Category Archives: Campaign for Action
It is a time of year when we celebrate, reflect and make resolutions. When I think about the nursing community, there is so much that makes me proud. I am proud of all the ways nurses care for patients. I am proud of how we are adapting to a fast-changing health care system. I am proud of the ways we work effectively in interdisciplinary teams. And I am proud of the many ways we organize to make our health care system work, especially for the most vulnerable patients.
Following the heartbreaking tragedy in Newtown, Connecticut, with such devastating loss of life, I was so proud to see that 30 major nursing organizations…and probably more now…came together in one collective voice to advocate to the highest public officials in our land on behalf of all those who need our care. The “call to action” from leading nursing organizations meant that, once again, we took a united stand, as nurses, to proclaim that we care…and we will speak out about what must be done on behalf of the people who put their trust in us.
This made me proud to be a nurse. And it makes me proud to know that we are asking nurses to speak out and effect change as part of the Future of Nursing: Campaign for Action. We are asking that the nursing community come together, not for their own benefit…but on behalf of the people and patients who need nurses the most.
Two years after the release of the landmark Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, the nation's health care system is in the midst of dramatic change. As the largest segment of the health care workforce and the professionals who spend the most time with patients, nurses are playing a vital role in shaping that change, bringing experience and insight to efforts to improve access and quality and lower health care costs.
The IOM nursing report was a game-changer from the moment it was released. It has spurred tremendous activity across the country to implement its recommendations. Health care professionals, educators, policy-makers, consumers, and other stakeholders are joining forces in powerful and unprecedented ways to implement its recommendations – to significantly increase the number of nurses and nurse faculty, to help nurses earn higher degrees, and to promote nurse leaders in health care and public policy. All this is in the service of making health care more patient-centered, equitable and accessible.
Much of this activity has been organized by the Future of Nursing: Campaign for Action, a joint initiative of AARP and the Robert Wood Johnson Foundation. The Campaign has organized "Action Coalitions" that are now working in 49 states to implement recommendations from the IOM report.
As its third year begins and it intensifies its on-the-ground work, the Campaign for Action is launching a new website–www.CampaignforAction.org.
The website supports the Campaign's work to improve the ways nurses are educated, trained and practice. It offers continuously updated news and information on nursing and health care to visitors new to the issue. It also features:
Around the country, print, broadcast and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows and grantees. Some recent examples:
Forbes named RWJF President and CEO Risa Lavizzo-Mourey, MD, MBA, to its annual list of the “World’s 100 Most Powerful Women.” The list includes political leaders, corporate executives, NGO heads, top government officials and a first lady.
The Academic Progression in Nursing (APIN) program has announced grants to nine states, Nurse.com reports. California, Hawaii, Massachusetts, Montana, New Mexico, New York, North Carolina, Texas, and Washington state will receive two-year, $300,000 grants to advance state and regional strategies aimed at creating a more highly educated, diverse nursing workforce. Read more about the APIN grants.
City Biz List Baltimore reports on the selection of Jason E. Farley, PhD, MPH, CRNP, to be a 2012 RWJF Nurse Faculty Scholar. He is among the 12 talented junior nurse faculty members chosen for the highly competitive program. Read more about the new cohort of Nurse Faculty Scholars.
RWJF Physician Faculty Scholars alumnus Deverick J. Anderson, MD, MPH, spoke to the Associated Press about hospital infection control and “superbugs,” or antibiotic-resistant germs. The story was picked up by USA Today, U.S. News & World Report, and CBS News, among other outlets.
On Monday, U.S. Secretary of Health and Human Services Secretary Kathleen Sebelius announced a four-year, $200 million investment to support the training of advanced practice registered nurses (APRNs). The move was lauded by leaders of the Robert Wood Johnson Foundation (RWJF) and the Center to Champion Nursing in America.
The Secretary went to Duke University’s School of Nursing to announce that the Graduate Nurse Education Demonstration program will reimburse costs associated with training APRNS (nurse practitioners, nurse anesthetists, nurse midwives and nurse specialists) at five networks of hospitals, nursing schools, and community-based clinics and health centers. They are: the Hospital of the University of Pennsylvania, in Philadelphia; Duke University Hospital, in Durham, N.C.; Scottsdale Healthcare Medical Center, in Ariz.; Rush University Medical Center, in Chicago, Ill.; and Memorial Hermann-Texas Medical Center Hospital, in Houston, Texas.
The goal, officials said, is to help these highly skilled nurses gain the skills necessary to provide primary and preventive care for Medicare beneficiaries, including in underserved communities.
“This announcement marks a historic moment of investment in the crucial and growing role of nurses in our health care system,” RWJF President and CEO Risa Lavizzo-Mourey, MD, MBA, said. “With 8,000 baby boomers turning 65 and qualifying for Medicare daily, patients everywhere can benefit from the expertise of advanced practice nurses and the expanded access to care they potentially can provide. The decision to extend Medicare funding to nurses recognizes the urgent need to expand the workforce to care for the growing population of Medicare recipients.”
“This relatively modest investment will pay big dividends for consumers by preparing more highly skilled nurses to provide care when and where it is needed,” agreed Susan Reinhard, PhD, RN, FAAN, senior vice president of the AARP Public Policy Institute and chief strategist of the Center to Champion Nursing in America, an initiative of AARP, the AARP Foundation, and RWJF. “These new health professionals will improve access to crucial primary, preventive, and transitional care across a range of settings—from the hospital, to the home, to convenient care clinics,”
Half of the clinical training provided at the five demonstration sites must take place in the community, outside of hospital settings. The aim is to ensure that APRNs have skills to provide primary, preventive and transitional care, and to help patients manage chronic conditions. The funding is authorized under the Affordable Care Act.
This is part of a series in which Robert Wood Johnson Foundation (RWJF) leaders, scholars, grantees and alumni offer perspectives on the U.S. Supreme Court rulings on the Affordable Care Act. Michelle Scott recently graduated from Rowan University and is an intern at RWJF, working with The Future of Nursing: Campaign for Action.
I’m 22 and uninsured. I’ve only had health insurance for the four years I went to college, and now that I’ve just graduated, I no longer have that luxury. I survived the first 18 years of my life without it, but thanks to the Affordable Care Act, I don’t have to live without it for the rest of my life.
The day I received my college health insurance card in the mail, that flimsy piece of laminated paper with my name on it, I vividly remember thinking, “Wow. I’m allowed to be sick.” During my time at college I never got sick, nor injured in a serious accident of any kind where I actually needed medical attention. There was a brief period where I thought I smashed my hip and orbital bone in a skateboard incident my senior year of college, but after sitting on the ground at the skate park for a minute, and contemplating whether my family could afford to patch me up, I decided to walk it off. From my very early childhood, that’s how I learned to treat any kind of issue: Walk it off, or rest up until you can walk it off.
This is part of a series in which Robert Wood Johnson Foundation (RWJF) leaders, scholars, grantees and alumni offer perspectives on the U.S. Supreme Court rulings on the Affordable Care Act. Susan B. Hassmiller, PhD, RN, FAAN, is the Robert Wood Johnson Foundation Senior Adviser for Nursing and Director, Future of Nursing: Campaign for Action. This post also appears on Off the Charts, the blog of the American Journal of Nursing.
When I heard that the Supreme Court upheld the Affordable Care Act, I immediately thought of my father. He suffered mightily at the end of his life. Plagued with multiple chronic illnesses, he spent his last year in and out of hospitals. He received good hospital care, but his health deteriorated every time he left. He simply couldn’t keep track of a growing list of prescriptions, tests and doctor visits. My father accidentally skipped antibiotics, which led to infections, which landed him back in the hospital. He accidentally skipped blood tests, which landed him back in the hospital. It seemed that every time he came home, he’d land back in the hospital. I lived thousands of miles away and couldn’t be the advocate that he needed.
What he needed was transitional care – he needed a nurse to meet with him during a hospitalization to devise a plan for managing chronic illnesses and then follow him into his home setting. He needed a nurse to identify reasons for his instability, design a care plan that addressed them and coordinate various care providers and services. He needed a nurse to check up on him at home. Transitional care would have eased his suffering and enabled him to live better.
By Connie Mullinix, PhD, MBA, MPH, RN, Clinical Associate Professor, East Carolina University College of Nursing, Member, Coordinating Council, North Carolina Action Coalition, Chair, Leadership Task Force on Board Involvement of Nurses
In North Carolina, we take seriously the recommendation from the Institute of Medicine (IOM) to prepare nurses for leadership. This is a daunting task, if you understand the history of nursing. Traditionally, women in our society have been groomed to be unassertive and (usually male) others were looked to for ideas and directions. This was no less true, and perhaps even more true, in the field of nursing. However, for modern health care systems to address patients’ needs efficiently and well, today’s nurses must speak up to provide their insights and help lead a necessary transformation in health care.
Encouraging leadership has been chosen as a key recommendation of the IOM’s recent report—The Future of Nursing: Leading Change, Advancing Health—and one that is most likely to result in positive change in health care in the coming years. The North Carolina Action Coalition is focusing on three aspects of leadership support: preparing nurses for participation on boards of directors; mentoring nurse leaders; and defining the competencies of nurse leaders. The Coalition has assembled three task forces to address each of these issues.
Have you signed up to receive Sharing Nursing’s Knowledge? The monthly Robert Wood Johnson Foundation (RWJF) e-newsletter will keep you up to date on the latest nursing news, research and trends. Here are descriptions of some of the stories in the May issue:
A growing number of people are re-starting their careers by becoming nurses and, in so doing, helping to curb a looming nursing shortage and making valuable additions to the nursing workforce. Many second career nurses are able to enter the workforce quickly thanks to accelerated nurse education programs, which enable students to earn baccalaureate degrees in 12 to 18 months and master’s degrees in two to three years.
Pamela Austin Thompson, MS, RN, CENP, FAAN, CEO of the American Organization of Nurse Executives (AONE), is leading a new RWJF-supported initiative called Academic Progression in Nursing (APIN). APIN represents an historic collaboration among four of the nation’s largest nursing groups to lead a nationwide effort to help new nurses earn baccalaureate and higher degrees in nursing and transition into practice.
Michelle Scott recently graduated from Rowan University and is an intern at the Robert Wood Johnson Foundation (RWJF), working with The Future of Nursing: Campaign for Action.
I had the privilege of attending the Pennsylvania Action Coalition conference in Philadelphia in early June. It was hosted by Julie Fairman, PhD, RN, FAAN, and Afaf Meleis, PhD, DrPS (hon), FAAN, and the co-leads of the Pennsylvania Action Coalition, Betsy Snook, MEd, MSN, RN, and Christine Alichnie, PhD, RN
The conference was held to educate Pennsylvanians about how nurses and other leaders can prepare themselves for these monumental changes in health care as recommended in the Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health. The audience included nurses and other health professionals, business employees, educators and students. It is this diversity that drives the campaign. We need resources to ensure the many campaign supporters can advance its agenda.
The following Q&A was conducted by Michelle Scott, a recent graduate of Rowan University who is an intern at the Robert Wood Johnson Foundation (RWJF), working with The Future of Nursing: Campaign for Action. Scott recently attended a conference to launch the Pennsylvania Action Coalition, and interviewed some students who also participated. Read Scott’s reflections on the conference here.
Question: What do you feel your role as a rising physician will be in the plan to bring nurses and doctors together to work toward improving patient care?
Paul Shay: In health care, there has been a historical hierarchy that places the infallible physician above all other health care providers; however, recent literature has shown that collaborative health care is the best health care. It turns out that doctors aren’t infallible, and every team member, from social worker to nurse to physician, is equally valuable in patient care.
As a rising physician, I would be foolish not to embrace this collaboration in my future practice. I will make a concerted effort to let all of my non-physician colleagues know and feel that they are equal members in our team. Furthermore, it is equally, or arguably more, important that I advocate for other physicians to do the same. And outside of our own practices, we need to support the efforts of nursing organizations such as the Pennsylvania Action Coalition and the Pennsylvania State Nurses Association (PSNA).