BRG Update

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Blowing Open the Bottleneck in Nursing
Education An After Summit Recap and
Discussion September 9, 2008, 1 PM (EST)
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Presenters

• Presenters
• Brenda Cleary, Director, Center to Champion
  Nursing in America
• Sue Hassmiller, Senior Program Officer, Robert
  Wood Johnson Foundation
• Winifred V. Quinn, Senior Legislative
  Representative, Center to Champion Nursing in
  America Moderator
• Gina King, Office of Workforce Investment,
  USDOL-ETA

Blowing Open the Bottleneck in Nursing Education
An After Summit Recap and Discussion
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Nursing Summit Network
Mentors Comprised of Steering Committee Members,
Sponsors and Expert Leads
State Teams California Wisconsin Maryland
Florida South Carolina Hawaii North Dakota
Oregon Colorado Alabama North Carolina Michigan
Mississippi New Jersey Massachusetts Texas Vir
ginia Illinois

• Sponsors
• Robert Wood Johnson Foundation
• U.S. DOL, Employment and Training Administration
• Center to Champion Nursing in America
• U.S. HHS, Health Resources and Services
  Administration

Advisors Linda Aiken, PhD Kathy Apple, RN, MS,
CAE Geraldine Bednash, PhD, RN, FAAN
Marilyn P. Chow, RN, DNCSc, FAAN Brenda
Cleary, PhD, RN, FAAN Catherine Crowley, EdD
Annette Debisette, PhD,
ANP, RN, CAPT Karen Drenkard, RN, PhD,
CNAA Roxanne Fulcher
Jacque Johnson Stephanie
Leach Tara Lubin
Catherine Malone, MBA Angela
Barron McBride, PhD, RN, FAAN Barbara L. Nichols,
DHL, MS, RN, FAAN Karen
Robinson, DNS, APRN, BC, FAAN Theresa M. Valiga,
Ed.D, RN, FAAN
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Polling Question 1
What state are you representing?

• Alabama
• California
• Colorado
• Florida
• Hawaii
• Illinois
• Maryland
• Massachusetts
• Michigan

• Mississippi
• New Jersey
• North Carolina
• North Dakota
• Oregon
• South Carolina
• Texas
• Virginia
• Wisconsin

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Open Chat
What has been your greatest accomplishment since
the June Summit?
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Agenda/Objectives

• Webinar Objectives
• Nursing Summit Recap
• Technical Assistance
• Q A

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Summit Highlights-Real Quotes from Real
Participants

• Inspiring Keynote Speakers!
• Peer Sharing and Networking Invaluable
• Consultations with Experts Really Moved Us Forward

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Strategic Partnership Development and Resource
Alignment

• Highlights and Key Points
• The topic area emphasized regionalism, asset
  mapping, and communication as essential to
  developing effective partnerships.
• A region is a collection of assets human,
  financial, institutional, and natural among
  othersthat are coordinated towards a shared
  purpose.
• Asset mapping is a critical how to tool for
  identifying and marshalling resources to expand
  nursing education capacity.
• Human capital, research and development
  institutions, financial capital, and physical
  structure should all be identified and leveraged
• In developing an effective leadership team, it is
  essential to bring business to the table.
• Communicate directly and concisely think about
  what you want to say and how you plan to say it.

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Strategic Partnership Development and Resource
Alignment

• Lessons Learned
• Ask partners to bring their time, their talents,
  and their wallets to the table. Partnerships
  function better when you convert members from
  stakeholders to stockholders.
• Make sure state and community thought leaders are
  part of your team. You will need key influencers
  on board to implement change.
• Think broadly and boldly as you recruit team
  members. Who outside the circle of nursing is
  impacted by the shortage? Insurance companies,
  chambers of commerce, etc. have resources and
  interests that can contribute to your efforts.

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Strategic Partnership Development and Resource
Alignment

• State Challenges and Needs
• Data is a critical aspect of communication
  strategies. Teams need strategies for data
  collection.
• How do we get people to work together toward
  common goals and present one clear message within
  our region?
• What are creative strategies to take existing
  partnerships to next level?
• Sustainability strategies are needed.
• There is no uniform system for calculating
  turnover rates. Teams requested assistance in
  developing a uniform system so data can be
  compared.

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The Role of Policy and Regulation
Winifred V. Quinn, Senior Legislative
Representative, Center to Champion Nursing in
America
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The Role of Policy and Regulation

• 5 Main Themes
• Nursing Education Pipeline
• Faculty Training
• Collaboration
• Data Collection
• Policy Regulation

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The Role of Policy and Regulation

• Nursing Education Pipeline
• Encourage continuing education along the pipeline
  of higher education. Demonstrate support for more
  diversity. Tie nursing education to economic
  growth.
• Faculty Training
• Salaries, relax faculty education requirements,
  flexible appointments
• Data Collection
• Data tracks quality of care, how access (MDS?)
  use data
• Collaboration
• Successful collaborations i.e., secured more
  state funding for all levels of nursing
  education, occurred when nurses did not argue in
  public. Include business community.

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The Role of Policy and Regulation

• Policy Regulation
• Start learning how to talk to policy makers in
  their language. Advocate in one voice, in a way
  policymakers will understand. Involve your State
  Board of Nursing in the discussion of change.
• Mandate hospitals to provide of space in
  clinical teaching sites.
• The development of education standards is
  essential for licensure requirements.
• Develop regulation models.

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Increasing Faculty Capacity and Diversity

• The Increasing Faculty Capacity and Diversity
  break-out session identified four main
  components.
• The expansion of the pool of available faculty
  candidates
• Diversity
• Policy related to local, state, regional, and
  Federal issues
• Financial resources that guided key initiatives
  in this area

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Increasing Faculty Capacity and Diversity

• Key Challenges
• Expanding the education pipeline.
• Addressing barriers to nursing education
  pathways.
• Developing strategies to promote innovative
  educational models
• Increasing support of nursing education by
  employers
• Improving work and life balance to address
  recruitment and retention factors.

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Increasing Faculty Capacity and Diversity

• Key Challenges (cont.)
• Ameliorating economic disincentives to becoming
  faculty
• Improving vacancy rates in clinical settings.
• Increasing numbers of tenure track faculty.
• Addressing the insufficient supply of nurses
  prepared at the graduate level for teaching.
• Bridging the gap between education and practice
• Addressing the limited pool for faculty
  recruitment.
• Addressing how to increase the number of faculty
  from underrepresented minority backgrounds.

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Education Redesign
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Education Redesign

• The Education Redesign session examined
  replicable best practices and innovations in the
  integration of technology and education that
  could be used to expand the nursing education
  capacity.
• The session was moderated by Dr. Alexia Green,
  Texas Tech University Health Science Center.
• Content leads included Dr. Pamela Jeffries,
  Indiana University School of Nursing, Dr. Cynthia
  Teel, University of Kansas School of Nursing and
  Robert Mendenhall, Western Governors University.
• The Education Redesign break-out session
  identified three main components including
  technology and simulation, the role of faculty,
  and collaboration as essential in redesigning
  education to increase nursing education capacity.

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Education Redesign

• Highlights and Key Points
• Technology and Simulation
• Technology is the wave of the future / Keep the
  next generation in mind
• Local and regional uniqueness important
• The Role of Faculty in Education Redesign
• Involve everyone in designing and innovating
  new/relevant curriculum
• Faculty roles need to be re-evaluated. Should
  they focus on research or service?
• Greater communication between clinical
  instructors and faculty is needed.

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Education Redesign

• Highlights and Key Points Collaboration
• Unification and collaboration are the watch words
  
• Collaboration and sharing among states/ eliminate
  redundancy
• Shared faculty resource bank
• Expand utilization of clinical sites

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Education Redesign

• Best practices, strategies and innovations
• Western Governors University MAP RN Program
• Indiana University Interdisciplinary Clinical
  Simulations
• Oregon Health Sciences University OCNE statewide
  curriculum
• Springfield Tech Online Community of Clinical
  Practice

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Education Redesign

• Challenges and State Needs
• Licensure boards should be included in education
  redesign discussions.
• Different educational models may be needed by
  different regions.
• Marketplace culture of competition between
  schools hinders collaboration.
• Integration of on-site experience and simulation

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Moving Forward with Technical Assistance
Winifred V. Quinn, Senior Legislative
Representative, Center to Champion Nursing in
America Brenda Cleary, Director, CCNA
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TA Overview

• Purpose of TA
• Types of TA
• Already completed steps
• What we have found so far
• Moving forward

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Purpose of TA

• TA is the provision of direct or indirect support
  to increase the capacity of the State Teams to
  help you successfully carry out effective
  community planning.

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Types of TA

• Webinars
• Teleconferences Peers, consultants, CCNA staff
• States to State Meetings
• Consultants
• Briefs
• Newsletters

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Completed Steps

• Sent first draft of MOUs out
• Received all but 3 back
• Creating a chart connecting like states and
  complimentary states

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What we Have Found So Far

• Themes of TA Needs
• Advocacy
• Coalition/Partnership Building
• Public/private partnerships
• Collaboration
• Competencies
• Data Collection
• Develop the Business Case
• Education/Curriculum Redesign
• Faculty Resource Pool
• Increase capacity in clinical settings
• Sustainable funding

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Moving Forward

• Next steps
• Finalize MOUs with states
• Begin with teleconferences, planning multi-state
  to state meetings
• Focus in on themes

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TA Calendar

• September 2008
• 1) Webinar-participant debrief (lessons learned)
  and TA (TA kickoff, MOUs, areas of need,
  logistics for mentoring)
• 2) Webinar-other states (overview of Summit)
• October 2008 Conference call-Skills building
  (Asset mapping)
• November 2008 Conference call-skills building
• January/February 2008 Nursing Summit for other
  states
• March 2009 Oregon site visit (CCNA)
• April 2009 Site visit/report out brief
• May 2009 Colorado site visit (CCNA)
• June 2009 Nursing Summit 2009 site visit brief
  (CCNA, ALL)
• July 2009 Workforce Innovations, 18 teams (DOL)
• September 2009 Regional/Topical Site Visit

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