This year marks the third anniversary of the Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health. A live webcast this afternoon as part of the IOM's 2013 Richard and Hinda Rosenthal Lecture series, will discuss the impact of the report, progress in implementing the report's recommendations at the national and local levels, and what's on the horizon.
The discussion will be moderated by Harvey Fineberg, president of the IOM and Donna Shalala, president of the University of Miami and chair of the Committee on the RWJF Initiative on the Future of Nursing will deliver the keynote address.
Panelists will be:
Carmen Alvarez, Julio Bellber Postdoctoral Fellow, Department of Health Policy, The George Washington University
Linda Burnes Bolton, vice
president and chief nursing officer, Cedars-Sinai Medical Center; vice-chair, Committee on the Robert Wood Johnson Foundation Initiative
on the Future of Nursing
Susan Hassmiller, senior adviser
for nursing, Robert Wood Johnson Foundation; study director, Committee
on the Robert Wood Johnson Foundation Initiative on the Future of
Nursing
Darrell Kirch, president and chief executive officer, Association of American Medical Colleges
David Vlahov, dean and endowed professor of nursing education, School of Nursing, University of California, San Francisco
Watch the webcast at 5pm EST today.
Showing posts with label initiative on the Future of Nursing. Show all posts
Showing posts with label initiative on the Future of Nursing. Show all posts
Wednesday, December 11, 2013
Monday, June 24, 2013
New Brief Makes the Case for Baccalaureate-Prepped Nurses
A new policy brief authored by Ann Kutney-Lee and Linda Aiken and distributed by the Leonard Davis Institute of Health Economics at the University of Pennsylvania makes the case for baccalaureate-prepared nurses.
Researchers found that increases in the percentage of nurses with baccalaureate degrees were associated with significant reductions in surgical mortality rates and failure-to-rescue rates. They also found that a ten-point increase in a hospital’s percentage of baccalaureate-prepared nurses was associated with an average reduction of 2.12 deaths for every 1,000 patients. (The average reduction was 7.47 deaths per 1,000 patients in the subset of patients with complications.)
These results suggest that if all the hospitals in the study had increased their percentage of baccalaureate nurses by ten points, about 500 deaths might have been prevented. This is an incredibly important finding, given the recommendation made in the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health to increase the number of nurses holding a baccalaureate degree to 80% by the year 2020.
The brief also explains that in addition to improving patient outcomes, higher numbers of baccalaureate-prepared nurses could also lead to an increased number of graduate-level nurses prepared to either become nurse faculty or accept advanced-practice positions in primary care. Aiken found that nurses with initial associate's degrees were less likely than those with an initial baccalaureate degree to earn a master's degree.
This brief is based on the following articles:
Researchers found that increases in the percentage of nurses with baccalaureate degrees were associated with significant reductions in surgical mortality rates and failure-to-rescue rates. They also found that a ten-point increase in a hospital’s percentage of baccalaureate-prepared nurses was associated with an average reduction of 2.12 deaths for every 1,000 patients. (The average reduction was 7.47 deaths per 1,000 patients in the subset of patients with complications.)
These results suggest that if all the hospitals in the study had increased their percentage of baccalaureate nurses by ten points, about 500 deaths might have been prevented. This is an incredibly important finding, given the recommendation made in the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health to increase the number of nurses holding a baccalaureate degree to 80% by the year 2020.
The brief also explains that in addition to improving patient outcomes, higher numbers of baccalaureate-prepared nurses could also lead to an increased number of graduate-level nurses prepared to either become nurse faculty or accept advanced-practice positions in primary care. Aiken found that nurses with initial associate's degrees were less likely than those with an initial baccalaureate degree to earn a master's degree.
This brief is based on the following articles:
- A. Kutney-Lee, D.M. Sloane, L.H. Aiken. An increase in the number of nurses with baccalaureate degrees is linked to lower rates of post-surgery mortality, Health Affairs, March 2013, vol. 32, pp. 579-586;
- L.H. Aiken. Nurses for the future. New England Journal of Medicine, January 20, 2011, vol. 364, pp. 196-198.
Tuesday, March 26, 2013
INQRI's Legacy
Susan B. Hassmiller, PhD, RN, FAAN
As the Robert Wood Johnson Foundation’s senior adviser for nursing and a nurse myself, I am well aware of nurses’ contributions to improving patient care. I also know that nurses have the potential to vastly improve the health and safety of their patients, and their contributions increase if they have more education, autonomy, and support. INQRI developed the rigorous evidence base that supports what I, RWJF’s leaders, and many others have known for years: the link between nursing and high-quality patient care is real and tangible.
The legacy of INQRI includes a lasting impact on RWJF’s nursing work, as well as on health care research, delivery and systems across the country. INQRI studies have informed the work of Future of Nursing: Campaign for Action, an important and ambitious national initiative of AARP, the AARP Foundation and RWJF to transform health care through nursing. The Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, which provides the evidence-based recommendations that drive the Campaign, featured the work of three outstanding INQRI teams.
Gerri Lamb, PhD, RN, FAAN and Francois Sainfort, PhD developed a staff nurse care coordination model that features six nurse care coordination activities regularly performed by staff nurses in hospital settings as part of their daily activities.
David Thompson, DNSc, MN, RN, Jill Marsteller, PhD, MPP, and J. Bryan Sexton, PhD conducted the first randomized, controlled clinical trial to reduce central-line-associated blood stream infections among ICU patients. They found that substantial reductions in infections can be widely achieved, especially when nurses lead patient safety efforts.
Linda Flynn, PhD, RN, FAAN and Dong-Churl Suh, PhD linked a core cluster of nurse safety processes to fewer medication errors. Their findings supported the importance of positive work environment on patient outcomes.
After the IOM report was released, the Foundation immediately began focusing on implementation, and we turned to INQRI for the additional evidence we needed to guide that work. We know INQRI is a model in using interdisciplinary research teams to conduct rigorous studies that provide evidence to shape change. We also took a lesson from INQRI’s playbook in launching our state Action Coalitions, requiring them to focus on interdisciplinary collaboration and partnerships to achieve their goals. Now nursing Action Coalition leaders are partnering with other health professionals, consumers, philanthropies, the business community, payers, and government to transform nursing and improve patient care.
INQRI has made truly invaluable contributions to all of this work. Its grantees have demonstrated that nurses are involved at all levels of care and have positive contributions to make in every setting. Because of evidence they provided, we know that a different kind of health care system is possible. It is possible to reduce the number of patients who suffer bloodstream infections or pressure ulcers. It is possible to reduce hospital readmissions and to improve care coordination. It is possible to measure patients’ pain more accurately and treat it more effectively, and it is possible to avoid medication errors. And now we know that nurses make those things possible. Now, that’s a legacy.
Dr. Hassmiller joined the Robert Wood Johnson Foundation in 1997 and is presently the Foundation's senior adviser for nursing. In this role, she shapes and leads the Foundation’s strategies to address nurse and nurse faculty shortages in an effort to create a higher quality of patient care in the United States. Drawn to the Foundation’s “organizational advocacy for the less fortunate and underserved,” Hassmiller is helping to assure that RWJF's commitments in nursing have a broad and lasting national impact.
This post is part of our week-long blog carnival focused on the Medical Care supplement. Click here to access all posts in this carnival.
As the Robert Wood Johnson Foundation’s senior adviser for nursing and a nurse myself, I am well aware of nurses’ contributions to improving patient care. I also know that nurses have the potential to vastly improve the health and safety of their patients, and their contributions increase if they have more education, autonomy, and support. INQRI developed the rigorous evidence base that supports what I, RWJF’s leaders, and many others have known for years: the link between nursing and high-quality patient care is real and tangible.
The legacy of INQRI includes a lasting impact on RWJF’s nursing work, as well as on health care research, delivery and systems across the country. INQRI studies have informed the work of Future of Nursing: Campaign for Action, an important and ambitious national initiative of AARP, the AARP Foundation and RWJF to transform health care through nursing. The Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, which provides the evidence-based recommendations that drive the Campaign, featured the work of three outstanding INQRI teams.Gerri Lamb, PhD, RN, FAAN and Francois Sainfort, PhD developed a staff nurse care coordination model that features six nurse care coordination activities regularly performed by staff nurses in hospital settings as part of their daily activities.
David Thompson, DNSc, MN, RN, Jill Marsteller, PhD, MPP, and J. Bryan Sexton, PhD conducted the first randomized, controlled clinical trial to reduce central-line-associated blood stream infections among ICU patients. They found that substantial reductions in infections can be widely achieved, especially when nurses lead patient safety efforts.
Linda Flynn, PhD, RN, FAAN and Dong-Churl Suh, PhD linked a core cluster of nurse safety processes to fewer medication errors. Their findings supported the importance of positive work environment on patient outcomes.
After the IOM report was released, the Foundation immediately began focusing on implementation, and we turned to INQRI for the additional evidence we needed to guide that work. We know INQRI is a model in using interdisciplinary research teams to conduct rigorous studies that provide evidence to shape change. We also took a lesson from INQRI’s playbook in launching our state Action Coalitions, requiring them to focus on interdisciplinary collaboration and partnerships to achieve their goals. Now nursing Action Coalition leaders are partnering with other health professionals, consumers, philanthropies, the business community, payers, and government to transform nursing and improve patient care.
INQRI has made truly invaluable contributions to all of this work. Its grantees have demonstrated that nurses are involved at all levels of care and have positive contributions to make in every setting. Because of evidence they provided, we know that a different kind of health care system is possible. It is possible to reduce the number of patients who suffer bloodstream infections or pressure ulcers. It is possible to reduce hospital readmissions and to improve care coordination. It is possible to measure patients’ pain more accurately and treat it more effectively, and it is possible to avoid medication errors. And now we know that nurses make those things possible. Now, that’s a legacy.
Dr. Hassmiller joined the Robert Wood Johnson Foundation in 1997 and is presently the Foundation's senior adviser for nursing. In this role, she shapes and leads the Foundation’s strategies to address nurse and nurse faculty shortages in an effort to create a higher quality of patient care in the United States. Drawn to the Foundation’s “organizational advocacy for the less fortunate and underserved,” Hassmiller is helping to assure that RWJF's commitments in nursing have a broad and lasting national impact.
This post is part of our week-long blog carnival focused on the Medical Care supplement. Click here to access all posts in this carnival.
Wednesday, March 20, 2013
Need for Advanced Nursing Education Rising
The INQRI blog recently came across another article regarding the rising need for advanced nursing education on nurse.com.
In its 2010 report, "The Future of Nursing: Leading Change, Advancing Health," the Institute of Medicine called for doubling the number of doctorate-level nurses by 2020, and the Affordable Care Act’s sweeping changes demand a heavy influx of nurses in leadership roles.
The article continues the discussion of cost containment, and notes that the percentage of nurses obtaining master’s and research-focused doctorate degrees has increased 67% and 25% respectively between 2006 through 2011.
In its 2010 report, "The Future of Nursing: Leading Change, Advancing Health," the Institute of Medicine called for doubling the number of doctorate-level nurses by 2020, and the Affordable Care Act’s sweeping changes demand a heavy influx of nurses in leadership roles.
The article continues the discussion of cost containment, and notes that the percentage of nurses obtaining master’s and research-focused doctorate degrees has increased 67% and 25% respectively between 2006 through 2011.
Wednesday, February 27, 2013
RWJF Forum on the Future of Public Health Nursing
The Robert Wood Johnson Foundation recently released a report from the "Forum on the Future of Public Health Nursing" which discusses some of the issues which are influencing the context of public health and the roles played by public health nurses.
Factors include:
Click here to learn more.
Factors include:
- Impact of health reform
- Cuts in public health budgets and staff due to budget shortfalls
- New consensus definitions on the scope and competencies of public health nurses
- Recommendations from the Institute of Medicine 2010 report, The Future of Nursing: Leading Change, Advancing Health, including that 80 percent of nurses achieve bachelor-level degrees by 2020
- Public health agency accreditation and adoption of quality improvement measures
- Transition in public health toward a greater emphasis on chronic disease prevention and interventions.
Click here to learn more.
Tuesday, February 12, 2013
INQRI Grantees' Article Supports Future of Nursing Recommendation
INQRI grantees Mary Blegen and Tom Vaughn and their team recently published a new article, "Baccalaureate education in nursing and patient outcomes" which examined the effects of registered nurse (RN) education by determining whether nurse-sensitive patient outcomes were better in hospitals with a higher proportion of RNs with baccalaureate degrees.
The Institute of Medicine's report, The Future of Nursing: Leading Change, Advancing Health recommends increasing the percentage of RNs with baccalaureate degrees from 50% to 80% by 2020. Research has linked RN education levels to hospital mortality rates but not with other nurse-sensitive outcomes.
This was a cross-sectional study that, with the use of data from 21 University HealthSystem Consortium hospitals, analyzed the association between RN education and patient outcomes (risk-adjusted patient safety and quality of care indicators), controlling for nurse staffing and hospital characteristics. Hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay.
The recommendation of the Future of Nursing report to increase RN education levels is supported by these findings.
Click here to access the article via PubMed.
The Institute of Medicine's report, The Future of Nursing: Leading Change, Advancing Health recommends increasing the percentage of RNs with baccalaureate degrees from 50% to 80% by 2020. Research has linked RN education levels to hospital mortality rates but not with other nurse-sensitive outcomes.
This was a cross-sectional study that, with the use of data from 21 University HealthSystem Consortium hospitals, analyzed the association between RN education and patient outcomes (risk-adjusted patient safety and quality of care indicators), controlling for nurse staffing and hospital characteristics. Hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestive heart failure mortality, decubitus ulcers, failure to rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay.
The recommendation of the Future of Nursing report to increase RN education levels is supported by these findings.
Click here to access the article via PubMed.
Friday, February 8, 2013
New Videos on Education Progression
The Center to Champion Nursing in America (CCNA) has launched a new video series on education progression and the implementation of the four promising models identified in the Future of Nursing: Campaign for Action Action Coalitions' Learning Collaborative. The CCNA asked nurse expert consultants to provide additional insights in a video series and make themselves available for further discussion on the web.
Click here to access these videos.
Please NOTE: Videos best viewed in Firefox or Google Chrome.
Click here to access these videos.
Please NOTE: Videos best viewed in Firefox or Google Chrome.
Monday, December 3, 2012
What States Can Learn from the California Action Coalition
In a new article on Nurse.com, the Robert Wood Johnson Foundation's senior advisor for nursing, Sue Hassmiller, discusses what other states can learn from the California Action Coalition and their efforts surrounding the Future of Nursing: Campaign for Action.
For example, did you know that: California was one of nine states selected to be part of the Academic Progression in Nursing program? The state is going to have associate degree students start to take classes at California State University schools, creating a partnership with the community colleges and the CSU system for a seamless transition (to a four-year or higher degree).
Click here to read the Nurse.com article and learn more.
For example, did you know that: California was one of nine states selected to be part of the Academic Progression in Nursing program? The state is going to have associate degree students start to take classes at California State University schools, creating a partnership with the community colleges and the CSU system for a seamless transition (to a four-year or higher degree).
Click here to read the Nurse.com article and learn more.
Tuesday, November 13, 2012
Sharing Nursing's Knowledge
Check out the Robert Wood Johnson Foundation's latest edition of "Sharing Nursing's Knowledge" which includes an update on the Future of Nursing, an interview with RWJF senior advisor for nursing, Sue Hassmiller and much more.
Click here to read the November edition.
Click here to read the November edition.
Wednesday, October 31, 2012
Campaign for Action Announces Dashboard Indicators
The Future of Nursing: Campaign for Action has developed Dashboard Indicators to measure the campaign's success. In this document, you will find graphic representations of measurable goals that the campaign has selected to evaluate our efforts in support of the Institute of Medicine's recommendations in their landmark report, "The Future of Nursing: Leading Change, Advancing Health." An accompanying document contains answers to frequently asked questions about the indicators.
View the Dashboard Indicators and FAQs here.
View the Dashboard Indicators and FAQs here.
Wednesday, October 10, 2012
National Midwifery Week
As noted in the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, many states have not made changes to their scope-of-practice regulations to allow certified nurse midwives to see patients and prescribe medications without a physician's collaboration or supervision.
In honor of the IOM committee's recommendation to remove scope-of-practice barriers, we celebrate National Midwifery Week this week.
This event was created by the American College of Nurse-Midwives (ACNM) to celebrate and recognize its members. This year, ACNM is using a new public awareness initiative, Our Moment of Truth™: A New Understanding of Midwifery Care, to build the midwife brand across the country.
Click here for a list of actions you can take this week to commemorate the event.
In honor of the IOM committee's recommendation to remove scope-of-practice barriers, we celebrate National Midwifery Week this week.
This event was created by the American College of Nurse-Midwives (ACNM) to celebrate and recognize its members. This year, ACNM is using a new public awareness initiative, Our Moment of Truth™: A New Understanding of Midwifery Care, to build the midwife brand across the country.
Click here for a list of actions you can take this week to commemorate the event.
Monday, August 20, 2012
The Importance of Wellness In the Workplace
For those of you who follow the INQRI blog, you may be familiar with our coverage of issues addressing the health of the nursing workforce. Earlier this summer, a group of health care, human service, and education providers in Northeast Ohio created an innovative nursing initiative, which is currently undergoing rigorous external evaluation, to support health, satisfaction and the quality of care delivered by front-line nurses. Pamela A. Maidens, MA, CPM wrote a fantastic summary of how this initiative came about, why it is important, in addition to describing how the educational program works.
To read more about this wellness initiative, click here.
To read more about this wellness initiative, click here.
Friday, August 3, 2012
Nursing Schools Brace For Faculty Shortage
Earlier this morning, National Public Radio's Morning Edition program discussed the looming faculty shortage facing nursing schools nationwide. The nurse faculty shortage issue was highlighted in the Institute of Medicine's report "The Future of Nursing: Leading Change, Advancing Health" and has been a major focus of the Campaign for Action and other organization's efforts to bolster nursing faculty numbers. With nearly 8% of all nursing school faculty positions remaining vacant, continued efforts are needed to ensure that there will be educators for tomorrow's nurses.
To listen to the story as heard on Morning Edition or read the transcript, click here.
To listen to the story as heard on Morning Edition or read the transcript, click here.
Monday, July 23, 2012
New Partnerships Spurs Innovation in Nursing Education
The Cincinnati State Technical and Community College's innovative nursing education program, which integrates new nurses into the workforce, was recently highlighted by Dr. Jill Biden during her "Community College to Career" bus tour. The hierarchical program trains students for entry-level positions, then coordinates and collaborates with employers to continue educational efforts in order to expand the skill-set of these students. By partnering with employers, the program provides entry level workers with the flexibility, support and coaching they needed to continue their education.
To read more about this program, click here.
To read more about this program, click here.
Monday, July 16, 2012
Significant Rise in Ohio Nurses Seeking 4-year Degrees
In response to growing demands by hospital systems and ambulatory practices, more Ohio registered nurses are enrolling in bachelors of science programs to enhance their skill-set and improve their desirability in the touch job market. Many of these nurses are seeking to obtain their BSN as part of their job requirements, which require nurses without a bachelors degree to obtain one within five years of employment. These efforts support one of the recommendations made by the Institute of Medicine (IOM) report, "The Future of Nursing: Leading Change, Advancing Health" which seeks to improve the number of registered nurses with BSNs to 80% by 2020.
To read more about Ohio's efforts to improve its nursing workforce, click here.
To read more blogposts relating to the IOM's "Future of Nursing" report, click here.
To read more about Ohio's efforts to improve its nursing workforce, click here.
To read more blogposts relating to the IOM's "Future of Nursing" report, click here.
Tuesday, July 10, 2012
Finding A First Job Not Easy For New Nurses
For those of you that are regular readers of the INQRI blog, this story continues our focus on the difficult that new nurses are having entering the workforce. Even though there has been numerous reports suggesting that there is a significant need for more highly trained nurses, many new nurse graduates are having difficulty finding entry-level positions.
Annie Baxter, reporting for Marketplace Money, a program on American Public Media, covered this topic by interviewing current nurses, nurse researchers and economists as to why new nurses graduates are having such difficult obtaining employment and how the nursing field can accommodate for this much needed injection of young caregivers.
To listen to the audio portion, or read the transcript from this program, click here.
To read other blogposts relating to nursing workforce issues, click here.
Annie Baxter, reporting for Marketplace Money, a program on American Public Media, covered this topic by interviewing current nurses, nurse researchers and economists as to why new nurses graduates are having such difficult obtaining employment and how the nursing field can accommodate for this much needed injection of young caregivers.
To listen to the audio portion, or read the transcript from this program, click here.
To read other blogposts relating to nursing workforce issues, click here.
Monday, July 9, 2012
The Future of Nursing Report is the IOM's Most Read Report In June 2012
Even though it was released almost two years ago, the Institute of Medicine (IOM) report, "The Future of Nursing: Leading Change, Advancing Health" continues to be one of the most read documents on the IOM's website. If you are not familiar with this document, you can read some of our previous blog coverage related to this landmark report. Since its initial release, the Future of Nursing Report has continued to expand its scope of impact with the expansion of Action Coalitions across the United States, while also acting as an important resource for nurses and nursing organizations in their efforts to improve the nursing workforce.
Wednesday, June 27, 2012
Did You Miss Monday's Webinar?
If so, you can catch it right here. We were joined by INQRI grantees, Linda Flynn and Suzanne Gordon for the seventh session in our series on the
Institute of Medicine report, "The Future of Nursing: Leading Change,
Advancing Health."
This webinar focused on Recommendation 2: "Expand opportunities for nurses to lead and diffuse collaborative improvement efforts."
"Expanding Opportunities for Nurses to Lead: Impact of a Nurse Manager Development Program" - Presented by Linda Flynn, PhD, RN, FAAN & Suzanne Gordon, Journalist & Advocate.
This webinar focused on Recommendation 2: "Expand opportunities for nurses to lead and diffuse collaborative improvement efforts."
"Expanding Opportunities for Nurses to Lead: Impact of a Nurse Manager Development Program" - Presented by Linda Flynn, PhD, RN, FAAN & Suzanne Gordon, Journalist & Advocate.
Tuesday, June 19, 2012
IOM's Future of Nursing Report Highlighted in The Atlantic
Yesterday, Liz Seegert of The Atlantic, wrote a brief summary of the Institute of Medicine (IOM) report, Future of Nursing: Leading Change, Advancing Health. Ms. Seegert discussed the continued growth of the nursing workforce in the United States and how nurses will play a critical role in transforming the United States' healthcare system over the next few decades.
To read Ms. Seegert's full article as it appears in The Atlantic, click here.
To read additional blogposts relating to the Future of Nursing report, click here.
To read Ms. Seegert's full article as it appears in The Atlantic, click here.
To read additional blogposts relating to the Future of Nursing report, click here.
Wednesday, June 13, 2012
Advanced Practice Nurses Attempting to Make A Significant Impact in Michigan
Yesterday, Alexandra Wilson Pecci, of HealthLeaders Media, discussed the current push by Advanced Practice Registered Nurses (APRNs) in Michigan to allow APRNs to practice to the full extent of their education and training by supporting a State Senate bill that would define APRNs as, "individual practictioners". Ms. Pecci conducted interviews with MaryLee Pakieser MSN RN BC-FNP, president of the Michigan Council of Nurse Practitioners (MICNP) and Joanne Pohl, PhD, ANP-BC, FAAN, FAANP, Proffessor Emeritus, The University of Michigan School of Nursing and MICNP member, both of whom testified before Michigan's Health Policy Committee to discuss the importance of passing this legislation.
To read the full interviews with MaryLee Pakieser and Joanne Pohl, click here.
To read the full interviews with MaryLee Pakieser and Joanne Pohl, click here.
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