1. Best Practices in a Consortium NP Education Program Cynthia Kitson RN(EC), MN Ginette Gilbert-Rasuli RN(EC), MScN Jennie Humbert, RN(EC), MHSc Suzanne Doucette RN, MHA

2. Objectives Discuss how best practices are implemented in consortium course delivery Discuss how best practices are implemented in consortium course delivery Describe innovations in curriculum delivery Describe innovations in curriculum delivery Describe dynamic partnerships that support best practices Describe dynamic partnerships that support best practices Discuss learner outcomes Discuss learner outcomes

3. Ontario Primary Health Care Nurse Practitioner (NP) Program Programme ontarien de formation des infirmières et infirmiers praticiens en soins de santé primaires

5. NP Consortium Ten universities Ten universities Part of the Council of Ontario Universities Programs in Nursing (COUPN) Part of the Council of Ontario Universities Programs in Nursing (COUPN) A collaboration to provide NP Education more efficiently A collaboration to provide NP Education more efficiently

6. Consortium Partners Laurentian University* Laurentian University* University of Ottawa* University of Ottawa* McMaster University McMaster University Lakehead University Lakehead University Queens University Queens University *Bilingual Program University of Western Ontario University of Western Ontario University of Windsor University of Windsor University of Toronto University of Toronto Ryerson University Ryerson University York University York University

7. Benefits of NP Consortium Benefits of NP Consortium Accessibility Accessibility Standardization of a product Standardization of a product Cohesion vs competition Cohesion vs competition Pooling resources Pooling resources Economy of effort Economy of effort

8. Challenges of NP consortium Consensus of the 10 universities for major change in curriculum Consensus of the 10 universities for major change in curriculum Geographically diversified Geographically diversified Two languages and cultures Two languages and cultures Maintaining reliability of evaluation measures Maintaining reliability of evaluation measures

9. Best practices A methodology that, through experience and research, has proven to reliably lead to a desired result.

10. Definition of Best Practices Dynamic Process +Evidence+Practice+ Program Evaluation + Values / principles

11. Outcome measurement Level of attrition -15% Level of attrition -15% Success in completion of courses - 92% Success in completion of courses - 92% Success in the College of Nurses licensing exam - 82% Success in the College of Nurses licensing exam - 82% Learner evaluation (faculty and course) Learner evaluation (faculty and course) Learner satisfaction Learner satisfaction

12. Best practices in NP consortium education Course delivery, use of distance modalities Course delivery, use of distance modalities Communication (learner & faculty) Communication (learner & faculty) Developing and maintaining clinical preceptorship Developing and maintaining clinical preceptorship Consistency in course evaluation (on- line exams & inter-rater reliability) Consistency in course evaluation (on- line exams & inter-rater reliability)

13. Anglophone courses: Pathophysiology for Nurse Practitioner Pathophysiology for Nurse Practitioner Roles & Responsibilities of the Nurse Practitioner Roles & Responsibilities of the Nurse Practitioner Advanced Health Assessment & Diagnosis I & II * Advanced Health Assessment & Diagnosis I & II * Therapeutics in Health Care I & II * Therapeutics in Health Care I & II * Integrative Practicum * Integrative Practicum * * Clinical courses Francophone courses: Pathophysiologie pour infirmier(ères) praticien(nes) Pathophysiologie pour infirmier(ères) praticien(nes) Rôles et Responsabilités des infirmier(ères) praticien(nes) Rôles et Responsabilités des infirmier(ères) praticien(nes) Formation avancée en évaluation de la santé et de diagnostic I & II * Formation avancée en évaluation de la santé et de diagnostic I & II * Méthodes thérapeutiques en soins de santé primaires I & II * Méthodes thérapeutiques en soins de santé primaires I & II * Stage dintégration * Stage dintégration *

14. Educational Delivery Modalities Web-based delivery Web-based delivery Face to face tutorials Face to face tutorials Teleconference Teleconference Clinical experience Clinical experience Lab practice Lab practice Audio clips Audio clips CD-ROM CD-ROM Expert videos Expert videos On-line exams On-line exams Interactive quizzes Interactive quizzes Print-based materials Print-based materials

15. Email Newsgroup Face to face contact Teleconference Computer Fax Chat room Course Delivery Modalities Print based

16. Tutorial picture

17. Communication Modalities Communication ModalitiesProfessors (5 anglophone and 5 francophone) Tutors (30+ anglophone and 6 francophone 6 francophone) Regional co-ordinators (3) Francophoneco-ordinatorStudents(150) Faculty Liaisons (10) Primary Health Care NP Program Consortium Council

18. Clinical Preceptors Preceptors are critical partners in meeting the curriculum and student learning objectives, in a supportive clinical environment.

19. Improving the Quality of Preceptorship Access to courses objectives & content Access to courses objectives & content Preceptor Web site Preceptor Web site Preceptor newsgroup Preceptor newsgroup Preceptor workshop (Clinical evaluation & feedback) Preceptor workshop (Clinical evaluation & feedback) Access to learners learning plan Access to learners learning plan Tutors support Tutors support

20. Improving the Quality of Preceptorship Evaluation of the preceptor by the students Evaluation of the preceptor by the students Evaluation of the clinical setting Evaluation of the clinical setting Evaluation of learning opportunities (clinical logs) Evaluation of learning opportunities (clinical logs)

21. Preceptorship: Strengthening the partnership Face to face networking opportunities Face to face networking opportunities Continuing education sessions Continuing education sessions Awards, gifts (books), appreciation dinner Awards, gifts (books), appreciation dinner Joint appointments Joint appointments

22. Evaluation Measures On line exam On line exam Case study presentations Case study presentations Papers Papers Clinical Practice evaluation Clinical Practice evaluation Objective Structured Clinical Exam (OSCE) Objective Structured Clinical Exam (OSCE)

23. Interater Reliability in Grading On-line Exams Tutor/professor teleconference after the exam Tutor/professor teleconference after the exam Learner anonymity is maintained Learner anonymity is maintained One tutor marks certain exam questions for all students enrolled in the course One tutor marks certain exam questions for all students enrolled in the course Assignments Workshops for tutors on consistent grading practices. Workshops for tutors on consistent grading practices. On-Line grade report form. Grading practices compared. On-Line grade report form. Grading practices compared.

24. Rationale for on line exam Distance location of learners Distance location of learners Maintaining exam security Maintaining exam security Ease of marking the exam Ease of marking the exam Statistical analysis of exam questions Statistical analysis of exam questions Final mark computer tabulated Final mark computer tabulated On line exam easily archived On line exam easily archived

25. Creating Exam Bank items Written and reviewed by a team of practicing NPs and faculty Written and reviewed by a team of practicing NPs and faculty Content is derived and directly linked to course outcomes Content is derived and directly linked to course outcomes Answers are referenced to latest consensus and practice guidelines. Answers are referenced to latest consensus and practice guidelines. Accessiblity (on the web) and central location of exam questions Accessiblity (on the web) and central location of exam questions Ten course professors have access for revisions/updating Ten course professors have access for revisions/updating

26. Summary Best Practices in a Consortium NP Education Program Delivery modalities meet course Delivery modalities meet course objectives objectives Quality & efficient communication Quality & efficient communication The quality of preceptorship The quality of preceptorship Evaluation efficiency & consistency Evaluation efficiency & consistency

27. Contact Us NP Program public web site http://np-education.ca Jennie Humbert jhumb@np-education.ca Suzanne Doucette sdouc@formation-iip.ca