Presentation on theme: "Incorporate the New 2010 NLN Framework!"— Presentation transcript:
1Incorporate the New 2010 NLN Framework! Sue Field DNP, RN
2Objectives: Attendees will Analyze methods toimplement core values, integrating concepts, and program learner outcomesof the 2010 NLN Educational Competencies Model into a nursing program.Formulate a plan tofacilitate faculty group involvement in the implementation of the2010 NLN Educational Competencies Model.
3Journey to the Templates 1. NLNAC Initial AccreditationLess than desirable Framework2. ConsultantsJune Larson: Chair of the NLN Outcomes and Competencies CommitteeDenise Hirst: Project Manager for QSEN3. Presentation at the NLN National Conference 20114. 6 hour workshop in North Carolina in March 20125. Article written for publicationSue will do this.
4National Standards IOM (Institute of Medicine) report in 2003 IOM report in 2011QSEN (Quality Safety Education in Nursing) 20055 outcomes of IOM + Safety
5National Standards NLN Outcomes and Competencies (2010) Carnegie Study:Educating Nurses a Call for Radical Transformation: Benner, Sutphen, Leonard & Day (2010)NLN Outcomes and Competencies (2010)Benner’s article last monthKnowledgePractice (Skills)Ethical Component (Attitude)
7PurchaseNational League for Nursing. (2010). Outcomes and competencies for graduates of practical/vocational, associate degree, baccalaureate, master’s, practice doctorate, and research doctorate programs in nursing. NLN.June do this one
8Student Learner Outcomes 1. Human Flourishing2. Nursing Judgment3. Professional Identify4. Spirit of InquiryNancy do this
9Professional Identity Student Learner Outcomes PN to PhD PN/VOCADN/DIPBSMASTERPRACTICE DOCRESEARCH DOCAssess how one’s personal strengths and values…Implement one’s role as a nurse in ways…Express one’s identity as a nurse …Implement one’s advanced practice role…As a nurse-scholar, seek ways to translate research findings into practice…Implement one’s role as a research scholar committed…Nancy do this
10Human Flourishing Program Learner Outcomes Practical Nursing Programs Associate Degree Nursing Programs Learner OutcomesHumanFlourishingPromote the human dignity, integrity, self determination, and personal growth of patients, oneself, and members of the health care team. Advocate for patients and families in ways that promote their self- determination, integrity, and ongoing growth as human beings.Nancy do these
11Nursing Judgment Program Learner Outcomes Practical Nursing Programs Associate Degree Nursing Programs Learner OutcomesNursingJudgment Provide a rationale for judgments used in the provision of safe, quality care and for decisions that promote the health of patients within a family context. Make judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, quality care and that promote the health of patients within a family and community context.Nancy do these
12Professional Identity Program Learner OutcomesPractical Nursing ProgramsLearner OutcomesAssociate Degree Nursing Programs Learner OutcomesProfessionalIdentity Assess how one’s personal strengths and values affect one’s identity as a nurse and one’s contributions as a member of the health care team. Implement one's role as a nurse in ways that reflect integrity, responsibility, ethical practices, and an evolving identity as a nurse committed to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients within a family and community context.Nancy do these
13Spirit of Inquiry Program Learner Outcomes Practical Nursing Programs Associate Degree Nursing Programs Learner OutcomesSpiritofInquiryQuestion the basis for nursing actions, considering research, evidence, tradition, and patient preferences.Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities.Nancy do these
14QSEN Outcomes (2005)1. QSEN: Patient Centered Care Student will recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and need2. QSEN: Safety Student will minimize risk of harm to patients and providers through both system effectiveness and individual performance.
15QSEN Outcomes…3. QSEN: Informatics The student will use information and technology to communicate, manage knowledge, mitigate error, and support decision making.4. QSEN: Teamwork and Collaboration Student will function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.
16QSEN Outcomes… 5. QSEN: Quality Improvement Student will use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems.6. QSEN: Evidence Based PracticeStudent will integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.
17QSEN and NLN Competencies and Outcomes NLN: Human FlourishingQSEN: Patient Centered CareNLN Nursing JudgmentQSEN: SafetyQSEN: InformaticsNLN Personal/Professional identityQSEN: Teamwork and CollaborationNLN Spirit of InquiryQSEN: Quality ImprovementQSEN: Evidence Based Practice
18NAPNES PN Student Learner Outcomes From NAPNESMay 6, 20075 years oldNeed to be up to date with latest standards includingQSENNLN Outcomes and CompetenciesNancy
19NAPNES PN Outcomes (2007)Demonstrate professional behaviors of accountability and professionalism according to the legal and ethical standards for a competent licensed practical/vocational nurse.2. Effectively communicate with patients, significant support person(s), and members of the interdisciplinary health care team incorporating interpersonal and therapeutic communication skills.
20NAPNES…3. Collect holistic assessment data from multiple sources, communicate the data to appropriate health care providers, and evaluate client responses to interventions.4. Collaborate with the registered nurse or other members' of the health care team to organize and incorporate assessment data to plan/ revise patient care and actions based on established nursing diagnoses, nursing protocols, and assessment and evaluation data.
21NAPNES…5. Demonstrate a caring and empathic approach to the safe, therapeutic, and individualized care of each client6. Implement patient care, at the direction of a registered nurse, licensed physician or dentist through performance of nursing interventions or directing aspects of care, as appropriate, to unlicensed assistive personnel (UAP).
22Missing from NAPNES 1. Patient Centered Care and Human Flourishing 2. Quality Improvement and Spirit of Inquiry3. Informatics4. Evidence Based Practice/Research5. Safety: Mitigate errors6. Nursing Judgment
23NLN 2000 AD Learner Outcomes 1. Practice within the ethical, legal and regulatory framework of nursing and standards of nursing practice.2. Demonstrate caring behaviors toward the patient, significant support persons and members of the health care team3. Demonstrate accountability for nursing care given by self and or delegated to others.
24NLN 2000 AD Learner Outcomes 4. Utilize therapeutic communication skills in professional relationships.5. Utilize the nursing process to provide individualized nursing care in diverse settings.6. Utilize critical thinking to make clinical judgments and management decisions to provide safe, appropriate and individualized care.
25NLN 2000 AD Learner Outcomes 7. Develop individualized teaching plans based on assessed patient needs.8. Collaborate with the patient, support persons, as well as members of the healthcare team to assist the patient to achieve optimal outcomes.9. Develop personal goals for professional development and participate in lifelong learning.
26Missing from 2010 NLN 1. Patient Centered Care and Human Flourishing 2. Quality Improvement and Spirit of Inquiry3. Informatics4. Evidence Based Practice/Research5. Safety: Mitigate errors6. Nursing Judgment
322. Integrating Concepts NLN outcomes and competencies book (2010) Suggested statements are listedfor EACH of the 6 integrating concepts1. Context and Environment2. Knowledge and Science3. Personal/Professional Development4. Quality and Safety5. Relationship Centered Care6. TeamworkJune Larson
36Integrating Concepts Three Apprenticeships Context and Environment4. Quality and SafetyKnowledgePractice Know HowEthical Comportment2. Knowledge and Science5. Relationship Centered CarePersonal/Professional6. TeamworkDevelopment
38Program Learner Outcomes Needs to meet National StandardsNAPNES from 2007 does not include national standardsQSEN and NLN Framework
39QSEN and NLN Competencies and Outcomes Patient Centered CareSafetyInformaticsTeamwork andCollaborationQuality ImprovementEvidence Based PracticeHuman FlourishingNursing JudgmentPersonal/Professional identitySpirit of Inquiry
40Student Learner Outcomes Need to demonstrate that EVERY student that graduates has fulfilled the student learner outcomes.Clinical/Program Portfolio is a great way to prove this.
42Steps that might work for you and your nursing program “How To’s”Steps that might work for you and your nursing programSue to do
43How to: Part I PAIR faculty members Determine for each course outcome Who teach the same coursesDetermine for each course outcomeHow the course outcome relates to the program outcomesDetermine the learning activities for the outcome andDetermine the measurements used for the outcomeSee template next slide
45How to: Part II Round Robin Arrange tables by integrating conceptsAttach template to tables by integrating conceptsFaculty pairs rotate through the stations.Faculty identify the course outcomes that fulfill competencies listed
46Context and Environment Relationship Centered Care Knowledge and SciencePersonalProfessional GrowthQuality and SafetyTeamworkRelationship Centered Care3 Apprenticeships for each:KnowledgePracticeEthical Comportment
47Part III: CompilationCompile all information on one document
48Part IV: Program Learner Outcomes Complete the Program Learner Outcomes Templatein a round robinsimilar to the Integrating Concepts Round Robin
49Professional Identify Human FlourishingProfessional IdentifyNursing JudgmentSpirit of InquiryNursing Practice
50Part V: Identify Apprenticeships Missing Course Outcomes Identify apprenticeships that lack course outcomes.Develop new course outcomes as neededIdentify the new outcomes neededEvaluate BOTH the Apprenticeships AND the Learner Outcomes TemplatesBe careful of Additive curriculum(May need to take something out of your curriculum)Develop learning activities for eachDevelop outcome measures for each
52ReferencesBenner, P., Sutphen, M, Leonard-Kahn, V., Day, L. (2008, September). Formation and everyday ethical comportment. American Journal of Critical Care,17(5473),Benner, P., Sutphen, M, Leonard-Kahn, V., Day, L. (2010). Educating nurses a call for radical transformation. San Francisco, CA: Jossey-Bass.Benner, P., Tanner, C., Chesla, C. (2009). Expertise in nursing practice. (2nd ed.). NY: Springer Publishing.Caputi, L. (2010). Teaching nursing: The art and science. (2nd ed.).Glen Ellyn, IL: College of DuPage Press.Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P, & Warren, J. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3),Hirst, D. & Foster, B. (2009). Undergraduate curriculum mapping: Faculty interactive approach using QSEN competencies. Poster presentation. (Template modeled after Hirst & Foster’s work).National League for Nursing. (2010). Outcomes and competencies for graduates of practical/vocational, associate degree, baccalaureate, master’s, practice doctorate, and research doctorate programs in nursing. NLN.QSEN Quality and Safety Education for Nurses.