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Women's Access to Healthcare - Lucy Marion Presentation
The presentation by Lucy Marion discusses advanced practice registered nurses (APRNs) in Georgia, highlighting their roles, regulatory evolution, and educational challenges. It outlines key data on the number of APRN clinicians and students, the types of APRNs, and major obstacles such as lack of clinical preceptors and faculty shortages. Additionally, it presents strategies to improve APRN education and support their practice in the state.
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Women's Access to Healthcare - Lucy Marion Presentation
- 1. Educating Advanced Practice RegisteredNurses in Georgia Lucy Marion, PhD, RN, FAAN, FAANP Dean, College of Nursing Georgia Regents University soon to be Augusta University Chair, APRN Task Force of Georgia Nursing Leadership Coalition
- 2. Purpose of Presentation •Define the 4 APRN roles; • Describe evolution of APRN Regulation; • Discuss the DNP: why and what; • Present Georgia data for APRN clinicians, students, and educational programs; • Display distributions on maps; and • Give major obstacles to APRN education and strategies to overcome
- 3. Eight IOM Recommendations • Entry:80% BSN and above • Higher education overall • Doctorates: Double by 2020 • Doctor of Nursing Practice • Doctor of Philosophy • Remove barriers to APRN practice National: The Future of Nursing
- 4. APRN Consensus Model(2008): LACE National consensus (70+ entities) standardized recommended requirements for • Licensure • Accreditation • Certification • Education
- 6. Advanced Practice RegisteredNurse 1. Completed a graduate-level education program in preparation for one of the four APRN roles; 2. Passed a national certification examination; maintains certification; 3. Acquired advanced clinical knowledge and skills; 4. Builds practice on the competencies of registered nurses (RNs) by demonstrating greater knowledge, increased complexity of skills and interventions, and greater role autonomy; 5. Prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, including prescription of pharmacologic and non-pharmacologic interventions; 6. Has sufficient clinical experience to reflect the intended license; 7. Obtained a license to practice as an APRN
- 7.
- 8. Models of APRNEducation in Georgia LEVELS OF COMPETENCE CURRICULUM MODELS Traditional with “stop outs” Generic Masters BSN to DNP Pre-Nursing Preparation BSN Bachelor’s Degree (BS/BA)/No BSN prerequisites Generalist Master’s Entry BSN Basic Nursing Advanced Nursing MSN/APRN Doctorate of Nursing Practice/APRNAPRN Doctorate of Nursing Practice/APRN Doctoral Competencies/ Specialization Practice Doctorate ADDITIONAL OPTIONS: POST- DNP PhD; JOINT PHD-DNP; POST - GRAD APRN CERTIFICATE
- 9. Advanced Nurses • GraduateDegrees: MSN, DNP, PhD/EdD/DSN • Education • Administration • Research • Agents of quality and safety • Professional development • Program development • Policy development and advocacy
- 10. Types of AdvancedPractice Registered Nurses • CNS Clinical Nurse Specialist • CRNA Nurse Anesthetist • CNM Nurse Midwife • CNP Nurse Practitioner: Celebrating 50th Anniversary, NP Week, 11/8-15
- 11. Types of PrimaryCare APRNs FNP Family Nurse Practitioner PNP Pediatric Nurse Practitioner CNM Nurse Midwife WHNP Women’s Health Nurse Practitioner MHNP/ Mental Health Nurse Practitioner/ CNS Clinical Nurse Specialist GNP Geriatric Nurse Practitioner
- 12. Types of AcuteCare APRNs CRNA Nurse Anesthetist CNM Nurse Midwife NNP Neonatal Nurse Practitioner AGACNP Adult Geriatric Acute Care Nurse Practitioner AGACNP Pediatric Acute Care Nurse Practitioner
- 17. APRNs in Georgia,November/2015 • CRNA - 1,869 • CNM – 501 • NP – 7,696 • CNS/PMH – 271 • CNS – 405 • RN’s – 124, 508 • Licensed Undergraduate Nurse – 5 Sos.ga.gov/cgi-bin/activelicenses.asp
- 18. Incomplete NP Data,but Growth • Active NPs estimated at 110,800; doubled from 2002 to 2012 NSSRN 2010 • In 2014, more than 205,000 licensed NPs in the U.S. AANP 2015 • Average age 49 yo • Half of NPs in primary care in 2010 • AACN: graduating more NPs each year –12,273 – 2011; 14,400 – 2012; 15,000 - 2013 – ? Students and graduates in GA?
- 19. Georgia APRN EstimatedEnrollment APRN Students in Georgia: 2014, 2015 (est) ~ 10 Clinical Nurse Specialist ~ 80 Nursing Anesthesia ~ 35 Nurse Midwifery ~4,000 Nurse Practitioner (?? dual majors)
- 20. Georgia APRN Programs •Albany State University - PC • Armstrong State University – PC, AC • Brenau University - PC • Columbus State University - PC • Emory University – PC, AC, CNM, APRN Specialties/ DNP, PhD • Clayton State University – PC • Mercer University Georgia Baptist – PC/ DNP, PhD PC-Primary Care AC-Acute Care MH-Mental Health NAP-Nursing Anesthesia CNM-Nurse Midwifery
- 21. More…Georgia APRN Programs •Georgia College and State University – PC, MH/DNP • Georgia Regents University – PC, AC, MH, NAP/ DNP, PhD • Georgia Southern University – PC, MH/DNP • Georgia Southwestern State University - PC • Georgia State University – PC, AC, MH/ DNP, PhD • Kennesaw State University – PC/DSN • University of North Georgia – PC • Valdosta State University -PC, MH • Others from distance programs
- 23. Barriers to APRNEducation • Lack of clinical preceptors and preceptor sites – Incentives for MD preceptors but not APRN preceptors of APRN students – Increasing demands from all professions • Paucity of APRN faculty – Faculty salaries not competitive with practice – General shortage of APRNs and high demand – Georgia not destination state for APRNs • Financial need followed by high debt load
- 24. Some Strategies • Promotefaculty practice/nurse managed centers – Maximize student learning – Faculty maintain competence; salary supplement • Increase faculty salaries; forgive ed debt • Provide for incentives for APRN preceptors • Encourage interprofessional team assignments to preceptor sites
- 25.