Boise State University, Nursing Department

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St. Lukes Wood RiverMedical Center
St. Lukes Boise MeridianMedical Centers
Gooding County Memorial Hospital
Idaho Elks Rehabilitation Hospital
St. Lukes Magic Valley Regional Medical Center
McCall Memorial Hospital
Syringa General Hospital
Boise State University, Nursing Department
Weiser Memorial Hospital
Elmore Medical Center
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Mission Vision Values
Rural Urban Academic
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Rural Connection began in 1990 through a
"Strengthening Hospital Nursing" grant funded by
the Robert Wood Johnson Foundation / Pew
Charitable Trust.  The grant ended in 1995 and
Rural Connection continues to evolve and
participate in projects that improve health care
practices. Rural Connection is a consortium of
nursing leaders who are innovators for patient
care.  Through collaboration and a shared vision,
Rural Connection provides a collegial environment
for rural, urban, and academic partners. Educatio
n, performance improvement, research, sharing of
resources, and ongoing communication and
networking are a part of a Rural Connection
tradition that has been nurtured since 1990. 
Rural Connection membership is rural, urban, and
academic.  Its membership includes hospitals
throughout Idaho and also includes Boise State
University, Department of Nursing.
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We do our best work within a trusting,
respectful, and non-competitive environment. (Ed
Dahlberg, President CEOSt. Lukes Health
System)
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Rural Connection now

• A 501(c)3 non-profit organization composed of
  rural, urban, and academic nursing leaders
• A voice for nursing leaders and the urban, rural,
  and academic nursing experience.
• A networking forum for nursing leaders in Idaho.
• A collection of resources and services for the
  rural, urban, and academic nurse.
• A driver of initiatives that directly impact
  health care practices and nursing.

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Board of Directors
Amy Bearden CNO, St. Lukes Magic Valley
Regional Medical Center Steve Frei CNO, Syringa
General Hospital Lisa Looney Director of
Nursing, Weiser Memorial Hospital Lorraine
Reinhardt CNO, Gooding County Memorial
Hospital Deborah Mills CNO, Elmore Medical
Center Jeanette Ullery, Standing Guest Director
of Education, St. Luke's Regional Medical
Center Beth Gray VP of Patient Care, McCall
Memorial Hospital Joanne Clavelle VP Patient
Care Services and CNO, St. Luke's Boise and
Meridian Regional Medical Centers
Sharon Kensinger, President CNO, St. Luke's Wood
River Medical Center Judy Taylor, Secretary
Treasurer Director of Nursing, Idaho Elks
Rehabilitation Hospital Pam Springer ,
President Nursing Department Chair, College of
Health Sciences, Department of Nursing Boise
State Noreen Davis, President Elect Senior VP
Nursing and Patient Care Services, St. Luke's
Health System Buffie Main, Executive
Director Rural Connection
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ROI for Rural Hospitals 4 nurses

• Wages/benefits to attend 12 days of off-site
  training 10,560
• Program participation fees 4,000
• Travel expense (120 miles per trip) 700
• Total Organization Costs 15,260/4 nurses
• Replacement Cost/Nurse 57,200 (44,000 30
  fringe)
• 75 retention ? 375 ROI

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Mission Vision Values
Rural Urban Academic
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Why Rural Connection..

• Of the 44 counties in Idaho, 35 are considered to
  be rural. Of the 44 counties
• 2 counties have between 0-2 RNs for every 1,000
  people
• 14 counties have 3-5 RNs for every 1,000 people
• 22 counties have 6-9 RNs for every 1,000 people
• 6 counties have at least 10 RNs for every 1,000
  people

Sixty-seven percent of Idaho residents are from
rural or frontier counties.
SOURCE (Idaho Rural Counties) Idaho State Office
of Rural Health (RNs Employed
in Idaho Counties) Idaho Nursing Workforce Center
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Characteristics of Rural Urban Nursing
SOURCE Bushy, Angeline (2000). Orientation to
Nursing in the Rural Community. Thousand Oaks,
CA Sage Publications.
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Telling the story the dance of collaboration and
our commitment to finding solutions where rural,
urban, and academic partners meet.
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Telling the story the dance of collaboration and
our commitment to finding solutions where rural,
urban, and academic partners meet.
Boise State University, Nursing Department
While hospitals work to create comprehensive and
meaningful orientation programs, Rural Connection
is working to bridge the gap between
preparation and practice by creating
relationships and forums for dialogue between
academics and industry. New graduate nurses
now comprise more then ten percent of a typical
hospitals or health systems nursing staff and
this number is certain to grow moving forward
(Advisory Board). The emergent need to prepare
for the nursing shortage makes it imperative that
Rural Connection and other nursing organizations
help the universities and service providers to be
prepared for an influx of students and interns.
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A Looming Crisis

• Idahos population 55 and older will increase 50
  percent by 2016.
• Idaho nurse-to-citizen ratio is 20 percent below
  the national average.
• Idahos nurses are aging
• One in five is younger than 35
• Two in five are over age 50
• Idaho has fewer nurses per capita than any
  surrounding state except Nevada.

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Demand through 2016 Idaho employers are
projected to hire an additional 7,500
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Gap Analysis Registered Nurses
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Gap Analysis Graduate-Level Nurses
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A Closer Look at Faculty
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Living working inside the Rural Connection
Framework
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Rural Connection Theoretical Framework
Person The person refers to those who are served
by our actions. This may include other Rural
Connection Board Members, faculty, and/or staff
directly and patients and/or students indirectly
and may represent individuals, groups,
communities, or organizations.
Environment The environment is the intersection
of urban, rural, and academia in Southern Idaho
and the surrounding region. We understand and
respect that the cultures of these areas differ
and we utilize those differences to support
change. We target interventions and processes
that positively impact all three areas.
Health Health refers to the climate of the
organization of Rural Connection as well as the
work climate in the facilities we represent. The
projects we undertake positively impact the
health of our organization(s), patients,
students, and communities we represent.
Nursing Leadership Nursing leaders design
processes and systems that allow organizations to
prosper by providing a collegial environment for
creative solutions to patient care. Leaders
demonstrate accountability and integrity in
actions.
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Nurse Residency Program ? Mentorship ?

• Preceptor Program
• Rural Competency

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Preceptor Program
Providing a foundation and network for supporting
the development of nurse preceptors by improving
their skills in teaching, leadership, mentorship
and communication, Rural Connection is
administering a comprehensive, sustainable
preceptor program for rural and tertiary care
centers alike. The program has a unique
appreciation and respect that the cultures of
rural, urban, and academic differ when it comes
to supporting the first-year nurse or the nurse
returning to practice. The curriculum is rooted
on the idea that precepting in those environments
is a unique experience and teaching methods and
orientation programs cannot be one-size fits all.
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Topics Teaching Learning Styles Competency
Critical Thinking Clinical Judgment
Communication Conflict Management Delegation
Team Building
23 Workshops Statewide Over 300
Preceptors Program Demand Continues
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Framework in action Nurse Residency Program

• 2007 Pilot Program ? 148 Participants from 5
  Hospitals
• NOVEMBER 2009 ? Rural Connection Residency

The Graduate Nurse Residency Program is designed
to ease the transitional challenges of moving
from nursing student to clinical nurse
professional. This project is currently in the
research and development phase as Rural
Connection studies the most innovative programs
in the nation.
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Framework in action Nurse Residency Program

• 2007 Pilot Program ? 148 Participants from 5
  Hospitals
• NOVEMBER 2009 ? Rural Connection Residency

The Graduate Nurse Residency Program is designed
to ease the transitional challenges of moving
from nursing student to clinical nurse
professional. This project is currently in the
research and development phase as Rural
Connection studies the most innovative programs
in the nation.
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Rural Connection Residency 2010 whats different
this time?

• Rural Urban Cohorts
• Real Time Learning
• Residency is where you are

Whats the ROI?
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ROI for Rural Hospitals 4 nurses

• Wages/benefits to attend 12 days of off-site
  training 10,560
• Program participation fees 4,000
• Travel expense (120 miles per trip) 700
• Total Organization Costs 15,260/4 nurses
• Replacement Cost/Nurse 57,200 (44,000 30
  fringe)
• 75 retention ? 375 ROI

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Mentoring Leaders
Promoting the professional development of nursing
personnel and the practice of nursing, Rural
Connection strives to develop a model for
mentoring new nursing leaders. In 2007, Rural
Connection hosted a nursing leadership conference
with Tim Porter-OGrady with over 200 nurses in
attendance. Rural Connection is currently
identifying the leadership domains most needed by
new leaders in each Rural Connection setting so
that we can support competent nurse leaders of
the future.
  Leadership is essentially a work in
progress a never-ending journey with facets and
elements that add up to a broad and complex
mosaic -Tim Porter OGrady
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From Preceptor to Mentor
Mentoring in the Moment a Rural Connection
Leadership Program
Mentorship Domains Leadership Story
Telling Communication Facilitation Conflict
Management Listening Spirit of the Expert
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• Nursing Advocacy Acting as a voice for
  nurse leaders and the urban, rural, and academic
  nurse experience, Rural Connection remains
  abreast of current affairs and legislation that
  will affect nursing in Idaho in an effort to
  educate and provide recommendations to policy
  makers and the citizens of Idaho.

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Where can you find out more?
www.ruralconnection.org