Archived Webcast and Live Blog from Forum on the Future of Nursing: Education Now Available

If you missed any of the presentations or testimony from Monday’s Forum on the Future of Nursing: Education, make sure you watch the archived webcast or read RWJF Executive Nurse Fellow, and University of Massachusetts Dean of Nursing, Greer Glazer’s live blog posts from the front row of Monday’s forum. The posts are published on the Initiative on the Future of Nursing blog and are available for comment.

In her four posts, Glazer provides a detailed report of the armchair discussions and audience testimony presented at the forum. Glazer’s posts also share her unique perspective of the forum dialogue and key issues in nursing education.

Photos, videos and more information about Monday’s forum are available at:
www.thefutureofnursing.org or www.facebook.com/FutureofNursing.

Last week, RWJF participated in two online events in advance of the forum: RNChat on Twitter and Change of Shift, hosted by the INQRI blog. To read the transcript from the chat, Nursing Education: Peering into the Future, please click here. To read all of the blog posts submitted for Change of Shift, please click here.

ANA in Support of President Obama

This week, the American Nurses Association (ANA), the largest nursing organization in the U.S., issued a press release in support of President Obama for "reinvigorating the health care debate with his $950 billion health reform proposal and for convening the bipartisan summit."

Read the press release, "America's Nurses Committed to Advancing Healthcare Reform" and tell us what you think. 

How is nursing poised to affect health care reform?

Creating a Culture of Patient Safety, Together

The INQRI program and the Gordon and Betty Moore Foundation would like to thank Sorrel King from the Josie King Foundation for presenting today's webinar "Creating a Culture of Patient Safety, Together."

Click here to view today's presentation on your desktop.
Click here to download Sorrel's slides.

On February 22, 2001, eighteen-month old Josie King died from medical errors.

98,000 people die every year from medical errors, making it one of the leading causes of death in the United States.

The Josie King Foundation’s mission is to prevent others from dying or being harmed by medical errors. By uniting healthcare providers and consumers, and funding innovative safety programs, we hope to create a culture of patient safety, together.

Woman's Day magazine recently recognized Sorrel as one of 50 women who are changing the world. For more information, please visit the magazine's website.

On Monday (the ninth anniversary of Josie's death), Sorrel's book, Josie's Story, was named by the National MS Society as the winner in the "First Book" category of their Books for a Better Life Award.

For more information on the medication management webinar series (co-sponsored by the Gordon and Betty Moore Foundation) and the translation webinar series (co-sponsored by the Donaghue Foundation), please visit the INQRI website.

In the News... Medical Errors

Study Finds Differences Among Doctors, Risk Managers in Admitting Errors

"Fulfilling patients' expectations for full disclosure of medical errors remains a complicated process. Our data offer additional insight into the complexities of these conversations and reflect the evolving roles of stakeholders beyond the physicians involved in the error," says lead author David J. Loren, M.D., Assistant Professor of Medicine, Division of Pediatrics, at the University of Washington, Seattle, Washington.

Read more about the study here.

MGH Death Spurs Review of Patient Monitors

A Massachusetts General Hospital patient died last month after the alarm on a heart monitor was inadvertently left off, delaying the response of nurses and doctors to the patient’s medical crisis.

Hospital administrators said they immediately began an investigation, which led them to inspect and disable the off switch on alarms on all 1,100 of Mass. General’s heart monitors within a day of the death. The hospital also has temporarily assigned a nurse in each unit to specifically listen for alarms, out of concern that sometimes even functioning alarms can’t be heard over the din of a busy ward.

Click here to read the rest of the article.

National Patient Safety Foundation's 12th Annual Patient Safety Congress
May 17-19, 2010 in Orlando, Florida.  There's still time to save $145 on registration for this year's Congress! Register by this Friday, February 26, and take advantage of the Super Early Bird Discount.

View the 2010 Congress Preliminary Program and Faculty.

Sepsis and Pneumonia Caused by HAIs Killed 48,000 Patients; Cost $8.1 Billion

Two common conditions caused by hospital-acquired infections (HAIs) killed 48,000 people and ramped up health care costs by $8.1 billion in 2006 alone, according to a new study in the Archives of Internal Medicine by researchers at Extending the Cure, a project of Resources for the Future supported by the Robert Wood Johnson Foundation’s Pioneer Portfolio.

Read about the study.

Donna Shalala on KCBS Radio

Former Secretary of Health and Human Services Donna Shalala says healthcare costs can not go down until everyone is insured... and that nurses are vitally important in that effort.

"As we change our delivery system, we need a more team-like approach to healthcare. Nurses can do a lot of the job that have to do with access and with primary care, chronic care management."

View Full Clip

Dr. Shalala chairs the Robert Wood Johnson Foundation's Initiative on the Future of Nursing, at the Institute of Medicine. Today, the committee hosted their final forum in Houston, TX, on the Future of Nursing: Education.

Future of Nursing: Education

Thank you to everyone who participated in yesterday's edition of Change of Shift.  We hope that readers of this blog enjoyed the experience as much as we did!

Don't forget that the theme of Change of Shift was geared toward the upcoming forum hosted by RWJF's Initiative on the Future of Nursing, at the IOM.  The Future of Nursing: Education forum will begin Monday morning at 9:00a.m. EST.

Register now for the webcast.
Download the agenda.
Download the speakers' bios.

Change of Shift

The INQRI program is excited to partner with the Robert Wood Johnson Foundation’s Initiative on the Future of Nursing, at the IOM to present the February 18 edition of Change of Shift. In anticipation of the upcoming forum on the Future of Nursing: Education, we have selected nursing education as our theme.

The goal of the INQRI program is to generate, disseminate and translate research to understand how nurses contribute to and can improve the quality of patient care. In a recent article, NursingZone.com reported that new nurses are entering the field feeling poorly prepared by their education to implement quality improvement measures. We see this eye-opening research as an important opportunity for nurse educators.

During the Houston forum on February 22, the Future of Nursing committee members will hear testimony about other opportunities and challenges in nursing education, but in the mean time, we will hear from nurse bloggers about their views on everything from nursing education to their favorite movies.

We are really excited by the diversity in submissions this week. We hope you’ll enjoy reading them as much as we have. Happy reading!


Posts on Nursing Education

In Closing the Nursing Shortage Demands Creativity, Collaboration, the Center to Champion Nursing in America blog discusses their approach to redesigning nursing education.

Jerry at Death Club for Cuties posted Someone's story - The man on the bench by the sea. In it he talks about his decision to practice in Palliative Care and shares a poignant story that helps reflect, as he puts it, “the role narrative plays in end of life care.” Warning: grab some tissues before you click to read.

At Experiences of an ICU Nurse, Lisa talks about a different kind of Road Trip. Throughout the post she demonstrates that travelling with a critically ill patient through the hospital is the best kind of on-the-job training for nurses. What are some lessons you’ve learned from a road trip?

The Initiative on the Future of Nursing blog posted a guest spot by Marla Salmon, Dean of the University of Washington’s Nursing School. The post, What Should We Teach the Nurse of the Future details key elements for the future of nursing education including pre-clinical training, lifelong learning curriculum and technology. She says, “What nurses do today is not what they will need to do tomorrow.” What do you think they’ll need tomorrow?

Lynda at the Muse, RN explains her “Nurse Squat” theory on Nurses that Squat. Luckily she has the solution – Step Up & Move Your Butt! This is a must-read for new and experienced nurses alike. Are you a Squatter or a Mover?

In 101 Blog Posts Every New Nurse Should Read, posted at Nurse Practitioner School, posts touch on advice, personal stories and exams. Skim the list for well-rounded nursing perspectives.

Laney at Nursing Student Chronicles shared one way her nursing school clinicals have shaped her in I’ve Gotta Fever. Did anyone else have babies on the brain during the mother and baby semester?

In the post, Experience, new nurse blogger Janine Anderson at Shades of Grey talks about working with new nurses. She thinks that new nurses who already have the basics down are able to really learn from the new experiences they encounter during their shifts.

May, at the Uncreative Writer, has lost her nursing spark. In the Age of Reason, May describes the over-the-top enthusiasm of a young nurse. This encounter makes her reflect on her own nursing career and how she went from having that same enthusiasm and excitement for nursing to a cynical and routine outlook. Read and relate.

Victoria Powell at VP-Medical News shares her daughter’s decision to enter the nursing field, while confronting the impending nursing shortage, in So You Want To Be a Nurse.


“Best-Of” Posts

At Master of Health Administration medical student Diana Diego posted her list of The 20 Best Hospitals in America– and What Makes them the Best. Find out who made her list.

John Q. Stakes at Nurse Assistant passed along the Top 50 Nursing Assistant Blogs. He says, “When you are a nursing assistant, it can help to have the perspective of a number of different people…Nursing can be rewarding, but also quite difficult.” Check out his list for new insight.

Looking for a good movie to rent this weekend, but still want to stay in the medical (er, sort of) mindset? Emily, at Nurse Practitioner Schools, has 10 recommendations that are sure to please. Check out her list at Top 10 Medical Movies of all Time.

Katie, at Radiologic Technologist Schools, touts 7 Twitter Users Every Healthcare Professional Should Follow to help stay on top of developments in the field.

Mary Jones presents 25 TED Talks Every Medical Professional Should Watch posted at Ultrasounds Tech Schools.


Additional Posts

Pediatric Nurse Practitioner Degrees provides advice for parents in How to: Take Care of a Sick Child Like a Nurse Does. These recommendations might be common sense to all the nurses out there but offer a good crash course for dealing with a sick kid.

Be sure to pass around Healthy Living Gal’s 10 Tips to Help You Stay Healthy During a Hospital Trip post on X-Ray Technologist Schools to any patients you know. The list has some key pointers to complement treatment.

Dean at The Millionaire Nurse compares illnesses we’ve all heard of to financial woes that have parallel affects in Diseases and Your Money.

That’s it for this edition of Change of Shift. Thanks for stopping by!

Also, stay tuned at 9 p.m. ET on Thursday, February 18 for #RNChat on Twitter, where the conversation about nursing education continues. Follow the Initiative on the Future of Nursing Twitter feed @FutureofNursing for our comments during the chat.

The next CoS will be over at MamaTrauma. Submit your blog article to the next edition of Change of Shift to clynewarnr@earthlink.net or by using the carnival submission form. Past and future hosts can be found on the blog carnival index page.

Change of Shift - TONIGHT

Watch this space... we are hosting Change of Shift tonight at 9:00p.m. EST. Thank you to everyone who has submitted!

AHRQ National Teleconference on Transitions in Care - Feb 24 - 3:00-4:30pm EST

Managing Patient Care Transitions: How Health IT Can Reduce Unnecessary Rehospitalization

This free 90-minute teleconference will explore the latest research on leveraging health IT to reduce rehospitalizations and the potential impact of health IT systems to improve transitions in care and quality of care.

Date: February 24, 2010
Time: 3:00 – 4:30 p.m., EST

Sponsored by the Agency for Healthcare Research and Quality’s (AHRQ’s) National Resource Center for Health IT

Presenters:

Stephen Jencks, M.D., M.P.H., is an independent consultant in health care safety and quality and Senior Fellow at the Institute for Healthcare Improvement. Dr. Jencks served as the Chief Scientist in the Office of Research, Senior Clinical Advisor and Director of the Quality Improvement Organization program in the Office of Clinical Standards and Quality at the Federal Centers for Medicare & Medicaid Services.

Brian Jack, M.D., is Associate Professor and Vice Chair for Academic Affairs in the Department of Family Medicine at Boston University School of Medicine, Boston Medical Center. Dr. Jack currently serves as principle investigator for grants from the Health Resources and Services Administration, Centers for Disease Control and Prevention and AHRQ. His work relating to improving patient safety at hospital discharge (Project RED) has earned him awards from AHRQ and the Society of Family Medicine.

Terry Field, D.Sc., is an Associate Professor at the University of Massachusetts Medical School and the Associate Director of the Meyers Primary Care Institute. Dr. Field has participated in grant review panels for agencies such as the National Cancer Institute and the Agency for Healthcare Research and Quality. She is also a member of the Steering Committee for the National Cancer Institute-funded Cancer Research Network and co-leads the network's Scientific and Data Resources Core.

Dr. Jencks will provide an overview of the current state and challenges IT systems face in managing transitions in care, followed by Dr. Jack who will share his research findings on how evidence-based health IT tools can enable systems integration across care settings and issues surrounding patient support and education. He will focus on the role of health IT in improving quality of care and supporting patients transitioning from the hospital to the ambulatory settings. Dr. Field will speak to the role of health IT in supporting transitions in care in integrated delivery systems and other clinical settings. She will discuss her work in skilled nursing facilities for transitioning complex elderly patients to home care. Finally, Dr. Jencks will conclude the presentation by discussing health IT implementation issues at an institutional level and how the research findings presented by the Drs. Jack and Field affect these implementation efforts.

To register for the teleconference, please visit https://ahrq.peachnewmedia.com/store/seminar/seminar.php?seminar=3389 and select "Register."

INQRI Brief Proposal Deadline TOMORROW

Just a reminder that INQRI's brief proposal deadline is Wednesday, February 17 at 3:00p.m.EST. 

• To read the current Call for Proposals, please click here.
• To read the Applicant FAQs, please click here.
• For help with the submission process, please click here.
• To receive funding alerts from the Robert Wood Johnson Foundation about future opportunities, please click here.

"There is Absolutely Nothing as Painful as a Pressure Ulcer"

In a new article, "County Hospitals Reporting Fewer Medical Errors," the Ventura County Star reports on the reduction of infections in Ventura county, California.

Data from the California Department of Public Health shows the county's hospitals are reporting a decrease in adverse medical errors — “never events” ranging from surgery on the wrong body part to bed sores so deep that bone is damaged.  Although pressure ulcers or sores are not technically a “never event” (since some are unavoidable), Jim Conway, a patient safety expert who was quoted in the article believes that they belong on the list for two very simple reasons. 

“There is absolutely nothing as painful as a pressure ulcer and lots and lots of pressure ulcers are preventable,” he said.

An INQRI team at the University of Cincinnati agrees with him. Tracey Yap, Ph.D., a nurse researcher and Jay Kim, Ph.D., an engineer, are leading an interdisciplinary research team which will develop a sustainable, system-wide program for pressure ulcer prevention that enhances mobility of long-term care residents.  Check out a recent blog post by the Yap-Kim team, detailing the ways that teamwork can reduce the risk of infection.

Does Caregiver Health and Wellness Affect Patient Outcomes?

The Greenville News has recently reported on the efforts of the Public Citizen’s Health Research Group who are advocating for limits on residents' hours in order to improve patient safety. The group notes that federal regulations limit work hours for pilots and truck drivers, but medical residents who have the safety of their patients in their hands can work 30-hour shifts. Click here to read the story.

The INQRI program agrees that the health and well-being of caregivers can have a profound impact on the health of their patients. INQRI researchers at the University of North Carolina, Greensboro are looking at the problems that may occur when nurses come to work sick. It is suspected that decreased productivity may lead to poorer patient outcomes and higher healthcare costs. Specifically, the study is looking at how such things as pain and depression, conditions that seem to affect nurses more than others, affect the prevalence of errors and perceived quality of care. A secondary aim of the project is to assess economic costs to the healthcare system associated with presenteeism. This team is co-led by Susan Letvak, PhD, a nurse researcher, and Christopher Ruhm, PhD, an economist.

INQRI Blogging Events

Last December, INQRI hosted a two week blogging event to commemorate the 10th anniversary of the Institute of Medicine's "To Err is Human" report. Our blog series consisted of posts from national health care leaders, researchers and advocates who offered their perspectives on how the report changed the practice of health care in the United States and what challenges lie ahead.

These posts have been compiled into a booklet, which is now available for download as a PDF.

We have another blogging event coming up next week. INQRI is pleased to announce that we will host the next Change of Shift, a blog carnival, on February 18 at 9 p.m. ET. We are now accepting blog post submissions focused on nursing education. This theme coincides with the topic of the RWJF Initiative on the Future of Nursing, at the IOM’s final forum to be held on February 22 at 9 a.m. ET.

The Forum on the Future of Nursing: Education will be webcast live. Register for the webcast here.

Submit your posts to INQRIChangeofShift@gmail.com by 5 p.m. Wednesday, February 17.

Atul Gawande and Jon Stewart Discuss Patient Safety

As Jon Stewart points out, Han Solo and Chewbacca use a check list before making the jump to light speed... so why can't doctors use a check list to help improve patient safety? Although avoiding the Star Wars reference, Atul Gawande does share some insight:

The Daily Show With Jon Stewart	Mon - Thurs 11p / 10c
Atul Gawande
www.thedailyshow.com
Daily Show Full Episodes Political Humor Health Care Crisis

INQRI to Host Change of Shift: Focus on Nursing Education

INQRI is pleased to announce that we will host the next Change of Shift on February 18 at 9 p.m. ET. By hosting Change of Shift, INQRI hopes to open the floor for discussion on nursing education: what, where and how it should be taught.

This week’s Change of Shift theme coincides with the topic of the RWJF Initiative on the Future of Nursing, at the IOM’s final forum to be held on February 22 at 9 a.m. ET. The Forum on the Future of Nursing: Education will be webcast live. Register for the webcast here.

If, like us, you are new to Change of Shift, we look forward to learning the ropes with you. Change of Shift is a blog carnival that compiles story submissions from nurses about their experiences, opinions and observations. Change of Shift is intended for nurses, but welcomes submissions and comments from other members of the medical community, even patients!

Nurses, we know you have an opinion, so share it! Submit your posts to INQRIChangeofShift@gmail.com by 5 p.m. Wednesday, February 17.

In the News... CMS Tests Impact of HIE on Healthcare Quality

by: Mary Mosquera, 01/31/2010
Government Health IT

The Centers for Medicare and Medicaid Services has set up two healthcare test pilots – one in North Carolina and one in Indiana – to show how healthcare quality is affected by the exchange of electronic heath records (EHRs) across multiple payers and providers in the two regions.

Click here to read the story.

AONE Webinar - February 17

The American Organization of Nurse Executives has opened registration for a new webinar which will be held February 17:

"Why Nurses Still Must Learn to Delegate...and How"

Ruth Hansten of Hansten Healthcare, PLLC

Wednesday, February 17

2:00 p.m. EST

Register now for the webinar. Can't make the webinar due to a schedule conflict? Register here for the on-demand recording and access all the content at your convenience.

For information on previous AONE sessions, check out their archives.