Academic Nursing Practice: Helping to Shape the Future of Healthcare (Springer Series on the Teaching of Nursing)

Springer Series on the Teaching of Nursing Diane O. McGivern, RN, PhD, FAAN, Series Editor New York University Division of Nursing AdvisoryBoard:EllenBaer,PhD,RN,FAAN;CarlaMariano,EdD,RN; JanetA.Rodgers,PhD,RN,FAAN;AliceAdamYoung,PhD,RN 2004 AcademicNursingPractice:HelpingtoShapetheFutureofHealthcare, L.K.Evans,DNSc,FAAN,RNandN.M.Lang,PhD,FAAN,RN 2004 DevelopinganOnlineCourse:BestPracticeforNurseEductors, C.A.O’Neil,PhD,RN,C.A.Fisher,MSN,RN, S.K.Newbold,MSN,RNBC,FAAN 2003 TeachingNursinginanAssociateDegreeProgram, R.G.Mertig,MS, RNC,CNS 2001 EducatingAdvancedPracticeNursesandMidwives:FromPracticeto Teaching,J.E.Thompson,RN,CNM,DrPH,FAAN,FACNM, M.Kershbaumer,MMS,RN,CNM,MSN,EdD,andM.A.Krisman-Scott,RN, PhD,FNP, 2000 NursingInformatics:EducationforPractice,B.Carty,RN,EdD 2000 DistanceEducationinNursing,J.M.Novotny,PhD,RN 2000 Community-BasedNursingEducation:TheExperiencesofEightSchools ofNursing,P.S.Matteson,PhD,RNC 2000 ANuts-and-BoltsApproachtoTeachingNursing,2nded., V.Schoolcraft,RN,MSN,PhD,andJ.M.Novotny,PhD,RN 1999 ClinicalTeachingStrategiesinNursing,K.B.Gaberson,PhD,RN,and M.H.Oermann,PhD,RN,FAAN 1999 IntegratingCommunityServiceintoNursingEducation:AGuideto Service-Learning,P.A.Bailey,EdD,RN,CS,D.R.Carpenter,EdD,RN,CS, andP.Harrington,EdD,RN,CS 1999 TeachingNursingintheEraofManagedCare, B.S.Barnum,RN,PhD, FAAN 1998 DevelopingResearchinNursingandHealth:QuantitativeandQualitative Methods,C.N.Hoskins,PhD,RN,FAAN 1998 EvaluationandTestinginNursingEducation,M.H.Oermann,PhD,RN, FAAN,andK.B.Gaberson,PhD,RN 1996 UsingtheArtsandHumanitiestoTeachNursing, T.M.Valiga,RN,EdD, andE.R.Bruderle,MSN,RN 1995 TeachingNursingintheNeighborhoods:TheNortheasternUniversity Model,P.S.Matteson,RNC,PhD 1994 TheNurseAsGroupLeader:ThirdEdition, C.C.Clark,EdD,RN,ARNP, FAAN 1993 ADown-to-EarthApproachtoBeingaNurseEducator, V.Schoolcraft,RN, MS,PhD 1993 AnAddictionsCurriculumforNursesandOtherHelpingProfessionals: Vols.IandII,E.M.Burns,RN,PhD,FAAN,A.Thompson,RN,PhD,and J.K.Ciccone,MA,APR,Editors 1991 TheNurseEducatorinAcademia:StrategiesforSuccess, T.M.Valiga, RN,EdD,andH.J.Streubert,RN,EdD This page intentionally left blank A N P CADEMIC URSING RACTICE Lois K. Evans, DNSc, FAAN, RN Norma M. Lang, PhD, FAAN, FRCN, RN Editors Springer Series on the Teaching of Nursing Copyright©2004bySpringerPublishingCompany,Inc. Allrightsreserved Nopartofthispublicationmaybereproduced,storedinaretrievalsystem, ortransmittedinanyformorbyanymeans,electronic,mechanical,photo- copying,recording,orotherwise,withoutthepriorpermissionofSpringer PublishingCompany,Inc. SpringerPublishingCompany,Inc. 536Broadway NewYork,NY10012-3955 AcquisitionsEditor:RuthChasek ProductionEditor:JaniceStangel CoverdesignbyJoanneHonigman 0405060708/54321 LibraryofCongressCataloging-in-PublicationData Academicnursingpractice:helpingtoshapethefutureofhealthcare/ LoisK.Evans,NormaM.Lang,editors. p.;cm. Includesbibliographicalreferencesandindex. ISBN0-8261-2044-X 1.Nursing—Studyandteaching—UnitedStates. 2.Nursing—UnitedStates—Qualitycontrol.I.Evans,LoisK. II.Lang,NormaM. [DNLM:1.Education,Nursing—methods.2.ClinicalCompetence. 3.Teaching—methods.WY18A1682004] RT79.A1432004 610.73'071'1—dc22 2003067309 PrintedintheUnitedStatesofAmericabyIntegratedBookTechnology. LoisK.EvansisViolaMacInnes/IndependencePro- fessor at the University of Pennsylvania School of Nursing where she facilitated the development of theSchoolsnetworkofcommunitybasednursing practicesthePennNursingNetworkandprovided leadershipfortheSchoolsevolvingagendatointe- grateitsmissionsforresearch,educationandclini- cal care. She also co-directed the Penn-Macy InitiativetoAdvanceAcademicNursingPractice.In addition to models of health care, Dr. Evans re- searchinterestsfocusonindvidualizedcareforfrail elders, including restraint reduction and behavior indementia;culture,environments,andqualityof careandqualityoflifeinnursinghomes,andrecog- nition and management of depression in older adults. She has received numerous awards for her research on individualized care and restraint use with frail elders and is an elected FellowintheAmericanAcademyofNursingandtheGerontologicallSocietyofAmerica. Dr.EvansisCo-DirectoroftheSchoolsCenterforGerontologicNursingScienceand the John A. Hartford Center of Geriatric Nursing Excellence, Chairs the Family and CommunityHealthDivision,Co-DirectstheDelawareValleyGeriatricEducationCenter andteachesinthegeropsychiatricgraduatenursingprogram. NormaM.LangisLillianBrunnerProfessorofMedi- calSurgicalNursingattheUniversityofPennsylva- nia School of Nursing . She is a Senior Research FellowintheAnnenbergPublicPolicyCenterand a Senior Fellow in the Leonard Davis Institute for HealthEconomics.ShedirectstheOfficeofInterna- tionalProgramsandtheWHO/PAHOCollaborating CenterforNursingandMidwiferyLeadership.She is the Dean Emeritus of Nursing (1992-2000) and formerDeanandProfessorattheUniversityofWis- consin-MilwaukeeSchoolofNursing(1980-1992). Dr.Lang’sresearchinterestsincludequalityassur- ance, nursing standards and outcome measures, peer review, the Nursing Minimum Data Set and thedevelopmentoftheInternationalClassification for Nursing Practice. She has authored numerous publications. Her pioneering work in identifying standards and measures to evaluate the quality of nursing care has served as a basis for nursing policy throughout the world. The seminal model for measuring and evaluating the quality of nursing care that bears her name has been adopted in several countries. Her teaching expertise is inexecutivemanagement,leadership,informatics,andclassificationfornursingprac- tice.ShehasbeenanadvisorandfacultymemberfortheWhartonJohnson&Johnson (J&J)PrograminManagementforNurseExecutivesandco-directedthePennMacy Institute to Advance Academic Nursing Practice. Dr. Lang is a fellow of the Institute ofMedicine,theAmericanAcademyofNursing,theCollegeofPhysiciansofPhiladel- phia and an honorary Fellow of the Royal College of Nursing in London. She was awardedhonorarymembershipintheAmericanAssociationofCollegesofNurses.She is the 2001 recipient of the Joint Commission on the Accreditation of Health Care Organizations ErnestA.CodmanAward.In2002shereceivedtheJessieS.ScottAward fromtheAmericanNursesAssociation. Toalldeans,faculty,staff,students,andsupporterswhoaresuccess- fullypioneeringintheintegrationofnursingeducation,researchand practice to improve health care for people in the 21st century. And to our spouses William Middleton and Glenn Lang whose pa- tience, support, and cheerleading have helped sustain us throughout the experiences detailed in this book, and in finally putting it on paper for all to share. Contents List of Figures and Tables ix Contributors xi Preface xvii Part I The Mission of Academic Nursing Practice: Melding Research, Education, and Clinical Care 1 A Vision and a Plan for Academic Nursing Practice 3 Norma M. Lang and Lois K. Evans 2 Academic Nursing Practice: Looking Back 20 Joan E. Lynaugh 3 Academic Nursing Practice Models 38 and Related Strategic Issues Juliann G. Sebastian, Marcia Stanhope, and Carolyn A. Williams, with Exemplars by Bonita Ann Pilon, Hila Richardson, and M. Dee Williams 4 Strategic Planning for Academic Nursing Practice: 66 The Consultants’ View Bert Orlov, Lois K. Evans, Norma M. Lang, and Kathryn M. Mershon, with Exemplar by Bonita Ann Pilon and Colleen Conway-Welch 5 Making Academic Nursing Practice Work in Universities: 92 Structure, Function, and Synergy Lois K. Evans, Maureen P. McCausland, and Norma M. Lang, with Exemplars by Patricia Chiverton and Neville E. Strumpf vii viii Contents Part II Resources and Strategies for Implementing Academic Practice 6 StrategiesforSecuringBusinessExpertise,FinancialSupport, 123 and Visibility NormaM.Lang,TheHonorableMarjorieO.Rendell,JeffreyS. Levitt, Catherine R. Judge, and Susan Greenbaum, with Exemplar by Susan Greenbaum 7 Infrastructure to Support Academic Nursing Practice 144 Beth Ann Swan, with Exemplars by Betty S. Adler, Melinda Jenkins, and Eileen Sullivan-Marx 8 Clinical Information Systems in Support of Academic Prac- 164 tice, Research Education Anne M. McGinley, Jeffrey Gilbert, Karen Dorman Marek, Norma M. Lang, and Lois K. Evans, with Exemplar by Karen Dorman Marek 9 Integrating Research and Practice 183 Lois K. Evans, Norma M. Lang, and Barbara Medoff-Cooper, with Exemplar by Linda H. Aiken 10 Establishing an Evidence Base in Academic Practice: 205 The Role of the Clinician-Educator Faculty Jane H. Barnsteiner, Lenore H. Kurlowicz, Terri H. Lipman, Diane L. Spatz, and Marilyn Stringer 11 Community-Academic Partnerships 219 MargaretM.Cotroneo, JosephPurnell,MarinaC. Barnett,and Danielle C. Martin 12 Building Alliances: A Survival Strategy 236 Lois K. Evans, Joanne M. Pohl, and Nancy L. Rothman, with Exemplars by Tine Hansen-Turton and Margaret Grey 13 Building a Critical Mass: The Penn Macy Initiative 258 Norma M. Lang, Lois K. Evans, Beth Ann Swan, and Rebecca A. Snyder Phillips Looking Back 266 Index 267 List of Tables and Figures TABLES Table 5.1 Penn Nursing Network Mission and Vision 101 Table 5.2 Overview of Penn Nursing Network Practices 102–108 FY 1995–2002 Table 6.1 Realities of Creating Academic Nursing 127 Practices—An Overseer’s View Table 6.2 Lessons Learned—An Overseer’s View 128 Table 6.3 A Decade of Support for the Penn Nursing 132 Network Table 7.1 Practice Infrastructure Needs 148 Table 7.2 Infrastructure Options and Criteria 149 Table 7.3 Infrastructure Function Strategies of the Penn 152 Nursing Network Over Time Table 13.1 Schools Participating in the Penn Macy 260 Initiative (N = 21) FIGURES Figure 3.1 Relationship between academic nursing practice 42 models and strategic issues. Figure 3.2 Conceptual bases of academic nursing practices: 52 Sample portfolio configuration. Figure 5.1 Model of Academic Nursing Practice at the 95 University of Pennsylvania School of Nursing. Figure 9.1 Contribution of ORAP to tripartite mission. 187 ix