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IOM/RWJ RECOMMENDATIONS FOR THE FUTURE OF NURSING. Karren Kowalski, PhD, RN, NEA-BC , FAAN Interim President and CEO Colorado Center for Nursing Excellence Professor , Texas Tech University. Aging Faculty Work Force. RWJF.
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IOM/RWJ RECOMMENDATIONS FOR THE FUTURE OF NURSING Karren Kowalski, PhD, RN, NEA-BC, FAAN Interim President and CEO Colorado Center for Nursing Excellence Professor, Texas Tech University
Aging Faculty Work Force
RWJF • The mission of the Robert Wood Johnson Foundation is to improve the health and health care of all Americans. • Our goal is clear: To help our society transform itself for the better.
RWJF Says: • Nursing's bond to patients and link to quality of care are pivotal, as nurses make up more that half of the health care workforce. To improve the quality of hospital care, we must also transform the quality of nursing care at the patient's bedside
The Institute of Medicine (IOM) is an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public.
The Future of Nursing, Leading Change, Advancing Health • KEY MESSAGES: • 1. Nurses should practice to the full extent of their education and training • 2. Nurses should achieve higher levels of education and training • 3. Nurses should be full partners in redesigning healthcare in the US • 4. Improved data collection for planning and policy making AND improved IT
Future of Nursing • Recommendations: 1. Remove scope of practice barriers 2. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts 3. Implement nurse residency programs 4. Increase the proportion of nurses with BSN to 80% by 2020
Future of Nursing (cont) • 5. Double the number of nurses with a doctorate by 2020 • 6. Ensure that nurses engage in lifelong learning. • 7. Prepare and enable nurses to lead change to advance health • 8. Build an infrastructure for the collection and analysis of inter-professional healthcare workforce data
BLUEPRINT • Ensure that nurses can practice to full extent of their education and training. • Improve nursing education. • Provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts. • Improve data collection for workforce planning and policy-making. • Foster inter-professional collaboration
Regional Action Coalition • Colorado Hospital Association • Is serving as the Co – Lead
CO-RAC • Regional Action Coalitions are the driving force of the Future of Nursing: Campaign for Action, a broad national effort to implement the IOM’s blueprint for ensuring that all Americans have access to high quality, patient-centered health care. • Partners are RWJF • AARP Foundation
Current 15 RACs California Mississippi Colorado New Jersey Florida New Mexico Idaho New York Illinois Utah Indiana Virginia Louisiana Washington Michigan
RAC Purpose • Effect long-term sustainable change at the local, state, and regional levels • Capture “best practices” • Determine research needs • Track lessons learned • Identify replicable models
“Riding a Dead Horse” Ancient wisdom says that when you discover you are riding a dead horse, the best strategy is to dismount. However, in organizations we often try many other strategies, including the following:
“Riding a Dead Horse” • Changing riders • Obtaining or Buying a stronger whip
“Riding a Dead Horse” • Believing the minority opinion - That the horse is still alive • Falling back on: “this is the way we’ve always ridden”
“Riding a Dead Horse” • Appointing a committee to study the dead horse • Arranging a visit to other sites to see how they ride dead horses
“Riding a Dead Horse” • Hiring an external consultant to show how a dead horse can be ridden • Harnessing several dead horses together to increase speed
“Riding a Dead Horse” • Creating a training session to improve riding skills • Changing the requirements so that the horse no longer meets the standard of death
“Riding a Dead Horse” • Increasing funding to improve the horse’s performance • Declaring a dead horse less costly than a live one
“Riding a Dead Horse” • Forming a committee to find uses for the dead horse
“Riding a Dead Horse” • Promoting the dead horse to a supervisory position
Thank you Karren Kowalski, PhD, RN, NEA-BC, FAAN Karren.Kowalski@att.net 303-715-0343 x15