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Volume 3 Journal of Nursing Research and Practice Nursing & Immunology 2019
March 11-12, 2019
Neonatology, Pediatric Nursing and Nursing
Immunology March 11-12, 2019 London, UK
World Congress on
8th World Congress on
&
Partnership synergy: An academic-practice model
Lee Anne Xippolitos
Stony Brook School of Nursing, USA
The Stony Brook University Hospital (SBUH) and the School of Nursing (SON) have solidified the foundation of an academic
practice partnership, established in 2010. The SBUH-SON collaborative relationship was implemented to address issues through
mutual-goal setting; sharing of risks, responsibilities, accountability; and sharing of resources. The Chief Nursing Office of SBUH and
the Dean of the SON have established an organizational structure that aligned the mission and visions of the hospital with the SON.
The goals of the partnership are to: 1) respond to challenges inherent in patient care delivery; 2) develop systems improvements that
increase quality and safety and reduce cost; and, 3) increase the research capacity through the development of a collaborative research
infrastructure. To demonstrate mutual investment and commitment, a memorandum of understanding (MOU) was established
between the individual academic and practice units. This MOU formalized relationships and delineates joint accountability. This
strategic alliance created opportunities for shared responsibilities, governance and decision-making. The Partnership was formalized
through participation as academic and clinical partners in the jointly sponsored American Association of Colleges of Nursing
(AACN)/The Dartmouth Institute Nursing Faculty and Clinical Partners Improving Health Care Together: the Dartmouth Institute
Microsystem Academy. For the pilot project, improving the process of patient and family centered care (PFCC) on an inpatient,
medical oncology unit was selected. The primary aims were to: 1) reduce patient falls; 2) decrease patient pressure ulcers; 3) decrease
interruptions due to call lights; and, 4) improve patient satisfaction related to communication between the health care team and
patients and families. A secondary aim of this partnership was to strengthen quality and safety knowledge in the undergraduate
and graduate curricula of the SON. An intervention was implemented using PDSA and results indicated improvements in fall
and UAPU rates, patient and staff satisfaction rates, enhanced patient and staff communication, and decreased interruptions to
nursing’s workflow. Additionally, the processes and outcomes of the project served to inform undergraduate and graduate curricular
revisions in the SON. The partnership provides a forum for leveraging expertise from the clinical and academic arenas. First in
2012 and again in 2017, the partnership jointly prepared for accreditation of SBUH’s UHC/AACN Post-Baccalaureate Residency
Program (PBRP) by the Commission on Collegiate Nursing Education. Key members of the partner units have joint appointments on
committees responsible for research, education, and best practice. Sustainability of the partnership’s efforts is demonstrated through
a model of shared resources that includes non-salaried faculty appointments of SBUH professionals to the SON and off-set for
faculty serving in dual roles. To drive transformation and implement change, the partnership’s commitment to lifelong learning.
Additionally, continuing education opportunities are jointly developed to provide relevant knowledge that will promote educational
and career advancement. These efforts foster a commitment to professional baccalaureate education, seamless academic progression,
and leadership development. Originally, the partnership existed solely within Stony Brook University’s Academic-Medical Center
which is composed of five health professions schools and a tertiary-care hospital. The juxtaposition allows for inter-professional
collaboration at the highest level. Evidence includes the formation of project teams of faculty from the SON and key drivers from
medicine, managed care, pharmacy, case management, clinical informatics, finance, planning, and other clinical and support areas
in the hospital to improve hospital discharge processes, reduce the readmission rate and streamline patient’s transition from acute-
care to home-based care. This collaboration provides a forum whereby nurses facilitate inter-professional team building, engage in
collaborative problem solving, and improve care coordination. The challenge to the School of Nursing was to replicate the model
in other partnership institutions where resources vary. This was successfully achieved in 2016 when the Academic-Practice Model
was initiated in a nearby 256 bed community hospital. Today, the School works independently with five other institutions where the
missions of both the partner hospital and academic unit are matched. Dissemination of the partnerships’ activities and outcomes is
accomplished through joint publications. Each year, an additional report is jointly published from the Division of Nursing at SBUH
and the dean and faculty from the SON. Additionally, an article highlighting the partnerships accomplishments in improving health
care quality, safety, access and value was published in the nursing literature. Annual surveys are conducted which are informative and
evaluation meetings help to improve upon the model.
J Nursing Research and Practice, Volume 3
DOI: 10.4172/2632-251X-C1-003