Assessing Progress on the Institute of Medicine Report The Future of Nursing (2016) / Chapter Skim
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1 Introduction
1 Introduction
Pages 17-38
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From page 17... ...
released The Future of Nursing: Leading Change, Advancing Health, which offers a series of recommendations pertaining to roles for nurses in the new health care landscape (IOM, 2011)
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At the same time, there has been growing awareness of the need for more attention to a health professions workforce that must be appropriately prepared to work in this changing health care system. This awareness has led to greater emphasis on interprofessional education, teamwork training, and a better understanding of the roles of all health professionals in creating an optimal health care delivery system.
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The changing landscape may enable additional strategies for achieving these goals, including value-based care, interprofessional collaboration and education, patient engagement, and new technologies. The Future of Nursing coincided with dramatic changes in the health care landscape, and many other organizations released reports shortly before or after that report calling for similar changes in nursing and health care.
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. In addition to such individual efforts, many organizations signed on to the Campaign's Champion Nursing Council, which gives the Campaign strategic guidance on fulfilling its goal of implementing the IOM report's recommendations to improve health care and to prepare nurses to be essential partners in addressing the nation's health care system challenges (CCNA, n.d.-c)
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In its review of data and input from workshops, the committee will consider the following: • Utilization and impact of the IOM's The Future of Nursing: Leading Change, Advancing Health report. • The Campaign's areas of focus (education, leadership, scope of practice, interprofessional collaboration, diversity, and workforce data)
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Instead, the committee focused on how the field of nursing has been impacted by the Campaign and other such efforts. The committee reviewed how the current context of health care delivery and nursing education and practice may affect how the IOM report's recommendations are being implemented, and it identified barriers to and unintended consequences of their implementation.
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In addition, the committee found that newly graduated nurses could benefit from additional assistance in the transition to practice, and it recommended the development of residency programs to help nursing graduates further hone their skills. Key Message #2: Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
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To develop this leadership capacity, the committee recommended that health care organizations, funders, and education programs provide, expand, and fund opportunities for nurses to develop leadership skills and assume leadership positions, and that health care decision makers ensure that nurses are represented in key leadership positions on boards and management teams. Key Message #4: Effective workforce planning and policy making require better data collection and an improved information infrastructure.
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. In its first 2 years, the Campaign focused its efforts on building an infrastructure (the state Action Coalitions)
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Activities The Campaign operates at both the national and state levels. The national Campaign convenes leadership and advisory groups -- including a Strategic Advisory Committee, Diversity Steering Committee, Champion Nursing Coalition, and Champion Nursing Council -- to advance the goals of the IOM report and the Campaign (CCNA, n.d.-e)
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. The Campaign provides funding to some state Action Coalitions, mainly through the State Implementation Program (SIP)
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. All state Action Coalitions work to advance the recommendations of the IOM report, but SIP grantees are required to identify one or two recommendations from the report that they will work toward implementing at the state level using this funding.
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. Figure 1-2 shows the attention paid to these priority areas of the IOM report and FIGURE 1-2 State Action Coalition members' focus on priority areas of The Future of Nursing and the Campaign.
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Measuring Progress To track its progress toward implementation of the IOM report's recommendations, the Campaign developed dashboard indicators -- specific, measurable data points that approximate success for that recommendation (CCNA, 2015d) (see Table 1-1)
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Supplemental indicators: • Number of employed nurses with a doctoral degree • Number of people receiving nursing doctoral degrees annually • Diversity of nursing doctorate graduates by race/ ethnicity • Diversity of nursing doctorate graduates by gender #6: Ensure that nurses engage in None lifelong learning. #7: Prepare and enable nurses to Percent of hospital boards with RN members lead change to advance health.
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Prior to the start of the Campaign, CCNA, which was founded in 2007, was building its communication network with organizations and individuals around the nation. CCNA has helped state Action Coalitions develop communication strategies and provided other com
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From page 33... ...
. • As discussed above, a national survey of the state Action Coalitions was conducted in fall 2013 to assess the implementation of Campaign activi ties, the use of Campaign services, the Action Coalitions' priority focus areas related to the IOM report's recommendations, and the outcomes of their efforts (TCC Group, 2013b)
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From page 34... ...
The program collaborates with and funds are distributed to state Action Coalitions and their stake holders to establish models of seamless academic progression for nurses to further the IOM report's recommendation that 80 percent of nurses have a baccalaureate degree by 2020 (AONE, 2015a; RWJF, 2012) (see a more detailed description of this program in Chapter 3)
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From page 35... ...
. Responding to the publication of the IOM report in 2010, RWJF created the Future of Nursing National Research Agenda, a research program coordinated by INQRI that supports studies specifically related to the report's recommendations (RWJF, n.d.-b,c)
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From page 36... ...
2015. Presentation to IOM Committee for Assessing Progress on Implementing the Rec ommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health.
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n.d.-e. Robert Wood Johnson Foundation Nurse Faculty Scholars frequently asked questions.
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From page 38... ...
. Robert Wood Johnson Foundation Future of Nursing Campaign imperative analysis.
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