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Educating Neonatal NursePractitioners:Innovative Educational andBusiness ModelsBarbara K. Redman, Ph.D., R.N.Dean and ProfessorWayne State UniversityCollege of Nursing
The problem Hospitaladministrators cameto us and said: “We NEED more Neonatal NursePractitioners Wayne State has the ONLYNNP Master’s Program in Michigan. Whatcan you do to help us?”
What do Neonatal NursePractitioners ( NNP’s) do?
Neonatal Nurse Practitioners(NNPs) Manage a caseload of sick infants inconsultation and collaboration with aneonatologist.Make health care decisions in the assessment,diagnosis, management and evaluation of sickand critically ill newborns (including prematureand low birth weigh babies) and infantsthrough the first year of life.
Need for Nurse Practitioners Michigan has only about one-third the numberof nurse practitioners it needs to match thenational average – which is not currentlymeeting the country’s need – with shortages inthe neonatal and pediatric areas being evenmore profound.Estimates are that for each Neonatal NursePractitioner (NNP) who graduates, there are 80positions open across the country. Similarshortages exist for Acute/Critical Care PediatricNurse Practitioners.
Neonatal Nurse Practitioners
Why the increased need? Theneed for neonatal and pediatricacute/critical care NP’s has grown inrecent years due to a number of factors:Advances in medical care that have led tolonger survival of infants and children withcomplex health needs who in the past wouldnot have survived. Decreasing financial support for physicianresidency programs. Sharp reductions in the total number of monthsof intensive care training for pediatric residents.
Why the increased need? Needneonatal stats here – for Detroitand Michigan? – and note that we willneed to examine, with our externalresearch partners, neonatal outcomesafter the introduction of more NNPsin clinical settings.
In response to theidentified need, wecreated the Wayne StateCollege of NursingExecutive NNP Program
Partnership 15months in length Nurses in program must be sponsoredby a partnering agency that pays a fee Hospital pays tuition and fees; nursesagree to “payback contract” withhospital Current partners: Children’s Hospital ofMichigan and Providence Hospital
Executive NNP Program“Perks” include: Individualized cohort of student –individualized start dates based on demandDifferent, “intensive” model of course teachingSpecialized subspecialty experiences notavailable in our “regular” programSupervised review for the NNP certification examFree parking to attend classes on campusFree registration to our WSU CON Research DayA special tote bag with the “WSU Executive NNP”designationPDA with specialized, NNP-relevant downloadsCourse books will be provided
WSU Executive NNP Program First5 students beganJanuary 2007 and willGraduate in May 2008. Weanticipate additionalhospital partners in thefuture.
Media Attention in the BusinessSection of the Free Press
What else are we doing? ExploringOUTREACH partnerships SubmittedHRSA training grant Lobbying for Congressional set-asidefunds Meeting with possible outreach partnersto explore distance learning options wecan start now – e.g., Macomb CountyCenter.
Rising to the Challenge WSU has the only NNP program in the State ofMichigan.Building on WSU CON’s strong and successfulrecord of outreach master’s education programs(Reilly, 1980; 1990) We propose advanced neonatal and pediatricnursing master’s education outreach throughsatellite training centers across the State,beginning in Marquette, Saginaw and GrandRapids.
Infants/Children with ComplexHealth Issues: NP Outreach(HRSA training grant submitted 12/06) “ to enhance advanced nursing education inthe provision of culturally competent, familycentered, evidence-based, quality health care toacutely and critically ill neonates, children, andadolescents throughout the State of Michigan(many of whom live in underserved areas) aswell as to better meet their long-term chroniccondition and follow-up needs.”
Infants/Children with ComplexHealth Issues: NP OutreachTo meet the critical need for specialized APN’s, wewill: implement an Acute Care Pediatric Nurse Practitioner(ACPNP) program (with a post-master’s option for primarycare PNP’s),enhance the curricula of our already-existing NeonatalNurse Practitioner (NNP), and Primary Care Pediatric NursePractitioner (PCPNP) programs, andincrease availability and accessibility to the NNP, ACPNP,and PCPNP master’s programs using diverse educationalmethodologies at targeted outreach sites across the Stateof Michigan.
Nurse Practitioner (NNP), and Primary Care Pediatric Nurse Practitioner (PCPNP) programs, and increase availability and accessibility to the NNP, ACPNP, and PCPNP master's programs using diverse educational methodologies at targeted outreach sites across the State of Michigan.
