“Partnering to Provide Midwifery and Psychiatric Mental Health Nursing

Advanced Practice Nursing Education: A Win Win for Patients and Professionals

Alike”

Eleanor Wade Custer School of Nursing Shenandoah University Winchester, VA

Presenters

• Kathryn Ganske, PhD, RN – Dean and Associate Professor

• Marian Newton, PhD, PMHNP-BC – Associate Director Advising, Retention,

Progression– Coordinator PMHNP Program

Eleanor Wade Custer School of Nursing

• Describe history and viability of the School of Nursing nurse midwifery (NMW) and psychiatric mental health nurse practitioner PMHNP specialty tracks at SU and throughout the U.S.

• Describe population need for NMW & PMHNP.• Describe SU response: NMW & PMHNP.

Objectives

Brief History

• Division of Nursing since 1962• School of Nursing since October 5, 2012

Brief History of Graduate Program and Specialties at SU

• Graduate program MSN-FNP, MSN-NMW, and MSN-HSM initiated Fall, 1996.

• PMHNP post-MSN certificate (2003)and MSN-PMHNP initiated (2005)

• DNP with FNP, PMHNP started 2008• DNP with NMW started 2011

Background

• Pew Health Professions Commission Taskforce on Midwifery states midwifery model of care an essential element comprehensive care that should be available to all women

• Shenandoah University established first midwifery program in Virginia led by Dr. Juliana van Olphen Fehr

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Cost & Viability of NMW and PMHNP Programs in Schools of Nursing and SU

• Specialty programs (NMW & PMHNP) expensive with few students

• Universities have closed programs despite serious need for practitioners in rural underserved areas

• Students requesting these specialties as their passion for practice!!

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Genesis: Collaborative Initiatives

• To insure supply of nurse midwives, Dr. Fehr created collaborative agreements between SU and other universities

• To increase access to nurse midwifery and psychiatric nursing education, she wrote 2 federally funded HRSA grants to meet needs of underinsured rural pregnant women and a goal for mental health

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The Need in our Focus Areas

Background

• Few grad programs available in NMW and PMHNP in mid-Atlantic region–NMW: no programs in VA, WVA and MD–PMHNP: no programs in WVA and 2 in VA

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Goal of the Partnership (Initiative)

• Initiatives in PMHNP and NMW consist of affiliation agreements with other universities to offer MSN students NMW and PMHNP programs of study

• Upon completion of MSN core in home school and specialties at SU, students are eligible to sit for respective certificate exams

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Win For Students

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• Hybrid education approach– In-depth immersion format: Students meet

each other and faculty face to face–Distance technology

Win For Patients

• Creative solution to provider shortage• Strategy to improve health of citizens by

access to care for rising numbers of underinsured rural patients with needs for both PMH and midwife APRNs

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Win for Schools

• Add viability to low enrollment specialties– Higher enrollment: increased revenue

• Increased numbers add qualitative richness to overall (both faculty and student experiences)

• Improved patient access to care in region• Improved collaboration between schools

Measuring Outcomes of Initiative

• NMW grew from 6 students to 72 in pipeline (since 2005)

• PMHNP has begun with the first 2 students starting this year and 5 in pipeline (new since 2011)–PMHNP: three schools –NMW: eight schools

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Challenges to Overcome to Achieve Partnership

• Frequent and deliberative communication between SU and partner home schools with admissions, registrar, business office, clinical sites, students, faculty

• Careful advising, transcript review, and student support as student moves seamlessly from home school to SU

• Program of study tight grid with communication points throughout

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Future Opportunities

• With more providers: –more patient facilities will develop–more options for interdisciplinary care.

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Select Student Perceptions of Initiative

• “I've been a practicing CNM for 6+ years now, can you believe it? I wanted to take a moment to thank you again for the education you provided me at Shenandoah.”

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Select Student Perceptions of Initiative Facilitating Specialty Practice Goal

• “I believe that this collaboration provides an obtainable and realistic option for those that work and have a family to achieve a PMHNP certificate. I highly recommend this experience to fellow coworkers and anyone that may inquire. it is a decision that I don't regret making. I am strongly considering pursuing my doctoral degree from Shenandoah University once I finish.” …

– Fred –» BSN :WVW –SU Collaborative Initiative PMHNP

Select Student Perceptions of Initiative Facilitating Specialty

Practice Goal“ Without the collaboration between Shenandoah and Wesleyan I

would not have been able to obtain the education needed to take part in the psychiatric field. The transition has been smooth and the staff/peers incredibly supportive and friendly. I do not mind driving to the campus twice a semester, it works well with the working person's schedule. Most importantly, the ability to have clinical experiences in our local setting, the area we plan to work, has been wonderful” …

Paris –

BSN WVW –SU Collaborative Initiative PMHNP

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West Virginia Wesleyan-SU Signing Initiative: PMHNP & Midwifery

Dr Bryon Grigsby VPAA, SU and Dr. Pamela L. Balch, President WVWC

SU and West Virginia Wesleyan Reps post signing Initiative

First West Virginia Wesleyan Initiative Students

Paris and Fred First Day at SUParis and Fred Working with Peer NP Students at SU

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Accreditation

• Commission on Collegiate Nursing Education (CCNE) – One Dupont Circle, NW Suite 530

Washington, DC 20036 • Accreditation Commission for Midwifery

Education– 8403 Colesville Road Suite 1550

Silver Spring, MD 20910

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Thank You for Attending

Questions?