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Texas Roadmap for APRN Education. Patricia L. Starck, DSN, RN, FAAN Dean. Purpose. Consensus plan responding to national trends and accreditation requirements Provide guidance to providing well-qualified practitioners to meet the complex healthcare needs of Texas. Goals.
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Texas Roadmap for APRN Education Patricia L. Starck, DSN, RN, FAAN Dean
Purpose • Consensus plan responding to national trends and accreditation requirements • Provide guidance to providing well-qualified practitioners to meet the complex healthcare needs of Texas
Goals • Patient care needs of Texas citizens will be met with an adequate number and quality of primary and specialty caregivers • Texas will take the lead in preparing primary and specialty caregivers for APRNs • Texas will prepare a cadre of doctorally prepared APRNs to serve as faculty as well as practitioners
Background • Addressing only APRNs; not nursing administration, nursing education, health policy, informatics • A masters degree or above is need for teaching • Healthcare reform could result in more people seeking primary care
Background • LACE model • AACN – all APRN ed at doctoral level by 2015 • CCEN’s Master Essentials no longer includes advanced practice • DNP Essentials • Tri-Council promoting increased education • Future of Nursing calls for change
Background • Budget challenges; funding formulas • Texas falling behind other states with DNP education • Texas has a shortage of providers • Texas does not need to lose APRNs • Texas currently has 18 schools preparing APRNs
Assumptions for Action Plan • Schools in other states will continue to move rapidly to meet 2015 of doctoral APRN education • A statewide plan for collaboration and phased transition in Texas would best meet the challenge • Partnering among institutions can provide strength to meet national agenda
Assumptions • Texas had the largest uninsured population and the most rural counties of any state and thus will have a unique challenge • The consequences of Texas not moving to DNP education for entry level APRNs could mean: • Loss of students to other states • Ineligible for federal funds • Failure to recruit nurses here for career progression
Vision of Roadmap Texas will have an adequate number of APRNs to care for its ethically diverse growing population. As a leader, Texas will serve as a model for transitioning from a masters level to a doctoral level basic preparation of APRNs
Two Options for Transition • Model 1: BSN to DNP • Model 2: BSN to MSN to DNP Each model has advantages and disadvantagesTOBGNE voted 2-10-11 “Model 1 is the preferred model and the ultimate goal. Model 2 is a transitional model only”
Recommendations of the Task Force • Only DNP-APRN programs should be approved after 2015; no new masters APRNs programs • Encourage schools to transition from masters to doctorate for APRN and evaluate • Explore partnerships for schools that don’t have doctoral degree granting authority or develop other means to allow students a path for further education.
Input/Feedback • TOBGNE members • Dialog with community college colleagues • Meetings with THECB staff: • Further questions as to the supply of faculty of masters programs • Streamline curriculum • Standardize DNP core curriculum • Allow for advanced placement of MSNs in DNP programs
Task Force Members • Patricia L. Starck, UTHSC-H, Chair • Elizabeth Poster, UT Arlington • Betty Adams, PVAMU (President of TOBGNE) • Paulette Burns, TCU (past Pres of TOBGNE) • Mary Brucker, Baylor