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Future of Nursing Leading Change, Advancing Health

Future of Nursing Leading Change, Advancing Health. 3.2 million 100,000 30,000. Objectives. To review Institute of Medicine, Future of Nursing Report To define Campaign for Action To define the Virginia Action Coalition To describe the workgroups. IOM Future of Nursing Campaign for Action .

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Future of Nursing Leading Change, Advancing Health

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  1. Future of NursingLeading Change, Advancing Health

  2. 3.2 million100,00030,000

  3. Objectives • To review Institute of Medicine, Future of Nursing Report • To define Campaign for Action • To define the Virginia Action Coalition • To describe the workgroups

  4. IOM Future of NursingCampaign for Action

  5. IOM Future of Nursing • Committee on The Robert Wood Johnson Foundation Initiative on the Future of Nursing • Membership • Opportunity to transform health care system • Provide seamless, affordable, quality care • Nursing profession is the largest segment of the health care workforce

  6. Campaign for Action:Key Messages Education Leadership High-quality patient centered care Interprofessional Collaboration Access to Care Workforce Data

  7. Blueprint – Four Key Messages • Nurses should practice to the full extent of their education and training • Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression • Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the US • Effective workforce planning and policy making require better data collection and an improved information infrastructure

  8. Future of Nursing Recommendations • Remove scope of practice barriers • Expand opportunities for interprofessional collaboration • Implement nurse residency programs • Increase proportion of nurses with BSN to 80% by 2020 • Double the number of nurses with doctorates • Ensure that nurses engage in lifelong learning • Prepare and enable nurses to lead change and advance healthcare • Build an infrastructure for data collection

  9. Campaign for Action • The 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.

  10. Vision

  11. AARP Virginia Virginia Nurses Association

  12. Virginia Action CoalitionCo-Leads AARP Virginia • David DeBiasi , RN, Associate State Director – Advocacy VNA • Shirley Gibson, DNP, MSHA, RN, FACHE, President • Janet Wall, CEO

  13. Virginia Action Coalition Goals • Nurses should practice to the full extent of their education and training • Nurses should achieve higher levels of education and training through an improved educational system that promotes academic progress and explore residency programs • Nurses should be full partners, with all members of the healthcare team in redesigning healthcare • Nurses should develop strategies to ensure that nursing is skilled to provide leadership at all levels • Nurses should ensure effective workforce planning and policy making require better data collection and an improved information infrastructure

  14. Mission To implement the recommendations in the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health

  15. Vision All Virginians have access to affordable, high quality care and live in an optimal state of health

  16. Virginia Action Coalition Workgroups

  17. VAC LeadershipLindsey Jones-Cardwell, BSN, RN and Loressa Cole DNP, MBA, RNCo-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

  18. Leadership Objectives • Continue “Nurse Leaders in the Boardroom” program piloted with Robert Wood Johnson and AARP in September, 2009 • Continue to support Nurse Leadership Institute, a program of the Richmond Memorial Health

  19. Outcomes • Networking and educational event for the nurses identified as 40 under 40 • Recognized at VNF Gala - 2011 • Mentoring event – May 31, 2012 • Collaboration with: • VONEL • VNA • VNF

  20. Outcomes • Survey to determine boards nurses are serving – regional, state and national • Survey also identified those wanting to serve on boards • 334 Surveys completed • 118 Experienced Nurse Board Leaders • 181 Virginia Registered Nurses are future board leaders! • Video : Value of having a nurse serve on hospital board http://www.youtube.com/watch?v=MXwo0m8MLa0

  21. Local Boards • Free Clinics • Crisis Pregnancy Centers • AORN, VNA, Black Nurses & other professional nursing associations • Public Health Advisory Commissions • Red Cross • Alzheimer’s Association • Church Affiliated Boards • Performing Arts Council • Historical Councils • County Board of Supervisors • AARP • University & Community College Councils • YMCA

  22. State Boards • Virginia Partnership for Nursing • Virginia Board of Nursing • Virginia Nurses Association • Virginia Nurses Foundation • Multiple professional nurses associations • Virginia Board of Health • Virginia Association of Counties • VCCS Associates Degree Nursing Program Heads • Virginia Association of Colleges of Nursing • Health Insurance Exchange Governing Body

  23. National Boards • American Nurses Association & Political Action Coalition • National eHealth Collaborative • Nurses Organization of Veterans Affairs • American Midwifery Certification Board • AORN Journal Editorial Board • National Kidney Foundation • American Academy of Nurse Practitioners • American Organization of Nurse Executives • Various National Nursing Organizations

  24. Next Steps Survey hospitals to find boards where nurses serve Develop a video campaign value of nurse on Enhance the Leadership Toolkit Develop structure for mentors and mentees serving on boards Publish Leadership Article with Campaign for Action Blog for RWJF on Leadership Leadership Development Conference for nurses who want to serve on boards

  25. VAC Access To CareCindy Fagan, RN, MSN, FNP-BCKathy Baker, RN, PhD, NE-BCCo-Leads IOM Recommendation 1 Remove scope-of-practice barriers Objective All nurses should practice to the fullest extent of their training ObjectiveEducate stakeholders, legislators and the public about APRN regulatory barriers that prevent full practice authority to continue efforts to  reform outdated scope-of-practice regulations

  26. Outcomes • House Bill 346 passed and signed by Governor • Eliminates supervisory language • Emphasized collaboration and consultation between NPs (LNP & CNMs) and physicians to practice in teams • Increased from 4 to 6 number of APRNs physicians can collaborate with • Joint Boards of Nursing and Medicine have 280 days from July 1 to develop regulations • HB 346 manifested in 2013

  27. Outcomes • APRN Video has been completed

  28. Next Steps • Continue education of the public about the APRN scope of practice • Conduct a gap analysis with all nurse practitioner roles in respect to the National Council of State Boards of Nursing Consensus Model • Meet with the Board of Nursing to review the NCSBN Consensus Model • Consider legislation to remove the Joint Board and establish an Advisory Group for oversight

  29. Next Steps Conduct 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 Studies Participants include nurses from all hospitals in the state Areas include ICU, Med/Surg/Progressive Care and Emergency Department Include the CNOs, RNs and Advanced Practice Registered Nurses

  30. Education Progression Deb Zimmermann, DNP, RN, NEA-BC, Amy Gillespie, RN, MSN, EdDCo-leads

  31. VAC Education Progression IOM Recommendation 4 Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020 Objective Convene stakeholders on the implementation of seamless education progression

  32. Future of Nursing Education The Challenge • 50% of VA RNs BS prepared • 32% of AD graduates attain BSN • 31% of Diploma graduates attain BSN

  33. Outcomes • Regional Groups • Eastern, Central, Northwest, North and Southwest • Inspiration to Aspiration • Interviews with nursing programs • RN-BSN Guide • Survey of RN-BSN students • Video of students http://youtu.be/iT0ygHn4CYg • Academic Progression Models • Two statewide conferences with stakeholders • Shared models

  34. Outcomes • Community College statewide forum • Vice Chancellor of the Community College System • Forecasting Model • Policies regarding returning to school • 2 years to enroll, 5 years to complete • Hiring BSN • CNO Survey • Tuition Assistance and scholarships • Flexible schedules and weekend programs

  35. Outcomes • Virginia Association Colleges of Nursing Meeting held • Awarded SIP Grant from RWJF • Supported Community Colleges continuing the work of collaboration for curriculum development • Provide support in policy development for education progression • Held Academic Progression Summit – March 28, 2014

  36. Workforce Data ObjectiveNina Beaman, PhD, MS, RN-BC (PMH), RNC-AWHC and Richardean Benjamin, PhD, MSN, MPH, RNCo-Leads • Improve data collection and information infrastructure • Develop and implement specific geographical demand models for nursing and other health professionals

  37. Next Steps • Identify pilots for academic progression • Models from Campaign for Action • Develop mechanisms to track organizational progress for education progression

  38. Outcomes WHITE PAPER • Completed comprehensive white paper- Addressing Nursing Workforce Issues in the Commonwealth of Virginia • Finalized • Distributed

  39. Outcomes • Continue participation on DHP Healthcare Workforce Data Center • Participation and dissemination of information from the VA Workforce Development Authority to inform AC workgroups • VHHA Workforce Development

  40. Next Steps • Serve as data experts to other workgroups • Assist VAC with compiling necessary statistics for any grant proposals

  41. VAC Interdisciplinary Team-Based CarePatti McCue, ScD., RN, MSN, NEA-BCBonnie Barndt-Maglio, PhD, RNCo-Leads IOM Recommendation 2 Expand opportunities for nurses to lead and diffuse collaborative improvement efforts Objective Develop and deploy an educational program that prepares nurses, physicians, and other care providers to practice in a team-based, patient-centered care model

  42. Outcomes • Physician Foundation Grant • Expanded leadership program with MSV • Recruited 20 teams of physicians, nurses and other health professions • Completed Evolve Team Based Education • New partnership with VHHA/MSV/VAC

  43. Members of the Virginia Action Coalition honored for their contributions to the nursing profession at the 2012 VNF Gala

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