best practices in a consortium np education program cynthia kitson rn(ec), mn ginette gilbert-rasuli...
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Best Practices in a Best Practices in a Consortium NP Consortium NP
Education ProgramEducation Program
Cynthia Kitson RN(EC), MNCynthia Kitson RN(EC), MN
Ginette Gilbert-Rasuli RN(EC), MScNGinette Gilbert-Rasuli RN(EC), MScN
Jennie Humbert, RN(EC), MHScJennie Humbert, RN(EC), MHSc
Suzanne Doucette RN, MHASuzanne Doucette RN, MHA
ObjectivesObjectives• Discuss how best practices are Discuss how best practices are
implemented in consortium course implemented in consortium course deliverydelivery
• Describe innovations in curriculum Describe innovations in curriculum deliverydelivery
• Describe dynamic partnerships that Describe dynamic partnerships that support best practicessupport best practices
• Discuss learner outcomesDiscuss learner outcomes
Ontario Primary Health Care Ontario Primary Health Care Nurse Practitioner (NP) Nurse Practitioner (NP)
ProgramProgram
Programme ontarien de formation des Programme ontarien de formation des infirmières et infirmiers praticiens en infirmières et infirmiers praticiens en
soins de santé primairessoins de santé primaires
NP ConsortiumNP Consortium
• Ten universitiesTen universities• Part of the Council of Ontario Part of the Council of Ontario
Universities Programs in Nursing Universities Programs in Nursing (COUPN)(COUPN)
• A collaboration to provide NP A collaboration to provide NP Education more efficientlyEducation more efficiently
Consortium PartnersConsortium Partners• Laurentian Laurentian
University*University*• University of University of
Ottawa*Ottawa*• McMaster UniversityMcMaster University• Lakehead UniversityLakehead University• Queen’s UniversityQueen’s University
**Bilingual ProgramBilingual Program
• University of University of Western OntarioWestern Ontario
• University of University of WindsorWindsor
• University of University of TorontoToronto
• Ryerson UniversityRyerson University
• York UniversityYork University
Benefits of NP Benefits of NP ConsortiumConsortium
• AccessibilityAccessibility
• Standardization of a productStandardization of a product
• Cohesion vs competitionCohesion vs competition
• Pooling resources Pooling resources
• Economy of effortEconomy of effort
Challenges of NP Challenges of NP consortiumconsortium
• Consensus of the 10 universities for Consensus of the 10 universities for major change in curriculum major change in curriculum
• Geographically diversifiedGeographically diversified
• Two languages and culturesTwo languages and cultures
• Maintaining reliability of evaluation Maintaining reliability of evaluation measuresmeasures
Best practicesBest practices
A methodology that, through A methodology that, through experience and research, experience and research, has proven to reliably lead to has proven to reliably lead to a desired result.a desired result.
Definition of Best PracticesDefinition of Best PracticesDynamic ProcessDynamic Process
++EvidenceEvidence
++PracticePractice
++Program EvaluationProgram Evaluation
++Values / principlesValues / principles
Outcome measurementOutcome measurement
• Level of attrition -15%Level of attrition -15%• Success in completion of courses - Success in completion of courses -
92%92%• Success in the College of Nurses Success in the College of Nurses
licensing exam - 82%licensing exam - 82%• Learner evaluation (faculty and Learner evaluation (faculty and
course)course)• Learner satisfactionLearner satisfaction
Best practices in NP Best practices in NP consortium educationconsortium education
• Course delivery, use of distance Course delivery, use of distance modalities modalities
• Communication (learner & faculty)Communication (learner & faculty)
• Developing and maintaining clinical Developing and maintaining clinical preceptorshippreceptorship
• Consistency in course evaluation (on-Consistency in course evaluation (on-line exams & inter-rater reliability)line exams & inter-rater reliability)
Anglophone courses:Anglophone courses:• Pathophysiology for Pathophysiology for
Nurse PractitionerNurse Practitioner• Roles & Responsibilities Roles & Responsibilities
of the Nurse Practitioner of the Nurse Practitioner • Advanced Health Advanced Health
Assessment & Diagnosis Assessment & Diagnosis I & II *I & II *
• Therapeutics in Health Therapeutics in Health Care I & II *Care I & II *
• Integrative Practicum *Integrative Practicum *
* Clinical courses* Clinical courses
Francophone courses:Francophone courses:• Pathophysiologie pour Pathophysiologie pour
infirmier(ères) praticien(nes)infirmier(ères) praticien(nes)• Rôles et Responsabilités Rôles et Responsabilités
des infirmier(ères) des infirmier(ères) praticien(nes)praticien(nes)
• Formation avancée en Formation avancée en évaluation de la santé et de évaluation de la santé et de diagnostic I & II *diagnostic I & II *
• Méthodes thérapeutiques Méthodes thérapeutiques en soins de santé primaires en soins de santé primaires I & II *I & II *
• Stage d’intégration *Stage d’intégration *
Educational Delivery Educational Delivery ModalitiesModalities
• Web-based Web-based deliverydelivery
• Face to face Face to face tutorialstutorials
• TeleconferenceTeleconference
• Clinical experienceClinical experience
• Lab practiceLab practice
• Audio clipsAudio clips
• CD-ROMCD-ROM
• Expert videosExpert videos
• On-line examsOn-line exams
• Interactive quizzesInteractive quizzes
• Print-based Print-based materialsmaterials
EmailEmail
NewsgroupNewsgroup
Face to face contactFace to face contact
TeleconferenceTeleconference
ComputerComputer
FaxFax
Chat roomChat room
Course Delivery ModalitiesCourse Delivery Modalities
Print basedPrint based
Clinical Preceptor
Adminsupport
Professor
Tutor
Students
Student
Tutorial pictureTutorial picture
Communication ModalitiesCommunication ModalitiesProfessors Professors
(5 anglophone and(5 anglophone and5 francophone)5 francophone)
Tutors Tutors (30+ anglophone and (30+ anglophone and
6 francophone6 francophone)
Regional Regional co-ordinators (3)co-ordinators (3)
Francophone Francophone co-ordinatorco-ordinator
Students Students (150)(150)
Faculty Liaisons Faculty Liaisons (10)(10)
Primary Health Care Primary Health Care NP Program NP Program
Consortium CouncilConsortium Council
Clinical PreceptorsClinical Preceptors
Preceptors are critical partners in Preceptors are critical partners in meeting the curriculum and meeting the curriculum and
student learning objectives, in a student learning objectives, in a supportive clinical environment.supportive clinical environment.
Improving the Quality of Improving the Quality of PreceptorshipPreceptorship
• Access to courses objectives & content Access to courses objectives & content • Preceptor Web site Preceptor Web site • Preceptor newsgroupPreceptor newsgroup• Preceptor workshop (Clinical evaluation Preceptor workshop (Clinical evaluation
& feedback)& feedback)• Access to learner’s learning planAccess to learner’s learning plan• Tutors supportTutors support
Improving the Quality of Improving the Quality of PreceptorshipPreceptorship
• Evaluation of the preceptor by the Evaluation of the preceptor by the studentsstudents
• Evaluation of the clinical settingEvaluation of the clinical setting
• Evaluation of learning opportunities Evaluation of learning opportunities (clinical logs)(clinical logs)
Preceptorship: Strengthening Preceptorship: Strengthening the partnershipthe partnership
• Face to face networking Face to face networking opportunities opportunities
• Continuing education sessionsContinuing education sessions
• Awards, gifts (books), appreciation Awards, gifts (books), appreciation dinnerdinner
• Joint appointmentsJoint appointments
Evaluation MeasuresEvaluation Measures
• On line exam On line exam
• Case study presentationsCase study presentations
• PapersPapers
• Clinical Practice evaluationClinical Practice evaluation
• Objective Structured Clinical Exam Objective Structured Clinical Exam (OSCE)(OSCE)
Interater Reliability Interater Reliability in Gradingin Grading
On-line Exams• Tutor/professor teleconference after the examTutor/professor teleconference after the exam• Learner anonymity is maintained Learner anonymity is maintained • One tutor marks certain exam questions for all One tutor marks certain exam questions for all
students enrolled in the coursestudents enrolled in the courseAssignments• Workshops for tutors on consistent grading Workshops for tutors on consistent grading
practices.practices.• On-Line grade report form. Grading practices On-Line grade report form. Grading practices
compared.compared.
Rationale for on line examRationale for on line exam
• Distance location of learners Distance location of learners • Maintaining exam securityMaintaining exam security• Ease of marking the examEase of marking the exam• Statistical analysis of exam questionsStatistical analysis of exam questions• Final mark computer tabulatedFinal mark computer tabulated• On line exam easily archivedOn line exam easily archived
Creating Exam Creating Exam Bank itemsBank items
• Written and reviewed by a team of practicing Written and reviewed by a team of practicing NPs and facultyNPs and faculty
• Content is derived and directly linked to Content is derived and directly linked to course outcomes course outcomes
• Answers are referenced to latest consensus Answers are referenced to latest consensus and practice guidelines.and practice guidelines.
• Accessiblity (on the web) and central location Accessiblity (on the web) and central location of exam questionsof exam questions
• Ten course professors have access for Ten course professors have access for revisions/updating revisions/updating
SummarySummary Best Practices in a Consortium NP
Education Program
• Delivery modalities meet course Delivery modalities meet course
objectives objectives
• Quality & efficient communication Quality & efficient communication
• The quality of preceptorship The quality of preceptorship
• Evaluation efficiency & consistency Evaluation efficiency & consistency
Contact UsContact Us
NP Program public web siteNP Program public web sitehttp://np-education.ca
Jennie HumbertJennie Humbert [email protected]
Suzanne DoucetteSuzanne [email protected]