RURAL NURSE RESIDENCY A TRANSITION TO PRACTICE PROGRAM

1. RURAL NURSE RESIDENCY A TRANSITION TO PRACTICE PROGRAM

2. Service Area Idaho State University award HRSA GRANT • Initial Collaborative States (2009) Alaska, Washington, Montana, Wyoming, Idaho • Expanded to: Western/Central US in Year 2 (2010) • Awarded 3-year Extension (2011 -2014) • Application Process 3 Times Each Year

3. WHY NURSE RESIDENCY? Bridging the Gap to Practice: IOM Initiative on the Future of Nursing (IFN) study with 4 Key Messages and 8 Recommendations Recommendation 3 clearly states “Implement nurse residency programs” Need for higher-level awareness of quality, safety, professional role National studies and reports on residency programs 1) Versant study – Nursing Economics November/December 2010 2) UHC/AACN Nurse Residency Program – AACN June 2010 3) NCSBN

4. Need • Nurse Shortage • Nurse Confidence • Nurse Turnover • Up to 65% during the first year • Competency Regulations • QSEN Standards (Quality & Safety Education for Nurses) • National Council of State Boards of Nursing • Federal & State regulatory agencies want “readiness-for-practice” of new nurses to be strengthened

5. Program Goals • Improve Patient Care • Increase • Nurse Skills • Nurse Confidence • Retention • Implementation of Hospital-Based Residency Program

6. Outcomes • Improvement in our Needs Assessment • Preceptors Receive • Certificate of “Rural Nurse Preceptor” • 16 CNE Contact Hours (Workshop) • Provide Mentored Experience to Resident • Residents Receive • Rural Nurse Certification • Contact Hours (CNEs) • Mentored Hours by Preceptor • Hospital incorporates a residency program

7. Research HRSA Grant – Research Conducted on 3 Topics • Program • Participatory Action Research • Provides Evidence for Change and Implementation • Rural Nurse Practice • Novice vs Expert Comparison • Nurse Retention

8. Program Components • No Fees • Preceptor Training • Social Support for Rural Hospitals and Staff • Competency Measurement Tools • Simulations • Library Access • NWRNR Facilitator • Preceptor Mentor • PDA Software • Continuing Nursing Education Hours • Web-Based Conferencing • Sessions provided by experienced nurses/educators

9. One Year Collaboration • Facility Provides • Clinical Learning • Preceptor • Supervision • Employment • Time for Participation • Computer/Internet Connection • Support • NWRNR Provides • Education Content/Tools • Mentors and Coordinators • Webinars/Simulation • CNE’s • Standardized Process and Quality • One-year subscription to Nursing Software

10. Program Overview • First Thursday of the Month: Live 3 hr video webinars for 12 month = 36 hours of continuing education. • Second Thursday: Precepted experience demonstrating competency clinical skills and core competencies identified on Learning Plan. • Third Thursday: Self-study of one elective (12 hours yearly total). • Fourth Thursday: Competence Validation via Simulation 1.5 live hours/1.5 local measurement hours = 15 hours of continuing education.

11. PRECEPTOR • RN with at least 2 years experience in current hospital. • Participate in 16 hrs of orientation/training. • Provide supervised clinical hours to resident incorporating best practices. • Collaborate with Resident on development of Learning Plan to focus clinical learning. • Complete competency measurements on resident (Critical Thinking, Clinical Practice, Relationship Centered Practice, Professionalism, Leadership).

12. RESIDENT • New RN graduate, RN transitioning from urban setting, or RN re-entering profession. • Participate in preceptor supervised clinical hours. • Participate in live web-based sessions and simulations. • Collaborate with Preceptor to develop Learning Plan to focus clinical learning. • Obtain free continuing education credits from a choice of electives. • Interact with other residents throughout the U.S. to increase rural health learning.

13. RESIDENT COURSES Acute Care - Crisis Assessment and Management • Nursing Subspecialties (live sessions and clinical focus): • Medical Surgical • Pharmaceutical • Pediatric • Geriatric • Psychiatric • Emergency Trauma • Critical Thinking • Obstetrics

14. SIMULATIONS QSEN STANDARDS. See www.QSEN.org for more information. Patient Centered Care Teamwork and Collaboration Evidence Based Practice Quality Improvement Safety Case Management Informatics Career Management

15. Summary • Website • http://isu.edu/nursing/opd/nwrnr.shtml • http://mtcahn.org • Contact Information Heidi Blossom RN MSN Transition to Practice Coordinator at heidi@mtha.org 406 457-8025