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November 2003 issue

Anne Arundel Medical Center  Good Samaritan taps community partners to raise career ladder

How successful has Baltimore’s Good Samaritan Hospital been in establishing a “foundation of learning” as the organization’s underlying culture? Remarkably so, judging by Director of Professional Development Stacey Brull’s use of “phones ringing off the hook” and “snowball effect” in describing the past year’s progress toward this goal.

Good Samaritan’s expanded emphasis on education as the path to greater patient satisfaction and increased quality of care has taken the form of a career ladder for professional nursing. The structure has two main components. The first consists of education programs offered on-site—for staff and community residents who want to begin a nursing career by training as a clinical nursing assistant (CNA), and an RN-to-BSN program. The second is made up of two learning centers—one a clinical simulation center, where educators demonstrate technical skills, and the other an “e-learning” center, which is particularly important for program participants who don’t have a computer at home.

Brull explains that the tremendous level of interest in the CNA program leads to lots of phone calls. And, successful—and motivated—participants can take the next step on the ladder and work toward becoming RNs, through a program the hospital has jointly created with Baltimore’s Coppin State College. That level of interest, along with the enthusiasm of the RNs who are working toward their BSNs, has created the educational snowball effect. “The impact on morale has been tremendous,” says Brull. “Now we get calls from lab technicians and unit secretaries asking what kind of course they can take.”

The entry-level CNA program was launched with a $55,444 grant from the Baltimore-based Abell Foundation, which supports innovative programs in local schools, hospitals, and human service agencies that reach out to the disadvantaged. While both foundation and hospital staff are delighted by the enthusiastic response to the program (and to the subsequent addition of the RN component), Brull offers a cautionary note to those thinking of creating a similar effort: “It’s a very labor-intensive process with a number of obstacles that may not be recognized in the initial planning.”

She explains that these range from the challenge of clearing Tuesdays for classes when CNAs typically work five weekdays, to the need to refresh English and math skills when most participants graduated from high school 10 or 15 years ago. In addition, purchasing several hundred dollars’ worth of books can be difficult for CNAs. “Buying their books might take a third of their paycheck, while they also have to feed their families,” notes Brull.

So far, there have been 45 participants in the CNA program, and 25 of these have started in the RN program. Good Samaritan is taking a breather and not accepting new candidates this fall, as the program’s ups and downs get hammered out. “We’ve learned a lot from the challenges of the pilot group; the next round will be easier, since we’ll have a better idea of what is needed for success, ” Brull says.

That is not to say that Good Samaritan isn’t currently moving forward on other educational fronts. In response to LPNs asking for a program, the hospital is now designing an LPN-to-RN program. “That’s a little more difficult than the RN-to-BSN program,” says Brull. “But with strong support from my nursing education department, we’re working on it.”

Contact:
Stacey Brull
Director of Professional Development
Good Samaritan Hospital
Phone: 410-532-4758
E-mail: Stacey.brull@medstar.net



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