Innovative CNS Curricula Design Improves Access to Quality Care in Rural Areas Through Technology and Community Learning Strategies

2.50
Hdl Handle:
http://hdl.handle.net/10755/164278
Category:
Abstract
Type:
Presentation
Title:
Innovative CNS Curricula Design Improves Access to Quality Care in Rural Areas Through Technology and Community Learning Strategies
Author(s):
Farrell, Kathleen; France, Nancey
Author Details:
Kathleen Farrell, DNSc, ARNP, CCNS, Murray State University, Murray, Kentucky, USA, email: nacnsorg@nacns.org; Nancey France PhD, RN
Abstract:
Purpose: To demonstrate improved access to quality care in rural communities through an innovative CNS program's curricular design. The participants objectives are to evaluate the impact of innovative technologies and strategies in an online, rural CNS program and recognize the importance of a community of learners in an on-line environment. Significance: Health care needs of rural communities are not being adequately addressed due to lack of access to health care providers. Clinical Nurse Specialists (CNSs) have knowledge and skills to provide health care to this underserved population. Distance education technologies provide resources to implement CNS programs to prepare students who live in and want to serve rural communities; therefore, helping to meet the health care needs of rural populations. Design: Due to decreasing enrollment in the CNS program, a needs assessment was done. Results showed: adult medical-surgical and critical care CNS skills remained essential and marketable and RNs living in rural areas chose not to continue their education due to limited access, employment and family responsibilities. After discussions with the Center for Teaching and Learning Technology, software resources were selected to design and implement a quality CNS program to put on line. Methods: To preserve the richness of the learning experience, preceptors within close proximity of the CNS students' locale were contracted, additional key clinical experiences outside the students' locale were arranged, and expert CNSs across the country were scheduled as on-line guest lecturers utilizing software that enabled visual and audio discussion. At the beginning of each semester, the CNS students and faculty plan travel time for clinical rotations outside their locale, on-campus meetings, weekly synchronized discussions via the web, and participation in national conferences. Findings: Over the past two years, enrollment in the CNS program increased more than 100% (from n = 10 to n = 23); graduation rates increased from 25% to 75%; and attrition rates decreased from 60% to 9%. Conclusions: ANCC certification and job placement remained at 100% demonstrating that the quality of instruction has remained intact after going on-line. Implications for Practice: Innovative CNS programs can impact access to and improve the quality of health care in rural communities.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleInnovative CNS Curricula Design Improves Access to Quality Care in Rural Areas Through Technology and Community Learning Strategiesen_GB
dc.contributor.authorFarrell, Kathleenen_US
dc.contributor.authorFrance, Nanceyen_US
dc.author.detailsKathleen Farrell, DNSc, ARNP, CCNS, Murray State University, Murray, Kentucky, USA, email: nacnsorg@nacns.org; Nancey France PhD, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164278-
dc.description.abstractPurpose: To demonstrate improved access to quality care in rural communities through an innovative CNS program's curricular design. The participants objectives are to evaluate the impact of innovative technologies and strategies in an online, rural CNS program and recognize the importance of a community of learners in an on-line environment. Significance: Health care needs of rural communities are not being adequately addressed due to lack of access to health care providers. Clinical Nurse Specialists (CNSs) have knowledge and skills to provide health care to this underserved population. Distance education technologies provide resources to implement CNS programs to prepare students who live in and want to serve rural communities; therefore, helping to meet the health care needs of rural populations. Design: Due to decreasing enrollment in the CNS program, a needs assessment was done. Results showed: adult medical-surgical and critical care CNS skills remained essential and marketable and RNs living in rural areas chose not to continue their education due to limited access, employment and family responsibilities. After discussions with the Center for Teaching and Learning Technology, software resources were selected to design and implement a quality CNS program to put on line. Methods: To preserve the richness of the learning experience, preceptors within close proximity of the CNS students' locale were contracted, additional key clinical experiences outside the students' locale were arranged, and expert CNSs across the country were scheduled as on-line guest lecturers utilizing software that enabled visual and audio discussion. At the beginning of each semester, the CNS students and faculty plan travel time for clinical rotations outside their locale, on-campus meetings, weekly synchronized discussions via the web, and participation in national conferences. Findings: Over the past two years, enrollment in the CNS program increased more than 100% (from n = 10 to n = 23); graduation rates increased from 25% to 75%; and attrition rates decreased from 60% to 9%. Conclusions: ANCC certification and job placement remained at 100% demonstrating that the quality of instruction has remained intact after going on-line. Implications for Practice: Innovative CNS programs can impact access to and improve the quality of health care in rural communities.en_GB
dc.date.available2011-10-27T11:45:22Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:45:22Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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