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OHIONURSING ARTICULATIONMODELSeptember, 2003 - 2005The Ohio Nursing Articulation Model was developed through funding from theHelene Fuld HealthTrust, HSBC Bank USA

The Ohio Nursing Articulation Model (ONAM)ForwardThis statewide nursing articulation model was developed at the recommendation of theOhio Collaborative Project: Nursing Workforce 2000 (1996-2000), part of the nationalRobert Wood Johnson funded project Colleagues in Caring, Regional Collaboration forNursing Workforce Development. The recommendation indicated there was a need for astatewide nursing articulation plan to enable optimal educational mobility for nurses inOhio.The Ohio League for Nursing, a member of the Ohio Collaborative, applied for aneducational mobility grant from the Helene Fuld Health Trust, HSBC Bank USA and wasawarded a two year grant for September 2001 to September 2003, extended to September2004. The Ohio Nursing Articulation Model (ONAM) was developed by the OhioNursing Collaborative for Educational Mobility (ONCEM) which provided for inputfrom all nursing programs in Ohio as well as representatives from nursing practicesettings. The goal of these representatives was to provide quality nursing education whileprotecting and promoting the health of the citizens of Ohio.The model in existence in northeast Ohio called ACCESS (Achieving Continuing CareerEducation for Success and Satisfaction) developed by the Nursing Education MobilityAction Group (NEMAG) served as the model for development of the Ohio NursingArticulation Model (ONAM).Thank you to all who participated in the development of the ACCESS model and all whoparticipated in the development of the Ohio Nursing Articulation Model (ONAM).A special acknowledgement to:Mary F. Rapson, PHD, RN, FAANNational Program Director, Colleagues in CaringRegional Collaboration for Nursing Workforce Developmentwho was the consultant for both the ACCESS model and the Ohio Nursing ArticulationModel (ONAM) and inspired all of us.Jane F. Mahowald, MA, RNProject Director ONCEMExecutive DirectorOhio League for Nursing20545 Center Ridge Road, Suite 205Rocky River OH 441161

The Ohio Nursing Articulation Model (ONAM)TABLE OF CONTENTSForward1Table of Contents2Steering Committee3Advisory Committee5Purpose7Assumptions8Model9Program Characteristics10Participating Nursing Programs11Glossary of Terms13Description of Transition Course14Summary152

The Ohio Nursing Articulation Model (ONAM)ACKNOWLEDGEMENTSSteering Committee MembersSusan Batten, RN, PhD, CNSAssociate Dean, Undergraduate ProgramMedical College of OhioSchool of NursingToledo, OhioNorthwest RegionDala DeWitt, MS, RNDirector Community Hospital SONSpringfield, OhioSouthwest RegionLinda A. Bernhard, PhD. RNAssociate Dean for Academic AffairsThe Ohio State UniversityCollege of NursingColumbus, OhioCentral RegionNancy Giesser, MSN, RN (Until 2/2003)Executive DirectorCentral School of Practical NursingCleveland, OhioNortheast Region (Until 2/2003)Susan Bernheisel, RN, MSNAssistant Professor of NursingMercy College of NW OhioToledo, OhioNorthwest RegionJoan Hampton, MSN, RNDirector AD Nursing ProgramWashington State Community CollegeMarietta, OhioSoutheast Region (Until 8/2003Sherry Bockus, RN, MSFaculty/CoordinatorColumbus State Community CollegePractical Nursing ProgramColumbus, OhioCentral RegionCarol Holdcraft, DNS, RNAssistant DeanWright State University – Miami ValleyCollege of Nursing & HealthDayton, OhioSouthwest RegionJanet Boeckman, RN, MSN, CPPNDirector Nursing Program (LPN/ADN)North Central State CollegeMansfield, OhioCentral RegionSusan Ipacs, MS, RNAssociate Dean Level II NursingHocking Technical CollegeNelsonville, OhioSoutheast Region (Beginning 3/2003)Janet M. Byers, PhD, RNAdministrator, Holzer School of NursingAD and RN-BSN ProgramsUniversity of Rio-GrandeRio Grande, OhioSoutheast RegionCharles Kelades, MSN, RN, CCMOutreach Program CoordinatorThe University of AkronCollege of NursingAkron, OhioNortheast Region3

The Ohio Nursing Articulation Model (ONAM)Steering Committee Members continued.Kathleen Knittel, MSN, RNDirector Schools of Nursing & Allied HealthCleveland Clinic Health SystemHuron School of NursingEast Cleveland, OhioNortheast RegionKaren Short, MSN, RNDirector Practical NursingNorthwest State Community CollegePractical Nursing ProgramArchbold, OhioNorthwest RegionCindy A. Krueger, MSN, RNDean Allied Health & Public ServiceNorthwest State Community CollegeArchbold, OhioNorthwest RegionMarsha Snyder, MS, RN.CDean of Health SciencesSouthern State Community CollegeHillsboro, OhioSouthwest RegionSharon Millard, PhD, RNChair BSN Completion ProgramKettering College of Medical ArtsKettering, OhioSouthwest RegionJudy StauderDirectorCanton City Schools PN ProgramCanton, OhioNortheast Region (Beginning 3/2003)Hope M. Moon, MSN, RN, CNSADN Program DirectorLorain Community CollegeElyria, OhioNortheast RegionMolly WeilandHocking Technical CollegeNelsonville, OhioSoutheast Region (Until 3/2003)Sharon S. Parker, MS, RN, CNSProfessor & Director BSN CompletionProgramCapital UniversitySchool of NursingColumbus, OhioCentral RegionJane F. Mahowald, MA, RNExecutive DirectorOhio League for NursingCleveland, OhioProject DirectorHolly Price, MSN, RNDirector Firelands Regional Medical CenterSchool of NursingSandusky, OhioNorthwest Region4

The Ohio Nursing Articulation Model (ONAM)Advisory CommitteeDr. Richard ArndtOhio Board of RegentsDirector, K-16 InitiativesColumbus, OhioCharlet Grooms, RN, MSEducation ConsultantMt. Gilead, OhioW. Rae Arnold, MA, RNOhio Nurses AssociationDirector Community OutreachGrant/Riverside Methodist HospitalsOhio HealthColumbus, OhioJoan C. Hampton, MA. RN (Until 8/2003)Ohio Council Associate Degree NursingEducation AdministratorsDirector AD Nursing ProgramWashington State Community CollegeMarietta, OhioNora Bostic, LPN (Until 2/2003)Licensed Practical Nurse Association ofOhio, Inc.Education CoordinatorSpringfield, OhioGingy Harshey-Meade, MSN, RNOhio Nurses AssociationChief Executive OfficerColumbus, OhioJoyce R. BoudreauOhio Department of EducationConsultant, Health Careers EducationOffice Career-Technical and AdultColumbus, OhioMary Beth Hayward, MSN, RN (Deceased)Ohio League for NursingAssociate ProfessorSchool of NursingMedical College of OhioToledo, OhioLennie Davis, MSN, MS, RN, CNAA(Beg. 3/2003)Ohio Organization of Nurse ExecutivesDirector of EducationHolzer Medical CenterGallipolis, OhioDeborah Keller, RN, MSN (Beg. 2/2003)Ohio Organization of Practical NursingEducatorsDirectorEHOVE School of Practical NursingMilan, OhioJoan L. Frey, MSN, RNOhio Council Hospital BasedSchools of NursingDirector Aultman School of NursingCanton, OhioKathleen Knittel. MSN, RNOhio Council Hospital Based Schools ofNursingDirector Schools of Nursing & Allied HealthCleveland Clinic Health SystemHuron School of NursingCleveland, OhioNancy Giesser, RN, MEd (Until 2/2003)Ohio Organization Practical NursingEducatorsExecutive DirectorCentral School of Practical NursingCleveland, Ohio5

The Ohio Nursing Articulation Model (ONAM)Advisory Committee continued.Jacqueline M. Loversidge, RNC, MSLiaison, Ohio Board of NursingNursing Education ConsultantColumbus, OhioCindy A. Krueger, MSN, RNOhio Council Associate Degree Nursing Education AdministratorsDean Allied Health & Public ServiceNorthwest State Community CollegeArchbold, OhioPatricia A. Martin, PhD, RNOhio Council Deans & Directors ofBaccalaureate & Higher Degree ProgramsDean and ProfessorWright State University-Miami ValleyCollege of Nursing and HealthDayton, OhioJanet Schriner (Until 6/2002)Ohio Organization of Nurse ExecutivesVP NursingMcDonald HouseUniversity HospitalsCleveland, OhioTerri Schumacher, MSN, RNOhio League for NursingDepartment ChairGood Samaritan Collegeof NursingCincinnati, Ohio6

The Ohio Nursing Articulation Model (ONAM)OHIO NURSING ARTICULATION MODEL (ONAM)Adopted September 26, 2003PurposeThe Ohio Nursing Articulation Model was developed during a two year project (20012003) funded by the Helene Fuld Health Trust, HSBC Bank USA to create a coordinatedsystem of nursing education in Ohio that enables optimal educational mobility for nurses.The Ohio Nursing Collaborative for Educational Mobility (ONCEM), who developed themodel, consisted of nurse educators from all types of programs representing all regions ofthe state.The statewide articulation model, developed by the Ohio Nursing Collaborative forEducational Mobility (ONCEM), was patterned after the Access in Nursing modeldeveloped by the Nursing Education Mobility Action Group (NEMAG) in northeastOhio. The model provides access to educational opportunities while preservingeducation standards and the uniqueness of individual Ohio schools.The Ohio Nursing Articulation Model includes assumptions about nursing articulation,nursing program characteristics, and mechanisms for advanced placement. This modeldeals exclusively with nursing courses and leaves decisions about the transferability offoundational sciences and general education courses to the discretion of the individualacademic educational institution. This model provides for an efficient progression fromLicensed Practical Nurse (LPN) to Registered Nurse (RN) and RN to the baccalaureatedegree.7

The Ohio Nursing Articulation Model (ONAM)OHIO NURSING ARTICULATION MODEL (ONAM)Adopted September 26, 2003ASSUMPTIONS1. Articulation provides a collaborative approach to positively impact nursingeducation and the nursing workforce.2. Articulation facilitates educational access and student progression with minimalrepetition.3. Prelicensure nursing programs must meet standards established by the OhioBoard of Nursing and are expected to be congruent with standards of accreditingbodies.4. Each educational institution establishes standards for admission, progression, andgraduation based on its unique mission and goals.5. Nursing programs participating in this model recognize that articulation studentshave met course objectives and outcomes of their previous program.6. Graduates of all types of nursing programs have achieved a common core ofknowledge, attitudes, cognitive and psychomotor skills; however, based oneducational preparation there are distinct differences in the breadth, depth,complexity, and scope of knowledge and skills.8

The Ohio Nursing Articulation Model (ONAM)Ohio Nursing Articulation Model (ONAM) – 2003*LPN/LVN Applicants Seeking AdvancedPlacement in Associate Degree or Diploma inNursing Programs Must: RN Applicants Seeking Advanced Placementin Baccalaureate Nursing Degree ProgramsMust Hold a current license to practice as aLicensed Practical/Vocational Nurse in atleast one U.S. state or territory.Meet the specific admission requirementsof the receiving academicinstitution/program. ADN/Diploma Programs Participating in theArticulation Model Will: Hold a current license to practice as aregistered nurse in at least one U.S. state orterritory.Meet the specific admission requirementsof the receiving academicinstitution/program.BSN Programs Participating in TheArticulation Model Will: Participate on a voluntary basis.Utilize the Transition Course as theadvanced placement mechanism forarticulation students.Grant a minimum of 30% of the nursingcredits required by the receiving academicinstitution/program.Record credit using the format of thereceiving academic institution.Establish graduation requirements forarticulation students that do not exceedthose of generic students. Participate on a voluntary basis.Utilize the concept of Escrow/Bypass forthe advanced placement of articulationstudents.Grant a minimum of 45% of the nursingcredits required by the receiving academicinstitution/program.Record credit using the format of thereceiving academic institution.Establish graduation requirements forarticulation students that do not exceedthose of generic students.Mechanism for Advanced Placement:Transition CourseMechanism for Advanced Placement:Escrow/BypassThe LPN/LVN to RN Transition course in theOhio Nursing Articulation Model serves both avalidation purpose and a transition purpose.The course validates prior learning, updatesand enhances student’s knowledge, begins theprocess of role transition, and prepares thestudent for advanced placement into the RNprogram.The receiving academic institution grantsnursing credit after the student hassuccessfully completed the Transition Course.Escrow/Bypass is a mechanism that recognizesprevious nursing education and awards nursingcredits based on the successful completion ofthe specified nursing course(s) in thecurriculum of the receiving academicinstitution.The receiving academic institution grantsnursing credit after the student hassuccessfully completed the specified nursingcourse(s).* Model Adapted from NEMAG Model Access (1991-2004)9

AverageLengthof ProgramDifferentiatingCharacteristicsMission orPurpose ofProgramEducational/LicensureLevel 1 academic yearPrepares a nurse whoprovides direct carefor an individual, inthe context of thefamily, who isgenerallystable with acute andchronic common, welldefined healthproblemswith predictableoutcomes; in astructured setting withappropriate direction;participates in healthpromotion/maintenanceactivities for theindividual as amember of the healthcare team.PN(LPN/LVN)2-3 academic yearsPrepares a nurse whoprovides direct carefor individuals, in thecontext of a family &community, whohave acute & chronicwell-defined healthproblems withpredictable &unpredictableoutcomesin structured settings;participates in healthpromotion/maintenanceactivities forindividuals in thecontext of afamily & communityas a member of ahealth care team.ADN/Diploma (RN)4 academic yearsPrepares a nurse whoprovides &coordinatescare for individuals,families, groups, & thecommunity across thehealth/illnesscontinuum (healthpromotion/maintenanceto complex healthproblems) withpredictable andunpredictableoutcomes instructured& unstructuredsettings; managescontinuityof care across settingsas an individualinterdisciplinary teammember.BSN (RN)1-2 years; 36-51semester creditsPrepares a nurseat the advancedlevel for practiceas an expertclinician who providescare to individuals,families, groups,communities, &populations incomprehensivedelivery systems;or for practice as anurse administrator ornurse educator whouses theory & researchto create & modifysystems & models ofcare.MSN/MS (RN)4-6 yearsPrepares a nurse forleadership inresearch,education, practice,oradministration, andwith the analyticalskills to contributeto the development ofnursing science.PhD/DNS/ND (RN)Ohio Nursing Articulation Model (Adopted September 26, 2003)Program Characteristics(Adapted from the South Carolina, Mississippi, and District of Columbia Articulation Models)The Ohio Nursing Articulation Model (ONAM)

10Progression to anAssociate Degree orDiploma in NursingEducationalAdvancement*Progression to theBaccalaureate NursingDegreeStructured: unit-basedby setting: acute, longterm care,ambulatory,community orientedIndividuals in thecontext of the familyandcommunityGeneralistADN/Diploma (RN)Progression to theMasters in NursingDegreeStructured orunstructured:across units &settings:acute, long-term itionalIndividuals, families,groups, communitiesGeneralistBSN (RN)Structured orunstructured;across units & settings:acute, long-term care,ambulatory, community,entrepreneurial,non-traditional,schools of nursing,independent/collaborative practiceProgression to theDoctoral DegreeIndividuals, families,groups, communities,populationsSpecialistMSN/MS (RN)Post-doctoral studyinspecialty areaStructured orunstructured; acrossall units, settings &systems; includingschools of nursingand researchorganizationsSpecialist: /orentrepreneurshipIndividuals, families,groups, communities,populationsPhD/DNS/ND/ (RN)* This is the traditional progression, but it is possible to move more than one step at a time through accelerated programs, for example: PN toBSN; AD/Diploma to MSN; BSN to PhD/DNS/ND.PrincipalSettingsFor PracticeIndividuals in thecontextof the family and otherunits within thecommunityStructured withappropriate direction;unit-based by setting:acute, long-termcare, ambulatoryGeneralistPN(LPN/LVN)Client FocusEducational/LicensureLevel DifferentiatingCharacteristicsFocus of CareThe Ohio Nursing Articulation Model (ONAM)

The Ohio Nursing Articulation Model (ONAM)Participating Nursing ProgramsBaccalaureate in Nursing ProgramsAshland University, Department of Nursing - AshlandCapital University School of Nursing - ColumbusCleveland State University, School of Nursing - ClevelandCollege of Mount St. Joseph, BSN Program - CincinnatiFrances Payne Bolton School of Nursing at Case Western Reserve University - ClevelandKent State University College of Nursing - KentKettering College of Medical Arts - KetteringLourdes College BSN Program - SylvaniaMedCentral College of Nursing - MansfieldMedical College of Ohio/University of Toledo and Medical College of Ohio/BowlingGreen State University - ToledoMercy College of Northwest Ohio - ToledoMount Carmel College of Nursing - ColumbusOtterbein College Nursing Program - WestervilleThe Ohio State University College of Nursing - ColumbusThe University of Akron College of Nursing - AkronUniversity of Cincinnati, College of Nursing - CincinnatiUniversity of Phoenix/College of Health Sciences & Nursing – ClevelandUrbana University BSN Completion Program - SpringfieldUrsuline College-The Breen School of Nursing – Pepper PikeWalsh University Division of Nursing – North CantonWright State University – Miami Valley College of Nursing & Health - DaytonYoungstown State University, BSN Program - YoungstownAssociate Degree Nursing ProgramsCincinnati State Bethesda School of Nursing - CincinnatiClark State Community College - SpringfieldCuyahoga Community College - ClevelandEdison State Community College - SpringfieldGood Samaritan College of Nursing & Health Science - CincinnatiHocking College School of Health & Nursing - NelsonvilleKent State University AD Nursing Programs – Ashtabula, East Liverpool, New PhiladelphiaKettering College of Medical Arts, AD Nursing Program - KetteringLakeland Community College - KirtlandLorain County Community College, AD Nursing Program - ElyriaMercy College of Northwest Ohio - ToledoNorth Central State College - MansfieldNorthwest State Community College, AD Nursing Program - ArchboldOhio University AD Nursing Program – Zanesville, ChillicotheOwens Community College – Toledo, FindlaySouthern State Community College - Hillsboro11

The Ohio Nursing Articulation Model (ONAM)Participating Nursing Programs, continued.Diploma Nursing ProgramsAultman Hospital School of Nursing - CantonThe Christ Hospital School of Nursing - CincinnatiCommunity Hospital School of Nursing - SpringfieldFirelands Regional Medical Center School of Nursing - SanduskyHuron School of Nursing – East ClevelandPractical Nursing ProgramsAkron School of Practical Nursing - AkronApollo School of Practical Nursing - LimaATS Institute of Technology, Practical Nursing Program – Highland HeightsButler Tech Program of Practical Nurse Education - HamiltonCentral School of Practical Nursing - ClevelandClark State Community College Practical Nurse Program - SpringfieldColumbus School of Practical Nursing - ColumbusCuyahoga Community College Practical Nurse Program - ClevelandEHOVE School of Practical Nursing - MilanGreat Oaks School of Practical Nursing - CincinnatiHocking College School of Health & Nursing - NelsonvilleKnox County Career County School of Practical Nursing – Mt. VernonLorain County Community College Practical Nursing Program - ElyriaMarymount School of Practical Nursing – Garfield HeightsMiami Valley Career Technology Center - ClaytonThe Nancy J. Knight School of Nursing - BellfontaineNorth Central State College, Practical Nursing Program - MansfieldNorthwest State Community College Practical Nursing Program - ArchboldOwens Community College - ToledoParma School of Practical Nursing - BrecksvillePickway-Ross JVSD Practical Nursing Education Program - ChillicothePortage Lakes Career Center, W. Howard Nicol School of Practical Nursing - GreenProfessional Skills Institute School of Practical Nursing - ToledoRETS Practical Nursing Program - CentervilleSouthern State Community College - HillsboroToledo School of Practical Nursing - ToledoTri-Rivers School of Practical Nursing - MarionWilloughby-Eastlake School of Practical Nursing - WilloughbyNote: Nursing programs that were unable to sign participation agreements at the time of theprinting of this document, may sign up later and will be added to the listing of participatingschools on the Ohio League for Nursing website www.ohioleaguefornursing.org.12

The Ohio Nursing Articulation Model (ONAM)GLOSSARY OF TERMSArticulationThe process through which nursing programs cooperate to facilitate educational progress ofstudents with minimal repetition of coursework.Bridge CourseA course which is conducted by the receiving academic institution to orient the student to thecontext/curriculum model/philosophy of the particular receiving academic institution.ClientA recipient of nursing care and the focus of care as described in the Program Characteristics.Escrow/BypassRecognizes previous nursing education and posts nursing credit to the transcript based onsuccessful completion of specified nursing course(s) in the curriculum of the receiving institutionor by program policyTransition CourseThis course validates prior learning, updates and enhances student’s knowledge, begins theprocess of role transition, and prepares the student for advanced placement into the RN program.The transition course is a standard course in the Ohio Nursing Articulation Model and may betaught by any participating program preparing graduates to take the National Council LicensingExamination (NCLEX).13

The Ohio Nursing Articulation Model (ONAM)Description of Transition Course Course is designed to enable the student to explore integrative concepts in nursing andassist the student in transition from licensed practical nurse to registered nurse. Students will refine and update previous learning in addition to identifying goals forsuccessful transition into the registered nursing program. Combined with classroom and nursing laboratory experiences, the student learns throughapplication of concepts. The student will demonstrate the ability to solve problems through the use of the nursingprocess with a focus on client assessment and nurse patient relationship.The course is 3 Semester Hours (2 credit hours classroom, 1 credit hour laboratory) or 4Quarter Hours (3 credit hours classroom, 1 credit hour laboratory).14

The Ohio Nursing Articulation Model (ONAM)SUMMARYProject GoalTo create a coordinated system of nursing education that enables optimal educational mobilityfor nurses in Ohio.ProcessTwo series of regional meetings held in each of the five regions of Ohio, northwest, northeast,central, southwest, and southeast, provided the opportunity for representatives from nursingprograms in each region to participate. During the first series, held during the first year,representatives shared information about their nursing programs as well as the mechanismscurrently being used for advanced placement. At the second series, held in the second year, therepresentatives discussed and came to agreements about the proposed model developed by theSteering Committee based upon the results of the information gleaned in the first series ofmeetings.A statewide conference held at the end of the first year provided an opportunity for sharingconcepts of advanced placement and tentative proposals. At the end of the second year a secondstatewide conference was held and the model, as refined in the second series of regionalmeetings, was adopted.Steering CommitteeThe Steering Committee was composed of four representatives from each region from all typesof nursing programs, practical nursing, diploma, associate degree, and baccalaureate. TheSteering Committee developed the proposals for a statewide articulation model based uponresults of the series of regional meetings as well as the feedback received during the firststatewide conference.Advisory CommitteeThe Advisory Committee was made up of representatives from the State Consortium of the OhioCollaborative and provided guidance to the Project Director through electronic messaging.ImplementationDuring the third year letters seeking participation from nursing programs were mailed to allnursing programs along with participation agreements.The ONCEM Steering Committee will develop monitoring mechanisms as the articulation planis implemented to determine outcomes.The schedule for the statewide Transition Course will be posted on the website of the OhioLeague for Nursing, www.ohioleaguefornursing.org.15

NOTES16

www.ohioleaguefornursing.org(440) 331.2721

The Ohio Nursing Articulation Model (ONAM) Advisory Committee Dr. Richard Arndt Ohio Board of Regents Director, K-16 Initiatives Columbus, Ohio W. Rae Arnold, MA, RN Ohio Nurses Association Director Community Outreach Grant/Riverside Methodist Hospitals Ohio Health Columbus, Ohio Nora Bostic, LPN (Until 2/2003)

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