APNA 29th Annual Conference Session 3044: October 30, 2015 Cr - PDF document

APNA 29th Annual Conference Session 3044: October 30, 2015 Cr eative Clinic al E xper ienc es in an Integr ated Cur r ic ulum L indsa y Ande rso n, MS, PMHCNS-BC Be tha ny T o lle fso n, MS, RN Disc lo sure s  T he spe a ke rs ha ve no c o nflic ts o f inte re st to disc lo se Purpo se  T his pre se nta tio n e xhib its the po sitive e ffe c ts o f a n inno va tive c linic a l mo de l tha t re info rc e s the ne e d fo r psyc hia tric / me nta l he a lth (PMH) nursing c o nc e pts to b e inte g ra te d a c ro ss c linic a l se tting s.  Pre se nt the pro c e ss, e xpe rie nc e , a nd o ng o ing e ffo rts o f o ne sc ho o l’ s a tte mpt to inte g ra te unde rg ra dua te nursing c linic a l ro ta tio ns. Anderson 1

APNA 29th Annual Conference Session 3044: October 30, 2015 L e a rning Ob je c tive s 1. T ra nsla te 2 c o lla b o ra tio n/ inte g ra tio n te c hniq ue s pre se nte d to the ir pra c tic e / e duc a tio na l se tting . 2. Appra ise the b e ne fits o f inte g ra ting me nta l he a lth c o nc e pts into the c linic a l mo de l a t e ve ry le ve l o f Nursing E duc a tio n. 3. I mpro ve c urre nt e duc a tio n c linic a l se tting s/ mo de ls thro ug h inte ntio na l inte g ra tio n o f me nta l he a lth c o nc e pts. A little pe rspe c tive …  Histo ry a nd hie ra rc hy  Whe re a re PMH nurse s a nd nursing c o nc e pts o n hie ra rc hy?  I nte g ra tio n in the 70s  Divide s b e twe e n me dic a l a nd me nta l he a lth nursing  Ne e d fo r c ha ng e Ga ps  E me rg ing e vide nc e o n c o nc e pt-b a se d c urric ulum la c ks g uide line s fo r e ffe c tive c linic a l mo de ls to inte g ra te b io physic a l a nd psyc ho so c ia l nursing c o nc e pts.  L a c k o f inte g ra tio n o f PMH nursing c o nc e pts within the c urric ulum pla c e s stude nts a t risk fo r b e ing ill-pre pa re d to ma na g e the ho listic he a lth ne e ds o f pa tie nts a c ro ss c linic a l a re a s.  Sta ke ho lde r fe e db a c k re g a rding po o r c o lla b o ra tio n a nd inc re a se d ina ppro pria te use o f psyc hia tric c o nsulta tio ns suppo rte d the ne e d fo r inte g ra ting PMH nursing c o nc e pts thro ug ho ut the c urric ulum. Anderson 2

APNA 29th Annual Conference Session 3044: October 30, 2015 I mpe tus fo r Curric ula r Cha ng e  L a c k o f inte g ra tio n  L a c k o f b ig pic ture thinking  Ne e d fo r c o lla b o ra tio n, mutua l re spe c t, inc re a se d a wa re ne ss o f ho listic nursing  Co mple xity o f pa tie nts’ he a lth a nd c ha ng e s in pa tie nt c a re Clinic a l Co urse s  Curric ula r struc ture  4 Ye a r Ac a de mic Pla nne r  Clinic a l c o urse s  Clinic a l Co urse De sc riptio ns  Assig nme nts  Re fle c tive jo urna ling  Ho listic a sse ssme nts  Co nc e pt ma ps  Synthe sis pa pe r  “T ic ke t to c linic a l” – inte g ra tio n fo c us Nrsg 301  F o c us o n e a rly ide ntific a tio n a nd inte rve ntio n  Clinic a l pla c e me nts:  Me dic a l/ surg ic a l units  Co mmunity-b a se d sc re e ning s  Clinic a l Mo de l:  Unit fa c ulty me mb e r  Ro ta ting fa c ulty me mb e r  Assig nme nts:  I nfo rma l inte g ra tio n a ssig nme nts  Co lla b o ra tio n o n c linic a l e va lua tio n Anderson 3

APNA 29th Annual Conference Session 3044: October 30, 2015 Stude nt F e e db a c k Surve y c o mme nts/ the me s:  Stude nt surve y re sults: I wa s a b le to lo o k a t the pa tie nt a nd the ir • c o nditio n mo re ho listic a lly. (+)  Surve y I t wa s he lpful fo r de b rie fing if the •  Unpub lishe d da ta e xpe rie nc e wa s o ve rwhe lming o r so me thing ne ve r e xpe rie nc e d b e fo re . (+) Year 1 (n=16) Year 2 (n=36) I t wa s he lpful … b e c a use it he lpe d me • Que stio n 1 4.4 4.4 think a b o ut the b ig g e r pic ture . (+) Pro vide d o ppo rtunitie s fo r us to think • Que stio n 2 4.3 4.2 de e pe r a nd pro vide multiple Que stio n 3 3.6 3.8 inte rve ntio ns. (+) He lpe d me prio ritize the pa tie nt ne e ds • Que stio n 4 3.4 3.6 o ve r wha t I tho ught his o r he r ne e ds. (+) T ime ma na g e me nt diffic ult. (-) • Ne ve r kne w whe n she wo uld sho w up. (-) • I wa nte d a g uide line . (-) • F a c ulty a nd Sta ke ho lde r Ob se rva tio ns F ACUL T Y F E E DBACK ST AK E HOL DER F E E DBACK   I nc re a se d a wa re ne ss o f me nta l Unit e duc a to r re q ue ste d imple me nta tio n he a lth ne e ds (a mo ng fa c ulty a nd fo r ho spita l sta ff stude nts)  F a c ulty a ske d to spe a k a t me dic a l  Cha ng e in prio ritiza tio n o f c a re c o nfe re nc e  I nc re a se d a c c ura c y  Unc le a r ra tio na le fo r fa c ulty invo lve me nt witho ut pro viding “c a re s”  I mpro ve d re c o g nitio n o f pa tie nt ne e ds  “We ne e d this” – sta ff me mb e r  Ho listic vie w o f pa tie nt  Syste m-wide re c o g nitio n o f inc re a se d me nta l he a lth ne e ds o n no n-psyc hia tric units Nrsg 302  F o c us o n ma na g e me nt o f c hro nic he a lth c o nditio ns  Clinic a l pla c e me nts:  Me dic a l: re ha b , I CU/ CCU, te le me try, ne uro  Me nta l he a lth: inpa tie nt, o utpa tie nt CD, da y tre a tme nt (c hild), lo ng -te rm c a re  Clinic a l Mo de l:  Ye a r 1 – tra ditio na l c linic a l ro ta tio ns a nd pilo t lo ng itudina l e xpe rie nc e  Ye a r 2 – “ho me ” unit, me nta l he a lth ro ta tio ns, lo ng itudina l e xpe rie nc e  Assig nme nts:  I nte g ra te d a nd re fle c tive jo urna ls  Synthe sis pa pe r Anderson 4

APNA 29th Annual Conference Session 3044: October 30, 2015 Ob se rva tio ns - info rma l  Stude nt fe e db a c k  Inc re a se d a wa re ne ss o f individua l a nd fa mily psyc ho so c ia l ne e ds  Gre a te r inte re st in psyc hia tric / me nta l he a lth nursing c a re e rs  Impro ve d se lf-a wa re ne ss, re fle c tio n, c ritic a l thinking re la te d to me nta l he a lth  F o rma l surve y o f stude nt a ttitude s, pe rc e ptio ns, a nd c o mpe te nc e - Spr 2016  F a c ulty o b se rva tio n  Mo re ho listic c a re  Inc re a se d inte re st a nd a wa re ne ss o f psyc ho so c ia l ne e ds  Cha ng e in sta ff a ttitude a nd pe rc e ptio n Nrsg 302 Re visio ns  Inc re a se d inte ntio na lity with inte g ra tio n  Ho listic a sse ssme nts  Co -mo rb id c o nditio ns  F a mily fo c us  Cha ng e in c linic a l mo de l  Ho me -b a se unit  Multiple me nta l he a lth e xpe rie nc e s  Se mina rs  Cha ng e in a ssig nme nts  Synthe sis pa pe r Audie nc e Cha lle ng e  De ve lo ping a n inte g ra te d c linic a l e xpe rie nc e fo r stude nts  I de ntify 2 spe c ific c linic a l a ssig nme nts a nd/ o r o utc o me s fo r a n inte g ra te d c linic a l e xpe rie nc e .  Ho w will c linic a l b e fra me d fo r yo ur stude nts?  Ho w will yo u fa c ilita te the c linic a l?  Wha t a re c ha lle ng e s, he sita tio ns, tho ug hts/ fe e ling s? Anderson 5

APNA 29th Annual Conference Session 3044: October 30, 2015 Re vie w o f CSBSJU E xpe rie nc e  Cha lle ng e s  F a c ulty b uy-in  Sta ffing diffic ultie s  Co o rdina tio n o f c linic a l  Suc c e sse s  Inc re a se in stude nt a wa re ne ss a nd inte re st in me nta l he a lth  “Ove rly” fo c use d o n psyc ho so c ia l ne e ds  Impro ve d re la tio nship a nd inte ra c tio n with c linic a l site s  Mo ving fo rwa rd  F urthe r inte g ra tio n  De ta ile d a nd inte ntio na l le a rning a c tiva te s  Re fle c tive jo urna ls  Se mina rs Que stio ns Anderson 6