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Linda Dunckel
Kaplan University
NU499 – Bachelor’s Capstone in Nursing
August 1, 2011
 Part of the County School District
 Technical School
 Provide a Practical Nursing Program
 PN Program has existed since 1962
 Outstanding reputation
 History of collaboration with local colleges and
  universities
 Strong relationships and long history with
  health care facilities in the community
 The Commission on Occupational Education
 The Southern Association of Colleges and
  Schools (regional)
 The State Board of Nursing
 National League for Nursing Accrediting
  Commission (national)
   U.S. Nursing Schools turned away 67,563 qualified
    applicants from baccalaureate and graduate nursing
    programs in 2010 due (in part) to an insufficient number
    of faculty (AACN, 2011)

   A recent survey of 556 undergraduate and graduate
    nursing schools across the country shows that there
    was additional need of 257 faculty positions to meet the
    demand of these schools. This accounts for a 6.9%
    faculty vacancy rate (AACN, 2011)

   These are the schools that provide nursing academics
    with future nursing instructors
 Faculty ages are climbing
 A large number of current faculty is expected to
  retire during the next decade
 Higher pay in clinical and private sector settings
  is luring instructors away from teaching
 Masters and Doctorate programs are not
  providing enough potential instructors to meet
  the demand
(AACN, 2011)
   Florida law : Student/Instructor Ratio of 12:1

   Current Clinical Faculty consists 5 full-time and 3 part-time
    clinical instructors and all have Master’s degrees(equivalent
    to 6.5 full time positions)

   Currently, only 75 students can attend the program.
   Best Scenario:
    › Maximum student capacity = 168
    › Requires 14 full-time Clinical Instructors
    › Need for additional 7 full-time instructors


   Schools “Conservative” Goal:
    › Serve 120 Students
    › Requires 10 full-time Clinical Instructors
    › Need for additional 4 full-time instructors
   Not enough master’s degreed nurses

           Educational Preparation of RNs in Florida (2008)
                     1%

                7%                                                     Diploma and Associates Degree
                                                                       Bachelor's Degree
                                                                       Master's Degee
                                                                       Doctoral Degree


     36%

                                     56%




                          Source: Florida Center for Nursing, (2010)
   School is at the bottom of the “Recruitment Totem
    Pole”
    › Competing with 2 Community Colleges and several
      local universities for instructors


   Recent School District Budget Cuts
    › Faculty layoffs in many schools
    › 2.75% reduction in pay for teachers in County.
   Utilize bachelor’s degreed practicing nurses from
    specialty clinical settings in local health care
    Institutions as part-time clinical instructors !

   “With the economic turn down, many schools of nursing lack funds to
    hire additional full-time faculty. As a result, they are making increased
    use of part-time clinical instructors both as direct hires and by forming
    partnerships with clinical agencies through which staff nurses in the
    agencies serve as part-time clinical instructors” (Hewitt & Lewallen, 2010)
NOT ALL NURSES ARE BORN TO BE TEACHERS


   School needs to aim for the following:
    › Careful Recruitment (collaborate with local facilities)
    › Establish Quality Orientation and Mentorship
      Programs
    › Initiate Systems and Programs that promote
      employee retention.
   Recruitment
    › More realistic thinking about only hiring MSNs
    › Clarify ambiguity of NLNAC standard
    › Utilize strong existing relationships with facilities in
      the health care community
    › Form partnerships with clinical facilities
    › Get the word out

    › Remember…There are over five times as many bachelors prepared nurses in
      Florida than there are those with masters degrees!
   Orientation
    › These nurses are “novice” instructors
    › Some of the things they need to understand are:
       The School’s philosophy and mission
       Core sequencing and curriculum content
       The School’s expectations from students and faculty
       Program objectives
       Faculty Roles
       Expected program outcomes
       Role conflict
       School Policies
       Regulations
       Time management tips
       How to deal with difficult students
   Mentorship
    › Develop an extensive mentorship program that will carry throughout
      the term of the instructor’s employment

    › The National League for Nursing: Board of Governors states”

       “Mentoring is relevant across the entire continuum of an educator and
         encompasses orientation to the faculty role; socialization to the
         academic community; development of teaching, research, and service
         skills; and facilitation for growth of future leaders in nursing and
         nursing education” (NLN Board of Governors – Position Statement, 2006)

    › Seasoned faculty mentors offer information to new instructors
      about:
            Knowledge
            Skills
            Behaviors
            Values
   Retention
    › Retaining these employees is as important as recruiting them

    › A study at a California Nursing Program (who hired, oriented, and
      mentored clinical nurses as clinical instructors) shares:
        “Nurses who receive quality orientation and mentorship, felt valued
         as they became armed with the tools they needed to be successful in
         academia” (Baker, 2010)

    › People stay in their jobs when they feel:
       Confident
       Challenged
       Appreciated

    › School needs to ensure that these new faculty members are:
       Warmly welcomed by current faculty members
       Included in school committees, curriculum development, and social
        events
       Made to feel that they are “essential” to the program
   The School:
    › Vacancies filled and able to run program at full
        capacity
    ›   Clinical nurses bring expertise to curriculum
        development
    ›   Enhanced relationships with local health care
        facilities
    ›   Potential full-time instructors for the future
    ›   Cost savings for salaries
   The Students:
    › Benefit from clinical expertise of these instructors
    › Enhanced quality of their education
    › “Real-Life” exposure to their prospective roles as
      future nurses
   The Health Care Facilities:
    › Receive the “finished product” – the students
    › Better understanding of the education being
      provided
    › Improved relationships with the school
    › Opportunity to participate in nursing program
      enhancement
    › Improved means to evaluate students as prospective
      employees
   The New Clinical Nursing Instructors:
    › Increased ability to learn and explore a new career
        option
    ›   Do not have to give up full time position
    ›   Can supplement their current income
    ›   Have the opportunity to share what they know with a
        new generation of nurses
    ›   Increased potential for furthering their own
        education.
 This proposal is not a “quick fix” to the faculty
  shortage at the institution.
 By making a few changes in thought, policy and
  practices, the institution has the opportunity to:
    › Build academic and financial strength in their
      program
    › Participate in improving patient care for the
      community
   The institution can solve their faculty shortage
    by:
    › Utilizing an “untapped” resource of potential clinical
      instructors
    › Building on their reputation and increasing a strong
      collaborative relationships with health care facilities
      in the community
    › Developing programs that will provide success to
      new faculty and an ongoing source of quality
      instructors in the future.
   American Association Of Colleges Of Nursing. (2011) Nursing faculty shortage
    facts. Retrieved from
    http://www.aacn.nche.edu/Media/Factsheets/facultyshortage.htm
   Baker , S. (2010). Nurse educator orientation: Professional development that
    promotes retention. The Journal of Continuing Education in Nursing, 41(9), 413-
    417.
   Florida Center For Nursing. (2010). Florida's RN and ARNP supply:
    Growth, demographics and employment characteristics. Retrieved from
    http://www.flcenterfornursing.org/files/RN_Supply_2010.pdf
   Hewitt, P. & Lewallen, L. (2010). Ready, set, teach!: How to transform the clinical
    nurse expert into the part-time clinical expert into the part-time clinical nurse
    instructor. The Journal of Continuing Education in Nursing, 41(9), 403-407.
   National League For Nursing: Board Of Governors. (2006). Position statement:
    Mentoring of nurse faculty. Retrieved from
    http://www.nln.org/aboutnln/positionstatements/mentoring_3_21_06.pdf

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Bsn capstone project 2011

  • 1. Linda Dunckel Kaplan University NU499 – Bachelor’s Capstone in Nursing August 1, 2011
  • 2.  Part of the County School District  Technical School  Provide a Practical Nursing Program  PN Program has existed since 1962  Outstanding reputation  History of collaboration with local colleges and universities  Strong relationships and long history with health care facilities in the community
  • 3.  The Commission on Occupational Education  The Southern Association of Colleges and Schools (regional)  The State Board of Nursing  National League for Nursing Accrediting Commission (national)
  • 4. U.S. Nursing Schools turned away 67,563 qualified applicants from baccalaureate and graduate nursing programs in 2010 due (in part) to an insufficient number of faculty (AACN, 2011)  A recent survey of 556 undergraduate and graduate nursing schools across the country shows that there was additional need of 257 faculty positions to meet the demand of these schools. This accounts for a 6.9% faculty vacancy rate (AACN, 2011)  These are the schools that provide nursing academics with future nursing instructors
  • 5.  Faculty ages are climbing  A large number of current faculty is expected to retire during the next decade  Higher pay in clinical and private sector settings is luring instructors away from teaching  Masters and Doctorate programs are not providing enough potential instructors to meet the demand (AACN, 2011)
  • 6. Florida law : Student/Instructor Ratio of 12:1  Current Clinical Faculty consists 5 full-time and 3 part-time clinical instructors and all have Master’s degrees(equivalent to 6.5 full time positions)  Currently, only 75 students can attend the program.
  • 7. Best Scenario: › Maximum student capacity = 168 › Requires 14 full-time Clinical Instructors › Need for additional 7 full-time instructors  Schools “Conservative” Goal: › Serve 120 Students › Requires 10 full-time Clinical Instructors › Need for additional 4 full-time instructors
  • 8. Not enough master’s degreed nurses Educational Preparation of RNs in Florida (2008) 1% 7% Diploma and Associates Degree Bachelor's Degree Master's Degee Doctoral Degree 36% 56% Source: Florida Center for Nursing, (2010)
  • 9. School is at the bottom of the “Recruitment Totem Pole” › Competing with 2 Community Colleges and several local universities for instructors  Recent School District Budget Cuts › Faculty layoffs in many schools › 2.75% reduction in pay for teachers in County.
  • 10. Utilize bachelor’s degreed practicing nurses from specialty clinical settings in local health care Institutions as part-time clinical instructors !  “With the economic turn down, many schools of nursing lack funds to hire additional full-time faculty. As a result, they are making increased use of part-time clinical instructors both as direct hires and by forming partnerships with clinical agencies through which staff nurses in the agencies serve as part-time clinical instructors” (Hewitt & Lewallen, 2010)
  • 11. NOT ALL NURSES ARE BORN TO BE TEACHERS  School needs to aim for the following: › Careful Recruitment (collaborate with local facilities) › Establish Quality Orientation and Mentorship Programs › Initiate Systems and Programs that promote employee retention.
  • 12. Recruitment › More realistic thinking about only hiring MSNs › Clarify ambiguity of NLNAC standard › Utilize strong existing relationships with facilities in the health care community › Form partnerships with clinical facilities › Get the word out › Remember…There are over five times as many bachelors prepared nurses in Florida than there are those with masters degrees!
  • 13. Orientation › These nurses are “novice” instructors › Some of the things they need to understand are:  The School’s philosophy and mission  Core sequencing and curriculum content  The School’s expectations from students and faculty  Program objectives  Faculty Roles  Expected program outcomes  Role conflict  School Policies  Regulations  Time management tips  How to deal with difficult students
  • 14. Mentorship › Develop an extensive mentorship program that will carry throughout the term of the instructor’s employment › The National League for Nursing: Board of Governors states” “Mentoring is relevant across the entire continuum of an educator and encompasses orientation to the faculty role; socialization to the academic community; development of teaching, research, and service skills; and facilitation for growth of future leaders in nursing and nursing education” (NLN Board of Governors – Position Statement, 2006) › Seasoned faculty mentors offer information to new instructors about:  Knowledge  Skills  Behaviors  Values
  • 15. Retention › Retaining these employees is as important as recruiting them › A study at a California Nursing Program (who hired, oriented, and mentored clinical nurses as clinical instructors) shares:  “Nurses who receive quality orientation and mentorship, felt valued as they became armed with the tools they needed to be successful in academia” (Baker, 2010) › People stay in their jobs when they feel:  Confident  Challenged  Appreciated › School needs to ensure that these new faculty members are:  Warmly welcomed by current faculty members  Included in school committees, curriculum development, and social events  Made to feel that they are “essential” to the program
  • 16. The School: › Vacancies filled and able to run program at full capacity › Clinical nurses bring expertise to curriculum development › Enhanced relationships with local health care facilities › Potential full-time instructors for the future › Cost savings for salaries
  • 17. The Students: › Benefit from clinical expertise of these instructors › Enhanced quality of their education › “Real-Life” exposure to their prospective roles as future nurses
  • 18. The Health Care Facilities: › Receive the “finished product” – the students › Better understanding of the education being provided › Improved relationships with the school › Opportunity to participate in nursing program enhancement › Improved means to evaluate students as prospective employees
  • 19. The New Clinical Nursing Instructors: › Increased ability to learn and explore a new career option › Do not have to give up full time position › Can supplement their current income › Have the opportunity to share what they know with a new generation of nurses › Increased potential for furthering their own education.
  • 20.  This proposal is not a “quick fix” to the faculty shortage at the institution.  By making a few changes in thought, policy and practices, the institution has the opportunity to: › Build academic and financial strength in their program › Participate in improving patient care for the community
  • 21. The institution can solve their faculty shortage by: › Utilizing an “untapped” resource of potential clinical instructors › Building on their reputation and increasing a strong collaborative relationships with health care facilities in the community › Developing programs that will provide success to new faculty and an ongoing source of quality instructors in the future.
  • 22.
  • 23. American Association Of Colleges Of Nursing. (2011) Nursing faculty shortage facts. Retrieved from http://www.aacn.nche.edu/Media/Factsheets/facultyshortage.htm  Baker , S. (2010). Nurse educator orientation: Professional development that promotes retention. The Journal of Continuing Education in Nursing, 41(9), 413- 417.  Florida Center For Nursing. (2010). Florida's RN and ARNP supply: Growth, demographics and employment characteristics. Retrieved from http://www.flcenterfornursing.org/files/RN_Supply_2010.pdf  Hewitt, P. & Lewallen, L. (2010). Ready, set, teach!: How to transform the clinical nurse expert into the part-time clinical expert into the part-time clinical nurse instructor. The Journal of Continuing Education in Nursing, 41(9), 403-407.  National League For Nursing: Board Of Governors. (2006). Position statement: Mentoring of nurse faculty. Retrieved from http://www.nln.org/aboutnln/positionstatements/mentoring_3_21_06.pdf