ADVANCED EDUCATION NURSING PROGRAM

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ADVANCED EDUCATION NURSING PROGRAM

• September 2006
• Division of Nursing
• Technical Assistance Workshops
• September 6-7, 2006 (Washington, DC)
• September 19-20, 2006 (San Diego, CA)
• Irene Sandvold, DrPH, CNM
• U.S. Department of Health and Human Services
• Health Resources and Services Administration
• Bureau of Health Professions
• Division of Nursing

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Purpose

• Enhancement of advanced nursing education and
  practice
• Traineeships for individuals in advanced
  education nursing programs

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Submission

• Electronic submission
• Submission Date - December 8, 2006
• Page Limit
• Single (includes blended) 65 pages
• Two or more specialties 80 pages
• Note SF 424 RR Forms are not included in page
  limit.

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Advanced Education Nurses

• Primary Care Nurse Practitioners
• Nurse-Midwives
• Nurse Anesthetists
• Clinical Nurse Specialists
• Nurse Educators

• Nurse Administrators
• Public Health Nurses
• Other Nurse Specialties as Determined by the
  Secretary

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Advanced Education Nursing (AEN) Programs

• Levels of Programs
• Masters and Doctoral programs
• Combined RN/Masters programs
• Post-nursing Masters certificate programs
• Certificate nurse-midwifery programs in existence
  on November 12, 1998

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Eligibility

• Accredited schools of nursing
• Academic health centers, and
• Other public or private, nonprofit and for-profit
  entities capable of carrying out the legislative
  purpose

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Length of Support

• Competing Applications
• Three (3) years
• Competing Continuations
• Three (3) years
• No planning year allowed Projects should be
  ready to enroll students in the first
  semester/quarter after funding

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Guidelines for AEN Programs

• Healthy People 2010
• Bureau of Health Professions (BHPr) Goals
• Federal, state or regional plans or priorities as
  available
• Established guidelines from professional
  associations
• Linkages

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Guidelines for AEN Programs (cont.)

• Graduates must be eligible for national nursing
  organization certification in advanced practice
  or advanced level.
• The applicant must indicate the guidelines and
  competencies used by the program(s) seeking
  support.

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Guidelines for AEN Programs (cont.)

• BHPr Goals
• Eliminate Health Barriers Assure the
  appropriate supply, diversity, composition and
  distribution of the health professions workforce.
• Eliminate Health Disparities Assure the
  availability of a full range of healthcare skills
  and services to populations bearing a
  disproportionate share of disease and disability.

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Guidelines for AEN Programs (cont.)

• 3. Assure Quality of Care Improve the
  knowledge, skills, competencies and outcomes of
  health professions workforce.
• 4. Improve Public Health and Health Care
  Systems Assure the infrastructure to support an
  efficient and effective health professions
  workforce.
• Applicants are to address at least the first 3
  goals, and the 4th if appropriate for their
  project.

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• Guidelines for Specific Educational Programs

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Program Guidelines - NP and NMW Programs

• Meet professional educational guidelines
• Organization and administration
• Length of program
• Faculty qualifications
• Resources
• Curriculum - educate nurses for primary health
  care
• Student enrollment reasonable for scope of
  project and cost

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Program Guidelines - Public Health Nursing

• Provide education in the public health sciences,
  interdisciplinary academic and practice
  experiences, and identify what and how public
  health nursing competencies are achieved
• Focus preparing advanced practice nurses to meet
  population needs

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Program Guidelines for - Doctoral Programs

• Doctoral program applications should be
  consistent with the most recent indicators for
  doctoral education, published by the American
  Association of Colleges of Nursing (AACN).
• DNP Programs should be consistent with current
  and evolving AACN guidelines.

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Review Criteria

• Need for the proposed project (purpose and
  rationale)
• Response Project Plan
• Project Objectives
• Methods Specific Activities by year
• Project Evaluation
• Enrollment plans
• Curriculum
• Competencies Quality (Distance Learning as
  applicable)
• Approvals and Accreditation
• Adherence to guidelines
• Dissemination plans

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Review Criteria (cont.)

• Evaluative Measures
• Impact
• - Plan for dissemination
• - Plan for sustaining the program after
  project funding period is complete
• - Replicability

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Review Criteria (cont.)

• Resources/Capabilities
• Organizational Information
• Project Management
• Resources
• Capabilities
• Support Requested
• Reasonable budget
• Well justified by line item

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Review Criteria (cont.)

• 7. Diversity and cultural competence
• Institutional experience and plan
• School of Nursing past performance
• Specific plan for recruitment, retention and
  graduation of students from underrepresented
  minority groups and/or students from low income
  or disadvantaged backgrounds
• Institutional plan to develop culturally and
  linguistically competent graduates
• Plan for the preparation of graduates
• to provide culturally competent care.

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Applications that Request Support for Two or More
Specialties

• 80 page limit
• One project director
• Graduates from each specialty must be eligible to
  sit for certification examinations

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Applications that Request Support for Two or More
Specialties

• Support for projects is from one or more of the
  following categories
• Primary Care Nurse Practitioner and Nurse-Midwife
• Nurse Anesthetist
• Clinical Nurse Specialist
• Public Health Nurse
• Administration
• Education
• Others as determined by the Secretary

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Budget

• Each application must include a
• Detailed budget for all 3 years, as indicated in
  the SF 424 RR Form
• Consolidated budget for all years
• Listing of in-kind contributions

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• Specific Instructions for Completing
• the AEN Application Narrative

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Abstract (Summary) of Project

• Abstract
• Limited to 1 page
• Purpose and rationale
• Objectives
• Methodology
• Evaluation
• Projected number of enrollees and graduates
• Preference
• Certification

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Project Title

• Please put a brief descriptive title of the
  project on the Face Page.
• For example
• Preparing Family Nurse Practitioners for
  Rural/Underserved areas
• Enhancing Cultural Competence for GNP and
  Geriatric Clinical Nurse Specialist and
• Developing a new Nurse Anesthetist Program using
  Distance Learning Methods

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Outline for Project Narrative

• Introduction
• Purpose of the project consistent with
  legislative purpose
• Needs Assessment and Rationale
• Methodology (Refer to Work Plan Section)

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Outline for Project Narrative (cont.)

• Work Plan
• Objectives
• Competing Continuations
• Methodology
• Activities
• Timetable
• Project Evaluation Plan
• Dissemination of Activities and Products

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Outline for Project Narrative (cont.)

• Curriculum
• Overview
• Plan of Study
• Course Information
• Clinical Experience
• Electronic Distance Learning Methodologies

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Outline for Project Narrative (cont.)

• Competencies
• Program Approvals
• Program Accreditation
• Program Requirements
• Enrollment
• Diversity
• Cultural Competence
• Funding Factor

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Outline for Project Narrative (cont.)

• Resolution of Challenges
• Evaluation and Technical Support Capacity
• Organizational Information
• Project Management, Resources and Capability
• Capabilities of the Applicants Organization
• Sustainability
• Replicability

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Project Narrative Instructions

• Specific Guidance
• Project Synopsis
• Comprehensive Framework of Proposed Project
• Use Section Headers

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Introduction - Purpose

• Identify the purpose of the project consistent
  with the legislative purpose

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Needs Assessment

• Document the need for the project / population(s)
  to be served
• Relationship to Federal, State, or local plans or
  priorities

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Needs Assessment (cont.)

• Document the student pool
• Progress Report for competing continuation
  applications
• Identify anticipated barriers

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Work Plan/Methodology - Objectives

• Specific, measurable, time-framed
• Relate to the project purpose(s) and identified
  needs
• Include objectives that address
• BHPr Goals
• Healthy People 2010
• Linkages
• Preference

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Work Plan/Methodology - Competing
Continuations

• Competing Continuations are an extension of an
  existing project
• Must justify the need for 3 additional years of
  support
• Provide a Progress Report on meeting original
  project objectives
• Identify gaps in achievement of objectives and
  work that remains to be done

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Work Plan/Methodology

• Activities to meet each project objective and
  sub-objective
• You may choose to display this information in a
  table in addition to narrative format
• Example Year 1 Overall Objective

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Work Plan/Methodology (cont.)

• Includes
• Activities
• Timetable
• Project Evaluation Plan
• Dissemination of activities and outputs/products
  from project

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Work Plan/Methodology - Curriculum

• Overview
• Plan of study by semester/quarter
• Academic and clinical hours
• Course Information/Topical Outline
• Clinical Experience
• Populations and sites
• Formal and informal linkages/partnerships
• Preceptor and site selection criteria
• Electronic Distance Learning Methodologies
• If applicable

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Work Plan/Methodology Competencies

• Identify national nursing organization
  competencies related to the program seeking
  support.
• Identify competencies of graduates of this
  project.

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Work Plan/Methodology Program Accreditation

• A collegiate school of nursing must be accredited
  by a recognized body deemed by the Secretary of
  Education, i.e. National League for Nursing
  Accreditation Commission (NLNAC) or Commission on
  Collegiate Nursing Education (CCNE).
• Both institutional and graduate nursing program
  accreditations are required before the
  application can be considered for funding.

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Work Plan/Methodology Program Accreditation
(cont.)

• New programs that are not yet accredited must
  provide documentation that indicates reasonable
  assurance that the program will meet the
  accreditation standards of NLNAC or CCNE prior to
  the beginning of the academic year following the
  normal graduation date of students of the first
  entering class.
• Documentation of the assurance must be submitted
  at time of application.
• Note  New Programs should contact the
  Department of Education, Accreditation and State
  Liaison Unit at [phone] for further
  guidance.

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Work Plan/Methodology Program Approval

• New programs must identify all steps in the
  approval process and provide documentation of all
  approvals in the application.
• Examples of Approvals
• Nursing Faculty Committee, Institutional
  Committees/Boards, State bodies (State Boards of
  Nursing, Higher Education Boards). National
  professional associations

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Work Plan/Methodology Program Approval
(cont.)

• New Programs (excluding NMW and CRNA) must
  provide documentation of all approvals and
  accreditations necessary to admit students in the
  application.

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Work Plan/Methodology Nurse-Midwifery Program
Requirements

• Must provide evidence of pre-accreditation or
  accreditation by the Division of Accreditation of
  the American College of Nurse-Midwives (ACNM)
• New programs - evidence of pre-accreditation for
  approved applications in this grant cycle must be
  submitted by March 1, 2007

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Work Plan/Methodology - CRNA Program
Requirements

• Full-time nurse anesthetist education
• Evidence of pre-accreditation or accreditation
  from the American Association of Nurse
  Anesthetists (AANA) Council on Accreditation of
  Nurse Anesthesia Educational Programs must be
  provided.
• New programs - evidence of pre-accreditation or
  accreditation for approved applications in this
  grant cycle must be submitted by March 1, 2007.
  Evidence of program approvals for major program
  changes also must be submitted by March 1, 2007.

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Work Plan/Methodology - Enrollment

• Table 1 Project Specific Enrollment and
  Graduation Data
• Projected enrollment
• Continuing enrolled students
• Newly enrolled students
• Total headcount
• Projected number of graduates
• Full-time-equivalent definition
• Projected enrollment table for each specialty
  that will be supported by the project

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Work Plan/Methodology - Diversity

• Diversity
• Institutional strategic plan for diversity that
  shows institutional commitment
• Plan to recruit, retain and graduate students
  from underrepresented minority groups and/or
  students from disadvantaged backgrounds
• School of Nursing past performance and
  institutional experience in admitting, retaining,
  graduating students from underrepresented
  minority groups
• and/or students from educationally or
  economically disadvantaged backgrounds

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Cultural Competence

• Cultural Competence
• Institutional strategic plan and initiatives
• Plan for preparing students to provide culturally
  and linguistically competent care
• Summarize courses and learning experiences

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Funding Factor

• Statutory Funding Preference
• Must be requested to qualify
• Specify the basis for request
• Significant contributions to meeting needs of
  rural OR underserved populations OR contribute to
  meeting public health needs of Sate or local
  health departments.
• Highlight specific ways graduates prepared to
  meet preference throughout the application

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Resolution of Challenges

• Identify challenges in implementing activities
• Approaches to resolve challenges

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Evaluation and Technical Support Capacity

• Project Evaluation
• Methods to monitor project activities and results
• (Refer to project methodology section if
  needed)
• Program Evaluation
• Strategy must be directly tied to the project
  outcomes
• Incorporated into the existing evaluation plan of
  the College/University
• Explanation of new program evaluation plan, if
  anticipated
• Analysis of contribution to meeting the needs of
  the population served by the graduates
• Show relationship to existing graduate
• program evaluation

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Evaluation and Technical Support Capacity (cont.)

• Plan for tracking performance of graduates on
  certification exams
• Relationship to graduate program evaluation plan
• Provide a succinct discussion of how the project
  could be expected to contribute to the identified
  population health needs.

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Organizational Information

• Project Management, Resources, and Capabilities
• Project Personnel
• Faculty Recruitment Plan
• Summary Faculty Table
• Consultant (s)
• Biographical Sketches
• Recruitment plan for vacant positions

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Project Management, Resources, and Capabilities

• Summary faculty table
• Faculty members
• Academic degrees
• Area(s) in which the degree was earned
• Area(s) of teaching responsibility
• Clinical preceptors

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Project Management, Resources, and Capabilities
(cont.)

• Consultant(s)
• If consultants are identified
• Provide documentation of agreement to serve
• Summarize the qualifications and scope of work
• Include a biosketch
• If consultants are not yet identified
• Describe the vacant position by area of expertise
  and scope of work
• Provide a rationale for the consultant position

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Project Management, Resources, and Capabilities
(cont.)

• Capabilities of Applicant Organization
• Institutional resources
• Teaching facilities
• Clinical resources
• Libraries
• Computer Resources
• Community Support

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Project Management, Resources, and Capabilities
(cont.)

• Linkages
• Established and/or planned linkages with relevant
  educational and health care entities and
  interdisciplinary educational programs, including
  outreach to school-aged youth K-12
• Budget
• Reasonable, every line item justified, and
  related to project objectives

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Project Management, Resources, and Capabilities
(cont.)

• Sustainability
• Program plans to become self-sufficient and
  continue operating after Federal funding ends
• Replicablity

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Appendix

• Administrative and other letters of support
• Dean and university officials
• Key collaborating agencies
• Clinical sites and consultants
• List additional letters of support with
  significant statements

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Advanced Education Nursing Program Contact
Information
Technical assistance is available from the
Division of Nursings Advanced Nurse Education
Branch at telephone [phone] on the web at
www.bhpr.hrsa.gov/nursing or via staff
e-mail Irene Sandvold...........................
......isandvold_at_hrsa.gov Karen Breeden.kb
reeden_at_hrsa.gov Jacqueline Rodrigue.
.jrodrigue_at_hrsa.gov Young Song
ysong_at_hrsa.gov Denise Thompson..dthompson_at_h
rsa.gov Nancy Douglas-Kersellius.....ndouglas_at_h
rsa.gov Amanda Nickerson.anickerson_at_hrsa.g
ov