Presentation on theme: "A TRANSITION TO PRACTICE PROGRAM"— Presentation transcript:
1 A TRANSITION TO PRACTICE PROGRAM RURAL NURSE RESIDENCYA TRANSITION TO PRACTICE PROGRAM
2 Service Area Idaho State University award HRSA GRANT Initial Collaborative States (2009) Alaska, Washington, Montana, Wyoming, IdahoExpanded to:Western/Central US in Year 2 (2010)Awarded 3-year Extension ( )Application Process 3 Times Each Year
3 WHY NURSE RESIDENCY? Bridging the Gap to Practice: IOM Initiative on the Future of Nursing (IFN) study with 4Key Messages and 8 RecommendationsRecommendation 3 clearly states “Implement nurse residency programs”Need for higher-level awareness of quality, safety,professional roleNational studies and reports on residency programs1) Versant study – Nursing Economics November/December 20102) UHC/AACN Nurse Residency Program – AACN June 20103) NCSBN
4 Need Nurse Shortage Nurse Confidence Nurse Turnover Up to 65% during the first yearCompetency RegulationsQSEN Standards (Quality & Safety Education for Nurses)National Council of State Boards of NursingFederal & State regulatory agencies want “readiness-for-practice” of new nurses to be strengthenedMy research shows novices are expected to perform the same as experts. Frightening
5 Program Goals Improve Patient Care Increase Nurse SkillsNurse ConfidenceRetentionImplementation of Hospital-Based Residency Program
6 Outcomes Improvement in our Needs Assessment Preceptors Receive Certificate of “Rural Nurse Preceptor”16 CNE Contact Hours (Workshop)Provide Mentored Experience to ResidentResidents ReceiveRural Nurse CertificationContact Hours (CNEs)Mentored Hours by PreceptorHospital incorporates a residency program
7 Research HRSA Grant – Research Conducted on 3 Topics Program Participatory Action ResearchProvides Evidence for Change and ImplementationRural Nurse PracticeNovice vs Expert ComparisonNurse Retention
8 Program Components NWRNR Facilitator No Fees Preceptor Mentor PDA SoftwareContinuing NursingEducation HoursWeb-Based ConferencingSessions provided by experienced nurses/educatorsNo FeesPreceptor TrainingSocial Support for Rural Hospitals and StaffCompetency Measurement ToolsSimulationsLibrary Access
9 One Year Collaboration Facility ProvidesClinical LearningPreceptorSupervisionEmploymentTime for ParticipationComputer/Internet ConnectionSupportNWRNR ProvidesEducation Content/ToolsMentors and CoordinatorsWebinars/SimulationCNE’sStandardized Process and QualityOne-year subscription to Nursing Software
10 Program OverviewFirst Thursday of the Month: Live 3 hr video webinars for 12 month = 36 hours of continuing education.Second Thursday: Precepted experience demonstrating competency clinical skills and core competencies identified on Learning Plan.Third Thursday: Self-study of one elective (12 hours yearly total).Fourth Thursday: Competence Validation via Simulation 1.5 live hours/1.5 local measurement hours = 15 hours of continuing education.
11 PRECEPTOR RN with at least 2 years experience in current hospital. Participate in 16 hrs of orientation/training.Provide supervised clinical hours to resident incorporating best practices.Collaborate with Resident on development of Learning Plan to focus clinical learning.Complete competency measurements on resident (Critical Thinking, Clinical Practice, Relationship Centered Practice, Professionalism, Leadership).
12 RESIDENTNew RN graduate, RN transitioning from urban setting, or RN re-entering profession.Participate in preceptor supervised clinical hours.Participate in live web-based sessions and simulations.Collaborate with Preceptor to develop Learning Plan to focus clinical learning.Obtain free continuing education credits from a choice of electives.Interact with other residents throughout the U.S. to increase rural health learning.
13 RESIDENT COURSES Acute Care - Crisis Assessment and Management Nursing Subspecialties (live sessions and clinical focus):Medical SurgicalPharmaceuticalPediatricGeriatricPsychiatricEmergency TraumaCritical ThinkingObstetrics
14 SIMULATIONS Patient Centered Care Teamwork and Collaboration QSEN STANDARDS. See for more information.Patient Centered CareTeamwork and CollaborationEvidence Based PracticeQuality ImprovementSafetyCase ManagementInformaticsCareer Management
15 Summary Website http://isu.edu/nursing/opd/nwrnr.shtml Contact InformationHeidi Blossom RN MSN Transition to Practice Coordinator at