THE IOM / RWJF INITIATIVE ON THE FUTURE OF NURSING REPORT:

What Does it Mean for Nursing and Michigan

2010 MONE Conference Michael R. Bleich, PhD, RN, FAAN Dean and Dr. Carol A. Lindeman Distinguished Professor of Nursing Vice Provost of Interprofessional Education and Development Oregon Health & Science University November 12, 2010

The Report

Messages and recommendations are from The Future of Nursing:

Leading Change, Advancing

Health report, published by the Institute of Medicine of the National Academies (Hardcopy available in January 2011) Visit http://www.iom.edu/nursing to view the report

Committee on the RWJF initiative on the Future of Nursing, at the IOM

18 members (5 intergenerational nurses) with expertise in:      Public health Nursing Federal & state administration Hospital & health plan administration Business administration       Health information & technology Health services research Health policy Workforce research & policy Economics Health care consumer perspective

   5 committee meetings 3 public workshops 3 public forums (including submission of testimony) that resulted in published workshop reports  Acute care  Care in the community  Education

Study Process

    Literature review 5 commissioned papers RWJF Nursing Research Network Interviews with nurses for case studies and nurse profiles

     Public lens and need for nurses and nursing Focused messages and recommendations Actors named Implementation plans and funding The last chapter matters

The Gestalt of the Report

Examples of Implementation: Scope of Practice

Advanced practice registered nurses should be able to practice to the full extent of their education and training. To achieve this goal, the committee recommends actions for the following entities:  Congress  State Legislatures  Centers for Medicare and Medicaid Services  Office of Personnel Management  Federal Trade Commission and Antitrust Division of the Department of Justice

Examples of Implementation: Nurse Residency Programs

State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses’ completion of a transition-to-practice (nurse residency) after they have completed a prelicensure or advanced practice degree program or when they are transitioning into new clinical practice areas.

State of Our Science

   Research priorities for Transforming Nursing

Practice

Research priorities for Transforming Nursing

Education

Research priorities for Transforming Nursing

Leadership

Key Messages

Key Message No. 1

RECOMMENDATION NO. 1: Nurses should practice to the full extent of their education & training

• Remove scope-of practice barriers

Key Message No. 2

Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression RECOMMENDATION NO. 3:

• Implement nurse residency programs

Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression RECOMMENDATION NO. 4:

• Increase the proportion of nurses with a baccalaureate degree to 80% by 2020

Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression RECOMMENDATION NO. 5:

• Double the number of nurses with a doctorate by 2020

Nurses should achieve higher levels of education & training through an improved education system that promotes seamless academic progression RECOMMENDATION NO. 6:

• Ensure that nurses engage in lifelong learning

Key Message No. 3

Nurses should be full partners, with physicians and other health care professionals, in redesigning health care systems in the United States RECOMMENDATION NO. 2:

• Expand opportunities for nurses to lead and diffuse collaborative improvement efforts

Nurses should be full partners, with physicians and other health care professionals, in redesigning health care systems in the United States RECOMMENDATION NO. 7:

• Prepare and enable nurses to lead change to advance health

Key Message No. 4

Effective workforce planning and policy making require better data collection and an improved information infrastructure RECOMMENDATION NO. 8:

• Build an infrastructure for the collection & analysis of inter professional health care workforce data

• With best minds available  • Best minds are NOT “like” minds Solve Complex Issues Process Matters • Movement • Responsiveness • Nimbleness

Lessons Learned

• Listen for principle(s)  • Do not take literally • Some have the gift of argument Extreme Viewpoints Use Your Voice • Be patient & iterative • Reframe the message at critical times  • Listen sharply & differently

Get Involved!

   Upcoming Robert Wood Johnson Foundation (RWJF) Meeting on November 30 th – December 1st 500 multi-stakeholder participants Go to the RWFJ Website link to volunteer and receive more information about the upcoming live webcast: http://www.rwjf.org/humancapital/product.jsp?id=69548

Implementation Strategy

   Regional Access Coalitions Must be co-led Five lead states named, but more to follow and not to deter other action from moving ahead  California  Mississippi  New York  New Jersey  Michigan

Convergence and Forward!

The convergence of decades of hard work, growth in our science, linkage of academic service technology with the human condition, and health policy can reinvigorate our purpose for being nurses. Let us converge our energy for the sake of good.

Contact Information

Michael R. Bleich, PhD, RN, FAAN Dean & Dr. Carol A. Lindeman Distinguished Professor Vice Provost for Interprofessional Education and Development Oregon Health & Science University School of Nursing – SN-ADM 3455 SW US Veterans Hospital Road Portland, OR 97239-2941 Phone: 503-494-7444 Fax: 503-494-5165 Email: [email protected]