1. Innovation in Education: Integrating Quality & Leadership in a NP Residency Program
Connie Cowley, DNP, RN, CPHQ, NE-BC
Catherine Alexander, DNP, RN
Brant Oliver, PhD, MS, MPH, APRN-BC

2. Improvement & Leadership: Critical Competencies
Improvement is a required, and critical part of nursing education
Leadership is necessary for improvement
Little guidance on the best ways to teach

3. The Gap Leadership education Improvement education Taught in isolation
Application versus didactic
Complexity not addressed

4. Current State of Clinical Education
Clinician
Leader
Improver

5. The Goal
Clinician
Improver
Leader

6. Veteran’s Administration Nursing Academic Partnership – Graduate Education

7. An Integrated Approach For NP Residents
Residents will build their QI competence AND personal leadership skills synergistically through leading an improvement project

8. Clark’s Learning Design Framework
Curricular Design
Clark’s Learning Design Framework
Authentic Leadership
Constructivist
Learning Theory
Deming’s SOPK

9. Deming’s System of Profound Knowledge

10. Clark’s Learning Design Framework

11. Systems in Healthcare Macrosystem - External Macrosystem - Internal
Mesosystem
Clinical Microsystem
Patient-Practitioner
Patient self-care

12. Authentic Leadership

13. Leadership in Systems Leader – External Macrosystem
Leader – Internal Macrosystem
Leader - Mesosystem
Leader - Microsystem
Leader - Patient
Personal
Improvement leader
Clinician leader

14. Application 1 year program Session Format: Individual Coaching
8 sessions each with 4 combined sessions,
2 hours each
Combined sessions 3 hours
Session Format:
Review/reflect,
new content/info/theory,
practice
plan next steps
Individual Coaching
Pre-Work

15. Integration of QI & Leadership
Improvement
Find an opportunity
Organize a team
Clarify current knowledge
Understand variation
Select a change

16. Integration Leadership Improvement Foundational knowledge
Find something to improve
Integrate knowledge
Organize a team

17. Foundational Knowledge
Leadership
Strength Finders
Reflective practice
Organizational culture
Quality
History of healthcare improvement
Improvement frameworks
Something else

18. Example Joint Session – Organize a Team
Review/ reflect
Status of “O” & “C”
Elevator speech of Aim
Discuss articles and lead group discussion
Content
Barriers in organizing a team, and barriers to overcome
Introduction to Kotter’s Change Theory
Practice
Role play inviting people to the team
Role play first meeting (Practice facilitation skills)
Next Steps
Plan the team meeting (invite, schedule, agenda, space)

19. Evaluation Overall Rating of Seminar Assignment Completion
Leadership – 4.88
Improvement – 4.75
Assignment Completion
Selecting improvement, prioritizing, aim statements, Strength Finders, Barrett’s Value Assessment Tool

20. Evaluation

21. Evaluation “Guest speakers were great”
“Maybe more time for next steps”
“The weekly calls are helpful”
“I felt pushed and supported at the same time”

22. Next Time… More time for “next steps” More joint sessions
Less time between QI sessions
Add VA Transformational Coaching course
More expert speakers
More role play
Journaling throughout
Improve measurement plan

23. Future Directions Academic – Practice Partnerships Academia Practice
Foundation for future competency
DNP-PhD partnerships
Finding faculty & harnessing experts
Practice
Leadership support
Engage front-line staff
Match the training to the task – complexity
Academic – Practice Partnerships

24. PPP