The Role Of Policy And Regulatory Guidelines

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Institutions that seek grant money through the ACA to fund nurse residency programs will discover many restrictions placed upon the funding. The Commission on Collegiate Nursing Education (CCNE), an autonomous accrediting agency assesses educational programs ("CCNE," 2015). CCNE only supports and accredits baccalaureate and post graduate nursing programs, which excludes associate degree nursing programs (Commission, 2015). Through new ACA laws, the Department of Health and Human Services (HHS) disseminates grant money to those CCNE accredited programs. The guidelines to receive the grant funding states that the recipient must be a new baccalaureate graduate or post graduate nurse. Considering that there are many associate degree nursing…show more content…
Starting July 2016, the program will support associate degree nurses to participate in residency programs; however, the associate degree nurse must eventually pursue a bachelors or higher degree. In the past, nurse residency programs were designed for the baccalaureate or post graduate nurse for transition to practice. Through the IOMs suggested changes and the evolution of nursing education and nursing practice, "it has become apparent that all newly licensed nurses, regardless of educational preparation, should participate in a nurse residency program" (Commission, 2015, p. 3). That being said, the CCNE will develop curriculum designed to accommodate the different competencies based upon scope of practice and education level. Sources of Resistance
Source of Resistance Number One One source of resistance will likely be negative attitudes and beliefs from current nursing staff on the orthopedic, neurology unit at BCH. The current orientation practice for all newly hired nurses is five to six weeks of training. The culture of this unit is that all nurses, regardless of learning style should be able to learn the policies and procedures and provide quality care for a full patient load of five to six patients at the end of the orientation period. The attitude is such that if a new nurse cannot handle the full patient load, then that nurse should be terminated. The problem is that as previously mentioned, it is expensive to
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