Review The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” and explore the “Campaign for Action: State Action Coalition” website
Review The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” and explore the “Campaign for Action: State Action Coalition” website, both located in the topic Resources. In a 1,000-1,250-word paper, discuss the influence “The Future of Nursing: Leading Change, Advancing Health” and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
- Describe the work of the National Academies of Sciences, Engineering, and Medicine that led to the report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”
- Explain the trend occurring in the nursing workforce and how nursing education is adapting to meet the evolving needs of the profession. What is the role of the nurse in leading change?
- Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the National Academy of Sciences report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”
- Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
- Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Expert Answer and Explanation
Future of nursing 2020-2030
The healthcare industry is a dynamic field, one that is laced with different challenges and opportunities. To address the challenges and capitalize on the opportunities, organizations need to implement initiatives that are formed through concerted efforts, with the involvement of major industry stakeholders. This paper aims to discuss some of the available recommendations and initiatives that address some of the notable challenges in healthcare.
The National Academies of Sciences, Engineering, and Medicine
The National Academy of Sciences was created through an Act of Congress and signed by President Lincoln in 1863. The National Academy of Engineering and the National Academy of Medicine were established using the same charter in 1964 and 1970, respectively (Liverman et al., 2017). The entities were established as independent non-governmental institutions whose members were selected from peers in related fields. Doing so allows the organization to provide unbiased, analyzed, and independent observations and solutions to various science-related fields.
The work of the National Academies of Sciences, Engineering, and Medicine is to provide knowledge and expertise in diverse scientific disciplines, including healthcare-related fields, in seemingly complex issues (Liverman et al., 2017). The organization works by incorporating and providing unbiased scientific evidence that will help policy-making and solutions to complex issues that affect the US and global society.
One of the organization’s tenets is the principle of evidence-based practice, where it uses available gathered evidence to reach a meaningful conclusion that can help improve people’s livelihoods and the world. The academies encourage knowledge and research advancement and integration to facilitate the public understanding of issues concerning science, medicine, and engineering (Liverman et al., 2017).
Trends Occurring in the Nursing Workforce
One of the recent changes in the nursing workforce is the increased use of technology to drive healthcare improvements and efficiency in care delivery. Evidence suggests that increased integration of technology in healthcare is driving down healthcare costs and improving access to care while at the same time improving patient outcomes (Abdolkhani et al., 2022). With the increased adoption of healthcare technology and nursing education, I restructured to meet the need to integrate technology into the care delivery continuum; this includes the addition of telemedicine and electronic record-keeping in nursing practice.
Nurses play a critical role in leading change within the healthcare delivery spectrum. The first role that nurses play in leading change is the leadership role. One of the key ingredients to change is effective leadership. Most nurses join the profession with the expectation of becoming a leader within their area of influence. As such, the nursing education framework is increasingly advancing to nature transformative nurse leaders who can initiate positive change in their organization, the community, and the healthcare industry at large (Alzahrani, 2019).
Previous instances, for example, the recent COVID-19 pandemic, demonstrated that nurses have adequate leadership capabilities to steer change and provide solutions to complex healthcare issues. The current Future of Nursing report still encourages nurses to increasingly develop in leadership so that they can serve as full partners with other healthcare professionals by moving from the bedside to the boardroom (Flaubert et al., 2021).
The second role is the innovator role. Nurses act as change agents by levering their capabilities to use innovation and technology to improve better health outcomes at a lower cost (Snow, 2019). The third role is advocacy and a policy-making role where they advocate on behalf of their patients and other healthcare workers to improve the healthcare delivery system.
Role of State-Based Action Coalitions.
State-based action coalitions are a multi-sector coalition, not just healthcare, whose primary purpose is to transform healthcare and promote equity. The California Action Coalition has been at the forefront of driving significant change and implementing the “Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity” report. One of the ways the coalition has helped to advance the goals specified in the report is by training nurses, whereby the coalition continues to advocate for enhanced nurse education to meet the 80% threshold of BSN-prepared nurses by 2020.
The concerted efforts of the coalition and the state have seen an increase of 8.5% in BSN-prepared nurses, which now states at over 61% (Campaign For Action, n.d.). Additionally, in terms of leadership, the coalition continues to actively engage and prepare nurse leaders who will bring transformative change in nursing practice by developing active leadership workgroups. These workgroups have helped nurses develop leadership competencies through learning and mentorship programs.
The coalition is also helping implement the report’s recommendations, specifically the transition to practice through residency programs. Those who have participated in the residency program created under the guidelines of the coalition have gotten jobs often in nontraditional settings (Campaign For Action, n.d.). Lastly, the coalition, through the APRN Coalition, continues to advocate for the removal of practice barriers allowing nurses to practice to the full scope of their education and training.
Initiatives Spearheaded by California Action Coalition
The California Action Coalition has always been at the forefront of advocating for practices that promote the advancement of the nursing profession. One of the initiatives the coalition implements towards this goal is the LifeMoxie mentorship program which is purposed towards enhancing nursing leadership in the state. The coalition implements the program in collaboration with ACNL and Kaiser Permanente, where it has so far managed to mentor over 200 mentees.
Such mentorship programs help prepare boardroom nurses who can help make transformative healthcare decisions that help to develop the nursing profession and healthcare delivery as a whole. Another program is an initiative done in collaboration with HealthImpact, to improve healthcare delivery in the state. The initiative’s mission is to improve the nursing profession by enhancing interprofessional leadership and excellence in nursing (Campaign For Action, n.d.).
Barriers to Advancement
One of the most significant barriers to advancement in the state of California is practice barriers that prevent nurse practitioners (NPs) from fully executing their mandate to the full extent of their education and training. According to Spetz (2019), California is one of the 22 states and the only one in the western united states to have NP practice restrictions, requiring them to work with physician oversight. This prevents advancement in the nursing profession and delivery of care, especially primary care, where significant disparities still exist.
The “Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity” report provides recommendations that, when fully implemented, could significantly help advance healthcare and promote equity within the delivery spectrum. State coalitions and nursing organizations can hasten the achievement of the proposed goals by implementing targeted initiatives and providing effective guidelines for implementation. Additionally, such coalitions help to eliminate existing barriers that prevent the advancement of the nursing profession.
Abdolkhani, R., Petersen, S., Walter, R., Zhao, L., Butler-Henderson, K., & Livesay, K. (2022). The Impact of Digital Health Transformation Driven by COVID-19 on Nursing Practice: Systematic Literature Review. JMIR Nursing, 5(1), e40348. https://doi.org/10.2196/40348
Alzahrani, S. (2019). Transformational leadership style on nursing job satisfaction amongst nurses in hospital settings: Findings from systematic review. Global Journal of Health Science, 11(6), 1-25.
Campaign For Action. (n.d.). California Action Coalition. https://campaignforaction.org/state/california/
Flaubert, J. L., Le Menestrel, S., Williams, D. R., Wakefield, M. K., & National Academies of Sciences, Engineering, and Medicine. (2021). Nurses Leading Change. In The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies Press (US).
Liverman, C. T., Masys, D. R., Scott-Conner, C. E., & National Academies of Sciences, Engineering, and Medicine. (2017). The National Academies of Sciences• Engineering• Medicine. In Review of NASA’s Evidence Reports on Human Health Risks: 2016 Letter Report. National Academies Press (US).
Snow F. (2019). Creativity and Innovation: An Essential Competency for the Nurse Leader. Nursing administration quarterly, 43(4), 306–312. https://doi.org/10.1097/NAQ.0000000000000367
Spetz, J. (2019). California’s Nurse Practitioners: How Scope of Practice Laws Impact Care. California Health Care Foundation. https://www.chcf.org/publication/californias-nurse-practitioners/
What impact does the National Academy of Medicine have on nursing practice?
The National Academy of Medicine (NAM) plays a significant role in shaping nursing practice in the United States. While it’s important to note that NAM primarily focuses on health and medicine broadly, its influence extends to nursing through various mechanisms:
- Evidence-Based Guidelines: NAM conducts research and produces reports that often include evidence-based guidelines for healthcare delivery. These guidelines can influence nursing practice by providing recommendations on best practices and standards of care. Nurses frequently rely on these guidelines to ensure they are delivering high-quality care to patients.
- Policy and Advocacy: NAM has a strong voice in shaping healthcare policy at the national level. This includes issues related to nursing education, scope of practice, and workforce development. By advocating for policies that support nursing practice and its role in healthcare delivery, NAM indirectly influences the work environment and opportunities available to nurses.
- Interdisciplinary Collaboration: NAM fosters collaboration among healthcare professionals, including nurses. Through its various programs and initiatives, it encourages interdisciplinary teamwork and the integration of nursing expertise into broader healthcare discussions. This helps nurses contribute their knowledge and skills effectively to patient care.
- Research Funding: NAM often collaborates with government agencies and private organizations to fund research projects. Some of this research may directly impact nursing practice, such as studies on nurse staffing ratios, patient safety, and nursing interventions. These research findings can inform and improve the way nurses deliver care.
- Education and Training: NAM’s reports and recommendations can influence nursing education and training programs. By highlighting the importance of specific competencies or areas of expertise, NAM can guide the development of nursing curricula to better prepare nurses for evolving healthcare needs.
- Public Awareness: NAM’s work can also raise public awareness about nursing and its role in healthcare. This can contribute to a better understanding of the value of nursing practice and potentially lead to increased support and resources for the profession.
In summary, the National Academy of Medicine wields significant influence over nursing practice in the United States through its research, policy advocacy, collaboration efforts, and educational initiatives. Its work helps shape the nursing profession, ensuring that it continues to evolve and adapt to meet the changing needs of healthcare delivery.
Why was the future of nursing report created?
The “Future of Nursing” report, officially titled “The Future of Nursing: Leading Change, Advancing Health,” was created in response to a critical need to address challenges and opportunities in the nursing profession and healthcare system in the United States. The report was developed by the Institute of Medicine (now known as the National Academy of Medicine) in collaboration with the Robert Wood Johnson Foundation and was released in 2010. Several key reasons prompted the creation of this influential report:
- Healthcare Reform: At the time, the United States was in the midst of healthcare reform discussions, which eventually led to the passage of the Affordable Care Act (ACA) in 2010. The role of nurses in delivering healthcare services was central to these discussions, and there was a need for a comprehensive examination of how nurses could contribute to improving healthcare delivery in the evolving healthcare landscape.
- Changing Healthcare Needs: The healthcare needs of the U.S. population were evolving. There was a growing demand for healthcare services due to an aging population, an increase in chronic diseases, and other demographic changes. Nurses, as a critical component of the healthcare workforce, needed to adapt to meet these changing needs.
- Quality and Safety: Ensuring patient safety and delivering high-quality care were top priorities. The report aimed to explore how nurses could play a more prominent role in improving healthcare quality, patient outcomes, and safety.
- Nursing Shortage: There was a concern about a potential shortage of nurses in the coming years. The report sought to address this issue by recommending strategies to increase the number of well-prepared nurses and maximize their contributions to healthcare.
- Optimizing Nursing Practice: The report aimed to identify barriers and challenges that hindered nurses from practicing to the full extent of their education and training. It also sought to recommend changes in policies and regulations to remove these barriers and enable nurses to work at the top of their license.
- Interdisciplinary Collaboration: The report emphasized the importance of interdisciplinary collaboration in healthcare. It recognized that nurses, as the largest segment of the healthcare workforce, could play a central role in promoting teamwork and collaboration among healthcare professionals.
In summary, the “Future of Nursing” report was created to address the pressing issues facing the nursing profession and healthcare system in the United States. It provided a roadmap for transforming nursing practice, education, and leadership to meet the changing needs of healthcare delivery and improve the overall health of the population. Its recommendations have had a significant impact on nursing practice and policy development in the years following its release.
What is the role of state based action coalitions?
State-based action coalitions play a crucial role in advancing and advocating for nursing practice, education, and policy at the state level in the United States. These coalitions are part of the larger Future of Nursing Campaign for Action, which was launched following the release of the Institute of Medicine’s “Future of Nursing” report in 2010. The role of state-based action coalitions includes:
- Implementing Recommendations: State-based action coalitions work to implement the recommendations outlined in the “Future of Nursing” report within their respective states. These recommendations cover areas such as expanding the scope of practice for nurses, improving nursing education, and promoting leadership opportunities for nurses.
- Advocating for Policy Changes: State coalitions advocate for policy changes at the state level that align with the goals of the Future of Nursing Campaign for Action. This may include supporting legislation to remove barriers to full practice authority for advanced practice nurses, advocating for safe nurse-to-patient ratios, and pushing for increased funding for nursing education programs.
- Collaboration and Partnerships: State-based action coalitions often collaborate with a wide range of stakeholders, including healthcare organizations, educational institutions, government agencies, and nursing associations. These collaborations aim to create a unified front for advancing nursing priorities within the state.
- Promoting Education and Training: State coalitions work to improve the quality of nursing education and training within their states. This may involve initiatives to enhance the education of nurses, increase the capacity of nursing programs, and ensure that nursing students are prepared to meet the evolving healthcare needs of their communities.
- Engaging Nurses and Stakeholders: State coalitions engage nurses and stakeholders through outreach and education efforts. They seek to raise awareness among nurses about policy issues, the importance of their engagement, and opportunities for leadership within the profession.
- Data Collection and Analysis: State-based action coalitions may collect and analyze data related to nursing workforce trends and healthcare outcomes within their states. This data can be used to inform policy decisions and demonstrate the impact of nursing on healthcare delivery and patient outcomes.
- Leadership Development: These coalitions often focus on developing nursing leadership at all levels, from staff nurses to nurse executives. They provide opportunities for nurses to enhance their leadership skills and take on leadership roles within healthcare organizations and policy-making bodies.
- Community Engagement: State coalitions may also engage with local communities to address healthcare disparities, promote public health initiatives, and increase access to care. Nurses often play a central role in community health, and state-based action coalitions support and amplify these efforts.
The impact of education on nursing practice
Education has a profound impact on nursing practice, shaping the skills, knowledge, and competencies of nurses as they provide healthcare services to individuals, families, and communities. Here are several ways in which education influences nursing practice:
- Clinical Competence: Nursing education equips individuals with the necessary clinical skills and expertise to provide safe and effective patient care. This includes skills such as medication administration, wound care, monitoring vital signs, and performing various medical procedures.
- Evidence-Based Practice: Education emphasizes the importance of evidence-based practice. Nurses are taught how to critically assess research and integrate the best available evidence into their clinical decision-making. This helps ensure that nursing care is based on the most up-to-date and effective approaches.
- Critical Thinking: Nursing education fosters critical thinking skills. Nurses learn to assess complex patient situations, identify problems, and develop care plans that address individual patient needs. Critical thinking is essential for making quick and informed decisions in a dynamic healthcare environment.
- Patient Assessment: Education provides nurses with the knowledge and skills needed to conduct thorough patient assessments. This includes taking medical histories, performing physical exams, and recognizing changes in patient conditions, which are crucial for early intervention.
- Communication: Effective communication is a core aspect of nursing practice, and education emphasizes the importance of clear and compassionate communication with patients, families, and the healthcare team. This skill is essential for building trust, facilitating patient education, and ensuring patient safety.
- Ethical and Legal Considerations: Nursing education covers ethical principles and legal obligations that guide nursing practice. Nurses learn about patient rights, informed consent, confidentiality, and ethical dilemmas they may encounter in their roles.
- Cultural Competence: Education promotes cultural competence, enabling nurses to provide culturally sensitive care to diverse patient populations. Understanding cultural differences and beliefs is essential for delivering patient-centered care.
- Leadership and Management: For nurses in leadership or management roles, education provides the necessary knowledge and skills to effectively lead teams, manage resources, and make strategic decisions to improve patient care and healthcare outcomes.
- Continuing Education: Nursing is a dynamic field, and education doesn’t stop with initial licensure. Continuing education and professional development are essential to staying current with advancements in healthcare, technology, and practice guidelines.
- Specialization: Education also opens doors to specialized nursing roles, such as nurse practitioners, nurse anesthetists, clinical nurse specialists, and nurse educators. These roles require advanced education and training to provide specialized care or educate the next generation of nurses.
- Adaptation to Change: Nursing education prepares nurses to adapt to changes in healthcare delivery models, technology, and policies. Nurses need to be agile in their practice to meet the evolving needs of patients and healthcare systems.
In summary, education is the foundation of nursing practice, providing nurses with the knowledge, skills, and ethical grounding they need to deliver high-quality, patient-centered care. It equips nurses to adapt to a constantly changing healthcare landscape and empowers them to make informed, evidence-based decisions that positively impact patient outcomes.
How has nursing education changed over the last 100 years?
Nursing education has undergone significant transformations over the last 100 years, reflecting advancements in healthcare, changes in societal expectations, and evolving educational methods. Here are some key ways in which nursing education has changed during this period:
- Formalization of Nursing Schools: In the early 20th century, nursing education often took place in hospital-based diploma programs. These programs were relatively short and focused on practical skills. Over time, nursing education became more formalized, with the establishment of dedicated nursing schools and colleges.
- Shift to Academic Institutions: In the mid-20th century, nursing education started moving from hospital-based programs to academic institutions, including universities and colleges. This shift elevated the educational standards for nurses and emphasized the importance of a strong theoretical foundation.
- Standardization of Curriculum: Nursing education has seen efforts to standardize curriculum and educational requirements. The National League for Nursing (NLN) and the American Association of Colleges of Nursing (AACN) have played key roles in establishing standards for nursing education in the United States.
- Introduction of Bachelor’s Degrees: The Bachelor of Science in Nursing (BSN) degree became increasingly recognized as the preferred entry-level credential for professional nursing practice. Many nursing schools now offer BSN programs to prepare nurses with a more comprehensive education.
- Advanced Practice Nursing: The last several decades have seen the development and expansion of advanced practice nursing roles, such as nurse practitioners (NPs), nurse anesthetists (CRNAs), and clinical nurse specialists (CNSs). These roles require graduate-level education and specialized training.
- Technology Integration: Nursing education has integrated technology into the learning process. Simulation labs, electronic health records (EHRs), and telehealth training have become common components of nursing education to prepare students for modern healthcare settings.
- Focus on Evidence-Based Practice: Nursing education has placed a stronger emphasis on evidence-based practice. Students are taught to critically evaluate research and apply the best available evidence to patient care.
- Interprofessional Education: Collaborative healthcare is a growing trend. Nursing education now often includes interprofessional education (IPE), where students from different healthcare disciplines learn together to promote teamwork and effective communication.
- Cultural Competency: Nursing programs have incorporated cultural competency training to prepare nurses to provide care to increasingly diverse patient populations and consider cultural beliefs and preferences in their practice.
- Lifelong Learning: Recognizing the need for ongoing professional development, nursing education has shifted to emphasize lifelong learning. Continuing education and opportunities for specialization are more readily available to nurses.
- Online Education: Online and hybrid nursing education programs have become more common, providing greater accessibility to nursing education for students with diverse schedules and backgrounds.
- Research Integration: Nursing education has embraced research as a fundamental component. Many nursing programs now offer research courses and encourage students to engage in scholarly activities.
What is new in nursing education?
Nursing education is continually evolving to meet the changing demands of healthcare and to prepare nurses for the challenges and opportunities of the modern healthcare landscape. Here are some of the newer trends and innovations in nursing education:
- Technology Integration: Nursing education increasingly incorporates technology, such as virtual simulation labs, electronic health records (EHR) training, and telehealth education. These technologies prepare students for the digital aspects of contemporary healthcare.
- Online and Hybrid Programs: Online and hybrid nursing education programs have become more prevalent, offering flexibility for students who may have work or family commitments. These programs use various digital tools and platforms for interactive learning.
- Flipped Classrooms: The flipped classroom model reverses traditional teaching methods. Students learn foundational content online before attending in-person classes, where they engage in more active learning, discussions, and hands-on clinical simulations.
- Interprofessional Education (IPE): Many nursing programs now emphasize interprofessional education, where students from various healthcare disciplines learn together. This promotes collaboration, communication, and teamwork in healthcare settings.
- Simulation-Based Learning: High-fidelity simulation is used to mimic real patient care scenarios. It provides students with opportunities to practice clinical skills and decision-making in a safe environment.
- Telehealth Education: With the growth of telehealth in healthcare, nursing programs are integrating telehealth education to train students on virtual patient assessments, remote monitoring, and telehealth technology utilization.
- Emphasis on Mental Health: Given the increasing importance of mental health in healthcare, nursing education is placing a greater emphasis on psychiatric and mental health nursing, equipping students to address mental health issues in various care settings.
- Cultural Competency and Health Equity: Nursing programs are increasingly focusing on cultural competency and health equity training to prepare nurses to provide care to diverse populations and address healthcare disparities.
- Data and Informatics: Nursing students are being taught how to use data and informatics to make informed decisions, improve patient outcomes, and contribute to quality improvement efforts.
- Human-Centered Care: An increased emphasis on patient-centered and human-centered care models is being integrated into nursing education. This includes training in empathy, communication skills, and shared decision-making.
- Environmental Health: Nursing programs are recognizing the importance of environmental health education, preparing nurses to understand and address environmental factors that impact patient health.
- Global Health Perspectives: Nursing education increasingly incorporates global health perspectives, encouraging students to consider healthcare on a global scale and addressing global health challenges.
- Professional Development and Leadership: Many nursing programs offer leadership and professional development courses to prepare students for leadership roles within healthcare organizations and policy advocacy.
- Competency-Based Education: Some nursing programs are adopting competency-based education models, where students advance based on their mastery of specific skills and knowledge rather than by a set timeline.
- Holistic and Integrative Approaches: Nursing education is exploring holistic and integrative healthcare approaches, recognizing the interconnectedness of physical, emotional, and spiritual aspects of health and healing.