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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

Future of Nursing: Campaign for Action

Kansas Public Health Association

September 21, 2011

Shirley Orr, MHS, ARNP, NEA-BC

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
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
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
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

slide21
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
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
slide30

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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