Nursing Advisory Board - 07/18/07
NURSING ADVISORY BOARD
Wednesday, July 18, 2007
Attendees: Dr. Goyne (presiding), Dorothy Boden, Lowanda Dent-Johnson, Sharon Evers, Ken Gordon, Amanda Hawkins, Rhonda Hollis, Gail Jones, Vivian Lee, Cathy Maxwell, Barbara McKnight, Tony Miller, Florence Miller, Sheri Noviello, Victoria Ransom, LaQuita Rogers, Debbie Saylor, Becky Tew
Recorder: Birgit Gatlin
Buffet lunch served beginning at 11:00
Dr. Goyne welcomed everyone, thanking them for taking time to participate in this board.
CSU BSN Update
Dr. Goyne described the current BSN curriculum review and update process, including the integration of current national standards, such as IOM Healthcare Provider Competencies; Joint Commission National Patient Safety Goals, AACN Baccalaureate Essentials 2008, NLNAC Accreditation Standards 2008. This revision includes both the pre-licensure program and the RN-BSN track.
She explained the revision of the RN-BSN program to better accommodate the learning needs and scheduling flexibility of RN students. She announced the retirement of Dr. Janice Harris, previous coordinator, and the appointment of Ms Noreen McDonough as new RN-BSN Coordinator.
She then shared the draft of updated BSN Program Outcomes which are based on the IOM Healthcare Provider Competencies (attachment #1).
Dr. Goyne presented a CSU BSN Fact Sheet (attachment #2) and briefly discussed the major points included.
Summarize & prioritize at next meeting.
Dr. Goyne asked everyone to introduce themselves, their organization, and then share what they would like to see this group accomplish. The major ideas shared include:
Election of Officers
Suggestion made to table elections until next meeting. Possibly could have two co-chairs rather than one chair.
Election of officers tabled until next meeting.
Next meeting Thursday September 6, 2007, 11am-2pm (lunch provided). Place to be announced.
Adjourned @ 1:00 pm
CSU BSN CURRICULUM UPDATE PROJECT
Draft June 29, 2007
Health Professions Education: A Bridge to Quality (2003), Institute of Medicine
"All health professionals should be educated to deliver patient-centered care as members of an interdisciplinary team, emphasizing evidence-based practice, quality improvement approaches, and informatics."
5 Core Competencies for all health clinicians, regardless of discipline, for the 21st century:
Provide patient centered care
- Identify, respect, and care about patients' differences, values, preferences, and expressed needs;
- Relieve pain and suffering;
- Coordinate continuous care;
- Listen to, clearly inform, communicate with and educate patients;
- Share decision making and management;
- Continuously advocate disease prevention, wellness and promotion of healthy lifestyles, including a focus on population health.
- Work in interdisciplinary teams
Cooperate, collaborate, communicate, and integrate care in teams to ensure that care is continuous and reliable
Employ evidence-based practice
- Integrate best research with clinical expertise and patient values for optimum care;
- Participate in learning and research activities to the extent feasible.
Apply quality improvement - with the objective of improving quality of care:
- identify errors and hazards in care;
- understand and implement basic safety design principles, such as standardization and simplification;
- continually understand and measure quality of care in terms of structure, process and outcomes in relation to patient and community needs;
- design and test interventions to change processes and system of care.
- Utilize informatics
Communicate, manage knowledge, mitigate error, and support decision making using information technology.
JCAHO 2008 National Patient Safety Goals: Hospital Program
1. Improve the accuracy of patient identification.
2. Improve the effectiveness of communication among caregivers
3. Improve the safety of using medications
4. Reduce the risk of health care-associated infections
5. Accurately and completely reconcile medications across the continuum of care.
6. Reduce the risk of patient harm resulting from falls
7. Reduce the risk of influenza and pneumococcal disease in institutionalized older adults.
8. Reduce the risk of surgical fires
9. Encourage patients' active involvement in their own care as a patient safety strategy.
10. Prevent health care associated pressure ulcers.
11. The organization identifies risks inherent in its patient population
12. Universal protocol to prevent wrong site, wrong procedure, wrong person surgery.
BSN Program outcomes / concepts / topics organized by 5 Core Competencies for all health clinicians, regardless of discipline, for the 21st century":
· Graduates will provide safe, patient centered care in a variety of settings.
o Health Assessment
o Basic Care & Comfort
o Illness & Disease Management
o Therapeutic Interventions & Procedures
o Physiological, Psychosocial and Spiritual Integrity
o Cultural Sensitivity
o Family Systems and Dynamics
o Care Across the Lifespan (pediatric, adult, older adult, over 80 adult)
o Health Promotion, Maintenance, & Disease Prevention
o End of Life Care
o Diagnostic & Lab Tests
Graduates will communicate and collaborate with members of the interdisciplinary health care team in a professional and effective manner, through verbal, non-verbal, written and electronic means to improve patient outcomes and teamwork.
- Group Dynamics
- Interdisciplinary Health Care Team
- Communication (verbal, non-verbal, written and electronic)
- Disaster Planning & Management
- Global Health Care
- Population Health Care
Graduates will apply the quality improvement process to ensure patient safety and to meet desired clinical outcomes.
- Risk Reduction
- Medication Administration
- Infection Control
Graduates will use sound evidence to make appropriate clinical decisions about health care.
- Research (participate in, retrieve, evaluate, and apply)
- Evidence guidelines and protocols
- Critical Thinking
- Nursing Judgment
- Clinical Decision Making
- Life Long Learning
Graduates will integrate information technology into nursing practice in a variety of settings.
- Electronic data and information retrieval & evaluation
- Technologies used in the in the process of assessing and monitoring patients, and supporting anatomic and physiological functions.
- Patient safety and privacy related to health care & information technologies.
Graduates will function as a leader within the nursing roles provider of care, manager of care, and member of the profession.
- Management of Care (Delegation, Organizing, Prioritizing, Case Management)
- Management of Personnel / Units
- Management of the Change Process
- Legal & Ethical Rights & Responsibilities
- Health Care Systems and Policy
- Professional Values
7/15/07 JG/jg H/CSU Nursing Curriculum Revision 2007/Program Outcomes Draft
Columbus State University
Department of Nursing
Columbus, Georgia 31907
FACTS: July 2007
- First time NCLEX-RN pass rate 2006 = 100%; 2007 pending
- Average first-time NCLEX-RN pass rate over past 4 years = 94%
- Historically, CSU accepted 30-35 students into the junior level clinical courses of the nursing program providing approximately 22-25 graduates annually.
- In 2002, CSU began an ICAPP partnership with The Medical Center, St Francis Hospital, Doctors HCA Hospital and the state of Georgia. Over the four year ICAPP program period (Fall 2002-Spring 2006), CSU BSN program doubled annual fall enrollment from 35 to 70. There were over 136 qualified applicants for 70 positions in the fall 2006 class, with the top 100 students' GPA 3.12 or higher.
- Numbers of graduates have doubled with a four year (2002-2006) total of 192 pre-licensure graduates.
- The pool of CSU pre-nursing students has dramatically increased in both quantity and quality. There are now approximately 500 pre-nursing majors, almost triple the number in 2002.
- Fall 2006, the institutional-state partnership was funded by the newly created University System of Georgia (UDG) Nursing Program Initiative. With the approval of CSU's funding proposal, CSU shifted two temporary nursing faculty positions to permanent, received funding for two additional temporary full time positions, and the BSN program increased annual admissions to 90. Fall 2007, additional support from the Board of Regents is allowing an increase to 96 admissions for Fall 2007. At 96, the nursing building has reached capacity for both faculty and students.
- Facility limits room for further expansion
- Nursing faculty workforce
- aging nursing faculty workforce
- new faculty hires are excellent practitioners with no experience or educational background in nursing education...steep learning curve.
- faculty salaries not competitive with clinical MSN salaries (~ $15,000 less adjusted to compensate for 9-month contracts)...not recruiting enough young MSN nurses into nursing education career path.
- USG changed model for institutional funding, resulting in institutional budget cuts.
- Student retention in nursing program. Student Success committee is developing strategies for helping students succeed, one of which is continued efforts to maintain low clinical instructor-faculty ratio.
- RN-BSN program has declined in enrollment. New program coordinator and team are revising curriculum to create a more student friendly program with web-enhanced "hybrid" courses for more flexible scheduling.
- Improve faculty salaries to recruit a stable faculty workforce to replace retiring faculty
- Institute human simulation lab to support clinical learning
- Maintain 96 admissions per year
- Expand RN-BSN enrollment
- Establish MSN program with tracks in Nursing Education and in Nursing Leadership and Administration.