AN ACCELERATED NURSE EDUCATOR MODEL: REDUCING THE FACULTY

AN ACCELERATED NURSE EDUCATOR MODEL: REDUCING THE FACULTY SHORTAGE Phyllis M. Connolly, PhD, PMHCNS-BC, Graduate Coordinator, [email protected] Jayne Cohen, DNSc, RNC, Director, [email protected] School of Nursing, San José State University San José, CA 95192-0057 www.sjsu.edu/nursing 1

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 2

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 3

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) 4

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 5

Developing a Solution Building a Faculty Team Seeking Funding (writing the grant) Collaboration with funder All courses privately funded – University System barriers 6

Betty Irene Moore Nursing Initiative Framework GBMF Nursing Initiative Outcome: Improved nursing-related patient outcomes in acute care hospitals in 5 SF Bay Area Counties Larger Hospital RN Workforce Workforce Development/ Higher Retention More New RNs Increased Nurse Education Capacity Practices to Improve Patient Safety Increased Nurses At the Bedside Train more nurse Educators and fund More faculty positions Increase clinical training and other Teaching facilities Nurse Leadership Training Continuing Education Best Nursing Practices Systems Approach to Patient Safety and Quality Improvement Establish Best Practice Models Implement Best Practices Organizational Development 7

Grant Outcome: Increased RN education capacity through acceleration and expansion of Masters RN level nurse education at San José State University. Outputs: 1. 2. 36 new MS graduates with a nurse educator emphasis ready to assume faculty roles 12 current MS novice faculty certified through the Nurse Educator Certificate Program Term of Grant: 5 years 3 months GBMF Funding: 3,242,000 Total Project Cost: 3,242,000 GBMF % of Total: 100% 8

Definitions of Program Success Grant Outcome: Increased RN education capacity through acceleration and expansion of Masters RN level nurse education at San José State University. Measures and Milestones Cohort I graduates – 12 new MS graduates with nurse educator coursework 2. Cohort II graduates – 17 new MS graduates with nurse educator coursework 3. Cohort III graduates – 19 new MS graduates with nurse educator coursework INCREASE IN FACULTY INCREASE IN STUDENT NURSE ENROLLMENT 1. Date(s) of achievement 1. May, 2006 2. December, 2007 3. May, 2009 9

The Plan: Project Highlights Accelerated Curriculum Faculty support Formative & summative evaluation Support for students Teacher Scholar Seminars Collaborative research Commitment to teach 10

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 11

Innovations Web-based curriculum enhancements MS 3 year program condensed to 16 months Teacher/Scholar seminars Initiated post master’s 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.org 12

Curriculum: 36 units 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 Nurse Educator Courses Prerequisites: Econ1A; statistics within 3 yrs; writing requirement 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 13

Post Master’s 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 14

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 15

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

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 17

Outcomes Exit Surveys: EBI Alumni Surveys: EBI Retention Focus Groups – Student – Faculty Employment Student publications 18

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 19

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 Post MS (2) (8) 20

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 21

Cohort I 22

Challenges: Faculty Attitude Focus group results Availability Teaching in both programs Project (Research) Advisors 12 month assignments 23

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 24

Discussion Lessons learned – Admission Criteria Future plans – Maintain post master’s 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 25

Acknowledgements 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 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 26

Thank you 27