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Commitment to Lifelong Learning within the Nursing Profession as New Graduate Nurses . Angela Mitchell, Jessica Clausen, Kim Mueller, Nate Willey, Paige Nytes, Sean Decent December 8, 2010 RN 407 Nursing Internship/Professional Role Development. Objectives.
Angela Mitchell, Jessica Clausen, Kim Mueller, Nate Willey, Paige Nytes, Sean Decent
December 8, 2010
RN 407 Nursing Internship/Professional Role Development
1. Incorporate analysis of research findings with implementation of best practice within the roles of the professional nurse.
2. Demonstrate insight and self-awareness in articulation of knowledge, competency and readiness to apply principles of patient-centered care as a graduate nurse.
3. Understand the importance of lifelong learning and continued education within the nursing profession as a new graduate.
4. Identify resources available related Continued Education requirements, obtaining certification, and advancing degrees.
5. Establish an individualized professional development and lifelong learning plan.
6. Establish a networking source to share lifelong learning resources and activities, as a way to commit to professional development within the nursing profession.
•Lifelong learning is a process that represents both a value of the health professions and a complex, critical competency of health professionals.
•It presents as multiple facets:
–May be viewed as a value embraced by the broad health professional community, or
–It may be seen as a behavior advocated by health professional organizations and adopted by individual health professionals.
•Defined by an Expert Panel, from Lifelong Learning in Medicine and Nursing, Final Conference “Macy” Report, as:
– The “lifelong, life wide, voluntary and self-motivated“ pursuit of knowledge for either personal or professional reasons.
–Competencies of Lifelong Learning Include:
•reflect on one’s practice and thereby determine learning needs,
•efficiently and accurately search for learning resources and critically appraise them,
•apply these resources to clinical and other questions,
•manage large and changing bodies of evidence,
•evaluate one’s competencies and practice based on internal and external feedback,
•understanding of evidence-based healthcare and critical appraisal,
•familiarity with informatics and literature search and retrieval strategies,
•practice-based learning and improvement methods,
•self-reflection and assessment, and
•other skill sets related to knowledge management
•In making the transition from student nurse to practicing RN, the importance of CE and LLL will become clear.
•It is our RESPONSIBILITY to ourselves, the profession, and patients.
–Inherent to their role, nurses have a professional, moral, and legal responsibility to obtain and demonstrate continuing education and lifelong learning throughout their career.
•Nursing is a fast-paced profession that is constantly changing, keeping up with these changes through lifelong learning and continued education, is essential to maintain competence to practice nursing safely and ethically.
–CE and LLL promote evidence-based nursing practice, prevent poor or substandard care, and contribute to safe and quality nursing practice that aims to provide the best possible outcomes for patients.
•Healthcare worker shortages and under-funding of CE programs within healthcare systems.
•1989 survey in Canada, and 1993 survey in Texas
–Lack of perceived need for CNE
–Time constraints at work
–Negative impressions regarding the course, course topic
–Lack of confidence in one’s learning ability
–Low personal priority
–Professional disengagement (burnout)
–Family and child care responsibilities
–Lack of employer support
•Reasons Nurses Do not implements what they learn (1987 Survey, 1993 Survey in Texas):
–Lack of personal confidence in performing assessment and skills
–Lack of support from employers, colleagues, nursing supervisors, physicians, and form other employees
–Job does not provide opportunity to use skills.
•The most important element of lifelong learning is probably the attitude toward information acquisition
•Encouragement of self-evaluation modalities:
–Self-assessment, discussion with peers, in-service examinations
•Create learning contracts
•Other habits to be successful as a lifelong learner:
–Begin with the end in mind – set goals
–Accept responsibility for your own learning
–View problems as challenges to learn from
–Have confidence in yourself as a competent, effective learner
–Create your own learning toolbox
–Use technology to your advantage
–Teach and mentor others
•Innovativein their practice
•Flexible to changing demand
•Resourceful in their methods of working
•Able to work as change agents
•Able to share good practice and knowledge
•Adaptable to changing healthcare needs
•Challenging and creativein their practice
•Self-reliant in their way of working
•Responsible and accountable for their work
•You can maintain competence by using several methods of lifelong learning:
–Reading nursing health journals
–Participating in workplace discussions
•There will be several resourcesat your disposal including nursing websites, libraries, and in-services at your workplace. Take advantage of this.
“In order to maintain current licensure the board requires a nurse to renew their license on time and complete all of their continuing education requirements. The board does not require that a nurse practices in order to maintain current licensure.”
-Melissa Fure, MN Board of Nursing
- A unit of credit equal to ten hours of participation in an accredited program designed for professionals with certificates or licenses to practice various professions.
- Proof of credits earned is necessary in order to renew a license to practice. The number of credits required varies by industry and state.
-During a typical continuing education participation period (24 months) an RN must participate in 24 contact hours of continuing education.
Many professions organize national conferences to provide members with an opportunity to meet, network and learn.
Activities which may meet continuing education requirements may be fulfilled in one of three ways:
1. Obtain a current nursing specialty certificate
2. Participate in continuing education activities offered by providers of continuing education, or
3. Participate in certain professional activities
**It is your responsibility as an licensed RN to determine whether a current nursing certificate, a continuing education activity, or a professional activity meets the continuing education requirements.
Minnesota Nursing Board: Continuing Education And Refresher Course Resources
Programs will then offer a Doctor of Nursing Practice (DNP).
*Minimum 7 calendar years of education and experience to prepare a CRNA.
*Avg. student nurse = 1,694 clinical hours and administers more than 790 anesthetics.
*Avg. annual salary= $154, 567
Both require and original research project and the completion/defense of a dissertation or linked research papers.
Minimum 12 months post master’s studies necessary to acquire the additional doctorate level competencies.
CMSRN-Clinical Med Surg RN
AOCNP-Advanced Oncology Certified Nurse Practitioner
RNC-LRN-Low Risk Neonatal
WHNP-BC-Women's Health NPRNC-NIC-Neonatal Intensive Care
CPN-Certified Pediatric RN
CPEN-Certified Pediatric Emergency RN
CPNP-Certified Pediatric NP
ACPNP-Acute Care Pediatric NP
CCRN-Critical Care RN
PCCN-Progressive Care RN
CMC-Cardiac Medicine RN
CSC-Cardiac Surgery RN
ACNPC-Acute Care Nurse Practitioner
CCNS-Critical Care Nurse Specialist
APRN,BC-Advanced Practice RN, Board Certified
RN,BC-Registered Nurse, Board Certified
APRN, BC in child and adolescent mental and behavioral health
What is it? Validates knowledge of nursing care of acutely and critically ill patients
1. Current RN or APRN in the U.S.
2. 1,750 hours in direct bedside care of acutely and/or critically ill patients during 2 year period prior to application.
3. 875 hours need to be accrued in most recent year of application.
How long is certification effective? 3 years
How many CEU's are required each year?
-Complete a minimum of 100 CEU hours in a 3 year period
-60 CEU's in category A, 10 CEU's in both category B and C, and the other 20 CEU's in category A, B, or C.
Category A: Lab values, BLS, ACLS, PALS, NRP, ECG, IV therapy, heart failure, pharmacology, assessment, pathophysiology, statistics, clinical research, evidence-based practice, exam reviews, practice protocols, and CCRN self-assessment exam.
Category B: Safety, legal or ethical issues, charting/documentation, reducing medication errors, public policy, HIPPA, end-of-life care, advance directives, stress management, medical Spanish, therapeutic communication, cultural and psychosocial aspects of care, diversity, and preceptorship/mentoring.
Category C: Communication skills, teamwork, healthy work environments, redesigning hospital care, committees, management, leadership, community resources, case management, and ACCN membership.
-Provides a competitive advantage against others vying for the same position.
-Even though the pay raise is not significant, the knowledge gained will benefit patient care and increase self-confidence (in 2006, nurses with advanced certification receive on average 7,000 more a year).
-Respect gained from other coworkers.
-Demonstrates a commitment to life-long learning.
-Assuring consumers that you are meeting evidence-based practice.
-Advancement in clinical practice (86% of managers said they would hire a CCRN vsa BSN RN.
-Increased satisfaction and confidence.
To support and demonstrate the ongoing competence of nurses who are practicing as Registered Nurses
The interest in the continuing competence of nurses has developed locally, nationally and internationally as the public demands for accountability of professionals has increased.
Self Assessment – ask yourself the questions:
1.“What do I need to learn this year?”
2.“What would I like to learn more about this year?”
2. Identification of learning activities – ask yourself:
3.“What can I do to learn more about…?
“What activities, reading, courses could help me learn about…?”
(These activities can include formal training or non-formal, self-directed learning)
Evaluation – ask yourself:
1. “Was I successful in meeting my learning goals?”
2. “How do I know – what changes can I see in my practice/knowledge”?”
Our goal is to encourage nurses to be proactive about meeting their learning needs by developing an annual plan identifying learning needs including the steps to be taken to meet those needs and an evaluation of the success of the learning.
We also encourage nurses to keep a portfolio to record professional development activities – the planned activities and the “incidental” activities.
To learn more about treatment options for chronic pain syndrome.
B. PROPOSED LEARNING ACTIVITIES
Attend a workshop on CPS
Review the current research on CPS from the Institute for Work and Health
C. COMPLETED LEARNING ACTIVITIES
Completed pre-reading package for workshop
Attended CPS workshop on (date)
Read online articles from Institute of Work and Health (specify title and date retrieved)
I feel confident in helping staff to understand the causes and treatments for Chronic Pain Syndrome.
American Association of Colleges of Nursing (AACN), & Association of American Medical Colleges (AAMC). (2010). Lifelong learning in medicine and nursing: Final conference report. Retrieved November 24, 2010, from http://www.aacn.nche.edu/Education/pdf/MacyReport.pdf.
Crocker, S.V. (2008). Fall into lifelong learning. Nebraska Nurse, 41(4), 12-13.
Gopee, N. (2000). Self-assessment and the concept of the lifelong learning nurse. British Journal of Nursing, 9(11), 724-9.
Minnesota Board of Nursing. (2010). Continuing Education.
My Professional Development Plan. (n.d.), Retrieved November 24, 2010 from http://www.rnantnu.ca/Portals/0/MicrosoftWord-PDP.pdf
Nursing BC. (2008). From nursing student to RN: lifelong learning and continuing competence starts here!. Nursing BC, 40(2), 27.
Registered Nurses Association of the Northwest Territories and Nunavut. (2003). Continuing Competence: My Professional Devleopment Plan. Retrieved Novemnber 24, 2010, from http://www.rnantnu.ca/Portals/0/Documents/ContinuingCompetence/myprodevplan.pdf
Willcox, A. (2005). How to succeed as a lifelong learner. Primary Health Care, 15(10), 43-50.