A NEW ERA FOR NURSING:

Transcription

1 A NEW ERA FOR NURSING: How nontraditional roles are reshaping nursing careers PAM BURNETTE & GRACE PARANZINO

2 INTRODUCTION /02 Today, nursing is no longer solely about caring for patients. It s about technology, community-wide health management, and consistently improving the overall outcomes of a growing industry. Over the next 10 years, the United States will need more registered nurses than ever before. In fact, employment of registered nurses is projected to grow 19 percent from 2012 to 2022 significantly above the average growth rate for all occupations. KEY HIGHLIGHTS In this ebook, you will learn about: Growth and demand on the increase Big data and how it continues to shape the nursing profession The skills new nurses require Clearly, much of this growth will occur in response to the expansion of preventative care initiatives; the increase in rates of chronic conditions, such as diabetes and obesity; and demand for healthcare services from an aging population. There is growing demand for registered nurses outside hospital settings too, calling for an altogether new kind of nurse. 1 Here, we outline the social and community trends that are shaping a new world of opportunities for nurses, and also shaping the skill sets and opportunities of tomorrow s nurses. 1

3 THE FUTURE OF AFFORDABLE CARE /03

4 THE FUTURE OF AFFORDABLE CARE /04 In the wake of the Affordable Care Act, the role of the nontraditional nurse in the community has changed. The value of nurses work in delivering the right messages at the right times to vulnerable and at-risk groups is now a key focus for communities that are seeking to lower the cost of acute healthcare delivery, and this is only going to increase. Now more than ever, governments, businesses, and communities understand that prevention is far better, and far cheaper, than the cure. As a result, the focus is on patientcare specialists who can deliver proactive outreach care to individuals in hopes of alleviating more costly hospital visits down the road. Educational facilities, corporate settings, and even government-funded initiatives to support the elderly in their own homes, all require specific expertise that only registered nurses can deliver. The focus on positive lifestyle changes is leading to more consultative work for nurses outside healthcare facilities, and there is evidence to suggest that there are qualified nurses not currently employed in hospital settings that could be leveraged for this kind of work: In 2013, there were more than 2.6 million registered nurses employed across the United States, yet there is a total of 3.1 million registered nurses nationwide. There could be up to 500,000 licensed nurses that these new fields could re-engage m registered 2.6m employed 500,000 difference 2

5 THE FUTURE OF AFFORDABLE CARE /05 Nurses have always been important. But in the battle to deliver preventative care on a grand scale, nontraditional nursing roles are now more important than ever. 3 Consider the top five reasons students say that they choose the field of nursing as a career: Personal satisfaction and growth Career mobility Job security Scheduling flexibility Nontraditional nursing careers have emerged due to technological growth and healthcare reform. Areas such as patient safety and quality of care, informatics, behavioral modification, and care coordination have become areas where nursing is at the forefront of integrated care delivery. Grace K. Paranzino, EdD, RN, CHES, FAAOHN Chief Clinical Officer, Healthcare Product, Centers of Excellence, Kelly Services, Inc. Competitive salaries 4 These drivers, such as growth, mobility, and security line up nicely to the benefit of emerging nontraditional nursing roles

6 NURSING IS ALREADY A VARIED ROLE /06

7 NURSING IS ALREADY A VARIED ROLE /07 A registered nurse is already a varied and flexible resource working inside many different clinical and non-clinical settings. Some of the nontraditional nursing roles that fall underneath the category of registered nurse include: 1. Occupational health nurses: professionals in these roles are tasked with independently observing and assessing workers health status with respect to job tasks and hazards. Using their specialized experience and education, they recognize and prevent health effects from hazardous exposures and treat workers injuries and illnesses Case management nurses: these professionals provide services to help individuals and families cope with complex and difficult health-related situations. Their aim is to assist people and their support networks to achieve the best possible quality of life. They are goal oriented and help patients to identify their own version of success in their lives. From an assessment, the case manager and the client whether an individual or a family together formulate a plan to meet those goals. The case manager helps clients to find resources and facilitates connection with services. Sometimes she or he advocates on behalf of a client to obtain needed services. The case manager also maintains communication with the client to evaluate whether the plan is effective in Occupational health nursing is an expanding field as employers strive to demonstrate ROI on preventive care and create a culture of wellness for employees. In addition, occupational health nurses are well-positioned to coordinate care and provide expertise on work and non-work related medical concerns. As workers spend most of their day in a work environment, occupational health nurses have a perfect setting to positively impact behavior change, and provide a safe workplace. Grace K. Paranzino, EdD, RN, CHES, FAAOHN Chief Clinical Officer, Healthcare Product, Centers of Excellence, Kelly Services, Inc. meeting the client s goals. 7 6 hhttp://explorehealthcareers.org/en/career/117/occupational_health_nurse

8 NURSING IS ALREADY A VARIED ROLE /08 3. HEDIS nurses: HEDIS nurses are responsible for scheduling and performing on-site medical record reviews at physician offices. People in these roles work to ensure specific, measurable service standards, and assist in developing process improvement initiatives where required. A HEDIS nurse provides oversight in the planning, implementation, and coordination of HEDIS healthcare audits to ensure high-quality, cost-effective care Quality assurance (QA)/process improvement nurses: nurses in QA roles evaluate the work and behavior of employees in their departments, whether at a hospital, doctor s office, or healthcare facility. By monitoring their colleagues, they can ensure qualitative requirements are being met as specified by the hospital or state. The goal of a QA nurse is to deliver best practice approaches in healthcare facilities. They focus on continuous improvement and take a data-driven and measurable approach to achieving improvements. 9 A registered nurse requires a large base of knowledge to assess, plan, and intervene to promote health, prevent disease, and help patients cope with illness. Registered nursing roles range from direct patient care and case management to establishing nursing practice standards, developing quality assurance procedures, directing complex nursing care systems, conducting clinical research, and teaching in nursing programs Nurse in-service educators: these nursing roles are designed to deliver training support on the features, benefits, and use of medical devices. Typically in a hospital setting, nurses educate other medical professionals on medical devices that are new to the market or have been updated or modified. Device training is an integral part of overall patient safety and is designed to increase the skills and competence of the staff in a specific area

9 A SNAPSHOT OF NURSING TODAY /09 /9

10 YEARLY SALARY GUIDE FOR TODAY S NURSE /10 Registered nurses earn on average $65k Experienced registered nurses with advanced education can earn $80k Nursing graduates have an average starting salary of $52.8k11 55 years or older SALARIES FOR THE FIVE NONTRADITIONAL NURSING AREAS: Occupational Health Nurses $63,472 Almost one-quarter of all registered nurses are 55 years of age or older. Case Management Nurses $69, HEDIS Nurses $67,000 Quality Assurance/Process Improvement Nurses $61, In-service Education Nurses $83, NACE Salary Survey

11 WHERE THE JOBS ARE: TOP METROPOLITAN AREAS FOR NURSING /11 Around 30 % of job growth over the next decade will be in these cities: CHICAGO, IL BOSTON, MA NEW YORK/NEW JERSEY PHILADELPHIA, PA WASHINGTON, D.C. LOS ANGELES, CA PHOENIX, AZ DALLAS, TX ATLANTA, GA Of them all, Houston, Texas, is expecting the strongest growth, projecting an increase of 32% between now until HOUSTON, TX 32% increase

12 GROWTH AND DEMAND ON THE INCREASE /12

13 GROWTH AND DEMAND ON THE INCREASE /13 How fast is the number of nursing jobs growing? Over the next ten years, there will be more than 432,000 registered nursing jobs available in the U.S. There will be excellent job opportunities in nursing in the coming years, according to the BLS, due in part to an aging population and an increase in long-term care facilities for patients. Hospitals and national security will dominate in the hiring of nurses; the statistics show just how significant the number of nurses being hired by organizations in the administrative, insurance, and home healthcare industries will be, as demonstrated on the following page. With the rollout of the Affordable Care Act many more Americans are insured and have access to healthcare. This has driven up the need for healthcare professionals, especially in nontraditional nursing roles. The health insurance industry is one more example, as more Americans are insured there are more opportunities for case management, utilization review, and HEDIS nurses. What an exciting time to be a nurse in the healthcare profession, as we watch opportunities for career growth and patient care, as well as access to care. Pam Burnette MBA, BSN, RN Director of Kelly Services Healthcare Product Kelly Services, Inc.

14 WHICH INDUSTRIES ARE HIRING? /14 INDUSTRY General Medical and Surgical Hospitals VOLUME 62,290 National Security 35,098 Offices of Physicians (except Mental Health Specialists) 33,723 Temporary Help Services 21,284 Home Healthcare Services 16,112 Nursing Care Facilities 14,846 Despite peaks and valleys in demand, the overall trend line for nursing skill sets has been on a steady incline for some time. Staffing agencies will need to demand strong, skilled nursing professionals moving forward. The demand for these highly skilled nurses will increase 26% by Most of these increases will be in healthcare offices and community clinics with the implementation of the ACA. 14 All Other Miscellaneous Ambulatory Healthcare Services 13,636 Employment Placement Agencies 12,945 Direct Health and Medical Insurance Carriers 5,974 Office Administrative Services 5,560 26% Spetz, J. How Will Health Reform Affect Demand for RNs? Nursing Economics. 2014; 32 (1):

15 BIG DATA WILL SHAPE NURSING TOO /15

16 BIG DATA WILL SHAPE NURSING TOO /16 Over the decades ahead, it is likely that registered nurses will be increasingly involved in large-scale population health management programs. The growth of big data opportunities will impact the nursing profession too. It is likely that a stronger connection between data and analysis will drive longer-term, largescale health improvements. In many areas, there are shortages of qualified nursing professionals. There are growing opportunities for nurses to work remotely, particularly as Internet connectivity becomes more widespread and e-health initiatives benefit from improved validation and testing capabilities. In fact, nursing is no longer a job that is tied to a hospital or clinical setting it is benefiting from trends in flexible working and telecommuting, as are many other professions. In every healthcare environment, there is a growing need for care coordination. The role of care coordinator may take many forms. It may involve providing coordination directly in complex or rapidly changing situations, supervising other team members when care is relatively predictable (tiered coordination), or advising entire communities (populations) on the best choices for the highest levels of wellness California Institute for Nursing and Health Care. (2013, September). Nurse Role Exploration Project: The Affordable Care Act and New Nursing Roles. Available online at: WhitePaperNurseRoles pdf

17 BIG DATA WILL SHAPE NURSING TOO /17 There is a need for a shift toward RNs playing critical roles in the development of software and its application. The roles envisioned included informatics design, application, and interpretation across settings. Many opportunities will be in community settings, as RNs use technology to provide one of the most critical components of care: touch. Although it would be a virtual touch, when combined with an occasional physical presence, it could be very powerful in supporting successful independent living. Clearly, changes in nursing education are critical to realizing the new roles aligned to the skill set, and in developing registered nurses that are prepared to deliver care outside the acute care setting. 17

18 THE SKILLS NEW NURSES REQUIRE /18

19 WHAT EMPLOYERS ARE LOOKING FOR /19 Employers today are looking for healthcare professionals that can demonstrate skills and expertise beyond patient care. They must express themselves clearly and professionally, display strong teamwork and project management abilities, and work collaboratively to solve complex problems that may not always have technical causes. When applying for roles, registered nurses need to focus not only on technical skill but soft skills as well this is often the differentiating factor between job candidates. We surveyed our healthcare recruiters and the top five soft skills they look for in nursing job candidates are: Reliability and dependability Communication skills Self-direction / Self-motivation Flexibility and adaptability Positive work ethic

20 CONCLUSION /20 As nurses become more pivotal to preventative care initiatives, they are in higher demand and will command higher salaries, too. With just a few years of experience under their belt, registered nurses can begin to practice within specialty areas of nursing where they can find a niche outside of a hospital setting. A nursing qualification no longer limits candidates to one specific role in one specific setting. And there are more jobs available than there are qualified candidates to fill the growing demand for nontraditional nursing roles. With the right mix of technical skills and soft skills, nurses have a diverse and rewarding career ahead of them.

21 /21 Kelly puts a new employee to work every 33 seconds, and every four minutes one gets hired by a Kelly customer. Search for jobs on our Kelly Career Network, join our Talent Network, or visit kellyservices.com to get started today. 4,800 Kelly healthcare employees worked last year. Kelly puts a new healthcare professional to work every 40 minutes.

22 ABOUT THE AUTHORS Dr. GRACE K. PARANZINO is currently the Corporate Chief Clinical Officer for Kelly Healthcare Resources, a leader in providing workforce solutions. Dr. Paranzino is a nurse executive with 30 years of progressive management and leadership experience in the hospital environment, academia, and the healthcare staffing industry. Dr. Paranzino is actively involved with the American Association of Occupational Health Nurses (AAOHN). She is Past-President of the Michigan State Chapter, serves on the Board of Directors as Secretary for AAOHN, and is on the Editorial Review Board for the AAOHN Journal. PAM BURNETTE is Director of Healthcare Product for Kelly Services. Ms. Burnette is responsible for selling healthcare solutions, including education, sales generation, innovation, and community immersion activities. Ms. Burnette is an active member of AONE, the American Organization of Nurse Executives. AONE is a national organization of nurse leaders who design, facilitate, and manage care. Ms. Burnette received her undergraduate nursing degree from Western Carolina University and her master s degree in Business Administration from Montreat College. Ms. Burnette has also been honored as a Great 100 Nurse in North Carolina. ABOUT KELLY SERVICES Kelly Services, Inc. (NASDAQ: KELYA, KELYB) is a leader in providing workforce solutions. Kelly offers a comprehensive array of outsourcing and consulting services as well as world-class staffing on a temporary, temporary-to-hire, and direct-hire basis. Serving clients around the globe, Kelly provided employment to approximately 540,000 employees in Revenue in 2013 was $5.4 billion. Visit kellyservices.com and connect with us on Facebook, LinkedIn, and Twitter. Download WorkWire, a free ipad app by Kelly Services. This information may not be published, broadcast, sold, or otherwise distributed without prior written permission from the authorized party. Kelly Healthcare Resources is a registered trademark of Kelly Services. All other trademarks are property of their respective owners An Equal Opportunity Employer Kelly Services, Inc. A0018 kellyservices.us/healthcare EXIT