Intro to Equity, Achievement, and Thrivingin Nursing Academic Progression

Presented By:

Sofia Aragon, JD, BSN, RN

Garrett Chan, PhD, RN, APRN, FAEN, FPCN, FCNS, FNAP, FAAN

Vivienne Friday, EdD, MSN, RN, CNE

Tina Lear, MHA

Gail McGuill, MS, RN, NE-BC

September 16, 2020

Division of NursingCenter for Continuing Education

Provider Unit Disclosure

Notice of Requirement for successful completionAttend the entire program. At the end of the program a QR Code will be made available to you. Using your phone, you will access the evaluation

and CNE certificate using this code. A direct link will also be made available in the chat box. Complete the evaluation, you will then be

taken to your certificate where you will need to insert your first and last name before you print your certificate. Be sure to print your certificate

before you close the application. The evaluation link will be closed following this activity.

Conflict of InterestThe planning committee and presenter have no conflicts of interest.

Commercial SupportThis Continuing Nursing Education Activity is not receiving commercial

support.

NEPIN: Intro to Equity, Achievement and Thriving in Nursing Education

General Info

• Be sure you completed the pre-activity assessment

• Mute your line

• Enter questions in the chat box – we will read them aloud at the end

• Complete post-activity evaluation for CEU

• We are recording this session

Presentation Overview

• Intro to the NEPIN Collaborative

• Overview of White Paper on Equity, Achievement and Thriving in Nursing Academic Progression -process, data and definitions

• Strategies for success from the employer perspective

• Strategies for success from the academic perspective

• Connections between academic progression and equity, achievement and thriving

2010 IOM/NAM Report

• Advancing education transformation

• Leveraging nursing leadership

• Removing barriers to practice and care

• Fostering interprofessional collaboration

• Promoting diversity

• Increasing workforce data

Academic Progression in Nursing (APIN)

• 9 States funded by RWJF

• Technical assistance provided nationally

• Outcomes• RNs with BSNs entering practice historical high

• RN to BSN graduations increased 2 ½ times between 2010-2015

• National % of RNs with BSN+ increased from 49% to 56% between 2010-2017

National Progress toward 80% BSN+

49%50%

51% 51% 51%

53%54%

56%

2010 2011 2012 2013 2014 2015 2016 2017

Campaign for Action, 2019

APIN Final Summary & Outcomes

• Partnerships

• Data

• Inconsistencies

• Regulations

• Financial Aid

PURPOSE

Advance nurses to

higher degrees.

MISSIONFoster collaboration to ensure that nurses

have access to higher levels of education and achievement.

VISION

A nursing workforce that optimizes

health equity for all

Americans.

NEPIN Expands on APIN’s Successes

• Goals for 2025• 1 million incumbent nurses

• 90% of new ADN graduates to the BSN or higher

• NEPIN’s Structure• National Program Director

• Leadership Alliance

• Advisory Alliance (SIGs)

What We Wanted to Know

Equity, Achievement & Thriving in

Nursing

Data

Employer Strategies

Educator Strategies

Link(s) Between Equity &

Progression

Data – Nursing Demographics

BSN

ADN

0

10

20

30

40

50

60

70

Asian Black/African American Native Hawaiian White/Caucasian Hispanic/Latino

9 9

0

70

11

5

13

0

67

14

2018

BSN ADN

Definitions

Diversity EquityEducational

Equity

Health Equity

Social Determinants

of HealthThriving

Study: Research

The Problem:

There is an ongoing challenge to achieve equitable academic progression due to specific barriers.

The Project:

An exploratory study of current practices and innovations

The Goal:

Obtain in-depth understanding of the factors that impact an RNs’ opportunity to pursue academic progression

Data – Barriers Align with Social Determinants

Time-Related Considerations

• Full-time work + Full-time school

• Work-Life Balance

• Time Management Skills

Financial Considerations

• Overall Cost, Debt

• Financial Aid

• Expectation of Increased Pay

Data – Barriers Align with Social Determinants

Geographic Considerations

• Proximity to Program

• Internet Connection

• Home-Work-School

Support Considerations

• Lack of Employer Support

• Lack of Recognition for Professional Development

• Lack of Personal Support

Data – Changing Demographics• Minorities, now 37% of the US population is

projected to comprise 57% of population in 2060 (U.S. Census Bureau, 2012)• 2020 WA state population: 79.5% white alone• WA 2019-2020 school year, 52.6% white• WA Kindergarten class of 2017-2018, 56%

identify with ethnic community

• Nursing lags with demographics of the U.S. population and state population

• Differences persist in health care quality among racial and ethnic minority groups (AHRQ, 2014)

Academic Progression: Career Advancement to Make a Difference

• Minority nurses in influential leadership roles are more likely to…directly influence resource (s)…in recruitment, retention of a diverse workforce, and shape…national policies aimed at eliminating health disparities (Phillips and Malone, 2014).

• Progression supporting nursing leadership have a significant opportunity to shape the workforce and other policy

Strategies for Employers

Strategic Plan

Designated Leader

Equitable Treatment of All

Mentor Leaders

Monitoring & Data Collection

Strategies for Employers in Practice Settings

Employer Incentives

Tuition Reimbursement

Flexible scheduling

Cohorts of employed RNs study groups

Educators collaborate with Practice Leaders to identify students

Strategies for Educators

Strategic Plan

Program Development

Certification

Strategies for Educators

Holistic Admissions

Process

Open Educational Resources

Bridging Faculty

Early Recruitment

Monitoring & Data

Collection

Putting it all Together

Efforts to Increase Diversity in the

Profession are not Progressing

Comparable to the Population

Nursing Students’ Social

Determinants are as Critical to

Success as their Patients’

We Are All In This Together!

Social Determinants of Health Pre-Licensure Nursing Student Survey

Student Debt Dollarsn=1,935

Maximum $200,000

Median $29,000

Mean $42,000

https://healthimpact.org/wp-content/uploads/2020/06/California-Newly-Licensed-RN-Employment-Survey-Report-Fall-2019.pdf

Confidence to Pay Back

Percentn=2,188

Very Concerned 9.7%

Some Concern 19.3%

Confident 21.1%

Very Confident 23.1%

No Debt 26.9%

Housing Percentn=1,622

No steady housing 3.2%

Worried losing 7.8%

Have housing 89.0%

SDOH Issues Percentn=751

Food 31.1%

Utilities 30.9%

Health Care 56.3%

Transportation 30.9%

Childcare 27.6%

Keep in Touch

• NEPIN: https://nepincollaborative.org/

• Tina Lear, MHA• National Director, NEPIN• tina.lear@nepincollaborative.org

• JOIN THE MOVEMENT!

• Up Next: Two more webinars coming soon. Watch for invites!

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