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Responding to the Need for Nurses:
A Pilot Project
Healthcare Share Spring ConferenceApril 7, 2006
It’s in the news…and it’s happening everywhere
Nursing Shortage--a world
wide problem!
FYI - Nursing Shortage
Nursing Shortage LoomsHealthcare Leaders Grapple With Workforce Issues
The nursing shortage in Virginia
Nursing ShortageNursing is the nation’s
hottest job and that status is unlikely to
change for at least a decade, according to
new government employment statistics.
What's the scoop on the nursing shortage?
Partnering for Excellence in Health Careers Education
Vision Statement: Harper College Health Career programs
Project goals
• To provide the Nursing Program curriculum in a flexible, responsive, and accountable manner to community partners.
• To provide on-site healthcare core courses that will improve career pathways within the agencies.
Harper College’s Role
• Offer fully accredited Nursing Program in a manner that supports the healthcare worker
• Offer Health Science Core courses on site at partner hospitals
• Use standard procedures and protocols
• Provide on-site advising• Hire and facilitate contracts for
faculty
Hospital Partners’ Roles
• Provide clinical sites for students in all areas of the curriculum
• Support their participating employees
• Cost-sharing with Harper College
Collaborative Efforts
• Determine academic calendar and class schedule
• Seek grant funding
Critical Skills Shortages Initiative (CSSI)
• July ’04 CSSI application with plans to address the healthcare skill shortages
• Nov ’04 awarded $150,000 for initial cohort (i.e., faculty, lab supplies, lab support, advising,
licensing fees) • July ’05 awarded additional funding• March ’06 awarded second year
funding for initial cohort
Implementation:Nursing Program
Nursing Program Expansion
•Began March 4, 2005
•Classes/lab at Harper College every Friday, 9-5
•Clinicals at NWH and SAMC every other Sat/Sun
•Complete LPN January 2006
•Complete RN December 2006
Nursing Program Expansion
• Admission
3/05 Admitted 20 qualified applicants from the partner hospitals. Priority given for having more general education courses complete.
• Curriculum Offered NLNAC accredited IDFPR approved program
Nursing Program Expansion
• FacultyHired one fulltime faculty and one adjunct faculty
• Theory/Lab/Clinical instructionAdapted to FRI/weekend format
• Lab supplies/supportLab assistant and peer tutors hired
Nursing Program Expansion
• AdvisingAcademic and nonacademic advising/counseling
• AttritionQualified students prepared to join this cohort
• LicensingExit exam and licensing fees paid by the grant
Implementation:On-site Health Science Core
On-site Health Science Core Courses
• 5 Classes offered on site at a preferred day and time for participants
• Courses:– Computer Usage in Healthcare– Introduction to the Health Care Field– Medical Terminology– Health Care Law and Ethics– Pharmacology
On-site Health Science Core Courses
• The courses offered are part of a group of core classes and are prerequisites into several career programs at Harper College
• Curriculum is identical in objectives to on-campus classes but adapted to surroundings
On-site Health Science CorePotential Careers
• Cardiac Technologist
• Nursing• Dietetic
Technician• Health Insurance
Specialist• Radiology
Technologist
• Diagnostic Sonography
• Health Care Secretary Certificate
• Etc.
On-site Health Science Core
• Began March 2005 with 20 participants from each site.
• Classes at NWH at 4pm on Tues/Thurs
• Classes at St. Alexius at 5pm on Mon/Wed
• Classes ran consecutively with little time off (July 4th week, etc.)
• Completed all 5 classes December 2005
Health Science Core
• FacultyAdjunct faculty were used, including some hospital staff from the site
• AdvisingAcademic and nonacademic advising/ counseling were held on-site, on-campus, and telephonically/ electronically as applicable. Topics included test taking skills, memorization techniques and career pathing
Health Science Core Retention
• 23 completed all 5 classes
• 31 completed at least 4 classes
• 35 completed at least 3 classes
• 38 completed at least 2 classes
Program Evaluation:Methodology and Results
A multi-method research strategy
• Survey of Current Students
• Other Student Information– Course grades– Usage of Advising and Counseling
services
• Exit Interview of Non-Continuing Students
• Supervisor Assessment of the program
Survey of Current Students
• What students liked best about the program
• Satisfaction with facets of instruction
Survey of Current Students: Results
0%10%20%30%40%50%60%70%80%90%100%
Other
Program looks good on my resume
Finishing the program should help me advance in myjob
Learning things that are helping me to do my job better
Classes are challenging
Classes are interesting
Classes fit with my activities/responsibilities outside ofwork
My supervisor supports the program
Classes fit with my work schedule
What Students Like Best About the Program
HSC NUR
Survey of Current Students: Results
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
% Satisfied/Very Satisfied
Support services
Scheduling of classes
Location of classes
Lab and clinical experiences
Textbooks and other materials
Relevance of what you’re learning
Instructors
Fac
ets
of I
nst
ruct
ion
Students Satisfied/Very Satisfied with Program
HSC NUR
Student Information
• Grades
• Advising & Counseling
• Application to other Healthcare programs (HSC students only)
Student Information: Grades
0%
10%
20%
30%
40%
50%
60%
70%
Percen
t A
ward
ed
A B C D F W
Grade
Percentage of Grades Awarded
Overall
NUR
HSC
Student Information: Usage of Advising and Counseling Services
• Harper’s advisors have had approximately 240 student contacts since the program started
• Student contacts include individual counseling sessions, group counseling sessions, and informal discussions Approximately 80% of the contacts occurred during scheduled group sessions
• Most of the contacts (nearly 90%) occurred in the first semesters of the program
Student Information: Application to Other Health Programs
• Among the HSC students, 8 have already applied to Harper’s limited enrollment health careers programs:– 5 have applied to Nursing– 2 have applied to Radiologic
Technology– 1 has applied to Sonography
• Admissions decisions are pending
Exit Interviews: Results
• Exit interviews are ongoing, have been conducted with 9 students
• They left the program due to their schedules, test-taking skills, and other events in their lives
Supervisor Assessment
• Current impact of the programs
• Expected future impact
• Should the programs continue
Supervisor Assessment: Results
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Other
Employee knowledge
Employee skills
Employee motivation
Employee morale
Scheduling employees for work
Program Impact
No impact Negative impact Slight positive impact Dramatic positive impact
Supervisor Assessment: Results
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Other
Employee retention
Employee knowledge
Employee skills
Employee motivation
Employee morale
Future Impact of Programs
Don’t know Not likely Maybe Yes
Supervisor Assessment: Results
Should Programs Continue?
96%
4%
Yes
Undecided
No
Supervisor Assessment: Results
• Supervisors believe that employees are getting a lot out of the program
• Supervisors noted the importance of retaining employees after they finish the program– retention of skilled employees is always
an issue– they believe that retention is more likely
under this structure than traditional classes
Summary• Students are engaged in the program: 84 to
98% were satisfied or very satisfied with each rated aspect. The program fits their schedule, prepares them for a career, and is interesting
• Students are successful in the program: overall nearly 50% are getting As in their classes; 94.5% are passing their classes
• Few students are exiting the program; those that do indicate a desire to return when circumstances allow
• Supervisors are already seeing some positive results in employee morale, motivation, knowledge, and skills, and expect to see more positive impact in the future
Lessons Learned
Successes and Challenges
Successes• Student satisfaction• Partner collaboration• Employee morale• College resources and staffing• Increased numbers of licensed nurses• Increased numbers prepared to enter
other allied health care programs
Successes and Challenges
Challenges• Short turn around for funding request• Impact on other college departments• Timeliness of tuition reimbursement• Weekend schedule
• Access to ancillary services on the weekend• Student/faculty connection to the college
Successes and Challenges
Challenges• Securing staff
schedule salary
• Acceptance of change and recognition that things can be done differently
• Ongoing funding support
Next steps
Remaining timetable for pilot project - Nursing
Friday/weekend cohort (n=20)– March/April 2006 – anticipated LPNs– December 2006 – anticipated RNs
Next steps
Remaining timetable for pilot project – Health Science Core
• 2 new cohort groups started in January at NWH and SAMC with another 40 participants. Course involved are:– Computer Usage in Healthcare– Introduction to the Health Care Field
– Medical Terminology
• Added partner in Good Shepard Hospital with new cohort in Health Science Core
Next steps (cont.)• Sustain and initiate new partnerships
• Continue dual admission into Nursing Program
• Increase enrollment in Nursing Program
• Continue on-site offerings of health science core courses
Contact Information
Harper College Web site www.harpercollege.edu
Peg Gallagher, Director of Grants & Strategic Initiatives [email protected]
Joe Baumann, Manager Academic Research Services [email protected]
Elizabeth Pagenkopf, Chair Health Science Core [email protected]
QUESTIONS??
Thank you
