Future of nursing campaign for action
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Future of Nursing: Campaign for Action. Kansas Public Health Association September 21, 2011. Shirley Orr, MHS, ARNP, NEA-BC. Health Care S ystem Challenges. Fragmentation. Health Care Disparities. Aging and Sicker Population. Life expectancy rising Baby boomers aging

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Future of Nursing: Campaign for Action

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Future of nursing campaign for action

Future of Nursing: Campaign for Action

Kansas Public Health Association

September 21, 2011

Shirley Orr, MHS, ARNP, NEA-BC


Health care s ystem challenges

Health Care System Challenges


Fragmentation

Fragmentation


Health care disparities

Health Care Disparities


Aging and sicker population

Aging and Sicker Population

  • Life expectancy rising

  • Baby boomers aging

  • Chronic diseases increasing


Primary care shortage

Primary Care Shortage

  • Rural and low-income areas particularly affected

  • Fewer physicians entering primary care

  • 32 million more people to get health insurance in 2014


High costs

High Costs


Rwjf s commitment to improving care

RWJF’s Commitment to Improving Care

  • RWJF mission: to improve health and health care for all Americans

  • Need to address challenges facing nursing to address challenges facing our health system


Iom report

IOM Report

  • High-quality, patient-centered health care for all will require a transformation of the health care delivery system


Campaign vision

Campaign Vision

  • All Americans have access to high-quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success


Campaign for action

Campaign for Action


Education

Education


Education1

Education

  • Evidence

    • Significant association between educational level and patient outcomes

    • 6 percent of AD grads get advanced degree, enabling them to teach and serve as PCPs, compared to 20 percent of BSN grads


Practice

Practice

  • All practitioners should practice to full extent of their education and training

  • Optimal care

    • Physicians, nurses and other health professionals work in team-based model of care delivery

    • Models of care maximize time that providers can spend on their respective roles and responsibilities to patients


Practice1

Practice

  • Evidence: More than 10 studies show equivalent patient outcomes when care is provided by APRN or MD for certain services

    • Includes two Cochrane reviews

    • Randomized clinical trial published in JAMA

    • Office of Technology Assessment

  • No studies show care is better in states that do not allow APRNs to practice to full extent of education and training


  • Practice2

    Practice


    Collaboration

    Collaboration

    • Integrated, collaborative, patient-centered health care teams

    • Foster interprofessional education, training and practice


    Leadership

    Leadership

    • Nurses bring important viewpoint to management and policy discussions

    • Prepare more nurses to help lead improvements in health care quality, safety, access and value


    Leadership1

    Leadership

    • Gallup survey of 1,500 opinion leaders* said nurses should have more:

      • Influence in reducing medical errors, increasing quality of care, promoting wellness

      • Input and impact in planning, policy development and management

    * RWJF, 2010


    Nurse leaders in the boardroom

    Nurse Leaders in the Boardroom

    • Survey of 1,000 U.S. hospitals* found:

      • Nurses account for only 6 percent of board members

      • Physicians are 20 percent of board members

      • Other clinicians are 5 percent of board members

    * American Hospital Association, 2011


    Future of nursing campaign for action

    Data

    • Improve health care workforce data collection to better assess and project workforce requirements

      • Research on health care workforce is fragmented

      • Need data on all health professions


    Diversity

    Diversity


    Campaign strategies

    Campaign Strategies


    Strategic advisory committee

    Strategic Advisory Committee


    Campaign for action1

    Campaign for Action


    Examples

    Examples


    Rwjf grantmaking examples

    RWJF Grantmaking Examples


    New investment area

    New Investment Area

    • The Future of Public Health Nursing 2011-2012

    • PHN Workforce Enumeration

    • State of Public Health Nursing Summit

    • Exploration of New Models for Education--Pilots

    • Links—Scope and Standards of PHN Practice; PHN Core Competencies


    Campaign for action2

    Campaign for Action


    Future of nursing campaign for action

    Campaign for Action State Involvement

    WA

    ME

    MT

    ND

    OR

    MN

    VT

    ID

    NH

    SD

    WI

    NY

    MA

    WY

    MI

    RI

    IA

    PA

    CT

    NV

    Map Legend

    Action Coalition State

    State Involvement

    NE

    NJ

    IN

    OH

    UT

    DE

    IL

    MD

    CA

    CO

    WV

    VA

    KS

    MO

    KY

    DC

    NC

    AZ

    TN

    OK

    NM

    AR

    SC

    GA

    MS

    AL

    TX

    LA

    AK

    FL

    HI

    UPDATED: 7.14.2011


    Campaign resources

    Campaign Resources

    • Visit us on the Web at: www.thefutureofnursing.org

    • Follow us on twitter at: www.twitter.com/futureofnursing

    • Join us on Facebook at: http://facebook.com/futureofnursing


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