Building CNL Practice Partnerships

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Building CNL Practice Partnerships

• Kathy Booker, PhD
• Marilyn Prasun, PhD
• Nancy Semenza, PhD
• Gail Fyke, MSN
• Sharon Norris, BSN
• Carol Dodson, BSN
• Millikin University and Decatur Memorial
  Hospital
• Decatur, Illinois
• Presented for the American Association of
  Colleges of Nursing
• Clinical Nurse Leader Teleconference Series
• June 20, 2007

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Questions?

• Please email any questions for the presenters to
  jstanley_at_aacn.nche.edu

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Millikin University on the Map
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CNL Development

• Participation in national CNL partnership
  Millikin and Decatur Memorial Hospital
• Feasibility study completed in 2005
• Business plan development and approvals in 2006
• Enrollment of first MSN class fall 2006
• MSN task force members Millikin faculty and DMH
  clinical nurse specialists, manager, and Chief
  Nurse Executive
• First graduates expected December 2007

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Millikins Mission and Vision

• Mission To deliver on the promise of education
  by preparing students
• For professional success
• To actively engage in the responsibilities of
  democratic citizenship in globally diverse
  communities
• To discover and develop a personal life of
  meaning and value
• Vision To be recognized as a distinctive
  Midwestern University where
• Theory, practice, and reflection guide our
  curriculum
• Integrated learning, collaborative learning, and
  engaged learning dominate our culture
• Students, faculty, staff and administrators are
  engaged and stimulated

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• The MISSION of Decatur Memorial Hospital To
  improve the health of the people of central
  Illinois.
• The VALUES of Decatur Memorial HospitalCompassio
  n Agility Respect Excellence Service
• The VISION of Decatur Memorial HospitalThe
  GREATEST CARE delivered by the BEST PEOPLE

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Joint Partnership

• CNL pilot project on the orthopedic nursing unit
• Goals
• Develop educational opportunities
• Role development
• Advantages
• Opportunity for nurses to advance education and
  stay at the bedside
• Improvement of patient outcomes
• Provide an avenue to integrate research and
  evidence at the bedside

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Future Initiatives

• The collaboration between Millikin University and
  Decatur Memorial Hospital (DMH) has opened doors
  for us to work on other initiatives.
• Mentorship program
• Student participation in hospital committees

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Collaborations in Central Illinois

• Location of Millikin to healthcare institutions
  within 45 miles of Springfield, Champaign/Urbana,
  Bloomington/Normal
• Early support for student clinical immersions,
  research, and projects at other area hospitals
  St. Marys (Decatur), Memorial Medical Center
  (Springfield), and Carle Foundation (Urbana).
• Growth of collaboration expected as program
  expands

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Building a culture of evidence-based practice

• High expectations
• Best practices making these come to life
• Development of Bedside Scientist workshops
• Undergraduate graduate research
• Honors and SURF (summer undergraduate research
  fellows programs)
• Faculty participation in area hospital programs
  supportive of bedside practice innovation

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Decatur Memorial HospitalsMagnet Journey

• Unit Based Councils
• Nursing committees
• Certification study courses
• Peer review
• Mentoring programs
• Submission of data
• Six Sigma projects
• Movement to evidence-based practice

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MSN Current projects

• Evidence-based practice
• projects underway
• Development of a hospital-wide pain management
  program
• Secondary analysis of gender difference in
  quality of life of heart failure patients.
• Utilization of emergency services and
  availability of community resources.

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MSN Current projects (contd)

• Barriers to discharge teaching perceived by
  nurses working on a medical or surgical unit in
  an acute care setting.
• Emergency nurses perceived role preparation and
  preceptor barriers.
• Clinical immersions Decatur Memorial (Decatur),
  St. Marys (Decatur), Memorial Medical Center
  (Springfield), Carle Foundation Hospital
  (Urbana).

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Graduate Students in Action
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Internal grant funding to support MSN

• Millikin Department of Education Title III grant
  MSN Funding for 2007
• Outcomes assessment projects to ensure congruence
  of student learning outcomes with AACN white
  paper/ CNL role and clinical partnership goals
• Educational sessions and mentor development for
  clinical preceptors in central Illinois
  hospitals/health care settings
• Faculty practice partnership development to
  ensure alignment of goals and outcomes and
  improve understanding of the CNL

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Integration with undergraduate model

• Millikins undergraduate model for student
  learning is linked to the university mission
  vision
• Working to promote that MSN student goals and
  opportunities for their fulfillment are included
  in the model (see next page)
• Ensure that students are at the center of all we
  do!

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Collaborative Partners

• The Clinical Nurse Leader will make a real
  difference in bedside nursing. With advanced
  education and a hands-on approach, this nurse is
  prepared to effectively manage care in the
  complex hospital environment to achieve benchmark
  outcomes for the patient.
• Linda Fahey, RN, MS, Vice President, Chief
  Nursing Officer, Decatur Memorial Hospital.

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Central Illinois Partnerships

• We are thrilled to support Millikin's program
  for the Clinical Nurse Leader. Health care is an
  ever changing field of study and practice.
  Advancing technology, increasing psychosocial
  demands, an aging
• population, and an expanding knowledge base,
  at the same time that we are projecting a nursing
  shortage ------ means we need to develop our
  clinician leaders. We need our best and
  brightest using enhanced clinical and assessment
  skills at the bedside. These Clinical Nurse
  Leaders will manage patient care and improve the
  quality of care our patients receive. This is
  our future.
• --Theresa Rutherford, MSN, MBA, RN, Chief
  Operating Officer and Chief Nurse Executive, St.
  Marys Hospital, Decatur, IL.

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Central Illinois Partnerships (contd)

• "Strong innovative academic-service partnerships
  are essential to meet the growing healthcare
  needs of our region and to overcome the
  challenges of the nursing shortage both here in
  Central Illinois and across the country. We are
  proud and energized by the ongoing collaborative
  relationship we have with Millikin University
  School of Nursing and the mutual benefit we've
  both experienced from our work together.
• -- Marsha Prater , PhD, RN, CNAA, FACHE VP,
  Patient Care Services Chief Nursing Officer,
  Memorial Medical Center, Springfield, IL.

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Collaborative partnerships (contd)

• At Carle, we are examining the role of the
  Clinical Leader for changing bedside practice.
  The future of clinical nursing requires strong
  administrative and clinical teams working
  together to implement best practices. Working
  with educational programs to prepare the future
  leaders is part of Carles mission. Nurses
  educated at the masters level will ensure
  innovative care for a stronger delivery system.
• --Pam Bigler, RN, MS, CNAA, BC, Vice President
  Patient Care Services and Chief Nursing Officer,
  Carle Foundation Hospital, Urbana, IL.

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Student Perspective

• "This master's degree is preparing me to bring
  evidence-based practice and enhanced clinical
  knowledge to the bedside. I believe Millikin has
  taken a huge step in developing the CNL program
  and is at the forefront of advancing the nursing
  profession." K. Bloom, BSN
• I am more aware of the need for evidence based
  practice and how to bridge the gap.
• 
  L. Bovyn BSN
• I now realize and appreciate the need for
  nursing research P. Laskowski BSN

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Why we do what we do.
Challenging Minds Changing Lives
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Selected References

• American Association of Colleges of Nursing.
  (February 2007). White paper on the education and
  role of the Clinical Nurse Leader. Retrieved June
  8, 2007 from http//www.aacn.nche.edu/Publications
  /WhitePapers/ClinicalNurseLeader/htm.
• Haase-Herrick, K.S., Herrin, D.M. (2007). The
  American Organization of Nurse Executives
  Guiding Principles and American Association of
  Colleges of Nursings Clinical Nurse Leader A
  lesson in synergy. Journal of Nursing
  Administration, 37(2) 55--60.
• Houser, J., Bokovoy, J. (2006). Clinical
  research in practice A guide for the bedside
  scientist. Sudbury, MA Jones Bartlett.
• Institute of Medicine. (2003). Health professions
  education A bridge to quality. Washington, DC
  The National Academy Press.

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Selected References (cont.)

• Murray, K. (2007). Balance your workload while
  pursuing higher education. Nursing Management,
  38(2) 56.
• Stanhope, M., Turner, L.P. (2006). Diffusion of
  the Clinical Nurse Leader innovation. Journal of
  Nursing Administration, 36(9) 385-389.
• Stanley, J.M. (2007). Implementing innovation
  through education-practice partnerships. Nursing
  Outlook, 55(2) 67-73.
• Tornabeni, J. (2006). Clinical Nurse Leader -
  Evolution of a revolution The CNL vision.
  Journal of Nursing Administration, 36(3) 103-8.

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Presenters/Affiliations

• Kathy Booker, Dean, College of Professional
  Studies, Millikin University, Decatur, IL.
• Marilyn Prasun, MSN Faculty, Millikin University
• Nancy Semenza, MSN Chair, Millikin University
• Gail Fyke, Medical-Surgical Clinical Nurse
  Specialist, Decatur Memorial Hospital, Decatur,
  IL.
• Sharon Norris, Director, Orthopedics and
  Outpatient Surgery, Decatur Memorial Hospital
• Carol Dodson, Director Emergency Services, St.
  Marys Hospital and CNL student
• For further information, please contact
• Dr. Nancy Semenza at nsemenza_at_millikin.edu,
  [phone].

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Questions?

• Please email questions to jstanley_at_aacn.nche.edu