Regionally Increasing Baccalaureate Nurses in NC

Statewide RIBN Project

NC Nursing Education Programs

• 59 associate degree programs (ADN) – 55 based in community colleges

• 18 pre-licensure BSN programs

• 1 pre-licensure MSN program

• 2 diploma programs

• 19 RN to BSN completion programs

• 38 practical nursing programs

NC RN Nursing Workforce

• Greater than 66% of new graduates are prepared at the associate degree (ADN) level

• Only 15.6% of ADNs have completed a BSN or higher degree

• Decreasing pipeline for future faculty, advanced practice & leadership roles

RIBN Background• NC IOM 2004 Nursing Workforce Priority: Increase

proportion of BSN-prepared nurses to 60% in NC • Partners Investing in Nursing’s Future Grant (PIN)

– RWJF/NWHF/Jonas Center for Nursing Excellence of NYC 2008-2010

• WNC RIBN Partners: WCU, AB Tech CC, FFNE • Additional support from state/local funders for WNC

RIBN • Funding support to seed RIBN statewide: The Duke

Endowment and Partners Investing in Nursing through Jonas Center for Nursing Excellence

What is RIBN?

• Partnership between community or private college and baccalaureate nursing programs

• Dual Admission Criteria and Curriculum approved by both institutions

• Recognized as BSN program by NC Educational Assistance Authority

• New Educational Track to BSN degree NOT an RN to BSN program

Four Year RIBN Curriculum

• Home-based at community or private college Years 1-3 – Take one university course per semester to maintain

admission status and earn credits toward BSN

- Most university courses on-line

• Year 1 – General education/nursing pre-reqs• Years 2 & 3 - Complete ADN program;

eligible for RN licensure• Year 4: Complete BSN courses/degree at

university while being eligible to work as RN

History of RIBN Across NC• 2008-10: AB Tech & WCU developed model in NC – 1st

students admitted 2010; 1st BSN grads -2014

• 2010: Added 5 Regional RIBN Partnerships – Centralina, Eastern NC, Hickory, Rural Piedmont, Wilmington– Includes 5 universities, 13 CCs, 1 private ADN program – Admit 1st RIBN students 2012; 1st BSN grads 2016

• Project 75-100 new BSN grads/year beginning 2016• RIBN interest expanding statewide

1/3rd of NC BSN programs and 1/4th NC CCs

now involved

WNC [pilot]Western Carolina University Asheville-Buncombe Technical Community College

Rural PiedmontPfeiffer UniversityStanly Community College

HickoryLenoir-Rhyne UniversityWestern Piedmont Community CollegeWilkes Community CollegeCaldwell Community CollegeCatawba Valley Community CollegeMitchell Community College

Regional RIBN Partnerships

Cherokee

Graham

Clay

Swain

Macon

Jackson

Transylvania

Haywood Buncombe

Madison

Henderson

Yancey

McDowell

Rutherford

Polk Cleveland

Burke

Mitchell Avery

Watauga

Ashe

Wilkes

Caldwell

Alleghany

Surry

Alexander

Catawba

Lincoln

Iredell

GastonMecklenburg

Union Anson

Cabarrus

Stanly

Rowan

Davie

Yadkin

Stokes

Forsyth

Davidson

Rockingham

Guilford

Randolph

Montgomery

Richmond

Moore

Caswell

Alamance

Orange

Durham

Chatham

PersonGranville Vance

Warren

Wake

LeeJohnston

Franklin

Harnett

Scotland

Robeson

Columbus

Brunswick

NewHanover

Bladen

HokeCumberland

SampsonDuplin

Pender

Onslow

Jones

LenoirWayneCraven

Greene

Wilson

NashEdgecombe

Pitt

Halifax

Northhampton

Hertford

Bertie

Martin

Beaufort

Gates

Chowan

Perquimans

Camden

CurrituckPasquatank

Washington Tyrrell Dare

Hyde

Pamlico

Carteret

Tier One Counties

Eastern North CarolinaEast Carolina UniversityLenoir Community CollegeBeaufort Community CollegeRoanoke-Chowan Community CollegePitt County Community College

WilmingtonUNC WilmingtonCape Fear Community College

CentralinaUNC CharlotteGaston CollegeCentral Piedmont Community CollegeCollege of Health Sciencesat Carolinas Healthcare System

RIBN Success Factors• Commitment to collaboration between

the academic programs

• Standardized CC ADN Curriculum

• Regional Coordinator to “sell” dual concept, assure all agreements met, documents signed across

institutions; keep project on track! • Student Success Advocate to market

program to high schools, advise applicants, support students

Essential Partners for Success

• Administrators of all involved academic institutions – presidents, chancellors, deans, registrars, student services directors, state-level administrators

• Nursing Faculty • Primary employers in region - CEOs, CNOs,

Recruiters, Staff Education Coordinators

• Funding organizations

Expected RIBN Outcomes

• Increase access to BSN programs, particularly in rural areas

• Increase faculty and APRN pipeline• Resource sharing among RIBN partners –

faculty, labs, other learning opportunities • Economically feasible option to achieve BSN

Expected Outcomes…..

• Increase RN preparation for complex, hi tech, fast-paced work environment

• Increase RN preparation in public health, gerontology, leadership

• Increase proportion of younger graduates entering workforce

• Increase diversity of nursing workforce

NC Future of Nursing Action Coalition

• Mission: Transforming Nursing for NC’s Health

• Based on IOM Report – The Future of Nursing: Leading Change, Advancing Health

• Priority Action: Increase proportion of baccalaureate nurses to 80% by 2020 – Major Strategy: Implement RIBN statewide

by 2016

RIBN Challenges & Opportunities

Engaging faculty/administrators/support services at all academic levels

Engaging employers to support RIBN student/employee through Year 4

Faculty/student readiness for new teaching/learning modalities

Assuring statewide access to RIBN track

RIBN Challenges & Opportunities

• Engaging faculty/administrators/support services at all academic levels

• Engaging employers to support RIBN student/employee through Year 4

• Faculty/student readiness for new teaching/learning modalities

• Assuring statewide access to RIBN track

Together we can transform nursing in North Carolina!!!

Visit our website at www.ffne.org for more information on the RIBN Project & Future of

Nursing Action Coalition