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Fehr

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Transcript

  • 1. 2010 Workforce Summit
    Increasing Access to
    Advanced Practice Nurses in
    Rural Virginia
    Juliana van Olphen Fehr
    CNM, PhD, FACNM
    Coordinator, Nurse-Midwifery,
    Shenandoah University
    Presented to:
  • 2. Increase Access to Certified Nurse-Midwivesin Rural Areas
    2003
    2010
  • 3.
  • 4. Increase access to Psychiatric Mental Health Nurse Practitioners in rural areas.
    The Psychiatric Mental Health
    Nurse Practitioner
    Initiative
  • 5. Potential Collaborations for PMHNP Initiative
  • 6. A Culturally CompetentWorkforce
    Institute of Medicine
    Rural Relevant Competencies
    Patient Centered Care
    Interdisciplinary Teams
    Assure Quality Care
    Evidence-based Care
    Use of Informatics
    www.shenandoahgraduatenursing.com
  • 7. Online Clinical Journaling
    Used to track IOM Rural Relevant Competencies
    Customized questions regarding use of competencies with each patient encounter
    Custom questions designed for each clinical journal:
    Custom Questions
  • 8. DECIDE
    Emergency Maternity Care and Communication
  • 9. Increase cultural competence
    in the health care workforce
    The strategy of self Assessment
  • 10. National Center for Cultural Competence
    • Component of Georgetown University Center for Child and Human Development
    • 11. Housed in Department of Pediatrics at the Georgetown University Medical Center
    • 12. Self Assessment Tool: Cultural Competence Health Practitioner Assessment
  • Three Assumptions
    Cultural Competence a developmental process
    Can be enhanced over time
    Strengths might go unnoticed and untapped
    Categories of Questions:
    Values and Belief Systems
    Cultural Aspects of Epidemiology
    Clinical Decision Making
    Life Cycle Events
    Cross Cultural Communication
    Empowerment and Health Management
  • 13. Why use Self Assessment?
    Strengths-based model
    Safe & non-judgmental environment essential
    Assures meaningful involvement
    Results used to enhance & build capacity
    Diverse dissemination strategies essential