • We are focusing on the education transformation work and the information that has been shared with us following the Northeast meeting and in recent updates 24
  • 25. • Conducting statewide Survey on Utilization of the MA Nurse of the Future Core Competencies • Developing specific goals, strategies and activities timeline for a statewide plan for academic progression in Nursing • Conducting an Academic Progression Survey statewide to inform the work of developing a statewide Nursing Education Transfer Compact • Success in engaging stakeholders across the state to provide funding support 25
  • 26. Northeast Perspective on the Models •Has both competency based and shared curriculum models within the state •CUNY is developing the competency based model in four of its community colleges with shared admission criteria and seamless progression to two senior colleges • St. Joseph‟s College and LeMoyne College have a dual degree, dual admission shared curriculum model • This model is now being replicated in other colleges in various regions of the state including two schools within the CUNY system •State work is an excellent example of how different approaches can be used within a state and even within a system to reach the 80/20 goal 26
  • 27. • Focused on developing a plan for a competency based curriculum • In discussion with PA Coalition for the Advancement of Nursing Education (PCANE) and AC Steering Committee to determine if there is consensus on this model • Issued a “white paper” in June of 2012 which involved extensive data collection from students and multiple constituencies about barriers to advancement, institutional support for advancement and education capacity • Well on their way with RN to MSN accelerated model • Thinking about competency based model 27
  • 28. • The Virginia Nurses Association and Board of Nursing website has posted school of nursing prerequisites, general education courses and nursing curricula statewide • Defining shared curriculum and gaining consensus on this model • Has developed a nursing workforce forecasting model for policy development. • Surveying CNOs on barriers to education and supporting innovative strategies to correct • Surveying current RN to BS students on overcoming obstacles to education 28
  • 29. •In the process of writing a common curriculum •Moving toward a common admissions application, central portal and common philosophy with roll out planned for fall of 2013 •Also beginning the discussion of a competency based curriculum •Currently developing a plan to move forward with competency based curriculum from ADN through BSN •Focusing on sharing competency based model framework with education and practice leaders 29
  • 30. • Developed competency based model through an RWJF PIN grant • All five nursing programs have completed gap analysis on all competencies • Developed one bridge course to be taught in all nursing programs • Established Charter school for nursing for academic progression starting in high school • Exploring opportunities to develop accelerated model for ADN to MSN 30
  • 31. • Working on a competency based model • Three partnerships of ADN and BSN programs and their practice partners did Gap Analysis of curriculum and orientation programs • Two seamless progression models • Two new BSN programs (Plymouth and Keene State colleges) used competency model to develop curriculum • Next steps - increase education level of incumbent workforce ADN to BSN and accelerated models 31
  • 32. •Working on the competency based model for over a year •Beginning exploration of common/shared curriculum model •Action Coalition focused on developing a marketing/communication plan to engage additional local funders in education transformation work •Has two competency based curriculum models at Norwich University and Castleton State College •The University of Vermont is focusing on moving the RN to MSN program to a RN to DNP model 32
  • 33. • Deans and Directors Council to sponsor statewide education summit to inform practice partners across all health care sites on the Competency model • Have a common curriculum among the state community colleges • Also focusing on expanding LPN to RN fast track model and overall enrollment in RN to MSN programs • Seeking partnership with Quinnipiac College for polling to assist with data analysis 33
  • 34. • Focusing on competency based model based on MA Nurse of the Future Competencies • Have begun Gap Analysis process within partnerships of ADN and BSN programs and practice partners with Leadership competency. • Planning a statewide summit on October 4th to share the national perspective on the education transformation work • Meeting with NJ Collaborating Center to focus on data needs 34
  • 35. • Community Colleges Grant RN to BSN Degree • Accelerated Options: RN to MSN Programs • State or Regional Competency Based Programs • State or Regional Shared Curriculum 35
  • 36. State or Regional Community Accelerated State/ Regional Bridge Shared or College RN/BSN RN-MSN Competency course Common comp. model curriculum Connecticut √ AD level WOW Starting Delaware WOW Thinking about Maine √ WOW √ Maryland Starting WOW Starting Massachusetts WOW √ New Hampshire WOW √ New Jersey WOW √ New York √ WOW √ √ Pennsylvania Starting WOW √ Rhode Island Starting √ √ Vermont WOW √ Virginia √ Thinking about WOW Starting West Virginia √ Starting WOW √
  • 37. Agreement on Competencies Diploma, ADN, Implementation of BSN Nursing Seamless Progression Programs & Curriculum Models Practice Partners Designing Gap Analysis New Models Process of by Addressing Curricula the Gaps 37
  • 38. Agreement on Competencies •Engage school administration in plan for curriculum redesign early on in the process •Can select from various competencies •Develop your own •QSEN • Nurse of the Future •Align all with AACN Essentials for Baccalaureate Education and NLN AC Competencies 38
  • 39. Competency Model Process Partnerships of Diploma, AD, BS Nursing Programs & Practice Partners •Practice partners bring insight into current healthcare environment and clinical learning opportunities •May begin with “coalition of the willing” 39
  • 40. Competency Model Process Gap Analysis Process •Technique for determining the steps to be taken in moving from a current state to a desired future state. •It begins with the present situation (“what is”), cross-lists factors required to achieve the future objectives (“what could be”), and then highlights the „gaps' that exist and need to be 'filled‟. • Diploma, AD and BS programs assess curriculum against competencies •Must demonstrate evidence of the competency in curriculum or clinical experiences •Practice partners may examine orientation programs 40
  • 41. Gap Analysis Process Sample Competencies 1. Assessment of Current Status How many opportunities are currently available for your students to learn the K/A/S by graduation? 2. Validation of Current Status Where are these learning opportunities in your curriculum and how are they taught? Can include course objectives, lecture content , clinical objectives, clinical experiences, written assignments , case studies or other documented evidence and how evaluated 3. Desired Outcomes Nursing Program How many opportunities do you (the faculty) believe should be available for your students to learn the K/A/S by graduation 4. Desired Outcomes Practice Partner(s) How many opportunities does your practice partner believe should be available for your students to learn the K/A/S by graduation? 5. GAP Between Desired Outcomes and Current Status 6. GAP Between Practice Partners Desired Outcomes and Nursing Program Desired Outcomes
  • 42. Designing New Models by Addressing the Gaps •May be designed at undergraduate level or within RN to BSN programs •May involve dual or co-admission •May involve assessment and/or alignment of prerequisites, general education requirements and credit transfer issues which will necessitate involvement of school administration 42
  • 43. Implementation of Seamless Progression Curriculum Models •Competency based models provide seamless progression models •Competency based models can also serve as foundation for shared or common curriculum models •Some models based on 1 plus 2 plus 1 approach •Some states have begun with a cohort approach that can be expanded within a system or across the state or region 43
  • 44. Agreement on Competencies Implementation of Diploma, ADN, Seamless BSN Nursing Progression Programs & Curriculum Models Practice Partners Designing Gap Analysis New Models Process of by Addressing Curricula the Gaps 44
  • 45. • This process addresses the fact that education and practice do not always speak the same language • Practice needs be involved early in the review and development of new curriculum models • Diploma, AD and BS programs all have gaps in reviewing current competency models • Divergence and convergence are part of the process • Iterative process of innovation 45
  • 46. Maureen Sroczynski, DNP, RN ccna.msroczynski@gmail.com Maureen Wallace EdD,RN ccna.mwallace@gmail.com 46
  • 47. • Education Learning Collaborative • Summary document from Regional meetings • Please continue to provide input about how we can best help you advance nursing education progression! 50
  • 48. • Please take a few moments to complete the survey online. – In a moment the survey will be on your screen. – When you have completed the survey, click done. – You will be re-directed the Center to Champion Nursing in America’s website. You can close your browser when complete. 48

Notes de l'éditeur

  1. I would like to welcome everyone to the Northeast Regional Action Coalition Education Webinar. This is a follow-up to our the in-person Northeast Regional Education Meeting held in Princeton New Jersey this past May. Many of you are on the webinar from that meeting and hopefully some additional folks who are part of the Action Coalition education workgroups are on with us as well. Our goal here is to keep everyone updated, connected, and to continue the dialogue. Dr. Mary Sue Gorski, who many of you probably already know, is the Center to Champion Nursing in America’s Regional Education Coordinator. Mary Sue is leading our work on the education pillar and has been instrumental in facilitating the Campaign's Learning Collaborative on Advancing Education Transformation. Mary Sue coordinates the Regional Experts whom I am sure you have all met or will be meeting. She lead the planning and implementation of the four Regional Education Meetings as well as these follow-up regional webinars. So…Mary Sue I will turn it over to you.