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Thank you for continuing to tell the NMNEC story!
“Representing NMNEC” Info for Presenters When you represent NMNEC through a written publication or in person, you are required to adhere to the NMNEC Branding Standards NMNEC Stylesheet/Colors/Logos NMNEC Stylesheet PowerPoint Slide Tip Sheet for Large Rooms Questions? Becky Dakin, NMNEC Program Manager, , Becky can help with editing, content, data, etc. Please your final presentation to the NMNEC office for our historical records and reporting purposes. Thank you for continuing to tell the NMNEC story!
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New Mexico Nursing Education Consortium
NMNEC New Mexico Nursing Education Consortium 2018 Update Hi, I’m Becky Dakin. I’m the Program Manager for NMNEC. Mary – Hi I’m ….. I know that all of us in this room are in very different stages of understanding about what NMNEC is, so Mary and I would like to give a little review and bring you all up-to-date with the progress of this statewide initiative. NMNEC stands for the New Mexico Nursing Education Consortium. Mary’s going to give you a little history behind the consortium.
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INSTITUTE OF MEDICINE REPORT 2011
Mary Back in 2009, Dr. Nancy Ridenour (UNM previous Dean of the College of Nursing) recognized that nursing education needed to change. She and Dr. Jean Giddens (UNM previous Assoc Dean) got their heads together, wrote a white paper, and started talking about a statewide initiative to transform the face of nursing education. Through lots and lots of meetings, the New Mexico Nursing Education Consortium came to fruition by the end of 2010. A year later, the IOM, the Institute of Medicine, produced a monumental nursing report titled, “The Future of Nursing.” This was a thorough examination of how nurses’ roles, responsibilities, and education should change to meet the needs of an aging, increasingly diverse population and to respond to the complex, evolving health care system. One of the stated goals in this report was that we need a BSN-prepared nursing workforce. This report set the goal that we wanted 80% of our nursing workforce to be BSN-prepared by 2020. This goal became known as “80-by-2020.” At the time of the report, approximately 50% of nurses in the US were educated at the baccalaureate level. The goals of the New Mexico Nursing Education Consortium were propelled forward as this report confirmed what Dr. Ridenour had been saying. This report also provided the documentation for Robert Wood Johnson Foundation to provide funding to nine states to develop a model that would meet the 80-by-2020 goal. New Mexico was one of the recipients of that four-year grant.
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Overview of NMNEC Collaborative of all state-funded nursing programs working together to build multiple pathways into nursing education. NMNEC Goals Increase number of nurses with BSN and graduate degrees in New Mexico Improve efficiency, quality, and educational outcomes of nursing education through cooperation among community colleges and universities Increase workforce diversity by improving nursing education for minorities, particularly in rural areas Mary So, what is NMNEC? The nursing programs across the state began their conversations about building a consortium and changing the face of nursing education back in 2009. The formation of the consortium began in early 2010. NMNEC is a consortium of nursing education programs, organizations, and individuals throughout the state. We have a commitment to build multiple pathways into nursing education including the implementation of a common prelicensure statewide nursing curriculum and increasing BSN education throughout the state. NMNEC has developed a common core curriculum for pre-licensure nursing degrees - ADN (associate degree) and BSN (bachelor’s degree They are also building pathways for LPN education that lead seamlessly into the common curriculum providing credit for prior learning. NMNEC is also building pathways for RN-to-BSN programs so that the NMNEC ADN-prepared RN does not have to repeat any coursework. NMNEC is building comprehensive pathways for academic progression in all levels of nursing NMNEC Goals Increase number of nurses with BSN and graduate degrees in New Mexico. Improve efficiency, quality, and educational outcomes of nursing education through cooperation among community colleges and universities. Increase workforce diversity by improving nursing education for minorities, particularly in rural areas NMNEC Mission The mission of the New Mexico Nursing Education Consortium is to prepare nurses for entry and educational advancement through developing and sustaining a resource-efficient and unified system of accessible, innovative, and state-of-the-art nursing education. NMNEC Vision The New Mexico Nursing Education Consortium is a collaborative partnership with a vision for nursing education that addresses the healthcare needs of New Mexicans by preparing a qualified, diverse, and professional nursing workforce.
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Becky Here is the graphic depiction of the NMNEC Educational Model. Let’s take a look at this. The dark-blue pool on the left depicts the common statewide curriculum which is made up of defined prerequisites and nursing courses. This common curriculum has three pre-licensure degree options: The top square is the BSN at a university. The bottom square is the ADN at a community college. The “Big Deal” is the middle option with the star – this is the Dual Degree Option where students are Co-Enrolled in the university & community college and based at a community college The Dual Degree student is co-enrolled at both the university and the community college simultaneously. The student then receives his/her BSN and ADN degree upon completion of the BSN degree. The ADN is a crucial component of this model as it allows the community college to confer the Associate’s degree at the same time the university confers the Bachelor’s degree. Both institutions receive payment from the state for the conference of their degree. The other portion of the model depicts the pathway for continued education after the ADN or BSN degree is conferred. AND, as I mentioned earlier, NMNEC is also looking at the LPN pathway that leads into the ADN and/or BSN. As you see, this educational model is NOT a two-plus-two where you attend the community college for your first two years and then transfer to the university for two more. The student chooses the ADN track or the Dual Degree-BSN track from the get-go. The ADN and BSN students sit side-by-side during the four or five terms as the ADN degree is embedded within the BSN degree.
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NMNEC Curriculum NURSING COURSES
Level 1 Intro to Nurs Concepts (3) Prin of Nurs Practice (4) Evidence-Based Practice (3) Level 2 Health & Illness I (3) Health Care Participant (3) Pharmacology (3) Assessment & Health Promotion (4) Level 3 Health & Illness II (3) Prof Nurs Concepts I (3) Care of Pts with Chronic Conditions (4) Nursing Elective (3) Level 4 Health & Illness III (3) Clinical Intensive I (4) ADN Capstone (2-6) (ADN only) Clinical Intensive II (4) Nursing Elective (3) Level 5 Concept Synthesis (3) Prof Nurs Concepts II (3) Clinical Intensive III (4) Capstone (4) Becky Let’s look at how this plays out in the common statewide curriculum known as the “NMNEC Curriculum.” The NMNEC Curriculum BSN nursing courses are delivered in five terms. They take all of the courses listed here. The Associate degree, the ADN, concludes at Level 4. They take the courses listed in black. The BSN students take the additional courses listed in red. Essentially, this shows you that the BSN only takes one more term of nursing courses. However, the BSN requires two years of prerequisites while the ADN requires only one year. Many students work on “wanting to be a nurse” for quite some time and find that they have met the needed prerequisites to pursue their bachelor’s degree. It’s very appealing to know that the BSN can be obtained on only one additional term. As I mentioned, the ADN coursework is imbedded within the BSN coursework. The ADN students and BSN students sit side-by-side throughout the courses that are shown in “black.” BLACK = ADN Total credits=65-69 BLACK + RED = BSN credits= min 128 (30 credits from the university)
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NMNEC Curriculum: Curricular Integrity
Keeping the common curriculum current and relevant Committees – Nursing Faculty volunteers: NMNEC Leadership Council NMNEC Curriculum Committee NMNEC Program Evaluation Committee NMNEC Diversity Committee NMNEC Student Services Committee NMNEC Simulation Plan Task Force NMNEC LPN Education Task Force NMNEC RN-to-BSN Education Task Force Becky The consortium places a high value on the necessary time and energy to maintain the integrity of the common curriculum. Commonality brings many challenges in the New Mexico higher education system where most schools operate independently and are not connected branch campuses. The consortium maintains an extensive committee structure with short-term task forces. Committees meet every-other week or once each month.
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NMNEC Curriculum: Curricular Integrity
Keeping the common curriculum current and relevant Complete curricular review every three years Review/edit 50 concepts Simulation Plan Program Evaluation Plan Faculty Course Reports each term Student satisfaction surveys each term Extensive approval process for any edits/changes Mary The common curriculum allows for a great deal of collaboration among all the schools. It also provides seamless transferability for the students. However, keeping the commonality in tact among all of the schools is an ongoing process. Overseeing this entire process is the NMNEC Program Outreach Coordinator, an experienced nursing faculty member who was involved in building the concept-based curriculum. She not only oversees and guides the review and evaluation process, she assures all members that any edits/changes have gone through the extensive approval process and all documents have been updated and re-posted to the curricular repository on the NMNEC website. She informs the consortium about any changes and continues to provide workshops for new faculty.
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Statewide NMNEC Procedures
NMNEC Grading Scale NMNEC Admission Criteria NMNEC Progression Policy NMNEC Selection Requirements Recommended NMNEC Student Transfer Procedures Becky In addition to the common curriculum, for all of the NMNEC schools to be able to work together, statewide policies have been developed and approved statewide. NMNEC has a common grading scale A common admissions criteria They’ve agreed on a common progression policy, Common selection requirements NMNEC has developed recommended NMNEC student transfer procedures as well. There can’t be a stated policy pertaining to this because there are far too many variables.
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BSN enrollment/Parterships
2018: UNM BSN Program Locations: • UNM (Abq) • CNM (Abq) • UNM-Taos • CNM-RR • NMJC (Hobbs) • SFCC (Santa Fe) • SJC (Farmington) • UNM-Gallup • UNM-HSC-RR • UNM-Valencia 2018: NMSU BSN Program Locations: • NMSU (Las Cruces) • NMSU-Grants • NMSU-Alamogordo 2019: WNMU BSN Program Locations: • WNMU-Silver City • Luna CC Mary Here’s how it looks across the state. This busy graphic shows you where the participating schools are located. Just four years ago you could receive your pre-licensure BSN at two state-funded schools; UNM and NMSU. By the end of 2018, you can receive your pre-licensure BSN in fifteen locations in New Mexico In the future years, NMNEC hopes to increase that to a total of eighteen location. The turquoise blue lines show the five schools UNM is partnering with. (dotted lines depict future partnerships) What this means is that the UNM BSN is offered at these community college locations as well. The maroon lines who the four locations that NMSU offers the BSN. And the purple lines show the two locations where Western offers the BSN. All of these schools are teaching the same common nursing curriculum which provides seamless transfer between schools! UNM partners – turquoise NMSU partners – maroon WNMU partners - purple
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Growth in BSN Seats (capacity)
Pre-licensure BSN Seats 2013 2014 2015 2016 2017 2018 University BSN Seats 224 256 280 304 Community College Co-Enrolled BSN Seats 128 192 200 176 228 TOTALS 384 472 504 480 532 The BSN seats (enrollment capacity) in the universities (UNM, NMSU, WNMU) has increased by 80 seats over the past three years. With the development of University/Community College Partnerships, available seats increased by an additional 228 for a total statewide increase of 137%!
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Growth in BSN Students (capacity)
Growth in BSN Students: 2013: BSN offered in two state-funded schools = 403 BSN students 2017: BSN offered in ten state-funded schools = 1162 BSN students 2018: Four more will offer BSN: FIFTEEN LOCATIONS! = 1276 BSN students So – if there are more seats, there must be more students – let’s look at this. In 2013 the BSN was offered in two state-funded schools = 403 BSN students In 2017 the BSN is offered in ten state-funded schools = 2027 BSN students By the end of 2018, four more will offer the BSN: FIFTEEN LOCATIONS! = 2072 BSN students The reason this has grown so much is because of the Dual-Degree-Co-Enrolled option that NMNEC has developed. As I mentioned, the Dual-Degree BSN students based at a community college or branch campus are co-enrolled with a partnering university. Upon graduation, they receive their ADN degree from their community college and their BSN from the partnering university. This Dual-Degree-Co-enrolled option provides: Lower tuition Ability to stay in your home community Increased opportunity for hometown employment
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NMNEC BSN Graduates NMNEC Curriculum Grads 2013 2014 2015 2016 2017
2018 University-based 72 184 272 Community College-based 16 64 146 160 TOTALS 88 248 418 432 More seats, more students, means more BSN graduates. Here’s what that looks like. As I mentioned, the five-term BSN concept-based common statewide nursing curriculum, known as the “NMNEC Curriculum” was implemented in two schools in 2014 and is now, in 2018, is offered in fourteen locations in New Mexico. The common curriculum provides a resource efficient, seamless system of nursing education across the state. AND, as you can see, there has been a continued increase in the BSN students graduating from the statewide common nursing curriculum.
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NM Newly Licensed BSN-Prepared Nurses
Mary So, has the BSN-prepared nursing workforce increased in New Mexico? Yes it has. Take a look at the orange lines that show us the number of newly licensed RNs with a BSN. In 2013 we had approximately 750 newly licensed RNs with a BSN. In 2014, and 2015 we see significant growth. Take a look at the orange line in This shows that we have doubled the number of newly licensed RNs with a BSN. There are three primary contributing factors to this growth. Workforce demand, increased capacity, and the NMNEC statewide initiative The New Mexico Nursing Education Consortium HAS built a successful model that DOES, indeed, produce more BSN-prepared nurses while preserving the ADN degree program as well. The entire nation has their eyes on New Mexico. Kansas and California have very similar models and many other states are attempting to follow. (This data was received from the NMBON. Raw numbers are available at NMNEC.)
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Successful Outcomes BSN Programs: 400% (seven CCs = tuition savings)
Access: BSN students 414% BSN seats 144% Diversity of BSN students is changing Rural BSN-prepared is increasing SO – what have we accomplished so far? The number of schools offering the BSN degree option has grown by 400% All four quadrants of the state now offer the NMNEC curriculum – both ADN and BSN degree options There are fifteen locations teaching the NMNEC Curriculum – the common statewide prelicensure curriculum. Fourteen of those offer the BSN degree while nine offer the ADN. The diversity of the BSN student population is changing to better represent the minority-majority composition of New Mexico (because the BSN degree option is offered in SO many rural NM locations where the percentage of the minority population is high) Students who receive their nursing degree “close to home” most often secure employment in their home communities, growing the BSN-prepared population in rural New Mexico
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Are There Outcome Differences...
NMNEC Schools 2017 NCLEX Pass Rates (calendar year) NMNEC Program NCLEX Scores Average N ADN % 86.73% 324 BSN 80-97% 89.43% 331 TOTALS 88.09% 655 National 87.11% This is the data reported by the New Mexico Board of Nursing. This reflects the pass rates for the students who took the NCLEX for the first time in 2017. NMNEC ADN Programs – % - avg 86.73% – N=324 NMNEC BSN Programs – 80-97% - avg % - N=331 2017 NMNEC NCLEX Pass Rates – avg % - N=655 National st time NCLEX pass rate – 87.11%
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NMNEC Funding 2009/2011 $53,314 RWJF Health Policy Fellowship, Dr. Nancy Ridenour $70,265 BON grant $10,000 BC/BS grant 2011/2012 $128,624 BON grant 2012/2013 $129,929 BON grant $150,000 RWJF/APIN grant 2013/2014 $154,755 BON grant $15,000 HED grant 2014/2015 $158,771 BON grant $150,000 RWJF/APIN grant 2015/2016 $197,359 BON grant 2016/2017 $74,143 BON grant 2017/2018 $112,350 UNM CON support $13,575 BON grant $102,286 NCSBN rsrch grant 2018/2019 $11,535 BON grant $5,000 Anderson Fndtn $17,000 SFCC grant $200,000 UNM CON suppoprt Becky And as you can see from this slide, NMNEC has achieved their success with the support of many different funding sources throughout the years. The New Mexico Board of Nursing has provided grant funds since 2010. The Robert Wood Johnson Foundation was also very influential in propelling our statewide initiative to increase BSN education. We’re continuing to build sustainable funds and hope that the New Mexico legislature will invest in this statewide initiative in the future.
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New Mexico Nursing Education Consortium
Recap: NMNEC New Mexico Nursing Education Consortium Primary Goals Increase number of BSN- prepared nurses Build partnerships between Universities and Community Colleges to expand the BSN Increase workforce diversity by offering the BSN in rural New Mexico Becky To recap, so each of you can talk about NMNEC and have a GREAT elevator speech, The consortium has, and is continuing to increase the pathways for nurses to progress academically. The consortium is successfully increasing the number of nurses in our state with a BSN degree through offering that degree through university- community college partnerships around the state. Just four years ago, the pre-licensure BSN degree was offered in two state-funded schools. Today it is offered in fourteen locations and in coming years that number will continue to grow!
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