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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
The Importance of Academic Progression in Nursing
June 8, 2015Mary Dickow, MPA, FAAN
Statewide Director, California Action Coalition
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Health System Challenges
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
A New Era in Health Care
Person-and Family-Centered Care
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
A Culture of Health
RWJF Goal: We, as a nation, will strive to create a culture of health enabling all in our society to lead healthy lives, now and for generations to come
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
How Nurses Can Help
• Manage influx of older, sicker, and newly insured patients
• Develop and implement new models of care
• Provide transitional and coordinated care
• Help hospitals to reduce medical errors and re-hospitalizations
Largest segment of health care workforce and spend most time with individuals and families
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
High-quality, patient-centered health care for all will require a transformation of the health care delivery system.
Institute of Medicine Report
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Campaign Vision
Everyone in America can live a healthier life, supported by a system in which nurses are essential partners in providing care and promoting health
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Areas of Focus
Leadership Practice & Care Education
InterprofessionalCollaboration
Diversity
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Strengthening Nursing Education
Prepare nurses to deliver more efficient, coordinated care
• Increase the proportion of nurses with BSN and higher degrees
• Increase the number of nurses with doctorates
• Implement nurse residency programs
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Why Academic Progression?
Nurses need to be: Better prepared and educated Able to practice in community,
home, and public health settings More adept with complex care
and technology More team oriented Prepared to lead and replace
retiring leaders Ready to take on specialized
roles (care coordination)
Nurses are needed to: Address primary care shortage Address faculty shortage
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Education Evidence
Studies show association between higher nurse education level and improved health care outcomes
• Some studies show that higher proportions of BSN-prepared nurses are associated with lower rates of medication errors, mortality, and failure to rescue
• Research also shows that BSN-prepared nurses have stronger diagnostic skills and are better at evaluating interventions
• A growing body of research shows a connection between baccalaureate education and lower mortality rates
Education Evidence
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Improve Workforce Diversity
Nurses should reflect the population in terms of gender, race, and ethnicity.
• Recruit the nursing workforce of the future
• All nurses should provide culturally competent services and care
• Greater workforce diversity may help to reduce health disparities
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Academic Progression in Nursing
• Objective: test promising models in pursuit of the 80/20 goal
• RWJF and Tri-Council for Nursing• Nine states selected in APIN I cohort (2012-2014)• All nine states re-awarded for APIN II (2014-2016)• $600,000 total for each of the 9 states, over 4 years
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
CA HI MA MT NM NY NC TX WA
Shared Curriculum:Dual Admission X X X X X
Shared Curriculum:Statewide alignment to facilitate progression
X X X X
CCs conferring BSNPiloting
non-nursing
Limited history
Under review
Bill proposed
Yes
RN – MSN for ADN Programs exist in all states. Action coalitions have not focused on model as much because these programs are not operating at capacity at this time.
Other innovative components of models being tested
Shared faculty Yes Planned Yes
Worksite education X
LPN to BSN X X Exploring
Full-time dedicated studentadvising X X14
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
PEducation Progress
– 96% increase in RN to BSN graduates*
– New graduates by degree type:
• Pre-license BSN graduates up 18% between 2010 and 2013 compared to 7% in ADN
• Entry level Masters up 41%
*Source: AACN, number is preliminary
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Source: P. McMenamin, ANA, 2015
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
120,000
100,000
80,000
60,000
40,000
20,000
0
Addi
tiona
l Nur
ses
per Y
ear
Non-BSNs v. Adjusted “New BSNs” (Generic + RN to BSNs) Entering Workforce
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Education: National Progress
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
RNs E
nrol
led
in B
ache
lor o
f Sci
ence
in N
ursi
ng (B
SN) P
rogr
ams
Source: American Association of Colleges of Nursing
More current RNs returning for BSN
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
21st Century Curriculum Needs
Nursing programs and classes need to address:1. Health promotion for primary and
secondary disease prevention2. How nurses can positively impact and
lead community health initiatives3. How nurses can work in interprofessional
teams4. How to analyze impact of health
disparities in individuals and populations
Dilemma: NCLEX
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
21st Century Curriculum Needs
Employers want nurses with:1. Understanding of public health
competencies2. Knowledge of transitional and
community care3. Understanding of entire integrated
system4. Knowledge of population health
management5. Understanding of business, finance
and reimbursement6. Critical thinking, negotiation, sales,
communications and interprofessional skills
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Preparing the Primary Care Workforce
Health professions schools’ curricula should address:• Understanding and translating your role to patient/family and
others on team• Creating meaningful relationships with patients and families• Using data for population health management and translating
results to patients/families, team members and administrators• Facilitating effective behavior change• Working on and leading effective diverse teams• Engaging communities in prevention and wellness
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
5 New Roles for Nurses
1. Care coordinator2. Faculty team leader3. Informatics specialist4. Community centered nurse5. Primary care partner
Source: Nurse Role Exploration Project: The Affordable Care Act and New Nursing Roles. Berg, Judith G. et al. Nurse Leader , Volume 12 , Issue 5, 40 - 44
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Fostering Partnerships
• Siesmic Shift in California
• Academic/practice partnership meetings
• Regional events – wide variety of partners
• AARP and consumer groups
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Group Exercise
• What implementation strategies will be most successful?
• What partnership examples are you aware?
• What groups need to be engaged in this process?
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Call to Action
Faculty can:– Teach IOM report in your
classrooms– Identify, mentor and encourage
talented students to pursue higher education
– Conduct research to bolster IOM recs
– Make sure your school is fostering interprofessional education
– Identify important stakeholders– Ensure curriculum meets 21st
century care needs– Join Campaign for Action
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
“We know how to educate the nurses we needed fifty years ago.”
“The overwhelming majority of pre-licensure nursing students have never lived without the internet and will be treating patients until the year 2050.”
Rishi DesaiHealth Care Partnerships, Khan Academy
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2015 New Mexico Statewide Educator’s Conference – Albuquerque, June 8, 2015
Thank You!
Mary Dickow, MPA, FAANStatewide Director
California Action [email protected]
415-307-9476