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Update on DELCs

Update on DELCs. Texas Board Of Nursing Advisory Committee on Education (ACE) and DELC Work Group. DELC Work Group. Liz Poster, Group Leader Alicia Anger, Diploma Programs Frances Chatman, LVN Programs (LVNAT) Eileen Deges Curl, TOBGNE Cathy Harris, RN Practice Bonnie Higgins, TOADN

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Update on DELCs

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  1. Update on DELCs Texas Board Of Nursing Advisory Committee on Education (ACE) and DELC Work Group

  2. DELC Work Group • Liz Poster, Group Leader • Alicia Anger, Diploma Programs • Frances Chatman, LVN Programs (LVNAT) • Eileen Deges Curl, TOBGNE • Cathy Harris, RN Practice • Bonnie Higgins, TOADN • Brenda Jackson, Board Liaison • Kim Judd, TONE • Dianna Miller, ADN Education • Diane Moy, Community Health (DSHS) • April Schroer, VN Education • Betty Sims, TAVNE • Beth Skeleton, Long-term Care (DADS) • Susie Sportsman, BSN Education

  3. ACE Members • Eileen Deges Curl, Chair • Beverly Skloss • Bonnie Higgins • Frances Chatman • Kendra Slatton • Nancy Maebius • Susie Sportsman • Vicky Thornley

  4. Thank you to TBON Staff • Virginia Ayars • Paul Waller • Jan Hooper

  5. History • 1993 Essential Competencies of Texas Graduates of Education Programs • 2002 DELCs developed • 2008 TBON Charge: Review and revise the DELCs as needed for the current education and healthcare environments • DELC Work group – Met November 2008, and February, March, May and June, 2009 • Draft sent to ACE in August 2009 • ACE Met Sept. 2009 • Draft sent to Deans & Directors – Sept. 2009

  6. Standards and Guidelines Reviewed by DELC Work Group • Institute of Medicine reports • Quality and Safety Education for Nurses (QSEN) • NLN and NLNAC Standards for LVN, ADN, and BSN Programs • NAPNES Standard-Practice & Ed. Competencies • AACN BSN Essentials and CCNE Standards • ANA Practice Standards • National Council of State Boards of Nursing information • Joint Commission Patient Safety Goals

  7. Philosophical Discussions on Different Points of View Related to the Competencies Education View Clinical Agencies View: Hospital/TONE Public Health Long Term Care

  8. Competency Questions • When is Entry Level? • At time of graduation? • Entry into clinical agency? • Decided on Six Months after Employment • Who is Responsible? • School? • Practice? • Decided on Shared Responsibility

  9. New Title • Differentiated Entry-Level Competencies for Transition to Nursing Practice • Short Name • Transitional DELCs

  10. Competency • Addresses Basic Competency as an Advanced Beginner at Six Months in Employment • TBON regulations say new graduates have to be supervised in clinical for first six months of employment • Competency is Not as defined by Benner -- which is “Competent” after 3 years of experience

  11. Updates • Competency Titles Updated • Provider of Patient-centered Care • Member of Health Care Team • New Category of Core Competencies • Patient Safety Advocate • Re-ordering of Competencies • Member of the Profession – moved to 1st due to ethical and legal foundation • Definitions of categories begin sections • 25 Core Competencies (use to be 14) • Knowledge, Clinical Judgments Updated or Developed for each Competency

  12. Next Steps • Feedback from Education Programs by Nov.1 • Use feedback format e-mailed with drafts • Schools who respond will have their names in the appendix of the new document • Present overview to D&D and TAVNE in October • Revise draft based on feedback from Education

  13. Next Steps • Obtain feedback from Other Stakeholders in November • Clinical Agencies • Practice Organizations • DELC Work Group/ACE Revise draft • Conduct Regional Forums throughout state in January, 2010 • DELC Work Group and ACE update draft in Spring 2010 • Send to Board of Nursing in Summer 2010

  14. Questions

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