Transitioning from a Department to School of Nursing: What do the Deans have to say?

Saturday, 16 November 2013

Karen Devereaux Melillo, PhD, ANP-C, FAANP, FGSA
Jacqueline S. Dowling, PhD, RN, CNE
Department of Nursing, University of Massachusetts Lowell, Lowell, MA

Learning Objective 1: 1 Learner will gain insight into emergent themes resulting from qualitative interviews with deans who have transitioned from a department to a School of Nursing.

Learning Objective 2: 2 Learner will identify areas requiring further research for successful transitioning to a School of Nursing.

Purpose: The ability of a Department to transition to a School of Nursing has the potential to address critical nursing faculty shortages and projected nursing workforce needs.  A review of the research in nursing, allied health, and higher education databases revealed limited research to guide Nursing Programs in considering this transition.  This study explored the factors associated with transitioning from a Department to a School of Nursing.

Methods: AACN member deans were recruited to participate in qualitative interviews if they had attempted this transition. Public and private universities in the North Atlantic and Southeast Region of the US not associated with an Academic Health Center were represented.  Eight deans participated in interviews conducted in-person or by telephone.  With IRB approval and dean permission, interviews were digitally audio-recorded and transcribed verbatim. Reflections and field notes also were maintained.

Results: Co-investigators independently reviewed and coded transcripts and met to reach agreement on the operational definition of a code and the emerging themes.  Constant comparison during data analysis identified areas for further exploration in subsequent interviews.  The themes related to the phenomenon under study were:  Administrative support is essential, Buy-in or dissention, Voice at the table, “It just brings Nursing to totally different level”, Think differently, Titles matter, and Legitimizing your position.

Conclusions: Future qualitative research with deans that would explore issues of governance and infrastructure are needed.  For these deans, the transitions reflected the social, economic and political factors and timing which impact their college or university.  Consideration of these factors is critical in determining whether decisions are favorable and in support of the transition. Developing understanding from the experiences of Deans who have transitioned from Departments to Schools of Nursing can offer guidance to nursing education leaders for the future.