Nursing Education and Nursing Services: Best Partners for Best Practice
SCCEN Annual Meeting
November 11-13, 2012
Lauren R. Goodloe, PhD, RN, NEA-BC, Director Medical and Geriatric Nursing,
Administrative Director for Nursing Research of VCU Health System &
Assistant Dean for Clinical Operations VCU School of Nursing, Richmond, VA
Nancy F. Langston, PhD, RN, FAAN, Dean VCU School of Nursing & Executive
Director for Academic Nursing VCU Health System, Richmond, VA
Richmond on the James
Experiment in
Progress
Vision For The Partnership
Best Partners for Best Practices
A formal structural partnership will create a synergy
for continuous quality improvement in both the
education and practice of nursing. Furthermore, it will
advance an organizational model consistent with the
underlying philosophy of operation of an academic
Health Sciences Center as a component of a university.
Living Next Door to one
another or within the same
university does not a
partnership make!
Academic-Service
Partnerships are not
simply Hospital-School
Affiliations
Academic-Service Partnerships
•
•
•
•
Many Models
Academic Medical Center Models
Hospital-Community Partners Models
Blended Models
Academic-Service Partnerships
• There are as many possible ways to formulate
academic-service partnerships as there are
potential partners
• Partnerships are about trusting, open
relationships and ongoing communication,
joint planning and day to day operations
• Recognize what your individual strengths are
and what you can do better as partners
• Beware of “Power Struggles”
Story of One Partnership Model
• Early meetings and Discussions
• Start with a small very committed group of
people
• Must include the Dean and CNO
• Must include people who will work through
the details and day to day operations
• Must have committed leaders/cheerleaders
who will carry the vision into ACTION
Create Preferred Futures
Nursing is
Knowledge Work
Nurses are not DOERS
who happen to think
But are
THINKERS who also do
Environment that EMBRACES
AND
LIVES LIFE LONG LEARNING
10/19/08
Position Titles For The Partnership
Nursing Services
Primary – School of Nursing
VP Patient Care services & CNO of VCU
Health Systems (VCUHS) AND Associate
Dean for Clinical Programs, SON
Dean of VCU School of Nursing AND Executive
Director for Academic Nursing, VCUHS
Director of Medical and Geriatric Nursing
AND Assistant Dean for Clinical Operations,
SON
Associate Dean for Academic Programs AND
Director of Academic Nursing, VCUHS
Director of Education and Professional
Development AND Assistant Dean of
Continuing Education, SON
Associate Dean for Doctoral Program and
Research AND Director of Clinical Research and
Evidence based Practice, VCUHS
Extension Of Appointments Within
The Partnership
Nursing Services
All nurses who advance to Clinical Nurse V
are automatically appointed as Affiliate
Faculty of the School of Nursing
PhD prepare nurses Affiliate AND Adjunct
faculty appointments
School of Nursing
Nursing Faculty who desire are provided
practice appointments equivalent of up to a
day a week – appointments range from Critical
Care through Geriatric Ambulatory Clinic
Approximately 40 VCUHS nurses a semester
serve as adjunct faculty of the School
FOUR Joint Appointments between Service and Education created
Outcomes of our Partnership
WORKFORCE DEVELOPMENT
EDUCATIONAL INITIATIVES AND CURRICULUM DEVELOPMENT
SHARED RESOURCES
ENHANCED COMMUNICATION AND MUTUALITY REGARDING
SHARED GOALS, ISSUES AND CONCERNS –internal and external to
our system
TRANSFORMATION OF AN ORGANIZATION’S CLIMATE
Outcomes of our Partnership
WORKFORCE DEVELOPMENT
•Expanded number of BS graduates – both entry level and RN to BS –
received financial support from VCU Health System for 6 faculty positions for
support of expansion of the entry level track and has continued to support
3 positions
NUMBER OF GRADUATES
8/99,12/99,5/00
8/11,12/11,5/12
BS traditional
76
122
141
RN to BS
90
109
155
MS & post MS
80
72
82
3
5
14
249
308
392
PhD
Total
10/12/12
8/04,12/04,5/05
Outcomes of our Partnership
WORKFORCE DEVELOPMENT
Expanded number of BS graduates – both entry level and RN to BS – received financial support
from VCU Health System for 6 faculty position for support of expansion of the entry level track and
has continued to support 3 positions.
Developed systems of personnel support from nursing students as
care partners through PhD graduates as nurse scientists
Nursing Students as VCUHS Care Partners Spring, 2012
Of the 170 care partners 85 were VCU Nursing Students
16 PhD Nurse Scientists at the
Health System
Outcomes of our Partnership
WORKFORCE DEVELOPMENT
•Expanded number of BS graduates – both entry level and RN to BS – received financial support
from VCU Health System for 6 faculty positions for support of expansion and has continued to
support 3 positions
•Developed systems of personnel support from nursing students as care partners through PhD
graduates as nurse scientists
•Implemented the UHC/AACN nurse residency program for new
baccalaureate graduates and currently working toward CCNE accreditation
of the program.
Number of new Nurse UHC/AACN Residents 2006-2010
and Number who were VCU Graduates
2006
2007
2008
2009
2010
2011
2012
Total
Residents
VCU SON Graduates
60
51
77
86
94
125
136
629
43
32
69
65
75
95
84
463
Outcomes of our Partnership
WORKFORCE DEVELOPMENT
•Expanded number of BS graduates – both entry level and RN to BS – received financial support
from VCU Health System for 6 faculty positions for support of expansion and has continued to
support 3 positions
•Developed systems of personnel support from nursing students as care partners through PhD
graduates as nurse scientists
•Implemented the UHC/AACN nurse residency program for new baccalaureate graduates and
currently working toward CCNE national accreditation of the program;
•Created a climate that inspires nurses to continue their formal educational
preparation and recently adopted a policy that requires all new AD prepared
employees to become enrolled in an accredited BS nursing program within 2
years and obtain the BS degree within 5 years of initial employment;
Number of VCUHS Staff Enrolled in School at
VCU SON
Outcomes of our Partnership
WORKFORCE DEVELOPMENT
•Developed systems of personnel support from nursing students as care partners through PhD
graduates as nurse scientists
•Expanded number of BS graduates – both entry level and RN to BS – received financial support
from VCU Health System for 6 faculty positions for support of expansion and has continued to
support 3 positions
•Implemented the UHC/AACN nurse residency program for new baccalaureate graduates and work
toward national accreditation of the program;
•Created a climate that inspires nurses to continue their formal educational preparation and
recently adopted a policy that requires all new AD prepared employees to become enrolled in an
accredited BS nursing program within 2 years and obtain the BS degree within 5 years of initial
employment;
•Added new rung on Clinical Ladder (Clinical Nurse V) for nurses in direct
clinical care built upon competencies of graduate education
Creation of Clinical Nurse V Level
on The Clinical Ladder
Keeping MS Prepared Nurses At The
Bedside
Clinical Nurse V Criteria
•
•
•
•
•
•
•
Years of practice – 5+
Certification status – Must be certified
Education level: MS in Nursing
Involvement in professional organization
Focus on EBP
Strong “leadership” roles
Submit for publication of article/poster/podium
presentation
• Affiliate faculty for VCU SON
Outcomes of our Partnership
EDUCATIONAL INITIATIVES AND CURRICULUM DEVELOPMENT
•Developed a Nursing Administration and Leadership clinical
concentration within the master’s program.
•Created a perioperative internship in response to request from and
work with colleagues in perioperative nursing – extended to add
upper division electives AND use of the perioperative area as one of
the clinical placements for students in the senior level acute care
course.
•Created a Nursing Research Fellowship Program
•Developed an evidence-based practice internship and fellowship
Outcomes of our Partnership
EDUCATIONAL INITIATIVES AND CURRICULUM DEVELOPMENT
•Developed a Nursing Administration and Leadership clinical concentration within the master’s
program.
•Created a perioperative internship in response to request from and work with colleagues in
perioperative nursing – extended to add upper division electives AND use of the perioperative
area as one of the clinical placements for students in the senior level acute care course.
•Created a nursing research fellowship program
•Developed an evidence-based practice internship and fellowship
•Co-sponsor an annual summer camp for diversity pipeline development
Outcomes of our Partnership
SHARED RESOURCES
•VCU Health System supported faculty positions for
enrollment increase
•Joint Council and Committee Membership
•Use of Clinical Learning Center for staff orientation and
continuing competence
•Joint Capital Campaign for new building – hospital
created payroll deduction for contributions
Nursing Education Building
School of Nursing Building
Photo: Alain Jaramillo
Outcomes of our Partnership
ENHANCED COMMUNICATION and MUTUALITY
REGARDING SHARED GOALS, ISSUES, AND CONCERNS
internal and external to our system.
Student, staff and faculty concerns addressed immediately –
not waiting until . . . . . . end of semester
Political, legislative and regulatory “ONE VOICE” from VCU
Outcomes of our Partnership
TRANSFORMATION OF AN ORGANIZATION’S CLIMATE
Nursing and nurses as knowledge workers has been made
visible and valued within the structures of the organizations
Creation of a climate that has at its essence life long learning
– for all parties at all times
The climate on the hospital units embraces all nurses responsibility for creating a
positive learning environment and experiences for the nursing students. We
actually talk about “a dedicated educational hospital” among ourselves and with
others.
There is no us/them, we/they - it is ONLY US
Validation of our Partnership
Magnet recognition citation of the partnership as a major
strength – initial and re-certification
VCU School of Nursing
and
VCUHS Nursing Services
X2
The relationship between the School and
Nursing Services was cited by the site visitors
as a significant strength of the application for
Magnet status
Validation of our Partnership
NLNAC 2009 reaccreditation site visit report cited the
partnership and the depth and breadth of adjunct faculty as
a strength of the School
Virginia Board of Nursing 2011 site visit report cited the
strength of the partnership and the adjunct faculty
relationship
Validation of our Partnership
$1,250,000 gift from the VCU Health System to the School of
Nursing to establish a Center for Quality Patient Outcomes
housed in the School of Nursing - building upon this
partnership to expand across other academic units.