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From page 643...
... technology and, 30, 415-417 case study, 184-185 workforce, 386-387, 388-389 educational attainment of RNs in, 25 Acute Care Forum on the Future of Nursing first degree at entry into the profession highlights, 316-318 and, 183-186 interdisciplinary collaboration, 301 incentives for, 187, 188 key themes, 317 RN workforce, 24, 388 safety and quality of care, 300 salary disparities, 13, 186-187 site visits and solutions session, 317-318 Academy of Medical-Surgical Nurses, 325, 364 technology, 300 Access to care, 27 testimony questions, 300-301 regulatory barriers, 99, 102, 106, 107, 463 Admissions, inpatient technology and, 64 assessments by APRNs, 10, 278, 444, 473 Accountable care organizations (ACOs) , 9, 30, care management programs and, 27, 377, 95, 131, 132, 148, 255-256, 277, 378, 379-380, 390, 395-396 375-376, 380-381, 389-390, 391, graduation of nurses coordinated with, 396, 559 264 Accreditation Commission for Midwifery to hospice or skilled nursing facility, 274, Education, 325, 328 n.3, 340 n.11, 278, 444, 473 341 n.13, 362, 364 palliative care models and, 425 Accreditation Council for Graduate Medical readmissions, 27, 66, 70, 71, 379-380, Education, 201 395-396, 416, 421 Acute care (see also Hospitals)
From page 644...
... visibility in surveys and coding, ACA and, 22-23 assessment, or benchmark schema, and access to care, 27-28, 98, 107, 108- 469-470 109, 249, 463, 490 workforce size, 23, 26, 327, 390 accountable care organizations, 132 Affordable Care Act (ACA) case studies, 107, 108-109 access to primary care, 22, 49, 54, 86, certification, 98, 328 88, 96, 108, 136, 257, 269 chronic disease management, 86, 121, accountable care organizations, 131, 132, 124, 332, 418-420, 452 148 competencies, 97, 197 Center for Medicare and Medicaid costs of education, 168, 169 Innovation, 131 earnings, 43 clinical training for APRNs, 124 economic value of, 486 community health centers, 131, 133 education and training, 41-42, 43, 44, coordination of care, 65, 148 98, 124, 144, 164, 168, 169, 194, demonstration projects and pilot 195, 196-197, 203, 328, 445-446, programs, 71, 239, 491 470-471 education funding, 491 funding for, 124, 470-471 faculty incentives, 187, 188 growing use of, 98 home visitation programs, 75 hospital privileges and medical staff insurance coverage for uninsured membership, 473 Americans, 1-2, 21, 49, 257, 269, insurance company policies, 9, 10, 71, 272 117 medical/health homes, 131, 132, 148 interprofessional collaboration, 98, 131, National Center for Workforce Analysis, 203, 226-227 9, 256, 262 licensure, 100,101-103, 327-328 National Health Care Workforce opposition to independent practice, 107- Commission, 9, 255, 256, 262, 265 108, 457-460 NMHCs, 131, 136 patient satisfaction, 114 nursing-related provisions, 22, 34 practice transformation, 10, 97, 98-103, reimbursement rates for nurses, 10, 278 106, 108-109, 112, 142, 144, 145, research priorities, 274 248 and scope-of-practice regulations, 29, 96, primary care, 10, 22-23, 55, 59, 88, 95, 106 132 structural changes in health care, 85, 86, production rates, 490 213 public awareness of, 112, 455 transitional care, 71, 148 recommendations, 9-11 workforce monitoring, 265 regulatory barriers, 5, 10, 59, 96, 97, African Americans, 55, 56, 57, 68, 128, 129, 99, 102, 103, 108, 144, 248, 444, 130, 138, 184, 199, 208, 228-229, 446-451 231, 232, 247, 429, 585, 631 reimbursement/payment policies, 9, 10, Agency for Healthcare Research and Quality, 71, 102-103, 104, 115, 446, 449, 238, 239, 392, 394 471-472 Aging population, 48, 66
From page 645...
... , 325, 336, 358, 359, 362 American Midwifery Certification Board, 197, American Academy of Nurse Practitioners 325, 358, 359 Certification Program, 325, 344 American Nurses Association (ANA) , 27, 109, n.17, 358, 359, 361, 362, 366 171, 208, 245, 325, 329, 338, 344, American Academy of Nursing, 245 354, 358, 361, 362, 364, 366, 371 American Academy of Pediatrics, 134, 457, American Nurses Credentialing Center 458 (ANCC)
From page 646...
... 4 INDEX Association of Teachers of Preventive Bachelor's of science in nursing (BSN; see Medicine, 560 also Undergraduate education) Associate's degree in nursing accelerated, second-degree program, 44, advantages, 489 165, 168, 233, 369, 371, 406, 484, barriers to program admission, 166 507, 523 BSN graduates relative to, 505-506 ADN graduates relative to, 505-506 case studies, 180-181, 232 ADN transition to, 7, 12, 39, 40, 44, 130, costs, 168, 370-371, 489 166, 171, 173, 174-175, 177, 183 data needs, 482, 508 186, 187, 208, 281, 406, 487, 488, earnings, 43, 171, 172 506, 507 education/preparation, 40, 43, 44, 165, applications for admission, 31, 193 166, 168, 177, 232, 247, 369, 370- barriers to meeting educational needs, 371, 553, 578, 579 166, 179-193 employment settings, 25 capacity building for, 176-178, 180-181, ethnic minorities, 207, 208, 232 196, 210-211, 482, 484, 538, 539 faculty, 187, 188, 371 case studies and profiles, 60-63, 73-74, foreign programs, 578-579 174-176, 180-181, 184-185, 192 geographic differences, 178 193, 204-205, 232-233 and leadership positions, 247 community college programs, 173, 174, licensure exam, 372, 488-489 175-176, 177-178, 180-181, 371, physician opinions of, 171 406, 482, 489, 492, 505, 519, 538, practice regulations, 371 539-540 qualified applicants not accepted, 182 community health curriculum, 122 recommendations, 508 costs, 168, 371 roles and responsibilities, 43 data needs, 482 state preferences for investment in, 488- Diploma nursing program transition, 12, 489, 506 44, 166, 171, 173, 187, 281, 370, statistics, 167, 171, 178, 182, 186, 372 518, 597 transition to higher degree programs, 7, earnings, 43, 171, 172, 187 12, 39, 40, 44, 130, 166, 173, 174- economic value to institutions, 485-486 175, 177, 183-186, 187, 208, 281, education/preparation, 40-41, 43, 44, 488-489, 506, 507 165, 369, 371, 512, 524, 608, 612 Association of Faculties of Pediatric Nurse employment settings, 25, 171, 175 Practitioners, 325, 344 n.17, 362, faculty, 173, 179, 182-188, 210, 211, 364, 366 371, 440, 480, 484, 486, 487-488, Association of Women's Health, Obstetric, and 489 Neonatal Nurses, 325, 358, 359, foreign requirements and programs, 489, 362, 364, 365 567, 568-569, 571, 572, 576, 579, Austin, Mary, 69 583, 584-585, 590, 591, 592, 595, Australia, 190, 192, 573, 590, 598, 603, 607, 596, 599, 600, 608, 610, 612, 615, 628 617, 618, 620, 628 Ayers, Lisa, 62-63 funding for programs, 12, 175-176, 281, 482, 484-489, 492 gender diversity, 507 B geographic differences, 178 internship/residency, 122, 123-124, 148, Baby Boom generation, 48, 125, 259, 387, 424 513, 559 Baccalaureate degree (see Bachelor's of leadership training, 224 science in nursing; Undergraduate licensure exam, 372 education)
From page 647...
... 4 INDEX C as minimum requirement to practice, 169-178, 287, 371, 409-410, 412, Caceres, Billy, 233 435, 479, 485, 524, 553, 568-569 California minorities, 130, 207, 208, 232-233, 585 nurse workforce, 61, 211, 382, 383, 583, need for, 169-178 590, 596, 599, 610, 612 nursing school capacity, 487 nursing education, 176, 181, 265 physician opinions of, 171 On Lok program, 65 prerequisites, 524 scope-of-practice regulation, 111, 157 qualified applicants not accepted, 130, California Medical Association, 111 182, 193, 487, 537 California Society of Anesthesiologists, 111 and quality and outcomes of care, 169 Cameroons, 573 170, 406, 485-486, 505-506, 512, Campaign for Nursing's Future, 125 538 Campbell, Margaret, 425 recommendations, 12, 13, 281-282, 412, Canada, 203, 485, 553, 568, 569 n.5, 572, 574, 481, 482, 484, 508, 524, 559 575, 577, 580, 582, 590, 599-603, roles and responsibilities, 41, 43, 67, 170 607, 608-609 school nurses, 435 Care in the Community Forum shortage-related impacts, 485, 486-489 highlights, 124, 318-320 standardizing education, 489 key themes, 318-319 statistics, 166-167, 178, 186, 196, 372 site visits and solutions session, titles of nurses from other countries, 577 319-320 transition to higher degree programs, 7, testimony questions, 302-303 12, 13, 39, 40-41, 43, 44, 123-124, Care management models (see also Health 130, 170, 173-176, 177, 181, 185 coaches) 186, 204-205, 208, 281, 282, 480, accountable care organizations, 9, 30, 95, 484, 487, 488-489, 506-507, 518, 131, 132, 148, 255-256, 277, 375 523, 524, 538, 597 376, 380-381, 389-390, 391, 396, trends, 166-167, 196 559 workforce goal and plans for achieving impact of health care reform, 376-381 it, 172-177, 212, 412 information technology and, 378, 381, Basin, Basilia, 174-175 382, 384-386 Becnel, Tina, 74 patient-centered medical homes, 94, 117, Benign prostatic hyperplasia, 51 132, 134-135, 248, 377-379, 381, Benner, Patricia, 287 511 Bessent, Hattie, 208 payment policy and, 378, 380, 386, 389, Best on Board, 243 392 Beverly, Claudia J., 225 recommendations, 391-396 Blue Cross Blue Shield of Michigan successful features of programs, 377 Foundation, 204 transitional care, 24, 27, 37, 66, 67, 70Board of Certification for Emergency Nursing, 71, 86, 94, 121, 124, 132, 148, 199, 358, 359, 364 276-277, 375, 378, 380, 381, 388, Bologna Process, 569, 572-573 389, 390, 393, 395-396, 541, 545, Boston College, 88 557, 559 Brazil, 577 Caribbean, 614-618 Breakthrough to Nursing initiative, 232 Caribbean Community and Common Market, Bronx Community College, 247 628 Brown, Gordon, 287 Capps, Lois, 247 Bureau of Indian Affairs, 103 Carmona, Richard, 247 Bureau of Primary Health Care, 430 Carnegie, Elizabeth, 228-229 Burke, Sheila, 246-247 Bush Administration, 133, 247
From page 648...
... earnings, 43, 188 Care Transitions Project, 379-380 education and training, 43, 44, 196, 197, education funding, 124, 471, 490-491 339, 509 National Provider Indicator data, 262 licensure, 101, 330, 332, 333, 336 recommendations for, 9, 10 Medicare/Medicaid regulations, 109, reimbursement system, 115 111, 471 and scope-of-practice restrictions, 5, 9, opposition to independent practice, 457, 111, 145 458 technology development incentives, 137 practice settings, 41 testing payment and service delivery public awareness of, 455 models, 131 regulations, 96, 101, 108, 109, 111, 327, Centura Health At Home, 420-421 328, 330, 332, 333, 335, 444, 448, Certification programs, evaluation criteria and 454 APRNs, 349-353 reimbursement for services, 471 Certified nurse midwives, 23, 327 (see also safety and quality of care, 97, 533 Advanced practice registered nurses) scope-of-practice, 26, 41, 43, 96, 108, and access to care, 116, 506 109, 111, 443, 444, 448, 454, 455 case study, 56-58 specialty area, 335 certification, 196, 197, 333 workforce size, 26 complexity of services, 88, 90 CGFNS International and cost containment, 28, 97, 443 creation, 582 n.8 demand for, 506 Credentials Evaluation Service, 640 earnings, 43, 188 Credentials Verification Service, 640 education and training, 43, 44, 196, 333, description of, 640 340 n.11, 509 joint CGFNS/Excelsior College study, 587 foreign perspective, 572 Qualifying Exam®, 574, 618 licensure, 332, 333, 338 survey/study data, 566-567, 568, 582, malpractice insurance, 58 583, 584, 585, 589 as Medicaid primary care case managers, Validity Studies, 574 471 VisaScreen Program, 590, 596, 599, 603, opposition to independent practice, 111 607-608, 612, 613, 618, 624, 631, primary care, 381-382 640 public awareness of, 455 Changemaker program, 130
From page 649...
... information technology and, 415-416, access to care, 28, 30, 64 420-421 case study, 62-63 intensive primary care, 419 chronic disease management, 237, 246, medical/health homes, 133, 377-379 272, 318, 319, 389, 418-420, 450 models, 376-381, 418-422, 452 competencies needed to practice, 6, 39 nurse-managed health centers, 139, 420 defined, 59 patient-centered care, 86 economic value of nurses, 62-63, 64 recommendations, 421 education, 25, 40 residency programs, 121, 124, 545 essential community providers, 473 self-management, 95, 428-429 evidence-based models, 438 team approach, 97, 206, 378, 428-429, foreign-educated nurses, 576 521, 554, 557 growth in, 381-382 transitional care, 276-277, 380, 389, home visitation programs, 73-75, 438-439 395-396 leadership, 234-235 VA services, 91 need for, 59, 62-64 Cigna, 93 nurses, 6, 25, 40, 28, 30, 39, 55, 59, 62City University of New York, 176 63, 64, 234-235 Clinical nurse leaders (CNLs) , 44, 72, 135, 180 practice settings, 23, 24, 39, 59 Clinical nurse specialists (CNSs)
From page 650...
... 0 INDEX VA programs, 64 Competencies workforce and infrastructure, 24, 59, 62- clinical performance, 14 64, 119, 382 community and public health, 6 Community and public health settings, 3, 23, geriatrics, 6 24, 38, 64, 122, 131, 133, 257, 319, for leadership roles, 6, 8, 223-224, 382, 430, 490 226-227 Community Care of North Carolina, 379 policy related, 6 Community Health Center, Inc., 124 traditional, 24 Community college programs Competency-based education ADNs, 40, 44, 166, 232, 247, 370-371, assessing competencies, 32, 201-202 553, 578, 579 career transition program, 204-205 attrition/completion rates, 212 continuing education, 13-14, 32, 202, BSNs, 173, 177-178, 180-181, 371, 482, 204-205 489, 492, 505, 519, 538, 539-540 core competencies, 31, 200-201 cost of education, 370-371 evaluation of programs, 14 curriculum standardization, 406, 407, interprofessional education, 7, 13, 14, 31, 479, 539-543 32, 203, 206 Diploma programs, 44 lifelong learning and continuing funding for nursing education, 489, 491, competence, 13-14, 31, 202-206 492 recommendations, 13-14 importance of, 538 Congress, recommendations to, 9-10, 278 international affiliations with, 579 Congressional Budget Office, 92, 377 internship/residency, 122 Congressional Nursing Caucus, 247 interprofessional collaboration barriers, Connecticut, 157 522 Connecticut Hospice, 423 length of programs, 523 Consensus model for APRN regulation LPNs, 39, 44 accreditation of education programs, recommendations, 538, 539-540 339-340 RNs, 23, 39, 44, 166 APRN Consensus Group, 341, 343-345 university partnerships with, 173, 174- APRN Joint Dialogue Group, 327, 341, 175, 406, 479, 505, 519, 536, 538, 345-346, 361 539-540 certification, 340, 349-353 Community Health Accreditation Program, certified nurse-midwife, 327, 328, 330, 12, 280 331, 332, 333, 338, 340 n.11 Community health centers, 133 certified nurse practitioner, 328-329, Como Convivir Con Su Artritis (How to Live 330, 332, 333-334, 335, 336, 338, With Your Arthritis) , 428-429 339 Compensation/reimbursement policies, 22 certified registered nurse anesthetist, ACA and, 10, 278 327, 328, 330, 332, 333, 335, 336, APRNs, 9, 10, 71, 115 339 bundled payments, 116 clinical nurse specialist, 327, 328, 330, CNMs, 58, 104, 116 331, 332, 333, 334, 335, 338, 339 CRNAs, 471 communication strategies, 341 fee-for-service, 10, 92, 103, 115, 116, definition of APRN, 329-332 278, 465 education requirements, 106, 334-335, global payments, 116 340-341 Medicaid, 471 endorsing organizations, 325-326 NPs, 102-103, 104, 110 n.17, 115, 116- essential elements, 329, 346 117, 389, 431, 464, 465, 471 evidence-based models, 428-430 primary care, 10, 117 foundational requirements, 338-341 state variation in, 4, 102-103 goals, 106
From page 651...
... 543, 569-570 and access to care, 27, 30 technology-infused, 410, 411-412 acute care settings, 66 case studies, 68-71 D chronic disease management, 66, 87, 94, 97, 483, 484, 486, 556, 557 Daines, Richard, 23 education in, 556-559 Dartmouth Institute for Health Policy and innovations by nurses, 94 Clinical Practice, 380 Medicare Coordinated Care Data for workforce planning Demonstration program, 66 gaps in, 8-9, 259-263 Medicare Prescription Drug Act and, 377 HRSA registered nurse sample survey, 15 nursing practice model and, 386 infrastructure, 9, 14-15, 255, 256, 262, principles for change, 65-66 265, 283 Staff Nurse Care Coordination model, key message, 4, 8, 29, 33-34, 255 65-66 priorities, 9 teamlet model, 558 recommendations, 14-15, 393-394, 283 Transitional Care Model, 66, 70-71, 276 standards, 15 277, 380, 557 state collection of, 14-15 Cost of nursing education, 168-169, 370-371 Delaware, 157 Council for Higher Education Accreditation, Demographic challenges, 124-131 328 n.3, 334, 337, 341 aging workforce, 125-127
From page 652...
... , advantage, 370 7, 42, 43, 44, 130, 168, 183, 188, data needs, 508 194, 195, 196, 198, 265, 403, 411, demographic characteristics, 178, 370 480, 484, 487-488, 489, 517-521, earnings, 43, 171, 172, 187 532, 561-562 education/preparation time, 43, 44, 165, earnings, 43, 172, 186-187, 282, 529 369, 523, 572, 599, 615 education/preparation time, 41, 43, 44, employment settings, 25 187, 194-195, 196, 197, 199, 509 faculty, 187 510, 532, 599 foreign-educated nurses in U.S., 583, employment settings, 25, 42, 185, 194 584-585, 608, 621 enrollments, 532 foreign programs, 571, 572, 573-574, faculty, 13, 164, 170, 179, 183, 185, 188, 575, 576, 577, 578, 579-580, 590- 194, 195, 197, 265, 276, 282, 480, 591, 596, 597, 599-600, 604, 608, 484, 487-488, 489, 519, 520-521, 610, 614-615, 618, 619, 620, 628 529 freestanding schools of nursing, 523 foreign-educated nurses, 568, 608, 621, funding, 12, 124, 176, 280, 491, 520 628 hospital-based, 124, 166, 369, 491, 518, funding for programs, 13, 282, 481, 484, 522, 615 520 licensure exam, 372, 573-574, 608 health policy curricula, 560, 561-562 LPNs, 166, 372 internships, 183 minorities, 208, 370 interprofessional collaboration, 555 number of programs, 166-167 need for, 164, 170, 212, 411 phasing out, 12, 175-176, 280 pathways/transition to, 7, 13, 44, 282, practice regulations, 574, 580 480, 482, 484, 488, 489, 507, 509 proportion of nurses, 503 510, 518 recommendations, 12, 280, 281, 508 prerequisites, 409
From page 653...
... Electronic health records (EHRs) , 94, 124, accreditation criteria, 470 134, 137, 140, 141, 142, 143, 381, capacity building, 7, 264-265 384, 385, 386, 402, 415, 419, 438, Carondolet Health Network, 211 472, 513, 558 challenges, 390, 484-484 11th Street Family Health Services, 138-139, chronic disease management, 170, 175, 320 200, 213, 395, 485, 540, 543 Emergency Nurses Association, 325, 358, 359, consortium programs, 7 362, 364
From page 654...
... practice, 586-587 Family Health and Birth Center (FHBC) , 28, variation in health care system and, 587 54, 56-58, 229 workforce size and distribution, 583-586 Federal Employees Health Benefits Program, Forums on the Future of Nursing 5, 10, 105, 279, 472 acute care, 300-301, 316-318 Federal government care in the community, 302-303, 318-320 and practice-related reforms, 103-105 education, 304-305, 320-322 Federal Trade Commission (FTC)
From page 655...
... 226-227, 233, 256, 332, 387, 478, aging population and, 48, 49 540-541, 555, 558 anticompetitive behavior monitoring, 470 Germany, 578, 580, 585, 603 best practices model, 468-469 Gerontological Advanced Practice Nurses care management models, 11, 376-381 Association, 325 care versus cure debate, 446 Gerrity, Patricia, 138-139 challenges, 47-48, 49, 386-396 Goldmark Report, 286 chronic conditions and, 47-48 Gordon and Betty Moore Foundation, 242, 265 comparative effectiveness research, 484, Government Accountability Office, 14, 15, 54, 485 257, 283, 284 competencies of nurses, 6, 24-25 Governance Institute, 236 and demand for nurses, 376-386 Graduate nursing education (see also Master's dimensions of the problem, 444-460 degree; Doctoral degrees) diversity of nursing practice and, APRN preparation, 196-197 444-445 barriers to, 31, 179 diversity of population and, 48 competencies, 31 economic factors, 50, 62, 63-64, 445 degree statistics, 194-196 educational pathways to licensure and, and employment settings, 25 445-446, 470-471 funding, 13, 470-471, 484, 489, 490-491 federal role in reforms, 5, 103-105, recommendations for, 13 466-472 for researchers, 197-199 health disparities and, 48 Great Society Program, 490 ideal system, 466-468 Guided care model, 94-95, 378 impediments to change, 451-460 Gulf Coast Health Services Steering incentives for states, 469-470 Committee, 183, 264-265 innovator role of nurses, 66, 67, 72, 87 Institute of Medicine reports, 461 interprofessional collaboration, 49
From page 656...
... , 12, 13, 14-15, 198, 239, Health disparities, 48, 55, 128, 136, 138-139, 247, 257, 258, 262, 280, 281, 282, 239, 289 283-284, 365, 367, 393-394, 396, Health information technology 418, 420, 470, 491, 492, 513, 517 accountable care organizations and, 381, Health Students Taking Action Together 391 (HealthSTAT) , 229-230 acute care scenarios, 415-416 Healthcare Integrity and Protection Data Bank, adoption of, 382, 384-386 109 and chronic disease management, 415- Healthy Neighborhoods, 63 416, 420-421 Healthy People 2010, 61 design and implementation by nurses, 11, Healthy People Curriculum Task Force, 560 94, 143-144, 146-147, 280 Hewitt Associates, 462 Hill, Connie, 230-231
From page 657...
... , 65-66, 90, 239 Home health aides, 227, 595 Intermountain Healthcare Medical Group, Home health care services, 10, 38, 40, 41, 55, 378-379 62, 64, 114, 227, 230, 274, 278, International Council of Nurses (ICN) , 570, 382, 416, 428, 447, 472-473 571, 576-577, 578, 580, 597, 619, Home health nurses, 24, 25, 39, 41, 55, 93, 620, 632, 634 94, 119 International models of nursing (see also Home visitation programs, 73-75, 382 Foreign-educated nurses)
From page 658...
... and turnover of nurses, 120 mutual recognition agreements and, VA, 91, 210, 211 617-619 vision for health care, 22 NAFTA and, 581, 599, 623-624, 625 Interprofessional Education Collaborative, national policies, 566 201, 206 regional cooperation, 617 Iowa, 107, 108-109, 158 return to home countries, 568, 617 Ireland, 571, 573, 582, 598, 603, 604 supply and demand, 594, 597-598, Israel, 577, 579 602, 606, 611, 613-614, 616, 620, 630-631 J temporary migration, 617-618 trends, 566-567 Jamaica, 575, 614, 615, 616, 617, 618, 621, Trilateral Initiative for North American 622, 623 Nursing and, 625-626 Japan, 573, 574 U.S. policy, 582 Jemmott, Loretta Sweet, 429 workforce planning issues, 631-632 Johns Hopkins Children's Center, 52 and workforce shortages, 259, 630-631 Johns Hopkins University, 90, 184, 185, 290, International Society of Psychiatric Nurses, 429-430 325 Johnson & Johnson, 125, 209, 242 Interprofessional collaboration Johnson, Eddie Bernice, 247 Agile Team Model, 414-415 Johnson, Jean, 197 barriers to, 482, 522 case studies, 226-227
From page 659...
... aging of workforce, 127 La Universidad Autonomade, 629 demand for, 38-39 Larry Combest Community Health and earnings, 43 Wellness Center, 418-419 education and training, 39, 43, 44, 166, Leadership by nurses 168, 208, 372 case studies, 226-227, 248-249 foreign-educated nurses, 576, 577, 578, chief nursing officers, 235-238 579, 591-592, 595, 608, 612, 618, collaborative environment, 3, 7-8, 11, 13, 640 29, 32-33, 224, 225 interprofessional team, 414-415 community nurses, 234-235 licensure, 39 competencies for, 8, 223-224, 226-227 racial/ethnic diversity, 208 education/preparation, 8, 11, 14, 241 roles and responsibilities, 23, 38-39, 43, 244, 494-504 72, 76, 94, 107, 166 entrepreneur network, 229 transition to higher degree programs, 7, front-line nurses, 234 39, 44, 166, 174-175 information technology development, 11 Licensure key message, 4, 7, 29, 32-33, 34, 221 CGFNS Qualifying Exam, 574, 618 knowing how to gain knowledge, 501-502 examination and certification, 100, 165 levels of, 225, 228 n.2, 167, 574, 575 management skills, 502 foreign programs and requirements, 571, mentorship, 8, 14, 222, 228, 234, 241, 573-575, 576, 578, 579, 580, 582 243, 244-245, 251 n.8, 583, 584, 589, 590, 592-593, nurse researchers, 11, 238-239 594, 595, 596, 600, 601, 607, 608, partnerships outside nursing, 8, 13, 14, 609, 610, 613, 615, 618, 620-621, 250-251 622, 624, 625, 626, 627, 628, 629, perceptions of opinion leaders, 223-224, 640 239, 240
From page 660...
... , 65, 116, 201, 246-247 employment settings, 25, 42, 265, 533 Physician Group Practice demonstration faculty, 43, 179, 183, 185, 188, 194, 265, program, 380 412, 487-488, 489 Physician Hospital Organization fellowships, 247 program, 380 foreign-educated nurses, 568, 584, 621 Quality Improvement Organizations, 379 funding for programs, 13, 282, 481, 484, Medicare Prescription Drug Improvement 490 Modernization Act of 2003, 377 health policy curricula, 560, 561, 562 Meningococcal meningitis, 61 interprofessional curricula, 555, 558, 559 Mental and behavioral health, 37 pathways/transition to, 7, 13, 44, 170, Mentoring, 8, 14, 26, 41, 122, 129, 130, 157, 174-175, 177, 181, 185, 187, 208, 183, 198, 208, 222, 228, 234, 241, 282, 287, 487, 488, 489, 506-507, 243, 244-245, 251, 277, 283, 331, 509, 518, 523 369, 410, 513, 526
From page 661...
... , 60-61, 362 628 National Board for Certification of Hospice Migrant health clinics, 28 and Palliative Nurses, 326, 358, 362 Migrant Health Services, Inc., 420 National Board on Certification & Military Nurse Detailee fellowship program, Recertification of Nurse 247 Anesthetists, 197, 326 Millennium Development Goals, 566 National Center for Health Statistics, 469 Minnesota, 159, 359, 420, 424, 439-440, 624 National Center for Workforce Analysis, 9, Minnier, Terry, 52, 53 256, 262 Minority Fellowship Program, 208-209 National Certification Corporation, 326, 344 Mississippi, 144, 159, 356, 357, 358, 359 n.17, 358, 359, 362, 365, 366 Missouri, 159 National Coalition of Ethnic Minority Nursing Mitchell, Alison, 108 Associations, 208, 245 Mobile Healthcare Project, 237, 419-420 National Commission for Certifying Agencies, Monroe, Tamela, 180-181 328 n.3, 337 n.6, 340 n.10 Montana, 159, 355, 356 National Committee for Quality Assurance Monterey Peninsula College, 209 (NCQA) , 102, 117, 132, 139, 472 Morris, Sheri, 204, 205 National Consensus Project for Quality Mount Hood Community College, 174, 175 Palliative Care, 424 Mullan, Fitzhugh, 462 National Council Licensure Examinations Mutual Recognition Agreement of the (NCLEX-RN and NCLEX-PN)
From page 662...
... , 12, 13-14, 375-376, 382, 430, 463 224, 281, 282, 326, 328 n.3, 341 case studies and profiles, 60-61, 68-69, n.13, 358, 359, 361, 363, 365, 366, 108-109, 134-135, 226-227 513 certification/certified, 197, 328-329, 330, National Organization of Nurse Practitioner 332, 333-334, 335, 336, 338, 339, Faculties, 326, 343-344, 359, 361, 508 363, 365, 366, 509 complexity of services, 90 National Quality Forum, 27, 392, 470, 557 consumer designation as provider, 465 National Sample Survey of Registered Nurses coordinating care, 66, 67, 68-69, 92-93, (NSSRN) , 26, 30, 128, 178, 195 378-379 n.12, 369, 382, 487, 583, 584-586, and cost containment, 430, 464, 465, 631 508, 511 National Student Nurses Association, 230, cost of education, 169 232, 233, 234 data needs and collection on, 9, 262, 508
From page 663...
... 431, 433-434, 435, 471-382, 463, continuum of care, 4, 23-24 465, 472-473, 482, 506, 508, 510, Nursing Quality Research Initiative, 239 511, 533 Nursing specialties, ANA criteria for public awareness of, 112, 455 recognition of, 354 (see also recommendations, 430, 431, 435, 480, individual specialties) 482, 508, 511 regulations, 5, 61, 96, 98-103, 116-117, O 157-161, 328-329, 332, 333-334, 336, 338, 389, 419, 462, 463, 465, Obama administration, 75, 91, 109, 247, 375, 472-473, 511 382-383 reimbursement rates/policies, 102, 104, Obesity, 40, 48, 61, 409 110 n.17, 115, 116-117, 389, 431, O'Brien, Ruth A., 75 464, 465, 471 Occupational/employee health nurses, 24, 28, researchers, 92 39, 119 residency, 124 Office of Personnel Management (OPM)
From page 664...
... 120, 231, 416, 561 Practice transformation (see also Health care Patient-centered medical homes, 94, 117, 132, delivery reforms) 134-135, 248, 377-379, 381, 449, and access to primary care, 29, 88-90 511 accountable care organizations, 9, 30, 95, Patient examination and treatment, 101 131, 132, 148, 255-256, 277, 375Patient preferences, 51 376, 380-381, 389-390, 391, 396, Patient satisfaction, 53, 57, 93, 95, 98, 112, 559 113, 114, 203, 227, 231, 238, 425, acute care, 29-30 433, 465, 521, 554, 557 aging workforce and, 4, 5, 125-127
From page 665...
... importance, 86-95 ACA and, 22, 49, 54, 86, 88, 96, 108, insurance company policies and, 136, 257, 269 116-117 access to, 49, 55, 88-90, 99, 102, 108 Kaiser Permanente, 93-95 109, 136 key message, 4, 29-30, 34, 85 ACO model, 9, 30, 95, 131, 132, 148, medical/health homes, 132-133, 134-135 255-256, 277, 375-376, 380-381, need for, 28-34 389-390, 391, 396, 559 non-APRN nurses, 107 capacity building, 381-382, 508-511 nurse-managed health centers, 133, 136, case studies, 60-61, 108-109 138-139 complexity of care, 88, 90 opposition of professionals to, 4, 107, culturally relevant care, 54, 61 110-114, 457-460 defined, 54, 472 patient-centered medical homes, 94, 117, education needs, 508-511 132, 134-135, 248, 377-379, 381, functions and hallmarks of, 54 511 guided care model, 94-95, 378 patient examination and treatment, 5, and health disparities, 55 101 impacts of health care reform, 375-376, patient satisfaction, 53, 57, 93, 95, 98, 381-382 112, 113, 114, 203, 227, 231, 238, information technology and, 51, 54 425, 433, 465, 521, 554, 557 intensive, for chronic disease prescriptive authority, 5, 101-102 management, 419 racial and ethnic diversity, 4, 128-130 medical/health home model, 9, 30, 94, recommendations, 9-11, 278-280, 484 95, 102, 103, 114, 117, 132-133, referrals and orders, 5, 100-101 134-135, 148, 248, 255, 277, 375, regulatory barriers, 4, 5, 29, 96-107 377-379, 381, 389, 430, 449, 458, research priority, 274 464, 472, 486, 511, 559 residency (transition-to-practice) nurses and, 27-28, 30, 55, 59, 60-61, 88 programs, 5-6, 11-12, 120-124 90, 108-109, 382, 486 and safety and quality of care, 3, 22, 24- patient centered, 51, 54, 94, 117, 132, 25, 90, 92, 97 134-135, 248, 377-379, 381, 449, state licensure, 100-103 511 support for, 106, 112-114 and population health, 37, 55 technology and, 30, 93, 94, 136-137, principles for change, 54-55, 59 140-144 reimbursement rates, 10 school-based health centers, 28, 40, 60 61, 64, 235, 246, 432-436, 561
From page 666...
... recommendations, 440-441 and access to care, 27-28 spending, 50 acute care, 389-390 workforce and infrastructure, 59 aging of, 125-127, 204-205, 369, 370, Public Health Management Corporation, 249 387 Public Policy Institute, 251 career transition program, 204-205 earnings, 43, 386 education, 23, 25, 39, 40-42, 43, 44, 166, Q 186, 370, 491, 571-572 Quality and Safety Education for Nurses employment settings, 23, 24, 25, 30, 119, (QSEN) project, 496, 531 386 Quality Interagency Coordination Task Force, foreign-educated, 577, 583 392 gender diversity, 370 Quality of care (see Safety and quality of care)
From page 667...
... Research priorities and access to care, 99, 450 care management models, 11, 391-396 barriers to practice transformation, 4, 29, comparative effectiveness research, 484, 96-107, 444, 446-451 485 continuing competence, 570-571 education, 276 costs of dysfunctional system, 450-451 interagency innovations research economic costs of, 451 collaborative, 392 examination and certification of patients, leadership, 11, 277 100, 447, 473 residencies, 274 examination and treatment of patients, scope of practice, 274 101, 448 teamwork, 275 expanding, 106-107, 108-109 technology, 11, 275 federal reforms, 103-105 value of reforms, 275 Federation of State Medical Boards Residencies and internships (transition-to guidelines, 459 practice) programs historical context, 96-98, 451-452 accreditation standards, 121 impediments to removal of restrictive barriers to practice transformation, 5-6, provisions, 451-460 31, 120-124 and innovation in care delivery, 450 chronic disease management, 121, 124, licensure, 100-103 545 medical practice acts and, 96-97, 451- cost, 121 453, 458-459 dedicated education units, 190, 192-193, Medicare, 444 211, 410, 412, 513, 544 monitoring for anticompetitive effects, 5, desired features, 545-546 10-11, 105, 145, 279, 470 evaluation of, 12, 123 non-APRN nurses, 107 funding, 12, 122, 124 nurse practitioners, 5, 98-103, 157-161 Joint Commission recommendation, 5-6, prescriptive authority, 101-102, 448-449 120-121 opposition to change, 107, 110-114, models, 543-546 457-460 need for, 513 recommendations for legislatures, 10, outside acute care, 6, 121-123, 545 278 recommendations, 5-6, 11-12, 120-124 referrals and orders, 100, 448 regulatory model, 121 state variation, 5, 98-103, 157-161, 444, in rural and critical access areas, 12 446-450, 453-454 salary during, 124 and workforce shortages, 450 success of, 6, 12, 123-124 Rehabilitation nurses, 40 and turnover rates, 6, 12, 120-121 UHC/AACN model, 121, 123, 544
From page 668...
... Dole VA Medical Center, 135 431, 470 Robert Wood Johnson Foundation physician type and length of preparation Colleagues in Caring, 401 and, 111 Executive Nurse Fellows Program, 225, practice transformation and, 3, 24-25, 86, 243, 401-402 87, 90, 91, 92-93, 94, 95, 97, 111, Health Policy Fellows Program, 243-244, 112, 113 247 Transforming Care at the Bedside, 52-53, INQRI, 65-66, 90, 239 120, 231, 416, 561 Investigator Awards Program, 243-244 Salaries, 25, 43, 171, 172, 186-187, 188, 265, Nursing Alliance for Quality Care, 486 240-241 Sampson, Deborah, 88 Nursing for Life initiative, 204 Sandoval, Carolina, 60-61 Nursing Quality Research Initiative, 239 Sanofi Pasteur, 61 Nursing Research Network, 88, 112, 168, Saudi Arabia, 574, 607 171, 187-188, 259, 261, 272, 285, Saunders, Cicely, 423 286, 287-288, 289 Schenectady County Public Health Services, partnership with IOM, 2, 22 62 Transforming Care at the Bedside School nurses and school-based health centers, initiative, 52-53, 120, 231, 416, 561 28, 40, 60-61, 64, 235, 246, 432 vision for health care, 22 436, 561 Rockefeller Foundation, 286 Schwarzenegger, Arnold, 111 Rush University, 360, 528 Scope of Practice Partnership, 110, 458 n.17 Russia, 575, 581, 599, 616 Selecky, Mary, 235 Sermo.com, 112 Service Employees International Union, 211 S Sharp, Jamie, 192-193 Shinseki, Eric, 134 Safety and quality of care Sigma Theta Tau International, 634 ACOs and, 9, 30, 95, 131, 132, 148, Simulation Innovation Resource Center, 255-256, 277, 375-376, 380-381, 189-190 389-390, 391, 396, 559 Singapore, 573, 598, 607, 626-627 CNMs, 28 Skilled nursing facilities/care, 10, 101, 204, Condition H, 52-53 274, 278, 448, 473 continuous improvements in, 49, 67, 94 Smith, Dorothy, 229 coordination of services and, 65 Smith Hughes Act, 372 educational attainment and, 169-170, Social Security Administration, 247 406, 485-486, 505-506, 512, 538, Society of Hospital Medicine, 557 568 South Carolina, 160, 629 innovations in, 90 South Dakota, 160, 360
From page 669...
... Initiative, 143 St. Vincent's Nurse-Managed Health Center, Torregrossa, Ann S., 248, 249 419 Torres, Colette S., 135 Staff Nurse Care Coordination model, 65-66 Trans-Tasman Mutual Recognition Agreement, Stanford Self-Management Model, 428-429 628 Stange, Kevin, 88 Transformacion Para Salud Program, 418-419 State practice regulations (see Regulation of Transforming Care at the Bedside, 52-53, 120, scope of practice; individual states)
From page 670...
... 30, 32, 505-507 Vermont, 61, 161, 590, 596 United Arab Emirates, 574 Board of Nursing, 356, 357, 359, 360, United Kingdom, 203, 566, 568, 569 n.5, 571, 433 572, 573, 574, 575, 576, 579-580, Veterans Affairs Nursing Academy, 183, 582, 590, 594, 596, 603-607, 613, 210-211 630 Veterans Health Administration, 392 Universities, community college partnerships Versant, 6, 121, 123 with, 173, 174-175, 479, 505, 519, Vietnam, 572 536, 538, 539-540 Virginia, 161, 246, 355, 356 University of Hawaii, 406 Virginia Commonwealth University, 425 University HealthSystem Consortium (UHC) , Visiting Nurse Association of Central Jersey, 121, 123, 513, 544 236-237 University of Arkansas for Medical Sciences, Visiting Nurse Service of New York, 64, 122, 224, 225 143 University of California, San Francisco, 199, Voices of Meningitis Campaign, 61 406 University of Colorado, Denver, 75 University of Florida, 229, 528 W University of Houston, 264 University of Kansas School of Nursing, 27 Wakefield, Mary, 247 University of Louisville, 128, 130 Wald, Florence, 423 University of Medicine and Dentistry of New Wald, Lillian, 64 Jersey, 237, 419-420 Warner, Joanne, 192 University of Michigan, 88 Washington state, 96, 161, 181, 235, 452 University of Mississippi, 144 Washington State Board for Community and University of Missouri, St.
From page 671...
... infrastructure for data collection, 14-15, Code of Practice on the International 29, 262 Recruitment of Health Personnel, key message, 4, 8, 29, 33-34, 255 634 leadership shortages, 401, 437 definition of health workers, 566 n.2 modeling, 393-394 Task Force on Global Standards in nursing projections, 15, 258-259 Nursing and Midwifery Education, nursing segment of, 2, 23, 24 572 physician shortages, 102, 107, 108, 490, World Health Report, 566, 570 508 Wortock, Jean, 180, 181 by practice setting, 24, 30 Wound, Ostomy and Continence Nurses planning and policymaking, 29, 388-389, Society, 326, 363, 363, 365 390-391, 484, 491-492, 567, 583 Wound, Ostomy and Continence Nursing primary care, 59, 61, 88, 108, 116, 194, Certification Board, 326, 359, 365, 248, 256, 257-258, 262, 369, 382, 366 383, 389, 390, 463, 464, 490, 507, Wyoming, 161 508


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