1. Blood and Marrow Transplant (BMT) Outreach Presentation Promoting BMT Nursing as a Career Choice: Pre and Post Survey Results Kim Schmit-Pokorny, RN, MSN, OCN ® Vice-Chair, SCI Nursing Workforce WG Manager, Blood and Marrow Transplantation Program University of Nebraska Medical Center BMT Tandem Meetings February 16, 2013 Financial Disclosure – None

2. 2 Authors Kim Schmit-Pokorny, RN, MSN, OCN; Ellen Denzen, MS; Rosemary C. Ford, RN, BSN, OCN; Martha Lassiter, MSN, AOCNS; Terry Sylvanus, RN, MSN, ACNS-BC, AOCN; Alexandra De Kesel Lofthus, MNM, CHTC; Elizabeth Murphy, RN, EdD; and Joyce Neumann, RN, MSN, AOCN Financial Disclosure Funding for the System Capacity Initiative Symposium Year III was provided by the NMDP ®.

3. 3 System Capacity Initiative Analysis of the U.S. health care system’s capacity to support a 2- to 3- fold increase in patients needing transplant by 2020. The aim is to identify challenges and make recommendations to support growth: –Define and prioritize initiatives to meet human resource and infrastructure demands Number and type of clinicians Facility capacity Financial support needed –Explore novel models for delivery of care to improve efficiency and effectiveness –Identify capacity issues that may limit access to HCT, especially for medically underserved populations

4. Industry-Wide Collaboration – Transplant Centers Physicians Nurses Advanced Practice Prof. Pharmacists Other Clinicians – Professional Associations AABB AAMC AHA AMA AOSW APOSW ASBMT FACT ONS – Payors  Health Insurance Plans  Transplant Networks – Research Organizations CIBMTR – Donor/Registry Organizations NMDP’s Be The Match Registry Donor Centers Collection Centers Cord Blood Banks – Others Transplant Centers Professional Associations Payors Donor/Registry Organizations Research Organizations Others Patients Key stakeholders from all areas of transplant in working groups

5. 5 SCI BMT Nursing Workforce Survey 37-item survey administered to ~1600 BMT nurses –ONS and ASBMT SIG members; BMT Nurses also surveyed at 2011 BMT Tandem Meetings.* –Participants included nurses treating patients in the U.S. who were not advanced practice professionals. –Response rate = 13% (N=205) *Abbreviated version of the survey administered via audience polling in 2011.

6. 6 Year III Prioritized Initiatives The Nursing Workforce WG focused on 3 initiatives: 1.Create and deliver the “Introduction to BMT” presentation for nursing students 2.Develop a multidisciplinary rounds model to address ethical/moral distress and compassion fatigue among BMT healthcare professionals 3.Conduct outreach to diverse nursing communities of interest Sub-groups were established to address recruitment and retention initiatives to further support the overall work of the WG.

7. “Introduction to BMT” presentation Need: –Many BMT nurses are planning to leave the specialty in the next 3-5 years (Year I WG survey; N=148) –Currently few opportunities to learn about BMT exist due to the complexity of the field –Exposing students to BMT nursing as a career option is one strategy for addressing the projected shortage 7

8. “Introduction to BMT” presentation Focuses on exposure to BMT among senior college nursing students. One-hour presentation which describes the field of BMT nursing and motivators for choosing a career in the BMT specialty. Created introductory letter for schools of nursing identifying learning objectives and logistics. 8

9. Evaluation Measures Number of presentations delivered to students Number of presentations delivered to nurses Number of repeat presentations (same school of nursing, transplant center or ONS local chapter) Overall rating of presentation Pre/Post survey responses on “likelihood of pursuing career in BMT” (stat. sig. association between attending presentation and increased “likelihood”) 9

10. Evaluation Results WG members made outreach to 5 schools/local ONS chapters and 9 presentations were delivered 10 *Missing values excluded listwise.

11. Evaluation Results A pre/post-survey design assessed satisfaction, awareness, important career aspects, and interest in BMT (N=278). 11 Overall, more than 90% of participants rated the presentation as Very Good or Good.

12. Most Important Aspects of Nursing Career for Nursing Students Surveyed (N=181) 12

13. Evaluation Results –Pediatric BMT –I love hearing the personal stories. –New medical procedures related to topic –BMT for sickle cell –Aftercare, long term follow-up –Initial assessment, pathology –Research –General info on BMT RN and typical work day 13 The “Intro to BMT” presentation increased nursing students’ interest in pursuing a career in BMT (N=61; p<0.0001). Topics on which attendees would like more info:

14. Engagement / Partnerships ONS Regional Reporters –Appropriate for this type of outreach and have expressed interest in presenting Transplant Centers (TCs) –Provide opportunities for students to learn more about transplant (e.g., intern/externships, tours of BMT units, etc.) Schools of Nursing (SON) –Include “Intro to BMT” in program curricula ASBMT Nursing and ONS BMSCT SIG members –Appropriate for this type of outreach and can promote use of presentation at their TCs/SONs 14

15. Succession Planning NMDP will continue to provide CNE credits for this presentation as well as staff time and resources to manage the program Engage ONS regional leaders and local chapters and ASBMT Nursing SIG members in providing these education opportunities ONS Education Portal (in development) –Promote presentation on education Web page with links to presentation slides, introductory letter as well as CNE and evaluation forms 15

16. Acknowledgements Nursing Workforce WG: Chair: Joyce Neumann, RN, MSN, AOCN; Vice Chair: Kim Schmit-Pokorny, RN, MSN, OCN; Members: Dennis Confer, MD; Lourine Davis, RN, BSN, OCN; Rosemary C. Ford, RN, BSN, OCN; Mutsuko Holiman, RN, BSN; Stephanie Jardine, BSN, RN; Martha Lassiter, MSN, AOCNS; Elizabeth A. Murphy, EdD, RN; Elaine Z. Stenstrup, MSN, RN, ACNS-BC, AOCNS; Terry Sylvanus, RN, MSN, ACNS-BC, AOCN; D. Kathryn Tierney, RN, PhD National Marrow Donor Program: Alexandra De Kesel Lofthus, MNM, CHTC; Ellen Denzen, MS; Lynn Pepple; Stacy Stickney Ferguson, MSW, LICSW; Tammy Payton; Jeffrey W. Chell, MD SCI Principal Investigator: Edward L. Snyder, MD

17. Questions or Comments E-mail: SystemCapacity@nmdp.org kschmit@unmc.edu SystemCapacity@nmdp.org kschmit@unmc.edu 17