To provide information that may assist faculty to prepare the next generation of nurses to practice using genomics.

The purpose of this quality improvement project was to evaluate a statewide initiative promoting Advance Care Planning (ACP) to educate and support multidisciplinary ACP educators and provide tools to start ACP conversations in a predominantly rural state of the Upper Midwest. Individual objectives were to (1) motivate people of different professions and backgrounds to support the vision and (2) implement a system to educate and maintain a pipeline of ACP educators in appropriate methodologies to enable ACP in distant communities. The Advance Care Planning: Quality Conversations coalition was formed in 2015 to improve health care across the life span. The Reach-Effectiveness-Adoption-Implementation-Maintenance framework was applied to evaluate the project. Outcome variables were measured before, during, and after program implementation through service statistics and a questionnaire. Participation in the coalition's membership team between September 2015 and September 2019 ranged from 18 to 36 with a median of 27 and mode of 27. At least 20 different professions were represented. The coalition provided funds for educating 9 ACP instructors and 180 facilitators according to the Respecting Choices–First Steps ACP program. The coalition's mission has generated sustained interest for 4 years. Key elements and obstacles to implementing a statewide coalition were identified.

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To assess the feasibility of incorporating video applications into distance education courses, faculty and student produced videos to aid in transferring knowledge from nursing courses to clinical practice. Student videos validated prerequisite physical assessment knowledge and skills, allowing identification of students who needed remedial work, therefore, facilitating progression into the advanced content. Faculty-generated video vignettes simulated family dynamics, thus making abstract content concrete. Vignettes were also used to evaluate students' attainment of counseling techniques through testing applications.

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