State of the Nursing Profession in the U.S. Carolina G. Huerta EdD, MSN, RN, FAAN

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1 State of the Nrsing Profession in the U.S. Carolina G. Herta EdD, MSN, RN, FAAN

2 FACTS ABOUT NURSING IN THE U.S. Largest health care profession million RNs Many more nrses are needed to meet the demand There is a demand for BSN nrses, and also for masters and doctorally prepared nrses for advanced practice, clinical specialties, teaching and research roles. Ftre demands are expected to otpace the spply.

BSN nrses, and also for masters and doctorally prepared nrses for advanced

3 United States Nrsing Isses Nrsing shortage Faclty shortage Aging nrses and faclty Aging clientele Information technology boom Competency-based edcation Health care reform Inter-professional edcation

Information technology boom Competency-based

4 Nrsing Shortage RN shortage projected ntil 2030 Predicted to be 1 million short by 2020 Crrently 1 in 5 new jobs for nrses IOM Report 2011 calls for 80% BSN Paradox in finding a job de to economy Improvement in economy and nrses will retire

nrses IOM Report 2011 calls for 80% BSN Paradox in finding

5 Nrsing Faclty Shortage 100,000 qalified stdents are trned away becase not enogh faclty 1/3 of all states have a nrsing faclty shortage Shortage of nrses prepared at MSN level to teach Many faclty retirements occrring Average faclty age is 50+

faclty shortage Shortage of nrses prepared at MSN level to

6 Aging of the Nrsing Workforce U.S. Average age of the nrse is 46 years ¼ of RNs are over 50 Aging increases stress; decreases stamina Decreases job satisfaction Decrease in qality of care

7 Aging Clientele/Patients Cases higher demand for health care services---need for more nrses Need for new health-care & edcation models Focs on gerontology in nrsing schools needed

8 Information Technology: Clinical Settings Many demands Electronic Health Records Mandated by 2014 Medicare, Medicaid, private insrances Compters at the bedside, ipads, iphones, tablets, COWS Traditional clinical teaching difficlt Knowledge base is dobling q 5 years coping Simlation becoming standard practice Faclty technological competency is important

iphones, tablets, COWS Traditional clinical teaching difficlt Knowledge base is dobling

9 Competency Based Practice Specialization certifications indicate competency Mltiple certifications in many areas Addictions, Diabetes, Home Health, etc Safety for all patients Board of Nrsing 20 hors of contining edcation Faclty mst provide evidence of competency

Diabetes, Home Health, etc Safety for all patients Board of

10 Health Care Reform: Affordable Care Act 2010 Politically controversial- reqires insrance for all Protects from insrance abse: No preexisting conditions Provides access to care for all Increases need for nrses Health Care Reform and IOM Report 2011

insrance abse: No preexisting conditions Provides access to

11 Inter-professional Edcation: Working With Other Professionals Effective in improving patient otcomes and redcing health care costs Training needed to provide inter-professional care and become member of interprofessional team Barriers inclde not nderstanding roles of others Collaboration in corses and/or clinical needed

provide inter-professional care and become member of interprofessional team

12 NURSING IN U.S.

13 Nrsing in the Past NURSING WAS NOT AUTONOMOUS! WE HAVE COME A LONG WAY FROM THEN

14 1950s-60 s Mildred Montag creates Associate Degree Nrsing First nrse practitioner program is started at University of Colorado In the 60s, BSN programs are becoming commonplace in U.S.

15 1990s-2000s Institte of Medicine Report To Err is Hman: Bilding a Safer Health System 1999 fond: 44,000 to 98,000 Americans die each year from medical errors Total national costs for errors are between $17 billion and $29 billion Report When Care becomes a Brden cites errors according to edcational level (Milbank Memorial Fnd) 2001

Total national costs for errors are between $17 billion and $29 billion Report When

16 Aiken et al stdy on link between mortality and edcation 2003 Canadian stdy 2006 AACN pts ot statement on impact of edcation on nrsing practice

17 DNP entry into advanced practice 2010 Carnegie Fondation & Patricia Benner et al pblish Edcating Nrses: A Call for Radical Transformation 2010 RWJF & IOM Initiative on the Ftre of Nrsing

18 Recommendations from reports: Reinvent nrsing edcation Transform nrsing edcation Entry into practice. BSN, MSN, PhD? Work on appealing to a new generation of nrses

19 2011 Robert Wood Johnson Fondation & Institte of Medicine THE FUTURE OF NURSING: LEADING CHANGE, ADVANCING HEALTH

20 For Key Messages Nrses shold practice to the fll extent of their edcation and training. Nrses shold achieve higher levels of edcation and training throgh an improved edcation system. Nrses shold be fll partners, with physicians and other health care professionals. Effective workforce planning and policy making reqire better data collection and information infrastrctre.

system. Nrses shold be fll partners, with physicians and other health care professionals.

21 Ftre of Nrsing These 4 recommendations are giding nrsing s ftre today Obamacare has focsed on role of the NP Goal set to have 80% BSN verss 20% ADN by 2020.

22 Nrsing Roles and Edcational Preparation Licensed Vocational Nrses Associate Degree Nrses BSN 80/20% MSN Advanced practice (NP & CNS); Faclty Practice CNL DNP PhD

23 DNP Standard for specialized advanced practice roles Practice-focsed; advanced specialty Translation of evidence in to practice Develops health policy; transformation of health-care leadership

24 PhD Scholar and investigator Research-focsed; philosophy and theory Develops competencies necessary to expand the science and practice of nrsing Develops health policy and tilizes informatics

25 The Nrsing Profession in the U.S. Contines to Evolve Nrses are the most trsted professionals in the U.S.. The need to have the BSN as the entry in to professional practice is evident. Nrsing mst contine to add to the body of nrsing knowledge throgh research and provide qality care throgh advanced practice.

26 Nrsing contines to strive to become an atonomos profession! We are working throgh or government, legislatre, congress to pass laws to promote and protect or profession.

On Track for Career Success: Starting Back to School

On Track for Career Success: Starting Back to School On Track for Career Sccess: Starting Back to School Dr. Nancy Barnm, Director, RN-BSN Program, Associate Professor Mr. Keith Wynn, Recriter, Office of Admissions Why Shold Yo Go Back to School? Why Shold