The Future of Nursing InitiativeRWJ and the Institute of Medicine

Mary Val Palumbo DNP, APRNAHEC Nursing Workforce Initiatives

University of Vermont

#1) Remove Scope-of-Practice Barriers - APRN

#1) Remove Scope-of-Practice Barriers - RNs in the community

In the Blueprint for Health model RNs working to the full extent of

their education might:

• Actively help manage chronic conditions through patient

education (i.e nursing visit for group instructions)

• Assist patient with goal setting for self-management,

• Assure screening and preventative measures such as lab tests

and immunization

• Lead the team’s use of electronic health records to track

outcomes

#1) Remove Scope-of-Practice Barriers - RNs examples

• SCHOOLS NURSES - Studies show that the availability of a school nurse correlates with better school attendance, which in turn predicts better academic performance.

• HOSPITAL NURSES -Daily rounds at Seton Northwest Hospital in Austin, Texas, now include a nurse along with other members of the interdisciplinary care team. Seton was 1 of 10 hospitals selected to participate in Transforming Care at the Bedside (TCAB). Patient care has improved and nurses enjoy better communication with physicians since the TCAB team determined that nurses and other members of the care team should accompany physicians during their rounds.

Recommendation #2

#2) Expand Opportunities for Nurses to Lead

#2) Expand Opportunities for Nurses to Lead

Recommendation #3

#3) Implement Nurse Residency Programs

#3) Implement Nurse Residency Programs

Recommendation #4

#4) Increase Proportion of BSN-Degree Nurses to 80% by 2020

#4) Increase Proportion of BSN-Degree Nurses to 80% by 2020

#4) Increase Proportion of BSN-Degree Nurses to 80% by 2020Other Key Messages

Recommendation #5

#5) Double Number of Nurses with Doctorate by 2020

#5) Double Number of Nurses with Doctorate by 2020

Recommendation #6

#6) Ensure that Nurses Engage in Lifelong Learning

#6) Ensure that Nurses Engage in Lifelong Learning

#6) Ensure that Nurses Engage in Lifelong Learning

Recommendation #7

#7) Prepare and Enable Nurses to Lead Change to Advance Health

#7) Prepare and Enable Nurses to Lead Change to Advance Health

Recommendation #8

• Workforce Commission and HRSA should collaborate with state licensing boards, state nursing workforce centers and DoL to ensure that data are timely and publicly accessible• Relicensure survey mandated• Demand surveys funded for biannual completion across settings.