NSP II Project Directors Meeting 2017 NSP II

NSP II Project Directors Meeting 2017 NSP II Update June 16, 2017 , Columbia, Maryland June 19, 2017 , Wye Mills, Maryland June 20, 2017, Baltimore, Maryland With Special Guests: NEDG awardees Peg Daw (MHEC) Oscar Ibarra(HSCRC)

Nursing Workforce Directions

MDAC Summit May 22, 2017 Maryland Action Coalition Podium Presentations Faculty Development: Preparing Clinical Nursing Instructors Susan Bindon, DNP, RN-BC, CNE Assistant Professor, University of Maryland School of Nursing Partnerships for Professional Advancement Mary Etta Mills, Sc. D, RN, NEA-BC, FAAN Professor, University of Maryland School of Nursing Academic Credit for Nurse Residency Programs: A Stakeholder-driven Initiative Louise Jenkins, Ph. D, RN, FAHA, ANEF Professor, University of Maryland School of Nursing Joan I. Warren, Ph. D, RN-BC, NEA-BC, FAAN Associate Professor, University of Maryland School of Nursing Kathleen Martin, DNP, RN, CNE Assistant Professor, University of Maryland School of Nursing

MDAC NSP II Poster Presentations Associate to Bachelors (ATB): Positioning More Baccalaureate Nurses at the Bedside • Heather Gable, DNP, RN, LNHA, RAC‐C Nursing Department Chair Frostburg State University Transforming nursing education for the next decade by addressing the nurse faculty shortage: Ideas, directions and solutions • Judith M. Jarosinski, Ph. D, CNE Associate Professor of Nursing Salisbury University Tina P. Reid, Ed. D, MSN, RN Associate Professor Salisbury University Lisa Seldomridge, Ph. D, RN Director of Graduate and Second Degree Programs Salisbury University

MDAC NSP II Poster Presentations Advancing Education Transformation: A Standardized Approach to Teach Essential Psychiatric Mental Health Nursing Skills • Debra Webster, Ed. D, RNBC, CNE Nursing Instructor Salisbury University Lisa Seldomridge, Ph. D, RN Director of Graduate and Second Degree Programs Salisbury University Judith M. Jarosinski, Ph. D, CNE Associate Professor of Nursing Salisbury University

MDAC NSP II Poster Presentations Eastern Shore Faculty Academy and Mentorship Initiative (ESFAMI): A Forward Thinking Collaboration to Develop a Diverse Clinical Faculty Workforce • Tina P. Reid, Ed. D, MSN, RN Associate Professor of Nursing Salisbury University Lisa Seldomridge, Ph. D, RN Director of Graduate and Second Degree Programs Salisbury University Judith M. Jarosinski, Ph. D, CNE Associate Professor of Nursing Salisbury University • Brad Hauck, MHS Program Director, Eastern Shore Faculty Academy and Mentoring Initiative Salisbury University

MDAC NSP II Poster Presentation Cecil-Harford Academic Progression in Nursing Initiative • Laura Schenk, MS, RN Academic Progression Coordinator Harford Community College Implementing the Dual Admission Program at the University of Maryland School of Nursing • Nina M. Trocky, DNP, RN, NE‐BC, CNE Associate Dean for the Baccalaurate Program University of Maryland School of Nursing Linda Murray, DNP, CRNP‐Ped RN to BSN Program Director University of Maryland School of Nursing

MDAC NSP II Poster Presentations Facilitating Student Admission to ADN-BSN Pathways: The Montgomery College on-going experience • Laurie Williams, MS, MEd Nursing Academic Progression Manager Montgomery College Raquel Bertiz, Ph. D, RN, CNE Professor Montgomery College Secrets to Successful Associate to Bachelor's Nursing Partnerships • Karen Wons, MS, RN, CNE Associate Professor and Coordinator Associate to Bachelor's Degree Option The Community College of Baltimore County

NSP II Poster Presentations Supporting Professional Advancement in Nursing (SPAN) Program Mentorship Model: Leveraging Mentorship to contribute to nurse retention and career • Kimberly Mc. Iltrot, DNP, CPNP, CWOCN Assistant Professor Johns Hopkins University School of Nursing Nicole Johnson, MSN, RN, ONC Clinical Faculty Johns Hopkins School of Nursing Sarah Firestone, MSW Program Manager Johns Hopkins School of Nursing • Tener Veenema, Ph. D, MS, MPH, RN, FA Associate Professor Johns Hopkins School of Nursing www. nursesupport. org

Maryland RN Nursing Shortage State 2012 2025 Supply and Projected Demand 2025 Projected Supply Difference MARYLAND 60, 600 72, 000 59, 900 ‐ 12, 000 West Virginia 20, 600 21, 100 29, 000 7, 900 Delaware 10, 600 12, 500 16, 200 3, 700 Virginia 69, 900 87, 300 106, 700 19, 400 Pennsylvania 145, 000 152, 600 178, 400 25, 800 U. S 2, 897, 000 3, 509, 000 3, 849, 000 +340, 000 HRSA, 2014

Maryland LPN Nursing Shortage State 2012 2025 Supply and Projected Demand 2025 Projected Supply Difference MARYLAND 13, 150 16, 960 9, 080 ‐ 7, 880 West Virginia 7, 350 7, 830 8, 380 550 Delaware 1, 940 2600 4, 380 1, 780 Virginia 23, 630 29, 630 34, 470 4, 840 Pennsylvania 41, 380 44, 990 42, 680 ‐ 2, 310 U. S 730, 000 931, 000 990, 900 +59, 900 HRSA, 2014

Maryland is Named in the Shortage Despite projections of an excess of RNs at the national level, 16 states are expected to see their supply of RNs outpaced by increases in demand, resulting in shortages. Ten of these states are in the West, four are in the South, and two are in the Northeast U. S. Census Bureau Regions. Arizona is projected to have the largest state‐level shortfall of over 28, 100 RNs in 2025, followed by Colorado and North Carolina each with 12, 900 fewer RNs than will be needed. Maryland Nevada are also expected to see large declines in the adequacy of their RN workforce. (HRSA, 2014)

Cyclical Shortages Since 1980 s, annual nurse graduates are cyclical. High growth is followed by declines of 25% If nurses begin retiring two years earlier than pre‐ recession levels & there is a 10% drop in new graduates there could be a shortfall of 86, 000 by 2025 vs a surplus of 340, 000. A reduction in people choosing nursing as a career or combination of factors ie: early retirement or increased demand, could erase projected surpluses of RNs and LPNs. HRSA, 2014

Unfactored Elements The HRSA projections do not account for: • Growing emphasis on care coordination • Preventive services • Chronic disease management If these care delivery models lead to a greater need for nurses, HRSA may have underestimated the projected nurse demand.

Nursing Workforce Variables • • • Changing technology Shifting financial incentives Economic pressures Staff utilization patterns Reimbursement policies Health care coverage Scope of practice Health care delivery models Labor and economic factors Aging population Increased health service needs

Nursing Shortage Forecasted 2025‐ Where are we? NEW RNs 2012 2013 2014 2015 2016 Community Colleges‐ ADNs 1738 1726 1625 1537 Universities‐ 1486 All BSNs (includes RN‐BSN) 1615 1665 1636 1815 incl. *683 RN‐BSN (38%) Master’s Entry 104 66 81 70 44 NCLEX‐RN First Time Testers 2913 3026 2952 2935 2759 New RNs‐ passed 2555 2598 2380 2349 2285 MHEC, 2017

Confounding Elements AACN recommendation that APRNs meet Doctoral Preparation by 2015 Expect: More DNPs‐ fewer MSNs? Move from BSN to MS entry level at JHUSON Expect: No future BSNs and return to baseline with new MS NCLEX‐RN test takers by 2020? MBON enforcing COMAR with conditional approvals Expect: Potential for SON closings?

Faculty Shortage Imminent NEW FACULTY 2012 2013 2014 2015 2016 MSN Incl MS entry 545 619 628 629 526 ‐ 104 ‐ 66 ‐ 81 ‐ 70 ‐ 44 Ph. D 14 22 8 14 10 DNP 36 34 27 49 45 50 56 35 63 55 675 663 692 581 Total Doctoral New Potential 595 Faculty Prepared w/ graduate degrees MHEC, 2017

Maryland SON Faculty Snapshot AY 2015 -2017 FT Faculty Vacancy % Faculty Vacancy FT with CNE % with CNE Maryland Community Colleges N=14 228 8 3. 51% 37 16. 23% Maryland Universities N=11 290 34 11. 72% 28 9. 66% Totals 518 42 8. 11% 65 12. 55% Age Greater than 60 114 (22%) MSN 264 (51%) Doctoral 254 (49%) NSP II Data, 2017

Can we increase Enrollments by 30%? Consider new candidates: Second career‐ accelerated BSN programs Dual enrollments WEA‐ weekend and nights options Spring Start‐ additional cohorts M 2 ADN Rethink clinical practice hours: Clinical simulation, Standardized patients, Competency ‐based, Preceptors on swing shifts… Compare clinical hours across programs and determine minimal that meets needs without impacting quality. Range from 480 to 832‐ Evidence is needed to determine min.

Clinical Practice Hours & Simulation Nursing Simulation Use Community College Total Clinical Hours Spent in Simulation Data from NSP II Program Evaluation 2015 AY 2006 Allegany College of Maryland Anne Arundel CC AY 2014 4 50 10 175 0 60 0 96 12 60 48 48 College of Southern Maryland 690 765 619 630 675 NR NR NR CCBC (Catonsville & Essex) 586 12 46 0 23 492 698 520 720 4 70 0 20 2 33 0 78 480 832 0 30 8 50 Baltimore City CC Carroll CC Cecil College Chesapeake College 490 Frederick CC Hagerstown CC Harford CC Howard CC Montgomery College Prince George’s CC Wor-Wic CC 660

Nursing and Faculty Workforce • NSP II focuses on increasing nursing educational capacity and developing nurse faculty to teach the next generation. • NSP II targets national goals‐ IOM’s 80% BSN by 2020, double the nurses with doctorates, lifelong learning, practicing to the full extent of education and training • NSP II expects excellence in education‐ funding scholarships, fellowships and grants for graduate degree completions. Excellence in clinical practice is ANCC certification‐ in teaching it’s NLN’s CNE

NLN Certified Nurse Educator (CNE) Category and Major Content Areas % of Exam 1. Facilitate Learning 22% 2. Facilitate Learner Development and Socialization 14% 3. Use Assessment and Evaluation Strategies 17% 4. Participate in Curriculum Design & Evaluation of Program Outcomes 17% 5. Pursue continuous Quality Improvement in the Academic Nurse Educator Role 9% 6. Engage in Scholarship, Service and Leadership 21% 6 A. Function as a Change Agent/ Leader, 6 B. Engage in Scholarship of Teaching, 6 C. Function effectively within the Institutional Environment and the Academic Community

NLN CNE Prep Course Jul 07, 2017 08: 00 AM - Jul 07, 2017 05: 00 PM Location: Washington, District of Columbia, United States Address: 2600 Virginia Avenue, NW • This workshop is an intensive, comprehensive review of the major content areas of the test blueprint for the Certified Nurse Educator exam. It is designed to help potential candidates assess their level of readiness and identify practice domains where further study may be needed. Topics include implications for nurse faculty, eligibility requirements, analysis of CNE test blueprint, review of CNE exam content, CNE prep resources, and the renewal process. • http: //www. nln. org/calendar/event‐details/2017/07/07/default‐ calendar/nln‐cne‐prep‐course • Cost $249 members to $349 non members if registered by 6/16.

CNE Prep Course Agenda 8: 00 AM - 9: 00 AM Continental Breakfast and Registration 9: 00 AM - 9: 10 AM Welcome and introductions. 9: 10 AM - 10: 15 AM Implications of certification for nursing faculty. Eligibility requirements, registration process and scheduling process for the CNE examination. 10: 15 AM – 11: 00 AM Begin content of the CNE examination 11: 00 AM-11: 15 AM Break 11: 15 AM-1: 00 PM Content review continued 1: 00 PM-2: 00 PM Lunch 2: 00 PM-3: 15 PM Content review continued 3: 15 PM-3: 30 PM Break 3: 30 PM-4: 30 PM Content review completed Additional resources available for certification preparation Certification renewal process. Summary NLN’s Certified Nurse Educator Review: The Official NLN Guide ISBN-13: 978‐ 1934758205

Nursing Education Excellence • Consider adding the CNE to your credentials • Consider how to enroll and graduate more nurses • Consider how NSP II funding is targeted to Initiative #1 and #2‐ new RN graduates and higher degrees for a faculty pipeline • Consider how you can increase your projected outcomes to strengthen the NSP II evaluation

Dissemination is posted on website • • • NSP II Project Directors Meeting: October 2, 2015 NSP II Project Directors Presentation NSP II 12‐ 113: Salisbury University: ES‐FAMI NSP II 12‐ 115 & 14‐ 112: Stevenson University: Shared Simulation Educators NSP II 13‐ 102: Coppin State University: Operation Success Initiative NSP II 13‐ 110: Salisbury University: Expediting Doctoral Education NSP II 14‐ 102: The Community College of Baltimore County: ATB Program NSP II 14‐ 112 & 16‐ 124: University of Maryland: Preparing & Mentoring Faculty NSP II 15‐ 118: Salisbury University: Faculty Toolkits NSP II 16‐ 112: John Hopkins University: SPAN NSP II 16‐ 117: Salisbury University: ES‐WSFI

FY 2018 Funded Proposals Final Recommendations for Funding for FY 2018 Grant # Institution Grant Title Proposed Funding § 18‐ 101 Anne Arundel Community College Academic Progression RN to § BSN/MSN $726, 895 § 18‐ 102 Baltimore City Community College Planning with Coppin State University § $63, 890 § 18‐ 104 College of Southern Maryland Associate to Bachelor’s Pathway § $1, 115, 231 § 18‐ 107 Frostburg State University Nurse Practitioner Program $3, 840, 422 § 18‐ 109 Frostburg State University Pathway to a DNP $212, 257 § 18‐ 111 Johns Hopkins University DNP/Ph. D Dual Degree $1, 530, 263 § 18‐ 113 Johns Hopkins University Palliative Care Competencies $1, 264, 039 § 18‐ 114 Johns Hopkins University Post NP‐ Pediatric Care $810, 488 § 18‐ 115 Montgomery College Academic to Practice Transition $100, 316 § 18‐ 119 Notre Dame of Maryland Preparing Leaders for Nursing $493, 593 § 18‐ 120 Salisbury University Communication for Nurse Leaders $1, 981, 929

NSP II FY 2018 Funded Proposals Nurse Support Program II: FY 2018 Competitive Institutional Grants Grant # Institution Grant Title Proposed Funding • 18‐ 121 Salisbury University Maryland Nurse Educator Career Portal $1, 793, 292 • 18‐ 122 Towson University TU Collaborative Partnership Program $1, 266, 250 • 18‐ 123 University of Maryland Preparing Nurses to Lead Primary Care $147, 922 • 18‐ 125 University of Maryland MDAC 2018 Summit on Academic Progression $91, 305 • 18‐ 126 University of Maryland Academic Credit for Nurse Residency II $105, 474 • 18‐ 127 University of Maryland Development of Clinical Faculty $182, 808 • 18‐ 130 Wor‐Wic Community College Planning Associate to Bachelors $55, 991

NSP II FY 2018 Funded Proposals Nurse Support Program II: FY 2018 Competitive Institutional Grants Grant # Institution Grant Title Proposed Funding • • • 18‐ 201 Carroll Community College Faculty Development 2018 $81, 000 18‐ 202 Cecil Community College Expand Clinical Simulation $98, 693 18‐ 203 College of Southern Maryland Enhanced Simulation Project $99, 991 18‐ 204 C. College of Baltimore County Enhancing Capacity in Simulation $100, 000 18‐ 205 Hagerstown Community College Enhanced Simulation Lab Capacity $99, 958 18‐ 206 Montgomery College Accreditation and MCSRC Resources $85, 645 18‐ 207 Morgan State University Accreditation and Simulation Resources $99, 999 18‐ 208 Towson University Simulation Resources $97, 727 18‐ 209 University of Maryland Student Tracking and Evaluation System $99, 300 18‐ 301 Allegany College of Maryland Nurse Managed Wellness $946, 000 • TOTAL $17, 590, 678

Changes in FY 2019 RFA 1. New proposals will need to include a PPT with 5‐ 10 slides on the essentials of the proposal 2. Resource grant revision‐Clinical Simulation equipment requests are directed to the MCSRC‐ funding to cover needs of schools through consortium 3. Name/contact info for person preparing mandatory data tables required

References Abstracts for all NSP II funded proposals are available at https: //nursesupport. org/nurse‐ support‐program‐ii/grants/competitive‐ institutional‐grants/ NSP II Project Director’s Meetings presentations are available at https: //nursesupport. org/nurse‐ support‐program‐ii/dissemination/

References Health Services Cost Review Commission, Meeting agenda for June 14, 2017, Final Recommendations for NSP II FY 2018 Competitive Institutional Grants Program, http: //www. hscrc. state. md. us/documents/com mission‐meeting/2017/06/HSCRC‐Public‐pre‐cm ‐Packet‐ 2017‐ 06‐ 08. pdf

References NSP I Program Evaluation Draft Recommendations, HSCRC, June 14, 2017, http: //www. hscrc. state. md. us/documents/commis sion‐meeting/2017/06/HSCRC‐Public‐pre‐cm‐ Packet‐ 2017‐ 06‐ 08. pdf Hal and Jo Cohen Graduate Nurse Faculty Scholarship Program, Maryland Higher Education Commission, Office of Student Financial Assistance, application: http: //mhec. maryland. gov/preparing/Pages/Financ ial. Aid/Program. Descriptions/prog_NSPII. aspx

References New Nurse Faculty Fellowship Program, nominations due August 31 each year, https: //nursesupport. org/nurse‐support‐program‐ ii/grants/statewide‐initiatives/nnff‐guidelines/ Nurse Educator Doctoral Grants for Practice and Dissertation Research Program, nominations due September 30 each year, https: //nursesupport. org/nurse‐support‐program‐ ii/grants/statewide‐initiatives/nedg‐guidelines/

References Danner, M. & Preston, L. C. (2014). Development of accelerated options in an associate degree nursing program. Teaching and Learning in Nursing, 9(2), 80‐ 83. Daw, P. & Terhaar, M. (2017). Program evaluation of a nursing workforce intervention: The Maryland Nurse Support Program II. Nursing Economics, 35(1), 14‐ 20. Hinderer, K. , Jarosinski, J. , Seldomridge, L. & Reid, T. (2016). From expert clinician to nurse educator: Outcomes of a faculty academy initiative. Nurse Educator, 41(4), 194‐ 198. Institute of Medicine of the National Academies. (2010, October 5). The future of nursing: Leading change, advancing health. Retrieved from http: //www. nationalacademies. org/hmd/Reports/2010/The‐Future‐of‐ Nursing‐Leading. Change‐Advancing‐Health. aspx Maryland Higher Education Commission. (2017, February 28). Maryland Nursing Graduate Data Report provided by Alexia Van Orden, Research and Policy Analyst.

References Mills, M. E. , Hickman, L. J. , & Warren, J. I. (2014). Developing dual role nursing staff‐clinical instructor: a partnership model. Journal of Nursing Administration, 44 (2), 65‐ 67. Institute of Medicine. (2015). Assessing progress on the Institute of Medicine report: The future of nursing. Washington, DC: The National Academies Press. Health Services Cost Review Commission. U. S. Department of Health and Human Services, Health Resources and Services Administration, National Center for Health Workforce Analysis. (2014, December). The future of the nursing workforce: National‐ and state‐level projections, 2012‐ 2025. Retrieved from http: //bhw. hrsa. gov/healthworkforce/supplydemand/nursing /workforceprojections/nursin gpro jections. pdf