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SCHOOL OF NURSING Presented by Anne Woodtli PhD FAAN Visiting Professor University of Massachusetts Amherst created by the “bridge engineers” of UMASS.

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Presentation on theme: "SCHOOL OF NURSING Presented by Anne Woodtli PhD FAAN Visiting Professor University of Massachusetts Amherst created by the “bridge engineers” of UMASS."— Presentation transcript:

1 SCHOOL OF NURSING Presented by Anne Woodtli PhD FAAN Visiting Professor University of Massachusetts Amherst created by the “bridge engineers” of UMASS Amherst Faculty and Dean Building the Bridge as You Walk on It: The Process of DNP Development

2 2 SCHOOL OF NURSING Pioneer Valley- We are Pioneers with a horizon

3 3 SCHOOL OF NURSING Our “starter” Bridge! Don’t worry it WILL hold us!

4 4 SCHOOL OF NURSING Uncertainty seen as “Opportunity”  Although we all share the same sky, we see it from different horizons  When the course is not set firm, it is an opportunity to shape it. Living the uncertainty! Building the Bridge As You Walk on It: A Guide for Leading Change (Robert Quinn, 2004)

5 5 SCHOOL OF NURSING Key Points For Us— “ Blueprints for the Bridge”  WE BELIEVE: APNs need knowledge and skills at the “highest level” and acknowledgment of achievement at that level specialty curricula must be deeply rooted in evidence-based practice model advanced knowledge in evaluative research methods, translational research, and leadership is essential  WE DECIDED: to be in the vanguard to “build” the program on the foundation of the baccalaureate degree in nursing  WE HAVE: full commitment of the Dean and Faculty

6 6 SCHOOL OF NURSING SON Process- “Putting the Plans into Action” Doctor of Nursing Practice:  embedded in strategic planning and goals for the School of Nursing over a 2 year period  conveyed at the institutional level, in the region and among the “system” schools(5)  preliminary discussions taking place over two years based on national dialogue  consultants utilized and time dedicated for DNP dialogue

7 7 SCHOOL OF NURSING Linking Change– “Suspension Cables on Our Bridge”  Suspended admissions to MS APRN programs--BIG decision! Retained the MS/MPH program, started the CNL program  Reviewed current courses, raising questions!  Established the DNP Task Force late 2004  Invested: San Diego Doctoral Conference, Jan. 2005 Submitted: RFP -- grant proposal from “BHE “  Set targets: preliminary proposal, full proposal, course creation, potential start date Fall 2006  Gathered ongoing intelligence as program evolved

8 8 SCHOOL OF NURSING Use of Task Force Model- Our “Engineers”  Placed key players on DNP Task Force  Held retreats, day-long meetings to move the agenda and create the algorithms  Encouraged DNP speak: topic of many conversations, open dialogue with faculty and students  Involved students; networked with potential students  Engaged in dialogue with regional and national preceptors  Presented Task Force reports and refined documents  Designed and built the proposals  Linked “Essentials” with courses and content

9 9 SCHOOL OF NURSING Institutional process- “Hedging our Bets”  Essential to Prepare “up front” for Decision Making Level of the School, University, System “Infiltrated the ranks” – Placed nursing faculty on key committees – Built relationships – Networked in community, state, region – Communicated with advisory boards, donors, agencies, alumni – Made the case

10 10 SCHOOL OF NURSING Doctor of Nursing Practice (DNP) Program Post Baccalaureate Baccalaureate2nd Bachelors Foundation Core Family NP Public Health Leadership Residency/Capstone DNP RN to BSN *Multiple entry points possible Cognates/Electives Psych NP

11 11 SCHOOL OF NURSING Core --(All Students)  N 603 Theoretical Components of Nursing Science (3)  N/PH 690L Leadership (3)*  NXX Healthcare Quality (2)  NXX Care Environment Mgt. (2)  BIOST-EP 640 Intermediate Biostatistics (3)  BIOST-EP 630 Principles of Epidemiology (3)  N 630 Research Methods for Nursing (3)  MGT 833 Organizational Behavioral Theory (3)  ComHlth 524 Politics and Public Policy (3)  NXX Translational Research (Research) (3)  N/PH 690-M Informatics (3) future *  Total Core = 31 Credits *taught by interdisciplinary teams

12 12 SCHOOL OF NURSING Public Health Nursing Leadership  NXXX Health Disparities (3)  N640 Adv PH Nursing I (3)  NXXX Adv PH Nursing II (3)  ComHlth 620 Principles of Public Health (3)  EnvHlth 565 Environmental Health (3)  ComHlth 601 Social & Behavior Theory (3)*  PubHlth 525 Population-based Ethics (3)*  N/PH 690N Current Topics (3)*  ComHlth 628 Financial Mgt (3)  ComHlth 780 Public Health Law (3)  ComHlth 704 Program Planning and Evaluation (3)  N798G Practicum (6)  Total Specialty = 39 credits *Interdisciplinary teams: co-taught with nursing faculty

13 13 SCHOOL OF NURSING Residency and Capstone –(All Students) ALL Students  design individual residency experience according to area of specialization and interests with approval of faculty and preceptors or mentors  actualize the capstone project during this experience.  N898 Residency (6) intensive immersion experience: 336 hrs  N899 Capstone (3) clinical evaluation research project Total Residency/Capstone credits = 9 Total Program PHN-L Credits= 79  Core plus PHN-L Specialty, Residency/Capstone (for postbaccalaureate student)

14 14 SCHOOL OF NURSING DNP Specialties, Courses  Key: “depth and detail” across a carefully laid out curriculum for immediate entry post-baccalaureate students  Variability: related to specialty content  Individualized portfolio: reviewed for post masters students who take necessary “modules” to fill content gaps ( UMASS requires a minimum 36 post masters credits)

15 15 SCHOOL OF NURSING Nurse Practitioner Specialties for DNP  Psychiatric/Mental Health Nurse Practitioner Total Specialty = 40 credits Total Credits = 80 credits (Core plus Specialty & Residency/Capstone)  Family Nurse Practitioner Total Specialty = 40 credits Total Credits = 81 credits (Core plus Specialty & Residency/Capstone)

16 16 SCHOOL OF NURSING Sample Plan of Study : Family Specialty (8I cr) Year 1 (Fall) (9 cr) Year 1 (Spring) (9 cr) Biost& EP640 Intermed Biostats Biost&EP630 Princ Epidem N690 Informatics N690 Leadership CommHlth524 Politics & Policy N630 Res Methods for Nurs Summer (3 cr) N603 Theoretical Components of Nursing Science Year 2 (Fall) (10 cr) Year 2 (Spring) (10 cr) Nxxx Healthcare Quality N690C Adv Health Assess Nxxx Care Environ Mgt N698 Practicum N615 Adv Pathophysiology N690D Adv Pharmacology SCH-MGMT 833 Org BehTheory N670 Fam Systems/Interv

17 17 SCHOOL OF NURSING Con’t Year 3 (Fall) (10 cr) Year 3 (Spring) (10 cr) N610 PrimHC Infant,Child, N620 PrimHC Middle,Older Adolescent Adults N698E Practicum N698 Practicum,Role Seminar N790D Pharmacotherapeutic Nxxx Translational Research Year 4 (Fall) (11 cr) Year 4 (Spring) (9 cr) N798 Practicum, Role Sem Nxxx Residency N698 Practicum, Role Sem Nxxx Capstone Cognate

18 18 SCHOOL OF NURSING Ongoing Issues  Credit distribution?  Year round?  Part-time options?  Distance learning components?  Clinical practicum contact hours?  Interdisciplinary content?  Redundancy while ensuring key content?  “Essentials” grid evolution?

19 19 SCHOOL OF NURSING Well, here’s our bridge now, as seen from our horizon

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