A Nursing Renaissance: Reflections on Our Past Building our Future

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SUNY Empire State College presentation by the new Nursing Program for the All College Meeting held March of 2008.

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  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings...
  • Empire State College - give your nursing education wings... Nursing Shortage Threatens Health Care Run Date: 11/23/04 By Molly M. Ginty News correspondent In Denver, 78-year-old Mary Heidenreich died when a nurse accidentally gave her a fatal dose of intravenous drugs. In Wichita, Kan., 38-year-old Deedra Tolson bled to death after an emergency hysterectomy when her nurse, busy caring for 12 other patients, failed to hear her feeble cries for help.
  • Empire State College - give your nursing education wings... Only… 14,000 New RN Licenses Issued Half educated outside NY or US NY programs have expanded, increasing the number of graduates. Number of qualified applicants continue to increase and are denied access. Increase in nurses and nursing faculty retiring 2001- NY State Education Dept. Blue Ribbon Panel Report to Board of Regents
  • Empire State College - give your nursing education wings... 252,662 RNs – 01/01/07 14,000 New Licenses Graduation rates increasing Number denied admission to nursing programs increasing, Number of nurses retiring increasing 2006 Annual Report NY State Ed. Dept. to Board of Nursing 252,662 RNs – 01/01/07 14,000 New Licenses Graduation rates increasing Number denied admission to nursing programs increasing, Number of nurses retiring increasing 14,000 New Licenses 7,000 Educated outside NY & US 7,000 NY program graduates Increase in number graduating Increase in qualified applicants denied access Increase in nurses and nursing faculty retiring
  • Empire State College - give your nursing education wings... BS RNs scored higher in job satisfaction related to: Opportunity for autonomy and growth Job stress and physical demands Job and organizational security BS RNs in broader settings and roles Advanced Practice nursing Nursing faculty shortage
  • Empire State College - give your nursing education wings... A report by the Massachusetts Association of Colleges of Nursing recommends strategies for addressing the state's growing shortage of registered nurses. The recommendations include increasing the percentage of baccalaureate and higher degree nurses practicing in the state and the number of nurses qualified to teach, and developing partnerships between health care facilities and nursing schools to expand and prepare additional faculty and clinical resources to support increased enrollment. Contact: www.massnursing.org/MACN_July05.pdf Date: August 2006
  • Empire State College - give your nursing education wings... BS RNs scored higher in job satisfaction related to: Opportunity for autonomy and growth Job stress and physical demands Job and organizational security BS RNs in broader settings and roles Advanced Practice nursing Nursing faculty shortage
  • Empire State College - give your nursing education wings... This nurse looks as if she is a surgical nurse, however, she could be in the pre-operative or post-op recovery room with the patient- where the nursing roles & responsibilities are very different. As you have viewed & listened to a critical analysis of nursing history, you understand how in the past, images of nurses were a result of specific social, economic, ideologic or political reality that existed in the 19 th century. Present nursing images and roles are much different today, l will present the roles of some 21 st century nurses
  • Empire State College - give your nursing education wings... Now that I have shown you some exceptional nurses in varies professional roles I would like to show you some demographics that represent the current stage of the RN workforce. The United States dept of health & human resources has been conducting this survey of RN’s since 1975 & is done every 4 years In a 2004 Survey of 51,000 RN’s The survey found the majority population of nurses work in the following five areas Community & Public health setting include- State and local health departments, visiting nursing services and other health agencies, student health services, occupational services and school health.  Hospital 56% nurse educators only account for 2.4% of population
  • Empire State College - give your nursing education wings... In contrast the average age of a nursing faculty member who is masters prepared is 49 Faculty work the most overtime hours per week. If we look at the percentage of males in nursing we can see that the numbers haven’t greatly increased since the days of the crusades when the nights templar were caring for patients. RNs identified themselves as a racial or ethnic minority in their responses to both the questions on race and ethnicity.
  • Empire State College - give your nursing education wings... What does this have to do with ESC nursing program, well with the HRSA data, we know that only 2.4% of registered nurses are qualified at the masters prepared level to work in nursing education & only 21% of AAS return to school for BS In order for nurses to nurses to work in areas such as risk management , forensics, researcher, staff educators, or public health nurses, they have be competent to perform patient responsibilities Nursing research supports that this competency is grounded in advanced education.
  • Empire State College - give your nursing education wings... JCHA is the….Joint commission on accreditation of healthcare organizations- It is primary authority body for health care organizations and managed care in the United States. They advocate for creating workplace cultures that support patient safety & high-quality care. Critics may say that there are Higher Labor Costs associated with BSN prepared nurses, again however JCAHO recommends that BSN prepared nurses can “improve the health care workplace for the benefit of employees and consumers. the cost/benefit analysis shows us that with Advanced education that the benefits outweigh the cost. Length of stay is shorter for chronic patients Less turnover – decreased recruitment costs Less utilization of ICU Mortality rates (death rate) are decreased, medication errors are decresed, and job satisfaction is increased Therefore, nurses should receive advanced degrees
  • Empire State College - give your nursing education wings... From the first image that I showed you of the bedside nurse to nurses in television, educators, researchers, and to our hero's working in the war in Afghanistan, The nursing curriculum has infused themes of critical thinking, professional nursing, evidence-based care, leadership, community health, technology, caring, and cultural awareness. Our program will enable nurses to become leaders in society, by providing them with knowledge they need to pursue advanced career opportunities.
  • Empire State College - give your nursing education wings... Transformations taking place in nursing and nursing education have been driven by major socioeconomic factors, as well as by developments in health care delivery and professional issues unique to nursing. I would like to take this opportunity to discuss with you trends to watch for that will impact nurses and nursing education.
  • Empire State College - give your nursing education wings... Population shifts in the United States have affected health care priorities as well as the practice of nursing. Due to advances in public health and clinical care, the average life span is increasing rapidly. By 2020, more than 20 percent of the population will be 65 and older, with those over 85 constituting the fastest growing age group.  Certainly, this will challenge the health care system’s ability to provide efficient and effective continuing care. Also significant increases in the diversity of the population affect the nature and the prevalence of illness and disease, requiring changes in practice that reflect and respect diverse values and beliefs. Disparities in morbidity, mortality, and access to care among population sectors have increased, even as socioeconomic and other factors have led to increased violence and substance abuse. Nursing practice, education, and research must embrace and respond to these changing demographics, and nurses must focus on spiritual health, as well as the physical and psychosocial health of the population. Student demographics are also changing. Ethnic and racial diversity of nursing schools has increased dramatically, creating a rich cultural environment for learning. Students are entering schools of nursing at an older age and are bringing varying college and work experiences, as well as more sophisticated expectations for their education. They are typically employed in full-time careers, and many are raising families, which places constraints on their educational experiences and necessitates greater flexibility in scheduling. We are prepared to confront the challenges associated with today's more mature student body, and educational methods and policies, curriculum and case materials, clinical practice settings, and research priorities need to value and reflect the diversity of the student body, as well as the population in general. Including courses of Multigenerational Learning and Healing and Wellness of the Whole person will introduce nurses to the complexities of diversity and provide strategies to provide quality comprehensive health care.
  • Empire State College - give your nursing education wings... The rapid growth in information technology has already had a radical impact on health care delivery and the education of nurses. Advances in processing capacity and speed, the development of interactive user interfaces, developments in image storage and transfer technology, changes in telecommunications technology, and the increased affordability of personal computers have contributed to the explosion of information technology applications. Advances in digital technology have increased the applications of telehealth and telemedicine, bringing together patient and provider without physical proximity. Nanotechnology will introduce new forms of clinical diagnosis and treatment by means of inexpensive handheld biosensors capable of detecting a wide range of diseases from miniscule body specimens.  Dramatic improvements in the accessibility of clinical data across settings and time have improved both outcomes and care management. The electronic medical record is and will ultimately replace traditional documentation systems. Through the Internet, consumers will be increasingly armed with information previously available only to clinicians. Electronic commerce will become routine for transacting health care services and products. Nurses of the 21st century need to be skilled in the use of computer technology. Our program which is 80%+ on line will students and faculty from different locales and expand the potential for accessible continuing professional education. Technically sophisticated software will stimulate critical thinking and skill acquisition in a safe and user-friendly environment. Nursing Informatics will provide an overview of traditional and developing methods of discovering, retrieving and information in nursing care of clients in a variety of health settings.
  • Empire State College - give your nursing education wings... It is evident that globalization has been brought about many factors, including advances in information technology communications, international travel and commerce, the growth of multinational corporations, the fall of communism in Eastern Europe and the Soviet Union, and major political changes in Africa and Asia. With the "death of distance" in the spread of disease and the delivery of health care, there are both extraordinary risks and extraordinary benefits. Along with the potential for rapid disease transmission, there is potential for dramatic improvements in health due to knowledge transfer between cultures and health care systems. Nursing science needs to address health care issues, such as emerging and reemerging infections, that result from globalization. Nursing education and research must become more internationally focused to disseminate information and benefit from the multicultural experience.
  • Empire State College - give your nursing education wings... Today's patient is a well-informed consumer who expects to participate in decisions affecting personal and family health care. With advances in information technology and quality measurement, previously unavailable information is now public information, and consumers are asked to play a more active role in health care decision making and management. The media and the Internet have facilitated this trend. Technological advances in the treatment of disease have led to the need for ethical, informed decision making by patients and families. Consumers are thus becoming more interested and knowledgeable about health promotion as well as disease prevention, and there is increased acceptance and demand for alternative and complementary health options. Nurses must be prepared to understand this consumer demand by providing health education techniques that are more sophisticated and include the patient and families to maximize opportunities to manage their health. Increasingly, major health systems are seeking ways to provide both traditional, Western medicine while offering the best of the alternative therapies to their patients. As is true for many trends, alternative medicine holds both promise and peril. While it is thought that it may unlock behavioral and spiritual components of health and healing heretofore resistant to most conventional medicine, risks of consumer fraud, therapeutic conflict, and patient noncompliance are real. Our course Healing and Wellness of the whole person enhances nurse’s knowledge regarding what constitutes a "healing" therapy including the implications of the emerging therapies from both genetic research and alternative medicine, while managing ethical conflicts and questions.
  • Empire State College - give your nursing education wings... The impact of the Human Genome Project and related genetic and cloning research is unparalleled. Gene mapping will drive rapid advances in the development of new drugs and the treatment and prevention of disease. Our professional Issues course will consider the ethical questions and conflicts associated with technological advancements in the treatment of illness and disease. Greater recognition of the need to ensure comfort and promote dignity is reflected in the now nearly universal promotion of advanced directives, organ donation, and palliative care for the terminally ill. New settings for care, such as inpatient and home-based hospice, and new forms of care, including pain management, spiritual practices, and support groups and bereavement counseling, are now likely to be part of well-developed health care systems. A significant gap in the body of scientific knowledge and clinical education with regard to palliative and end-of-life care remains, and nursing education must prepare graduates for a significant role in these areas. We recognize and support these issues within our curriculum.
  • Empire State College - give your nursing education wings... Rising costs and an aging population have led to shifts in care from acute to care management focusing on population-based outcomes. The marriage of care with cost requires nursing professionals to have an understanding of practice methods that improve quality, respond to clinical complexity, and lower costs. Patients in inpatient settings are increasingly more acutely ill; the standard ratio of critical care/specialty beds to general use beds in hospitals today is close to 1:1, up substantially from a decade ago. Furthermore, expanded life expectancy has led to increases in the number, severity, and duration of chronic conditions, thereby increasing the complexity of the care provided and managed by clinicians. The community has largely become the setting for chronic disease management and prevention. Providing services for defined groups "covered" by managed care will demand skills and knowledge in clinical epidemiology, biostatistics, behavioral science, and their application to specific populations. Nurses must demonstrate management skills at both the organizational and patient care levels. These concepts will be incorporated into the nursing curriculum.
  • Empire State College - give your nursing education wings... The cost of Health Care in the United States has approached 15 percent of the total gross national product. Health spending continues to increase much faster than the overall economy (i.e., gross domestic product, or GDP). Since 1970, health care spending has grown at an average annual rate of 9.9%, or about 2.5 percentage points faster than GDP. 3  In recent decades, the growth rates for health spending and GDP have slowed, but health spending growth remains consistently above GDP growth (Figure 1). As a share of the economy, health care has risen from 7.2% of GDP in 1965 to over 16% of GDP today, and it is projected to be 20% of GDP just 10 years from now. Many reasons already discussed have been suggested, including the advanced technology and therapeutic breakthroughs in medicine as well as cultural norms regarding aging and end-of-life. Unfortunately, the cost of violence and drug addiction, and the growing economic and health disparity between segments of the population also adds to rising health care costs and the move to managed care options through the Medicare and Medicaid programs. Despite recent federal budget surpluses and proposals to expand funding and benefits in Medicare, there remains serious concern for nurses. Workload, treatment plans for patients, and patients' perceptions of and participation in care. Patients are wary of increased out-of-pocket expenses and noncovered services. And there is heightened concern about pharmaceutical costs, fueled, in part, by the development of sophisticated new drugs.
  • Empire State College - give your nursing education wings... Provider contracts are still based on fees for service, reducing the incentives to truly manage care, prevent illness, and promote health. Managed care is quickly becoming the dominant reimbursement mechanism for health care providers, bringing both opportunities and problems. Despite the promise for flexible financing that managed care risk was thought to offer, provider contracts are still based on fees for service, reducing the incentives to truly manage care, prevent illness, and promote health. However, advanced practice nurses have been benefited by this movement. Students will be introduced to health policy that affects these issues and be given the tools to strategize. And we will prepare students for roles in case management and employment in the managed care environment Finally we will encourage and facilitate the advancement of nursing education to all students. .
  • Empire State College - give your nursing education wings... The impact of federal and state health policy and regulation on the practice of nursing cannot be ignored. Issues surrounding health care are often complex, involving the fields of medicine and economics, and affecting individuals' rights as well as access to health care. Consumers are concerned about quality, and corporations and individual providers are concerned about economic survival. Two major trends will have a significant impact on health care delivery. First, there will be an increase in state and federal regulation as costs rise and managed care continues to expand. Along with regulation, there will be attempts to shift to less expensive settings and apply market forces to restrain costs.  Second, shared responsibility for the Medicaid program and the shift to managed care has resulted in an increased oversight role for the states. States must define, measure, and assess quality, and serve as contractors for corporate entities while enforcing accountability of managed care organizations. Historically, nursing's influence on policy and regulation has been disproportionately low relative to the breadth of nursing practice and its importance within the health care delivery system. Ethical issues involved in working in an integrated system constrained by economic incentives are being defined more and more by government policy makers, not health care professionals. We will encourage nurses to actively contribute to the development of health policy and regulation and become active leaders to contribute to the dialogue that defines these issues.
  • Empire State College - give your nursing education wings... The health care delivery system of the future will rely on interdisciplinary and collaborative practice. With care management a critical component in health care delivery, nurses must demonstrate leadership and competence in interdisciplinary and collaborative practice for continuous quality improvement. Team-based, interdisciplinary approaches have been shown to be highly effective for improving clinical outcomes and reducing cost. Teaching methods that incorporate opportunities for interdisciplinary education and collaborative practice are required to prepare nurses for their unique professional role and to understand the role of other disciplines in the care of patients. 
  • Empire State College - give your nursing education wings... A significant nursing shortage exists today, particularly in acute and long-term care settings and have a negative impact on patient care and costs. It results from many factors. For example, nurses of the "baby boom" generation are beginning to retire; women today have numerous career opportunities; and there is a lingering perception of nursing as a "trade," versus a "profession," which contributes to the lack of new individuals entering the field. As the age of entering students rises, the number of years of practice decreases, also affecting supply. While the number of male and minority students has been steadily rising, their ranks are still underrepresented.  The current shortage is judged to be more resistant to short-term economic strategies that have worked before. However, as in the past, the current shortage will almost certainly raise salaries and increase flexibility for nurses. Recent advances in the profession and the health care industry are likely to have a positive impact on recruitment. Opportunity to practice in a variety of clinical settings New careers in care management and case management Interest of biotechnology, information technology, and pharmaceutical companies in hiring skilled nursing professionals. Our nursing program and presentations like today will only heighten your awareness of the roles and skills of nurses in an attempt to significantly impact the shortage. We will facilitate strong communication skills, as well as business acumen and knowledge of financial and personnel management, organizational theory, negotiation, fundamental decision science and fiscal knowledge. In Summary: Rapidly evolving technology, increasing clinical complexity in many patient care settings, advances in treatment, and the emergence of new diseases are all factors contributing to the increased need for a strong emphasis on critical thinking and lifelong learning among professional nurses. Further, new clinical roles, the need for managerial and executive talent, the imperative to retain nurses in active practice over longer careers, and the desire by practicing nurses to move up the economic ladder lead to the demand for continuing education and career mobility and development. Through our program we will provide many of the core resources needed to enhance the development of our profession and continuing professional education.
  • Empire State College - give your nursing education wings...
  • A Nursing Renaissance: Reflections on Our Past Building our Future

    1. 1. Inquiring nurses want to know…. <ul><li>On the 4 x 6 card write the first thoughts that come into your mind regarding; </li></ul><ul><ul><li>Images of nurses </li></ul></ul><ul><ul><li>Roles of nurses </li></ul></ul><ul><ul><li>Please pass the completed cards face down to the center and back of the room. </li></ul></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    2. 2. RN to BS PROGRAM EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    3. 3. A Nursing Renaissance: Reflections of our Past Building our Future… <ul><li>Rosann Carpenter, EdD, RN </li></ul><ul><li>Mara Kaufmann, ND, RN </li></ul><ul><li>Rebecca LaClair, MS, RN </li></ul><ul><li>Fran Zoske, MS, RN </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    4. 4. Reflections of the Past…. Rosann Carpenter, EdD, RN Mara Kaufmann, ND, RN Rebecca LaClair, MS, RN Fran Zoske, MS, RN Associate Professor of Nursing EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    5. 5. Reflections of the Past…. Timeline of Nursing Past EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    6. 6. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    7. 7. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    8. 8. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    9. 9. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    10. 10. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    11. 11. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    12. 12. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    13. 13. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    14. 14. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    15. 15. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    16. 16. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    17. 17. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    18. 18. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    19. 19. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    20. 20. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    21. 21. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    22. 22. Reflections of the Past…. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    23. 24. Into the Present… Rosann Carpenter, EdD, RN Mara Kaufmann, ND, RN Rebecca LaClair, MS, RN Fran Zoske, MS, RN Associate Professor of Nursing EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    24. 25. Who is the New York State RN? New York State Education Department, Office of the Professions Education Law Article 139 Nursing EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    25. 26. Requirements to be an RN in NY! <ul><li>Education: </li></ul><ul><ul><li>Associates Degree Nursing </li></ul></ul><ul><ul><li>Diploma </li></ul></ul><ul><ul><li>Degree in professional nursing </li></ul></ul><ul><li>Examination: pass an examination </li></ul><ul><ul><li>NCLEX - National Council Licensure Examination for Registered Nurses </li></ul></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    26. 27. What does this license mean in NYS? “ Registered Professional Nurse ” <ul><ul><li>Associates Degree Nursing? …… </li></ul></ul><ul><ul><li>diploma? …… </li></ul></ul><ul><ul><li>degree in professional nursing? </li></ul></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    27. 28. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    28. 29. Admissions Criteria for RN to BS in Nursing <ul><li>Active nursing license </li></ul><ul><li>A.A.S. degree or diploma </li></ul><ul><li>Ability to perform college level work </li></ul><ul><li>Cumulative G.P.A of 3.0 or equivalent </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    29. 30. NYS NEEDS THOUSANDS MORE NURSES! NURSE CRISIS HITS EVERY PART OF STATE! SHUMER DETAILS COUNTY-BY-COUNTY IMPACT! SCHUMER,“NURSE SHORTAGE COULD COST NEW YORKERS VITAL HEALTH SERVICES” -2001 Press Release EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    30. 31. Nursing Shortage Threatens Health Care ! <ul><li>In Wichita, Kansas: 38-year-old Deedra Tolson bled to death after an emergency hysterectomy </li></ul>In Alliance, Ohio, 30-year-old Lisa Vitale was waiting to give birth when she felt searing pain rip through her abdomen. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning Landmark Case ! 2.7 Million awarded in 2006 case… primary nurse allegedly caring for 20 patients….
    31. 32. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    32. 33. 2006 Annual Report NYS Board of Nursing <ul><li>14,000 New RN Licenses Issued </li></ul><ul><li>Increase in nurses and nursing faculty retiring </li></ul>
    33. 34. Recruitment & Retention Strategies…. <ul><li>Recruitment </li></ul><ul><ul><li>Tuition reimbursement </li></ul></ul><ul><ul><li>Sign on bonus, </li></ul></ul><ul><ul><li>Salary increase, </li></ul></ul><ul><ul><li>Flexible hours.. </li></ul></ul><ul><li>Retention </li></ul><ul><ul><li>Mentor new graduates </li></ul></ul><ul><ul><li>Continuing Education, </li></ul></ul><ul><ul><li>Professional development, </li></ul></ul><ul><ul><li>Career development </li></ul></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    34. 35. BS in Nursing is vital for … <ul><li>Better patient outcomes Aitken, et al (2003) </li></ul><ul><li>Lower medication errors, procedural & practice violations Millbank Memorial Fund (2001) </li></ul><ul><li>Stronger critical thinking, communication and leadership skills Johnson (1988), Good (2001) </li></ul><ul><li>66% of RNs have baccalaureate or higher degree by 2010 US Secretary for HHS (1996) </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    35. 36. Why RNs want a BS in Nursing? <ul><li>BS RNs scored higher in job satisfaction related to: </li></ul><ul><ul><li>Greater autonomy and growth </li></ul></ul><ul><ul><li>Less stress and physical demands </li></ul></ul><ul><ul><li>Job and organizational security </li></ul></ul><ul><li>Advanced Practice Nursing </li></ul><ul><li>Nursing Faculty </li></ul><ul><li>BS RNs in Broader Settings and Roles </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    36. 37. Broader Settings and Roles….. <ul><li>Degree Rationale </li></ul><ul><li>Admissions Essay </li></ul><ul><li>Portfolio Capstone Paper </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    37. 38. Nurses in Unique Roles… Rosann Carpenter, EdD, RN Mara Kaufmann, ND, RN Rebecca LaClair, MS, RN Fran Zoske, MS, RN Assistant Professor of Nursing EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    38. 40. Nursing Roles EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    39. 41. Nurses in Unique Roles <ul><li>Judith Keller </li></ul><ul><li>Award-winning writer and film producer </li></ul><ul><li>Original work depicts strong, positive older women dispelling myths and stereotypes of the elderly </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    40. 42. Nurses in Unique Roles <ul><li>Tim Porter-O’Grady , EdD, ScD(h), FAAN </li></ul><ul><li>International health consultant </li></ul><ul><li>Expert on Health Futures and Innovative Health Service Models </li></ul><ul><li>Expert for National Health Policy Counsel </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    41. 43. Nurses in Unique Roles <ul><li>Chairwoman of the Subcommittee on Healthy Families and Communities </li></ul><ul><li>Committee on Education & Labor, and Financial Services </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    42. 44. Nurses in Unique Roles Child Care Health Consultant Director of Information Services Women’s Veterans Program Manager C.E.O. Community Health Coordinator Legal Nurse Consultant Business Manager Patient Care Coordinator Clinical Information Director EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    43. 45. <ul><li>Hospitals </li></ul><ul><li>Nursing Homes </li></ul><ul><li>Community & Public Health Settings </li></ul><ul><li>Ambulatory Care Settings </li></ul><ul><li>Health/Nurse Education </li></ul>National Sample Survey of Registered Nurses EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    44. 46. <ul><li>Average age is 47 </li></ul><ul><li>Average earning $58,000 </li></ul><ul><li>Average hours worked per week 48 </li></ul><ul><li>6% Males </li></ul><ul><li>11% Racial Minority </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning National Sample Survey of Registered Nurses
    45. 48. ESC Nursing Curriculum <ul><li>Advanced Health Assessment </li></ul><ul><li>Health Care Delivery Systems & Policy </li></ul><ul><li>Pharmacology </li></ul><ul><li>Professional Issues & Leadership in Contemporary Nursing </li></ul><ul><li>Nursing Informatics </li></ul><ul><li>Nursing Research </li></ul><ul><li>Community Health Nursing </li></ul><ul><li>Advanced Clinical Experience </li></ul>Nursing Electives: Multigenerational Nursing, Gender Health, Forensic Nursing, Advanced Nursing Physiology, Healing and Wellness of the Whole Person EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    46. 49. JCAHO <ul><li>Nurses provide the Primary source of care and support for patients in the most vulnerable points in their lives. </li></ul><ul><li>Improve health care workplace for the benefit of all (workers and consumers) </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    47. 50. Looking into the future… <ul><li>Nursing education has the potential to impact the very health & security of our society </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    48. 51. Rosann Carpenter, EdD, RN Mara Kaufmann, ND, RN Rebecca LaClair, MS, RN Fran Zoske, MS, RN Associate Dean CDL / Director of Nursing Future of Nursing… EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    49. 52. Future of Nursing… <ul><li>Socioeconomic factors </li></ul><ul><li>Developments in health care delivery </li></ul><ul><li>Professional issues unique to nursing </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: The Nursing Program at ESC strives to prepare a Nurse Graduate who is well equipped to meet the needs of the future in Healthcare.
    50. 53. Future of Nursing… Changing Demographics & Increasing Diversity ESC Solution: NUR 420 Multigenerational Nursing NUR 422 Healing & Wellness of the Whole Person By 2020 more than 20% of the population will be age 65+ Age 85+ is the fastest growing age group. EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    51. 54. <ul><li>Telehealth & Telemedicine </li></ul><ul><li>Nanotechnology/Handheld Biosensors </li></ul><ul><li>E.M.R. Electronic Medical Record </li></ul><ul><li>Electronic Commerce </li></ul><ul><li>C.O.W. Computer on Wheels </li></ul>The Technological Explosion EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 406 Nursing Informatics
    52. 55. Globalization of World Economy & Society <ul><li>“ Death of distance&quot; </li></ul><ul><ul><li>Extraordinary risks and benefits in the spread of disease and the delivery of health care </li></ul></ul><ul><li>Global health care issues </li></ul><ul><ul><li>emerging and reemerging infections </li></ul></ul><ul><ul><li>multicultural experience. </li></ul></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 405 Professional Issues in Contemporary Nursing NUR 407 Nursing Research
    53. 56. The Era of the Educated Consumer, Alternative Therapies, Genomics, and Palliative Care <ul><li>Collaborative informed decision making </li></ul><ul><li>Demand for more sophisticated health education techniques </li></ul><ul><li>Alternative therapies </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 408 Community Health Nursing NUR 422 Healing & Wellness of the Whole Person
    54. 57. <ul><li>Genomics </li></ul><ul><li>Gene mapping </li></ul>Young or Old? EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 422 Healing & Wellness of the Whole Person NUR 420 Multigenerational Nursing NUR 405 Professional Issues in Contemporary Nursing
    55. 58. Shift to Population-Based Care and the Increasing Complexity of Patient Care EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 403 Health Care Delivery Systems & Policy NUR 407 Nursing Research NUR 421 Gender Health & NUR 408 Community Health Communication: Complexity in Numbers
    56. 59. The Cost of Health Care… 15% of the total gross national product EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 407 Nursing Research NUR 403 Health Care Delivery Systems & Policy
    57. 60. … and the Challenge of Managed Care EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 403 Health Care Delivery Systems and Policy NUR 405 Professional Issues in Contemporary Nursing
    58. 61. Impact of Health Policy & Regulation   EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 403 Health Care Delivery Systems and Policy
    59. 62. The Growing Need for Interdisciplinary Education for Collaborative Practice… <ul><li>Team-based, interdisciplinary approaches have proven to be highly effective for improving clinical outcomes and reducing cost. </li></ul>EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning ESC Solution: NUR 409 Advanced Clinical Experience NUR 405 Professional Issues in Contemporary Nursing NUR Transition to Baccalaureate Nursing
    60. 63. The Current Nursing Shortage: Opportunities for Lifelong Learning and Workforce Development EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning
    61. 64. ESC Solution: NUR 403 Health Care Delivery Systems and Policy EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning <ul><li>Best Practice </li></ul><ul><li>MAGNET </li></ul>
    62. 65. RN to BS PROGRAM Professional Nurse Leaders of Tomorrow EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Saratoga Springs, NY EMPIRE STATE COLLEGE – Center for Distance Learning

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