Academic Progression in Nursing (APIN) in Kansas

1. Academic Progression in Nursing (APIN) in Kansas WELCOME Cindy Teel, PhD, RN, FAANProfessor and Associate Dean Graduate ProgramsKU School of NursingPI, PNEK Project

2. Mary Carol Pomatto RN, MN, Ed. S., Ed.D., APRN Director Irene Ransom Bradley School of Nursing Pittsburg State University David Martin RN, MN Clinical Assistant Professor RN-BSN Program Director University of Kansas School of Nursing

3. Mary Carol Pomatto RN, MN, Ed. S., Ed.D., APRN Director Irene Ransom Bradley School of Nursing Pittsburg State University

4. Models of Academic Progression Presented by Mary Carol G. Pomatto, EdD, APRN

5. Models of Academic Progression The 2010 IOM Report, The Future of Nursing: Leading Change, Advancing Health, leads the way.

6. Models of Academic Progression • IOM Key Messages: • Nurses should practice to full extent of education and training. • Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academicprogression. • Nurses should be full partners in redesigning health care in the U.S. • Effective workforce planning and policy making require better data collection and an improved information infrastructure. (IOM Report, 2010)

7. Models of Academic Progression • Eight Recommendations: • Remove scope-of-practice barriers • Expand opportunities for leadership of collaborative improvement efforts. • Implement nurse residency programs. • Increase to 80% from approximately 50% the number of nurses with a baccalaureate degree.

8. Models of Academic Progression • By 2020, double the number of nurses having earned a doctorate. • Ensure that nurses engage in lifelong learning. • Enable nurses to lead change to advance health. • Build the infrastructure for capture and analysis of nursing and health care workforce data. (IOM Report, 2010)

9. Models of Academic Progression Robert Wood Johnson Foundation (RWJ) teamed with American Association of Retired Persons (AARP) to create the, Future of Nursing Campaign for Action and the Center to Champion Nursing in America (CCNA).

10. Models of Academic Progression • The Vision of the Campaign: “All Americans have access to high-quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success.” (Polansky and Gorski, October 28, 2012, AACN Fall Semiannual Meeting) • The Structure of the Campaign: Action Coalitions

11. Models of Academic Progression Areas of Focus

12. Models of Academic Progression • Kansas Action Coalition Gained Recognition in 2011 • Kansas AC Leadership Cynthia Teel (KU and AC Lead), Mary Carol Pomatto (PSU), Betty Smith-Campbell (WSU), Christine Hober (FHSU), Tammy Peterman (University of Ks Hospital), Chris Ruder (University of Ks Hospital), and Jon Teel, Program Manager

13. Models of Academic Progression • Workgroup Leads: Practice and Care – Diane Ebbert (KU) and Cara Busenhart (KU) Education – Mary Carol Pomatto (PSU), Christine Hober (FHSU), Betty Smith-Campbell (WSU), and Linda Moody (Southwestern College) Leadership – Debbie Ford (KU), Rachel Pepper (KU), and Janet Pierce (KU)

14. Models of Academic Progression • Grant Supporters in Addition to RWJ and AARP Health Care Foundation of Greater Kansas City United Methodist Health Ministry Fund University of Kansas Endowment

15. Models of Academic Progression • Kansas AC Partners AARP State Office, Area Health Education Centers, Community Colleges, Foundations, Health Systems, Hospital Association, Nursing Students, Nursing Workforce Center, Physicians, Kansas State Board of Nursing, Kansas State Nurses Association, Kansas Organization of Nurse Leaders, Universities and Colleges, Government entities, and Others

16. Models of Academic Progression • RWJ Foundation announced an initiative to support state efforts to transform care through nursing. • The funding was available to strengthen 20 Future of Nursing Campaign for Action Coalitions. • Provided two-year grants of up to $150,000

17. Models of Academic Progression • Goal of grant recipients, “Work to implement programs that prepare nurses to lead system change, strengthen nursing education, expand access to care by maximizing the use of nurses, recruit and train a more diverse nursing workforce, and improve quality and coordination of care.” (RWJ, March 19, 2013)

18. Models of Academic Progression • Kansas submitted a Future of Nursing: State Implementation Program (SIP) grant proposal. • Principal author, Dr. Cynthia Teel with Co-Director, Dr. Mary Carol Pomatto • Applicant Organization on behalf of KS AC, KU Endowment • Partners represent KS universities, community colleges, health care entities, funders and other stakeholders. Project Manager, Ms. Danielle Wolfe.

19. Models of Academic Progression • Kansas received full funding for the Future of Nursing: State Implementation Program (SIP), “Promoting Nursing Education in Kansas (PNEK): Progress Toward the 80/20 Recommendation.” • Program goals focused on development of infrastructure to advance IOM, increase proportion of BSN prepared nurses, and increase diversity of the nursing workforce.

20. Models of Academic Progression • CCNA, through its study, has found four promising models of academic progression. • Models include: a) Shared statewide or regional curriculum. b) Competency-based curricula. c) Community colleges granting BSN degrees on their campuses d) RN-to-MSN programs

21. Models of Academic Progression • SHARED STATEWIDE/REGIONAL CURRICULUM Seamless transition Shared resources, curriculum, and/or faculty Articulation agreements May require adjustments in program prerequisites and curricula Key leaders – California, New Mexico, North Carolina, Montana, Washington

22. Models of Academic Progression • SHARED STATEWIDE/REGIONAL CURRICULUM The New Mexico Nursing Education Consortium Mandated by the New Mexico Legislature 15 public community colleges and universities Standardized statewide nursing curriculum and prerequisites Efficiencies in costs, transfer of credits, enhanced quality

23. Models of Academic Progression • COMPETENCY-BASED CURRICULUM Attempt is to standardize outcomes and not curriculum. Key leaders – Hawaii, Massachusetts, New Mexico, Texas, Washington Texas Board of Nursing has established Differentiated Essential Competencies with expected outcomes for each of the 3 levels of pre-licensure nursing programs and implications for nursing education and employers.

24. Models of Academic Progression • COMPETENCY-BASED CURRICULUM Texas has 4 roles with 25 core competencies falling under the roles identified as member of the profession, provider of patient-centered care, patient safety advocate, and member of the health care team. Knowledge and clinical judgments/behaviors are incorporated as is the scope-of-practice for which the nursing student is being prepared.

25. Models of Academic Progression • DEGREES GRANTED ON COMMUNITY COLLEGE CAMPUSES Florida led the way and Washington state is a leader Degree is conferred by the Community College The Community College Baccalaureate Association AACN Position Statement on the Community College Baccalaureate in Nursing CCNA Website, “The RN-BSN at a Community College Model” by Gorski and Wortock

26. Models of Academic Progression • RN-TO-MSN DEGREE PROGRAMS Almost 200 programs in existence Streamlined program taking about 3 years to complete Many programs award BSN and MSN at completion Values experiential levels of nurses Key leaders – Massachusetts and Washington

27. Models of Academic Progression • RESOURCES Website: • www.campaignforaction.org • www.kansasactioncoalition.org Twitter: • www.twitter.com/futureofnursing • www.twitter.com/PNEK@PNEKS Facebook: • http://facebook.com/futureofnursing • www.facebook.com/kansasac • www.facebook.com/PNEKS AACN September 11, 2013 Webinar, “APIN: Academic-Practice Partnerships in Action,” available on the CCNA website until 2016.

28. Models of Academic Progression Please submit questions through Q&A box on screen Thank you! “Light tomorrow with today” -Elizabeth Barrett Browning-

29. David Martin RN, MN Clinical Assistant Professor RN-BSN Program Director University of Kansas School of Nursing

30. The University of Kansas Community College Nursing Partnership Model (KUCCNP) The Development of a Shared Curriculum between KU and 17 Associate Degree Nursing Programs in Kansas What there is to accomplish today:1. Explain the model being developed to bring a shared ADN-BSN education curriculum to life.2. Look at progress made in curriculum development between ADN and KU BSN programs3. Share the current state of development4. Invite others to join Adapted for presentation to the Kansas Action Coalition Webinar, October 9, 2013

31. New Mexico Nursing Education Consortium (NMNEC) Model Liberal Arts & Science Courses Nursing Courses Graduate Education MSN DNP PhD Baccalaureate Degree 128 credits NMNEC Curriculum RN-BSN Education Associate Degree Common curriculum. The ADN curriculum is essentially a subset of the BSN curriculum. Students enrolled in participating community colleges can select an ADN or BSN track. Courses unique to the BSN degree are offered by the university.

32. University of Kansas Community College Nursing Partnership Model (KUCCNP) Liberal Arts & Science Courses Nursing Courses Graduate Education MSN DNP PhD KU Baccalaureate Degree 120 credits KUCCNP Curriculum RN-BSN Education Associate Degree Common curriculum. The ADN curriculum is essentially a subset of the BSN curriculum. Students enrolled in participating community colleges can select an ADN or BSN track. Courses unique to the BSN degree are offered by the University of Kansas.

33. Decatur Rawlins Cheyenne Republic Marshall Brown Nemaha Washington Smith Doniphan Norton Jewell Phillips Atchison 3, 19 Thomas 10 Sherman Sheridan Cloud 8 Riley 26 Osborne Jackson Graham Pottawatomie Mitchell 31 Leavenworth 38 Wyandotte Rooks Jefferson Clay Ottawa 12, 23, 37 Wallace Lincoln Logan Shawnee 1, 39, 40 Gove Ellis 15, 32 Johnson 6, 22, 27 28 Trego Geary Wabaunsee Russell Douglas Saline 5, 24 Dickinson Ellsworth Morris Scott Miami Osage Wichita Greeley Lane Franklin Rush Ness Barton 2 Lyon 13, 14 McPherson 20 Marion Rice Chase Coffey Pawnee Anderson Linn Finney 17 Hodgeman Hamilton Kearny Harvey 4, 18 Butler 7 Reno Bourbon 16 Stafford Edwards Woodson Greenwood Allen Sedgwick 21, 30, 41 42 Ford 11 Haskell Gray Stanton Grant Pratt 34 Kiowa Neosho 29 Kingman Wilson Crawford 33 Elk Sumner Morton Stevens Meade Cowley 36 Seward 35 Clark Comanche Barber Harper Montgomery 9 Labette 25 • Baker University School of Nursing • Barton County Community College • Benedictine College • Bethel College • Brown Mackie College-Salina • Brown Mackie College-KC • Butler Community College • Cloud County Community College • Coffeyville Community College • Colby Community College • Dodge City Community College • Donnelly College • Emporia State University • Flint Hills Technical College • Fort Hays State University • Fort Scott Community College • Garden City Community College • Hesston College • Highland Community College • Hutchinson Community College • ITT Technical Institute • Johnson County Community College • Kansas City KS Community College • Kansas Wesleyan University • Labette Community College • Manhattan Area Technical School • Mid America Nazarene University • National American University • Neosho County Community College • Newman University • North Central Kansas Technical College (Beloit) • North Central Kansas Technical College (Hays) • Pittsburg State University • Pratt Community College • Seward County Community College • Southwestern College • University of Kansas • University of St. Mary • Washburn Institute of Technology • Washburn University • Wichita Area Technical College • Wichita State University Cherokee Chautauqua

34. Decatur Rawlins Cheyenne Republic Marshall Brown Nemaha Washington Smith Doniphan Norton Jewell Phillips Atchison Thomas Sherman Sheridan Cloud Osborne Jackson Graham Pottawatomie Mitchell Leavenworth Wyandotte Rooks Jefferson Clay Ottawa Riley Wallace Lincoln Logan Gove Shawnee Ellis Johnson Trego Geary Wabaunsee Russell Douglas Saline Dickinson Ellsworth Morris Scott Miami Osage Wichita Greeley Lane Franklin Rush Ness Barton Lyon McPherson Marion Rice Chase Coffey Pawnee Anderson Linn Finney Hodgeman Hamilton Kearny Harvey Butler Reno Bourbon Stafford Edwards Woodson Greenwood Allen Sedgwick Ford Haskell Gray Stanton Grant Pratt Kiowa Neosho Kingman Wilson Crawford Elk Sumner Morton Stevens Montgomery Meade Cowley Seward Clark Comanche Barber Harper Labette Cherokee Chautauqua Manhattan Area Technical School Garden City Community College KUMC Neosho County Community College Metropolitan Community College Hesston College Johnson County Community College Butler Community College Kansas City Kansas Community College Pratt Community College Colby Community College Barton County Community College Dodge City Community College Cloud County Community College North Central Kansas Technical College (Beloit & Hays) Ft. Scott Community College Labette Community College Seward County Community College Coffeyville Community College Hutchinson Community College Highland Community College

35. University of Kansas Community College Nursing Partnership Model (KUCCNP) Curriculum Development Common Pre-Requisites = 60 College Credits · General Chemistry w/ lab · Microbiology w/ lab · Anatomy w/ lab · Physiology (or combined A&P) · College Algebra · Statistics · Human Nutrition Additional elective · English Composition I & II · Humanities elective course · Speech · General Psychology · General Sociology · Child/Human Development · Non-western culture

36. University of Kansas Community College Nursing Partnership Model (KUCCNP) Differentiation of ADN & BSN Education • “The roles for the baccalaureate generalist nurse are derived from the discipline of nursing. The roles for the baccalaureate generalist include: • Provider of care • Designer/manager/coordinator of care • Member of a profession • Source: AACN. (2008). The Essentials of Baccalaureate Education for Professional Nursing Practice. Pg. 7.

37. University of Kansas Community College Nursing Partnership Model (KUCCNP) Differentiation of ADN & BSN Education Upper Division Credits Associate Degree Portion = Provider of Care 1. These are the clinically based courses: Fundamentals, Assessment, Health & Illness I, Health & Illness II, Capstone 2. 30 hours of college credit 3. These hours portfolio to KU as upper division credits

38. University of Kansas School of Nursing BSN Curriculum

39. University of Kansas Community College Nursing Partnership Model (KUCCNP) Differentiation of ADN & BSN Education Upper Division Credits • Baccalaureate (KU) portion: • Designer/Manager/Coordinator of Care • Member of Profession • Total= 30 hours of college credits

40. University of Kansas Community College Nursing Partnership Model (KUCCNP) Upper Division Credits Courses include: 1. Developing the Baccalaureate Role 2. Using Technology to Enhance Client Safety 3. Population based Health Care for the Practicing Nurse 4. Nursing Practice within the Clinical Health Care Microsystem 5. Scholarly Inquiry for Quality Improvement 6. Nursing Research in an Evidence Based Practice Setting 7. Nursing Practice within the Health Care Organization 8. Navigating the Influences of the Health Care Macro Environment 9. Senior Project

41. University of Kansas Community College Nursing Partnership Model (KUCCNP) Current Projects • Community Colleges developing individualized eight semester curriculums • Seeking answers to the following questions: • a. How do we satisfy the KU “residency” requirement? • b. Will students admitted to this program receive placements in clinical sites reserved for BSN students? • c. How does the dual enrollment work? • d. How will accreditation work with this shared curriculum? • e. Does the Community College need to be able to grant a degree after five semesters? • 3. Timeline: Implementation- Fall 2014

42. Mary Carol Pomatto RN, MN, Ed. S., Ed.D., APRN Director Irene Ransom Bradley School of Nursing Pittsburg State University David Martin RN, MN Clinical Assistant Professor RN-BSN Program Director University of Kansas School of Nursing