RNPC July 1 2018 June 30 2022 Registered Nurses in Primary Care RNPC Karen M Daley PhD RN Dean College of Health Professions Project Director ID: 914210
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Slide1
HRSA – NEPQR Grant
Registered Nurses in Primary Care
(RNPC)
July 1, 2018 – June 30, 2022
Slide2Registered Nurses in Primary Care (RNPC)
Karen M. Daley, PhD, RN
Dean, College of Health Professions - Project Director
Grant Team
Dana Hill, MM, BAS Academic Advisor
Heather Hunt, MSN, RN Faculty
Rachel Whitney, BA Research Assistant
Mary Ziomkowski, DNP, MEd, RN Coordinator/Liaison
Advisory Team
Amy
Stahley
, PhD, MSN, RN Associate Dean for Nursing
Kelli
Leask
, MSN, APRN, FNP-C Department Chair for Nursing
Michele Davis, BA Executive Director of Grant Development
Slide3Registered Nurses in Primary Care (RNPC)
Acknowledgements
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UK1HP31714 and titled "Nurse, Education, Practice, Quality, and Retention - Registered Nurses in Primary Care" for grant amount $2,410,071, with 0% financed with nongovernmental sources. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
Slide4Relevant Davenport History
In 1866, less than one year after the end of the Civil War, Union Army veteran Conrad G.
Swensberg
founded the Grand Rapids Business College (now Davenport University)
to assist returning veterans in obtaining employable skills in the rapidly growing business
sector.6
DU is a Military Friendly School with specialized programs to assist active military and
veterans succeed
Slide5Background for Initiative
Affordable Care Act (ACA) of 2010 calls for a national strategy to improve delivery of health care services, patient care outcomes, and population health.
1
ACA emphasizes a shift from the acute care model to a preventative care model through coordination, quality, and efficiency of health care.
1
Focused efforts are needed to prepare RNs to deliver high quality care in community-based ambulatory care settings to meet the needs of complex and diverse patients.
2,3
RNs must function as highly skilled care managers in ambulatory care settings
Military veterans seeking care in outpatient settings often experience unique challenges in meeting health care needs.
4,5
Slide6Purpose of the Grant
To build the workforce of primary care RNs by enhancing educational opportunities within BSN programs through the application of evidence-based standards and best practices for community-based ambulatory primary care (CBAPC) settings.
To contribute to the scientific knowledge base for evidence-based practice specific to the CBAPC setting, resulting in sustained professional development for RNs to positively impact patient care and transform healthcare.
Slide7Objectives of the Grant
To enhance the nursing education of BSN-PL students
and prepare them to care for patients in primary care
settings, with the potential to transition directly into the
primary care workforce upon graduation.
To enhance the knowledge and skills of current RNs
caring for military veterans in CBAPC settings.
Slide8Collaborative Partnership
Davenport University School of Nursing
Currently
Lettinga
Campus with potential to include
Lansing and other campuses
Wyoming VA Community-Based Outpatient Clinic (CBOC)
VISN 10 – Battle Creek VA Medical Center
Potential to include additional CBOC sites
Slide9Primary Care/Veteran-Centric Model
RNPC Model Developed by Davenport University
in Collaboration
with Wyoming VA CBOC
Slide10Education and Training Focus
Education & Training for DU BSN-PL students
Ambulatory (primary) care concepts
Military cultural awareness
Provision of healthcare to military veterans
Professional Development for CBOC RNs
Scope & standards of practice for professional ambulatory care nursing
Preparation for AAACN certification if desired
Slide11Significant Components
Clinical experiences within a VA community-based clinic
Varied learning formats (classroom and online)
Simulation training & Standard Patient experiences
Mindfulness stress relief training
Professional soft skills training
12-week 40-hour/week paid summer externship
Slide12Instructional Design
Essay application process annually each April for 3 years
Selection of up to 10 students/cohort entering the junior year
Students participate during the junior and senior years
Scholarship awards available for qualifying students
Didactic & clinical experiences each semester
Curriculum & clinical aligns with BSN-PL course objectives
Paid externship during summer after junior year
NUR325c students observe for one day at Wyoming CBOC
Slide13Preview Experience
During NUR325c (mental health), all sophomore BSN-PL students participate in a 4-hour observation at the Wyoming VA CBOC. Students are assigned to a Patient Aligned Care Team RN to observe delivery of primary health care to military veterans.
Prior to the observation, students are required to complete online learning modules related to primary care and the specific health care needs of military veterans.
Pre- and post-assessments are given to measure student understanding of health care services provided at the VA.
Slide14Year 1 Observation Data
Slide15Student Reflections
“It was a valuable experience. Not only to experience primary care nursing, but also to learn about the VA itself.”
“I loved being paired with a nurse that was an Air Force veteran. She was extremely enthusiastic about her job.”
“As a veteran myself, I have always heard that you don’t want to use the VA. With that bias in mind, I was pleasantly surprised to find the care given to patients was outstanding.”
“My experience at the VA really opened my eyes [to veteran care].”
Slide16References
1 Health Protection and Affordable Care Act. (2010). Retrieved from http://housedocs.house.gov/
energycommerce
/ppacacon.pdf
2
Smolowitz
, J.,
Speakman
, E.,
Wojnar
, D., Whelan, E.M., Ulrich, S., Hayes, C., & Wood, L. (2014). Role of the registered nurse in primary care: Meeting health care needs in the 21
st
century.
Nursing Outlook, 63,
130-136.
3
Wojnar
, D. & Whelan, E.M. (2016). Preparing nursing students for the enhanced roles in primary care: The current state of
prelicensure
and RN-to-BSN education.
Nursing Outlook, 65,
222-232.
4 Linn, B., Butler, L., Bruce, S., McClain-
Meeder
, K., & Meeker, M. (2015). On working with veterans: What social work and nursing students need to know.
The Journal of Military and Veterans Health, 23
(3), 5-11.
5 Martinez, R.N., Gordon, E.J., Tully, S., Silva, A.,
Tarlov
, E., French, D.D.,
Huo
, Z., Smith, B.M., Gordon,
H.S., &
Stroupe
, K.T. (2017). A mixed-methods study of veterans affairs providers’ experiences communicating with patients about the Affordable Care Act.
Military Medicine, 182
(5/6), e1715-e1723.
6 Brown, T., &
Moceri
, M. (2016).
Davenport educating across three centuries.
Ann Arbor, MI: University Litho.
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