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On this page: Arizona
| California | Colorado
| Florida | Georgia
| Illinois | Indiana
| Maryland | Massachusetts
| Michigan | Minnesota
| Mississippi | Missouri
| Nebraska | Nevada
| New Jersey | New
York | North Carolina | Ohio
| Oklahoma | South
Carolina | Tennessee | Washington
| Wisconsin | Wyoming
Arizona
Grant Number: D11HP08318-01
Project Title: Nurse Education and Training in Stroke
Management and Acute Reperfusion Therapy (NET SMART)
Applicant Organization: Arizona State University
Address: 500 N. 3rd St., Phoenix, AZ 85004
Project Director: Anne Wojner-Alexandrov
Phone: (602) 496-0926
Email: anne.wojner-alexandrov@asu.edu
Organization Website: http://nursing.asu.edu/
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: This project grant will support
the N urse E ducation
and T raining in S troke
M anagement and A cute
R eperfusion T herapy
(NET SMART) Acute Stroke Fellowship, a continuing
education program aimed at preparing advanced practice
nurses (APNs) or clinical leadership roles in the
care of acute stroke patients. Stroke is the third
leading cause of death in the U.S., effecting over
700,000 Americans each year, with another 300,000
experiencing transient ischemic attack, and consistently
ranks in the top 5 emergent hospital admission diagnoses.
A current shortage of neurologists to respond to stroke
emergencies is considered a significant factor contributing
to low tissue plasminogen activator (tPA) treatment
rates in the U.S., which remain at approximately 3-4%
despite drug approval for ischemic stroke in 1996.
With demands for the development of Stroke Centers
increasing, and consumer expectations for acute stroke
treatment rising, acute care hospitals are aggressively
pursuing use of APNs to support this shortage area.
Continuing education programs capable of building
APN knowledge and skills are currently lacking, and
urgently necessary to promote entry, and/or transition,
to acute stroke APN positions, to support improved
WA treatment numbers and expansion of Stroke Centers
in the U.S. The NET SMART program will make available
an internet-based Acute Stroke Fellowship, supported
by on-site clinical preceptorships at an eastern and
western participating Comprehensive Stroke Center.
APN participants in NET SMART will complete a total
of 19 internet-based modules; each module may be completed
at participants’ own pace, and will be complemented
by clinical learning activities and post-tests. Once
all modules are successfully completed, participants
will progress to the on-site clinical preceptorship
and validation session, during which time an interdisciplinary
team of clinical experts will evaluate diagnostic,
clinical decision making, and overall critical thinking
skills. Upon satisfactory completion of the entire
program (internet-based modules and clinical preceptorship),
participants will receive a NET SMART Acute Stroke
Fellowship Certificate from the Arizona State University
College of Nursing and Healthcare Innovation. NET
SMART is positioned to play an important role in reducing
stroke disability and death, ultimately improving
societal outcomes and reducing stroke burden among
those individuals at high risk for this cardiovascular
disease.
California
Grant Number: D11HP08389-01
Project Title: LV1V-RN BRIDGE
Applicant Organization: St. Francis Medical Center/St.
Francis Career College
Address: 3630 East Imperial Highway, Lynwood CA 90262
Project Director: Alice D. Campbell, BSN, MPH, NP
Phone: 310-900-8058
Fax: 310-763-3987
Email: alicecampbell@dochs.org
Organization Website: www.stfrancismedicalcenter.org
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: The L VN-RN BRIDGE program
addresses NEPR Purpose RI: Nursing Bridge Career Ladder
Programs. We are requesting a preference factor because
our project will substantially benefit underserved
populations.
LVN-RNBRIDGE will transition SFCC Licensed
Vocational Nurse (LVN) graduates into the Associate
Degree in Nursing (ADN) program at East Los Angeles
College (ELAC), building on an eight-year collaboration
between the colleges. ELAC has a long-standing RN
program, but no space to expand. Today, SFCC has 240
LVN students poised to respond to the nursing shortage,
if only existing nurse education programs could accommodate
them. LVN-RNBRIDGE will expand ELAC’s ADN capacity
by one third, enrolling 144 students in RN courses
(over three years) taught by ELAC faculty primarily
on the SFCC campus.
NEEDS TO BE ADDRESSED: California ranks last
in the nation in RNs per capita, while the State’s
nurse education openings continue to decline. RN shortages
are most extreme in the Los Angeles region. ELAC’s
RN program, where most SFCC VN graduates seek to enroll
for their RN, has no space to enlarge its RN cohorts.
However, SFCC can expand into additional space in
the large building in which the college is located,
providing space for this new L VN-RJ’T BRIDGE project.
By providing career advancement opportunities for
LVNs from low-income minority communities in Southeast
Los Angeles, LVN-RN BRIDGE will increase the
number of RNs caring for underserved populations.
PROPOSED SERVICES: ELAC faculty will provide
core nursing courses, primarily on the SFCC campus,
to SFCC LVN graduates who have completed their general
education and RN prerequisites. Students will benefit
from both ELAC’s ADN expertise and SFCC’s Comprehensive
Student Support Services (academic, financial, and
personal support; emergency assistance; social service
referrals). L VN-RN BRIDGE will graduate at
least 63 RNs by the end of the project period, and
63 RNs within the following 18 months.
This unique collaboration will achieve an 85% retention
rate, an 85% passing rate on NCLEX-RN exams, and a
90% employment rate.
POPULATION GROUPS TO BE SERVED: Most students
will be low-income minorities (primarily Hispanics
and African Americans). L VN-RN BRIDGE will
provide them with career advancement in the nursing
profession. All graduates will work for at least two
years in underserved areas, providing excellent culturally
competent health care to low-income, minority, underserved
population groups in Southeast Los Angeles and elsewhere,
reducing their health barriers and healthcare disparities.
SFCC/ELAC LVN-RN BRIDGE
Grant Number: D11HP08320-01
Project Title: Academic Nursing Bridge Career Ladder
Advancement Support System (CLASS-AB)
Applicant Organization: Riverside City College
Address: 4800 Magnolia Avenue, Riverside, CA 92506-1299
Project Director: Dr. Marie Colucci
Phone: (951) 222-8238
Fax: (951) 222-8745
Email: marie.colucci@rcc.edu
Organization Website: http://www.rcc.edu
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: Riverside City College (RCC)
proposes a three year HRSA Continuation Grant to relieve
the nursing shortage in the surrounding region of
inland Southern California. The project will address
retention of nurses and will further develop four
career ladder bridge programs using previously established
grant infrastructure with six regional hospitals.
The community is experiencing a severe nursing shortage
crisis, and the project will address the crisis with
increased retention of nursing students through an
academic bridge career ladder project that includes
distance education in partnership with California
State University, Fullerton. The continuing CLASS
Academic Bridge Project will increase enrollment in
CNA to LVN by 36 students; LVN to ADN by 30-50 students;
CNA to ADN by 36 students; and ADN to BSN by 25 students.
The project will serve 127-147 nursing students and
graduates. The CLASS-AB grant project will increase
the workforce of graduating RNs (ADNs) by 102-122
and the workforce of ADN to BSN nurses by 25 BSN nurses
for an increase of 127-147 additional graduate nurses
in the community nursing workforce. The project will
increase the number of graduate RNs and BSNs to begin
to fill the many open nursing positions in all health
care arenas. The nursing students will learn key concepts
of cultural competency across the curriculum. The
CLASS-AB project is a model for other community colleges
in decreasing the nursing shortage by increasing the
number of graduate nurses from their nursing programs.
Riverside City College’s School of Nursing student
body reflects and serves the minority, low income,
and underrepresented populations of the community.
RCC nursing programs are the largest producers of
nurses in the inland region of Southern California,
with high student passage rates on the national nursing
exams. RCC integrates Healthy People 2010 focus areas
and objectives into nursing courses.
During this grant period, a new RCC School of Nursing
Building will be constructed and equipped to state-of-the-art
specifications; the Riverside Community College District
has made a commitment to maintain the grant-funded
nursing instructor positions so the increased HRSA
nursing student capacity can be maintained; and the
California State University, Fullerton partnership
has pledged ongoing continuity for the distance education
ADN-BSN program.
The project results will be evaluated with quantitative
and qualitative methods to document the outcomes of
the project.
Grant Number: D11HP00510-06
Project Title: Improving Health Equity for Children
and Families
Applicant Organization: University of California,
San Francisco (UCSF)
Address: Department of Family Health Care Nursing,
2 Koret Way, Box 0606, San Francisco, CA 94 143-0606
Project Director: Janice Humphreys, RN, PhD, PNP
Phone: (415) 476-4432
Fax: (415) 753-2161
Email: Janice.humphrey@nursing.ucsf.edu
Organization Website: UCSF School of Nursing - http://nurseweb.ucsf.edu/
or Valencia Health Services http://nurseweb.ucsf.edu/conf/vhs/
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: Summary: The need for our proposed
program is based upon results of Healthy People
2010 health indicator data collected during our
initial HRSA project and specifically addresses the
increased incidence of overweight/obesity and sedentary
behavior among ethnically diverse and underserved
children seen at Valencia Health Services (VHS), our
nurse managed center (NMC).
The proposal addresses this need by providing a number
of services. First, the proposal directly addresses
health disparities by increasing access to care at
an established and highly regarded nurse managed center,
VHS. Our goal is to increase access to care for uninsured
patients and to increase patient access to preventive
and acute care services. Second, the proposed project
offers an innovative, multidimensional program to
reduce overweight and obesity via a tailored, culturally
sensitive program that promotes physical activity
in children and families. We plan to achieve this
goal through translational research-based primary
care lifestyle interventions and evidence-based best
practices in the areas of nutrition, physical activity
and behavioral/mental health. We will enhance VHS
provider skills and confidence in health counseling,
offering: (a) activity counselor-based physical activity
and nutrition interventions; (b) behavioral intervention
to enhance parenting skills; (c) case management that
coordinates, individualizes, and supports services;
and (d) community-based mentoring to support patient
goals and facilitate success.
The proposed services build upon the existing infrastructure
at VHS and on our accomplishments during the previous
HRSA funding period. We will partner with insurers,
hospitals, and community agencies to provide incentives
and support for children and families adhering to
health-promoting programs. Finally, we will increase
the number of undergraduate and graduate health professions
students exposed to an interdisciplinary health-promoting
curriculum and to services for multicultural children
and families at risk for overweight and inactivity.
Colorado
Grant Number: D11HP8388-01
Project Title: Colorado Consortium for Nursing Leadership
Development
Applicant Organization: Colorado Center for Nursing
Excellence
Address: 5290 East Yale Circle, Suite 102, Denver
CO 80222
Project Director: Karren Kowalski, PhD, RN, FAAN
Phone: (303) 715-0343, ext 15
Fax: (303) 715-0347
Email: karren.kowalski@worldnet.att.net
Organization Website: www.coloradonursingcenter.org
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: The purpose of the Colorado
Consortium for Nursing Leadership Development is to
provide frontline nurse leaders with skills necessary
to effectively lead and manage care delivery within
complex health care systems. ( HRSA Purpose P3: Providing
Managed Care, Quality Improvement and Other Skills
Needed to Practice in Existing Organized Health Care
). Project goals are to improve frontline leader and
staff nurse retention and patient satisfaction through
development of frontline leaders, including charge
nurses, nurse managers and supervisors by means of
educational and coaching interventions.
The need for this project is supported with strong
evidence that creating work environments for nurses
that are most conducive to patient safety and quality
of care requires knowledgeable and effective nursing
leadership. Nursing research has also identified
leadership and the working relationship with a staff
nurse’s immediate supervisor as one of the most important
factors in staff nurse retention. This critical need
for leadership capability holds true for all components
of the continuum of care and can be especially acute
for those with the fewest resources including remote
rural providers, long term care and public health
systems. At the same time there is little evidence
of focused development of leadership competencies
for first level nurse leaders including charge nurses
who serve as the frontline in managing communication
breakdowns, unmet patient needs and expectations,
upset staff and families and abusive behaviors of
other members of the care delivery team.
Objectives of this project include the delivery of
training, skill building and coaching for frontline
nurse leaders designed to enhance and support their
ability to manage change, communicate effectively,
deal with difficult personnel problems and create
a culture which encourages the growth and learning
of each staff nurse while assuring patient safety
and satisfaction. Project activities include the assessment
of current leadership and coaching competencies, delivery
of leadership educational content for frontline leaders;
the delivery of coaching and skill building competencies
for selected coaches; and the tracking, reporting,
analysis, evaluation and dissemination of outcomes.
Project engagement, effectiveness and sustainability
will be assured through the efforts of a Project Planning
Committee composed of influential senior nursing leaders
from across the state
A total of 12 acute and long-term care sites within
Colorado will participate throughout the project period.
They include sites within federally designated low
income and underserved regions. In addition county
and public health nurses from counties adjacent to
project facilities will participate. The project
will impact a minimum of 5000 patients per year and
a minimum of 120 frontline managers and 120 coaches
who in turn will impact the work environment of significant
numbers of staff nurses, conservatively estimated
at 1200 in the first year alone.
Florida
Grant Number: D11HP08321-01
Project Title: RN Critical Care Residency for Urban
and Rural Hospitals
Applicant Organization: Florida Hospital
Address: 601 East Rollins Street, Orlando, FL 32803
Project Director: Debra M. Pusateri, MSN, RN
Phone: 407-303-1680
Fax: 407-303-7708
Email: debbie.pusateri@flhosp.org
Organization Website: www.flhosp.org
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: Florida’s nursing shortage has
been described as intractable. There is increasing
concern that the current shortfall may soon reach
unprecedented levels, as the state’s older adult population
continues to both grow and gray, and a disproportionately
large percentage of its RNs near retirement. There
is also wide agreement that capacity constraints and
a lack of resources are responsible for the gap between
the supply and demand for RNs in Florida. The shortage
is especially daunting in critical care units—highly
technical environments serving the most vulnerable
of patients where nurses must be equipped with advanced
training and specialty skills.
Florida Hospital is a 1,817-bed tertiary acute care
medical center with seven campuses in the tri-county
Orlando area. It is the largest healthcare provider
in Central Florida and serves more Medicare inpatients
than any other U.S. hospital. In response to the state’s
need for increased capacity for nurse education and
training, Florida Hospital proposes to expand its
current adult critical care residency program beyond
traditional classroom boundaries through electronic
distance learning technology, bringing new educational
opportunities to at least 500 recent graduate, transfer,
and re-entry nurses practicing in 17 urban and rural
hospitals in the Adventist Health System (AHS) across
Florida. The proposed project addresses Purpose
E-2 of the Nurse Education, Practice and Retention
Program by developing and implementing a residency
program to encourage mentoring and the development
of specialty practice in adult critical care.
Residents will complete 60 hours of didactic curriculum
consisting of current course content that has been
transformed into electronic distance learning modules
based on American Association of Critical-Care Nurses
(AACN) core curriculum and National League for Nursing
(NLN) continuing education standards, The project
will also create two new, formalized training modules
to prepare 385 experienced RNs to function in preceptor
and mentor roles; and provide residents with up to
16 weeks of clinical experience guided by a preceptor
and followed by clinical mentoring. Unlike traditional
classroom programs, the in-time nature of the courses
will give all project participants the flexibility
to start at any time during the year, expanding the
capacity and accelerating the process for educating,
training, and mentoring novice nurses.
Project objectives will address BHPr Goal 3 and
Healthy People 2010 Objective 12-1: 1) Increase
theoretical knowledge of residents in the adult critical
care specialty; 2) Increase the ability of experienced
RNs to function as preceptors and mentors; 3) Increase
the skill and clinical competence of residents, to
promote improvements in job performance and quality
of care; and 4) Increase the confidence and job satisfaction
of residents, to promote increased retention. By using
national testing instruments such as the Basic Knowledge
Assessment Test (BKAT) to measure project outcomes
and applying the Academy of Medical-Surgical Nurses’
Nurses Nurturing Nurses mentoring program,
the structured and standardized nature of this project
should allow others to replicate project activities.
The project will also open the door for future expansion
to 22 additional ABS hospitals outside of Florida,
enhancing its geographical reach and potential long-term
benefits on the nursing workforce pipeline.
Georgia
Grant Number: D11HP08391-01
Project Title: Journey Towards Excellence II: Preceptor
& Mentor Development
Applicant Organization: Grady Health System
Address: 80 Jesse Hill Jr. Drive, SE, Box 26062, Atlanta,
Georgia 30303
Project Director: Linda G. Toomer, MSN, RN
Phone: 404-616-5805
Fax: (404) 616-9639
Email: ltoomer@gmh.edu
Organization Website: www.gradyhealthsystem.org
Project Period: 07/01/07 – 06/30/10
Abstract Narrative: Journey Towards Excellence
II: Preceptor & Mentor Development Project is
a competing continuation application, which focuses
on the Nurse Education, Practice and Retention (NEPR)
Education Priority Area, Purpose E-2: Developing and
implementing internship and residency programs to
encourage mentoring and the development of specialties.
Journey Toward Excellence: RN Residency Program
was funded in 2003 when the diminishing RN workforce
in Georgia had severely impacted the RN vacancy rate
at Grady Health System (Grady) in Atlanta, Georgia.
At that time, Grady’s RN vacancy rate was 41% compared
to the national average of 11% and state rate of 13.3%.
This equated to 347.3 vacant full time positions.
To further compound the problem, over 50% of the RN
workforce was newly licensed. This 24-month program
targeted registered nurses with less than 12 months
experience, reentering RNs, foreign nurses newly licensed
in the USA, and RNs changing specialties. Nurses
selected for the program were provided a comprehensive
mix of structured clinical and theoretical education
above and beyond the basic 90-day orientation with
a clinical preceptor. The program was built on the
premise that a planned residency program would influence
job satisfaction, improve retention, positively influence
patient outcomes, and contribute to the development
of culturally responsive nurses. The first 3 months
of the program focused on basic knowledge and skill
development. As the resident progressed through the
first year, advanced clinical, leadership, and critical
thinking skills in a multicultural health care environment
were fostered. During the second program year, participants
branched into self- selected areas of specialty.
Throughout the program, residents were to be mentored.
Significant program successes include a comprehensive
curriculum, a diverse group of residents, and a program
retention rate of 88%. Program weaknesses were the
lack of formally trained preceptors and the absence
of a developed mentor infrastructure. This successful
program is currently self-sustaining and department-based.
Funding sought in this application will not include
activities necessary to maintain this program rather
it will target the development of milestones not achieved.
The proposed project will build upon the foundation
of the original project goals: 1) Facilitate the transition
of newly hired RNs into competent nurses who are confident
and provide safe care to a diverse, multicultural,
under-served patient population; 2) Increase the recruitment
and retention of newly hired RNs practicing in a facility
which serves the underserved population; 3) Impact
patient outcomes by improving job performance and
patient care delivery; 4) Impact the RN agency utilization
and vacancy rates by retaining RNs in the workforce,
and address project goals not achieved.
The key outcome, nurse retention, will be positively
affected through the goals of the proposed program.
Specifically the proposed project will impact goal
# 2 by: a) increasing the number, training,
and satisfaction of Preceptors; b) developing a mentor
program; and c) increasing the diversity of our preceptor
pool to mirror the RN Resident population.
Grant Number: D11HP08357-01
Project Title: Gateway to Health:Eliminating Health
Disparities in the Homeless
Applicant Organization: Nell Hodgson Woodruff School
of Nursing at Emory University
Address: 1520 Clifton Road, Atlanta, Georgia, 30322
Project Director: Monica Donohue
Phone: 404-727-5291
Fax: 404-727-0536
Email: midonoh@emory.edu
Organization Website: http://www.nursing.emory.edu/nursing/index.cfm
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: The purpose of this Nurse Education,
Practice and Retention grant proposal, “Gateway to
Health: Eliminating Health Disparities in the Homeless”
which addresses NEPR Purpose P2, is to provide health
care to a medically underserved, high-risk homeless
client population at a large homeless services center
known as the Gateway Center in downtown Atlanta, Georgia.
The Nell Hodgson Woodruff School of Nursing (NHWSN)
at Emory University will achieve this by expanding
its partnership for health with the Gateway Center
to include: 1) a faculty practice which utilizes the
parish nurse model and focuses on health education,
health counseling, health advocacy and referral, and
the integration of faith and health for homeless clients
2) expanded and coordinated service-learning and clinical
experiences for NHWSN pre-licensure RN students and
graduate nursing students 3) utilization of a volunteer
corps of nursing faculty, registered nurses, and nursing
students with knowledge, expertise and/or interest
in providing care to Gateway clients 4) project participation
by an interdisciplinary team of students from the
School of Nursing, Rollins School of Public Health
and Candler School of Theology enrolled in the NHWSN
Faith and Health Certificate Program 5) health education
for the Gateway staff on health issues related to
homeless ness and to the agency and 6)increased numbers
of nurses skilled in the delivery of culturally competent
care for the homeless.
The health care services provided through the faculty
practice, with assistance from NHWSN students, an
interdisciplinary team of students and registered
nurse volunteers, will target the goal of eliminating
health disparities as established by Healthy People
2010 and the Bureau of Health Professions. Services
will spotlight Healthy People 2010 high priority Focus
Area diseases prevalent in homeless populations and
will include:
health education classes on disease prevention and
health promotion, screenings for hypertension, diabetes
and obesity, one-on-one health promotion counseling
sessions, exercise classes, foot and hand clinics
and healing services. Through advocacy and referral
and the creation of a Health Resource Center within
the Gateway Center, access to care will be improved.
An integration of faith and health will also be reflected
in this practice. During the three years of this project,
4,000 homeless clients will be served and 393 under-
graduate and graduate nursing students will receive
enhanced education.
“Gateway to Health: Eliminating Health Disparities
in the Homeless” will strengthen the nursing workforce.
By incorporating health care services that are reality
based into the project, NHWSN will prepare a cadre
of nurses who are comfortable in providing care to
the underserved, encourage more nurses to move into
careers that focus on meeting the needs of underserved
populations and improve their retention. This project
also seeks to increase the number of nurses skilled
in the delivery of culturally appropriate health care
for the homeless thereby improving the quality of
care provided to vulnerable populations.
Grant Number: D11HP08387-01
Project Title: St. Mary’s Nurse Managed Health Center
Applicant Organization: Armstrong Atlantic State University
Address: 11935 Abercorn Street; Savannah, Georgia
31419
Project Director: Dr. Anita S. Nivens
Phone: (912) 921-5724
Fax: (912) 920-6570
Email: nivensan@mail.armstrong.edu
Organization Website: http://www.armstrong.edu
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: St. Mary’s Nurse Managed Health
Center is a project submitted under Title VIII, NEPR
Program to address Purpose P1: Expansion of a nursing
practice arrangement in a non-institutional setting
to demonstrate methods to improve access to primary
health care in medically underserved communities.
This Project will expand primary care services to
address the health needs of low income, uninsured
and disadvantaged persons living in Chatham County,
Georgia and represents a collaborative endeavor between
Armstrong Atlantic State University (AASU) and St.
Mary's Community Center. Both organizations are located
in Savannah, Georgia. To date, an arrangement between
AASU's Department of Nursing and St. Mary's Community
Center has yielded the establishment of a small, part-time
pilot nursing project staffed by volunteer NP faculty.
The goal has been to provide limited primary healthcare
to uninsured residents of the Cuyler-Brownsville neighborhood
in Savannah. This project will expand the current
St. Mary’s pilot into a fully operational nurse managed
center that has the capacity to provide free primary
care services to uninsured clients in Chatham County.
The expansion will increase the geographic boundaries
of the project to include the larger Chatham County
area. This project is timely and needed in that the
poverty level for Georgia residents is higher than
the national average. The State of Georgia also has
the fastest growing number of uninsured individuals
in the nation. It is estimated that 15.8% of Chatham
County residents in this region are uninsured with
racial disparity noted in both the uninsured rates
as well as the number of local residents with no primary
care provider.
The St. Mary’s Nurse Managed Health Center project
utilizes several HRSA goals as foundational to the
project objectives that are explicated as follows:
- Expand the existing St. Mary’s clinic pilot project
to a nurse managed center with increased capacity
to provide primary care for uninsured clients in
Chatham County, Georgia (BHPr Goal 2: Eliminate
Health Disparities: Assure the availability of a
full range of healthcare skills and services to
populations bearing a disproportionate share of
disease and disability).
- Acquire electronic technologies and information
systems within the nurse managed center to facilitate
communication and continuity in the provision of
primary care.
- Establish clinical education sites within the
nurse managed center for nursing and other health
professions students ( BHPr Goal 3: Assure
Quality of Care: Improve the knowledge, skills,
competencies and outcomes of the health professions
workforce).
- Network and share information and expertise with
other nurse managed centers in the state and nation.
Illinois
Grant Number: D11HP08319-01
Project Title: Integrated Health Care Without Walls
(IHC WOW)
Applicant Organization: University of Illinois at
Chicago, College of Nursing
Address: 845 South Damen Avenue (MC 802) Chicago,
IL 60612
Project Director: Judith Lloyd Storfjell, PhD, RN
Phone: 312-996-4299
Fax: 312-996-3848
Email: jstorfjl@uic.edu
Organization Website: www.uic.edu/nursing
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: Integrated Health Care (IHC)
is a nurse-managed center of the College of
Nursing (CON), University of Illinois at Chicago ((MC)
through which UIC faculty family nurse practitioners
and mental health clinical nurse specialists, provide
integrated primary physical and mental healthcare
services for people with serious mental illness
(SMI) such as schizophrenia, bipolar disorder,
or major depression and with or at risk for co-morbid
chronic physical disease in partnership with Thresholds,
the leading interdisciplinary freestanding psychiatric
rehabilitation agency with locations throughout metropolitan
Chicago. In spite of the fact that IHC has grown to
four clinic sites located in or near these psychiatric
rehabilitation centers, services remain inaccessible
for one group of Thresholds clients (called members)—those
who are homebound and socially isolated by limitations
due their serious mental and physical illnesses—many
of whom live in group homes or geographically
clustered housing units.
The purpose of this proposed project is to dramatically
increase access to integrated health care services
in order to improve health outcomes for these
vulnerable, hard-to-reach Thresholds members
through an innovative combination of outreach
strategies to include: a) house calls, b) group
visits, and c) telemonitoring—called IHC Without
Walls (IHC WOW). We will broaden our award
winning, evidence-based clinic model by linking these
new components to our existing clinic services.
As an academic nursing practice, we view IHC WOW
as an opportunity to integrate teaching and evidence-based
practice; accordingly our objectives include expansion
of novice and advanced practice experiential learning
within this innovative practice domain. Specific project
objectives include 1) increasing access to
quality, cost-effective integrated primary and mental
health care for a total of 450-500 hard-to-reach Thresholds
members using house calls (decrease
barriers to healthcare and health disparities); 2)
delivering tailored interventions during group
visits complemented by home telemonitoring
to improve therapy adherence and clinical outcomes
and 3) expanding nursing faculty knowledge and
practice and structured pre-licensure and advanced
practice nursing student experiential learning
related to integrating mental and physical health
care. We propose to make IHC WOW a delivery model
that is distinctive, sustainable, and exceptionally
cost-effective, as well as able to be replicated so
as to build capacity for unparalleled health outcomes
for a broader group than we now serve.
Indiana
Grant Number: D11HP08366-01
Project Title: Nursing Careers Advancement Continuation
Applicant Organization: Ivy Tech Community College
Region 5
Address: 1815 East Morgan Street, Kokomo, IN 46901
Project Director: Laurie Peters
Phone: 765-459-0561
Fax: 765-454-5111
Email: lpeters@ivytech.edu
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: The Nursing Careers Advancement
Continuation (NCAC) program will address Purpose R1:
Grants for Career Ladders. The NCAC program will
assist those individuals who wish to become nurses
or who are nurses and wish to advance their education
and careers in several ways. The program will set
up cohort groups of students with similar goals and
provide mentoring, advising, career guidance, and
special classes to help them prepare for admission
to appropriate academic programs and to succeed in
those programs after they are admitted. The program
will also provide additional nursing faculty which
will allow Ivy Tech State College Region 5 to significantly
increase the number of students admitted to both the
LPN and ASN programs and also the number of clinical
sites available in the six county area served by the
College. The NCAC program will be marketed to the
general public with special attention to attracting
males, minorities, and disadvantaged groups into nursing
career advancement. These students will be assessed
and directed to a program that is appropriate to their
education and career levels. They will form cohort
groups of students who will work toward attaining
nursing credentials including Certified Nursing Assistants,
Licensed Practical Nurses, and Registered Nurses.
Bridge classes will help students in nursing who wish
to proceed to the next level. A project coordinator
and a clerical staff person will be employed to assess,
advise, mentor, and track these students. Additional
nursing faculty will be employed which will enable
the College to grow the CNA, LPN, and ASN programs.
Increasing the number of training slots available
and offering supplemental career and academic guidance
to students and nurses will result in an outcome of
more enrollment and program completion of nursing
personnel. These students will be more aware of pathways
to further their education and careers.
This NCAC program will continue with the goals and
student guidance that is already in practice from
funding from a previous three year NEPR Career Ladder
Program instituted in July of 2001 here at Ivy Tech
Community College. This first three year grant period
had a heavy focus on CNA to LPN due to the fact that
is was the beginning of the career ladder program.
With the addition of this program the College has
seen an increase in the number of students wanting
to bridge from the LPN program to the ASN program
as ASN transitional students. The NCAC would allow
us to accommodate those students that have completed
the first two levels, CNA and LPN, of the career ladder
and are pursuing the third level of ASN.
Maryland
Grant Number: D11HP08390-01
Project Title: Distance Learning Nursing Curriculum
Applicant Organization: The Community College of Baltimore
County
Address: The Community College of Baltimore County,
Catonsville Campus, 800 South Rolling Road, Baltimore,
Maryland 21228-5317
Project Director: Roberta A. Raymond, Ph.D.
Phone: 410.285.9561 (Nancy Smith, Grants Office Director)
Fax: 410.285.9988
Email: nsmith4@ccbcmd.edu
Organization Website: www.ccbcmd.edu
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: The Community College of Baltimore
County (CCBC) plans to provide nursing students with
an alternative method of instructional delivery for
the Registered Nursing Program. The proposal is for
a one-day a week hybrid nursing program with a didactic
component that will be presented in an online mode
utilizing CCBC’s nursing curriculum restructured for
electronic access by participating students. The current
CCBC nursing curriculum will be reconfigured from
nine courses five and offered in this online delivery
mode.
The one-day a week program will enroll 96 students
who meet eligibility requirements of recent experience
in direct patient care, completion of all general
education requirements, and prerequisite courses for
the admissions process for the online nursing program.
The target population will include the nursing employees
at three Baltimore City and County partner hospitals:
St. Agnes Hospital, Franklin Square Hospital Center,
and Union Memorial Hospital. The demographics of the
employees of these hospitals indicate that their race
and ethnicity are diverse, enabling the college to
potentially reach a broader population.
The advantages of the hybrid program are:
- Students are able to learn the didactic material
at a convenient time for them, with access to materials
for instruction and review 24 hours per day, seven
days per week. This will allow them to more easily
accommodate their work schedules.
- The number of students who are seeking admission
to the nursing program can be increased with minimal
obstacles in obtaining the needed resources (i.e.
nursing skills lab, clinical sites).
- The one-day a week program can easily be expanded
to include students from a larger geographical area.
For the transition of nursing courses from the traditional
to the online format, CCBC will work with SunGard
Higher Education, a firm that provides software, strategic
services, systems integration, and technology management
services to help colleges and universities build,
unify, and manage their digital campuses.
Grant Number: D11HP08393-01
Project Title: Baccalaureate Program Expansion
Applicant Organization: Coppin State University, Helene
Fuld School of Nursing
Address: 2500 W. North Avenue, Baltimore, MD 21216
Project Director: Dr. Marcella Copes, Dean
Phone: 410-951-3990
Fax: 410-462-3032
Email: mcopes@coppin.edu
Organization Website: www.coppin.edu
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: The purpose of this project
(E-1) is to expand Coppin State University’s Baccalaureate
Nursing Program (CSU BSN) from 454 to 585 students
over three years, a 29% increase. The project has
the following objectives, which are consistent with
BHPr National Goals 1, 2, 3 and the Healthy People
2010 goal of eliminating health disparities between
minorities and non-minorities:
- Expand the Generic Baccalaureate Nursing Program
enrollment from 431 to 550, a 28% increase over
three years, with 90% of students from under represented
minorities.
- Increase the number of Generic Baccalaureate graduates
from 74 to 125, a 69% increase over three years,
with 80% practicing in medically underserved areas.
- Expand the RN to BSN Program from 23 to 35 enrolled
students, a 52% increase over three years, with
90% of students from under represented minorities,
- Increase the number of RN to BSN graduates from
9 to 17, an 89% increase over three years, with
80% practicing in medically underserved areas.
The CSU BSN Program has more than twice the number
of qualified applicants (350) than the program can
now enroll. The 431 students currently enrolled in
the traditional BSN Program represent a 91% increase
in enrollment since 2003, when there were 225 students.
CSU is an Historically Black College located in Baltimore
in the high poverty inner city community of Coppin
Heights/Rosemont. Our nursing students are prepared
to deliver culturally sensitive health care to diverse
populations within an urban environment. CSU graduates
80% of the baccalaureate prepared minority nurses
in the State of Maryland and 80% of its graduates
practice in Baltimore City.
The Helene Fuld School of Nursing is fully accredited
by the National League for Nursing and fully approved
by the Maryland State Board of Nursing. It has a proven
success rate on the NCLEX examination over the past
eight years with pass rates at or higher than the
national average. The CSU role in educating minority
nurses takes on great relevance, since African Americans
are underrepresented as Registered Nurses. Larger
numbers of qualified minority baccalaureate prepared
nurses will reduce health disparities between minorities
and non-minorities in Baltimore City, where the incidence
of sexually transmitted diseases, infant mortality/morbidity,
HIV, substance abuse, hypertension & diabetes
are the highest in the State.
This grant proposal qualifies for the statutory funding
preference as provided in section 805 of the Public
Health Service Act and represents a project that will
“substantially benefit rural or underserved populations”
as cited in CFDA 93-359. CSU has actively expanded
undergraduate enrollment of the Helene Fuld School
of Nursing, with prior BHPr seed funding, and has
in each case sustained nursing faculty to accommodate
the permanent increase in student nurse enrollment.
Mid spring funding notification would assure full
startup on July 1, 2007.
Massachusetts
Grant Number: D11HP08359-01
Project Title: RN Residency: Transitioning to Geriatric
and Palliative Care
Applicant Organization: Massachusetts General Hospital
Address: 55 Fruit Street, Boston, MA
Project Director: Edward E. Coakley, RN, MSN, MA,
MEd
Phone: 617-726-6152
Fax: 617-724-3497
Email: ecoakley1@partners.org
Organization Website: http://www.massgeneral.org/
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: This proposal is in support
of NEPR E2: Developing and implementing internship
and residency programs to encourage mentoring and
the development of specialties. There are 35 million
adults in the US who are age 65 and older, comprising
12% of the current US population. In 2004, these older
adults used 44% of all inpatient hospital days of
care. The population of older adults is expected to
double by 2030 in the face of a shrinking registered
nurse (RN) workforce, increasing the demand for nurses
who have specialized knowledge in the care of older
adults with chronic conditions and end-of-life needs.
At the Massachusetts General Hospital (MGH), an ANCC
Magnet hospital, we have identified a need to improve
workforce capacity around the care of the older adult.
The primary purpose of this project is to develop
an RN residency program to meet the particular needs
of older adults with chronic conditions and end-of-life
requirements. Ninety employed RNs, at two experience
levels, will transition into the specialty of geriatric
palliative care using a mentorship model. A significant
applicant pool of RNs employed at MGH is evidenced
by 462 RNs with 2 to 5 years of experience and 650
RNs, age 45 and above.
A nine-month residency program will provide advanced
education to 45 RNs (3 cohorts of 15 RNs), possessing
two to five years of medical/surgical nursing experience,
in the specialty of geriatric and palliative care.
A four-month mentorship training program will enroll
45 RNs (3 cohorts of 15 RNs) age 45 and above, in
a program that will prepare them with advanced education
in geriatric and palliative care to serve as clinical
preceptors for the younger nurse residents. Both programs
will use nationally recognized curricula from The
John A. Hartford Foundation’s program, Nurses Improving
Care for Healthsystem Elders (NICHE), and the
American Academy of Colleges of Nursing’s, End-of-Life
Nursing Education Consortium (ELNEC).
Teaching methods will include classroom learning,
interactive web dialogue with faculty and other clinical
experts, and clinical practice. Clinical practice
will occur across a continuum of care settings, e.g.,
hospice, rehabilitation, home and clinic, and acute
care with geriatric and palliative care clinicians.
The RNs, age 45 and above, imparting decades of embedded
knowledge and wisdom, will mentor the residents in
applying new learning in their practices.
The residency program will improve the retention
of older nurses by providing opportunities for specialized
training in the performance of this innovative role,
designed to reduce physical workload while using decades
of wisdom and newly acquired expertise. The residency
program will likewise improve retention of nurses
with two to five years of experience by providing
opportunities for career development and mentorship.
Therefore, the outcomes of the project will strengthen
the nursing workforce in the specialty of geriatric
palliative care to improve quality care for the elderly.
Formative and summative evaluations will be conducted.
Michigan
Grant Number: D11HP00403-06
Project Title: Expansion of the McAuley Nurse Managed
Health Center
Applicant Organization: University of Detroit Mercy
McAuley School of Nursing
Address: 4001 W. McNichols Road, Detroit, Michigan
48221-3038
Project Director: Joyce Conley, PhD, RN
Phone: 313-993-1935
Fax: 313-993-1271
Email: conleyjo@udmercy.edu
Organization Website: http://www.udmercy.edu
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: This is a competing continuation
application under the Nurse Education, Practice and
Retention Program under Practice Priority P1. Our
purpose is to expand a Nurse Practice Arrangement
in non-institutional setting (Nurse Managed Center)
to demonstrate methods to improve access to primary
health care in medically underserved communities.
The McAuley Nurse Managed Health Center (MNMHC) was
established under a five year grant from the Health
Resources and Services Administration ( grant #D11HP00403
for 7/01/02-6/30/07 ). MNMHC is administered by the
University of Detroit Mercy (UDM) McAuley School of
Nursing. The site is on the east side of Detroit,
the most economically distressed and underserved area
of Detroit where residents have great difficulty accessing
primary care. When the initial grant was written,
Detroit was the poorest of the large cities in the
U.S. and remains so today. Unemployment has increased
in recent years to 17.5%, with 280,000 uninsured and
390,000 on Medicaid. Since opening in 2003, MNMHC
has provided adult primary care and integrated mental
health services to over 2200 clients and conducted
multiple community outreach programs. We are making
a difference in the health and well being of our community.
Services are available on a same-day or same-week
basis, providing an alternative to hospital emergency
center visits. This grant application proposes to
expand our adult services and begin to provide primary
care services to children. In Detroit, the infant
and child mortality rates, percentage of low birth
weight rates, and the number of children living in
poverty are among the highest in the nation’s fifty
largest cities. Although Michigan children below
the poverty line have Medicaid insurance, many do
not access these services. This grant also proposes
that MNMHC further expand access by adding sites within
the community and expanding hours of operation. These
efforts will expand access to care, expand faculty
practice and student learning opportunities, and further
provide for sustainability. Our patients deserve
the continuation of our services. The changes we
propose will lead us to self sufficiency. We also
educate graduate and undergraduate nursing students
at the MNMHC. Through the expansion grant we will
nearly double the number of students having a rotation
at the Center. Over 70% of our graduates practice
in the Detroit area after graduation, making a significant
contribution to health care resources in the community.
The objectives for MNMHC during this project period
are to:
Objective #1 Expand a nurse practice arrangement
(NPA) to provide increased access to primary health
care and health promotion and disease prevention services
for adults with a new expansion into primary care
services for children in underserved communities (BHPr
Goal #2 and Healthy People (HP) 2010 Goal #2).
#Objective #2 Establish long term financial
sustainability through a professional business focus
and the combination of revenue sources and operating
expenses, including grants and other sources to fund
all or part of non-profitable services (BHPr Goal
#2 and HP 2010 Goal #2).
Objective#3 Expand student clinical nursing
experiences that emphasize leadership, cultural competence
, community and interdisciplinary partnerships, population-based
planning and the goals of Healthy People (HP) 2010
to undergraduate and graduate students (BHPr Goals
1&2, HP 2010).
Minnesota
Grant Number: D11HP08358-01
Project Title: Department of Nursing Expansion
Applicant Organization: Bemidji State University
Address: #27, 1500 Birchmont Drive NE, Bemidji, MN
56601
Project Director: Ranae Womack, Ph.D., RN
Phone: 218-755-4107
Fax: 218-755-4107
Email: rwomack@bemidjistate.edu
Organization Website: http://www.bemidjistate.edu/nursing/
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: As the U.S. Department of Health
works toward assuring Congress that adequate numbers
of nursing students are in the pipeline to address
the anticipated workforce needs for the next decade,
Bemidji State University offers an opportunity to
count 100 new nursing graduates each year from northern
Minnesota.
The Goal of this proposed project is to increase
the baccalaureate-educated nursing workforce in rural
Minnesota. We will do this by approaching two primary
objectives:
- Increasing access of nursing education
for rural and American Indian students; and
- Increasing the quality of nursing workforce
by preparing baccalaureate nurses for practice in
rural Minnesota, who are workforce ready with a
strong emphasis on cultural competence—this will
be the signature of the BSU Nursing program.
Key to achieving these objectives is the addition
of a 4-year baccalaureate track to augment the current
RN to BS Completion track. With this dual-track program,
BSU will meet the needs of both types of students—traditional
4 year students seeking a university experience; and
current registered nurses in the workforce seeking
to upgrade skills and pursue baccalaureate degrees.
BSU is making application under Purpose E1 “Expanding
the enrollment in baccalaureate nursing programs”
and will specifically address BHPr goal #1: “Eliminate
Health Barriers: assure the appropriate supply, diversity,
composition and distribution of the health professions
workforce.”
Given that some states have placed a moratorium on
new nursing education programs, Bemidji State University
offers HRSA the opportunity to pursue its goal of
educating more baccalaureate-prepared nurses –starting
immediately in Minnesota. This is especially needed
because in 2004, every Minnesota public and private
generic baccalaureate nursing program turned away
qualified applicants, some as many as 60-75% of the
applicants.
After much planning and preparation, the Minnesota
Board of Nursing and the Minnesota State Colleges
and Universities (MnSCU) system have encouraged and
approved the expansion of Bemidji State University’s
Nursing program. What is needed now, is critical
implementation funding to secure the director position
for the 4-year track (which was funded for a one-year
fixed term by MnSCU and to support the basic supplies
and equipment necessary for the skills lab that is
necessary for students entering the new 4-year track.
We are acutely aware that, to be successful in growing
our nursing program, we must be positioned to accommodate
the shortage of nursing faculty, as well. Our methodology
will incorporate growing regional wealth through faculty
recruitment efforts within our partner healthcare
institutions as well as through the development of
on-site clinical scholars that serve in both a practice
setting as well as an educational setting. Summer
faculty institutes will support this approach…it’s
a new paradigm in responding to the double-whammy
faced by the nursing community—the shortage of nurses,
and the shortage of faculty to educate more. We are
responding with innovative approaches to both.
Mississippi
Grant Number: D11HP08360-01
Project Title: Expanding Enrollment in a Baccalaureate
Nursing Program in South Mississippi
Applicant Organization: The University of Southern
Mississippi, School of Nursing
Address: 118 College Drive #5095, Hattiesburg, MS
39406
Project Director: Kathleen R. Masters, DNS, RN
Phone: 601-266-5896
Fax: 601-266-5927
Email: Kathleen.Masters@usm.edu
Organization Website: http://www.usm.edu/nursing
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: This program requests assistance
under Title VIII, Section 831 of the Public Health
Service Act, as amended by the Nurse Reinvestment
Act of 2002; Public Law 107-205; 42 U.S.C. 296p for
priority area El, Expanding Enrollment in Baccalaureate
Nursing Programs. The purpose of the proposed project
is to expand enrollment in order to subsequently increase
the number of registered nurses available to meet
the healthcare needs of populations in south Mississippi.
The program addresses three of the HRSA Bureau of
Health Professions’ goals: (1) Eliminate health barriers
by assuring the appropriate supply, diversity, composition
and distribution of the health professions workforce,
(2) eliminate health disparities by assuring a full
range of healthcare skills and services to populations
bearing a disproportionate share of disease and disability,
and (3) assuring quality of care through improving
the knowledge, skills, competencies and outcomes of
the health professions workforce. The specific purpose
of this program will be to expand the enrollment in
the baccalaureate nursing program at The University
of Southern Mississippi (Southern Miss) School of
Nursing (SoN) on both the Hattiesburg and Gulf Park
campuses through the use of clinical simulation lab
rotations.
The SoN at Southern Miss is in a position to address
the issue of health barriers by impacting the supply
of the nursing workforce. The SoN is one of seven
baccalaureate programs in the state and graduates
the largest number of BSN students in the state. The
SoN has entry-level baccalaureate programs located
in two locations in the southern part of the state:
the Southern Miss Hattiesburg and Gulf Park campuses.
Applicants for the nursing program reside in rural,
underserved counties and usually remain in these counties
to work after graduation.
The SoN is also in a position to address the issue
of quality of care by improving the knowledge, skills,
and competencies of the nursing workforce through
the use of active learning strategies including clinical
simulation to increase critical thinking skills, decision
making, and knowledge application in baccalaureate
nursing students.
Strategies to increase the supply of the nursing
workforce and increase the quality of the nursing
workforce will include the acceptance of increased
numbers of students each semester by utilizing rotation
schedules that incorporate clinical simulation experiences
for each student during clinical courses by staffing
the simulation labs with a faculty member.
Mississippi is a state historically plagued by poor
health outcomes, with an inordinate number of residents
living below the poverty rate and lacking access to
quality health care. The state has been rated as the
poorest state in the U.S. The incidence of diabetes,
hypertension, hypercholesterolemia, and obesity is
higher in Mississippi than in the rest of the United
States, increasing the incidence of cardiovascular
disease. Other factors that create access issues include
the fact that most Mississippi residents live in rural
communities with critical shortages of healthcare
providers. Expanding enrollment in baccalaureate nursing
programs and subsequently increasing the supply and
quality of registered nurses will ultimately serve
to eliminate health disparities by improving the health
outcomes of populations in the rural communities in
south Mississippi.
Missouri
Grant Number: D11HP08365-01
Project Title: MU Leadership Development Academy for
Registered Nurses in Long Term Care
Applicant Organization: The Curators of the University
of Missouri
Address: S266 Sinclair School of Nursing
Project Director: Shirley Farrah, PhD, RN-BC
Phone: 573.882.0215
Fax: 573.884.4544
Email: Farrahs@missouri.edu
Organization Website: http://nursingoutreach.missouri.edu/
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: Nursing leadership is a key
element in high vs. low-performing nursing homes.
Directors of Nursing (DONs) are a critical link between
working conditions and performance in Long-Term Care
(LTC). They can create a climate that influences a
facility’s organizational capacity to create and sustain
improvement through their expert leadership. This
results in improved staff performance, increased staff
retention at all levels, higher quality of care to
residents, better resident outcomes, improved risk
management, and a better bottom line for the facility.
Yet, most RNs in LTC have not had the benefit of
a structured educational program with a strong leadership
focus to prepare them to manage effectively in today’s
complex nursing home environment. Many experts agree
that the high turnover of DONs in LTC is a direct
result of the gap between the expectations placed
on the DONs and their ability to meet those expectations.
Nationally, the DON turnover rate is 49.7%; for Missouri
it is even higher, 60.8% (AHCA, 2002). Most DONs hold
a diploma or associate’s degree (where formal leadership
courses are seldom a part of the curriculum), are
from acute-care settings that differ sharply from
LTC, are promoted to their DON position due to strong
clinical skills rather than managerial competencies,
and practice without a strong colleague reference
group. The critical nature of nursing home leadership
requires a change in this situation.
The purpose is to prepare a cadre of nurse-leaders
in LTC who can create and sustain improvement in their
work settings, including ability to emphasize staff
involvement, facilitate communication and teamwork,
set clear expectations and ensure high standards of
care. To do this we will develop, implement and evaluate
the MU Leadership Development Academy for Registered
Nurses in Long-Term Care. The Academy’s innovative
and evidence-based curriculum views nursing homes
as complex adaptive systems where management practices,
relationships, and climate are powerful determinants
of turnover and resident outcomes. The nurse-leader’s
impact on nursing home quality, and the facility’s
capacity to create and sustain improvement, including
a culture of safety, are imbedded throughout.
A multi-method approach to teaching and learning
will be used, including two face-to-face workshops
and six full-day classes at regional interactive television
sites, to take place over eight months. An optional
LTC Nurse Administrator certification review option
will be offered. An electronic discussion board, e-mail,
and online learning resources will facilitate ongoing
contact with peers and faculty between the monthly
classes, as will the LTC Mentoring Program. Graduates
of the Academy, an official Certificate Program through
the University of Missouri, will receive CE credit.
We believe the proposed Academy is an important step
in developing and retaining better nurse-leaders in
Missouri.
Nebraska
Grant Number: D11HP08312-01
Project Title: Reducing Disparities in Type 2 Diabetes
Care through a Network of Nursing Centers
Applicant Organization: University of Nebraska Medical
Center
Address: 985330 Nebraska Medical Center Omaha, NE
68198-5330
Project Director: Kathryn Fiandt APRN, DNS, FAANP
Phone: 402-559-5265
Fax: 402-559-6379
Email: kfiandt@unmc.edu
Organization Website: www.unmc.edu/Nursing
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: The purpose of this project
is to significantly expand health services offered
by a statewide network of academic nursing centers
through development and implementation of a new program
of services focused on a single health problem (type
2 diabetes), a particular population of vulnerable
people (uninsured minorities and people living in
poverty), and a single framework of health care delivery
(Chronic Care Model). Type 2 diabetes is pandemic
in this country. Minorities and people living in poverty
are unequally affected, related to the stress and
powerlessness of their social status as well as to
genetic predisposition. The problem is further compounded
by the significant disparities in access and quality
of care received by minorities and people living in
poverty as well as rural populations. The aim of the
project is to reduce type 2 diabetes-related health
disparities in minorities and people living in poverty
throughout Nebraska through the implementation of
a comprehensive program of diabetes risk and disease
management. The innovative program takes a patient-centered
approach designed to address stress and powerlessness
through the use of the Chronic Care Model with a particular
emphasis on self-management support. Access and quality
of care issues are further addressed through delivery
of care by a statewide network of community based
academic nursing centers providing health education,
disease screening and primary health care based disease
management services (primary, secondary, and tertiary
prevention services) in a culturally competent manner.
The network of community based academic nursing centers
has a long history of providing health care services
in community, home and clinic settings. A chronic
care database is used to collect data to support practice
(quality) improvement and program evaluation. in addition,
translational research standards will be used to assure
that data collected support expansion of the evidence
base for best nursing practices related to diabetes
care and the care of vulnerable people. Undergraduate
and graduate nursing and other health professions
students are involved in care delivery using a service
teaming model.
STATED STATUTORY PREFERENCE: THE PROJECT SUBSTANTIALLY
BENEFITS RURAL AND UNDERSERVED POPULATIONS
Nevada
Grant Number: D11HP08371-01
Project Title: One Year Residency Program for Graduate
RN’s
Applicant Organization: Board of Regents, Nevada System
of Higher Education
Address: 4505 Maryland Parkway, Las Vegas, NV 89154-1037
Project Director: Susan Kowalski, RN, PhD
Phone: (702) 895-3404
Fax: (702) 895-4807
Email: Susan.Kowalski@unlv.edu
Organization Website:
Project Period: July 1, 2007 – June 30, 2010
Abstract Narrative: Aligned with the second educational
purpose of the NEPR Program (E2), the specific purpose
of this residency program is to improve critical thinking
skills and professional competencies of new RN graduates
in medical/surgical and specialty areas of two Valley
Health Care system hospitals in Las Vegas, NV. Co-sponsored
by the University of Nevada, Las Vegas, the subsidiary
purpose of this project is to improve retention rates
of new RN’s from a baseline of 92% to 98% at these
hospitals.
Transition into professional nursing practice requires
a supportive network for the new graduate, and a structured
learning environment which provides opportunity for
new RN graduates to master clinical skills, improve
time management, develop clinical judgment and manage
an increased patient care load. Satisfaction levels
of new graduates in their first nursing position contribute
to higher retention rates, lower recruitment and orientation
coasts due to less turnover, and ultimately better
patient care.
The proposed residency program offers theoretical
and clinical components to new graduate RN’s employed
at Desert Springs Hospital Medical Center, and Valley
Hospital Medical Center. The residency program builds
upon the hospitals’ current orientation and preceptorship
period. In order to improve transition to a competent
professional role the new program extends over a one
year period and includes: 12 months of mentorship
with a Residency Coordinator, 3 months of preceptorship
with an expert clinical RN followed by 9 months of
sponsorship with the previously assigned preceptor,
monthly educational sessions and monthly peer support
meetings. Evaluation occurs throughout the program
and includes weekly evaluations between preceptors
and participants, evaluations of stress/anxiety levels,
evaluations of critical thinking and competencies,
employee performance evaluations, and a final evaluation
of the residency program. Clinical nurses serving
as preceptors receive preparation and on-going education
during the residency program to promote competency
in their roles. The Residency Coordinators coordinate
program activities and serve as valuable mentors.
The project strives to improve access to quality
health care through appropriate preparation of the
health profession workforce (National Goal I). The
citizens of Nevada are an underserved population as
evidenced by the second lowest ratio of nurses to
population in the nation (520 nurses per 100,000).
Nevada has the fastest population growth rate in the
nation (increasing more than 66% between 1990-2000).
Twelve percent of the population is over 65 years
of age, and Nevadans engage in more high risk behaviors
that contribute to poor health than any other state
in the nation. This project contributes to producing
and maintaining competent nurses for the ever expanding
city of Las Vegas and the state of Nevada.
New Jersey
Grant Number: D11HP08369-01
Project Title: UMDNJ SN Wellness Mobile Healthcare
Project
Applicant Organization: University of Medicine and
Dentistry of New Jersey-School of Nursing (UMDNJ-SN)
Address: Stanley S. Bergen Building, Suite 1124, 65
Bergen Street, Newark, New Jersey 07107-3001
Project Director: Gloria J. McNeal, PhD, APRN, BC,
FAAN
Phone: 973-972-9814
Fax: 973-972-7853
Email: mcnealgl@umdnj.edu
Organization Website: http://sn.umdnj.edu
Project Period: July 1, 2007-June 30, 2012
Abstract Narrative: The objectives of this project
are designed to address the Practice Priority Area
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