The Institute for Clinical Instruction in Nursing

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Accelerated Health Care EducationPrograms Fast
Track Education Models
Health Care Horizen Meeting MiRSA Health
Care Learning Institute June 6, 2006
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Jeanette Klemczak (Moderator)Chief Nurse
ExecutiveMichigan Department of Community
Health, Lansing, MichiganJulie A. Coon, RN,
MSN, EdDDirector, School of NursingFerris State
UniversityConnie Cronin, MSN RN CNAA BCChief
Nursing OfficerHenry Ford HospitalDetroit,
MichiganKatherine M. Bradley, PhD, RNAssociate
Dean of NursingHenry Ford Community
CollegeDearborn, Michigan
Todays Panel
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Accelerated Health Care Careers Initiative AKA
The DSH Project
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• The Perfect Storm
• unemployment
• need for nurses and other healthcare
  workers
• The Perfect Solution
• - expedite educational programs
• - increase number of well- prepared
  graduates
• - maintain guality of graduates

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• Michigan Department of Community Health and
• Michigan Department of Labor and Economic
  Development
• Regional Skills Alliances (with health care
  focus)
• Michigan Publicly Funded Higher Education
  Colleges and Universities
• Michigan Hospitals

Partnerships
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Model A Certified Nursing Assistant to Licensed
Practical Nurse (focus on long-term care
workforce) Model B Accelerated Second Degree to
Bachelors of Nursing and RN
Project Models
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Project Models Cont
Model C Expanding the Nurse Faculty
Workforce Model D Accelerated Allied Health
Programs
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• 2 fiscal years 20 million
• Includes 44 match from educational institution
• Projects Funded
• 24 partnerships across Michigan

Funding
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• 1200 new healthcare workers educated and employed
• Educational programs accelerated ranging from 2
  months to 1 year earlier completion
• Approximately 300 new Clinical Nurse Faculty in
  hospitals (may train as many as 2,400 students
  per year)
• New nursing school site that will educate 60
  additional nurses every year into the future
• New allied health care workers in pharmacy,
  phlebotomy, repiratory therapy, and EMT

Selected Expected Outcomes
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• Muskegon
• Bill Drake, 36, a male LPN at Mercy from Newaygo
  Countys Bridgeton Township received his training
  while in the military nearly two decades ago.
  After marrying and having children, he no longer
  could afford to go back to school. He jumped at
  the chance to return to school and states, They
  made it an opportunity that you couldnt turn
  down.
• U of M Flint Faculty
• proof of success of this model is that I had 12
  students failing at midterm. The tutor worked
  with the students and 10 of the 12 passed. The 2
  who did not pass did not use the tutor. My
  (students) final exam average was the highest it
  has ever been with the highest grades I have ever
  given.

Heres What Students and Faculty are saying
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The Institute for Clinical Instruction in Nursing
Ferris State University and St. Marys Health Care
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Accelerated Health Care Training CNF Model
Overview

• Schools of Nursing are being asked to increase
  enrollment to address the shortage of nurses,
  but.
• SBON mandates a ratio of 110 in clinical setting
  and.
• Institutional resources are limited and often
  unable to provide additional full time faculty
  for nursing programs and.
• Qualified faculty are in short supply !

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New Model Advantages

• Better utilization of Full Time (MSN or PhD)
  faculty in the classroom / laboratory settings
• Provided clinically current faculty (BSN or MSN)
  as instructors actually more positively
  regarded by students
• Provided an opportunity for staff nurses to make
  an impact on the next generation of nurses.
• Resulted in the development of a Clinical
  Instruction Workshop for RNs interested in
  Clinical Instruction, which became a state-wide
  model.

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• The Traditional Clinical Instruction Model
  utilizes predominately full time nursing faculty
  in both the classroom and clinical settings.
• In 2003 FSU implemented a different model,
  utilizing only staff nurses as part time clinical
  instructors to support a one time additional
  nursing program cohort.

Model, continued
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Advantages, continued

• The clinical experience was enhanced because the
  staff nurse / instructor was already comfortable
  with the clinical environment
• Clinical agencies benefited because this actually
  served as an effective recruiting mechanism for
  graduates
• Clinical faculty felt supported and connected to
  the University through a structured orientation
  and mentoring program.
• FSU Nursing faculty had a new rewarding role as
  mentors and experts in clinical instruction

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FSU Institute for Clinical Instruction

• Proposal Submission
• Proposals were submitted by both FSU and GVSU as
  a collaborative approach to address the nursing
  faculty shortage in West Michigan.
• FSU proposal was to prepare a total 12 Clinical
  Nurse Faculty (CNF) over the course of two
  semesters Winter 2006 Fall 2006
• Grant funding allowed FSU to take its already
  successful model to a higher level of faculty
  preparation.

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FSU Institute for Clinical Instruction

• Requirements of the CNF Participants
• Agree to serve as a Clinical Nurse Faculty (CNF)
  and teach a clinical section of students for one
  full semester for FSU
• Enroll in and complete a graduate course NURS
  590 Clinical Nursing Instruction during the same
  semester (Tuition waived)
• Agree to be mentored by an experienced clinical
  instructor during the semester

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FSU Institute for Clinical Instruction

• FSUs Role in the Grant Program
• Identify appropriate CNF participants BSN or
  MSN prepared
• Provide instruction for the NURS 590 Course
• Provide support a clinical coordinator to serve
  as the liaison / mentor for CNF participants each
  semester.
• Develop a Clinical Instructor data base for
  West MI to be housed at the Alliance for Health,
  allowing access to all area nursing programs.

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FSU Institute for Clinical Instruction

• Grant Funded Incentive Components
• Pay each CNF participant 30/hour for clinical
  instruction
• Pay each CNF participant a 500 stipend
• upon completion of the NURS 590 course and the
  clinical instruction rotation
• Pay the clinical coordinators salary for 12
  months

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NURS 590 Course Objectives

• Identifies and applies strategies to guide,
  support, facilitate, and encourage student
  learning in the clinical setting.
• Applies essential knowledge, abilities,
  organization, and functions to assist students
  towards an effective clinical learning
  experience.
• 3. Utilizes effective strategies for
  evaluating outcomes and
• competence related to students clinical
  performance.
• Analyzes issues related to clinical instruction
  and evaluation of a students clinical
  performance.
• 5. Develops an online learning community and
  network for sharing teaching and learning
  knowledge and experience related to the clinical
  setting.

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Challenges Lessons Learned

• Finding participants was difficult at first
• Limiting participants after the word spread !
• Some RNs found the demands to be difficult when
  also working full time one withdrew in the first
  semester.
• Time commitment was a challenge for some, but it
  all worked out in the end.
• Not everyone is a natural clinical instructor

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Benefits Rewards

• CNF preparation allowed FSU to elevate the level
  of expertise among some current clinical faculty
• A cadre of now highly qualified clinical
  instructors has been provided for FSU and all of
  West MI
• CNF report positive feelings about clinical
  teaching want to be given more opportunities to
  teach students.
• CNF report a renewed passion for nursing a sense
  of giving back, leaving a legacy, etc.

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Benefits Rewards

• CNF (abbreviated) Comments
• Class molded well with the clinical instruction
• Seems as though the articles were chosen
  logically to take us through the steps, stages
  and progress throughout the semester
• Readings seemed to fit what I was dealing with
  each week
• The big light for me was the vast amount of
  time and energy it takes to be an instructor not
  to mention the expertise needed for training the
  students in caring, maintaining non-judgmental
  fairness and juggling the dynamics of the
  clinical unit, staff and specialties on the unit!
• Loved the all day Saturday seminar I learned so
  much!
• I enjoyed the class and the readings very
  thought provoking

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Benefits, cont.

• Comments, cont.
• I was so worried (as a first time instructor)
  that I was going to mess the students up, but
  after reading and participating in the online
  discussions I was able to come up with lots of
  useful ideas and teaching tips.
• It was nice to feel a part of the group going at
  this adventure together
• Liked being able to share my concerns and read
  the feedback.
• Felt like I wasnt the only person with fears and
  questions about instructing.
• Thanks to everyone for your great insight and I
  hope we all keep in touch we are great
  resources for each other.