NC Future of Nursing Action Coalition

BSN Initiative Taskforce

ChampionsFoundation for Nursing ExcellenceNC Area Health Education Centers

Tracking the NC Future of Nursing Journey

2002-2004 - The NC Institute of Medicine (NCIOM) convened a task force to study the nursing workforce

2004 NCIOM Nursing Taskforce Report Updated – 2007Included priority recommendation to increase % of BSN-prepared nurses

2010 – Institute of Medicine of the National Academies of Science Report: Future of Nursing: Leading Change, Advancing Health

Journey continues…….- April 2011 Summit – Creating the Future of Nursing and Health Care in NC

• > 200 thought leaders across multiple sectors• Identified top 4 priorities for action in NC

- 4/11-10/11 - Organizing the NC Future of Nursing Action Coalition - 9/11 - Recognition as an Action Coalition by Future of Nursing Campaign for Action - July/Aug 2011 Edition of NC Medical Journal - Future of Nursing in North Carolina

Coalition’s Mission & Values

• MISSION: Transforming Nursing for North Carolina’s Health

• We VALUE: – the health of North Carolinians– the contributions of every nurse and

healthcare provider– nurses as partners with consumers and

other members of the health care team– the work of nursing that improves the health

and health care of North Carolinians

Access to Care Taskforce

NC Future of Nursing Coordinating Council*

Future of Nursing Advisory Committee

Strategic Communications Committee

Policy Development

Committee

PRIORITIES FOR ACTION: CHAMPIONS AND VOLUNTEERS

Leadership Taskforce

BSN Initiative Taskforce

Workforce Data Taskforce

*Council Members: Foundation for Nursing Excellence (FFNE), AARP North Carolina, East Carolina Center for Nursing Leadership (ECCNL), North Carolina Board of Nursing (NCBON), North Carolina Nurses Association (NCNA), North Carolina Organization of Nurse Leaders (NCONL) and North Carolina Area Health Education Centers Programs (NC AHEC).

GOAL #3: INCREASE THE PROPORTION OF NURSES WITH A BSN OR HIGHER DEGREE TO 80% BY 2020

Major Action Strategies to achieve goal: •Implement RIBN statewide by 2016•Promote educational advancement•Create a seamless educational progression from LPN/ADN to DNP/PhD•Cultivate and promote nurse faculty role

Currently….NC Nursing Education Programs (2011)

• 59 associate degree programs (ADN) – 55 based in community colleges

• 18 pre-licensure BSN programs• 1 pre-licensure MSN program• 2 diploma programs• 19 RN to BSN completion programs• 38 practical nurse education programs

Currently….NC RN Nursing Workforce

• Greater than 66% of new graduates are prepared at the associate degree (ADN) level

• Only 15.6% of ADNs have completed a BSN or higher degree

• Decreasing pipeline for future faculty and advanced practice roles

Implement RIBN Statewide by 2016Major Strategy underway….

What is RIBN?•Partnership between community colleges and universities to Regionally Increase Baccalaureate Nurses •Dual Admission Criteria and Curriculum approved by both institutions •Recognized as BSN program by NC Educational Assistance Authority •New Educational Track to BSN degree NOT an RN to BSN program

Four Year RIBN Curriculum

• Home-based at CC Years 1-3 – Take one university course per semester to maintain

admission status and earn credits toward BSN- Most university courses on-line

• Year 1 – General education/nursing pre-reqs• Years 2 & 3 - Complete ADN program;

eligible for RN licensure• Year 4: Complete BSN courses/degree at

university while being eligible to work as RN

History of RIBN Across NC• AB Tech & WCU developed model in NC – 1st students

admitted 2010; 1st BSN grads -2014

• 5 Regional RIBN Partnerships added in 2010– Centralina, Eastern NC, Hickory, Rural Piedmont, Wilmington– 5 universities, 13 CCs, 1 private ADN program – Admit 1st RIBN students 2012; 1st BSN grads 2016

• Project 75- 100 new BSN grads/year beginning 2016• RIBN interest expanding statewide

1/3rd of NC BSN programs and 1/4th NC CCs now involved

WNC [pilot]Western Carolina University Asheville-Buncombe Technical Community College

Rural PiedmontPfeiffer UniversityStanly Community College

HickoryLenoir-Rhyne UniversityWestern Piedmont Community CollegeWilkes Community CollegeCaldwell Community CollegeCatawba Valley Community CollegeMitchell Community College

Regional RIBN Partnerships

Cherokee

Graham

Clay

Swain

Macon

JacksonTransylvania

Haywood Buncombe

Madison

Henderson

Yancey

McDowell

Rutherford

Polk Cleveland

Burke

Mitchell Avery

Watauga

Ashe

Wilkes

Caldwell

Alleghany

Surry

Alexander

Catawba

Lincoln

Iredell

GastonMecklenburg

Union Anson

Cabarrus

Stanly

Rowan

Davie

Yadkin

Stokes

Forsyth

Davidson

Rockingham

Guilford

Randolph

Montgomery

Richmond

Moore

Caswell

Alamance

Orange

Durham

Chatham

PersonGranville Vance

Warren

Wake

LeeJohnston

Franklin

Harnett

Scotland

Robeson

Columbus

Brunswick

NewHanover

Bladen

HokeCumberland

SampsonDuplin

Pender

Onslow

Jones

LenoirWayneCraven

Greene

Wilson

NashEdgecombe

Pitt

Halifax

Northhampton

Hertford

Bertie

Martin

Beaufort

Gates

Chowan

Perquimans

Camden

CurrituckPasquatank

Washington Tyrrell Dare

Hyde

Pamlico

Carteret

Tier One Counties

Eastern North CarolinaEast Carolina UniversityLenoir Community CollegeBeaufort Community CollegeRoanoke-Chowan Community CollegePitt County Community College

WilmingtonUNC WilmingtonCape Fear Community College

CentralinaUNC CharlotteGaston CollegeCentral Piedmont Community CollegeCollege of Health Sciencesat Carolinas Healthcare System

Expected RIBN Outcomes • Increase proportion of BSN-prepared nurses• Increase access to BSN programs,

particularly in rural areas• Increase faculty and APRN pipeline• Resource sharing among RIBN partners –

faculty, labs, other learning opportunities • Economically feasible option to achieve BSN

Other major strategies to reach goal

• Priorities through 2012– Create a business model to articulate return

on investment for increasing the nursing workforce prepared with the BSN degree and above

– Promote Educational Advancement for practicing nurses:

• Common statewide approved general education and pre-nursing requirements

Together we can transform nursing in North Carolina!!!

Visit our website at www.ffne.org for more information on the RIBN Project & Future of

Nursing Action Coalition