future of nursing leading change, advancing health
TRANSCRIPT
Future of NursingLeading Change, Advancing
Health
3.2 million100,00030,000
To review Institute of Medicine, Future of Nursing Report
To define Campaign for ActionTo define the Virginia Action
CoalitionTo describe the workgroups
Objectives
IOM Future of NursingCampaign for Action
Committee on The Robert Wood Johnson Foundation Initiative on the Future of Nursing
MembershipOpportunity to transform health care systemProvide seamless, affordable, quality careNursing profession is the largest segment of
the health care workforce
IOM Future of Nursing
Campaign for Action:Key Messages
High-quality patient
centeredcare
Leadership
Access to Care
Workforce Data
Education
Inte
rpro
fessio
nal
Colla
bora
tion
Nurses should practice to the full extent of their education and training
Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression
Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the US
Effective workforce planning and policy making require better data collection and an improved information infrastructure
Blueprint – Four Key Messages
Remove scope of practice barriersExpand opportunities for interprofessional
collaborationImplement nurse residency programsIncrease proportion of nurses with BSN to 80% by
2020Double the number of nurses with doctoratesEnsure that nurses engage in lifelong learningPrepare and enable nurses to lead change and
advance healthcareBuild an infrastructure for data collection
Future of Nursing Recommendations
The Campaign for Action is a national initiative coordinated through the Center to Champion Nursing in America (CCNA), an initiative of AARP, the AARP Foundation, and the Robert Wood Johnson Foundation.
The campaign has mobilized diverse stakeholders nationally and in all states to address the nation’s most pressing health care challenges – access, quality and increasing cost – by utilizing nurses more effectively and preparing nursing for the future.
Campaign for Action
Americans have access to high quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success
Vision
AARP VirginiaVirginia Nurses Association
Virginia Action CoalitionCo-Leads
AARP Virginia
David DeBiasi , RN, Associate State Director – Advocacy
VNAShirley Gibson, DNP,
MSHA, RN, FACHE, President
Janet Wall, CEO
Nurses should practice to the full extent of their education and training
Nurses should achieve higher levels of education and training through an improved educational system that promotes academic progress and explore residency programs
Nurses should be full partners, with all members of the healthcare team in redesigning healthcare
Nurses should develop strategies to ensure that nursing is skilled to provide leadership at all levels
Nurses should ensure effective workforce planning and policy making require better data collection and an improved information infrastructure
Virginia Action Coalition Goals
To implement the recommendations in the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health
Mission
All Virginians have access to affordable, high quality care and live in an optimal state of health
Vision
Workgroups
Virginia Action Coalition
IOM Recommendation 7Prepare and enable nurses to lead change to advance healthObjectiveDetermine strategic boards to which nurse could be appointed and work with stakeholders to identify, mentor, and recommend individuals for those appointments
VAC LeadershipLindsey Jones-Cardwell, BSN, RN and Loressa Cole DNP, MBA, RN
Co-Leads
Continue “Nurse Leaders in the Boardroom” program piloted with Robert Wood Johnson and AARP in September, 2009
Continue to support Nurse Leadership Institute, a program of the Richmond Memorial Health
Leadership Objectives
Networking and educational event for the nurses identified as 40 under 40Recognized at VNF Gala - 2011Mentoring event – May 31, 2012 Collaboration with:
VONELVNAVNF
Outcomes
Survey to determine boards nurses are serving – regional, state and national
Survey also identified those wanting to serve on boards
334 Surveys completed118 Experienced Nurse Board Leaders181 Virginia Registered Nurses are future board
leaders!Video : Value of having a nurse serve on
hospital boardhttp://www.youtube.com/watch?v=MXwo0m8MLa0
Outcomes
Local Boards
Free ClinicsCrisis Pregnancy
CentersAORN, VNA, Black
Nurses & other professional nursing associations
Public Health Advisory Commissions
Red CrossAlzheimer’s
Association
Church Affiliated Boards
Performing Arts Council
Historical CouncilsCounty Board of
SupervisorsAARPUniversity &
Community College Councils
YMCA
State Boards
Virginia Partnership for Nursing
Virginia Board of Nursing
Virginia Nurses Association
Virginia Nurses Foundation
Multiple professional nurses associations
Virginia Board of Health
Virginia Association of Counties
VCCS Associates Degree Nursing Program Heads
Virginia Association of Colleges of Nursing
Health Insurance Exchange Governing Body
National Boards
American Nurses Association & Political Action Coalition
National eHealth Collaborative
Nurses Organization of Veterans Affairs
American Midwifery Certification Board
AORN Journal Editorial Board
National Kidney Foundation
American Academy of Nurse Practitioners
American Organization of Nurse Executives
Various National Nursing Organizations
Survey hospitals to find boards where nurses serve Develop a video campaign value of nurse on
Enhance the Leadership Toolkit Develop structure for mentors and mentees
serving on boards Publish Leadership Article with Campaign for
Action Blog for RWJF on Leadership Leadership Development Conference for
nurses who want to serve on boards
Next Steps
IOM Recommendation 1Remove scope-of-practice barriers
ObjectiveAll nurses should practice to the fullest extent of their training
ObjectiveEducate stakeholders, legislators and the public about APRN regulatory barriers that prevent full practice authority to continue efforts to reform outdated scope-of-practice regulations
VAC Access To CareCindy Fagan, RN, MSN, FNP-BCKathy Baker, RN, PhD, NE-BC
Co-Leads
House Bill 346 passed and signed by GovernorEliminates supervisory languageEmphasized collaboration and consultation
between NPs (LNP & CNMs) and physicians to practice in teams
Increased from 4 to 6 number of APRNs physicians can collaborate with
Joint Boards of Nursing and Medicine have 280 days from July 1 to develop regulations
HB 346 manifested in 2013
Outcomes
APRN Video has been completed
Outcomes
Next Steps
Continue education of the public about the APRN scope of practice
Conduct a gap analysis with all nurse practitioner roles in respect to the National Council of State Boards of Nursing Consensus Model
Meet with the Board of Nursing to review the NCSBN Consensus Model
Consider legislation to remove the Joint Board and establish an Advisory Group for oversight
Conduct research to explore how policies and practices in hospitals in the state of Virginia either support or inhibit RNs from practicing to their fullest extent through a Qualitative Descriptive Case Study rebased on Yin’s Methodology for Case Studies
Participants include nurses from all hospitals in the state
Areas include ICU, Med/Surg/Progressive Care and Emergency Department
Include the CNOs, RNs and Advanced Practice Registered Nurses
Next Steps
Deb Zimmermann, DNP, RN, NEA-BC, Amy Gillespie, RN, MSN, EdD
Co-leads
Education Progression
IOM Recommendation 4Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020
ObjectiveConvene stakeholders on the implementation of seamless education progression
VAC Education Progression
Future of Nursing EducationThe Challenge
50% of VA RNs BS prepared 32% of AD graduates attain BSN 31% of Diploma graduates attain
BSN
Regional GroupsEastern, Central, Northwest, North and Southwest
Inspiration to AspirationInterviews with nursing programsRN-BSN GuideSurvey of RN-BSN studentsVideo of studentshttp://youtu.be/iT0ygHn4CYg
Academic Progression ModelsTwo statewide conferences with stakeholdersShared models
Outcomes
Community College statewide forumVice Chancellor of the Community College
SystemForecasting ModelPolicies regarding returning to school
2 years to enroll, 5 years to completeHiring BSN
CNO SurveyTuition Assistance and scholarshipsFlexible schedules and weekend programs
Outcomes
Virginia Association Colleges of Nursing Meeting held
Awarded SIP Grant from RWJFSupported Community Colleges continuing
the work of collaboration for curriculum development
Provide support in policy development for education progression
Held Academic Progression Summit – March 28, 2014
Outcomes
Improve data collection and information infrastructure
Develop and implement specific geographical demand models for nursing and other health professionals
Workforce Data ObjectiveNina Beaman, PhD, MS, RN-BC (PMH), RNC-AWHC and
Richardean Benjamin, PhD, MSN, MPH, RNCo-Leads
Identify pilots for academic progression Models from Campaign for Action
Develop mechanisms to track organizational progress for education progression
Next Steps
WHITE PAPERCompleted comprehensive white paper-
Addressing Nursing Workforce Issues in the Commonwealth of VirginiaFinalizedDistributed
Outcomes
Continue participation on DHP Healthcare Workforce Data Center
Participation and dissemination of information from the VA Workforce Development Authority to inform AC workgroups
VHHA Workforce Development
Outcomes
Next Steps
Serve as data experts to other workgroups Assist VAC with compiling necessary
statistics for any grant proposals
IOM Recommendation 2Expand opportunities for nurses to lead and diffuse collaborative improvement efforts
ObjectiveDevelop and deploy an educational program that prepares nurses, physicians, and other care providers to practice in a team-based, patient-centered care model
VAC Interdisciplinary Team-Based Care
Patti McCue, ScD., RN, MSN, NEA-BCBonnie Barndt-Maglio, PhD, RN
Co-Leads
Physician Foundation GrantExpanded leadership program with MSVRecruited 20 teams of physicians, nurses
and other health professions Completed Evolve Team Based EducationNew partnership with VHHA/MSV/VAC
Outcomes
Members of the Virginia Action Coalition honored for their contributions to the nursing profession at the 2012 VNF Gala
