Summary of Literature Related to Academic-Service Partnerships Key word Searched: Academic-Service Partnership June 30, 2010 Category Principles of partnerships Citation Hegyvary ST (1991). Academic-Corporate Partnering to Improve Long-Term Care Findings Suggestions to develop and sustain partnerships between SONS and Corporations: 1) Find the common ground and basis of strong ties strong enough to sustain the partnership 2) Be honest about individual or corporate interests and commitments 3) Live with and thrive on uncertainty and change Principles of partnerships Haw MA & Ferretti C. (1995). University-Clinical Agency Partnerships: Cost Effective Opportunities to Expand Case Management Services and Measure Outcome. Journal of Care Management, 1(1): 10-19. Principles of partnerships Seifer S, Sebastian J, Cora-Bramble D, Hart R. (1996). Interdisciplinary Collaboration in Service-Learning: Lessons from the Health Professions. Michigan Journal of Community Service Learning. Fall 1996: 113-127. Principles of Sebastian J, Skelton J, & West KP. There is Feedback to, among Description of several partnerships between SFSU and local health care agencies. Suggestions for success: 1. Strong support from administration. 2. Consensus on goals and objectives. 3. Implementation plan with sequencing and timetable of essential tasks. 4. Delineation of responsibilities. 5, Plan to monitor and evaluate projects. Several specific suggestions given for each partner. Key components of success in a partnership include: 1) logistics and communication—structured team meetings with specific outcomes. 2) interdisciplinary team development. 3) Community building.4) Program leadership at the highest level of the institution. 4) Networking and peer support. 5) Ongoing program evaluation. 6) Community partnership development— focusing on community’s needs Appears to be a chapter in a book. Given to me by lead 1 partnerships and from all stakeholders in the partnership with the goal of continuously improving the partnership and its outcomes. Source unknown Principles of partnerships Barger SE (1999). Partnerships for Practice—A Necessity in the New Millennium. JPN, 115 (4): 208. Principles of partnerships McNamara A (2000). Minding the Gap: Transitions on Nursing Education and Care Delivery Systems. Nursing Administration Quarterly, 25 (1): 39-50. author. Chapter focuses on approaches to encouraging and initiating feedback between partners and for using feedback as a part of continuous quality improvement. Approaches to Incorporating Feedback: advisory committee meeting, participating in community committees, inclusion of consumers on advisory committees, sharing of info, development of shared protocols and guidelines, informal information exchange, communication media that is shared, shared programs. Strategies for Using feedback: real time responsiveness, on-going development program for all participants. Essential elements for effective feedback: trust, shared understanding of mission, goals & policies, involved leadership, evaluation of feedback efficacy. Challenges: lack of resources. Partnerships are a necessity and will require new approaches. Underlying question should be: “Are we able to put the greater good of containing costs while maintaining quality ahead of our personal, professional and program’s interests? Because our students learn by our example, I certainly hope that we can.” The future of nursing education and service described using the subway metaphor. Characteristics of emerging mindful organizations: 1) thrive in a world of chaos and uncertainty and embrace both as strategy; think backward from the future to the presents and bring the future to the present; distribute decision making so that everyone in the organization shares responsibility; uses strategies to enhance creativity and innovation of every member; when makes errors-forces them to the surface for benefit; cultivates mutual respect, trust, honesty, loyalty and personal integrity; creates an environment where the human spirit can 2 Principles of partnerships Donaldson SK & Fralic M. (2000). Forging Today’s Practice— Academic Link: A New Era for Nursing Leadership. Nursing Administration Quarterly, 25(1): 95-101. Principles of partnerships Shellenbarger T (2003). Professional—Community Partnership: Successful Collaboration. Annual Review of Nursing Education, 1: 43-58. Principles of partnerships Gaskill D et al (2003). University and Industry Partnerships: Lessons from Collaborative Research. International Journal of Nursing Practice, 9:347-355. Hewlett PO & Bleich MR (2004). The Reemergence of AcademicService Partnerships: Responses to the Nursing Shortage, Work Environment Issues and Beyond. JPN, 20(5): 273-274. Principles of partnerships soar. Process of partnering described: Strategic planning— what type of partnership if any should be established to meet the stated goals? Identification of barriers and how to eliminate them. Identification of motivators. Investment of resources, risk sharing, and distribution of revenues by and for both partners Discussed: Why Partner? Potential Partners including faith communities, civic organizations, governmental supported orgs, health and human services orgs, and community based health centers, business, media, and philanthropy. Resources for partnership development. The Development of A Partnership: 1) individual inventory of each partner’s strengths and weaknesses, Shared vision or purpose, writing the mission statement, set goals for the group, plan projects, seek support, community action, evaluation. Sustaining a partnership: open forum for discussion and disagreement, inclusion of key community members, knowing the history and past experiences, shared responsibilities and accountabilities and resources, regular group meetings, celebration of success. Key elements for success: trust and commitment with common unifying goals. Editorial proposing that developing academic-service partnerships is part of the workforce solution. The authors see “translational workers” emerging—“who see a bigger picture, think through options for and impact the care delivery changes, embrace solutions that include policy development, utilize and value research for promoting EBP with an eye toward organizational systems and administrative best 3 Principles of partnerships Kinnaman ML and Bleich MR (2004). Collaboration: Aligning Resources to Create and Sustain Partnerships. JPN, 20(5): 310322. Principles of partnerships Smith EL & Tonges MC. (2004). The Carolina Nursing Experience: A Service Perspective on an Academic-Service Partnership. JPN, 20(5): 305-309. Principles of partnerships Barger SE & Das E (2004). An Academic-Service Partnership: Ideas that Work. JPN, 20(5): 97-102. Principles of partnerships O’Neill EO and Krauel P (2004). Building Transformational Partnerships in Nursing. JPN, 20(5): 295-299. practices. “The need for reward by both was identified—with fluidity between settings proposed. Ralph Stacey’s organizational theory on complex adaptive systems is extended as an event-driven typology of behavioral strategies for problem solving in academic-service partnerships. 4 Problem-Solving Behavioral Strategies: toleration, coordination, cooperation, and collaboration. Questions to consider before developing a partnership: 1.Are the vision and goals of the partners compatible? 2. Will each partner be able to meet and perhaps exceed expectations? . 3Are the goals clear, measurable and realistic for both? 4. Are there any areas of potential competition? 5. Can the partnership augment the basic goals and values of each party? What you need to know to answer these ?s: 1. Knowledge re similarity of views from both sides. 2. Knowledge re the same from various levels of leadership on both sides. 3. Opportunity to compare level of partnership across multiple affiliations. 4.Basis for whether one partner should receive greater investment. 5. Suggestions for areas where action might enhance partnership. Benefits: 1. Greater comfort in each other’s environment.2. Champions emerge.3. Faculty influence in the hospital and hospital influence in the SON. 4. Expanded network, 5. Sharing of resources. 7 initiatives discussed. Lessons learned: Trust is the key to success. Leaders in both organizations must be amenable to risk and willing to change. Key players must make these ideas work and must be able to work together. 5 things nurse leaders must do to advance partnerships: 1. Develop coherent institutional strategy. 2. Screen 4 Principles of partnerships Herrin, D et al 2006. A Model Academic-Practice Partnership. JONA, 36(12): 547-550. Principles of partnerships Williams-Barnard CL, Bockenhaurer B, Domaleski VO, Eaton JA (2006). Professional Learning Partnerships: A Collaboration between Education and Service. JPN, 22 (6): 347-354. Principles of partnerships Harvath TA et al ( 2007). Best Practices Initiative: Nurturing Partnerships that Promote Change. Journal of Gerontological Nursing, Nov: 19-26. Principles of partnerships Caldwell, L, Luke G, Tenofsky L. (2007). Creating Value-Added Linkages through Creative Programming: A Partnership for Nursing Education. The Journal of Continuing Education in Nursing, 38(1): 31-36. Gillis CL and Fuchs MA (2007). Guest Editorial: Reconnecting Education and Service: Partnering for Success. NO, 55 (2): 61-61. Principles of partnerships potential partners against this strategy. 3. Assess core competencies, assets and weaknesses of potential partners. 4. Advance mutually beneficial strategies. 5. Structure accountability to each other. Discussion of the partnership that developed out of the decision to close a hospital diploma program and transition to BSN Programs. Creating a shared vision, communication, transition leadership, resources, and open sharing of problems were key to success Survey of students and practicing nurses identifying factors that fostered successful learning partnerships. 2 of 15 factors were statistically significant: compatibility and competence. Best Practices: 1. Each partner brings something unique and valuable.2 Partners must be engaged at all levels.3 Participation by all members. 4. Long terms continuity of the group must be considered. 5 suspend proprietary issues so that work can be collaborative—not competitive. 6. Honesty with each other 7. Respect for each other and vulnerabilities. 8. Honest and clear is estimating resources. 9. Freedom to ask and to say no to each other. 10. Disagreements must be viewed as positive—open dialogue. 11. Use facilitation if necessary to resolve conflict. 12. Set the agendas together Key elements of success: open communication, mutual recognition and respect, clear expectations and clarity of roles, flexibility and desire to own both the problems and the successes. Education-Service partnerships require a comprehensive framework that clarifies goals, objectives, and responsibilities. This framework should include: governance structure for oversight, adequate resources, strong commitment by all stakeholders, ongoing 5 Principles of partnerships Stanley, J et al (2007). Implementing Innovation through education-practice partnerships. NO, 55 (2): 67-73. Principles of partnerships Engelke MK, Rose MA, Drake DJ, Marshburn D (2007). Building and Sustaining the Bariatric Nursing Consortium. Bariatric Nursing and Surgical Patient Care, 2(4): 285-290. MacPhee, M (2009). Developing a Practice-Academic Partnership Logic Model. NO, 57 (3): 143-147. Principles of partnerships Principles of partnerships Lundeen S, Harper E, Kerfoot K. (2009). Translating Nursing Knowledge into practice: an uncommon partnership. NO, 57(3): 173-175. Principles of partnerships Burke K, Moscato S, Warner J (2009). A Primer on the Politics of Partnership between Education and Regulation. JPN, 25(6): 349351. Business Perspectives on Partnerships Brown, D, White J, Leibrandt L (2005). Collaborative Partnerships for Nursing Faculties and Health Service Providers: What Can Nursing Learn from Business Literature? Journal of Nursing Management, 14: 170-179. evaluation. CNL initiative: Keys to successful partnership: ongoing dialogue between partners, a common vision, clarifying direction and change, involving all stakeholders, accepting change, a “ powerful guiding coalition and anchoring” Keys to success: effective leadership and mentoring, establishing and following ground rules, garnering internal and external support. Testable logic model for academic-practice partnerships described. Inputs include: partnership champions, compatible philosophies, common vision, key stakeholder commitment, shared goals and responsibilities, dedicated time and resources. Activities include: open and ongoing communications, shared decision making, professional development. Outputs include: action plans and strategic plans. Outcomes include: successful completion of goals. Described a partnership between Aurora Health Care, Cerner Corporation, and UW-Milwaukee to implement HIT into the cultures. Success was attributed to the partner’s ability to: address complex issues; transcend org boundaries; promote shared culture of innovation; implement a shared governance structure. DEU exemplar. Keys to building relationships: communication, mutual need and goal setting, trust building with regulatory agencies Characteristics of sound partnerships from the business literature: Mutual recognition and understanding of each partner’s needs, expectations, capabilities, and responsibilities; shared responsibility; interorganizational synthesis. Successful partnerships have : 6 Business Perspectives on Partnerships KaplanRS, Norton DP, Rugelsjoen B. (2010). Managing Alliances with the Balanced Scorecard. HBR, Jan-Feb 2010: 114-121. Business Perspectives on Partnerships Successful Partnerships: A Guide from the OECD Leed Forum on Partnerships and Local Governance. www.oecd.org/cfe/leed/forum/partnerships good reasons, high stakes, right people, right leadership, strong balanced relationships, trust and respect, good communication, formalization. Anatomy of a Strategic Alliance: Value for both stakeholders, customer value, speed and process innovation, growth, collaboration, Living the alliance. Living the alliance: ensure trust at all levels; execute strategy with visionary leadership; align incentives for employees, implement comprehensive IT strategy to increase speed and collaboration. Collaboration: create transparency and make best use of resources. Speed and Process Innovation: do things right; leverage expertise. Growth: create the right portfolio of products; collaborate on decisions; improve investment management; accelerate flow of products out Guide on how to start partnerships, improving work within partnership. Characteristics of good partnerships—The partnership: enjoys political and social acceptance; partners show determination and accept practicalities; strong sense of ownership; agreements based on identifiable responsibilities, joint rights and obligations; partners take an inclusive approach; strong commitment from each partner; responsibilities and nature of collaboration are clarified; directors are nominated by the partners; rules of conduct including good communication, regular attendance continuity are adhered to; recourses, knowledge and ideas are shared; equal opportunities are secured; adequate financial and human resources; able to lever funding; firm foundation of good practice in finance and HR; resources and energy committed to monitoring and evaluation; a learning culture is fostered. 7 Benefits of partnerships Campbell, SL, Prater M, SchwartzC, Ridenour N (2001). Building an Empowering Academic and Practice Partnership Model. Nursing Administration Quarterly, 26(1): 35-44. Benefits of partnerships Hewlett PO & Bleich MR ( 2004). Beyond Tradition: Synergizing Intellectual and Material Capital to Forge New Academic-Service Partnerships. JPN, 20(5): 285-294. Benefits of Partnerships Clark, L. (2008). Partners in Practice. Nursing Management, 15(3): 12-13. Benefits of Partnerships Warner, JR & Burton DA (2009). The Policy and Politics of Emerging Academic-Service Partnerships. JPN, 25(6): 329-334. New graduate transition Thomka, LA. (2001). Graduate nurses’ experiences of interactions with professional nursing staff during transition to professional role. Journal of Continuing Educ 32 (1); 15-19 Haas, BK et al (2002). Creating a Collaborative Partnership between Academia and Service. JNE, 41(12): 518-523. New graduate transition Benefits of partnerships The Mennonite College of Nursing and Springfield Memorial Hospital In IL include: recruitment, retention, continuing education, professional development, research, synergism and excitement Benefits that were identified in 1990 by AACN still true: strength and power in mutual goal setting, increased visibility and esteem for nursing’s contribution to health care delivery, maximization of resources, enhanced opportunity to maintain relevancy in practice utilizing current knowledge and skills for quality cost effective care, improved more relevant cost effective education of students and staff, increased generation of research, development of patterns that lead to excellence. 3 Exemplars given Benefits of partnerships between the Open University and the Royal College of Nursing in UK included: building strengths of both institutions; allowing the pooling of knowledge, expertise, and resources; enabling sharing of information; exerting greater influence; improving organizational efficiencies; providing greater opportunities for innovation. Description of the Oregon DEU Experience. Politics and Policies of Partnerships required new thinking: letting go, accepting, and shifting Perceptions of the transition with 16 new GNs. Some guidance on orientation Dev, implementation, and evaluation of preceptor program between UT Tyler and area agencies. Junior and Senior Students paired with RNs—sounds like 8 New graduate transition New graduate transition New graduate transition Brockopp, DY, Hardin-Pierce M& Welsh, JD (2006). An AgencyFinanced Capstone Experience for Graduating Seniors. JNE, 45(4): 137-140 Harrison, TM et al (2007) Clinical Focus Program: Enhancing the Transition of Senior Nursing Students to Independent Practice. JONA 37(6): 311-317 The Advisory Board Company (2008). Bridging the PreparationPractice Gap. Volume I: Quantifying New Graduate Nurse Improvement Needs. New graduate transition The Advisory Board Company (2008). Bridging the PreparationPractice Gap. Volume II: Best Practices for Accelerating Practice Readiness of Nursing Students. New graduate transition Hofler LD. (2009). Nursing Education and Transition to the Work Environment: A synthesis of national reports. JNE, 47(1): 5-8. precursor to DEU Capstone experience described in KY. Innovation lies in the fact that agencies funded stipends. Outcomes related to satisfaction. Description of a 1:1 precepted clinical experience for seniors that reduced orientation time and costs. Wisconsin Nursing Redesign Consortium Survey of 400 nursing school directors and over 3500 hospital based leaders on 36 competences. All 36 competencies need improvement. Top 10 priorities nationwide : utilization of IT technologies, rapport with patients and families, respect for diverse cultural perspectives, patient assessment, customer service, documentation, med admin, patient advocacy, interdisciplinary team communication, accountability for actions, ability to work as a team member, recognition of when to ask for help. Summary of survey data with polarized views on practice readiness. Some strategies to close the gap: targeted clinical rotations, expert clinical instruction, exceptional student experiences—In summary a call for a more collaborative approach. Summary of national reports on the topic from 19952005. Common themes: Standardization of credentialing, regulation and accreditation; Capacity and infrastructure of educational system; collaboration and integration; incentives in the workplace for developing highly educated workforce; transition to work environment. REcs included: Right kind of nursing schools in the right places; a clear mission statement; flexible, autonomous and structured post grad programs; clear faculty role expectations; accelerated programs; education and practice integration; 9 collaboration and integration/cross-training. New Grad Characteristics Candela L & Bowles C. (2006). Recent RN Graduate Perceptions of Educational Preparation. Nursing Education Perspectives, 29 (5): 266-271. New Grad Characteristics New Grad Characteristics Kovner, C et al (2007) Newly Licensed RNs Characteristics, Work Attitudes, and Intentions to Work, AJN, 107(9): 58-70 Berkow S & Virkstis K (2008). Assessing New Graduate Nurse Performance Workforce Development Allen P, Schumann R, Collins C, Selz N. (2007). JNE 46 (4):170-176. Workforce Development Joynt J & Kimball B. (2008). Blowing Open the Bottleneck: Designing New Approaches to Increase Nursing Education Capacity. White Paper RWJ. Murray TA (2008). An Academic-Service Partnership to Expand Capacity: What did we learn? Journal of Continuing Education in Nursing, 39(5): 217-224. Workforce Development Workforce Development Bleich M, Cleary B, Davis K. (2009). Mitigating Knowledge Loss—A strategic imperative for nurse leaders. JONA 39(4): 160-164. 352 NLNs surveyed. Respondents felt that they were inadequately prepared in pharm, clinical practice, L/M, use of EMR. Felt better prepared for NCLEX than for practice. Sample split evenly between AD and BSN. NSS differences between groups. NLNs relatively satisfied. Investing in better orientation and management may be the key to retaining them Survey from the Nursing Executive Center of the Advisory Board. Assessment of 36 competencies. Most competencies not met- pointed for need to prioritize learning needs 2 alternative models offering solutions to nursing shortage in Tx between SONS and acute care. Used onsite nurses to clinically instruct students. Increased #s of faculty and freed clinical space—increased capacity. Concept of nurse as coach described. Sounds like precursor to DEU. Summary of complexity of nursing education capacity and innovations to date. Qualitative data from an evaluation of a partnership. Many specific needs during a partnership learned from students, CNOs and faculty. Suggestions focus on guiding professional development opportunities, assisting deans and faculty to expand capacity without compromising quality, assisting CNOS to weigh risks with outcomes. Discussion of strategies to transfer knowledge through workforce development: staff meetings, case mgt huddles, written policies and protocols, listservs, 10 bulletin board, email, mentors, unit based champions, CE etc The Center to Champion Nursing Initiative described Workforce Development Workforce Development Reinhard SC & Hassmiller SB (2009). Partners in Solutions to the Nurse Faculty Shortage. JPN, 25 (6), 335-339. MacIntyre RC, Murray TA, Teel CS, Karshmar JF (2009). Workforce Development Cramer M, Duncan K, Megel M, Pitkin S. (2009). Partnering with Rural Communities to Meet the Demand for a Qualified Nursing Workforce. NO, 57(3): 148-157. Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Barger SE & Crumpton RB (1991). Public Health Nursing Partnership: Agencies and Academe. Nurse Educator, 16(4): 1619. McClowry SG et al. (1996). A Comprehensive School Based Clinic: University and Community partnerships. JSPN, 1(1): 19-26. Description of the program Keating SB (1997). Education and Practice Partnerships in California. JPN, 13(6): 337-343. Description of statewide program funded by RWJ Colleagues in Caring Boccuszzi NK. (1998). CAPNA:A New Development to Increase Quality in Primary Care. Nursing Admin Qrterly, 23 (4): 11-19 Description of the program Lough MA (1999). An Academic-Community Partnership: A Model of Service and Education. Journal of Community Health Nursing, 16(3): 137-143. Wilson AH, Wold JL, Pittman, K. ( 2000). Primary Health Care for Hispanic Children of Migrant Farm Workers. JPHC, 14:209-215 Description of program: Benefits include improved health status, increased access to health promotion services, and enhanced student learning. Description of the program 5 strategies to strengthen relationships and build capacity: re-envision nursing student-staff nurse relationships, reconceptualized the clinical faculty role, enhance development of school based faculty and staff nurses working with students, re-examine depth and breadth of the clinical component, strengthen EBP in clinical nursing education. Sound methodology and transparent process Description of the program 11 Description of Successful partnerships Campbell M & Taylor JR. (2000). Academic and Clinical Collaboration. Contemporary Nurse, 9: 211-219. Article advocating collaboration between academic and clinical nurses as a means of ensuring clinically relevant research in Australia. Modles of collaborative practice addressed. Description of Successful partnerships Dreher M, Everett L, Hartwig SM and Members of the University of Iowa Nursing Collaboratory (2001). The University of Iowa Nursing Collaboratory: A Partnership for Creative Education and Practice. JPN, 17(3): 114-120. Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Hughes CB, Trofino J, O’Brien BL, Mack J, Marrinan M (2001). Primary Care Parish Nursing: Outcomes and Implications. Nursing Admin Qrterly, 26(1): 45-59. Ellmers KL (2002). Developing an Educational Consortium: The Portland Experience. Critical Care Nurse, 22: 60-69. A description of several initiatives. In addition to the creation of innovation, the partnership serves as an “incubator” of ideas and innovation—engaging staff, faculty and students in the development of new products and services Description of program. Outcomes include case finding, case screening, case referral. Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Early work of OCNE Jeanfreau SG & Tennyson M. (2003). Collaboration in the Provision of Health Care to Low Socioeconomic People of New Orleans. Journal of Multicultural Nursing & Health, 9(1): 27-33. Kolb SE, Gilliland I, Deliganis J, Light KL (2003). Ministerio de Salud: Development of a Mission Driven Partnership for Addressing Health Care Disparities in a Hispanic Community. Journal of Multicultural Nursing & Health, 9(3): 6-12. Fauchald SK ( 2004). Using Academic-Community Partnerships to Improve Health Care Services for Underserved Populations. Journal of Multicultural Nursing & Health, 10(1): 51-56. Heller BR & Goldwater MR ( 2004). The Governor’s Wellmobile: Maryland’s Mobile Primary Care Clinic JNE, 43(2): 92-94. Description of program Campbell SE & Dudley K. (2005). Clinical Partner Model: Benefits for Education and Service. Nurse Educator, 30(6): 271-274. Model described where 1 faculty member supervised two clinical groups with 2 adjunct instructors. Sounds like precursor to DEU. Benefits are recruitment and retention of staff and faculty. Description of program. Outcomes included increased access to health promotion services Description of program. Outcomes included. Outcomes included: increased provision of services in cost effective manner Description of program. Outcomes included innovative clinical practice, research and educational opportunities 12 Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of program McConnell E, Lekan D, Hebert C, Leatherwood L (2007). Academic-Practice Partnerships to Promoted Evidence Based Practice in Long-Term Care: Oral Hygiene Care Practices as an Exemplar. NO, 55 (2: 95-105. Horns PN, et al. (2007). Leading through Collaboration: A Regional Acadmic-Service partnership that Works. NO, 55(2): 7479. Levin et al (2007). Building Bridges in Academic Nursing and Health Care Practice Settings. JPN, 23(6): 362-368. Description of program AACN (2008) AACN/UHC Nurse Residency Program Description of Nurse Residency Programs Adams LM & Canclini SB ( 2008), Disaster Readiness: A Community-university Partnership. Online Journal of Issues in Nursing, 13(3): Lashley M (2008). Promoting Oral Health among the Inner City Homeless: A community-academic partnership. Nursing Clinics of North America, 43: 367-379. Mezey, MD, Mitty EL, Buger SG. (2008). Rethinking Teaching Nursing Homes: Potential for Improving Long Term Care. The Gerontologist, 48(1): 8-15. Action research evaluating partnership Fetherstonhaugh D, Nay R, Heather M. (2008). Clinical School Partnerships: the Way Forward in Nursing Education, Research, and Clinical Practice. Australian Health Review, 32(1): 121-126. Charlie F. (2008). “Women Care” in Vancouver’s Downtown Eastside. Canadian Women’s Health Network, Spring/Summer : 27-28 Riley P (2008). Collaboration for Prevention of Chronic Disease in Kentucky: The Health Education Through Extension Leaders Program. Nursing Clinics of North America, 43( 329-340. Description of partnership between VNA of NY and Pace SON to develop a shared position to advance EBP Description of program with clinical outcomes Description of TNH project with goals for not only improved long term care but also interdisciplinary education and practice, research and dissemination of EBP Description of program Description of program Extension Health specialists have shared appointments. Cooperative extension agents live in the community 13 Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Description of Successful partnerships Faculty Practice Weeks SM & Marshall J. (2008). Development of an EvidenceBased Practice and Research Collaborative Among Urban Hospitals. Nursing Clinics of North America, 44: 27-31. Kreulen G, Bednarz PK,Wehwein T, Davis J (2008). Clinical Education Partnership: A Model for School District and College of Nursing Collaboration. JOSN, 24(6): 360-369. Pipe et al (2008). Implementing a Health System-Wide EBP Educational Program to Reach Nurses with Various Levels of Experience and Educational Preparation. Nursing Clinics of North America, 44: 43-55 Glazer G, Ponte PR, Stuart-Shor E, Cooley M. ((2009). The Power of Partnership: Addressing Cancer Health disparities through and academic-service partnership. NO, 57: 123-131. Description of program Boettcher JH. (1989). Nurse Practice Centers and Faculty Job Satisfaction. Nursing Connections, 2(3): 7-17. Descriptive and correlational study with 124 nursing faculty in 32 academically based practice settings. Job Description of program Description of program With support of U-56 funding, the school and cancer center developed a new 87-credit BSN-PhD program. Describes the innovative program that includes mentoring that leverages the research expertise and scholarly resources of both institutions as well as a community outreach component. Yeh, ML, Rong JR, Chen ML, Chang SF, Chung UL (2009). 2 year study evaluating educational partnership in Development of a New Prototype for and Educational Partnership Taiwan. High level of satisfaction for teachers, students, in Nursing. JNE, 48(1): 5-10. residents. Jacelon CS, Donoghue LC, Breslin E (2010). Scholar in Residence: Scholar in Residence Model. Outcomes include building An Innovative Application of the Scholarship of Engagement. JPN, opportunities for faculty and staff scholarship, 26(1): 61-66. enhancing the integration of knowledge into practice, intensifying opportunities for knowledge sharing, student learning experiences, faculty consultation. Kirschling J & Erikson JI (In press). The STTI Practice-Academe 1 award winner and 7 honorable mentions :EBP, Innovative Collaboration Award: Honoring Innovation, incorporation of QSEN into undergraduate curriculum, Partnership and Excellence. simulation, Catholic Health initiatives, disaster nursing, cross cultural education for palliative care in Romania. Benefits and barriers to partnership discussed from historical perspective. 14 Faculty Practice Starck P, Walker GC & Bohannan PA (1991). Nursing Faculty Practice in the Houston Linkage Model: Administrative and Faculty Perspectives. Nurse Educator, 16(5): 23-28. Faculty Practice Arthur D & Usher K (1994). An Application of Nursing Faculty Practice: clinical camps. JAN, 19: 680-84. Faculty Practice Tagg PI. (1995). Establishing a College Health Service in a College of Nursing. Journal of American College Health, 44(3): Gale, BJ (1998). Faculty Practice As Partnership with a Community Coalition. JPN, 14(5): 267-71. Faculty Practice Faculty Practice Barger, SE. (1998). Assessing School Readiness for a Practice Arrangement Using Decision Tree Methodology. JPN, 14(6): 323328. Faculty Practice Nugent KE (1999). Faculty Practice—The Scholarship of Application. JPN, 15(6): 328. Faculty Practice Novak, DA (1999). The Serendipity of Faculty Practice: Strategies for Success. Nurse Educator, 24(1): 42-44. Sawyer MJ, Alexander IM, Gordon L, JuszczakLJ, Gilliss C. (2000). A Critical Review of Current Nursing Faculty Practice. Faculty Practice satisfaction was high. Centers described. Faculty practice that occurs on a contractual basis between the SON and agency. Benefits: faculty keep current; exposure to workplace ensures curriculum in relevant to practice; students have faculty member as role model; faculty practice and research becomes the expectation; ties with clinical agencies strengthened; faculty knowledge base increases; agencies benefit from highly knowledgeable faculty member at lower cost; increased faculty competency leads to new grad competency; recruitment of students as new grads; increased revenues to SON and decreased costs to agency. Description of how camps provide opportunities for faculty practice-clinical teaching, promotion of collegial relationships, development of faculty, and research. Contributors to Success: support of the Dean, central college administration, American College Health Assoc Description of the Escalante partnership with ASU and community leaders. Student learning and elders health outcomes improved. Critical to the success of any practice arrangement is that there be congruency between the schools allocation of human resources and its rewards system. A decision tree for assessing school readiness is presented. Promotion and Tenure must value practice. Editorial tracing the history of first attempts at faculty practice in 1979. The Scholarship of Application legitimizes faculty practice. Strategies of success cluster in the categories of: communication, credibility, contracting 35 articles reviewed using NONPF Guidelines. Conclusions: Faculty practice has become an integral 15 Faculty Practice Faculty Practice Faculty Practice Faculty Practice Faculty Practice Faculty Practice Faculty Practice Faculty Practice Beitz JM & Heinzer MM. (2000). Faculty Practice in Joint Appointments: Implications for nursing staff development. Journal of Cont Ed in Nursing, 31(5): Bonnel, W et al (2000). Challenges and Strategies for Initiating a Nursing Faculty Practice. Journal of the AANP; 12(9):353-359. DiMarco MA (2000). Faculty Practice at a Homeless Shelter for Women and Children. Holistic Nursing Practice, 14(2): 29-37. Ward KA. (2001). Faculty Clinical Practice: Strategies for Implementation and Evaluation. Nursing Forum, 36(4): 15-20 Krothe JS, Flynn B, Ray D, Goodwin S. (2000). Community Development through Faculty Practice in a Rural Nurse Managed Clinic Pilon BA (2001). Vanderbuilt School of Nursing Faculty Practice Program. Nursing Admin Quarterly, 26(1): 14-16. DeGeest S. (2001). Academic Faculty Practice: Enrichment through Synergism. Applied Nursing Research, 14 (1): 56-61. Swan BA & Evans LK. (2001). Infrastructure to Support Academic Nursing Practice. Nursing Economic$, 19(2): 68-72. component of faculty role expectations at many SONS. Workload remains a challenge for practice without adequate compensation. Value has not been sufficiently demonstrated. Integration of practitioner, educator and researcher remains extremely difficult. Faculty practice models: unification model, integration model, moonlighting model all described. Description of join appointments. Benefits and challenges discussed. 5 Qualitative case studies. Themes: Figuring it Out and Responding and Getting a Handle on Things. Common sense and good resources essential. Describe role of PNP faculty member. Careful upfront planning is critical to success of implementation of a faculty practice in a surgical preadmission clinic. Major challenge: recognition of practice for promotion and tenure. Description of the program Description of practice with benefits: lower than expected cost to care to improved disease mgt, high patient satisfaction, and optimal student learning experiences UW Faculty Practice Model described as it relates to Boyers Model of Scholarship. Strategies for success include building a strong infrastructure to support the practice initiative. Practice infrastructure needs and functions were described. Major infrastructure functions include: administrative support, business planning and new ventures, credentialing, finance, grants mgt, human resources, IT, legal and risk mgt, marketing, media, PR. 16 Faculty Practice Speziale HJ (2001). Faculty Practice in a Small Liberal Arts College. Nurse Educator, 26(2): 84-89. Faculty Practice Williams K et al (2002). Faculty-Agency Partnering for Improved Client Outcomes. JNE, 41(12): 531-534. Faculty Practice Edwards JB, Oppewal S & Logan CL. (2003). Nurse Managed Primary Care: Outcomes of a Faculty Practice Network. Journal of AANP, 15(12): 563-569. Faculty Practice Dracup K. (2004). Impact of Faculty Practice on an Academic Institutions Mission and Vision. NO, 52(4), 174-178 Faculty Practice Saxe, JM et al (2004) What is Faculty Practice? NO, 52(4): 166173 Chafetz L, Colling-McBride GM, White M (2004). A Nursing Faculty Practice for the Severely Mentally Ill: Merging practice with research. NO 52(4): 209-214. Faculty Practice Faculty Practice Saxe JM et al (2004). Strategic Planning for UCSF’s Community Health Nursing Faculty Practices. NO, 52(4): 179-188. Description of how a small liberal arts college set up and maintained a faculty practice in the mid-west. Boyer’s Theoretical Framework was used Partnership demonstration projects described. Emphasis was placed on the need for faculty in practice to be better educated about quality assurance Mission, goals, nursing control, fiscal sustainability, health care outcomes, and faculty role integration described. Outcomes showed that mission and goals of the SON were supported. The Faculty Practice Network provided fiscal sustainability and health outcomes improved. Faculty practice is defined and challenges and realties for the educational institution described. Strategies for dealing with dissonance between mission and vision of the university and demands of practice described: identify market needs and create business plan; market clinical services to increase diversity of payer mix; improve billing and coding practices; create board of advisors to spearhead philanthropy; establish contacts with payers and community institutions for services; secure external funding; create a presence in the community. Faculty practice defined and several examples described Faculty practice described. Characteristics of success included: trust among research and clinical faculty and community partners; use of clinical data; relative freedom from fiscal admin The importance of well-articulated mission and vision statements as well as the value of strategic planning in developing faculty practices is highlighted along with a description of several partnerships in the Bay area. 17 Faculty Practice Faculty Practice Faculty Practice Faculty Practice Suggestions for strategic planning are made. Ament LA (2004). The Evolution of Midwifery Faculty Practice: Historical overview of faculty practice. Description of the Impact and Outcomes of Care. NO, 52: 203-208. practice. Lessons learned: Importance of good business infrastructure, importance of positive relationships with physician colleagues; value of uncertainty. Two benefits: modeling of EBP and potential for research. Gillis CL (2004). Guest Editorial: Faculty Practice Comes of Age: Key components of success: philosophical match to Standing on the Shoulders of Giants. NO, 52: 161. mission; operational challenges of infrastructure development and maintenance, workforce and financial stability; the pay off issues of educational program quality, research productivity, practice innovations, increased faculty and student satisfaction, and greater engagement in the community. Persily, CA (2004). Academic Nursing Practice in Rural West Exemplar with benefits: integration of students into Virginia. JNE, 43(2): 75-77. practice, integration of research into practice, increased faculty knowledge, integration of technological advances into educational program, professional advancement for faculty. Forrester DA, O’Keefe T & Torres S. (2008). Professor in Residence Description of program between SON, Center of EBP, Program: A nursing faculty practice. JPN, 24 (5): 275-80. and a hospital Academic Nursing Centers Academic Nursing Centers Barger SE & Bridges WC (1990). An Assessment of Academic Nursing Centers. Nurse Educator, 15(2): 31-36. Boettcher JH (1991). Nurse Practice Centers in Academe. Nursing Management. April 1991: 65. Academic Nursing Centers Barger SE (1995). Establishing a Nursing Center: Learning from the Literature and the Experiences of Others. JPN, 11(4): 203212. A profile of AHC in the first 5 years was summarized based on survey data. Calls to 111 possible sites of nursing centers revealed 40 existing centers with 212 associated faculty members. Several centers planned. Regional variations existed In 1995 academic nursing centers were believed to be well positioned as cost-effective health care providers. Success was determined by the ability to manage 7 major issues of implementation: funding, integrating the center into the community, services, marketing, legal and regulatory issues, faculty issues, and research 18 Academic Nursing Centers Academic Nursing Centers Academic Nursing Centers Academic Nursing Centers Academic Nursing Centers Academic Nursing Centers Starck PL, Mackey TA & Adams J (1995). Nurse Managed Clinics: A Blueprint for Success Using the Covey Framework. JPN, 11(2): 7177. Boettcher JH (1996). Nurse Practice Centers in Academia: An Emerging Subsystem. JNE, 35: Bear M, Brunell ML& Covelli M. (1997). Using a Nursing Framework to Establish a Nurse Managed Senior Health Clinic. Journal of Community Health Nursing, 14(4): 225-235. Krothe JS, Flynn B, Ray D, Goodwin S (2000). Community Development through Faculty Practice in a Rural Nurse-Managed Clinic. Public Health Nursing, 17(4): 264-272. Anderko L & Uscian M (2001). Quality Outcome Measures at an Academic Rural Nurse Managed Center- A Core Safety Net Provider. Policy, Politics and Nursing Practice, 2: 288-294. Oros M et al (2001). Community Based Nursing Centers: Challenges and Opportunities in Implementation and Sustainability. Policy, Politics and Nursing Practice, 2(4): 277-287. issues. Covey’s 7 habits of effective people were used as a framework for developing and building a nurse managed clinic. Forces stimulating the development of such centers were faculty clinical practice, clinical learning experiences, and service opportunities. Barriers were time mgt and role ambiguity. Faculty job satisfaction correlated significantly with the budget in this descriptive and correlational study of 40 practice centers. Cox’s (1982) Interactional Model for Client Health Behavior provided the framework for developing, implementing and evaluating services at this clinic. Lessons Learned: 1) Culture affects the way people respond to ideas and outsiders;2)faculty practice in communities occurs within dynamic settings and political situations; community priorities do not always match quantitative data re needs; clear communication and negotiation skills are essential; clinic progress and successes need to be shared in a timely and appropriate way; the various systems in which faculty work often have conflicting expectations; students need to be accountable to the community for service and research; consumer representation in decision making requires perseverance and strategies for inclusion Despite overwhelming odds against survival ( mostly due to financial problems), patient outcomes are high Major Challenges: staffing of the center, appropriate fit of faculty with the center’s practice, level of clinical skill and experience to meet productivity demands, faculty productivity, business management, 3rd party 19 Academic Nursing Centers Academic Nursing Centers Barger SE (2004). Academic Nursing Centers: The Road from the Past, The Bridge to the Future. JNE, 43 (2): 60-65. Esperat MC, Green A, Acton C (2004). One Vision of Academic Nursing Centers. Nursing Economic$, 22(6): 307-319. Academic Nursing Centers Humphreys J, Martin H, Roberts B, Ferretti, C (2004). Strengthening an Academic Nursing Center through Partnership. NO, 52: 197-202. DEU Gotten J, Wotton K, Edgecombe K, Mason P (1999). Dedicated Education Units: 2 An Evaluation. Contemporary Nurse, 8(4): 172-177. Graham I (2002). Leading the Development of Nursing within a Nursing Development Unit: The perspectives of leadership by the team leader and a professor of nursing. International Journal of Nursing Practice, 9:213-222. Murray T (2005). Expanding Educational Capacity through an Innovative Practice-Education Partnership. JNE, 46(7): 330-333. DEU DEU reimbursement, university reputation within the community, match of community needs, need to integrate research. Definition of ANC. History of ANC described. Key factors to consider: complex set of objectives and goals are often rooted in difficult and tenuous funding arrangements; sustainability must b considered at the offset; Penn Macy initiative well known as a model for defining key success factors (alignment of org mission; faculty model supporting practice in promotion and tenure; level of commitment), dedicated full time nurse managers are critical to success. Description of center including purpose, mission, administrative structure, research and quality assurance, and challenges (combining clinical care, teaching, and research; financial viability; operations mgt). From Australia, one of the first articles to describe DEUs Three DEUs with 91 students was evaluated. Narratives exploring characteristics of leadership that empowered a nursing team in London to implement a DEU Demonstration project of DEU that expanded BSN educational capacity by 75% in an accelerated program. Components of the project included: using hospital paid and donated master’s clinicians as faculty; online course delivery for non clinical courses; employing a web instructional designer to convert traditional course work to online; renovating space to expand the nursing skills 20 DEU Miller T (2005). The Dedicated Education Unit: A Practice and Education Partnership. Nursing Leadership Forum, 9(4): 169-173. DEU Pappas S. (2007). Improving Patient Safety and Nurse Engagement with a DEU. Nurse Leader, June 2007: 40-42. DEU Ranse K & Grealish L (2007). Nursing Students’ Perceptions of Learning in the clinical setting of the DEU. JAN, 58(2): 171-179. DEU: An Innovative Clinical partner Education Model. NO, 55: 3137. DEU Models of Partnerships Bunkers SS & Koerner JG (1990). The M-I-D-D-L-E-G-R-O-U-N-D: a model for institutional integration. Nursing Connections, 3(1): 17-22. lab. Description of the DEU start-up including challenges: staff not receptive to nursing students; lengthy and expensive orientation and residency required of all new graduates; high number of staff vacancies; excessive complaints regarding care from patients, families, physicians; faculty overextended; learning experiences not met; complaints from other SONS; new role expectations for staff, faculty, clinical nurse specialists. Shared commitment to the DEU is essential. Outcomes of a DEU measured. Expense to operate the DEU was high than other M/S units. Turnover decreased with new RN Graduates. Evaluation of reported med errors has improved; falls have decreased; retention improved for new RNs who rotated through the DEU. Exploratory qualitative study in Australia. Three major themes: acceptance, learning, reciprocity. Evaluation of 3 year project. High student and nurse satisfaction with increase in clinical capacity and enrollment. The development of staff nurses as clinical instructors, best practices to teach and evaluate critical thinking and mix of student learners need continued focus. The middle ground between academia and service was described: professional development for college credit; shared faculty joint practice; nursing center with consultation services for research; joint decision making; group practice 21