AN ACCELERATED NURSE EDUCATOR MODEL: REDUCING THE FACULTY SHORTAGE

1
AN ACCELERATED NURSE EDUCATOR MODEL REDUCING THE
FACULTY SHORTAGE

• Phyllis M. Connolly, PhD, PMHCNS-BC,
• Graduate Coordinator, connollydr_at_son.sjsu.edu
  Jayne Cohen, DNSc, RNC, Director,
  jcohen_at_son.sjsu.edu
• School of Nursing, San José State UniversitySan
  José, CA 95192-0057 www.sjsu.edu/nursing

2
Organization and University Profile

• SAN JOSE STATE UNIVERSITY, located in downtown
  San José, CA, Between San Francisco and Monterey
  areas
• 30,000 students
• Oldest of the 23 campuses of California State
  University System 408,000 students
• Public, state supported

3
School of Nursing

• MISSION "to provide innovative nursing
  education in the art and science of professional
  nursing while empowering our baccalaureate and
  masters graduates to be socially and ethically
  responsible and knowledgeable clinicians,
  leaders, and scholars who will meet the changing
  healthcare needs of a diverse global community."
  
• Educated over 4,500 nurses since founding in 1955
• BS in Nursing degree
• MS in Nursing degree
• Nurse Administrator, Nurse Educator, Family Nurse
  Practitioner,School Nurse Clinical Specialist
• Advanced placement for Associate Degree
  registered nurses and Licensed Vocational Nurses.
  
• Highly Diverse student body
• 7 Nurse Managed Centers
• Multiple Hospital and Community-Based Health Care
  Organization partnerships for clinical placements

4
Literature Review

• Nursing Shortage CA
• 45 RNs over 50 years old
• Average annual salary 69,000 USD
• 28,410 eligible applications for 11,000 slots
  (2004-06)
• RN Demand between 241,000 and 257,000 FTEs by
  2014
• Faculty Shortage CA
• 192 unfilled Faculty Positions 2005-06
• Faculty retirements
• Salaries
• 54,000 lecturer (SJSU)
• 60,000 assistant professor (SJSU)
• 63,000 full time (Community colleges Associate
  Degree)

5
Health Care System Issues

• IOM (2003)
• Applying evidence to health care delivery
• Patient Safety
• Using information technology
• Aligning payment policies with quality
  improvement
• Preparing the workforce

6
Developing a Solution

• Building a Faculty Team
• Seeking Funding (writing the grant)
• Collaboration with funder
• All courses privately funded
• University System barriers

7
Betty Irene Moore Nursing Initiative Framework
Improved nursing-related patient outcomes in
acute care hospitals in 5 SF Bay Area Counties
GBMF Nursing Initiative Outcome
Larger Hospital RN Workforce
Practices to Improve Patient Safety
More New RNs
Workforce Development/ Higher Retention
Systems Approach to Patient Safety and Quality
Improvement
Best Nursing Practices
Increased Nurse Education Capacity
Nurse Leadership Training
Increased Nurses At the Bedside
Establish Best Practice Models
Train more nurse Educators and fund More faculty
positions
Continuing Education
Implement Best Practices
Increase clinical training and other Teaching
facilities
Organizational Development
8
(No Transcript)
9
Definitions of Program Success
10
The Plan Project Highlights

• Accelerated Curriculum
• Faculty support
• Formative summative evaluation
• Support for students
• Teacher Scholar Seminars
• Collaborative research
• Commitment to teach

11
Gordon and Betty Moore Foundation Grant

• All courses paid 14,400.00 USD/student
• 20,000 USD student stipend MS
• Must teach full time for 3 years in a RN
  program in 5 designated counties
• 8,000 USD student stipend post MS
• Must teach full time for 1 year in RN program
  in 5 designated counties
• Work limited to 20 hrs per week
• Must attend monthly Teacher/Scholar seminars
• Must maintain 3.0 (GPA)
• Must participate in evaluations
• Prerequisites completed

12
Innovations

• Web-based curriculum enhancements
• MS 3 year program condensed to 16 months
• Teacher/Scholar seminars
• Initiated post masters certificate
• Courses held off main campus
• Easy parking
• Funded conferences
• Support for NLN Certification Nurse Educator
• Faculty Research project open for students to
  join
• Post employment available at a Centralized
  Faculty Resource Center http//www.iteachnursing.o
  rg

13
Curriculum 36 units

• Nurse Educator Courses
• Nurs 212 Curriculum Design, 3 units
• Nurs 214 Nurse Educator Theory Practicum, I, 5
  units (250 hrs. clinical)
• Nurs 266 Health Care Informatics, 3 units
• Nurs 216 Nurse Educator Theory Practicum II, 5
  units (250 hrs. clinical)
• NURS 208 Special Topics, 3 units
• EDIT 186 Using Instructional Media, 3 units
• On line

• Core Courses
• Nurs 200 Healthy Care Systems, 3 units
• Nurs 202 Theoretical Foundations, 2 units
• Nurs 204 Diverse Populations and Health Care, 3
  units
• Nurs 295 Research Design, 3 units
• Nurs 297 Project, 3 units
• Prerequisites Econ1A statistics within 3 yrs
  writing requirement

14
Post Masters Certificate Curriculum 11 Units

• NURS 212 (3 Units) Curriculum Development
• Nurs 214 Nurse Educator Theory Practicum, I, 5
  units (250 hrs. clinical)
• EDIT 186 Using Instructional Media, 3 units
• On line

15
Risks / Risk Management

• Aggressive deadline to begin Cohort I created a
  pre-launch enrollment volatility right up to the
  start of classes Cohort 1 was smaller than the
  goal
• Marketing Plan development was delayed
• Student retention being addressed through
  teacher/scholar seminars advising
• GBMF Centralized Faculty Resource Center under
  development not ready until Cohort II
• University bureaucracy complex and resistant
• Recruiting expert faculty to teach in the
  programs

16
Admissions and Retention

• Cohort I
• MS 11 Completed 8
• Retention 73
• Post MS 4 Completed 3
• Retention 75
• Cohort II
• MS 16 Completed 12
• Retention 75
• Post MS 5 Completed 5
• Retention 100
• Cohort III (F07)
• MS 15 (Retention 100 S08)
• Post MS 5 (Retention 100 S08)

17
Demographics N 48

• Ethnicity
• Caucasian N 38
• African American N 1
• Hispanic N 1
• Chinese N 3
• Filipino N 3
• Korean N 1
• Indian (East) N 1

• AGE
• 30-40 N 16
• 41-50 N 17
• 51-60 N 15
• Gender
• Females N 45
• Males N 3

18
Outcomes

• Exit Surveys EBI
• Alumni Surveys EBI
• Retention
• Focus Groups
• Student
• Faculty
• Employment
• Student publications

19
EBI Exit Survey N 26 (Includes Cohort I (n
11) Overall Program Effectiveness Comparison
institutions
Green SJSU Coral Carnegie Class Purple
Select 6 Blue All institutions
20
Post Program Employment 5 required counties

• BSN Programs
• SJSU
• 12.5
• Samuel Merritt (private)
• 5.5
• Note MS (10.5)
• Post MS (2)

• Associate Degree
• 10
• 5 different area programs
• Note MS (2)
• Post MS (8)

21
Challenges Students

• Pace and workload (16 months)
• Family issues
• Decreased income
• Finding full time positions to meet grant
  commitment
• Leaving the program and pay back
• Issues between regular program students
• Meeting CA Board of Registered Nursing approval
  requirements for future employment

22
Cohort I
23
Challenges Faculty

• Attitude
• Focus group results
• Availability
• Teaching in both programs
• Project (Research) Advisors
• 12 month assignments

24
Challenges Program

• Meeting Goals of Grant
• Length of program
• Student Retention
• Staffing regular program accelerated
  undergraduate program
• Supporting faculty to avoid burnout
• University support
• Monitoring Grant
• Provision of appropriate teaching experiences
• Management of drop outs
• Monitoring employment post program

25
Discussion

• Lessons learned
• Admission Criteria
• Future plans
• Maintain post masters certificate
• Benefits to program
• Curriculum innovations enhanced undergraduate
  graduate programs
• New hires
• Increased use of new technology by new faculty
• Increased use of technology by seasoned faculty

26
Acknowledgements

• Moore Faculty
• Dr. Abriam-Yago
• Dr. Canham
• Dr. Connolly
• Mr. Crider
• Dr. Elfrink
• Dr. Lewis
• Dr. Murphy
• Dr. Mao
• Dr. Saylor
• Dr. Stuenkel
• Dr. Yoder
• Dr. Willard
• SJSU Regular Faculty who served as preceptors for
  students

• Gordon and Betty Moore Foundation
• Dr. Cohen, PI
• Marilyn Wendler, Project Manager
• Moore Grant Team
• Dr. Connolly
• Dr. Saylor
• Dr. Parsons
• Dr. Stuenkel
• Dr. Malloy
• Mr. Crider
• Evaluation Consultants
• Dr. Foley
• Dr. Christenson

27
Thank you