NONPF 38th Annual Conference

A Risk Profile Assessment for APRN Clinical Supervision

Saturday, April 16, 2011
Karen Koozer Olson, RN, FNP-BC, PhD, FAANP , College of Nursing, University of Tennessee, Health Science Center, Memphis, TN
Irma Jordan, DNP, APRN, FNP/PMHNP-BC , College of Nursing, University of Tennessee, Health Science Center, Memphis, TN
Abstract:
This presentation will present a schema by which clinical site supervision for FNP DNP students are prioritized. Clinical supervision of students, either those at a distance or in the local area, is an educational, fiscal and accreditation issue. ANCC and NONPF criteria emphasize the importance of clinical supervision. The current NP accreditation standards indicate some face to face observation of students is essential. Early evaluation serves multiple purposes including but not limited to assessment of clinical site and preceptor suitability and student progress in meeting course outcomes and objectives.

This faculty sought to develop a risk profile utilizing educational principles to support evidenced base planning to prioritize clinical supervision visits. Faculty reviewed past student experiences to identify common characteristics which put the student at risk for unsuccessfully meeting course objectives. This data was used as a foundation for the decision making process and determining intensity of clinical supervision. A numeric rubric was developed based on this data Low scores supported faculty decision to incorporate technology based visits whereas high scores indicated the need for early face to face visits. The rubric is based on both qualitative and quantitative data. Data includes site and preceptor characteristics, student academic history, and other critical variables. This tool has been operational for four consecutive semesters and has offered faculty a data driven approach to planning clinical supervision.