Presentation on theme: "Future of Nursing Leading Change, Advancing Health"— Presentation transcript:
1 Future of Nursing Leading Change, Advancing Health Title of Slide has a box to insert the appropriate aduience
2 3.2 million 100,000 30,000 This is used to hook the audience. There are 3.2 million nurses in the US. If we could all have a collective voice can you imagine what we could do. We are the largest profession in the healthcare field.There are 100,000 nurses in VAThere will be a shortage of 30,000 nurses by 2020 if we continue to prepare at the rate that we do today based on increased demand with the greying (aging) tsunami and the increased number of insured by the Affordable Care Act.
3 Objectives To review Institute of Medicine, Future of Nursing Report To define Campaign for ActionTo define the Virginia Action CoalitionTo describe the workgroups
10 IOM Future of Nursing Campaign for Action The Institute of medicine Future of Nursing was released in October of It is the best body of evidence that we have on nursing and the future. It is 500 pages but has a very good executive summary that is 13 pages. It can also be downloaded from the IOM site or the RWJF site.
11 IOM Future of NursingCommittee on The Robert Wood Johnson Foundation Initiative on the Future of NursingMembershipOpportunity to transform health care systemProvide seamless, affordable, quality careNursing profession is the largest segment of the health care workforceHow did it all get started. The RWJF spearheaded by Dr. Susan Hasmiller partnered with the Institute of Medicine to form a committee to investigate and make recommendations about the future of nursing. The membership consisted of Chair Dr. Donna Shalala former Secretary of Health and Human Services who is not Dean at the University of Florida. Dr. Linda-Burnes Bolton CNO of Cedar Sinai was the nurse who was most influential on the committee. There were only 3 nurses and all other members were physicians, economist, lawyers and other business representatives. The committee looked at this as an opportunity to transform healthcare and provide seamless affordable quality care since nursing as has been said is the largest segment of the health care workforce and we have been voted by the Gallup Poll on the most ethical and honest professions in the top for 13 consecutive years except for 911 when the Firefighters were number 1 and we were number 2.
12 Campaign for Action: Key Messages LeadershipAccess to CareWorkforce DataEducationInterprofessional CollaborationHigh-quality patient centeredcareThere are 4 key messages in the IOM FON report and one thread that runs through. The four key messages are education, leadership, access to care and workforce data. The thread is interprofessional collaboration. And what we all know it takes a team to care for patients not just one profession can do it all.
13 Blueprint – Four Key Messages Nurses should practice to the full extent of their education and trainingNurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progressionNurses should be full partners, with physicians and other health professionals, in redesigning health care in the USEffective workforce planning and policy making require better data collection and an improved information infrastructureThese are the definition of the 4 key messages…just review
14 Future of Nursing Recommendations 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 collectionThese are the 8 recommendations and they are defined under each as to what can be done at the federal level, the state level and the regional or local level…review
15 Campaign for ActionThe 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.
16 VisionAmericans have access to high quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving successReaffirm the vision
18 Virginia Action Coalition Co-Leads AARP VirginiaDavid DeBiasi , RN, Associate State Director – AdvocacyVNAShirley Gibson, DNP, MSHA, RN, FACHE, PresidentJanet Wall, CEOEach AC has to have a nursing lead and a non nursing lead. We had a great partnership and relationship with AARP and when they agreed to partner with us on the AC we were thrilled. David DeBiasi is wonderful to work with and he just happens to also be a BSN prepared nurse.
19 Virginia Action Coalition Goals Nurses should practice to the full extent of their education and trainingNurses should achieve higher levels of education and training through an improved educational system that promotes academic progress and explore residency programsNurses should be full partners, with all members of the healthcare team in redesigning healthcareNurses should develop strategies to ensure that nursing is skilled to provide leadership at all levelsNurses should ensure effective workforce planning and policy making require better data collection and an improved information infrastructureWhen we wrote our grant to become an AC these were the 5 goals we set out.Review.
20 MissionTo implement the recommendations in the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing HealthOur Mission Read
21 VisionAll Virginians have access to affordable, high quality care and live in an optimal state of healthOur Vision read.
22 Virginia Action Coalition WorkgroupsIn order to get our work done we have developed workgroups who meet on a monthly basis generally by conference calls.
23 VAC Leadership Lindsey Jones-Cardwell, BSN, RN and Loressa Cole DNP, MBA, RN Co-Leads IOM Recommendation 7 Prepare and enable nurses to lead change to advance health Objective Determine strategic boards to which nurse could be appointed and work with stakeholders to identify, mentor, and recommend individuals for those appointments
24 Leadership Objectives Continue “Nurse Leaders in the Boardroom” program piloted with Robert Wood Johnson and AARP in September, 2009Continue to support Nurse Leadership Institute, a program of the Richmond Memorial Health
25 OutcomesNetworking and educational event for the nurses identified as 40 under 40Recognized at VNF GalaMentoring event – May 31, 2012Collaboration with:VONELVNAVNF
26 OutcomesSurvey to determine boards nurses are serving – regional, state and nationalSurvey also identified those wanting to serve on boards334 Surveys completed118 Experienced Nurse Board Leaders181 Virginia Registered Nurses are future board leaders!Video : Value of having a nurse serve on hospital board
27 Local Boards Free Clinics Crisis Pregnancy Centers AORN, VNA, Black Nurses & other professional nursing associationsPublic Health Advisory CommissionsRed CrossAlzheimer’s AssociationChurch Affiliated BoardsPerforming Arts CouncilHistorical CouncilsCounty Board of SupervisorsAARPUniversity & Community College CouncilsYMCA
28 State Boards Virginia Partnership for Nursing Virginia Board of NursingVirginia Nurses AssociationVirginia Nurses FoundationMultiple professional nurses associationsVirginia Board of HealthVirginia Association of CountiesVCCS Associates Degree Nursing Program HeadsVirginia Association of Colleges of NursingHealth Insurance Exchange Governing Body
29 National BoardsAmerican Nurses Association & Political Action CoalitionNational eHealth CollaborativeNurses Organization of Veterans AffairsAmerican Midwifery Certification BoardAORN Journal Editorial BoardNational Kidney FoundationAmerican Academy of Nurse PractitionersAmerican Organization of Nurse ExecutivesVarious National Nursing Organizations
30 Next StepsSurvey hospitals to find boards where nurses serve Develop a video campaign value of nurse onEnhance the Leadership ToolkitDevelop structure for mentors and mentees serving on boardsPublish Leadership Article with Campaign for ActionBlog for RWJF on LeadershipLeadership Development Conference for nurses who want to serve on boards
31 VAC Access To Care Cindy Fagan, RN, MSN, FNP-BC Kathy Baker, RN, PhD, NE-BC Co-Leads IOM Recommendation 1Remove scope-of-practice barriersObjectiveAll nurses should practice to the fullest extent of their trainingObjective Educate stakeholders, legislators and the public about APRN regulatory barriers that prevent full practice authority to continue efforts to reform outdated scope-of-practice regulations
33 Outcomes House Bill 346 passed and signed by Governor Eliminates supervisory languageEmphasized collaboration and consultation between NPs (LNP & CNMs) and physicians to practice in teamsIncreased from 4 to 6 number of APRNs physicians can collaborate withJoint Boards of Nursing and Medicine have 280 days from July 1 to develop regulationsHB 346 manifested in 2013
35 Next StepsContinue education of the public about the APRN scope of practiceConduct a gap analysis with all nurse practitioner roles in respect to the National Council of State Boards of Nursing Consensus ModelMeet with the Board of Nursing to review the NCSBN Consensus ModelConsider legislation to remove the Joint Board and establish an Advisory Group for oversight
36 Next StepsConduct 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 StudiesParticipants include nurses from all hospitals in the stateAreas include ICU, Med/Surg/Progressive Care and Emergency DepartmentInclude the CNOs, RNs and Advanced Practice Registered NursesNurses from select hospitals in the state of Virginia will be invited to participate. Nurses will purposively be selected to participate in a one hour focus. The nurses selected to participate should have worked on their current unit for the period of at least one year. The staff nurses selected should consist of at least one nurse from critical care, one from the general and/or intermediate care areas, and one from the Emergency Department. In addition, the staff nurses chosen should consist of at least one nurse who primarily works day shift and one nurse who primarily works night shift. If possible, the staff nurses chosen should represent a range of experience levels. In addition Nurse Practitioners from select hospital in the state of Virginia will be invited to participate in a separate one hour focus group.Each staff RN, each NP and each CNO from participating hospitals will be asked to complete a demographic questionnaire in order to provide descriptive statistics for all of the participating hospitals and participants. The study investigators will conduct independent focus groups at each hospital using a semi-structured interview technique (See appendix A for interview questions). Informed consent will be obtained from each study participant prior to the initiation of the interviews.
38 VAC Education Progression IOM Recommendation 4Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020ObjectiveConvene stakeholders on the implementation of seamless education progression
39 Future of Nursing Education The Challenge50% of VA RNs BS prepared32% of AD graduates attain BSN31% of Diploma graduates attain BSN
40 Outcomes Regional Groups Eastern, Central, Northwest, North and SouthwestInspiration to AspirationInterviews with nursing programsRN-BSN GuideSurvey of RN-BSN studentsVideo of studentsAcademic Progression ModelsTwo statewide conferences with stakeholdersShared models
41 Outcomes Community College statewide forum Vice Chancellor of the Community College SystemForecasting ModelPolicies regarding returning to school2 years to enroll, 5 years to completeHiring BSNCNO SurveyTuition Assistance and scholarshipsFlexible schedules and weekend programs
42 Outcomes Virginia Association Colleges of Nursing Meeting held Awarded SIP Grant from RWJFSupported Community Colleges continuing the work of collaboration for curriculum developmentProvide support in policy development for education progressionHeld Academic Progression Summit – March 28, 2014
43 Workforce Data Objective Nina Beaman, PhD, MS, RN-BC (PMH), RNC-AWHC and Richardean Benjamin, PhD, MSN, MPH, RN Co-LeadsImprove data collection and information infrastructureDevelop and implement specific geographical demand models for nursing and other health professionals
44 Next Steps Identify pilots for academic progression Models from Campaign for ActionDevelop mechanisms to track organizational progress for education progression
45 OutcomesWHITE PAPERCompleted comprehensive white paper- Addressing Nursing Workforce Issues in the Commonwealth of VirginiaFinalizedDistributed
46 OutcomesContinue participation on DHP Healthcare Workforce Data CenterParticipation and dissemination of information from the VA Workforce Development Authority to inform AC workgroupsVHHA Workforce Development
47 Next Steps Serve as data experts to other workgroups Assist VAC with compiling necessary statistics for any grant proposals
48 VAC Interdisciplinary Team-Based Care Patti McCue, ScD VAC Interdisciplinary Team-Based Care Patti McCue, ScD., RN, MSN, NEA-BC Bonnie Barndt-Maglio, PhD, RN Co-LeadsIOM Recommendation 2Expand opportunities for nurses to lead and diffuse collaborative improvement effortsObjectiveDevelop and deploy an educational program that prepares nurses, physicians, and other care providers to practice in a team-based, patient-centered care modelSallie/Patti
49 Outcomes Physician Foundation Grant Expanded leadership program with MSVRecruited 20 teams of physicians, nurses and other health professionsCompleted Evolve Team Based EducationNew partnership with VHHA/MSV/VAC
50 Members of the Virginia Action Coalition honored for their contributions to the nursing profession at the 2012 VNF Gala
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