The Future of Nursing: Campaign for Action

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Alexandrina Osborne
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1 The Future of Nursing: Campaign for Action An Update Linda Burnes Bolton, DrPH, RN, FAAN, VP for Nursing, CNO, and Director of Nursing Research, Cedars Sinai Medical Center 1 Campaign for Action: Key Areas Education Practice & Care Leadership Interprofessional Collaboration Diversity Data 2 Education: 78% increase in RN to BSN enrollees New graduates by degree type: Pre license BSN graduates up 18% between 2010 and 2013 compared to 7% in ADN Entry level Masters up 41% 3 1

Leadership Interprofessional Collaboration Diversity Data 2 Education: 78% increase in RN to BSN enrollees New

2 Doctoral Degrees: Enrollment in DNP programs grew 62% between 2011 and 2013 Between 2010 and 2013, the number of DNP graduates nearly doubled PhD, tiny growth/stagnant Faculty Vacancies up 47.1% 4 RWJF Future of Nursing Scholars Program Diverse cadre of PhD prepared nurses who are committed to long term leadership careers Offers financial support, mentoring, leadership development activities and postdoctoral research funding Grants given to schools of nursing 5 Success in the States: Minnesota: Dual enrollment between community colleges and universities Texas: Distance education to increase capacity of RN to BSN education program New Jersey: Long term Care residency program for new nurses 6 2

1% 4 RWJF Future of Nursing Scholars Program Diverse cadre of PhD prepared nurses who are committed to long term leadership careers Offers financial support, mentoring,

3 Removing Barriers to Practice and Care: Six states have achieved full practice and prescriptive authority since the Campaign began Four states have made incremental improvements since the Campaign began AARP has big role. MI and NJ pending Number of nurse led clinics increased between 2011 and 2013, from 132 to Removing Barriers Examples: Connecticut: Law enables full practice. Eliminates collaborative practice requirement for APRNs with 3 or more years of practice experience Kentucky: Law allows APRNs with 4 or more years of experience to prescribe routine medications without being required to have written agreement with physician Nevada: Law allows NPs to practice to full extent of their education and training 8 Leadership: Percent of hospital boards with RN members has declined (6% to 5%) from nurses on boards (ACs), up from 105 in January ,000 Nurses on Boards Nurse Leaders on Boards National Coalition 9 3

Eliminates collaborative practice requirement for APRNs with 3 or more years of practice experience Kentucky: Law allows APRNs with 4 or more years of experience to prescribe routine medications

4 Leadership: ACs report 286 nurses appointed to leadership boards North Carolina and Wyoming: Nursing Leadership Institutes Virginia: 40 Under 40 Awards New Jersey: Goal to place nurse leader in every hospital boardroom Texas: Governance and leadership education 10 Between the 2011/12 academic year to the 2013/14 5 of the 10 schools increased the number of IPE experiences required as part of pre license nursing curriculum. All but 1 of the schools have at least one required IPE experience CFAR research on promising practices National Center for Interprofessional Practice and Education School 2011/ / /14 Duke Yale University of California, San Francisco University of North Carolina University of Washington University of Pennsylvania University of Michigan University of Pittsburgh Oregon Health Sciences University Johns Hopkins University Diversity: Nursing workforce changes in diversity between : Race/Ethnicity % increase/decrease American Indian or Alaska Native 10,510 9,283 10,147 10, Asian 218, , , , Black or African American 264, , , , Hispanic or Latino 123, , , , Native Hawaiian or other Pacific Islander 1,880 1,867 2,665 2, White 2,113,316 2,111,065 2,161,729 2,211, More than 1 race 27,650 31,218 37,484 34, Some other race 4,955 4,548 3,009 6, Percent of minority nurses has remained stable , except for Hispanic nurses American Community Survey

5 34 states working on diversity initiatives: Texas: increasing diversity in BSN programs Wisconsin: developing tools to educate public on importance of diversity 13 Workforce Data: In 2012, just 7 states were collecting 100% MDS items; in 2014 there were 20 states collecting 100% of MDS items HRSA discontinued National Sample Survey of RNs. Suffering from dearth of data National Workforce Commission never funded 14 Workforce Data Collection: Many states challenged to get accurate workforce data on numbers and types of health professionals Forum leading national effort to get states to collect a standardized data set Need to analyze data in timely manner and make it publically available 15 5

Suffering from dearth of data National Workforce Commission never funded 14 Workforce Data Collection: Many states challenged to get accurate workforce data on numbers and

6 Progress to Date: 1. Remove scope of practice barriers 2. Expand opportunities for nurses to lead and improve interprofessional education 3. Implement nurse residency programs 4. Increase number of nurses with BSN (49% of nurses have BSN in 2010; 51% of nurses have BSN in 2013) 16 Progress to Date: 5) Double number of nurses with doctorates (Enrollment in DNP programs grew 62% between 2011 and 2013) 6) Ensure that nurses engage in lifelong learning (Pre licensure BSN grads up 18% between 2010 and 2013 compared with 7% in ADN; Entry level Masters up 41%) 7) Prepare and enable nurses to lead 8) Workforce data center 17 We Need Your Support Hospital and Health Systems Businesses Policy makers Action Coalitions Campaign for Action Health Professionals Consumer Advocates Payers

62% between 2011 and 2013) 6) Ensure that nurses engage in lifelong learning (Pre licensure BSN grads up 18% between 2010 and 2013 compared with 7% in ADN; Entry level Masters up 41%) 7) Prepare and

7 Thank You 19 7

How To Help Nurses

How To Help Nurses California Action Coalition Summit Presentation October 30, 2014 Susan B. Hassmiller, PhD, RN, FAAN, RWJF Senior Adviser for Nursing, and director, Campaign for Action A Culture of Health RWJF Goal: We,