American Association of Community Colleges N-OADN – An Affiliated Council

April 10. 2011Donna Meyer, RN, MSNPat Smart, MN, RN,CNEJudi Crume, RN, PhD

� Demographics� Generational Differences

� Diversity

� Economic Forces� Profound Changes in Science and Technology

� Patient Activism

� Chaotic Health Care System

� Rising Costs of Education

� Abrupt Changes within the Environment� Natural Disasters

� Manmade – external and internal

� Background and history of ADN Education

� Diploma Nursing Programs

� Nursing Education moves to the colleges/universities

� ADN Education

� BSN Education

� Master’s and Higher Degrees

ENVIRONMENTAL FORCES-IOM/RWJF…. Institute of Medicine Report on the Future of Nursing…Acute Care…Community Care…Nursing Education-The Carnegie Foundation for the Advancement of Teaching

Educating Nurses: A Call for Radical Transformation

-National, Regional and Local ForcesProfessional Organizations - Service Industry – Healthcare Organizations

Magnet Status

Hiring Preference

� 1) Nurses should practice to the full extent of their education and training

� 2) Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression

� 3) Nurses should be full partners, with physicians and other health care professionals , in redesigning health care in the United States

� 4) Effective workforce planning and policy making require better data collection and an improved information infrastructure

1) Remove scope of practice barriers.

2) Expand opportunities for nurses to lead

and diffuse collaborative improvement

efforts.

3) Implement nurse residency programs.

4) Increase the proportion of nurses with a

baccalaureate degree to 80 percent by

2020.

� 5) Double the number of nurses with a doctorate by 2020.

� 6) Ensure that nurses engage in lifelong learning .

� 7) Prepare and enable nurses to lead change to advance health.

� 8) Build an infrastructure for the collection and analysis of interprofessional health care workforce data

KEY FINDINGS

�1) U. S. nursing programs are very effective in forming professional identity and ethical comportment.

�2) Clinical practice assignments provide powerful learning experiences, especially in programs where educators integrate clinical and classroom teaching.

�3) U. S. nursing programs are not effective in teaching nursing science, natural sciences, social sciences, technology and the humanities.

� Entry and Pathways

� Student Population

� The Student Experience

� Entry to Practice

� National Oversight

� 1. From a focus on covering decontextualized knowledge to an emphasis on teaching for a sense of salience, situated cognition and action in particular situations.

� 2. From a sharp separation of clinical and classroom teaching to an integration of the two.

� 3. From an emphasis on critical thinking to an emphasis on clinical reasoning and multiple ways of thinking.

� 4. From an emphasis on socialization and role-taking to an emphasis on formation.

� Recruit a more diverse faculty and student body

� Provide more financial aid, whether from public or private sources, for all students, at all levels

� Introduce pre-nursing students to nursing early in their education.

� Broaden the clinical experience.� Preserve post-clinical conferences and small

patient-care assignments.� Develop teaching methods that keep students

focused on the patients experience.� Vary the means of assessing student performance� Promote and support learning the skills of inquiry

and research.� Redesign the ethics curricula.� Support students in becoming agents of change.

� Support robust, ongoing faculty development for all who educate student nurses.

� Include teacher education courses in master’s and doctoral programs.

� Provide opportunities for educators to learn how to teach students to reflect on their practice.

� Support faculty in learning how to coach.

� Support educators in learning how to use “narrative” strategies.

� Provide faculty with resources to stay clinically current.

� Improve the work environment for staff nurses and support them in learning to teach.

� Address the faculty shortage.

� No nursing shortage

� Many local hospitals are magnet designated facilities

� Demand by industry to train and hire BSN graduates

� Clinical experiences becoming increasingly limited due to preferential placement of BSN students

� Preferential hiring of BSN graduates

� BSN Preference is impacting hiring practices of our new graduates

� Nursing shortage in some areas of the country has lessened temporarily

� Magnet Status

� BSN in 10

• Seamless articulation to universities

• Ability to offer BSN at community colleges

• Partner with 4-year institutions to find solutions

• RN (ADN rather than BSN) to MSN pathway

.-Level of academic challenge

-Service learning and simulation

-Student/faculty interaction

-Enriching educational experiences

-Supportive campus environments

Congruent Missions and Congruent Missions and Collaborative EffortsCollaborative Efforts……

AACC Mission: Building a Nation of Learners by AACC Mission: Building a Nation of Learners by Advancing AmericaAdvancing America’’s Community Colleges.s Community Colleges.

A community college: PA community college: Provide affordable, accessible education and training to meet life-long learning needs.

N-OADN is the leading advocate for associate degree nursing education and registered professional nursing practice. It promotes collaboration in charting the future of healthcare education and delivery.

COMMUNITY COLLEGES AND N-OADN

� Agency membership

� Nursing faculty time for state/national activities

� Maintain a current awareness of changing times in nursing education and local healthcare delivery

� Enhance Advocacy and Lobbying Efforts for Nursing Education in community colleges

November 4, 5, 6, 2011

Chicago, Illinois