Nurse Residency Council September 11, 2014 Meeting
1:00 pm to 2:00 pm Phone Conference Outcomes
Nurse Residency Council Members: 1
Name
Christine Alichnie
Diane Breckenridge
Karen Goldschmidt
Patricia Hoak
Mary Lou Kanaskie
Jen Kohler
Mary Marshall
Faye Meloy
Pamela Meinert
Beth Smith
Victoria Rich
e-mail address
calichnie@aol.com
breckenridge@lasalle.edu
kag69@drexel.edu
Patricia_L.Hoak@lvhn.org
mkanaskie@hmc.psu.edu
KohlerJ@MLHS.org
Mmarshall@haponline.org
fap25@drexel.edu
pmeinert@hmc.psu.edu
Beth.smith@uphs.upenn.edu
Drvrich2014@gmail.com
Nurse Residency Council Advisors:
Name
Betsy Snook
Victoria Rich
Deb McElroy
Amy Drescher-Crumpley
e-mail address
bsnook@psna.org
drvrich2014@gmail.com
mcelroy@uhc.edu
drescher-crumpley@uhc.edu
Nurse Residency Council Action Coalition Facilitators:
Name
Kathy Cannon
Frances Ward
e-mail address
kcannon@paactioncoalition.org
fward@paactioncoalition.org
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Participating during the 9-11-14 meeting were Chris Alichnie, Karen Goldschmidt, Patricia Hoak, Mary
Lou Kanaskie, Jen Kohler, Mary Marshall, Pam Meinert, Beth Smith, Kathy Cannon, and Fran Ward.
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___________________________________________________________________________
Outcomes of Meeting
Eight Nurse Residency Council members, along with Pennsylvania Action Coalition (PA-AC) staff
members, participated in the first phone meeting of the Nurse Residency Council (NRC). Fran
Ward began the meeting by thanking everyone for their continued willingness to share their
expertise, time, and commitment to the facilitation of Nurse Residency Programs in
Pennsylvania. Members briefly reviewed the successful Nurse Residency Program Conferences
held at UPMC and Hershey Medical Center (HMC) in April and May of this past spring.
Participants reviewed these conferences very favorably, with particular highlight on the
professionalism and high level of content provided by all speakers and panelists. In reviewing
outcomes of these conferences, Fran Ward noted that the PA-AC was unable to develop and
upload to the Coalition’s website a “toolkit” of information on nurse residency programs to
assist novices in the design and implementation of such programs at their institutions. Members
agreed that while the conferences were a success, continued work in the area of nurse residency
programs remains. As a direct outgrowth the spring conferences, members reaffirmed their
commitment to the efforts of the NRC.
Members actively discussed the mission and objectives of the NRC. Various iterations of mission
statements were offered, spanning broad encompassing statements to more local, specific
statements. Additionally, members explored the need to have both a board vision statement as
well as a more circumscribed mission statement from which measurable objectives could be
derived. Consensus was achieved around the following two statements, to be further reviewed
at the next meeting (see Appendix A):
DRAFT Vision
DRAFT Mission
To provide quality nursing care delivery to Pennsylvanians through
program efforts transitioning novice nurses to be safe, efficient,
competent, and confident health care providers.
To provide support and guidance to health care agencies in the
design, implementation, and evaluation of nurse residency programs
aimed at facilitating the transition of novice nurses to be safe, efficient,
competent, and confident health care providers as they join
Pennsylvania’s nursing workforce.
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As part of the discussion on vision and mission, members discussed the Council’s possible role
in designing/coordinating/implementing a statewide curriculum effort – a possible “core” nurse
residency program curriculum – that would ultimately be endorsed by health care agencies
across the state. Members acknowledged that this very broad view was laudable and possible,
perhaps as the NRC’s efforts matured and more localized efforts were introduced successfully.
Members also actively discussed a strategic action plan of possible “deliverables” to be
accomplished by the NRC. On the matter of a Nurse Residency Program “Toolkit,” members
agreed that such an effort would be a valuable, practical “deliverable” to be accomplished by
the end of 2015. The following ideas were also offered regarding the Toolkit:


Name to change from Toolkit to “Guidebook”
Information for possible inclusion in the Guidebook:
o Definition of a Nurse Residency Program
Note: What it is, and what it is not…
Note: New Employee Orientation Program vs. Nurse Residency
Program
o Core concepts and constructs essential to Nurse Residency Programs,
such as leadership, professional communication, interdisciplinary
orientation, patient education and advocacy, and others
Note: Videos from Nurse Residency Program Conferences held in
Spring 2014 to be reviewed; curricula of existing programs to be
explored for consistent concepts common to programs
Note: Copyrighted material from published programs (e.g.,
UHC/AACN and Versant) will not be included in any Guidebook
materials
o Economic case for Nurse Residency Programs – examples of Return on
Investment (ROI)
o “Promising Practices” as examples described from diverse institutions
o Detailed description of benefits of Nurse Residency Programs, including
economic ROI, turnover rates, absenteeism, evaluations of performance,
holistic sense of team, patient quality indicators, etc.
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o Need for partnership with local academic nursing programs
Note: Alignment of curricula between Nurse Residency Program
and that of the cooperating academic partner institutions;
possible collaboration with a clinical-academic partnership
established (with possible other direct benefits including, for
example, opportunities for faculty practice and exchange of
expertise)
Note: Possible shared accountability for Nurse Residency
Program between clinical and academic leadership? Inclusion of
Nurse Residency Programs within academic curricula – set
Professional expectations of new graduates prior to graduation; gradual
evolution of nursing culture

Guidebook to be placed on PA-AC website from a separate Landing Page named
Nurse Residency Program Guidebook. Guidebook to be widely disseminated to
clinical agencies, academic partners, and the Hospital and Healthcare Association
of Pennsylvania (HAP).
Other possible “deliverables” explored by members included the following:




Exploration of funding partnerships to sustain the work of the NRC. Potential
partnerships might include the Pennsylvania Department of Labor and Industry
and private philanthropies
Exploration of industry-clinical-academic partnerships to sustain Nurse Residency
programs in the initial stages, until their ROI incrementally over time eliminates
need for outside financial support
Use of social media to widely disseminate information on Nurse Residency
Programs, including possible YouTube videos of new graduates in Nurse
Residency Programs (e.g., video of a new graduate providing a “change of shift
report” using professional and technical communication skills incorporated in
program, with subsequent critique of same from program evaluators),
testimonials of Nurse Residency Program graduates on PA-AC website and
possible the PA-AC facebook site.
Possible central listing of clinical agencies in Pennsylvania that provide Nurse
Residency Programs, with names and contact information of key administrators.
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
Exploration of mentor-mentee relationships between willing experts and novice
beginners taking initial steps in establishing Nurse Residency Programs.
Members noted that Nurse Residency Programs are exemplars of a fundamental shift in the
nursing community’s culture – there is a current recognition that the roles of nurses are
becoming increasingly complex, with the skills mandated for novice providers requiring an
immersion experience prior to the safe practice of either generalist or advanced practice
nursing across diverse settings. This recognition may stimulate a major paradigm shift across
both clinical and academic nursing communities, requiring a more sophisticated integration
between the two.
Members discussed details of NRC meetings, with the majority of meetings to be held by phone
conference calls. The group noted that at least one annual traditional, in-person meeting may
be planned as well. Mary Marshall indicated that HAP would be willing to host such a meeting
at its headquarters in Harrisburg.
Fran Ward requested that members consider having two co-chairs of the NRC, similar to
Nursing Diversity Council of the PA-AC. Members agreed to consider this at the next meeting.
A meeting invitation will be mailed to members to schedule the next phone conference
meeting of the NRC in one month.
Possible items for next agenda:
1.
2.
3.
4.
5.
Determination of Co-Chairs; draft Guidelines (see Appendix B for Nursing Diversity
Council Guidelines)
DRAFT of Vision, Mission, and two-year deliverable plan reviewed/changed/etc.
Replacement for Diane Breckenridge (moving to California)
Representation of long-term care and other non-acute care agencies
Role of NRC in terms of advanced practice nursing residencies
Respectfully Submitted,
Fran Ward
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Appendix A
DRAFT Nurse Residency Council Strategic Plan
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DRAFT Nurse Residency Council Strategic Plan
Part 1: Vision, Mission, Values, and Key Goal Areas
NRC Vision Statement:
To provide quality nursing care delivery to
Pennsylvanians through program efforts
transitioning novice nurses to be safe,
efficient, competent, and confident health
care providers.
NRC Core Values
• Professionalism
• Clinical Competence
• Excellence
• Spirit of Inquiry
• Integrity
• Leadership
• Respect
• Cultural Competence
NRC Mission Statement:
NRC Key Goal Areas:
To provide support and guidance to
• Service to the State’s Nursing Community
health care agencies in the design,
• Clinical-Academic Partnerships
implementation, and evaluation of nurse • Funding Partnerships
residency programs aimed at facilitating • Stimulus to Paradigm Shift in Nursing
the transition of novice nurses to be safe,
efficient, competent, and confident health care
providers as they join Pennsylvania’s
nursing workforce.
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Part 2: Strategic Goals and Action Plan: 2015 and 2016
Key Goal Area
Service to the
State’s Nursing
Community
Clinical-Academic
Partnerships
Metrics 2015
Design of Nurse
Residency Program
Guidebook –
December, 2015;
Guidebook linked to
Landing Page off
PA-AC website
Metric 2016
Guidebook
reviewed and
updated on a
predictable basis (at
least monthly)
YouTube videos
prepared and
online; NRP
Graduate
Testimonials on PAAC website and
social media sites
YouTube videos and NRC members TBD
other social media
efforts revised and
updated on monthly
basis
Publication
regarding NRC
efforts (i.e.,
Guidebook and
social media efforts)
published in
referred journal
Expand NRC
membership to
include academic
nursing leaders;
review Guiding
Principles for
continued relevancy
Describe current
clinical-academic
partnerships in
existing Nurse
Residency Programs
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Accountability
NRC members TBD
NRC members TBD
NRC members TBD;
others? (PHENSA,
etc.)
Key Goal Area
Funding
Partnerships
Metrics 2015
Develop Position
Statement on
clinical-academic
partnerships in
NRPs
Metric 2016
Revise Position
Statement as
required with
expansion of NRC
membership
Define a succinct
business case for
Nurse Residency
Programs
Explore funding
possibilities with PA
Department of
Labor and Industry
Accountability
NRC members TBD;
others? (academic
partners)
NRC members TBD;
PA-AC State
Steering Committee
members and
others within the
PA-AC)
Possible Conference NRC members TBD;
to explore the wide others? (academic
implications of
partners)
immersion in Nurse
Residencies for the
profession as a
whole – impact on
academic curricula,
expectations of
clinical agencies,
implications of
Stimulus to
Paradigm Shift in
Nursing
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Appendix B
Guiding Principles of the Nursing Diversity Council
(as exemplar)
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Nursing Diversity Council Guidelines
Introduction
In 2013, the Robert Wood Johnson Foundation (RWJF) awarded the Pennsylvania
Action Coalition (PA-AC) funds to achieve three specific goals:
•
to strengthen the sustainable statewide structure of the PA-AC for advancing
selected goals of the IOM Future of Nursing report;
•
to strengthen BSN education in Pennsylvania, including assessment of
academic progression models and the capacity of the nursing faculty
pipeline; and
•
to enhance the diversity of the Pennsylvania nursing workforce.
The third goal—to enhance the diversity of the Pennsylvania nursing
workforce—is an overarching objective of the Coalition. Specific action steps were
outlined relative to the achievement of this goal. These steps included:
•
Establish a Nursing Diversity Council (NDC);
•
Complete gap analysis between state demographics and nursing database in
regard to diversity;
•
Profile demographics of student populations in 2 and 4 year public and
private institutions to include gender and racial/ethnic status;
•
Evaluate “Best Practices” for seamless articulation to identify any specific
action or strategy to enhance diversity;
•
Partner with minority and underrepresented nursing organizations through
the state and within the Regional Action Coalitions to determine “Best
Practices” for seamless articulation likely to be successful in each region;
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•
Partner with academic programs to increase enrollment of Targeted
Underrepresented Groups (TUG) in BSN, master’s and doctoral nursing
programs;
•
Identify source(s) of scholarship funding to support TUG in BSN programs;
•
Identify source(s) of scholarship funding for TUG in PhD nursing programs;
and
•
Publish outcomes of the Coalition’s marketing campaign to the Center to
Champion Nursing in America website as well as the PA-AC website, with an
emphasis on diversity outcomes.
The achievement of racial/ethnic and gender diversity of the nursing workforce
is initially dependent upon acquisition of a solid baseline database of: (1) state and
county demographic data as well as data obtained from the state Board of Nursing and
the Department of Health, (2) nursing program articulation practices between diploma
and associate degree programs to baccalaureate programs, and (3) demographics of
students who successfully progress from diploma or associate degree programs to
baccalaureate completion.
Functions
The Nursing Diversity Council is an advisory body to the Pennsylvania Action
Coalition. The Council will provide the Coalition with informed external assessment of
the Coalition’s goal to increase the racial/ethnic and gender diversity of Pennsylvania’s
nursing workforce, with specific emphasis on educational preparation in nursing,
including completion programs. The Council will provide twice a year reports on
activities to the Steering Committee via the Executive Director. The Council may also
provide guidance on diversity that expands beyond the specific goals outlined in our
RWJF State Implementation Program grant award.
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Members
Members of minority and underrepresented nursing organizations, as well as
other interested nurses and non-nurses, will be invited to participate in the Nursing
Diversity Council. The Council will represent the interests of all members within the
nine Regional Action Coalitions. The Executive Director of the Pennsylvania Action
Coalition will call meetings as advised by Council members. Outcomes of meetings will
be documented and placed on the website of the Pennsylvania Action Coalition.
NDC Guidelines approved 6-21-2013
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