A TRANSITION TO PRACTICE PROGRAM RURAL NURSE RESIDENCY A TRANSITION TO PRACTICE PROGRAM

Service Area Idaho State University award HRSA GRANT Initial Collaborative States (2009) Alaska, Washington, Montana, Wyoming, Idaho Expanded to: Western/Central US in Year 2 (2010) Awarded 3-year Extension (2011 -2014) Application Process 3 Times Each Year

WHY NURSE RESIDENCY? Bridging the Gap to Practice: IOM Initiative on the Future of Nursing (IFN) study with 4 Key Messages and 8 Recommendations Recommendation 3 clearly states “Implement nurse residency programs” Need for higher-level awareness of quality, safety, professional role National studies and reports on residency programs 1) Versant study – Nursing Economics November/December 2010 2) UHC/AACN Nurse Residency Program – AACN June 2010 3) NCSBN

Need Nurse Shortage Nurse Confidence Nurse Turnover Up to 65% during the first year Competency Regulations QSEN Standards (Quality & Safety Education for Nurses) National Council of State Boards of Nursing Federal & State regulatory agencies want “readiness-for-practice” of new nurses to be strengthened My research shows novices are expected to perform the same as experts. Frightening

Program Goals Improve Patient Care Increase Nurse Skills Nurse Confidence Retention Implementation of Hospital-Based Residency Program

Outcomes Improvement in our Needs Assessment Preceptors Receive Certificate of “Rural Nurse Preceptor” 16 CNE Contact Hours (Workshop) Provide Mentored Experience to Resident Residents Receive Rural Nurse Certification Contact Hours (CNEs) Mentored Hours by Preceptor Hospital incorporates a residency program

Research HRSA Grant – Research Conducted on 3 Topics Program Participatory Action Research Provides Evidence for Change and Implementation Rural Nurse Practice Novice vs Expert Comparison Nurse Retention

Program Components NWRNR Facilitator No Fees Preceptor Mentor PDA Software Continuing Nursing Education Hours Web-Based Conferencing Sessions provided by experienced nurses/educators No Fees Preceptor Training Social Support for Rural Hospitals and Staff Competency Measurement Tools Simulations Library Access

One Year Collaboration Facility Provides Clinical Learning Preceptor Supervision Employment Time for Participation Computer/Internet Connection Support NWRNR Provides Education Content/Tools Mentors and Coordinators Webinars/Simulation CNE’s Standardized Process and Quality One-year subscription to Nursing Software

Program Overview First 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.

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).

RESIDENT New 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.

RESIDENT COURSES Acute Care - Crisis Assessment and Management Nursing Subspecialties (live sessions and clinical focus): Medical Surgical Pharmaceutical Pediatric Geriatric Psychiatric Emergency Trauma Critical Thinking Obstetrics

SIMULATIONS Patient Centered Care Teamwork and Collaboration QSEN STANDARDS. See www.QSEN.org for more information. Patient Centered Care Teamwork and Collaboration Evidence Based Practice Quality Improvement Safety Case Management Informatics Career Management

Summary Website http://isu.edu/nursing/opd/nwrnr.shtml http://mtcahn.org Contact Information Heidi Blossom RN MSN Transition to Practice Coordinator at heidi@mtha.org 406 457-8025