California Institute for Nursing & Health Care

California Institute for Nursing & Health Care

Optimizing the Health of Californians through Nursing Excellence

A Compendium of Innovative

Practices and Partnership:

Expanding Educational Capacity

in California Schools of Nursing

Second Edition

December 2008

A Compendium of Innovative

Practices and Partnerships:

Expanding Educational Capacity in California Schools of Nursing

Introduction

Expanding educational capacity in California schools of nursing is perhaps the state’s most urgent need for addressing the nurse shortage and is Goal 1 of the Master Plan for Nursing Education. The California Institute for Nursing &Health Care (CINHC) has developed the statewide strategic plan, which built upon successful programs already underway. With that in mind, in 2005, the Compendium, First Edition was published. This document identified successful practices that merit replication throughout the state. Many excellent innovations and programs have been created through public/private partnerships to respond to the difficulties facing nursing education today. These efforts include partnerships between schools of nursing, hospitals, health systems, and foundations.

The information contained in the First Edition was used to demonstrate the collaborative, statewide approach to expansion of educational capacity in California at the 2008 National Nursing Education Summit.

The Compendium, Second Edition, has been prepared in an attempt to update the successful innovative practices and the partnerships that support them that were published in the First Edition and add new programs /partnerships that have been initiated.

To create the Compendium, numerous deans and directors of nursing programs, andhealthcare nursing service administrators shared their successful innovative approacheswith us. They completed an information form describing the practice, the partnershipssupporting the practice, and the outcomes. This Compendium reflects the material assubmitted by the participants.

If you know of a successful nursing school capacity expansion program that is not listed, please contact the CINHC office to assure that the information is included in the next edition of the Compendium.

CINHC wishes to thank the deans, directors, and nursing administrators who provided information. A special acknowledgement goes out to the hospitals, health systems, andfoundations, whose contributions are documented in this Compendium and that, have so graciously stepped forward to support their local colleges and universities in their efforts to expand nursing school capacity and strengthen California’s nursing workforce.

Pat Chambers RN, MBA Deloras Jones, RN., MS

Southern California Regional Coordinator Executive Director

California Institute for Nursing & Health Care (CINHC)

Contact information:

CINHC

715 Hearst Street, Suite 203, Berkeley, CA94710.

E-mail:

Office: (510) 486-0627

Community Colleges

Bakersfield Community College 9

College of the Canyons 11

Contra Costa College 13

Cypress College 15

El Camino College 17

Merritt College 19

Moorpark College 20

Rio Hondo Community College 21

Riverside Community College 22

Saddleback Community College 23

San Francisco City College 39

Santa Ana College 41

Victor Valley College 45

California State University

Bakersfield 49

Chico 51

East Bay 53

Fresno 57

Fullerton 59

Humboldt 67

Long Beach 69

Sacramento 71

San Diego 73

San Francisco 74

San Marcos 76

San Jose 81

University of California

Irvine 85

Private Educational Institutions

Azusa Pacific University 89

Dominican University of California 91

Holy Names University 93

Mount St. Mary's College 99

Samuel Merritt College 103

University of San Diego 105

Collaboratives

California Institute for Nursing & Health Care 109

COPE Health Solutions 115

Regional Health Occupations Resource Center-Orange County 119

Rural Northern California Simulation Center 121

San Gabriel/ Foothill Valley Association Community College Collaborative 123

San Joaquin Valley Nursing Education Consortium 125

Community

Colleges

BakersfieldCollege
Innovative Practice
Distance Learning RN Program Collaborative – program that provides RN education to our sister colleges within our district using live interactive television.
Lead Institution / Education / Industry
BakersfieldCollege / X
Partners
1 / PortervilleCollege / X
2 / CerroCosoCollege / X
3 / CHW- Mercy Memorial Hospitals / X
4 / San Joaquin Com. Hospitals / X
5 / KernMedicalCenter / X
6 / BakersfieldHeartHospital / X
7 / SierraViewDistrictHospital / X
Goal(s)
1 / Expand capacity of RN Program in Bakersfield, Kern and Tulare counties.
2 / Provide RN training to our rural partners while students attend clinical in their home communities.
Objectives for Project
1 / Expand capacity and access to training.
2 / Share resources – faculty and clinical space, increase NLCEX RN first time pass rates.
Measurements/ Outcomes
1 / RN shortage in Bakersfield, Kern and Tulare counties will decrease by 15%.
Costs/ Funding / Private / State / Federal
$ 3.2 million/ 5 years / X / X
Challenges. Issues/ Advise on adaptability of practice to other settings
1 / Ownership issues between all partners sharing of resources between all parties.
2 / Distance learning does not meet all students learning needs.
Are your projects funded through 2010? / Yes / X / No
If no what is your plan for sustainability?
Sustaining past 2010 will be partially funded by college and hospitals.
Contact
Name: / Cindy Collier
Organization: / Associate Chancellor
Organization: / KCCD – BakersfieldCollege
Contact Phone: / 661- 359-4282 / Ext:
Email: /
Mailing Address: / 1801 Panorama Drive, Bakersfield, CA93305
Website: /
College of the Canyons
Innovative Practice
This award will support 10 additional nursing students into the core associate degree nursing program from the current wait list of 256.
Lead Institution / Education / Industry
College of the Canyons / X
Partners
1 / Song-Brown Grant
Goal(s)
1 / Enroll 10 additional nursing students into the traditional ADN program
Objectives for Project
1 / Increase capacity of nursing students in ADN program.
Measurements/ Outcomes
1 / 10 students to be successful in program completion.
Costs/ Funding / Private / State / Federal
$ 200,000
1 / Song-Brown Grants / X
Challenges. Issues/ Advise on adaptability of practice to other settings
1 / None Stated
Are your projects funded through 2010? / Yes / No / X
Other Comments
None stated
Contact
Organization: / College of the Canyons
Contact Phone: / (661) 259-7800 / Ext:
Mailing Address: / 26455 N. Rockwell Canyon Road, Santa ClaritaCA91355-1899
Website: /
*Information retrieved from the (Governor Schwarzenegger'S California Nurse Education Initiative 2008 California Nurse Education Initiative)Governor Schwarzenegger's California Nurse Education Initiative (2008). California Nurse Education Initiative (Annual Report 2007).
ContraCostaCollege
Innovative Practice
A partnership with John Muir Health to enable continued enrollment of larger classed of nursing students. For the past several years, John Muir has release one of their expert RN Clinicians so that she teaches one clinical group of the CC students. Grant funding from the Chancellors office has allowed us to increase enrollment by 10 students (1 clinical cohort). The programs have allowed the CCC to have an enrollment class size of 70 students. The state grants have also supported a Nurse Mentor and other support staff and programs to support student retention.
Lead Institution / Education / Industry
ContraCostaCollege / X
Partners
1 / John Muir Health / X
2 / CA State Chancellors Office
Goal(s)
1 / Increase enrollment and sustain enrollment so that nursing program can enroll 70 generic students each fall semester and fill any open spaces with advanced placements students.
Objectives for Project
1
Measurements/ Outcomes
1 / Enrollment numbers will remain at 70 students entering class each fall.
2 / Attrition rate for 1st semester nursing students will be lower than 20%.
3 / Outcomes for 2nd, 3rd, and 4th semester students, attrition rate will be less than 5%.
Costs/ Funding / Private / State / Federal
1 / 1 FTE Clinical Faculty (Sal and Benefits) / X
2 / 1 FTE Clinical Faculty (Sal and Benefits) / X
3 / $ Nurse Mentor and support activities / X
Challenges. Issues/ Advise on adaptability of practice to other settings
1 / Main issue is sustainability once grant funding is no longer available.
Are your projects funded through 2010? / Yes / X / No
Other Comments
None stated
Contact
Name: / Maryanne Werner-McCullough
Title: / Director, Nursing Program
Organization: / ContraCostaCollege
Contact Phone: / 510-235-7800 / Ext: / 4268
Email: /
Mailing Address: / 2600 Mission Bell Drive, San Pablo, CA94806
Website: /
CypressCollege
Innovative Practice
The Cypress College R.N. Mentoring Program began 9 years ago with 21 students, and currently services over 150 students each year. Nursing Students are referred to the R.N. Mentor for low test scores or issues relating to their clinical experience. The average score for students who are referred for low test scores is 73%, with 75% considered a passing score. The post-mentored average score is 79%, with 83% of mentored students successfully passing their courses. Mentoring activities include improving study and test-taking skills, anxiety reduction strategies, assistance with math, communication, and time-management issues, clinical remediation, and referrals to other campus services as needed. The mentors also work closely with transition, E.S.L., and re-entry students. The R.N. Mentors bring a variety of clinical and education backgrounds to the Mentor’s role in remediation of R.N. Students.
Lead Institution / Education / Industry
CypressCollege / X
Partners
1 / None stated
Goal(s)
1 / Assist Student Nurses to become successful Nursing School Graduates
2 / Advocate for Student Nurses during their time as R.N. Students
3 / Decrease student nurses levels of anxiety during the program
Objectives for Project
1 / Build a trusting relationship with each mentored student.
2 / Assess student’s learning/testing deficits.
3 / Communicate with, and provide appropriate feedback to instructors.
4 / Strategies for studying and test-taking, time-management, critical thinking, math, communication, nursing process, anxiety reduction, success tools.
5 / Provide referrals for on-campus assistance as needed.
Measurements/ Outcomes
1 / Anxiety levels have been measured over 9 years: Students enter the mentoring program with an average anxiety level of “8”. After two mentoring session, students report anxiety levels decrease to “4.”
2 / Average Passing rate of mentored students over time is 83% (Completing their nursing courses).
3 / Students who see mentor for low test scores enter mentoring program averaging a 73%. For those students who pass the course, their final grade averages are 79%.
4 / Evaluations of the mentoring program are offered to all mentored students.
Costs/ Funding / Private / State / Federal
1 / VTEA Grant / X
2 / Nursing Enrollment Growth Grant / X
Challenges. Issues/ Advise on adaptability of practice to other settings
1 / This program has provided support for our R.N. students over time. I highly recommend implementing some kind of mentoring or student success program in Nursing Programs in California. We have seen an improvement in our graduation rates and NCLEX scores since we have implemented our program.
Are your projects funded through 2010? / Yes / X / No
None stated
Other Comments
None Stated
Contact
Name: / Nancy Smith
Title: / R.N. Mentor
Organization: / CypressCollege Nursing
Contact Phone: / 562-537-6116 / Ext:
Email: /
Mailing Address: / 9200 Valley View St. Cypress, CA90630
Website:
El Camino College
Innovative Practice
El Camino College ADN Program partnering with Little Company of Mary HS, admitting 48 new nursing students annually
Lead Institution / Education / Industry
El Camino College / X
Partners
1 / Little Company of Mary HS / X
Goal(s)
1 / Increase the number of ADN graduates
2 / Expand the educational capacity for nursing
3 / Increase the use of simulation in educating nursing students
Objectives for Project
1 / LCMHS will provide additional resources /sites to increase the number of ADN graduates
2 / Nursing students will have simulation experiences in an innovative, supportive environment
Measurements/ Outcomes
1 / Increased numbers of ADN graduates to add to the nursing workforce
2 / El Camino College ADN graduates will be safe, competent clinical practitioners entering the workforce
Costs/ Funding / Private / State / Federal
$175,000 / Little Company of Mary Community Health Foundation
Challenges. Issues/ Advise on adaptability of practice to other settings
1 / Lack of qualified nursing faculty educators
Are your projects funded through 2010? / Yes / X / No
Other Comments
This partnership has been beneficial both to the El Camino College ADN students and the Nursing Program. The partnership has given El Camino College the ability to educate more students. The monthly meetings have allowed for an open dialogue between the two partners so that Academia and Service can work together to understand individual challenges and needs. Simulation has provided the students with an opportunity to practice skills in a safe, innovative, realistic, environment. The students have been pleased with the various options available to complete their goal of becoming a nurse. The support provided by LCMHS has been extremely beneficial and instrumental in El Camino College’s successful expansion of the ADN program.
Contact
Name: / Susan Zareski, MN, RNBC, CNS
Title: / Interim Director of Nursing
Organization: / El Camino College
Contact Phone: / 310 660-3282 / Ext:
Email: /
Mailing Address: / 16007 Crenshaw Blvd Torrance, CA90506
Website:
MerrittCollege
Innovative Practice
Bridge to Nursing Program – for student newly admitted to nursing program. This program offered in summer prior to entrance into the ADN program. Consisted of three weeks of classes offered four days a week for six hours a day followed by six weeks of individual and group tutoring offered four hours a day, four days a week.
Lead Institution / Education / Industry
MerrittCollege / X
Partners
1 / Kaiser Permanente / X
Goal(s)
1 / To increase the retention rate of students in the associate degree nursing program.
Measurements/ Outcomes
1 / Attrition was less than 25%, as compared to an attrition rate of more than 50% during the same period in the previous five years.
2 / Students grades where much higher than in previous years.
3 / Fundamental students and faculty appeared less stressed.
4 / Students were much more prepared and were able to follow directions.
Costs/ Funding / Private / State / Federal
Kaiser Permanente / X
Challenges. Issues/ Advise on adaptability of practice to other settings
1 / Easy to adapt this project.
Are your projects funded through 2010? / Yes / X / No
If no, what is your plan to sustain?
Kaiser Permanente will provide another cycle of funding for this program.
Contact
Name: / Dawn Williams
Title: / Program Director
Organization: / MerrittCollege
Contact Phone: / 510-466-7200 / Ext:
Mailing Address: / 333 East Eighth Street, Oakland, CA94606
MoorparkCollege
Innovative Practice
Peer training program
Lead Institution / Education / Industry
MoorparkCollege / X
Goal(s)
1 / Increase retention of beginning And students.
2 / Increase success rate of nursing 2, 3 students.
Objectives for Project
1 / Peer to peer tutoring to increase retention and success rate.
Measurements/ Outcomes
1 / Retention rate and student survey.
Costs/ Funding / Private / State / Federal
Challenges. Issues/ Advise on adaptability of practice to other settings
1 / 2nd, 3rd and 4th semesters are peer tutors.
2 / Brief training and application process.
3 / Tutors information posted on class website
Are your projects funded through 2010? / Yes / No / X
If no, what is your plan to sustain? There is not cost to this project/ program.
Other Comments
Faculty give tutors man of 10 extra credit points per semester.
Contact
Name: / Dalila Sankaran
Title: / Nursing Faculty
Organization: / MoorparkCollege
Contact Phone: / 805-402-1070 / Ext:
Eamil: /
Mailing Address: / 7075 Campus Drive, Moorpark, CA93021
RioHondoCollege
Innovative Practice
Support Staff for Nursing Program – Partnership with local medical center in Whittier was able to increase amount of funding to support an additional clerk/typist for 32 hours per week for 3 years.
Lead Institution / Education / Industry
RioHondoCollege / X
Partners
1 / PresbyterianIntercommunityHospital / X
Goal(s)
1 / Support faculty in nursing program.
2 / Support and fund 32 hours per week clerk/typist.
Objectives for Project
1 / Increase and retain nursing students.
Measurements/ Outcomes
1 / Retention rate
Costs/ Funding / Private / State / Federal
$136,000
1 / Presbyterian Hosp. / X
Are your projects funded through 2010? / Yes / X / No
If no, what is your plan to sustain?
Other Comments
This is the second time for this project.
Contact
Name: / Connie Austin
Organization: / Dean, Health Sciences
Contact Phone: / 562-908-3421 / Ext:
Mailing Address: / 3600 Workman Mill Rd.Whittier, CA90601
Email: /
Website: /
RiversideCityCollege
Innovative Practice
The capitation award of $200,000 will support 10 additional nursingstudents enrollment into the traditional ADN program, fall of 2007.
Lead Institution / Education / Industry
RiversideCityCollege / X
Partners
1 / Song-Brown Grant
Goal(s)
1 / Enroll 10 additional nursing students into the traditional ADN program
Objectives for Project
1 / Increase capacity of nursing students in ADN program.
Measurements/ Outcomes
1 / 10 students to be successful in program completion.
Costs/ Funding / Private / State / Federal
$ 200,000
1 / Song-Brown Grants / X
Challenges. Issues/ Advise on adaptability of practice to other settings
1 / None Stated
Are your projects funded through 2010? / Yes / No / X
If no, what is your plan to sustain?
Program commended Fall 2007. One time only.
Other Comments
None stated
Contact
Organization: / RiversideCityCollege
Contact Phone: / (951) 222-8000 / Ext:
Mailing Address: / 4800 Magnolia AvenueRiversideCA92506-1293
Website: /
*Information retrieved from the (Governor Schwarzenegger'S California Nurse Education Initiative 2008 California Nurse Education Initiative)Governor Schwarzenegger's California Nurse Education Initiative (2008). California Nurse Education Initiative (Annual Report 2007).
SaddlebackCollege
Innovative Practice
Development of ALFA – “Assisted Learning For All” is an online & podcast nursing skills learning tool for students and registered nurses.
Saddleback Foundation offered a grant to create a software program that instructs any educator or student to create their own teaching video with the application to stream their files onto ALFA. The creator intends to make ALFA a FREE Universal Website for nursing students and RNs worldwide.
Lead Institution / Education / Industry
SaddlebackCollege / x
Partners for matching funds and In Kind donations
1 / HoagHospital / x
2 / Memorial Care – Saddleback Memorial / x
Goal(s)
1 / ALFA is a nursing procedure website plus podcasting for visual and auditory learners. It reviews the entire spasm of nursing through Med/Surg, Mental Health, Maternal Child Health, Pediatrics and Advanced Nursing.
The site:
a)Unites theory and technique in a practical sense via technology
b)Provides nursing students and RNs with immediate nursing procedures via laptop, desk-top or iPod technology in a concise and NO COST environment.
c)Can be accessed 24 hours a day
d)Allows students and RNs access to general and unit specific skills throughout their academic and nursing careers.
2 / Provides for real life viewing of nursing skills being implemented on patients by nurses in the clinical areas. Procedure guidelines, didactic procedures and film clips can be viewed anywhere. Originally, five videos were developed during Dr. Whitt’s sabbatical for our student’s use in the Campus Skills Lab and today you can view > 130 videos and 55 + podcasted videos on the students’ iPod. More will be posted this summer.