Academic Progression in Nursing(APIN): Report from AONE

1. Academic Progression in Nursing(APIN): Report from AONE May 9, 2013 Delaware Organization of Nurse Leaders Chris Price, MSN, RN, CPAN, CAPA DONL President 2013-2014

2. APIN Initiatives • APIN: It’s not just about education, it’s about action

3. Welcome • Disclosures • Today’s presenter does not have any relevant financial interests or endorsement of products. • Participants must attend the entire session(s) in order to earn contact hour credit. • 0.5 Continuing Nursing Education credit can be earned by completing and returning the session evaluation.

4. APIN –What It’s About • Building a more highly educated and diverse nursing work force • $4.3 million, Phase I two year initiative • Funded by RWJ • Being run by AONE • On behalf of the Tri-Council for Nursing

5. Supports IOM Initiative • Campaign for Action - AARP and RWJ • Action Coalitions • APIN Grants - Tri-Council for Nursing

6. Increase the Number of RNs with a BSN or Higher • Competency-based curricula • Shared statewide or regional curriculum • RN to MSN programs with BSN exit potential • Community Colleges offering the BSN

7. Tri-Council for Nursing • American Association of Colleges for Nursing (AACN) • National League for Nursing (NLN) • American Nurses Association (ANA) • AONE

8. Purpose • Alliance of four autonomous nursing organizations • Provide stewardship within the profession • United by common values • Each focus on leadership for education, practice and research • Convene regularly • Dialogue and consensus building

9. Focus on Nursing • Concerned about diminishing pipeline of supply and increasing demand for nurses • Represent nurses in practice, nurse executives, and nursing educators • Nursing work environment • Health care legislation and policy • Quality of health care • Nursing education, practice, and leadership

10. No Longer Preferred, But Necessary “There are currently too few nurses choosing to advance their education. First is a need for education advancement to the baccalaureate level then to the graduate level to meet the urgent need for APRNs and nurse educators. Current healthcare reform initiatives call for a work force that integrates evidence based clinical knowledge and research with effective communication and leadership skills. These competencies require increased education at all levels. At this tipping point for the nursing profession, action is needed now to put in place strategies to build a stronger nursing workforce. “ Consensus Policy Statement, May 2010

11. Improve Patient CareHelp Fill Faculty & APRN Roles • Competency-based curricula • Shared statewide or regional curriculum • RN to MSN programs with BSN exit potential • Community Colleges offering the BSN

12. Current Standings • Roughly ½ the nurses in the united states have baccalaureate or higher degrees • Acknowledges the contributions of LPN, LVN, and Associate Degree nursing programs to healthcare while supporting continued nursing education development

13. Supporting Framework • Needed to ensure adequate supply of public health and primary care providers • Improve care for patients living with chronic illness • Meet the needs of the aging and increasingly diverse population • Supports the work of Action Coalitions

14. Funding Awarded to 9 States • $300,000 over two years • California • Hawaii • Massachusetts • Montana • New Mexico • New York • North Carolina • Texas • Washington state

15. Collaborative Initiatives • Work with employers and academic institutions • Implement strategies to help nurses get higher degrees • Help fill faculty and APRN roles • Build partnerships between community colleges and universities to facilitate nurses transitioning to higher degrees

16. Selection Criteria • Projects included at least One Employer Strategy to Increase BSNs • Explicit hiring policies • Requirement for AD nurses to obtain BSN within a specified number of years • Incentives such as flexible work hours and/or tuition benefits to obtain a BSN

17. Maine’s Nursing Workforce Data Challenge • Integrating the Maine Nursing Competencies into Maine’s Nursing School’s Curriculum • Integrating Maine Nurse Core Competencies into Practice • Nursing Leaders in Maine Must Address Competencies for Professional Practice, Infrastructure Challenges Across Nursing Programs AND Plan to Produce the Volume of Nurses Needed for the Future

18. Assessing (and addressing) the gap in Maine • Gap Analysis • Survey Preceptors • Focus Groups • Survey Nursing Programs • Action Research

20. Maine’s Story • Progression • Invitational Conference April, 2012 • Strategic Plan for Nursing Education Published • Presentation on Outcomes

21. Transforming Change in Nursing Education • Shared curriculum is one model of change • Shared curriculum does not mean a cookie cutter • Consensus of the statewide group • Integrating Maine Nurse Core Competencies into Practice

22. Developed Strategic Plan • 2012 Strategic Plan for Nursing In Maine • Maine Must Develop, Implement and Evaluate a Structure for Effective Workforce Planning and Policy Making Through Improved Systematic Collection and Analysis of Data

23. Maine State Board of Nursing • MSBON transitioned data collection to the National Council of State Boards of Nursing Data Set in September 2012 • Data will be collected electronically at time of application and renewal • Access to state specific and national comparative nursing workforce data • Aligns Maine with National Nursing Data Set

24. Meeting Supply and Demand • Maine Dept. of Labor Challenged to Predict Long Term Supply and Demand for Nurses • Maine Nursing Schools • Maine Board of Nursing • Maine Nursing Employers

25. Next Steps • Northeast Ohio Nursing Institute (NEONI) Presentation on Forecasting Tool for the Future Nursing Workforce • September 2012 NEONI Briefing for Maine Leaders • Continued collaborative • Further funding opportunities/grants sought

26. References • Maine Partners in Nursing Education and Practice www.mainenursepartners.com • http://www.rwjf.org/en/about-rwjf/newsroom-content/2012/08/nine-states-receive-grants-to-build-a-more-highly-educated-nursing-workforce • Tri-Council for Nursing Joint Statement • AONE. Org • AONE National Conference Notes AONE Denver, CO.