Institute of Pediatric Nursing
3rd Annual Invitational Forum for Pediatric Nursing
October 27, 2011
Joan Stanley, PhD, CRNP, FAAN, FAANP
Ghost of Nursing Education Present
IOM Future of Nursing: Leading
Change, Advancing Health
4 Key Messages:
 Nurses should practice to full extent of their
education and training
 Nurses should achieve higher levels of
education and training through an improved
education system that promotes seamless
academic profession
 Nurses should be full partners… in redesigning
health care in U.S.
 Effective workforce planning and policy making
require better data collection and an improved
information infrastructure.
IOM Impact on Nursing Education to
“Improve care of children and families”
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Increase the proportion of RNs with
baccalaureate degree to 80% by 2020
Double # of nurses with doctorate by 2010
Ensure that nurses engage in life-long
learning
Prepare nurses to lead change to advance
health
Implement nurse residency programs
 After pre-licensure or APRN program
 Transitioning into new clinical practice areas
Reflections on Pediatric Nursing Education of
the Present
IPN Curriculum Survey, 2011
 Mean of 3 faculty teaching
in UG program with
graduate degree in
pediatrics
 83% said UG program did
an excellent or good job
preparing graduates to
provide care to children and
families
 49% said had a pediatric
stand alone course
 20 % said had stand alone
course & integrated content
HI Curriculum Survey, 2003
 Less than 1/3 of schools have
gerontology certified faculty
member
 Only 76% of schools have at
least 1 expert in gero on FT
faculty
 34% BSN programs had
stand alone gero course
 92% had integrated gero
specific content (was 63% in
1997)
Reflections on Pediatric Nursing Education
of the Present
IPN Curriculum Survey,
2011
Competition for clinical
practice sites is
significant or moderate
barrier for 75%
 Insufficient number of
FT qualified faculty
33%saw as a moderate
or significant barrier

AACN 2010-2011
Enrollment & Graduations
Report
 Reasons for not
accepting all qualified
applicants in generic
BSN programs – 62%
insufficient number of
faculty; 65% insufficient
clinical sites
Glass may not be full
enough but it isn’t halfempty !
Opportunities, Opportunities, Opportunities!

Kids are in the national spotlight –
 Michele Obama’s campaign – Let’s Move
 Concussions and sports injuries
 NHTSA – Keeping Our Kids Safe
AACN series:
Essentials for Nursing Education
The Essentials of Baccalaureate Education
for Professional Nursing Practice (2008)
 The Essentials of Master’s Education in
Nursing (2011)
 The Essentials of Doctoral Education for
Advanced Nursing Practice (2006)
 The Research-Focused Doctoral Program in
Nursing: Pathways to Excellence (2010)

Provides the
foundation for all
baccalaureate
nursing education –
generic, RN to
BSN, and entrylevel MSN
programs
Building the Case
“Baccalaureate education must include
content and experiences across the
lifespan, including the very young who are
especially vulnerable”
 “The percentage of the population under 18
years of age is 24.6%”
 “U.S. infant mortality in 2006 ranked 38th in
the world”

AACN Baccalaureate Essentials (2008, p. 6)
Enhancing Pediatric Nursing in today’s
Baccalaureate Curriculum
I.
Liberal Education for Baccalaureate
Generalist Nursing Practice
○
○
○
○
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Behavioral health
Family theory
Growth & development
Diversity
Social justice
II.
Basic Organizational and Systems
Leadership for Quality Care and
Patient Safety
-
Quality improvement
Patient safety
Identifying risks
System change strategies
Safe practices
Evidence based practice
III.
Scholarship for Evidence-Based
practice
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Best practices
Translating evidence into practice
Identifying practice issues and gaps in care
Safe guarding vulnerable populations
Nurse sensitive indicators
IV. Information Management & Patient
Care Technology
• Safe use of new technology in care of children
• Databases focused on care of children and
outcomes of care
V. Healthcare Policy, Finance, and
Regulatory Environments
• Policy and regulation development
• Social justice
• Health care inequities
• Advocacy for kids and their families
VI. Interprofessional Communication and
Collaboration
• Caring for kids and their families in teams
• Roles of nursing and other professionals in
caring for kids
• Communicating with families and other
members of the healthcare team
VII. Clinical Prevention and Population
Health
• Health promotion, disease and injury
prevention across the lifespan
• Lifestyles, behavioral change
• Role of the environment on health
• Genetic factors
VIII. Professionalism
and Professional
Values
• Social justice
• Impact of attitudes, values and expectations
on the care of the very young
• Protect patient privacy and confidentiality
• Professional boundaries with patients and
families
IX. Baccalaureate Generalist Nursing Practice
•
•
•
•
•
Prepared to provide care for patients across the
lifespan from the very young to the older adult
Understand and respect variations of care,
increased complexity and the increases use of
resources in caring for patients who are vulnerable
due to age, the very young… as well as disabilities
and chronic diseases.
Prepared to practice in a multicultural environment
Recognize the relationship of genetics and genomics
to health, prevention, screening,….
Implement holistic, patient-centered care that
reflects an understanding of human growth and
development,,, across the lifespan and in all
healthcare settings.
Opportunities/Strategies for Enhancing
Pediatrics in the Baccalaureate Curriculum

Curriculum Resource Guide
 Builds on Baccalaureate Essentials
 Helps faculty integrate pediatric-focused
content into the entry-level curriculum
 Identifies available resources (web-based,
journals, texts, associations)
 Identifies learning strategies and what
Essentials/outcome competencies can be
addressed
Web-based resources
PERC
 APTR, Healthy People Successful
Practices
 NYU, Oral Health Initiative
 Heart Smart Kids
 Head Start

 I am Moving I am learning
 Little Voices for Healthy Choices
 Parenting Skills
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Interactive, web-based case studies (only
32% said they used)
Podcasts or downloadable modules
conversations with experts
Simulations (only 19% said they used for
clinical experiences)
Identify available screening tools, e.g.
cognitive level, child abuse
Identify “best or innovative” practices for
clinical experiences & other learning
strategies; for example day care, schools,
libraries, day camps, specialty schools, afterschool programs
Identify resources in community
 Courses & resources on campus, in other
departments

 Share courses, electives, faculty
 Service learning opportunities across disciplines
 Exemplars

Faculty Development
 Webinars
 Conference sessions
 Pre-conference sessions

NCLEX
 Work with NCSBN to X-walk NCLEX and
identify questions & content areas
 Nominate item writers
AACN/UHC Post-Baccalaureate Residency
Program

http://www.aacn.nche.edu/educationresources/nurse-residency-program
 Marketing toolkit
 Evaluation data
 List of academic-practice partnerships

http://www.aacn.nche.edu/ccneaccreditation/standards-proceduresresources/nurse-residency
For additional thoughts or information:
Joan Stanley, PhD, CRNP, FAAN, FAANP
Senior Director of Education Policy
American Association of Colleges of Nursing
jstanley@aacn.nche.edu
202-463-6930, ext. 254