A Collaborative Model for Nursing Education Impacting The Nurse Workforce Shortage'

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A Collaborative Model for Nursing Education
Impacting The Nurse Workforce Shortage.

• Growing Our Own Nurses

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Project Partners

• Mina Kini, MS, MSW, AHA Fellow
• Yolanda Brooks, MS, SPHR
• David Eubanks, MSN, RN
• Elise Grant, RN, MSN, CNOR, RNFA

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Texas Health Resources
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Texas Health Resources

• Texas Health Resources (THR) is one of the
  largest faith-based, nonprofit health care
  delivery systems in the United States.

• 18,000 employees
• 3,200 physicians with staff privileges
• 13 Hospitals Total of 26 healthcare sites
• More than 2,400 licensed hospital beds

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Serves 29 counties, 6.2 million people in North
Texas
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THR Growth Projects

• Expansion Projects
• THR - Market Leader in North TX
• Meeting the growing need of the community and
  health marketplace
• Growth projects of 1.5 billion over 10 years
• Projected RN need 800 RNs
• Focused Workforce Planning Strategy

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State of Nursing in the US Texas
Nursing is the nation's largest health care
profession with 2.6 million RNs.
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National Supply Demand Projections for FTE RN
2000-2020
RN FTE Demand
Shortage of over 1,000,000 nurses in 2020
FTEs (Thousands)
RN FTE Supply
Source National Center For Health Workforce
Analysis, Bureau of Health Professions, Health
Resources and Services Administration, 2004
projection
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State of Nursing in the US

• Currently nationwide over 125,000 vacant RN
  positions
• As needs continue to increase, existing supply
  continues to shrink - Nursing schools are
  functioning close to capacity
• Nursing Faculty Shortage and nursing colleges are
  functioning to capacity
• The current RN workforce is aging. Retirements
  are expected to peak in this decade adding to the
  demand for RNs

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State of Nursing - Texas

• Only 10 of working RNs in Texas are in their
  20s. Average age of RN in Texas is 46.
• RNs are aging and retiring early.
• Average age of an employed RN in Texas was 38 in
  1980, 42 in 1996, and 43 in 2000.
• Expected retirement age is 62, but many nurses
  retire in their late 40s.
• Nursing schools in Texas are functioning close to
  capacity
• Biggest barriers is an unprecedented faculty
  shortage due to aging (the median nursing faculty
  age is 51)

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THR Workforce Strategies
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THRs Responses to Workforce Shortages

• Improve retention job related strategies for
  recruiting and retaining a talented workforce
• Improve productivity, work culture and work-life
  balance
• Develop new pipeline career development
  strategies tapping high school students
• Expand pipeline education and training
  strategies for existing employees seeking career
  advancement or new career tracks

conceptual framework
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Meeting the RN Need
Past . . .

• High investment and cost of adaptation
• Acculturation issues Cost to import RN
• Low Retention- cultural adaptation unsuccessful
  and many relocated back to native countries

• Importing of Foreign Trained Nurses from other
  countries Philippines, India, Canada

recruitment strategies
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Meeting the RN Need
Then . . .

• Creative cut-throat recruitment incentives the
  bidding wars
• Organizational cultural fit unexplored
• Low Retention- loyalty factor non-existing

• Competition for existing Labor Pool Local
  National marketplace

recruitment strategies
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Now . . .
Meeting the RN Need

• Partnership with community education
• Creating the pipeline from high school
• Providing career paths for employees
• Quick adaptation period, low costs for
  recruitment and retention
• Quality of education is maintained

Grow our own RN model - creating self reliance
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Responding to the Nursing Shortage

• growing our own nurses at THR

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Growing Our Own RN

• Youth Prodigy Program
• outreach to our communitys talented high school
  students interested in health professions
• Associate Degree in Nursing Program
• existing employee and their dependants spouses
• Clinical Internship Programs
• skilled nursing program specializing in core
  practice areas

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Growing Our Own Model
Youth Prodigy Program THR Employees THR
Dependants/Spouses
COLLABORATORS
Associate Degree in Nursing (A.D.N) 2 years
DFW School Districts
Specialized Training
Community College
Clinical Internships 12 weeks
University of Texas, Arlington
RN to BSN 9 months
DFW Hospital Council
DFW Hospitals
MSN 2- 3 years
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THR Youth Prodigy Program
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THR Youth Prodigy Program

• THR Career Development Center
• Moving beyond community youth outreach and career
  awareness activities
• Developing a specific career path for youth
  focused on healthcare careers
• Created to be both, an educational and employment
  opportunity for talented, interested youth

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THR Youth Prodigy Program

• An educational and employment opportunity
• Initiated Summer 2006 with 13 candidates
• Focus on development of recent high school
  graduates for entry level clinical support
  positions.
• Partnerships with School Districts - Students
  are referred and recommended by area high school
  math, science and health career teachers.
• Referrals and recommendations are also provided
  by organizations such as HOSA, Medical Explorer
  and the National Honor Society.

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Key Features

• THR Hospital sponsors student upon selection to
  the Prodigy program
• 10 week summer training program - 400 hours
• Prepared for certified Patient Care Technician,
  Phlebotomy Technician and ECG Technician roles
• THR provides all costs for tuition, fees, books
  and related supplies
• Students are bound by a contractual agreement to
  be successful employees and college students
• Process acclimates students for their future THR
  employees role
• Support services are provided such as academic
  prep and college entrance assistance

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Youth Prodigy Outcome

• 2006 Program
• Total Students 13 females
• Ethnicity
• AA/Black 2 students
• White 5 students
• Latino 6 students
• Age Range from 17- 19
• 6 individuals were the first generation to go to
  College
• Average GPA 3.7

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Associate Degree In Nursing Program
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Associate Degree In Nursing Program

• THR Center for Learning
• Providing career growth opportunities focused on
  nursing education for interested employees and
  their spouse/ dependants
• Education brought to the learner at four of
  THRs hospitals
• Focus on growing diversity (ethnic/age/gender) in
  the nursing profession

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Associate Degree In Nursing

• Local College Partner - El Centro Community
  College
• Satellite Campus at THR
• Clinical Faculty employed by THR
• Multidisciplinary Planning Team for course
  delivery and class implementation
• Educational Model - Centrally located (lectures)
  but delivered locally (clinical rotations)
• Program initiated from grant funding HRSA, TX
  grants TIF, etc

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Associate Degree In Nursing

• Innovative Organizational Practices
• Front end Tuition Reimbursement
• Work load Balance Ladders In Nursing Careers
• Internal RN-preceptor model
• Language and Communication assistance
• Career Development Center Pre-Admission
  Services to academic supports to preparing for
  the interview
• Regional Partnership with other hospital systems
  Creating an ADN Collaborative in the North
  Texas Region

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Associate Degree Program Status as of January
2007
Data Source ADN Program Participant Survey
Spring 2007
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THR Clinical Internships
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THR Clinical Internships

• Internal clinical internship focused on 6
  specialized nursing areas ER, OR, Med-Surgical,
  Critical Care/Telemetry, Obstetrics and NICU
• Held centrally at THR with RNs selected and
  sponsored by THR hospitals
• Internship includes blended learning modalities
  along with preceptors and practicum
• Internship Faculty include internal clinical
  practitioners and external experts

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THR Clinical Internships

• Course curriculum created internally with
  multiple stakeholder expertise
• Education Model
• Didactic classes held centrally onsite and
  preceptors at the sponsoring hospitals
• Online educational resources accessed anywhere
  Medcom
• Assessment
• End of Course evaluation through mock patient
  interaction along with skill/knowledge assessment
• Written assessment tests

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THR Clinical Internships Outcome
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Our Mission Commitment
To improve the health of the people in the
communities we serve.
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T E X A S H E A L T H R E S O U R C E S
www.texashealth.org
TheCenterforLearning_at_texashealth.org