COLUMBIA UNIVERSITY, SCHOOL OF NURSING

WHO Collaborating Centre for Advanced Practice Nursing

DIRECTORS

Jennifer Dohrn
Lorraine Frazier

STAFF

Tonda Hughes
Yu-hui Ferng

TERMS OF REFERENCE

Support PAHO/WHO to build capacity to strengthen the response of the health sector through the identification and application of core competencies for an advanced practice nursing (APN) model.

Support PAHO/WHO to strengthen the health sector in human resources through regional expertise development of nursing and midwifery research in Latin America and Caribbean Member States.

Support PAHO/WHO to build capacity of human resources for health development with expanded knowledge and application of e-learning/informatics in nursing and midwifery.

This institution is a member of the
WHOCC MIDWIFERY NETWORK

ANNUAL REPORT 2019

Sending students off for global clinical experiences

TOR 1
Activity 1:
Title: Identify core competencies essential for advanced practice nursing (APN)

    1. A comprehensive review of established and published APN competencies was conducted and a set of essential APN competencies was derived and conceptualized into 4 domains. Two experts in APN practice and education independently categorized the competencies. This draft served as the foundation for a survey to better understand the relevance of each competency in the context of primary care in LACs and to establish consensus. The survey was conducted and the analysis completed.
    2. The preliminary and final results have been broadly disseminated. A manuscript, Moving towards universal health coverage: Advanced practice nursing competencies, was submitted to Revista Latino-Americana de Enfermagem – RLAE (Latin American Journal of Nursing) and has been accepted for publication.

Activity 2:
Title: Curriculum mapping for APN in Brazil to be expanded to other countries
Using the results of the survey conducted at CUSON, consensus Core APN Competencies in LAC were established. In collaboration with Carla Ventura and her colleagues at U of Sao Paula College of Nursing at Riberiro Preto, a plan was established toward the goal of mapping a competency-based APN curriculum in Brazil that can be used a prototype for other LACs. To accomplish, the collaboration outlined two specific aims: 1) further refine the APN competencies for relevancy in Brazil’s health system and 2) develop exemplar curriculum in coordination with the structure of Brazil’s graduate education.

    • To accomplish aim 1, a Delphi study will be conducted with nurse leaders and educators in Brazil. As the first step, Dr. Ventura and her team have already translated the competencies into Portuguese. Work is underway to obtain IRB approval at the respective schools.
    • To accomplish aim 2, suggested content will mapped that aligns with the refined competencies for curriculum development. The CUSON team has drafted a document that links content with the competencies. This document is under review by the Brazilian team to identify duplicative content that is already included in the graduate curriculum so that we can identify unique new content relevant to the APN. As the results of the Delphi study further refines the competencies, the content will undergo revisions. 

Activity 3:
Title: Promotion of APN in advancing universal health coverage and universal health access
Description: With PAHO develop document regarding the importance of the role of APN in primary health care to advance Universal Health Coverage and Universal Health Access with recommendations for policy, regulation, education, and practice changes.

CUSON faculty team and clinical expert, Dr. Judy Honig, has the manuscript, Moving towards universal health coverage: Advanced practice nursing competencies, to Revista Latino-Americana de Enfermagem – RLAE (Latin American Journal of Nursing) accepted for publication. Plans are underway to create a White Paper on Advancing Universal Access and APNs.

TOR 2
Activity 4:
Title: Assessment of clinical nursing and midwifery research in LAC
A scoping review of existing clinical nursing and midwifery research conducted in the past 10 years in LAC countries was published:

    • Iribarren S, Stonbraker S, Larsen B, Santos I, Faria R, Góes FSN, Binfa L, Larson E. (2018). Clinical Nursing and Midwifery Research in Latin American and Caribbean Countries: A Scoping Review. Int J Nurs Pract. 2018 Apr; 24(2):e12623. doi: 10.1111/ijn.12623
    • TOR 2 has been in collaboration with Escuela de Enfermería Pontificia Universidad Católica de Chile WHO CC and Escuela de Obstetricia Universidad de Chile WHO CC.

TOR 3
Activity 6:
Title: Expanding knowledge of informatics in nursing
CUSON PAHO/WHO CC continues to make progress on the assessment of the current use of e-learning in nursing and midwifery curriculum in LACs. From the review of the research literature in the LAC, CUSON learned that: 1) the PAHO eHealth initiative has developed robust regional and country level knowledge that covers physicians’ and nurses’ knowledge and use of e-learning at educational and clinical levels; and 2) Brazil is the only country in the region that has generated scholarly research about e-learning for nurses and midwives. Consequently, CUSON has refined the focus of this activity to assessing eLearning tools and capabilities for midwives in the region.

Activities are to be accomplished together with the Escuela de Obstetricia Universidad de Chile PAHO/WHO CC, University of the West Indies PAHO/WHO CC conduct an environmental scan to identify e-learning resources currently used for curriculum development in midwifery in LAC.

In addition to those mentioned above, the following activities have been accomplished:

    • Judy Honig, Professor of Nursing, is collaborating with Faculty of Nursing/ Jordan University of Science and Technology WHO CC: Using an adapted version of the APN Competency Survey developed by the PAHO Collaborating Center, Drs. Honig, Abu AL Rub and Al-Maaitah conducted a study to delineate APN practice and competencies in relation to Universal Health Care in Jordan as an initial step towards educating APNs and establishing the foundation for future work on building APN capacity in Jordan.
    • Dr. Honig is working with an international research group, Canadian Centre for Advanced Practice Nursing Research (CCAPNR), on two projects. Using a scoping review and a rapid review of the grey literature, we conducted a comparative analysis of pedagogical and evaluation methods used in graduate nurse practitioner education. An international research team conducted a scoping review of published and grey literature examining the core curriculum features of NP education programs. The results of the two studies were presented in 2018 in a symposium format at the 10th ICN NP/APN Conference, Rotterdam, Netherlands. A manuscript is in progress.
    • Dr. Honig has assumed the role of co-chair for the International Council of Nurses, APN Education Subgroup. The subgroup conducted a study of clinical education from the global perspective. The results of the study were presented in 2018 at 10th ICN NP/APN Conference, Rotterdam, Netherlands. A manuscript is in progress.
    • Tonda L. Hughes (Director of Global Health Research) and Lilian Ferrer (Director of International Affairs, School of Nursing, Pontificia Universidad Católica de Chile WHO CC) are working with Kenrick Cato, Assistant Professor of Nursing, and two postdoctoral fellows at Columbia School of Nursing on literature reviews of research focusing on sexual minority (e.g., lesbian, bisexual) women’s health and on transgender health in Latin America and the Caribbean. The first review was recently submitted to the International Journal of Nursing Scholarship and the other is in progress (Caceres, B.A., Ferrer, L., Jackman, K., Kenrick, C.D., & Hughes, T.L. Sexual minority women’s health in Latin America and the Caribbean: A scoping review. Under Review).
    • Kenrick Cato, Assistant Professor of Nursing, has been working with the University of West Indies School of Nursing (UWISON) WHO CC to develop a virtual library that will be entirely online.
    • Maureen George, Associate Professor of Nursing, visited University of West Indies School of Nursing and its WHO CC 6/11/18 – 6/13/18. The purpose of the visit was to determine the feasibility of a Columbia Nursing and University of West Indies School of Nursing research collaboration. The visit had two specific aims: (1) to begin to build research capacity among UWISON faculty members and graduate students; and (2) to explore the possibility of implementing adult clinic-based and pediatric school-based asthma research interventional studies.
    • Drs. Jennifer Dohrn and Tonda Hughes attended the 12th Biennial Conference of the Global Network of WHO Collaborating Centres for Nursing and Midwifery in Cairns, Queensland, Australia, July 17th – 19th, 2018 to discuss Sustainable Development Goals are Everyone’s Business. Dr. Dohrn also made an oral presentation Transforming Nursing Education to be Relevant for a Global Community.

In addition to the activities mentioned above, CUSON PAHO/WHO CC actively continues to engage and support the goals of the WHO CCs:

    • Jennifer Dohrn has been active in the creation of the Global Network of WHO Collaborating Centers Midwifery Network, established at the 12th Biennial Conference of the Global Network of WHO Collaborating Centres for Nursing and Midwifery in Cairns, Queensland, Australia, July 17th – 19th, 2018.

Columbia University SON has developed a global clinical practicum program for final clinical experiences for graduating master’s students. Spring 2019 – 78 students are spending six weeks doing clinical work sites in countries.