Recruiting and Staffing for Clinical Nursing Expertise 5.30.08
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This document summarizes a study that examined the relationships between nurse characteristics, organizational factors, and clinical nursing expertise at the individual nurse and hospital levels. The study found that nurses with a bachelor's degree had 28% higher odds of reporting more advanced expertise. Hospitals with a higher percentage of BSN-prepared nurses also had higher reported nurse expertise. The results suggest that nurse education level is an important contributor to clinical expertise.
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![Recruiting and staffing for clinical nursing expertise. Matthew McHugh, PhD, JD, MPH, CRNP, RN; Eileen Lake, PhD, RN; Robert Lucero, MSN, MPH, RN Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing ,[object Object],[object Object],[object Object],[object Object],[object Object],Background ,[object Object],[object Object],Objectives ,[object Object],[object Object],[object Object],Methods ,[object Object],[object Object],Results ,[object Object],[object Object],[object Object],[object Object],Conclusions ,[object Object],[object Object],[object Object],[object Object],Policy Implications Table 2. Ordered Logistic Coefficients Indicating the Effects of Nurse and Organizational Characteristics on Nurse Expertise (N=9591) Nurse Characteristics Organizational Characteristics † Nurse and Organizational Characteristics † Individual Nurse Characteristics Highest nursing degree BSN or Higher 1.43*** 1.28*** Years as RN (Career experience) 1.10*** 1.10*** Organizational Characteristics Practice Environment †† Favorable .92 .93 Mixed 1.01 1.00 Skill Mix ††† 1.02 1.03 Education Mix ††† 1.15*** 1.14*** Experience Level of Hospital Nurses †††† 1.07*** .96 *significant at p < .05; ** significant at p < .01; *** significant at p < .001 † Parameter estimates were derived from robust models which controlled for nurse characteristics and adjusted standard errors to account for clustering †† Unfavorable practice environment is the reference category ††† Unit is based on increments of 10% †††† Mean years of experience as an RN for nurses at the hospital Table 1. Nurses’ Self Report of Level of Clinical Nursing Expertise Characteristic Individual Level (n=9591) (%) Hospital Level (n=182) Mean ( SD ) Level of Expertise Advanced Beginner 5 Competent 20 Proficient 58 Expert 16 Overall Expertise* 2.9 (0.1) The following represent nursing roles and functions: I am a nurse who … … relies primarily on standards of care, unit procedures, and physicians’ and nurses’ orders to guide patient care 5 … has increased clinical understanding, technical and organizational skills, and is able to anticipate the likely course of events 31 … perceives the patient situation as a whole and responds appropriately as conditions change 39 … is good at recognizing unexpected clinical responses and often provides an early warning of patient changes 24 Overall Expertise* 2.8 (0.1) *Theoretical Range (1-4)](https://image.slidesharecdn.com/lakeeileen-recruitingandstaffingforclinicalnursingexpertise-5-30-08-100818145942-phpapp02/85/Recruiting-and-Staffing-for-Clinical-Nursing-Expertise-5-30-08-1-320.jpg)
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American Association of Colleges of Nursing The Esse.docx
American Association
of Colleges of Nursing
The Essentials of Master's Education in Nursing
March 21,2011
TABLE OF CONTENTS
Introduction 3
Master's Education in Nursing and Areas of Practice 5
Context for Nursing Practice 6
Master's Nursing Education Curriculum 7
The Essentials of Master's Education in Nursing
I. Background for Practice from Sciences and Humanities 9
II. Organizational and Systems Leadership II
Ill. Quality Improvement and Safety 13
IV. Translating and Integrating Scholarship into Practice 15
V. Informatics and Healthcare Technologies 17
VI. Health Policy and Advocacy 20
VII. Interprofessional Collaboration for Improving Patient
and Population Health Outcomes 22
VIII. Clinical Prevention and Population Health for
Improving Health 24
IX. Master's-Level Nursing Practice 26
Clinical/Practice Learning Expectations for Master's Programs 29
Summary 31
Glossary 31
1
References 40
Appendix A: Task Force on the Essentials of Master's Education in Nursing 49
Appendix B: Participants who attended Stakeholder Meetings 50
Appendix C: Schools of Nursing that Participated in the Regional Meetings
or Provided Feedback 52
Appendix D: Professional Organizations that Participated in the Regional
Meetings or Provided Feedback 63
Appendix E: Healthcare Systems that Participated in the Regional Meetings 64
2
The Essentials of Master's Education in Nursing
March 21, 2011
The Essentials of Master's Education in Nursing reflect the profession's continuing call for
imagination, transformative thinking, and evolutionmy change in graduate education. The
extraordinmy explosion of knowledge, expanding technologies, increasing diversity, and global
health challenges produce a dynamic environment for nursing and amplify nursing's critical
contributions to health care. Master's education prepares nurses for flexible leadership and critical
action within complex, changing systems, including health, educational, and organizational
systems. Master's education equips nurses with valuable knowledge and skills to lead change,
promote health, and elevate care in various roles and settings. Synergy with these Essentials,
current and future healthcare reform legislation, and the action-oriented recommendations of the
Initiative on the Future of Nursing (!OM, 2010) highlights the value and transforming potential of
the nursing profession.
These Essentials are core for all master's programs in nursing and provide the necessary
curricular elements and framework, regardless of focus, major, or intended practice setting. These
Essentials delineate the outcomes expected of all graduates of master's nursing programs. These
Essentials are not prescriptive directives on the design of programs. Consistent with the
Baccalaureate and Doctorate of Nursing Practice Essentials, this document .
Essentials Paper Education in.pdf
The document outlines the 9 essentials of a Master's education in nursing according to the American Association of Colleges of Nursing (AACN). The essentials are: 1) Background for practice from sciences and humanities, 2) Organizational and systems leadership, 3) Quality improvement and safety, 4) Translating and integrating scholarship into practice, 5) Informatics and healthcare technologies, 6) Health policy and advocacy, 7) Interprofessional collaboration, 8) Clinical prevention and population health, and 9) Master's-level nursing practice. The essentials guide nursing curriculum and prepare graduates for diverse areas of practice through advanced nursing knowledge and leadership skills.
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Please explain what each of the following courses mean to me wit.docx
Please explain what each of the following courses mean to me within my nursing career and how I was able to apply the various BSN essentials through the completion of various course assignments and clinical practice experiences. I have attached the BSN essentials as well as a course description for each course. The paper needs to be 2 pages in length, reflecting on each class. The description of each class is listed below along with an explanation of each BSN essential. Utilize as many BSN essential as possible for each course reflection.
USING APA FORMAT AND PROVIDE PLAGIARISM CHECK.
2 pages minimum
12 Point Font (Times New Roman)
Care Management I (Fundamentals of Nursing)
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Professional Nursing I&II
Course Description: The course focuses on nursing as a caring profession, nurse's roles and functions, ethics, standards, legal aspects, holism, wellness, health care delivery, communication, teaching/learning, critical thinking, and the nursing process (ADPIE) -
A
ssessment,
D
iagnosis,
P
lanning,
I
ntervention, and
E
valuation.
Quality and Safety
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Pathophysiology
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Physical Assess.
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WEEK 10Discuss two different types of comfort interventions that.docx
WEEK 10
Discuss two different types of comfort interventions that can be utilized by the advanced practice nurse in the clinical setting as per Katharine Kolcaba's Theory of Comfort. Identify one MSN Essential that most relates to application of this theory in practice and explain your choice.
**As a reminder, all questions must be answered to receive full credit for this discussion. please include your name in the title bar of the discussion. Discussion posts must be minimum of 250 words and reply posts minimum 100 words. Also, make sure to use scholarly sources to support your discussion.**
1
The Essentials of Master’s Education in Nursing
March 21, 2011
TABLE OF CONTENTS
Introduction 3
Master’s Education in Nursing and Areas of Practice 5
Context for Nursing Practice 6
Master’s Nursing Education Curriculum 7
The Essentials of Master’s Education in Nursing
I. Background for Practice from Sciences and Humanities 9
II. Organizational and Systems Leadership 11
III. Quality Improvement and Safety 13
IV. Translating and Integrating Scholarship into Practice 15
V. Informatics and Healthcare Technologies 17
VI. Health Policy and Advocacy 20
VII. Interprofessional Collaboration for Improving Patient
and Population Health Outcomes 22
VIII. Clinical Prevention and Population Health for
Improving Health 24
IX. Master’s-Level Nursing Practice 26
Clinical/Practice Learning Expectations for Master’s Programs 29
Summary 31
Glossary 31
2
References 40
Appendix A: Task Force on the Essentials of Master’s Education in Nursing 49
Appendix B: Participants who attended Stakeholder Meetings 50
Appendix C: Schools of Nursing that Participated in the Regional Meetings
or Provided Feedback 52
Appendix D: Professional Organizations that Participated in the Regional
Meetings or Provided Feedback 63
Appendix E: Healthcare Systems that Participated in the Regional Meetings 64
3
The Essentials of Master’s Education in Nursing
March 21, 2011
The Essentials of Master’s Education in Nursing reflect the profession’s continuing call for
imagination, transformative thinking, and evolutionary change in graduate education. The
extraordinary explosion of knowledge, expanding technologies, increasing diversity, and global
health challenges produce a dynamic environment for nursing and amplify nursing’s critical
contributions to health care. Master’s education prepares nurses for flexible leadership and
critical action within complex, changing systems, including health, educational, and
organizational systems. Master’s education equips nurses with valuable knowledge and skills to
lead change, promote health, and elevate care in various roles and settings. Synergy with these
Essentials, current and future .
Challenging Problem Business Proposal DQ.pdf
This document discusses a challenging issue in healthcare decision-making and how it relates to the MSN essentials of nursing. Specifically, it addresses:
- Controlling the rising costs and maintaining quality of medical care.
- The 9 essential areas that MSN programs aim to develop, including leadership, quality improvement, research, technology, policy, collaboration and population health.
- How MSN education prepares nurses for diverse roles to address healthcare needs through expanded knowledge and leadership skills.
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