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‘They treated us like criminals’: UMMC lets go of most instructors for Oxford nursing program

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The has let go nearly all of the instructors at its Oxford-based accelerated bachelors of science in nursing program, prompting outcry from current and former who worry this will their chances of passing the national nursing exam.

The move, announced last week, came in the middle of the program's one-year cycle. Students received an email on May 1 that described the as “difficult” a few hours after five of the program's seven faculty members were informed that UMMC would not renew their contracts this summer.

“Please understand these personnel changes are not punitive, rather this restructuring is based on programmatic and student needs,” wrote Julie Sanford, the dean of UMMC's School of Nursing, and Leigh Holley, an assistant dean who was one of just two instructors to not be let go. Neither administrator responded to Mississippi 's requests for comment.

Days later, students received even more personnel news: Sanford, who UMMC named dean in 2019, would be leaving for a new position at the University of Alabama's nursing school.

One of the five faculty members, who asked to remain anonymous out of fear that UMMC would revoke their remaining month-and-a-half of pay, said she was devastated by the decision and caught completely off guard. She said the only reason they were given is that “it was a business decision.”

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“I just want you to know that I have committed my and career to this institution and to this program and to these students,” the faculty member told Mississippi Today. “I feel completely betrayed, especially when you look up the mission … of the School of Nursing. … They are not living their values and their mission and our whole faculty team did.”

Even though the instructors' contracts aren't up until June 30, the faculty member said that Sanford, Holley and a representative from UMMC's Human Resources made faculty members turn in their badges and computers. Someone from UMMC was folding moving boxes during the meeting.

“This is why it's so, so confusing,” she said. “You give us no reason, and you told the students it's not punitive, but they treated us like criminals.”

A spokesperson said UMMC had “no comment” on the decision. Holley, who joined the program last fall, wrote in the email that she would continue teaching courses, along with instructors from the program in Jackson who will drive up. It is unclear if this arrangement will continue for future cohorts or if instructors will be permanently replaced.

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“We're very fearful for the success of our students, which is our number one concern, really,” the faculty member said. “We have a nursing shortage. We're living in a state of desperation for nurses.”

The Oxford program, started in 2014, is one of several undergraduate nursing programs offered by UMMC and primarily caters to recent graduates who did not major in nursing. It is intensive and rigorous, packing an entire bachelors degree into just three semesters.

More than 60 students a year have graduated from the Oxford program in recent years, with many filling positions at Mississippi hospitals amid the state's pervasive nursing shortage. According to recent data from the Mississippi Hospital Association, registered nurse vacancies and turnover rates have soared in the last year to the highest numbers in at least a decade.

One of the current students is Ashley Ledbetter, a 38-year-old former teacher who is using the program to change careers. As one of the older students in the program, she said the instructors made her feel comfortable and taught her how to navigate the at-times traumatizing profession, such as the first time she saw a patient die during clinicals.

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The irony, Ledbetter noted, is that her cohort is about to enter the third and final leg on May 30, the most crucial stretch. She's worried it will be harder to prepare for the exam with all-new instructors.

“I feel that, really, if you were focusing on student needs, you wouldn't have taken away one of the most fundamental parts of this program before the program is over,” Ledbetter said. “Our faculty got fired in the middle of the program and that, to me, is very insane.”

On May 1, shortly before Holley and Sanford sent the email, Ledbetter said she was asked to attend a virtual meeting with other student .

During the meeting, which lasted roughly 20 minutes, Ledbetter said students were told the decision was due to the program's falling pass rates on the National Council Licensure Examination, or NCLEX.

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But Holley and Sanford did not say if the pass rates were threatening the program's accreditation or were simply lower than UMMC wanted, Ledbetter said. The most recent nursing report from the Institutions of Higher Learning shows that UMMC's undergraduate NCLEX pass rate fell from 100% to 95.9% during a three-year period ending in 2021, but the includes all of UMMC's undergraduate baccalaureate nursing programs.

“We kept being told they couldn't give us any more information because of HR policy,” Ledbetter said. “It was very vague.”

UMMC's bachelors of science in nursing programs, including the Oxford program, were reaccredited last year.

The faculty member said that Sanford and other UMMC administrators had previously singled out the Oxford program for its low NCLEX pass rate despite pass rates falling across the country during the pandemic.

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“We've definitely felt under scrutiny for the past couple years, and we have been told outright, ‘if you don't bring up your pass rates, we could end this program,'” she said. “We have bent over backwards for students and changed things, but we were just never really given a to watch how what we changed played out.”

A few hours after Holley and Sanford's first email, Holley sent a follow up, acknowledging students' reactions to the abrupt announcement. The cohort's GroupMe blew up with texts; the instructors whose contracts were not renewed were receiving dozens of supportive messages on Facebook.

“Hi all, I know this news is unexpected, unsettling, even saddening and prompts many questions,” Holley wrote.

One of the instructors who was let go, Neeli Kirkendall, had been honored for her teaching. In 2016, she won the DAISY award for nursing faculty. One student who nominated Kirkendall for the award described her as “the ideal example of the perfect nurse.”

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Kirkendall did not respond to a request for comment by press time.

Alison Doyle, who graduated from the program in 2020, said she thought the lower NCLEX passing rate was likely due to the pandemic even as she felt the quality of the instruction actually improved after her classes were moved online. She was able to record and rewatch lectures rather than scramble to take notes in real time.

Doyle described the bonds that students had formed with the five instructors who were let go.

“I saw these women for 12 months more than I saw anyone else in my life when I was in nursing school,” she said.

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University of Mississippi had been investing in the program in recent years, converting a former hospital in Oxford into instructional in 2019, according to a UMMC newsletter.

Other state universities are replicating the program. In January, the University of Southern Mississippi launched the first class of a similar program at its satellite campus on the coast.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

On this day in 1951

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April 28, 1951

Ruby Hurley Credit: Wikipedia

Ruby Hurley opened the first permanent office of the NAACP in the South.

Her introduction to activism began when she helped organize Marian Anderson's 1939 concert at the Lincoln Memorial. Four years later, she became national youth secretary for the NAACP. In 1951, she opened the organization's office in Birmingham to grow memberships in Alabama, Florida, Georgia, Mississippi and Tennessee.

When she arrived in Mississippi, there were only 800 NAACP members. After the governor made remarks she disagreed with, she wrote a letter to the editor that was published in a Mississippi newspaper. After that step in courage, membership grew to 4,000.

“They were surprised and glad to find someone to the governor,” she told the Chicago Defender. “No Negro had ever challenged the governor before.”

She helped Medgar Evers investigate the 1955 murder of Emmett Till and other violence against Black Americans. Despite threats, she pushed on.

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“When you're in the middle of these situations, there's no room for fear,” she said. “If you have fear in your heart or mind, you can't do a good job.”

After an all-white jury acquitted Till's killers, she appeared on the front of Jet magazine with the headline, “Most Militant Negro Woman in the South.”

Months later, she helped Autherine Lucy become the first Black student at the of Alabama.

For her work, she received many threats, a bombing attempt on her home. She opened an NAACP office in Atlanta, where she served as a mentor for civil rights leader Vernon Jordan, with whom she worked extensively and who went on to serve as an adviser to President Bill Clinton.

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After learning of Evers' assassination in 1963, she became overwhelmed with sorrow. “I cried for three hours,” she said. “I shall always remember that pool of blood in which he lay and that spattered blood over the car where he tried to drag himself into the house.”

She died two years after retiring from the NAACP in 1978, and the U.S. Post Office recognized her work in the Civil Rights Pioneers stamp . In 2022, she was portrayed in the ABC miniseries, “Women of the Movement.”

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

Rare open negotiations occur on important Medicaid expansion issue

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mississippitoday.org – Bobby Harrison – 2024-04-28 06:00:00

The curtain was pulled back last for the first time in years on the Mississippi 's often mysterious conferencing process.

A conference committee consists of three representatives and three senators appointed to try to reach agreement when the two chambers pass differing versions of the same bill. Last week, a conference committee formed to try to reach agreement on expansion caused a stir by meeting in a public setting.

Even though the joint rules of the Mississippi Legislature call for an open conferencing process, the conferees seldom meet in public. They usually meet and negotiate their differences near the end of the behind closed doors.

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That was not always the case.

For a period in the late 1990s and early 2000s, the Legislature, under intense pressure from the Mississippi Press Association, made open conference committees the norm.

Some major issues have been played out in public conference committees. Notable open conferences include:

  • The infamous, excruciatingly long special session in 2002 where businesses received more protection from lawsuits.
  • Budget fights when Haley Barbour was governor when legislators often would reach an impasse in the negotiations process and spend the bulk of their time talking about their cars and eating candy.
  • The major rewrite of the state's economic package under then-Gov. Ronnie Musgrove called Advantage Mississippi.
  • The Mississippi Adequate Education Program, which for decades has provided the state's share for the basic operation of local school districts. It was hammered out in an open conference process in 1997 even before the joint rules mandated the open process.

Then-state Sen. Musgrove and former House Speaker Billy McCoy deserve credit or blame, according to one's perspective, for proving the open conference process could work. When they chaired their respective chamber's education committees, they insisted on an open conference process.

But in more recent years, open conference committees have been few and far between. The joint rule has been largely ignored.

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The fact that the three House and three Senate conferees agreed to meet at least once in public on Medicaid expansion — one of the most pivotal issues facing the Legislature in recent years — drew considerable attention.

If nothing else, the open conference committee provided a raw and unedited view of how far apart the two chambers were at the time on an issue that would additional coverage to primarily the working poor.

The House wanted to provide coverage to those earning up to 138% of the federal poverty level, or about $20,000 annually for an individual, while the Senate had proposed providing coverage to those earning less than 100% of the federal poverty level, or about $15,000 per year.

According to various experts, the House plan would provide coverage to many more working Mississippians and cost less to the state than would the Senate plan. The reason for the lower cost to the state is that when expanding to 138%, the federal will pay 90% of the costs and provide the state an additional roughly $700 million over two years as an enticement to expand.

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Under the Senate plan, the federal government will pay 77% of the cost and offer no incentives. It is important to understand that in the expensive world of health care, the difference in 77% of the cost and 90% means tens of millions to Mississippi state coffers.

The House conferees repeatedly pointed out those numbers — their plan covering more at less cost — during last week's open conference committee.

One of the reasons legislators through the years have not been enamored with an open conference process is that it has often turned into efforts by the negotiators to sell their position to the public.

Once the open conference process starts, the side that feels the most comfortable with its position wants to meet more often in full view of the public to make sure the public understands where each side stands.

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For whatever it is worth, the House conferees were more enthusiastic about continuing the open process after the initial Medicaid expansion conference committee.

And after that initial open conference, the Senate offered a compromise to those earning up to 138% of the federal poverty level — just as the House proposed.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

Legislation to strip key power of PERS Board passes both chambers

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mississippitoday.org – Bobby Harrison – 2024-04-27 15:39:23

Legislation that strips significant power from the board that governs the 's public employee pension program has passed both chambers of the Legislature.

Under the legislation set to go to Gov. Tate Reeves during the final days of the 2024 , the Public Employees Retirement System Board would no longer have the authority to increase the contribution rate levied on governments (both on the state and local level) to pay for the massive retirement system.

The legislation, which passed both chambers in recent days, was a reaction to the by the board to increase by 5% over a three-year period the amount local governments contribute to each employee's paycheck for their retirement. Under the PERS Board plan, the employer contribution rate would have been increased to 22.4% over three years, starting with a 2% increase on July 1.

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The board said the increase was needed to ensure the long-term financial stability of the system that pays retirement benefits for most public employees on the state and local levels, including staff of local school districts and universities and community colleges.

and county government in particular argued that the 5% increase would force them to cut government services and lay off employees.

Under the bill passed by the Legislature there still would be a 2.5% increase over five years — a .5% increase in the employer contribution rate each year for five years.

In addition, legislative said they plan to put another $100 million or more in state tax dollars into the retirement system in the coming days during the appropriations process.

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Under current , the PERS Board can act unilaterally to increase the amount of money governmental entities must contribute to the system. But under the new bill that passed both chambers, the board can only make a recommendation to the Legislature on increasing the employer contribution rate.

The PERS Board also would be required to include an analysis by its actuary and independent actuaries on the reason the increase was needed and the impact the increase would have on governmental entities.

In the 52-member Senate, 14 Democrats voted against the bill. Only one House member voted against the proposal.

Sen. David Blount, D-, said the bill failed to address the financial issues facing the system. He said a permanent stream is needed.

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Blount said, “You are moving in the wrong direction and weakening the system” with the bill the Legislature approved. “Is it painful? Is it going to cost more money? Yes, but we need to do it” to fix the system.

The system has assets of about $32 billion, but debt of about $25 billion. But Sen. Daniel Sparks, R-Belmont, and others argued that the debt was “a snapshot” that could be reduced by strong performance from the stock market. The system depends on its investments and contributions from employers and employees as sources of revenue.

The system has about 360,000 members including current public employees and former employees and retirees.

The legislation states that no changes would be made for current members of the system. The legislation does reference looking at possibly changing the system for new employees. But that would be debated in future legislative sessions.

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The bill does not include an earlier House proposal to dissolve the PERS Board, which consists primarily of people elected by the members of the system, and replace them with political appointees.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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