Innovative Faculty Models Nancy Spector, PhD, RN

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Innovative Faculty ModelsNancy Spector, PhD, RN

• Director of Education, NCSBN
• Texas BON, September 25, 2008

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Mission
The National Council of State Boards of Nursing
(NCSBN), composed of Member Boards, provides
leadership to advance regulatory excellence for
public protection.
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Objectives

• Discuss innovative faculty models
• Update on NCSBNs work with innovation

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Nursing Management, March 2008

• The Nursing Shortage Where We Stand
• - Clarke Cheung
• Nursing Education?Now?Enrollments Maximized
• Future heavy pressure for innovations to
  increasing production of new graduates

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North Dakotas Nurse Faculty Intern (NFI) Model -
Under Investigation

• Model in ND Grow-your-own faculty
• Trend in ND 26 of all faculty in BSN programs
  held BSNs
• Shortage of qualified faculty threatened to
  derail the process

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ND - Students Being Turned Away

• Economics
• Many not prepared for the role
• Teach as they are taught
• No systematic preparation of faculty

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Purpose of ND NFI Pilot Project

• Investigate the role development of nurse
  educators
• Expand the general knowledge about gaining
  competencies in teaching learning

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NFI Conceptual Framework

• NFI is central component
• Academic consultant to provide theoretical
  insight to the NFI related to pedagogy
• Mentor employed by the graduate program where NFI
  employed

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Formal Education
Academic Consultant
Orientation
NURSE FACULTY INTERN
Collegiality Professional Socialization
Faculty Mentor
Faculty Role Development
Student Satisfaction
Nurse Faculty Career Satisfaction
Program Retention of Qualified Faculty
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ND - Exploratory Design with Triangulation of
Methods

• Riner Billings (1999) Nurse Faculty Development
  Survey
• Other quantitative variables satisfaction with
  role, field of study, salary, supervision
• Qualitative data being collected

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Preliminary Findings of NFI

• Developmental Needs
• Teaching, evaluation, curriculum
• Role development
• Learning resources and technology
• Teaching in a changing environment

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Qualitative Findings

• Teaching is an area of expertise all on its own,
  but I think it doesnt really matter how expert
  you are in your area if you dont know how to get
  it across to someone else.
• - NFI Focus Group

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Qualitative Findings

• it just made me realize a masters just doesnt
  cut it anymore, you know theyre coming in and
  theyre going for their higher education and I
  feel that pressure is that a masters ten years
  ago was really something and now its like you
  need to go on beyond To me it made me realize
  that my education is somewhat limited, but I see
  that as a very healthy challenge.
• - Mentor Focus Group

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NFI Orientation was a big need

• Beyond keys, forms
• and schedules

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Challenges

• Turnover of participants
• Lack of involvement of Academic Consultants
• Research time intensive
• Appearance of diminished commitment once Board
  approved NFI participants

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Oregon Consortium for Nursing Education (OCNE)

• Partnership of community colleges and public and
  private university nursing programs, formed in
  2001 in response to the shortage.
• Goal was to expand capacity and enrollment, but
  at the same time prepare graduates with
  competencies needed to address rapidly changing
  health care needs of Oregons aging and diverse
  populations.

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Oregon Consortium for Nursing Education (OCNE)

• Collaborative with a shared curriculum and some
  sharing of faculty
• Shared simulation vignettes
• Improved utilization of clinical facilities

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Oregon Consortium for Nursing Education (OCNE)

• Transformation of clinical education, focusing on
  learning and not hours
• Post-masters certificate program on instructional
  design
• Sharing of rubrics and benchmarks

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University of Portlands Dedicated Education Unit
(DEU)

• Moscato et al., 2007, Nursing Outlook
• Features
• Exclusive use by one nursing program
• Use staff nurses prepared for teaching role
  through development activities
• Continuity of students with staff nurses

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University of Portlands DEU

• Faculty development and support of staff nurses
• Commitment to work together to build an optimal
  practice environment
• Allowed for optimally teaching increased numbers
  of students (227 in 2002, vs. 333 in 2006)

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DEU at U. of Massachusetts

• Collaborative with Massachusetts General and
  Brigham Womenss
• Incorporation of QSEN Competencies

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North Carolina

• Funding increases to prepare faculty
• Clinical teaching associate role to move
  practitioners into join positions
• Joint between agency/nursing program
• Structured education program on science of
  teaching/learning
• Often choose to get MSN
• Working toward regional simulations/transition to
  practice

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Louisiana-RN

• Partnerships with clinical agencies allowing RNs
  to work as faculty, provided they meet Board
  criteria
• Initiatives mandated by the governor

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California Institute for Nursing Health Care
(CINHC)

• Statewide Master Plan with one goal being an
  educational system that provides an adequate
  supply of nurses
• Working to build capacity in nursing programs
• Creative initiatives for financial support
• Interagency task force for new nursing programs

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CINHC

• New accelerated BSN programs
• Set faculty targets (retirement, growth, etc.)
• Increase diversity and retention of faculty
• Increase flexibility of faculty salary structures

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CINHC

• Provide financial support and incentives for
  masters and doctoral students
• Explore the Board of Nursings regulatory
  barriers
• Enhance articulation (Oregon Model)
• Enhance faculty resource sharing

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CINHC

• Increase the competency of faculty
• Implement innovative and alternative educational
  venues
• Implement Web based solutions to clinical
  placements

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CINHC

• Increase prerequisite science courses
• Expediate the approval of new and expanded
  nursing programs
• Increase access to nursing education in areas
  without resources
• Encourage programs with low NCLEX pass rates to
  utilize the California model curriculum
• Improve completion rates to 85

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Maine

• Nursing Outlook, March/April, 2008
• Excellent description of step-by-step process
• Nursing leadership partnered with state policy
  makers
• Multiyear initiative envisioning Maines
  preferred future
• Passed into law that DOL must publish annual
  Healthcare Occupations Data Report
• Language in law for funding faculty loan
  repayment program

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Lessons learned from Maine

• Little legislative experience doesnt have to
  slow you down!
• Accurate and timely data is a must
• Ongoing education necessary because over by
  Maines House and Senate term limits
• Clarity important No mixed messages!
• Educators organized one program alone wont
  advance legislation
• Inclusion of stakeholders important
• Nurses in legislature is key

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Missouri

• Clinical Faculty Academy
• 2-day institute
• Enrolled in graduate school
• Outcomes data being collected
• Hospital associations are partnering
• Increased capacity

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Kansas

• Expansion of Faculty Pool
• 30 million state funding and matching grant
  program
• Admitted 507 more nursing students
• Hired 28 full-time faculty
• Hired 23 part-time faculty
• Placed 27 human simulators

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VA Collaboration

• 2007 VA has partnered with 7 nursing programs to
  expand recruitment
• 40 million programs creates
• Employment for nursing students
• Provides funding for partners to increase
  enrollment
• Eventually will add more programs

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Indiana

• Purdue University Calumet, Hammond, IN
• 436,192 federal grant
• Online platform for APRNs to obtain certificates
  in nursing education
• Will included innovative podcasts, training
  faculty to support distance students, and a CQI
  plan

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Marylands Agenda

• Journal of Nursing Education, April 2007
• A leader in finding innovative ways to address
  the faculty shortage crisis
• 10-year 8.8 million annual initiative funded
  through a 0.1 levy on regulated patient revenue
  from all Maryland hospitals

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Marylands Agenda

• Competitive grants
• Expand capacity through shared resources
• Increasing faculty
• Increase nursing student retention
• Increase pipeline for nursing faculty

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Initiatives for Increasing Faculty Salaries

• Virginias Governors Initiative
• Mississippis Nurses Associations task force
• Maryland

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NCSBNs Initiative on Innovation

• March 25, 2008 NCSBN invited practice, education
  regulation to a roundtable

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NCSBNs Initiative on Innovation

• Questions to participants
• What and how do we teach best and who should
  teach it?
• Evidence to support policies, regulations?
• How can we best prepare our graduates in these
  uncertain times?

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NCSBNs Innovation Roundtable

• Barriers discussed
• How do we maintain quality, while promoting
  innovation?
• Future vision?

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Faculty Qualifications Committee

• Hosted conference March 26, 2008
• Examplars of innovative nursing education
  presented
• Much discussion about innovations and how
  education and regulation can foster

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Faculty Qualifications Committee

• Model Education Rule Recommendations
• Based on literature review, strengthened
  qualifications
• Recommended collaborative teaching with those
  with graduate degrees in related professions (BSN
  educated faculty for PNs)

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2008-09 Innovations in Education Regulation
Committee

• 1) Identify real and perceived regulatory
  barriers.
• 2) Develop a regulatory model for innovative
  education proposals.

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Definition of Innovation

• Innovation OED etymology from Latin in
  novare
• to make new
• Regulatory perspective
• To change into something new, but no
  relationship to make better

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One Innovation that Failed
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Reasons Edsel Failed Sound Familiar?

• Some said poor quality
• Same old, same old
• Priced too high
• Consumers didnt understand what it was supposed
  to be
• Overblown hype
• Not visionary, either in design or for the
  changing times

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Innovation distinguishes between aleader and a
follower.

• - Steve Jobs, Computer Engineer