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6 Summaries of Testimony
Pages 43-54

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From page 43...
... AONE has been working in a number of areas, said Herrin-Griffith, including identifying solutions for the shortage of nurses and faculty; addressing concerns about quality and safety; highlighting the importance of the environment in which care is provided; and emphasizing the need to transform care delivery to achieve the goals of safe, effective, patient-centered, timely, efficient, and equitable health care.
From page 44...
... The Collaborative Alliance for Nursing Outcomes, which is the nation's oldest nursing quality database and a joint venture between the Association of California Nurse Leaders and the American Nurses Association/California, advocated the following priorities: 1. Systematically build the capacity of clinicians and clinical ad ministrator leaders to be accountable for and to use nursing qual ity data to guide decisions and performance.
From page 45...
... Kathy Dawson, President Association of California Nurse Leaders (ACNL) To ensure that nurses provide competent, safe, and quality patient care in a complex health care environment, the current workforce must be retooled to elevate the standard of practice and to prepare the future workforce to meet the challenges of an ever-changing world, said Dawson.
From page 46...
... These transitional competencies are meant to reinforce patient care practices that are safe and of high quality. In addition to the theoretical and didactic learning that takes place in nursing schools, the competencies learned from immersion in the role of the professional nurse are essential to gaining the experience nurses need.
From page 47...
... Staffing standards are essential for the provision of competent, safe, and effective care. McEwen indicated that clearly defined, legally protected, and enforceable duties and rights for direct care registered nurses to advocate exclusively for the interest of patients are also needed, as well as whistleblower protections that encourage patients, registered nurses, and other health care personnel to notify government and private accreditation entities of suspected unsafe patient conditions.
From page 48...
... These roles include being leaders in the effective design and use of EHRs; integrators of information; full partners in decision making; care coordinators across disciplines; experts in improving quality, safety, and efficiency and in reducing health disparities; advocates for engaging patients and families; contributors to standardized EHR infrastructure; researchers on safe patient care; and educators for preparing the workforce. Michelle Troseth, Chief Professional Practice Officer Clinical Practice Model Resource Center/Elsevier The CPM Consortium provides an infrastructure in which nurses and interdisciplinary partners can come together and create best places to give and receive care.
From page 49...
... CPM Consortium sites also have been national exemplars for the TIGER (Technology and Informatics Guiding Education Reform) initiative, Sigma Theta Tau International, and American Nurses Credentialing Center Magnet-Designated Hospitals.
From page 50...
... CGFNS data suggest that the majority of foreign-educated nurses work in acute care settings, are an average of 15 years younger than their American counterparts, hold Baccalaureate degrees, bring 1 to 5 years of nursing experience to their positions, and are viewed as safe and competent practitioners. Yet these factors often are not considered in making short-term initial placement or long-term leadership decisions, she noted.
From page 51...
... Arkava indicated that frontline nurses should be engaged in the design, development, implementation, and evaluation of nursing innovations and solutions, whether for models of care or new technologies. Frontline nurses also should be involved in the decisions and implementation of evidence-based policies, practices, and work environments for improved patient outcomes, increased nurse professional satisfaction, and increased safety for all, Arkava said.
From page 52...
... Improvements in patient outcomes, financial outcomes, and professional satisfaction exist where partnerships between SEIU nurses and employers have been built on shared priorities and responsibilities for quality, Arkava said. The most important and consistent feedback received from practicing nurses is that to provide quality and safe patient care, there needs to be not only standards for adequate staffing, but real oversight for compliance, Arkava noted.
From page 53...
... Finally, she said that future care models must value patient education, allow nurses time to teach in acute settings, and design novel ways to extend patient education into communities. Elissa Brown, President American Nurses Association of California The involvement of nurses in new health care models and in designing and using technology needs to be supported, Brown said.
From page 54...
... Beverly Malone, Chief Executive Officer National League for Nursing Health care teams need to include allied health colleagues such as licensed practical nurses and other care providers, particularly as medicine moves toward telemedicine and out of the hospital care, Malone said. Kathy Harren, Chief Nurse Executive Providence Little Company of Mary The initiatives launched by the Institute for Healthcare Improvement have provided important lessons in the reform of care delivery, and the implementation of these models needs to be accelerated, Harren said.


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