Apprenticeship & Nursing Education – An Innovative Strategy for Transition to Practice

Nurse educators are acutely aware of the complexity of the healthcare system and the need for students to be able to transition from academia to practice.  Nurse residency and other transition to practice programs have been identified as instrumental in assisting new graduates.  Recently the apprenticeship model has been brought forward as another type of transition to practice program. There has been much success at some colleges and universities implementing this model.  Apprenticeship may offer nursing education a way to meet equity and access challenges, while building on existing models of well-established work-based learning.

In collaboration with the American Association of Community Colleges, OADN held two registered apprenticeship (RA)  webinars on the following two topics from AACC’s Virtual Apprenticeship Network tool, which we believe are most important to OADN members. Each 45-minute webinar provides an overview of AACC’s promising practices, resources, and contacts. Given RA has not historically been widely utilized within our membership, we will reserve time during each webinar to seek your input on how AACC and the U.S. Department of Labor can best position this for your institutions. This will no doubt also be useful to you as you seek potential funding and work in RA spaces in the future. Scroll below to view the webinars from this page.

 

Assessing College Readiness for Registered Apprenticeship – Originally aired April 13, 2022

When implementing a successful community college registered apprenticeship program, assessing your college’s readiness is a must. Planning a new registered apprenticeship program initiative at a community college requires a systematic assessment plan, investigating both internal and external assets. This assessment should focus on a college’s internal capacity, institutional support, employer partner awareness and interest, employer partner support, labor market capacity, and sustainability.

 

 

Establishing a Registered Apprenticeship Program – Originally aired April 26, 2022

Once the decision to implement a registered apprenticeship program at your college is made, there are many pieces that need to be put into place to achieve success. This high-level overview provides several steps AACC recommends institutions consider and establish when building registered apprenticeship programs at community colleges.

 

 

PRESENTER

Adrienne Summers
Executive Director of Apprenticeships – American Association Community Colleges

Adrienne Summers is the Executive Director of Apprenticeships at American Association of Community Colleges (AACC).  Adrienne oversees the Expanding Community Colleges Apprenticeship (ECCA) project, which is a $19.9 million cooperative agreement with the U.S. Department of Labor (DOL) to expand apprenticeships with community colleges across the country.  As part of the ECCA project, the ECCA team created a resource tool for apprenticeships called the Virtual Apprenticeship Network (VAN).

AACC was tasked with serving 16,000 new Registered Apprentices with community colleges and industry partners in a three-year period.  Currently the grant has served over 19,000 Registered Apprentices from 106 college communities and eight global industry partners.

Prior to AACC, Adrienne worked for Howard Community College in Columbia, Maryland where she started apprenticeships and grew eleven occupations in less than three years in IT, Construction Management, Biomedical Engineering Technician, Software Development, HVACR, and Electrical occupations.

National Commission to Address Racism in Nursing’s National Survey Findings

On January 25, 2022, the National Commission to Address Racism in Nursing (for which OADN is an inaugural member) released new survey data that examines the issue of racism among nurses in the workplace. According to more than 5,600 survey respondents, racist acts are principally perpetrated by colleagues and those in positions of power. Over half (63%) of nurses surveyed say that they have personally experienced an act of racism in the workplace with the transgressors being either a peer (66%) or a manager or supervisor (60%).

Superiority continues to surface as a primary driver from nurses representing predominantly white groups along with nurses who are advantaged and privileged by unfair structural and systemic practices. These survey findings move beyond the rhetoric to the reality and should serve as a call-to-action for all nurses to confront racism in the profession.

Of those nurses who report that they have witnessed an act of racism in the workplace, 81% say it was directed towards a peer. Nurses say that they have challenged racist treatment in the workplace (57%), but over half (64%) said that their efforts resulted in no change.

Many respondents across the Hispanic (69%) and Asian (73%) populations as well as other communities of color (74%) reported that they have personally experienced racism in the workplace. Overwhelmingly, the survey findings indicate that Black nurses are more likely to both personally experience and confront acts of racism. Most Black nurses who responded (72%) say that there is a lot of racism in nursing compared to 29% of white nurse respondents. The majority (92%) of Black respondents have personally experienced racism in the workplace from their leaders (70%), peers (66%) and the patients in their care (68%). Over three-fourths of Black nurses surveyed expressed that racism in the workplace has negatively impacted their professional well-being.

Key Overall Survey Findings

Summary of Listening Sessions

Survey Findings Quick Reference Guide

Download the Infographic

National Commission to Address Racism in Nursing Foundational Report

The National Commission to Address Racism in Nursing has released its initial findings and is seeking public comments for the 2022 National Commission to Address Racism in Nursing Foundational Report. The report and instructions for how to provide comments are located here: ANA Public Comment (nursingworld.org) under “Current Opportunities”. OADN was invited to be an inaugural member of the Commission in January of 2021.

The draft document is broken up into six parts, for your review. OADN Members are especially directed to the education section.  Remember to provide the line and page number with each comment to facilitate review of your comments.  Please, share this announcement widely with nursing colleagues, faculty, students, interprofessional colleagues, and other stakeholders. Note the closing date for submission is February 14, 2022, at midnight EDT. Please direct questions or technical issues to: sarah.simons@ana.org.

Education Section of the Report

Submit your Comments Here

Policy Statement: Dissemination of Non-scientific and Misleading COVID-19 Information by Nurses

Purpose

To address the misinformation being disseminated about COVID-19 by nurses.

For the purposes of this statement, misinformation is defined as distorted facts, inaccurate or misleading information not grounded in the peer-reviewed scientific literature and counter to information being disseminated by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA).

 

Statement

Nurses are expected to be “prepared to practice from an evidence base; promote safe, quality patient care; use clinical/critical reasoning to address simple to complex situations; assume accountability for one’s own and delegated nursing care” (AACN, 2021).

SARS-CoV-2 is a potentially deadly virus. Providing misinformation to the public regarding masking, vaccines, medications and/or COVID-19 threatens public health. Misinformation, which is not grounded in science and is not supported by the CDC and FDA, can lead to illness, possibly death, and may prolong the pandemic. It is an expectation of the U.S. boards of nursing, the profession, and the public that nurses uphold the truth, the principles of the Code of Ethics for Nurses (ANA, 2015) and highest scientific standards when disseminating information about COVID-19 or any other health-related condition or situation.

When identifying themselves by their profession, nurses are professionally accountable for the information they provide to the public. Any nurse who violates their state nurse practice act or threatens the health and safety of the public through the dissemination of misleading or incorrect information pertaining to COVID-19, vaccines and associated treatment through verbal or written methods including social media may be disciplined by their board of nursing. Nurses are urged to recognize that dissemination of misinformation not only jeopardizes the health and well-being of the public, but may place their license and career in jeopardy as well.

 

References

American Association of Colleges of Nursing (AACN). (2021). The Essentials: core competencies for professional nursing education. Retrieved from https://www.aacnnursing.org/Portals/42/AcademicNursing/pdf/Essentials-2021.pdf

American Nurses Association. (2015). Code of Ethics for Nurses. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/

 

Endorsements

National Council of State Boards of Nursing (NCSBN)

Accreditation Commission for Education in Nursing (ACEN)

American Association of Colleges of Nursing (AACN)

American Nurses Association (ANA)

American Organization for Nursing Leadership (AONL)

National League for Nursing (NLN)

NLN Commission for Nursing Education Accreditation (CNEA)

National Student Nurses’ Association (NSNA)

Organization for Associate Degree Nursing (OADN)

 

Download a PDF of this policy brief.

Trends in Nursing Academic Progression: Empowering Nurses to Navigate the Future – A Publication of NEPIN

The National Education Progression in Nursing (NEPIN) collaborative has released a report that has evaluated data to determine trends in academic progression. The analysis demonstrates key information regarding Associate Degree in Nursing (ADN) enrollment and graduation data.

Read the Report

“Over the past decade much emphasis has been placed on the importance of academic progression for the nursing workforce. Scholars and health experts agree that higher levels of education increase delivery of quality patient centered care across all health care settings. However, obtaining and analyzing equitable national and state data regarding academic progression trends in nursing is no easy task. Multiple sources and researchers have benchmarked and cross walked key data sources over the years. NEPIN, the National Education Progression in Nursing collaborative, sought to locate and evaluate a single data source to equitably interpret current trends in academic progression.

The result of that work is the Trends in Nursing Academic Progression 2016-2020 report and I am excited to deliver it to you today. NEPIN’s stakeholders understand that successful patient outcomes depend on a well-equipped and sufficiently supported nursing workforce.

It is our hope that this report highlights many of the successes over the past five years but also sheds light on the work yet to do. Our mission is not complete. In addition to the Trends report, we invite you to take a look at the many other programs and projects NEPIN has worked on recently and to consider jumping on board with us!”

Tina Lear, MHA
Executive Director
www.nepincollaborative.org

Next Generation NCLEX® News Quarterly from NCSBN

Fall 2021 Quarterly Update: Comparison between Case Studies and Stand-alone Items

Read past editions of the Next Generation NCLEX® News Quarterly from NCSBN

OADN Racial and Social Equity Position Statement: Announcement Webinar & Discussion

The OADN Diversity, Equity, and Inclusion Task Force led a discussion on October 19, 2021 regarding the recently released Racial and Social Justice position statement and the 2021 DEI Task Force charges. During this presentation, the group discussed the actions being taken by OADN to promote diversity, equity, and inclusion in nursing education and practice.

 

Future of Nursing 2020-2030: Special Presentation for OADN Members

Future of Nursing Webinar: Special Presentation for OADN Members

Recorded on September 16, 2021

Dr. Sue Hassmiller, Senior Scholar in Residence and Advisor to the President on Nursing at the National Academy of Medicine will presented a special webinar on the Future of Nursing 2020-2030 Report for the OADN Membership on September 16, 2021.  This special session discusses the report’s implications for Associate Degree Nursing, including the role of social determinants of health in the nursing curriculum.

Speaker: Susan B. Hassmiller, RN, PhD, FAAN

Susan Hassmiller is the Senior Adviser for Nursing at the Robert Wood Johnson Foundation. She was the Senior Scholar-In-Residence and Senior Adviser to the President at the National Academy of Medicine from January 2019 through August 2021. In this role, she served as a key member of the leadership team for the report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, released in May 2021. In partnership with AARP, she directs the Foundation’s Future of Nursing: Campaign for Action. This national initiative is transforming health and health care through nursing, and building a healthier America.

Hassmiller has worked in public health settings at the local, state and national levels, including the Health Resources and Services Administration. She taught community health nursing at the University of Nebraska and George Mason University.

Hassmiller is an elected member of the National Academy of Medicine, a fellow in the American Academy of Nursing and sits on other advisory committees and boards, including the Hackensack Meridian Health System, UnitedHealth, Carrier Clinic, NursesEverywhere, and the American Red Cross. She is the recipient of many awards and four honorary doctorates, but most notably the Florence Nightingale Medal, the highest international honor given to a nurse by the International Committee of the Red Cross.

Policy Brief: Clinical Experiences for Unvaccinated Nursing Students

In collaboration with the National Council of State Boards of Nursing (NCSBN) and other national nursing organizations, OADN is endorsing this very important policy brief regarding alternative clinical requests for unvaccinated nursing students.  OADN supports this policy brief as a guide for our member schools as each of you address this very important issue during these challenging times.

Download a PDF of the policy brief.

# # #

Purpose

To provide guidance to boards of nursing and nursing education programs that are receiving requests from students for alternate clinical experiences when the program’s clinical sites require the COVID-19 vaccine.

 

Context

Currently, nursing programs are receiving requests from unvaccinated students to provide alternate experiences when the designated clinical facility mandates the COVID-19 vaccine. These requests range from using 100% simulation as a substitute for the clinical experience to the program finding other types of activities and case studies/scenarios.

Much of the fear and concern over receiving the vaccine is based on misinformation and lack of knowledge about the vaccine and its development (U.S. Department of Health and Human Services, 2021). According to one study, as of August 2021, 92% of nursing faculty were vaccinated or planned to be vaccinated and 86% of currently enrolled students have been vaccinated (National Student Nurses Association, 2021). Thus, it is a small number of students who are vaccine-hesitant and affected by vaccine mandates. This policy addresses these students.

Clinical experiences are integral to nursing education. NCSBN’s National Simulation Study (Hayden et al., 2014) demonstrated that up to 50% of clinical experience can be substituted with simulation. According to the American Association of Colleges of Nursing (AACN) The Essentials: Core Competencies for Professional Nursing Education (2021), “Simulation experiences represent an important component of clinical education… However, care experiences with actual individuals or groups continue to be the most important component of clinical education…Simulation cannot substitute for all direct care practice experiences in any one sphere or for any one age group.” (page 21)

As of Aug. 23, 2021, the Pfizer vaccine has received full Food and Drug Administration approval. The vaccine protects health care professionals and students as well as patients. In fact, millions of people in the U.S. have received COVID-19 vaccines. All three of the vaccines available in the U.S. have undergone the most rigorous safety monitoring in U.S. history (Centers for Disease Control and Prevention, 2021).

The COVID-19 vaccine’s authorization is based on scientific evidence (Food and Drug Administration, 2021). Identifying, assessing, and integrating reliable evidence into one’s practice has been and continues to be an expectation for the preparation of professional nurses (AACN, 2021, 2008).

Unvaccinated individuals are at risk for contracting COVID-19, thereby increasing the chances for more variants to emerge and, more importantly, putting vulnerable individuals at risk; especially hospitalized patients, nursing home residents, health care professionals and peers who may be immunocompromised. (Plater, 2021).

 

Recommendations

  • Students should be vaccinated when clinical facilities require it so that they can participate in the clinical experience and progress in their programs.
  • Nursing education programs should reach out to students who are vaccine-hesitant and counsel the students about the benefit of the vaccine and the need for it as a student enrolled in a nursing program, and address myths and misleading information about the vaccine.
  • Course descriptions should include that a clinical component is required.
  • Nursing education programs are mandated by boards of nursing as well as accreditors to provide students with clinical experiences. They are not obligated to provide substitute or alternate clinical experiences based on a student’s request or vaccine preference.
  • Just as the nursing education program and/or clinical facilities require other vaccines, the facilities have the option to mandate the COVID-19 vaccine.
  • Boards of nursing have no obligation to waive their current rules/regulations about clinical experiences for
    unvaccinated students.
  • Transparency is essential. Even if mandated by the academic institution, students can refuse the vaccine. Therefore, if the student refuses to be vaccinated and is not entitled to a reasonable accommodation under the disability laws* or is not entitled to a reasonable accommodation for a sincerely held religious belief* then, the student (a) may be disenrolled from the institution/nursing program or (b) may not be able to fulfill the clinical requirements of the program, resulting in them not graduating.
  • Accommodations made for students under the disability laws or for a sincerely held religious belief should be decided on a case by case basis.

 

 

* In providing an academic adjustment to students with disabilities, post-secondary schools are not required to lower or substantially modify essential requirements. (U.S. Department of Education, 2011)

 

References

American Association of Colleges of Nursing (AACN). (2021). The Essentials: core competencies for professional nursing education. Retrieved from https://www.aacnnursing.org/Portals/42/ AcademicNursing/pdf/Essentials-2021.pdf

American Association of Colleges of Nursing. (2008). The Essentials of Baccalaureate Education for Professional Nursing Practice. https://www.aacnnursing.org/Portals/42/Publications/ BaccEssentials08.pdf.

Centers for Disease Control and Prevention. (2021, August 19). Key things to know about COVID-19 vaccines. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/vaccines/keythingstoknow. html?s_cid=10493:covid%2019%20vaccine:sem.ga:p:RG:GM:gen:PTN:FY21

Food and Drug Administration. (2021, August 23). FDA approves first COVID-19 vaccine. Retrieved from https://www.fda.gov/news-events/press-announcements/fda-approves-first-covid-19-vaccine

Hayden, J. K., Smiley, R. A., Alexander, M., Kardong-Edgren, S., & Jeffries, P. R. (2014). The NCSBN national simulation study: A longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. Journal of Nursing Regulation, 5(2), S3-S40.

National Student Nurses Association. (2021, August 16). Survey of vaccination status July 1 – August 15th for nursing students, faculty and new graduates reveals unexpected results. Retrieved from https://www.nsna.org/uploads/2/2/4/5/22459246/national_student_nurses_press_release_-_report_ of_july_2021_survey_of_vaccination_rates_-_final.pdf

Plater, R. (2021, August 10). Unvaccinated people are increasing the chances for more coronavirus variants — here’s how. Healthline. Retrieved from https://www.healthline.com/health-news/unvaccinated- people-are-increasing-the-chances-for-more-coronavirus-variants-heres-how

United States Department of Education. (2011). Students with Disabilities Preparing for Postsecondary Education: Know Your Rights and Responsibilities. Retrieved from https://www2.ed.gov/about/ offices/list/ocr/transition.html

United States Department of Health and Human Services. (2021). Addressing COVID-19 vaccine misconceptions. Retrieved from https://wecandothis.hhs.gov/outreach-tools/addressing-covid-19- vaccine-misconceptions

 

Endorsements

National Council of State Boards of Nursing (NCSBN)

Accreditation Commission for Education in Nursing (ACEN)

American Association of Colleges of Nursing (AACN)

American Nurses Association (ANA)

American Organization for Nursing Leadership (AONL)

National League for Nursing (NLN)

NLN Commission for Nursing Education Accreditation (CNEA)

National Student Nurses’ Association (NSNA)

Organization for Associate Degree Nursing (OADN)

Care Plan Guides in Your Curriculum – A Strategy for Enhancing Clinical Judgement

WEBINAR – Care Plan Guides in Your Curriculum – A Strategy for Enhancing Clinical Judgement

Original air date – August 17, 2021

VIEW RECORDING

Care plan guides can be excellent learning tools in developing student clinical judgement and equip students with a practical tool that can support them in their future practice. MCG care guidelines are one such tool that can also be used to assist students in understanding changes in patient acuity across a variety of care settings. Faculty can use MCG care guidelines to develop case studies, as well as a clinical tool in the pre-briefing and debriefing process. Join this webinar to discover how your nurse faculty can utilize this tremendous and FREE resource from MCG Health.

Join this webinar to:

  1. Assess the MCG evidence-based guidelines and how they can support student learning outcomes
  2. Describe how MCG resources can be utilized in the classroom and clinical settings (including simulation)
  3. Examine how MCG care guidelines can be incorporated into pre-briefing and debriefing to better support student clinical judgement

CONTINUING EDUCATION CREDIT (CE)

This webinar qualifies for 1 continuing education credit (CE) from the California Board of Registered Nursing (CA-BRN). Instructions will be provided during the webinar. To receive credit, you must watch the webinar and complete an evaluation.

  • Provider approved by CA-BRN

 

VIEW RECORDING

 

SPEAKERS

Melissa Milner, DNP, MSN-Ed, RN, Director of Nursing/Associate Professor, Adams State University – Dr. Milner currently serves as the Director of Nursing/Associate Professor for Adams State University, a small rural university in Colorado. Dr. Milner has been a nurse educator since 2013, teaching a variety of didactic and clinical courses. In 2015, she became the Director of Adams’ simulation lab and built the current simulation program. In 2016, Dr. Milner accepted the Director of Nursing position. Prior to becoming a nurse educator, Dr. Milner worked in case management and utilization review for two major insurance companies for several years. Dr. Milner became very familiar with MCG care guidelines during this time. Dr. Milner received her Master’s in Nursing with a Nursing Education Certification from the University of Phoenix and received her Doctor of Nursing Practice from Regis University.

 

 

Carol Johnson, MSN, APRN, FNP-C, CCM, Director of Academic & Quality Programs, MCG Health – Carol has been with MCG Health for over 14 years and is currently the Director of Academic & Quality Programs, after leading both MCG’s Clinical Education and Government Market teams. Carol has also worked as a program manager in case management and utilization review for two major insurance companies, training clinicians to use MCG. Carol is a life-long learner. She received her MBA from University of Phoenix and Master’s in Nursing at Austin Peay State University with a post-master’s Nurse Practitioner certificate.

 

 

WHO SHOULD ATTEND

Nursing faculty, deans and directors of nursing, program chairs, clinical and simulation coordinators, and more will benefit from viewing this webinar.

 

RELATED CONTENT