AACN Teleconference

1
AACN Teleconference
Reviewing the AACN Baccalaureate Essentials A
Journey of Transformation

• by Patricia A. Martin, PhD, RN
• Chair, AACN Taskforce for Revision of
• The Essentials of Baccalaureate Education for
• Professional Nursing Practice
• Dean Professor, College of Nursing Health
• Wright State University

1
2
Chair - Patricia A. Martin, RN, PhDCarol Ashton
Idaho State U.Chip Bailey Duke U.Derryl
Block U. of Wisconsin, Green BayDaisy
Cruz-Richman SUNY DownstateKaren Drenkard
INOVA Health SystemsJean Lange Fairfield
U.Teri Murray St. Louis U.Roxanne Moutafis
U. of ArizonaLinda Niedringhaus Elmhurst
CollegeJudith Sands U. of VirginiaPolly
Bednash Executive Director AACNKathy McGuinn
Director, Special Projects Joan Stanley Senior
Director, Education PolicyHoracio Oliveira
Special Projects Education Policy Assistant
AACN Taskforce
Thank you to all regional meeting participants
2
3
Consensus-Building Process

• Feb. 07 Stakeholders Meeting
• 5 Regional meetings from Sept. 07-April 08
• Over 700 attendees from all 50 states
• 329 nursing programs, 11 professional
  organizations, and 13 healthcare delivery systems

4
Timeline

• July 2008 AACN Board unanimously approved
• Oct. 2008 AACN Membership votes
• CCNE (autonomous arm of AACN) will have a process
  to decide about adopting the new Essentials of
  Baccalaureate Education for Professional Nursing
  Practice

5
Outline

• Introduction to the Essentials
• Background
• Assumptions
• Roles of the Baccalaureate Generalist

• Review of the nine Essentials
• Selected outcomes
• Sample Content

5
6
Background (1 of 2)

• Building a safer health care system
• Clinical microsystems, an important focus
• Nursing shortage, expected to intensify
• Patient-centered care as members of an
  inter-professional team, emphasizing
• evidence-based practice,
• quality improvement approaches, and
• informatics

6
7
Background (2 of 2)
Forces influencing nurses roles

• Scientific advances, particularly genetics
  genomics
• Changing demographics
• New care technologies
• Patient access to healthcare information

6
8
Assumptions (1 of 2)

• The Baccalaureate Generalist
• is prepared to
• Practice from a holistic, caring framework
• Practice from an evidence base
• Promote safe, quality patient care
• Use clinical/critical reasoning to address simple
  to complex situations
• Assume accountability for ones own delegated
  nursing care

9
Assumptions (2 of 2)

• The Baccalaureate Generalist
• is prepared to
• Practice in a variety of healthcare settings
• Care for patients across the health-illness
  continuum
• Care for patients across the lifespan
• Care for diverse populations
• Engage in care of self in order to care for
  others
• Engage in continuous professional development

10
Roles of the Baccalaureate Generalist

• Providers of direct indirect care
• Designers, coordinators, managers of care
• Members of the profession in this role are
  advocates for the patient the profession

11
Essential 1Liberal Education for Baccalaureate
Generalist Nursing Practice

• Recognizes that a solid base in liberal education
  (sciences the arts) provides the cornerstone
  for the practice education of nurses.
• Sciences
• Physical Sciences (e.g., physics)
• Life Sciences (e.g., biology)
• Social Sciences (e.g., psychology)
• The Arts
• Fine Arts (e.g., painting)
• Performing Arts (e.g., dance)
• Humanities Arts (e.g., theology)

11
12
Essential 1Liberal Education

• Understand the human experience
• Communicate effectively
• Apply knowledge of social cultural factors
• Engage in ethical reasoning .. promoting
  advocacy, collaboration, social justice
• Demonstrate tolerance for ambiguity
  unpredictability of the world
• Value lifelong learning

• Selected outcomes
• Delineate the knowledge, skills, attitudes
  expected of new bac. generalist graduates.

13
Essential 1Liberal Education

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

• Selected concepts ways of knowing from the
  sciences the arts
• Principles related to working with peoples from
  diverse cultures
• Concepts related to intellectual diversity,
  tolerance, social justice
• Concepts related to globalization migration of
  populations

14
Essential 2 Basic Organizational and Systems
Leadership for Quality Care

• Recognizes that to provide high quality health
  care, knowledge skills in leadership, quality
  improvement, patient safety systems are
  necessary.

14
15
Essential 2Leadership/Quality Care

• Apply leadership concepts, skills, decision
  making
• Dem. awareness of complex organizational systems
• Apply concepts of quality safety
• Employ principles of quality improvement,
  healthcare policy, cost-effectiveness improve
  healthcare delivery
• Participate in imaginative creative
  strategies to enable systems to change

• Selected outcomes
• Delineate the knowledge, skills, attitudes
  expected of new bac. generalist graduates.

16
Essential 2Leadership/Quality Care

• Leadership
• Change theory complexity science
• Community organizing models
• Communication, healthcare systems
• Operations research, queuing theory, systems
  designs in health care
• Patient safety principles
• Overview of QI process techniques
• Care delivery management evaluation

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

17
Essential 3 Scholarship for Evidence-Based
Practice

• Recognizes that professional nursing practice is
  grounded in the analysis application of
  evidence for practice.

17
18
Essential 3Evidence-Based Practice
Selected outcomes Delineate the knowledge,
skills, attitudes expected of new bac.
generalist graduates.

• Advocate for protection of research subjects
• Evaluate the credibility of information sources
• Collaborate in the collection, documentation,
  dissemination of evidence
• Understand the process for developing,
  validating, endorsing quality standards
  safety measures

19
Essential 3Evidence-Based Practice

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

• Principles models of evidence-based practice
• Nurse-sensitive quality indicators
• Overview of qualitative quantitative
• research processes
• Basic applied statistics
• Ethical conduct of research scholarly
• work
• Locating evaluating sources of evidence
• Scholarship dissemination methods

20
Essential 4 Information Mgmt. Application of
Patient Care Technology

• Recognizes that knowledge skills in information
  patient care technology are critical in the
  delivery of quality patient care.

20
21
Essential 4Information/Patient Care Technology

• Employ a range of technologies to facilitate
  patient care, e.g., pt. ed., pt. safety, etc.
• Use databases to retrieve pertinent literature
• Use information technologies in clinical decision
  making
• Demonstrate knowledge of regulations that impact
  ethical safe use of technologies

• Selected outcomes
• Delineate the knowledge, skills, attitudes
  expected of new bac. generalist graduates.

22
Essential 4Information/Patient Care Technology

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

• Use of technology information systems for
  clinical decision-making
• Ethical and legal issues related to the use of
  information technology
• Online literature searches
• Interstate practice regulations

23
Essential 5 Healthcare Policy, Finance,
Regulatory Environments

• Recognizes that healthcare policies, including
  financial regulatory, directly indirectly
  influence the nature functioning of the
  healthcare system.

23
24
Essential 5Policy/Finance/Regulations

• Demonstrate basic knowledge of healthcare policy,
  finance, regulatory environments (local, state,
  national, global).
• Explore impact of socio-cultural, economic,
  legal, political factors influencing healthcare
  delivery practice.

Selected outcomes Delineate the knowledge,
skills, attitudes expected of new bac.
generalist graduates.
25
Essential 5Policy/Finance/Regulations

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

• Policy development
• Legislative process
• Regulatory process
• Licensure regulation of nursing practice
• Impact of social trends on health policy
• Role of nurse as patient advocate
• Scope of practice policy perspectives of other
  health professionals

26
Essential 6 Interprofessional Communication
Collaboration for Improving Patient Health
Outcomes

• Recognizes that collaboration communication
  among healthcare professionals is critical to
  delivering high quality safe patient care.

26
27
Essential 6Communication Collaboration
Selected outcomes Delineate the knowledge,
skills, attitudes expected of new bac.
generalist graduates.

• Compare/contrast roles perspectives of the
  nursing profession with other professionals on
  the team
• Incorporate effective communication techniques to
  produce positive professional working
  relationships
• Advocate for high quality safe patient care

28
Essential 6Communication Collaboration

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

• Inter-professional intra-professional
  communication, collaboration, socialization
• Advocacy
• Autonomy
• Scopes of practice
• Group dynamics
• Caring

29
Essential 7 Clinical Prevention Population
Health

• Recognizes that health promotion disease
  prevention at the individual population level
  are necessary to improve population health.

29
30
Essential 7Clinical Prevention Population
Health
Selected outcomes Delineate the knowledge,
skills, attitudes expected of new bac.
generalist graduates.

• Assess protective predictive factors which
  influence the health of individuals, families,
• Assess health/illness beliefs, values, attitudes,
  practices of groups, communities, populations
• Collaborate to provide spiritually culturally
  appropriate health promotion plus disease
  injury preventions interventions

31
Essential 7Clinical Prevention Population
Health

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

• Public health principles
• Fundamentals of epidemiology biostatistics
• Public health core functions
• Systems theory
• Health behavior change theories
• Genetics genomics
• Nutrition
• Global health
• Complementary alternative therapies

32
Essential 8Professionalism Professional Values

• Recognizes that professionalism is fundamental to
  the discipline of nursing. Professionalism is the
  consistent demonstration of core values of
• Altruism
• Autonomy
• Human Dignity
• Integrity
• Social Justice

32
33
Essential 8Professionalism Values
Selected outcomes Delineate the knowledge,
skills, attitudes expected of new bac.
generalist graduates.

• Demonstrate professional standards of moral,
  ethical, legal conduct
• Recognize the impact of attitudes, values
  expectations on vulnerable population care
• Recognize the relationship between personal
  health, self- renewal, the ability to deliver
  sustained quality care

34
Essential 8Professionalism Values

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

• Nurse Practice Acts scope of practice
• Professional codes of conduct professional
  standards
• Ethical legal frameworks
• Cultural humility spiritual awareness
• Contemporary nursing issues
• Informed consent
• Professional identity formation
• Professional image

35
Essential 9Baccalaureate Generalist Nursing
Practice

• Describes generalist nursing practice at
  completion of baccalaureate nursing that
  integrates the KSA delineated in I-VIII
• Practice occurs across the lifespan in the
  continuum of healthcare environments.
• The baccalaureate graduate demonstrates clinical
  reasoning within the context of patient-centered
  care to form the basis for nursing practice that
  reflects ethical values.

35
36
Essential 9Baccalaureate Generalist Nursing
Practice
Selected outcomes Delineate the knowledge,
skills, attitudes expected of new bac.
generalist graduates.

• Implement holistic evidence-based
  patient-centered care
• Communicate effectively with all of the
  healthcare team, including patent family
• Facilitate patient-centered transitions of care
• Create a safe environment that results in high
  quality patient outcomes

37
Essential 9Baccalaureate GeneralistNursing
Practice

• Sample Content
• Aides the faculty in selecting material not
  inclusive, nor required

• Principles of basic nursing care
• Management of acute chronic physical
  psychosocial conditions
• Emergency preparedness disaster response
• Infection control issues

38
Implications

• The Baccalaureate Essentials
• lead nursing education and practice to a
  preferred future for health care
• A preferred future for healthcare must have
  nurses prepared to
• be all that we can be

38
39
The Challenge

• Leaders in education practice must collaborate
  to assure life-long learning regarding the
  knowledge, skills, attitudes essential to safe
  high quality health care.

Martin-QSEN-June2008
39
40
THE END
40