Division of Nursing Technical Assistance Workshop

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Division of Nursing Technical Assistance Workshop

• Advanced Education Nursing Program
• September 10-11, 2009 (Rockville, MD)
• September 28-29, 2009 (Denver, CO)
• Irene Sandvold, DrPH, CNM, FACNM
• U.S. Department of Health and Human Services
• Health Resources and Services Administration
• Bureau of Health Professions
• Division of Nursing

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Purpose

• Enhancement of advanced nursing education and
  practice
• Traineeships for individuals in advanced
  education nursing programs

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Advanced Education Nursing (AEN) Programs

• Levels of Programs
• Masters and Doctoral programs
• Combined RN/Masters programs
• Post-nursing Masters certificate programs
• Certificate nurse-midwifery programs in existence
  on November 12, 1998

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Advanced Education Nurses

• Primary Care Nurse Practitioners
• Acute Care Nurse Practitioners
• Nurse-Midwives
• Nurse Anesthetists
• Clinical Nurse Specialists

• Nurse Educators
• Nurse Administrators
• Public Health Nurses
• Other Nurse Specialties as Determined by the
  Secretary

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Submission

• Electronic submission
• Submission Date - (proposed) December , 2009.
• Page Limit
• Single specialty (includes blended) 65 pages
• Two or more specialties 80 pages
• Note SF 424 RR Forms are not included in
• page limit.

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Eligibility

• Accredited schools of nursing
• Academic health centers and
• Other public or private, nonprofit and for-profit
  entities capable of carrying out the legislative
  purpose.

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Length of Support

• Competing New Applications
• Three (3) years
• Competing Continuations
• Three (3) years
• No planning year allowed Projects should be
  ready to enroll students in the first possible
  semester/quarter after funding.

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Guidelines for AEN Programs

• Graduates must be eligible for national nursing
  organization certification in advanced practice
  (one of the four advanced practice registered
  nurse roles (APRN)) or in another recognized
  advanced area of nursing practice that is not one
  of the four APRN roles.
• The applicant must indicate the guidelines and
• competencies used by the program(s) seeking
• support.

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Guidelines for AEN Programs (Cont.)

• Healthy People 2010
• Federal, State or regional plans or priorities as
  available
• Example State Teams
• Established guidelines from professional
  associations
• Linkages

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• Guidelines for Specific Educational Programs

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Program Guidelines - Nurse Practitioner
and Nurse-Midwifery Programs

• Meet professional educational guidelines
• Organization and administration
• Length of program
• Faculty qualifications
• Resources
• Curriculum - educate nurses for primary health
  care
• Student enrollment reasonable for scope of
  project and cost

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Program Guidelines - Public Health Nursing

• Provide education in the public health sciences,
  interdisciplinary academic and practice
  experiences, and identify what and how public
  health nursing competencies are achieved
• Focus preparing advanced practice nurses to meet
  population needs

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Program Guidelines for - Doctoral Programs

• Research Doctoral program applications should be
  consistent with the most recent indicators for
  doctoral education, Indicators of Quality in
  Research Focused Doctoral Programs in Nursing
  published by the American Association of Colleges
  of Nursing (AACN).
• Doctor of Nursing Practice (DNP) Programs should
  be consistent with current AACN Essentials of
  Doctoral Education for Advanced Nursing Practice.

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Review Criteria

• Need for the proposed project (purpose and
  rationale), justification of competing
  continuation
• Response Project Plan
• Project Objectives
• Methods Specific Activities by year
• Project Evaluation
• Enrollment plans
• Curriculum
• Competencies Quality (Distance Learning as
  applicable)
• Approvals and Accreditation
• Adherence to guidelines
• Dissemination plans

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Review Criteria (cont.)

• Evaluative Measures
• Impact
• - Plan for dissemination
• - Plan for sustaining the program after
  project funding period is complete
• - Replicability

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Review Criteria (cont.)

• Resources/Capabilities
• Organizational Information
• Project Management
• Resources
• Capabilities
• Support Requested
• Reasonable budget
• Well justified by line item

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Review Criteria (cont.)

• Diversity and Cultural Competence
• Diversity
• - Institutional experience and plan
• School of Nursing past performance
• Specific plan for recruitment, retention and
  graduation of students from
• underrepresented minority groups
• low income/ disadvantaged backgrounds

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Review Criteria (cont.)

• Cultural Competence
• Institutional plan to develop culturally and
  linguistically competent graduates
• Plan for the preparation of graduates to provide
  culturally competent care

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How thoroughly did I address the review
criteria??????

• Review Criteria_____
• Need
• Response
• Evaluative Measures
• Impact
• Resources
• Support Requested
• Diversity and Cultural Competence

• Section and/or Page
• Introduction and need, p. ____

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Applications that Request Support for Two or More
Specialties

• Support for projects is from one or more of the
  following categories
• Primary Care Nurse Practitioner and Nurse-Midwife
• Acute Care Nurse Practitioner
• Nurse Anesthetist
• Clinical Nurse Specialist
• Public Health Nurse
• Administration
• Education
• Others as determined by the Secretary

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Applications that Request Support for Two or More
Specialties

• 80 page limit
• One project director
• Graduates from each specialty
• must be eligible to sit for
• certification examinations,
• as available for the specialty.

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Budget

• Each application must include a
• Detailed budget for all 3 years, as indicated in
  the SF 424 RR Form
• Line item justification for each year
• Consolidated budget for all years
• Listing of in-kind contributions

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• Specific Instructions for Completing
• the AEN Application Narrative

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Abstract (Summary) of Project

• Abstract
• Limited to 1 page
• Purpose and rationale
• Objectives
• Methodology
• Evaluation
• Projected number of enrollees and graduates
• Preference
• Certification

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Project Title

• Please put a brief descriptive title of the
  project on the Face Page.
• For example
• Preparing Family Nurse Practitioners for
  Rural/Underserved areas
• Enhancing Cultural Competence for Geriatric Nurse
  Practitioners (GNP) and Geriatric Clinical Nurse
  Specialists (GCNS) and
• Developing a new Nurse Anesthetist Program using
  Distance Learning Methods

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Outline for Project Narrative

• Introduction
• Purpose of the project consistent with the
  legislative purpose
• Needs Assessment and Rationale
• - Progress report for competing continuation
• Methodology (Refer to Work Plan Section)

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Outline for Project Narrative (cont.)

• Work Plan
• Objectives
• Competing Continuations
• Methodology
• Activities
• Timetable
• Project Evaluation Plan
• Dissemination of Activities and Products

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Outline for Project Narrative (cont.)

• - Curriculum
• Overview
• Plan of Study (FT and PT)
• Course Information
• Clinical Experience
• Electronic Distance Learning Methodologies

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Outline for Project Narrative (cont.)

• Competencies
• Program Accreditation
• Program Approvals
• Program Requirements

• Enrollment
• Diversity
• Cultural Competence

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Outline for Project Narrative (cont.)

• Funding Factor
• Resolution of Challenges
• Evaluation and Technical Support Capacity
• Organizational Information
• Project Management, Resources and Capability
• Capabilities of the Applicants Organization
• Sustainability
• Replicability

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Project Narrative Instructions

• Specific Guidance
• Project Synopsis
• Comprehensive Framework of Proposed Project
• Use Section Headers

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Introduction - Purpose

• Identify the purpose of the project consistent
  with the legislative purpose

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Needs Assessment

• Document the need for the project / population(s)
  to be served
• Relationship to Federal, State, or local plans or
  priorities

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Needs Assessment (cont.)

• Data on the prospective students interest,
  eligibility and demographics, student pool
• Progress Report for competing continuation
  applications
• Anticipated barriers and challenges and how you
  propose to surmount them

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Work Plan/Methodology - Objectives

• Specific, measurable, time-framed, achievable
• Relate to the project purpose(s) and identified
  needs
• Include objectives that incorporate
• BHPr Goals
• Healthy People 2010
• Linkages
• Preference

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Work Plan/Methodology - Competing
Continuations

• Competing Continuations are an extension of an
  existing project
• Must justify the need for 3 additional years of
  support
• Provide a Progress Report on meeting original
  project objectives
• Identify gaps in achievement of objectives and
  work that remains to be done

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Work Plan/Methodology

• Activities to meet each project objective and
• sub-objective
• You may choose to display this information in a
  table in addition to narrative format
• Example Year 1 Overall Objective..

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Work Plan/Methodology (cont.)

• Includes
• Specific Objectives
• Activities
• Timetable
• Project Evaluation Plan
• Dissemination of activities and outputs/products
  from project

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Work Plan/Methodology - Curriculum

• Overview
• Plan of study by semester/quarter
• Academic and clinical hours
• Course Information/Topical Outline
• Clinical Experience
• Populations and sites
• Formal and informal linkages/partnerships
• Preceptor and site selection criteria
• Electronic Distance Learning Methodologies
• If applicable

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Work Plan/Methodology Competencies

• Identify national nursing organization
  competencies related to the program seeking
  support.
• Identify competencies of graduates of this
  project.

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Work Plan/Methodology Program Accreditation

• A collegiate school of nursing graduate program
  must be accredited by a national nursing
  accrediting agency recognized by the Secretary of
  Education.
• National League for Nursing Accreditation
  Commission (NLNAC) or
• Commission on Collegiate Nursing Education
  (CCNE).
• Both institutional and graduate nursing program
  accreditations are required before the
  application can be considered for funding.

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Work Plan/Methodology Program Accreditation
(cont.)

• New programs that are not yet accredited must
  provide documentation from the Department of
  Education that indicates reasonable assurance
  that the program will meet the accreditation
  standards of NLNAC or CCNE prior to the beginning
  of the academic year following the normal
  graduation date of students of the first entering
  class.
• Documentation of the assurance from the
  Department of Education must be submitted with
  the application.
• New graduate programs should contact the
  Department of Education, Accreditation and State
  Liaison Unit at [phone] and follow
  instructions in the application guidance.

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Work Plan/Methodology Program Approval

• New programs (i.e. tracks/specialties, masters
  and doctoral) must identify all steps in the
  approval process and provide documentation of
  approvals, i.e. copy of letter or meeting minutes
  from
• Nursing Faculty Curriculum Committee
• Institutional Committees/Boards, Faculty Senate
• State agencies (State Boards of Nursing, Higher
  Education Boards, State Finance Board)
• National Professional Associations (CCNE, NLNAC)
• Schools must submit documentation of all
  approvals with the application.

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Work Plan/Methodology Nurse-Midwifery Program
Requirements

• Must provide evidence of pre-accreditation or
  accreditation by the Division of Accreditation of
  the American College of Nurse-Midwives (ACNM)
  with the application.
• New programs - evidence of pre-accreditation must
  be submitted with the application.

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Work Plan/Methodology - Nurse Anesthetist
Program Requirements

• Full-time nurse anesthetist education
• Evidence of initial accreditation or
  accreditation from the American Association of
  Nurse Anesthetists (AANA) Council on
  Accreditation (COA) of Nurse Anesthesia
  Educational Programs must be provided with the
  application.
• New nurse anesthetist programs - evidence of
  initial accreditation or accreditation must be
  submitted with the application on December ,
  2009. Evidence of program approvals from COA for
  major program changes must submitted with the
  application also.

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Work Plan/Methodology - Enrollment

• Table 1 Project Specific Enrollment and
  Graduation Data
• Projected enrollment by full-time and part-time
• Continuing enrolled students by full-time and
  part-time
• Newly enrolled students
• Total headcount
• Projected number of graduates
• Full-time-equivalent definition
• Projected enrollment table for each specialty
  that will be supported by the project

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Work Plan/Methodology - Diversity

• Diversity
• Institutional strategic plan for diversity that
  shows institutional commitment
• Plan to recruit, retain and graduate students
  from underrepresented minority groups and/or
  students from disadvantaged backgrounds

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Work Plan/Methodology - Diversity (cont.)

• School of Nursing past performance and
  institutional experience in admitting, retaining,
  graduating students from underrepresented
  minority groups and/or students from
  educationally or economically disadvantaged
  backgrounds.

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Cultural Competence

• Cultural Competence
• Institutional strategic plan and initiatives
• Plan for preparing students to provide culturally
  and linguistically competent care
• Summarize courses and learning experiences

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Funding Factor

• Statutory Funding Preference
• Must be requested to qualify
• Specify the basis for request
• Significant contributions to meeting needs of
  rural OR underserved populations OR contribute to
  meeting public health needs of State or local
  health departments.
• Highlight specific ways graduates are prepared to
  meet preference throughout the application

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Resolution of Challenges

• Identify challenges in implementing activities
• Approaches to resolve challenges

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Organizational Information

• Project Management, Resources, and Capabilities
• Project Personnel
• Faculty Recruitment Plan
• Summary Faculty Table
• Consultant (s)
• Biographical Sketches
• Recruitment plan for vacant positions

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Project Management, Resources, and Capabilities

• Summary faculty table
• Faculty members
• Academic degrees
• Area(s) in which the degree was earned
• Area(s) of teaching responsibility
• Clinical preceptors

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Project Management, Resources, and Capabilities
(cont.)

• Consultant(s)
• If consultants are identified
• Provide documentation of agreement to serve
• Summarize the qualifications and scope of work
• Include a Bio-sketch
• If consultants are not yet identified
• Describe the vacant position by area of expertise
  and scope of work
• Provide a rationale for the consultant position

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Project Management, Resources, and Capabilities
(cont.)

• Capabilities of Applicant Organization
• Institutional resources
• Teaching facilities
• Clinical resources
• Libraries
• Computer Resources
• Community Support

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Project Management, Resources, and Capabilities
(cont.)

• Linkages
• Established and/or planned linkages with relevant
  educational and health care entities and
  interdisciplinary educational programs, including
  outreach to school-aged youth K-12
• Budget
• Reasonable, every line item justified, and
  related to project objectives

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Project Management, Resources, and Capabilities
(cont.)

• Sustainability
• Program plans to become self-sufficient and
  continue operating after Federal funding ends
• Replicablity

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Evaluation and Technical Support Capacity

• Project Evaluation
• Methods to monitor project activities and results
• Continuous Quality Improvement
• (Refer to project methodology section if
  needed)

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Evaluation and Technical Support Capacity (cont.)

• Program Evaluation
• Strategy must be directly tied to the project
  outcomes
• Relationship to graduate program evaluation plan
• Explanation of new program evaluation plan, if
  anticipated
• Plan for tracking performance of graduates on
  certification exams and employment of graduates
• Provide a succinct discussion of how the project
  could be expected to contribute to the identified
  population health needs

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Appendix

• Administrative and other letters of support
• Dean and university officials
• Key collaborating agencies
• Clinical sites and consultants
• List additional letters of support with
  significant statements

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Advanced Education Nursing Program Contact
Information
Technical Assistance is available from the
Division of Nursings Advanced Nurse Education
Branch at Telephone [phone] on the web
at www.bhpr.hrsa.gov/nursing or via staff
e-mail Irene Sandvold email
address- isandvold_at_hrsa.gov Nancy
Douglas-Kersellius email ndouglas_at_hrsa.gov
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Thank you

• Questions