$900,000 Grant Allows UNMC College of Nursing to Establish Nurse Practitioner Program in Norfolk, Beatrice

The University of Nebraska Medical Center College of Nursing in Omaha

has received a three-year, $900,000 grant from the U.S. Department of Health

and Human Services to establish the family nurse practitioner program to

Norfolk and Beatrice. The program will make it possible for students to

earn a Masters of Science Degree in Nursing by taking most of their classes

through a computer, without commuting to a UNMC campus.

Kathryn Fiandt, D.N.S., associate professor, UNMC College of Nursing,

and coordinator of the family nurse practitioner program, said the grant

will make it more convenient for nurses in and around Norfolk and Beatrice

to become family nurse practitioners completing most of the typical classroom

work through a computer. This allows students the flexibility to study

when its convenient for them and eliminates regular commuting to campus

in Omaha. It takes about two-and-a-half years to complete the program fulltime,

she said.

Starting salary for nurse practitioners in Nebraska is $50,000 to $55,000,

said Dr. Fiandt, a family nurse practitioner for 23 years. Our graduates

get jobs. There are probably more jobs than graduates.

There are currently UNMC nurse practitioner programs in Scottsbluff,

Kearney, Lincoln and Omaha. The new program requires a faculty member for

each site to work with the students in classroom and clinical areas, space

for a multi-media room, laboratory rooms, exam tables and equipment.

Computer specialists will provide technical direction and support to

students. Faculty will work with local physicians and nurse practitioners

who will serve as preceptors — or mentors to the students. In addition,

an Internet site will be developed for connecting practicing rural family

nurse practitioners and students to provide professional support and mentoring

for isolated students, Dr. Fiandt said.

Nurse practitioners are registered nurses who have completed academic

and clinical work through a masters degree in nursing, which includes

600 hours of clinical experience working with a physician or nurse practitioner.

Family nurse practitioner services include health care maintenance such

as physicals, annual womens exams, well child care and pre-natal care.

They also prescribe medication and manage conditions such as infections

and asthma, as well as chronic health problems like high blood pressure

and diabetes.

Nurse practitioners have collaborative agreements with physicians who

they consult with and refer patients with more serious conditions.

In the past, students drove to campus for their coursework. Now they

wont have to come in as often, Dr. Fiandt said. She said students will

periodically drive to campus to discuss case studies and meet with their

faculty adviser.


The program also will give students the opportunity to use multi-media

products such as the Internet and CD-ROM, which contain physical images

and sound, Dr. Fiandt said. She said the technology focus not only enables

them to take coursework from their hometown, but also exposes them to future

ways of delivering health carevia telehealth also referred to as telemedicine.

We want to make sure students are getting classroom and clinical experiences

so they have these skills. Nurse practitioners can be the first point of

contact for the patient and need these skills so they are comfortable with

technology.


Telehealth uses computer, video and audio technology for transmission

of patient information from remote areas to a health professionals office

or medical center for assessment. The grant will fund two telehealth consultants.

In 1992, UNMC started the first nurse practitioner program in Nebraska.

Since then, 108 family nurse practitioners have graduated from UNMC. The

increase of nurse practitioners is important in addressing the shortage

of primary care health professionals in 70 of 93 counties in Nebraska.

A lot of the needs of patients in rural communities are well within

the capabilities of a nurse practitioner or a physician assistant. The

more serious cases can be referred to a physician. This uses the health

care team most efficiently, Dr. Fiandt said.

For more information about the program, call (402) 559-6566 or 559-4120.

The UNMC College of Nursing is the largest nursing school in the state

with a total of more than 700 students at its Omaha, Lincoln, Kearney and

Scottsbluff campuses. It is the only nursing school in the state to offer

undergraduate, master’s and doctoral degrees.

UNMC is the only public academic health science center in the state.

Through its commitment to research, education and patient care, UNMC has

established itself as one of the country’s leading centers for cancer research

and treatment and solid organ transplantation. More than $34 million in

research grants and contracts are awarded to UNMC scientists annually.

In addition, UNMC’s educational programs are responsible for training more

health professionals practicing in Nebraska than any other institution.