2.50
Hdl Handle:
http://hdl.handle.net/10755/622051
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Advancing the Practice of Nursing Through Specialty Fellowship Development
Other Titles:
Advanced Practice Fellowships
Author(s):
Marcoux, Kelly Keefe; Dickson, Shayleigh K.; Cahill, Cathleen A.; Haines, Christopher
Lead Author STTI Affiliation:
Nu Beta
Author Details:
Kelly Keefe Marcoux, MSN, APN, CPNP-AC, PPCNP-BC, CCRN, Professional Experience: Over 25 years as Pediatric Nurse, with over 20 years as a Pediatric Advanced Practice Nurse. One of the original Nurse Practitioners in Pediatric Critical Care in the United States. She has developed nurse practitioner programs at three different organizations during the past 20 years as well as served as faculty at three universities. Author Summary: Kelly Keefe-Marcoux, a Pediatric-Critical-Care APN and Nurse Executive, has over 25 years’ experience in pediatric nursing. She has multiple national presentations and publications in peer-reviewed journals related to pediatrics and the APN role. She is currently the Associate Chief Nursing Officer and Section Chief of APNs at Children’s Specialized Hospital. She received an undergraduate degree from Johns Hopkins University, master’s degree from University of Pennsylvania and is currently pursuing a PhD-Nursing from Seton Hall University.
Abstract:

In the United States, Advanced Practice Nurses (APNs) include nurse practitioners, clinical nurse specialists, nurse midwives and nurse anesthetists. This presentation will focus primarily on nurse practitioner APNs. Upon graduation from a master’s or doctoral program in nursing, APNs are eligible for national certification and state licensure in one of six population foci. APNs are fully prepared to practice in a variety of inpatient and ambulatory settings upon graduation; however, for APNs who choose to further specialize their practice within one of these population foci, options for post-graduate training are limited. Historically, fellowship training has been utilized by physicians to further develop clinical acumen and skills as well as promote research within a specialized population. Previous research on APN “transition to practice” indicates that formal orientation programs are desired by APNs (Hart & Bowen, 2016) and positively correlated with successful role transition (Barnes, 2015). Additionally, mentorship by APNs and physicians within the context of an inter-professional fellowship increases provider confidence and development of clinical skills (Zapatka et al, 2014). This presentation describes the design, development, implementation, and outcomes of the first year of an APN Fellowship in Developmental-Behavior Pediatrics (DBP).

The APN Fellowship in DBP was designed to provide advanced didactic education, focused clinical experience, and professional mentoring to prepare APNs to provide optimal care to children with developmental needs. This particular specialty was selected for a fellowship to meet the growing national need for providers trained in this specialty. In the United States, the field of DBP currently has the second highest shortage of pediatric providers and wait-times for appointments that are seven times the national benchmark (Children’s Hospital Association, 2012). The host organization is a national leader in the care of children with developmental disorders, particularly Autism Spectrum Disorder (ASD), and this data was integral in establishing need and financial feasibility of an APN fellowship program. In this organization, APNs are highly valued as evidenced by their status as members of the medical staff, ability to practice in a collaborative yet autonomous environment, and senior leadership support for innovative approaches to improving APN transition into practice and quality of care.

The APN Fellowship in DBP was implemented as an intensive 12-month program integrated with curriculum from the Accreditation Council for Graduate Medical Education (ACGME) Fellowship program in DBP. The APN fellow received comparable training and experience as the physician fellow in DBP in the first year. Didactic education included weekly lectures, completion of an online mental health fellowship (KYSS, Ohio State University), and attendance at an annual DBP conference. Clinical experience included hands on training under the supervision of experienced DBP physicians and APNs, formal training on the use of standardized DBP screening and diagnostic tools, and observation of other specialties and disciplines. APN role development including advocacy, research, professional growth and development was promoted by yearlong mentorship by an experienced APN. Finally, a research component included participation in an interdisciplinary research project related to the health care transition of adolescents & young adults with ASD.

Evaluation of the APN fellow occurred throughout the year on an ongoing basis. The fellow was expected to be deemed competent in all core competencies required for APN practice in the US based on the National Organization of Nurse Practitioner Faculties (NONPF, 2014), which included competencies in Scientific Inquiry, Practice & Policy, Leadership, Autonomous Practice, Ethics, Healthcare Delivery Systems, Quality, Practice Inquiry, and Technology & Information Literacy. Furthermore, the fellow was given DBP-specific competencies that required completion prior to the culmination of the fellowship. The fellow had the opportunity to self-assess as well as be evaluated by each preceptor at least three times throughout the year.

The first year of the APN Fellowship in DBP will conclude in January 2017 and the outcomes of the first year of the APN Fellowship in DBP will be reported. The anticipated outcomes include successful completion of all core and specialty competencies, review of pre and post capstone assignment as developed by Ohio State KYSS fellowship, survey feedback from fellow and preceptors, timely transition into full time role and retention of fellow as full time medical staff member. Future outcomes to be assessed include time to transition to full time practice compared to non-fellow prepared new graduate APNs, time to meeting productivity measures, retention, customer satisfaction and APN satisfaction. The anticipated success of this program has led to continuation of the fellowship for a second year as well as development of an APN Fellowship in Physiatry.

Keywords:
Advanced Practice Nurse; Fellowship; Nursing Education
Repository Posting Date:
24-Jul-2017
Date of Publication:
24-Jul-2017
Other Identifiers:
INRC17A04
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleAdvancing the Practice of Nursing Through Specialty Fellowship Developmenten_US
dc.title.alternativeAdvanced Practice Fellowshipsen
dc.contributor.authorMarcoux, Kelly Keefeen
dc.contributor.authorDickson, Shayleigh K.en
dc.contributor.authorCahill, Cathleen A.en
dc.contributor.authorHaines, Christopheren
dc.contributor.departmentNu Betaen
dc.author.detailsKelly Keefe Marcoux, MSN, APN, CPNP-AC, PPCNP-BC, CCRN, Professional Experience: Over 25 years as Pediatric Nurse, with over 20 years as a Pediatric Advanced Practice Nurse. One of the original Nurse Practitioners in Pediatric Critical Care in the United States. She has developed nurse practitioner programs at three different organizations during the past 20 years as well as served as faculty at three universities. Author Summary: Kelly Keefe-Marcoux, a Pediatric-Critical-Care APN and Nurse Executive, has over 25 years’ experience in pediatric nursing. She has multiple national presentations and publications in peer-reviewed journals related to pediatrics and the APN role. She is currently the Associate Chief Nursing Officer and Section Chief of APNs at Children’s Specialized Hospital. She received an undergraduate degree from Johns Hopkins University, master’s degree from University of Pennsylvania and is currently pursuing a PhD-Nursing from Seton Hall University.en
dc.identifier.urihttp://hdl.handle.net/10755/622051-
dc.description.abstract<p><span>In the United States, Advanced Practice Nurses (APNs) include nurse practitioners, clinical nurse specialists, nurse midwives and nurse anesthetists. This presentation will focus primarily on nurse practitioner APNs. Upon graduation from a master’s or doctoral program in nursing, APNs are eligible for national certification and state licensure in one of six population foci. APNs are fully prepared to practice in a variety of inpatient and ambulatory settings upon graduation; however, for APNs who choose to further specialize their practice within one of these population foci, options for post-graduate training are limited. Historically, fellowship training has been utilized by physicians to further develop clinical acumen and skills as well as promote research within a specialized population. Previous research on APN “transition to practice” indicates that formal orientation programs are desired by APNs (Hart & Bowen, 2016) and positively correlated with successful role transition (Barnes, 2015). Additionally, mentorship by APNs and physicians within the context of an inter-professional fellowship increases provider confidence and development of clinical skills (Zapatka et al, 2014). This presentation describes the design, development, implementation, and outcomes of the first year of an APN Fellowship in Developmental-Behavior Pediatrics (DBP).</span></p> <p>The APN Fellowship in DBP was designed to provide advanced didactic education, focused clinical experience, and professional mentoring to prepare APNs to provide optimal care to children with developmental needs. This particular specialty was selected for a fellowship to meet the growing national need for providers trained in this specialty. In the United States, the field of DBP currently has the second highest shortage of pediatric providers and wait-times for appointments that are seven times the national benchmark (Children’s Hospital Association, 2012). The host organization is a national leader in the care of children with developmental disorders, particularly Autism Spectrum Disorder (ASD), and this data was integral in establishing need and financial feasibility of an APN fellowship program. In this organization, APNs are highly valued as evidenced by their status as members of the medical staff, ability to practice in a collaborative yet autonomous environment, and senior leadership support for innovative approaches to improving APN transition into practice and quality of care.</p> <p>The APN Fellowship in DBP was implemented as an intensive 12-month program integrated with curriculum from the Accreditation Council for Graduate Medical Education (ACGME) Fellowship program in DBP. The APN fellow received comparable training and experience as the physician fellow in DBP in the first year. Didactic education included weekly lectures, completion of an online mental health fellowship (KYSS, Ohio State University), and attendance at an annual DBP conference. Clinical experience included hands on training under the supervision of experienced DBP physicians and APNs, formal training on the use of standardized DBP screening and diagnostic tools, and observation of other specialties and disciplines. APN role development including advocacy, research, professional growth and development was promoted by yearlong mentorship by an experienced APN. Finally, a research component included participation in an interdisciplinary research project related to the health care transition of adolescents & young adults with ASD.</p> <p>Evaluation of the APN fellow occurred throughout the year on an ongoing basis. The fellow was expected to be deemed competent in all core competencies required for APN practice in the US based on the National Organization of Nurse Practitioner Faculties (NONPF, 2014), which included competencies in Scientific Inquiry, Practice & Policy, Leadership, Autonomous Practice, Ethics, Healthcare Delivery Systems, Quality, Practice Inquiry, and Technology & Information Literacy. Furthermore, the fellow was given DBP-specific competencies that required completion prior to the culmination of the fellowship. The fellow had the opportunity to self-assess as well as be evaluated by each preceptor at least three times throughout the year.</p> <p>The first year of the APN Fellowship in DBP will conclude in January 2017 and the outcomes of the first year of the APN Fellowship in DBP will be reported. The anticipated outcomes include successful completion of all core and specialty competencies, review of pre and post capstone assignment as developed by Ohio State KYSS fellowship, survey feedback from fellow and preceptors, timely transition into full time role and retention of fellow as full time medical staff member. Future outcomes to be assessed include time to transition to full time practice compared to non-fellow prepared new graduate APNs, time to meeting productivity measures, retention, customer satisfaction and APN satisfaction. The anticipated success of this program has led to continuation of the fellowship for a second year as well as development of an APN Fellowship in Physiatry.</p>en
dc.subjectAdvanced Practice Nurseen
dc.subjectFellowshipen
dc.subjectNursing Educationen
dc.date.available2017-07-24T13:15:07Z-
dc.date.issued2017-07-24-
dc.date.accessioned2017-07-24T13:15:07Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.