Assignment: Future of Nursing Report
Assignment: Future of Nursing Report
Assessment Description
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.
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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.â€
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.
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Future of Nursing Report
The Future of Nursing report was published by the Institute of Medicine (IOM). The report has been crucial in helping the world understand the significance of health to all life aspects. It has also helped to understand the relationship between health equity, social determinants of health (SDOH), and health outcomes. The purpose of this paper is to explore the influence of the Future of Nursing report, and state-based action coalitions on nursing practice, education, and workforce, and how they foster the profession’s goals.
The Work of the National Academies of Sciences, Engineering, and Medicine
The National Academies of Sciences, Engineering, and Medicine (NASEM) provide the country with autonomous, objective analysis and guidance and implement interventions to address complex issues and steer decisions in public policy. NASEM also fosters education and research, acknowledges contributions to generating knowledge, and improves the public’s knowledge about science, engineering, and medicine (Wakefield et al., 2021). It typically publishes reports like the ‘The Future of Nursing 2020-2030’ report, which comprises findings, conclusions, and recommendations based on data gathered by the committee and discussions.
The Trend in the Nursing Workforce and How Nursing Education is Adapting to Meet the Evolving Needs of the Profession
The nursing workforce is experiencing various changes due to the evolving healthcare needs of the patient population. The number of nurses has increased steadily over the past years resulting in the nursing workforce being the largest among all the health care professions in the US. Nurses are taking roles as scientists by carrying out clinical and health services research and as executives and entrepreneurs by taking leadership positions in health care organizations and as members of hospital and health system boards (Sundean et al., 2019). In addition, nurses are taking roles as public health officers and educators and act as consultants to the federal, state, and local governments, especially in policy making. Nurse practitioners (NPs) are recognized as primary care providers in most states, where they are granted independent practice (Stephenson, 2021). As a result, NPs increasingly provide care to patients living in rural and undeserving areas with a low supply of physicians. Nonetheless, there continues to be an acute shortage of registered nurses (RNs) to meet the demands of the country’s growing health care needs.
Nursing education has shifted from hospital-based diploma programs to degrees offered in colleges and universities. This aims at preparing RNs for more highly skilled roles that will expand their reach and impact, benefiting the nurses and healthcare organizations. Besides, there has been the emergence and growth of NP programs and other advanced practice nursing (APN) programs for certified nurse midwives, nurse anesthetists, and clinical nurse specialists, which shows a significant advancement in nursing education (Sundean et al., 2019). Furthermore, nursing programs prepare students with knowledge and skills to address SDOH, ensuring a diverse nursing workforce.
The nurse should act as an agent of change to drive clinical processes and policy and influence technology to promote better, more affordable health care for patients. Nurse leaders can lead in promoting change in the healthcare system by developing and executing innovative changes particularly in health policy. In addition, nurses can also identify innovative ideas that will influence the development of health policy, which promotes change in healthcare (Stephenson, 2021). They can also identify health information technology innovations to improve clinical processes and patient care quality.
The Role of State-Based Action Coalitions
State-based action coalitions are present in every state in the US and the District of Columbia. They conduct the Campaign activities at the local, regional, and state levels. The Campaign organizes meetings to discuss the major topics of the IOM report, like education, leadership, and scope of practice and offers technical assistance to the state Action Coalitions (Wakefield et al., 2021). The state-based coalitions go beyond nursing and health care and include almost 2,000 organizations collaborating to foster health equity.
The coalitions have developed networks at the grassroot level with local stakeholders to execute change at the state and local levels. They are regarded as “the driving force of the Campaign” since they can work as a network to produce change at the local level (Wakefield et al., 2021). Besides, the coalitions advance the goals stated in the NASEM report by addressing pillars like progressing the transformation education, supporting nursing leadership, getting rid of barriers to practice and care, fostering interprofessional collaboration, and supporting diversity.
Initiatives on Which Texas Action Coalition Is Working
The Texas Team Action Coalition is working on various initiatives from the IOM recommendations. Two of these initiatives include removing scope of practice barriers and increasing the proportion of nurses with a baccalaureate (BSN) degree. In 2013, Texas Team partners joined the Texas Nurses Association (TNA) to pass legislation that eliminated a complicated site-based delegation model and replaced it with a streamlined prescriptive authority agreement model (Zolnierek et al., 2021). In 2015, an APRN Alliance and Coalition for Health Care Access was established to remove scope-of-practice barriers. In addition, Full practice authority bills were filed in 2015, 2017, and 2019 but failed to pass.
The Texas Team Action Coalition is working to increase the percentage of nurses with a BSN degree to 80%. In 2012, the Texas Team was given a two-year Academic Progression in Nursing (APIN) grant. This promoted the alignment of associate degree nursing (ADN) programs’ curricula with institutions offering BSN to promote seamless transition for students undertaking the BSN (Zolnierek et al., 2021). This increased the proportion of nurses with a BSN from 48.8% in 2010 to 61.8% in 2018. The above initiatives advance the nursing profession by enabling nurses to practice to the full scope of training (DePriest et al., 2020). They also facilitate role transitions to RN and APRN positions and ensure nurses are adequately prepared to take leadership positions and engage in policy-making.
Barriers to Advancement That Currently Exist In Texas
Texas is one of the most restrictive APRN practice, and the efforts toward having full practice authority for APRNs has faced resistance from the Texas Medical Association (TMA). Legislative efforts to have full practice authority have been unsuccessful, which has hindered the advancement of APRN practice in Texas (Zolnierek et al., 2021). In addition, Texas is one of the few states that do not grant Schedule II prescriptive authority to APRNs. These barriers hinder APRNs’ ability to manage patients with mental disorders, chronic diseases, and other cancer in various practice settings (DePriest et al., 2020). Hospital-based APRNs are also limited from writing timely discharge prescriptions for their patients, resulting in delays in care and increased costs. Nursing advocates in Texas try to overcome these barriers by partnering, which helps earn support from diverse partners to get to a tipping point for policy change.
Conclusion
NASEM publishes consensus research reports comprising evidence-based consensus on the statement of task. Nurses’ roles have changed from being primary care providers to patient educators, advocates, researchers, and consultants in policy-making. Besides, nursing education is progressively adapting to meet the evolving needs of the nursing profession by increasingly educating RNs at the undergraduate and graduate levels. State-based action coalitions work to take the recommendations of The Future of Nursing at the local and state levels forward. Initiatives by the Texas Team Coalition include removing scope of practice barriers and increasing the proportion of nurses with a BSN.
References
DePriest, K., D’Aoust, R., Samuel, L., Commodore-Mensah, Y., Hanson, G., & Slade, E. P. (2020). Nurse practitioners’ workforce outcomes under implementation of full practice authority. Nursing Outlook, 68(4), 459–467. https://doi.org/10.1016/j.outlook.2020.05.008
Stephenson, J. (2021). Expand Nurses’ Scope of Practice, Strengthen Nursing Education to Advance Health Equity, Report Advises. In JAMA Health Forum (Vol. 2, No. 5, pp. e211527-e211527). American Medical Association. doi:10.1001/jamahealthforum.2021.1527
Sundean, L. J., White, K. R., Thompson, L. S., & Prybil, L. D. (2019). Governance education for nurses: Preparing nurses for the future. Journal of Professional Nursing, 35(5), 346–352. https://doi.org/10.1016/j.profnurs.2019.04.001
Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. National Academy of Sciences.
Zolnierek, C., Watson, J. J., & Ruiz, D. (2021). Texas Team Action Coalition Advancing Health Through Nursing: Past, Present, and Future. Nursing administration quarterly, 45(1), 35–45. https://doi.org/10.1097/NAQ.0000000000000451
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