I have been reading with interest in past Chronicles of Higher Education articles pertaining to changes that are occurring in institutions of higher education, such as changes in student financial aid, decreased instructional budgets, perceptions of value of a college degree, student’s non-linear progress through the degree plan, and a plethora of technology being used in educational instruction. Authors have labeled these changes as disruptive innovation.
Disruptive innovation in nursing education is not new as the College of Nursing and nursing programs throughout the nation have been continually updating curricula and changing pedagogy to address changes in the standards of nursing practice that require the need for graduates to be better skilled in clinical decision-making. The introduction of clinical simulation is a great example of innovation in teaching.
But the pace of change has accelerated in the last few years as a result of several significant reports and events. In January 2010, the Carnegie Foundation for the Advancement of Teaching released a report calling for a “radical transformation” in nursing education. In March of that same year, President Obama signed into law unprecedented reforms to the U.S. health care system. In October of 2010, the Institute of Medicine (IOM) released a groundbreaking report about the future of nursing that discusses innovation in nursing education. In November 2010, the Robert Wood Johnson Foundation in collaboration with the Institute of Medicine launched an initiative to advance comprehensive change in the nation’s health care system and in nursing practice and education.
As the College of Nursing contemplates our response to innovative disruption, we can reflect on the words of T.S. Eliot, “For last year’s words belong to last year’s language and next year’s words await another voice. And to make an end is to make a beginning”.
The Robert Wood Johnson Foundation for Nursing recently released a featured article on the national need for younger nursing faculty (September 9, 2013). The article called attention to the mass retirement of nursing faculty that will occur in the next 10 years and the lack of young nurses moving into faculty positions. In fact only 14% of the current faculty in the nation are under the age of 40. This data suggests that urgent and thoughtful actions must be implemented to ensure that sufficient faculty are employed to educate the next generation of nurses.
An appropriate question would be why aren’t young nurses choosing nursing education as a career choice. Multiple reasons exist such as, nurses practicing in health care agencies receive higher pay than faculty, the amount of time that it takes to graduate from doctoral programs of nursing is longer then required in other fields, the rising cost of education, and the expectation that nurses should gain clinical practice experience before beginning to teach nursing.
It is important to the future nursing workforce that strategies are developed that will attract younger nurses into academic teaching. The Robert Wood Johnson Foundation has championed this initiative by marketing media interviews with faculty describing the benefits of teaching nursing and by providing stipends and other financial support for nurses pursuing faculty positions. Yet, existing nursing programs in preparing the next generation of nursing faculty must do more.
This semester Southern Miss nursing implemented a BSN to PhD program to facilitate the seamless transition of recent graduates to the terminal degree. This pathway to the PhD degree will decrease the amount of time to graduation and will also provide students with funding as graduate assistants. It will also provide opportunity for mentoring these students in the faculty role. In addition, we are providing opportunities for our current BSN students to develop the skills needed for future employment as a faculty through a focus on undergraduate research, opportunities for undergraduate students to publish with faculty, and to attend professional conferences where faculty are in attendance.
Last month, the College of Nursing and USM family said good-bye to a former nursing dean. Dr. Gerry Cadenhead Fletcher began her career at The University of Southern Mississippi in 1980 to serve as the Chair of the Baccalaureate program at Southern Miss. She was named Dean of the College of Nursing in 1987 and served in that position until her retirement in 2001. During her tenure at Southern Miss, Dr. Fletcher used her influence to advance the College of Nursing, foster professional development of faculty, and guide students in their careers. After her retirement, Dr. Fletcher remained involved with the university, Mississippi nursing, and the Southern Miss Nursing program.
Gerry was a dynamic nursing leader, a true friend of Mississippi Nursing, an inspiration to students, and a positive and supportive friend to many. Most important is that Gerry modeled for all of us the importance of being engaged in your university, your place of employment, your profession and to give back to those institutions that provided you with the opportunity to be successful and to make a difference.
Gerry will always be remembered for her influence on others. As stated by one alumni and former USM nursing faculty, “Southern Miss and nursing have lost an irreplaceable and valuable treasure”.
The 2012 Annual Report for the Mississippi Nursing Degree Programs reported that nursing enrollment in all programs of nursing in Mississippi has increased by 15.9 percent from Fall 2008. The report further documented that the highest percentage of growth occurred in the enrollment of students in the baccalaureate and higher degree programs of nursing. There was a 38.7% increase in the number of students enrolled in bachelor programs, a 35.7% increase enrollment in masters programs and a 359.3% increase of students enrolled in doctoral programs.
The deans and directors of the programs of nursing in the state of Mississippi have worked diligently to address the recommendations of the Institutes of Medicine and the Robert Wood Johnson Foundation report on the Future of Nursing : Leading Change, Advancing Healthcare http://thefutureofnursing.org/. Those recommendations include:
- Nurses should practice to the full extent of their education and training.
- Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
- Nurses should be full partners, with physicians and other health professionals
- Effective workforce planning and policy making require better data collection and information infrastructure.
One important initiative in Mississippi is creating “seamless transitions” between academic programs that will help create a more highly educated nursing workforce, which will improve patient care and help fill faculty and advanced practice nursing roles, as well as graduate competent future nurses. The data from the 2012 annual report documents our progress.
This data shows that quality patient care hinges on having a well-educated nursing workforce. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels (American Association of Colleges of Nursing (2012).
The start of a new year also brings a return of the College of Nursing to the Long Beach campus. Since 2004 the Nursing faculty and staff have been housed in the renovated former Garden Park Hospital in Gulfport. The new facility provides adequate faculty offices, conferences rooms, and lounge. The facility also houses the Clinical simulation lab which is a critical component of the nursing curriculum. In the simulation lab students have an opportunity to provide care for simulated patients with selected diagnoses, to develop clinical decision- making skills, and a place to debrief, evaluate, and reflect on the provided nursing care.
This wonderful building on the main campus increases the visibility of nursing and its role in providing quality education to future students of The University of Southern Mississippi.