vizient/aacn nurse residency program · – what challenges, opportunities or victories have you...

Vizient/AACN Nurse Residency ProgramTM

Disclosures

Shannon Hale has nothing to disclose

Meg Ingram has nothing to disclose

Angela Renkema has nothing to disclose

Vizient/AACN Nurse Residency Program │ 2020 │ Confidential Information2

Learner Objectives

• Explain the evidence used to develop the Vizient/AACN Nurse Residency Program

• Identify the program components and how they fit into your organization

• Apply the tools needed to begin a successful Vizient/AACN Nurse Residency Program


AACN = American Association of Colleges of Nursing

Introductions


Training interaction

• Phone lines will be muted• Ask questions via chat or by raising your hand. We can unmute you to

ask the question.

• We will be using interactive tools in WebEx today–Please answer the poll questions


Curriculum


Curriculum and program emphasis


LeadershipQuality outcomes Professional role

Ambulatory

Evidence-based practice projectTraining manual: pages 19-20

Curriculum

Leadership Patient care delivery, care coordination, resource management, delegation, inter-professional communication and conflict resolution

Quality outcomesPain management, skin and wound management, fall prevention, medication safety, infection control, patient teaching and management of the changing patient condition

Professional roleEthical decision making, end of life care, cultural competence, stress management, evidence based practice and professional development


• Critical thinking and clinical reasoning

• Patient safety leadership

• Interprofessional communication

• Evidence-based practice

• Patient and family centered care

• Professional progression


Curricular threads: Application is the key

Curriculum structure


• Purpose• Assumptions

• Objectives• Curriculum content

• Seminar implementation examples• References and bibliography

Training manual: pages 20-21

Curriculum application


Adult learning theory

• Self directed learners

• Why should I know something, what are the benefits and what is in it for me?

• Like to apply previous experience

• Engage in solving realistic problems

• Have mutual respect

• Involve in the learning process


Supporting the advanced beginner

Establish role and expectations of the nurse• Need guidance• Scope of practice

Need credible sources of information and teaching• Preceptor and facilitator

Facilitators and preceptors must teach discrimination• Question them• Normal versus abnormal• Trend changes• Relative importance of different aspects of the situation• Recurring themes based on experience


Additional considerations

• Be aware of the diversity among learners

• Consider generational differences

• Provide frequent breaks and the ability to move around

• Change activities every 10-20 minutes

• Encourage reflection on content


Structuring the monthly seminar


• Clinical reflections • Content from one or more of the three

sections – Leadership– Quality outcomes – Professional role

• Case study or clinical narrative• Time for project work (later in the year)

Sample Agenda: Seminar 1

Time Topic08:00-08:15 Welcome and ice breaker08:15-09:00 Introduction to Nurse Residency Program

• Goals• Content• Expectations

09:00-10:15 Stress management• See chapter for implementation ideas

10:15-10:30 Break10:30-11:00 Complete NRP surveys11:00-12:00 Clinical reflection time

• Establish ground rules


Training manual: page 21

Sample agenda: Management of the changing patient condition Time Topic08:00- 09:00 am Clinical reflection time09:00-10:15 am Simulations and debriefings (Rotate stations)

• Respiratory distress• Sepsis management• Full cardiac arrest

10:15am -10:30 am Break10:30-11:30 am Discussion

• Communication during an emergent situation• Chain of command• Family education and support during a code

11:30am-12:00pm Stress management: Coping strategies and self care after a patient death



Sample agenda: Patient safety dayTime Topic

08:00-08:30 am Review of nursing sensitive indicators by hospital and unit

08:30 –09:15 am Safety rounds and audits on residents units. Assess the following• Fall prevention measures• HAPI prevention• CAUTI Prevention• CLABSI prevention

09:15-09:45 Debrief and discussion surrounding findings

09:45-10:00am Break

10:00-11:00am Patient safety stations• Skills practice of central line change• Skills practice in identifying correct interventions for HAPI’s• Locating hospital polices, procedures and clinical practice

guidelines• Skills practice on identified skill by nurse resident group

11:00-12:00pm Clinical reflection time



Sample 12 month seminar outline


Lessons learned: content delivery


This is:• Focus on application of concepts• Clinical reasoning

Avoid lecture format – interaction is crucial!

Be creative!

Application ideas

Curriculum application•Escape rooms•Low/high fidelity simulation•Quality and safety rounds•Case studies•Role play•Flip classroom•Concept map•Jeopardy•Price is right

Applications•Poll everywhere•Kahoot•Socrative•GooseChase•Videos – Khan academy/TED talks

•Headspace


POLL: In reviewing curricular topics, which topics are most challenging to teach to the residents?

Open ended answer:Please type your response in the answer box


10 minute break


Professional development plan and promoting engagement


Professional development

• Discuss professional development throughout seminars–Examples: Content experts sharing career paths Quality and safety topics: encourage joining committees Evidence-based practice project: professional organizations to

submit abstracts too

• Encourage creation of a professional development plan


Professional development template

Include on template:• Professional goals

–1st year–2-3rd year–5 year

• Certification• Council membership

– Internal/external• Growth opportunities on the unit• Advancement of education• Professional nursing organizations and journalsHave resident share plan with nurse manager and/or director


Professional nursing organizations and journalsDiscuss professional organizations• Available organizations per nursing specialty• Invite the residents to attend a local meeting

Encourage residents to review professional journals related to their specialty areas• Recommend journals• Reinforce during evidence-based practice project


Educational opportunities

Advancement of education• RN to BSN• MSN, PhD, DNP options• Tuition Reimbursement • Incentives• Invite variety of nurses with advancement in profession to discuss

experience• Discussion of different tracks

Professional certifications• Benefits• Incentives• Reimbursement


Professional growth within the hospital

• Clinical ladder• Preceptor opportunities• Charge nurse• Unit based resource• Committee participation• Nursing governance

participation• Incentives for RN to BSN


Clinical Reflections


Clinical reflections: structure


• Break up into small facilitator-led groups • Opening questions:

– What challenges, opportunities or victories have you had in the last month?

– Are you feeling more comfortable in your role?• Encourage open sharing about developments or milestones

and situations• Give advice and share own experiences when appropriate• Not a gripe session! It should be problem solving


Clinical reflections: group expectations


• Participation is expected to promote ongoing professional growth• Issues are related to the work environment• For personal issues, refer the resident to an institutional resource for

support• Discuss experiences – both positive and negative

– Get support– Reinforce achievements– Recognize that everyone has similar experiences

Clinical Reflection Video

1. Receive a notification for external site acceptance2. Control playing the video as well as volume3. To make the screen large, hover over the vertical line between the right side menu and the PowerPoint presentation


Sample ground rules


• Respect for all decisions and ideas put forth during the discussion

• What is said in the session is considered confidential unless it is a safety issue

• There will be no record of who said what during discussion

• Everyone is encouraged to participate in discussion

• Be respectful of others’ time

• Be respectful when others are speaking

• No electronics allowed

Facilitation tips

• Build trust in your small group

• Refer back to ground rules as necessary

• Use opening words that encourage information sharing (describe, explain, tell me)

• Use closed ended questions to clarify between options or to move the discussion along

• Acknowledge feelings, but refocus as necessary

• Use questions that encourage critical thinking–What possible explanations are there?–What else should we consider?


Facilitation case studies

Interactive activity: Review one of the facilitation scenarios. In your small group discuss how you would handle the situation as a facilitator.

Training manual: pages 26-27


NRP staff contacts

Evy Olson, MBA, MSN, RNAssociate Vice President, Nursing [email protected]

Katie Davis MS-HSM, BSN, [email protected]


mailto:[email protected]


NRP staff contacts

Shannon Hale, MHA, RN, CPHQProgrammatic Advisor [email protected]

Meg Ingram, MSN, RNProgrammatic [email protected]

Angela Renkema, MPH, BSN, RN, NPD-BC, RN-BC, CPHProgrammatic [email protected]





NRP staff contacts

Megan BuckleyProgram Manager [email protected]

Molly HallSenior Program [email protected]

Brooke McCarronSenior Member Support [email protected]





This information is proprietary and highly confidential. Any unauthorized dissemination, distribution or copying is strictly prohibited. Any violation of this prohibition may be subject to penalties and recourse under the law. Copyright 2016 Vizient, Inc. All rights reserved.

Contact [email protected] for more information



vizient/aacn nurse residency program · – what challenges, opportunities or victories have you...

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