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Pages 1-16

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From page 1...
... They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation, in part as a result of the Patient Protection and Affordable Care Act, the nursing profession is having a wide-ranging impact by providing patient-centered, accessible, and affordable care.
From page 2...
... , works nationally and through state Action Coalitions to advance its goals. The Campaign's efforts target six major areas, or "pillars": • advancing education transformation, • leveraging nursing leadership, • removing barriers to practice and care, • fostering interprofessional collaboration, • promoting diversity, and • bolstering workforce data.
From page 3...
... The committee that developed the report anticipated that passage of the Patient Protection and Affordable Care Act (ACA) would necessitate that nurses play a larger role in bridging the gap between coverage and access.
From page 4...
... Removing Scope-of-Practice Barriers The Future of Nursing proposes that advanced practice registered nurses (APRNs) could help build the workforce necessary to meet the country's health care needs if permitted to practice to the full extent of their education and training.
From page 5...
... The Campaign should build on its successes and work with other health professions groups, policy makers, and the com munity to build common ground around removing scope-of-practice restrictions, increasing interprofessional collaboration, and addressing other issues to improve health care practice in the interest of patients.
From page 6...
... The report recommends that nurses be supported in their transition to practice through residency programs to help reduce attrition. The Future of Nursing focuses largely on residencies for postlicensure RNs but acknowledges that residencies would be useful for nurses transitioning to new care settings or entering practice as APRNs.
From page 7...
... Barriers cited to meeting this challenge include insufficient faculty expansion and funding, faculty recruiting difficulty, and the limited number of doctorally prepared nurses. Lifelong Learning After nurses obtain their degrees, lifelong learning is necessary to provide quality care.
From page 8...
... Recommendation 3: Create and Fund Transition-to-Practice Residency Programs. The Campaign, in coordination with health care providers, health care delivery organizations, and payers, should lead efforts to explore ways of creating and funding transition-to-practice residency programs at both the registered nurse and advanced practice registered nurse levels.
From page 9...
... While The Future of Nursing does not offer a specific recommendation on this topic, it does identify lack of diversity as a challenge for the nursing profession and indicates that a more diverse workforce will better meet current and future health care needs and provide more culturally relevant care. Associate's degree nursing programs and community colleges appear to provide entry into the nursing profession for underrepresented populations.
From page 10...
... , the Campaign should work with others to assess progress and exchange information about strategies that are effective in increasing the diversity of the health workforce. To that end, the Campaign should take the following actions: • Develop a comprehensive, specific diversity plan with actionable steps that can be taken by state Action Coalitions and by nursing and other health professions stakeholders, including trade organiza tions and educational institutions.
From page 11...
... • Encourage state Action Coalitions to work with their state nursing workforce centers and state boards of nursing to collect and make available data on variables that can be used to assess progress to ward increasing the diversity of the nurse workforce, the nursing student population, and nursing faculty. Collaboration, Leadership, and Communication The Future of Nursing includes recommendations for nurses to lead and disseminate collaborative improvement efforts and to lead change to advance health.
From page 12...
... Online communication tools provide Campaign volunteers with comprehensive materials with which to engage media, policy makers, and interested stakeholders. The Campaign acknowledges that the capacity and ability of state Action Coalitions to communicate about their efforts vary greatly.
From page 13...
... Courses could be offered through or in partnership with other professional schools. The Campaign should monitor nursing programs that offer these types of courses and programs and track nurses' participation, if possible, in order to assess progress.
From page 14...
... Because the National Health Care Workforce Commission has not been funded by Congress, this recommendation cannot be implemented as it was written. Nonetheless, progress has been made over the past 5 years in the collection and analysis of workforce data for both the nursing workforce and other health professions.
From page 15...
... This expan sion should include the collection of data on current and former licensees in the American Community Survey and a sampling of services provided by nurse practitioners and physician assistants for their own patient panels and outside of physician offices in the National Ambulatory Medical Care Survey. • HRSA should undertake a combined National Sample Survey of Registered Nurses and National Sample Survey of Nurse Practi tioners that can be administered more frequently than once every 4 years.
From page 16...
... The committee found that continued progress will require greater focus and effort in certain specific areas. Continued work is needed to remove scope-ofpractice barriers; pathways to higher education need to be strengthened, with specific emphasis on increasing diversity; avenues for continuing competence need to be strengthened; and data on a wide range of outcomes are needed -- from the education and makeup of the workforce to the services nurses provide and ways in which they lead.


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