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What is the Future of Nursing: Campaign for Action?
As health-care needs of the American population grow and change, a larger number of better-prepared health-care professionals is required to promote the health of our nation. The Future of Nursing: Campaign for Action marks an unprecedented initiative to address the increased demands for care by utilizing all the skills, talents, knowledge and experience of nurses.
The purpose of the Campaign for Action is to guide implementation of the recommendations of the Institute of Medicine’s (IOM) landmark report, Future of Nursing: Leading Change, Advancing Health. The key messages from the report are:
- Nurses should practice to the full extent of their education and training
- Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression
- Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States
- Efficient workforce planning and policy making require better data collection and an improved information infrastructure.
With leadership from the Robert Wood Johnson Foundation and significant partnerships from diverse sectors including physicians, nurses, insurers, consumers, business, government, foundations, academia and health systems, the Campaign for Action will create a transformed health-care workforce through the implementation of the report recommendations. The Robert Wood Johnson Foundation is building on existing groundwork and creating new collaborations to engage national organizations to commit to playing key roles in guiding implementation. The AARP Center to Champion Nursing in America is an active partner and 36 state-based action coalitions, including California, are moving the recommendations forward at the community and state levels.
A healthy California through nursing leadership and service
To implement the recommendations of the IOM Future of Nursing report through strategic partnerships for a healthy California
- Engaging broad and diverse perspectives
- Increasing and using influence
- Strategic and efficient use of resources
- Improving health outcomes
California Action Coalition Overview
The California Action Coalition serves as the driving force for the implementation of the IOM report recommendations in the state. Recognizing the important work already underway in California and with a goal of long-term sustainable change, the California Action Coalition leads the way to improve the health of the population. Workgroups are fully established for each of the eight recommendations and each workgroup identified immediate goals on which they will focus in the coming year:
Recommendation #1: Remove scope of practice barriers
- Conduct a gap analysis to compare the IOM Future of Nursing for nursing scope-of-practice recommendations to the laws and statutes of California for the registered nurse and the four advanced-practice registered nurse roles.
- Conduct a gap analysis to compare California advanced-practice nurse scope-of-practice regulations to the National Council of State Boards of Nursing Consensus Model for Advanced-Practice Registered Nurse Regulation.
Recommendation #2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts
- Convene a statewide symposium in September 2012 to explore opportunities to transform health-care delivery in California, share current innovative models, and assess gaps in current models of care delivery.
Recommendation #3: Implement nurse residency programs
- Expand programs for new graduates to include more community-based opportunities.
- Create a statewide evaluation of current programs to inform next steps.
Recommendation #4: Increase the proportion of nurses with baccalaureate degrees to 80% by 2020
- Establish baseline percentage of currently practicing registered nurses with minimum educational level of B.S.N. in California to enable setting realistic 80 percent by 2020 goal.
- Inventory and analyze data from existing California A.D.N.-to-B.S.N projects to establish best practices and define technical assistance needs.
- Continue to facilitate progress on Assembly Bill 1295 with consultation and support to the California Community College and California State University Chancellor’s Offices.
Recommendation #5: Double the number of nurses with a doctorate by 2020
- Work with Recommendation #8 co-leads to establish baseline number of nurses with a doctorate.
- Establish outcome measures and methods of collecting that data for reaching the goal of a 10 percent increase of B.S.N. graduates matriculating into master’s-degree programs within five years.
Recommendation #6: Ensure that nurses engage in life-long learning
- Work closely with Recommendations #4 and #5 workgroups to establish priorities and communications plans for messaging to multiple audiences (such as nurses, hospitals, community health) regarding the need for culture change to expectations of life-long learning in the profession of nursing.
- Create a repository on the California Action Coalition website showcasing service and education partnerships that demonstrate effective models for fostering and supporting lifelong learning.
Recommendation #7: Prepare and enable nurses to lead change to advance health
- Conduct gap analysis of 2011 statewide leadership survey to identify needs for developing new leadership programs for nurses. Current programs found in the survey to be available to nurses throughout the state will be posted to the California Action Coalition website.
- Expand nursing leadership opportunities by providing training opportunities for participation in boardrooms, policy discussions and management teams.
- Develop a systematic plan for involving students in the coalition work.
Recommendation #8: Build an infrastructure for the collection and analysis of interprofessional health care workforce data
- Upload all public-access web links and resources for data to the California Action Coalition website.
- Disseminate a seamless inventory of statewide data for purposes of analysis and workforce planning.
- Work closely with other recommendation workgroups to assess what data needs would help implement their strategies.