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

299 Pages·2004·1.307 MB·English

by  Lois K. Evans

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
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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
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CoverdesignbyJoanneHonigman
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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