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Transition Of New Nurses From Education to Practice: A Regulatory Perspective A Regulatory Initiative to Bridge Education & Practice Kentucky Board of Nursing: Patricia Spurr, Ed.D., MSN, RN Education Consultant Clinical Internship Feb. 2007 Mission Statement

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Clinical Internship

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Transition Of New Nurses From Education to Practice: A Regulatory Perspective

A Regulatory Initiative to Bridge Education & Practice

Kentucky Board of Nursing:

Patricia Spurr, Ed.D., MSN, RN

Education Consultant

Clinical Internship

Feb. 2007


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Mission Statement

Protect public health and welfare

by development

and enforcement of state lawgoverning the

safe practice of nursing


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Safety: Growing National Attention

  • Each year a million or more people are injured and as many as 100,000 die as a result of errors in their care.

  • This makes medical care one of the leading causes of death, accounting for more lost lives than automobile accidents, breast cancer, or AIDS.


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POST GRADUATION: Clinical Internship

  • “A supervised nursing practice experience, which involves any component of direct patient care".

  • Shall last a minimum of 120 hours and shall be completed within six (6) months of the issuance of the provisional license.

  • The clinical internship is required for any new graduate that makes application for licensure to Kentucky beginning January 1, 2006


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Critical Components

  • Minimum of 120 hours

  • Components of direct patient care

  • Supervised by a licensed nurse

Setting?Wherever the components can be achieved.


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What is Meant By “Direct Patient Care”

Any component of “direct patient care” includes:

Nursing practice experiences that influence and/or impact direct patient care.

Example: Supervisory Capacity


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Process


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Provisional License

To Avoid Interruption in Practice……

Candidates should not apply for licensure until they are comfortable that they will be able to complete the internship and the NCLEX within a six month period of time


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Until Full Licensure is Achieved:

  • New Graduates sign their documentation entries as either RNA or LPNA.

  • Must be under the supervision of a licensed nurse


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How are we Evaluating the Implementation?


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Initial Question to Explore

Is there a difference in the NCLEX pass rates for first-time 2005-2006 KY candidates in the following categories:

  • Filed Application for Licensure prior to 1.1.06 to avoid the Internship

  • Graduation Date Did not Require the Completion of the Internship

  • Those that completed the internship

  • Those that tested out of state


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Clinical Internship Research

  • Aim 1: To describe what constitutes the 120 hour required internship, as described by selected sites.

  • Aim 2: To evaluate the impact of the clinical internship on new graduate’ perceptions of their clinical competence.

  • Aim 3: To compare NCLEX pass rates of graduates from programs preparing RN’s by two categories: those required to complete the internship requirement prior to taking the licensure examination and those not required to complete an internship.


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Kentucky Calculation of Pass Rate

  • First time testers that graduate between July 1 and June 30

    And

  • Test by September 30 (extended to Dec. 31 for 2006)


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Breakdown of RN Graduates

Included those candidates that tested out of state, those that graduated prior to January 1, 2006, and those that “pre-filed” their application for licensure.


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Breakdown of PN Graduates

No statistical significance between the two groups.


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Pending Issues

  • Examine the amount of time between graduation and testing

  • Impact of Job Market on Graduates Across the State

  • Introduction of the Nurse Licensure Compact to KY

    • Kentucky Residents

    • Other Compact State Graduates


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Contact Information

Patricia Spurr

[email protected]

502-429-3333

Kentucky Board of Nursing

312 Whittington Parkway

Louisville, KY 40222


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