Review the recommendations of the IOM report

Transcription

1 Objective 4 Explore the relationship of the NLN Education Model to the recommendations of the IOM Report, The Future of Nursing: Leading Change, Advancing Health

2 Review the recommendations of the IOM report

3 Four Key Messages 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.

4 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

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

6 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.

7 Lancet Report Instructional Reforms Proposed: Adopt a competency based curriculum Promote inter-professional and transprofessional education Exploit the power of IT for learning Harness global resources and adapt locally Strengthen educational resources Promote new professionalism Establish joint planning mechanisms

8 Lancet Report Institutional Reforms Proposed Expand from academic centers to academic systems Link through networks, alliances and consortia Nurture a culture of critical inquiry

9 Articulation vs. Seamless Academic Progression IOM: Curriculum models to promote seamless academic progression, not articulation How would you describe the difference between articulation and seamless progression?

10 Academic Progression Curriculum models to promote seamless academic progression Oregon curriculum model RN-BSN at 2-year institutions

11 PRACTICAL/ VOCATIONAL Promote the human dignity, integrity, selfdetermination, and personal growth of patients, oneself, and members of the health care team. 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. 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. Question the basis for nursing actions, considering research, evidence, tradition, and patient preferences. LPN-BSN BACCALAUREATE Incorporate the knowledge and skills learned in didactic and clinical courses to help patients, families and communities continually progress toward fulfillment of human capacities. Make judgments in practice, substantiated with evidence, that synthesize nursing science and knowledge from other disciplines in the provision of safe, quality care and promote the health of patients, families and communities. Express one s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care. Act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative, or evidence-based solutions to clinical practice problems.

12 ASSOCIATE DEGREE/ DIPLOMA Advocate for patients and families in ways that promote their self-determination, integrity, and ongoing growth as human beings. RN-BSN BACCALAUREATE Incorporate the knowledge and skills learned in didactic and clinical courses to help patients, families and communities continually progress toward fulfillment of human capacities. Make judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, quality care and promote the health of patients within a family and community context. Make judgments in practice, substantiated with evidence, that synthesize nursing science and knowledge from other disciplines in the provision of safe, quality care and promote the health of patients, families and communities. 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. Express one s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care. 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. Act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative, or evidence-based solutions to clinical practice problems.

13 RN-MSN ASSOCIATE DEGREE/ DIPLOMA Advocate for patients and families in ways that promote their self-determination, integrity, and ongoing growth as human beings. Make judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, quality care and promote the health of patients within a family and community context. MASTER S Function as a leader and change agent in one s specialty area of practice to create systems that promote human flourishing. Make judgments in one s specialty area of practice that reflect a scholarly critique of current evidence from nursing and other disciplines and the capacity to identify gaps in knowledge and formulate research questions. 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. 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. Implement one s advanced practice role in ways that foster best practices; promote the personal and professional growth of oneself and others; demonstrate leadership; promote positive change in people and systems; and advance the profession. Contribute to the science of nursing in one s specialty area of practice by analyzing underlying disparities in knowledge or evidence; formulating research questions; and systematically evaluating the impact on quality when evidence-based solutions to nursing problems are implemented.

14 BSN-PhD BACCALAUREATE Incorporate the knowledge and skills learned in didactic and clinical courses to help patients, families and communities continually progress toward fulfillment of human capacities. Make judgments in practice, substantiated with evidence, that synthesize nursing science and knowledge from other disciplines in the provision of safe, quality care and promote the health of patients, families and communities. Express one s identity as a nurse through actions that reflect integrity; a commitment to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients, families, and communities; and a willingness to provide leadership in improving care. PhD Design and implement research that promotes human flourishing of the nurse, nursing profession, patients, families, communities, populations, and systems. Provide leadership in designing and implementing research that expands the evidence underlying nursing practice and strengthens nurses ability to make judgments. Implement one s role as a research scholar committed to a spirit of inquiry, the systematic investigation of nursing-related problems, and the dissemination of research findings, in a manner informed by a sense of responsibility to shape a preferred future for our profession. Act as an evolving scholar who contributes to the development of the science of nursing practice by identifying questions in need of study, critiquing published research, and using available evidence as a foundation to propose creative, innovative, or evidence-based solutions to clinical practice problems. Engage in the science of discovery by designing and implementing research studies and disseminating findings to improve practice, nursing education, or the delivery of nursing services.

15 Academic Progression What ideas do you have to promote seamless academic progression?

16 Challenge Think of using these outcomes/competencies to establish a seamless system of progression!