future of nursing: campaign for action virginia nurses association june 16, 2011 andrea brassard,...
TRANSCRIPT
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Future of Nursing: Campaign for Action Virginia Nurses Association
June 16, 2011
Andrea Brassard, DNSc, MPH, FNP
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Health Care System Challenges
Fragmentation
Health care disparities
Aging and sicker population
Primary care shortage
High costs
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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
• Center to Champion Nursing in America at AARP
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IOM Report
• High-quality, patient-centered health care for all will require a transformation of the health care delivery system
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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
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Campaign for Action
Education
Practice
CollaborationLeadership
Data
Campaign for Action
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Education
Increase to 80 percent the proportion of nurses with BSN by 2020
Double number of nurses with doctorate by 2020
Implement nurse residency programs
Promote lifelong learning
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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
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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
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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
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Practice
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Collaboration
• Integrated, collaborative, patient-centered health care teams
• Foster interprofessional education, training and practice
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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
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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
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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
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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
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Diversity
• Nurses should reflect patient population in terms of gender, race and ethnicity
• All nurses should provide culturally competent care
Increase workforce diversity
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RWJF AARP
Advisory Committee
Diverse Stakeholders
Policy-makers
Action Coalitions
Communications
Grantmaking
Research, Monitoring, Evaluation
Campaign Strategies
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Strategic Advisory CommitteeMembers
Judy Ann Bigby, MD, Massachusetts Secretary of HHS
Sheila Burke, RN, (Chair), Harvard Kennedy School of Government
Linda Burnes Bolton, RN, CNO, Cedars Sinai Medical Center
Lloyd Dean, CEO, Catholic Healthcare West
Christina Esperat, RN, Associate Dean, Texas Tech University
Chip Kahn, President, Federation of American Hospitals
Darrell Kirch, MD, CEO, American Association of Medical Colleges
Alan Morgan, CEO, National Rural Health Association
Debra Ness, President, National Partnership for Women and Families
Bill Novelli, Professor, Georgetown University School of Business
Jack Rowe, MD, Professor, Columbia University
Antonia Villarruel, RN, Associate Dean, University of Michigan School of Nursing
Phyllis Wise, PhD, Interim President, University of Washington
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Campaign for Action
RWJF/AARP seeking support from: • health professions• payers• consumers• business• policy-makers• philanthropies• educators• hospitals and health systems• public health agencies
Nursing must be considered societal issue!
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Examples
Organization Commitment
National Hispanic Medical AssociationWorking with members on initiative to improve interdisciplinary education
Consumers Advancing Patient SafetyChallenged nursing members to identify and place a nurse on their board
Convenient Care Association
Working with national members who have community partners to increase Coalition involvement
Leapfrog GroupEncouraging hospitals to achieve magnet status
Target Promised to engage its clinical nurses in leadership positions and opportunities
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Campaign for Action
• Long-term alliances• Field strategy to move key
nursing issues forward at local, state and national levels
• Expect to be in all states by end of 2012
• Capture best practices, networking
Action Coalitions
To become part of a coalition, go to: www.thefutureofnursing.org
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Campaign for Action State Involvement
Map Legend
Action Coalition State
State Involvement
OR
WA
ID
MT
WY
NV
CA
UT
AZ
CO
NM
ND
SD
NE
KS
OK
TX
MN
IA
MO
AR
LA
WI
IL
IN
MI
OH
KY
TN
MS AL
FL
GA
SC
NC
VAWV
PA
MD
DE
NY
DC
CTRI
MA
VT
NH
ME
AK
HI
NJ
UPDATED: 6.6.2011
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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