Nov 26 2014
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What’s Your “Street Race-Gender”? Why We Need Separate Questions on Hispanic Origin and Race for the 2020 Census

Nancy López, PhD, is an associate professor of sociology at the University of New Mexico (UNM). She co-founded and directs the Institute for the Study of “Race” and Social Justice at the Robert Wood Johnson Foundation (RWJF) Center for Health Policy at the UNM. On December 5, RWJF will hold its first Scholars Forum: Disparities, Resilience, and Building a Culture of Health. Learn more.

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How should we measure race and ethnicity for the 2020 Census? How can health disparities researchers engage in productive dialogues with federal, state and local agencies regarding the importance of multiple measures of race and ethnicity for advancing health equity for all?  

Nancy Lopez

If we depart from the premise that the purpose of race, ethnicity, gender and other policy-relevant data collection is not simply about complying with bureaucratic mandates, but rather it is about establishing communities of practice that work in concert toward the creation of pathways (from harmonized and contextualized data collection, analysis and reporting) to effective policy solutions and interventions that address the pressing needs of diverse communities across the country, then we have planted the seeds of a culture of health equity and social justice.

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Nov 26 2014
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Sharing Nursing’s Knowledge: The November 2014 Issue

Have you signed up to receive Sharing Nursing’s Knowledge? The monthly Robert Wood Johnson Foundation (RWJF) e-newsletter will keep you up to date on the work of the Foundation’s nursing programs, and the latest news, research and trends relating to academic progression, leadership and other essential nursing issues. Following are some of the stories in the November issue.

RWJF Grantees Help Veterans Become Nurses
With unemployment a problem for many veterans, nurse educators are launching innovative programs to turn veterans into nurses—a “win-win” solution for the military, the health care system and patients, proponents say. The programs address both the looming nurse shortage and the fact that veterans cannot get academic credit for health care experiences that took place in the battlefield.

‘Ebola Care is Nursing Care’
The Ebola outbreak is shining a spotlight on the critical—but often unseen—work of nursing in the United States and abroad, nurse leaders say. Nurses are mounting the main caregiving response to the deadly virus, according to Sheila Davis, DNP, ANP-BC, FAAN, an RWJF Executive Nurse Fellow who recently returned from Liberia and Sierra Leone. Nurses also are educating the public about how the disease is transmitted and dispelling sometimes-unfounded fears.

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Nov 25 2014
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All People, At Any Age or Ability, Have Resilient Potential

Sarah L. Szanton, PhD, ANP, FAAN, is an associate professor at the Johns Hopkins University School of Nursing and an alumna of the Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars program. On December 5, RWJF will explore this topic further at its first Scholars Forum: Disparities, Resilience, and Building a Culture of Health. Learn more about it.

Sarah L. Szanton

Resilience is not just an individual character trait. There are resilient families, communities, and societies. 

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Within the individual, there are resilient organs, cells, and genetic expressions. Although many people who experience health disparities are resilient on the individual level—they are optimistic, committed, loving, bright—the groups of people who suffer from health disparities (such as non-English speakers, racial and ethnic minorities, and those living in poverty) draw on their personal resilience daily, but suffer from reduced contact with the resilient potential of communities and society overall. 

To me, building a Culture of Health means developing multiple layers of resilient possibilities so that each person’s cells, organs, families, communities, and society are able to respond to stressors, challenges, and opportunities with resilient potential.

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Nov 24 2014
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Reigniting the Push for Health Equity!

Daniel E. Dawes, JD, is a health care attorney and executive director of government relations, health policy and external affairs at Morehouse School of Medicine in Atlanta, Georgia; a lecturer of health law and policy at the Satcher Health Leadership Institute; and senior advisor for the Transdisciplinary Collaborative Center for Health Disparities Research. On December 5, the Robert Wood Johnson Foundation (RWJF) will explore this topic further at its first Scholars Forum: Disparities, Resilience, and Building a Culture of Health. Learn more about it.

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With growing diversity relative to ethnicity and culture in our country, and with the failure to reduce or eliminate risk factors that can influence health and health outcomes, it is imperative that we identify, develop, promulgate, and implement health laws, policies, and programs that will advance health equity among vulnerable populations, including racial and ethnic minorities.

Daniel Dawes

Every year, the Agency for Healthcare Research and Quality publishes its National Healthcare Quality and Disparities Report, which tracks inequities in health services in the United States. Since the report was first published in 2003, the findings have consistently shown that while we have made improvements in quality, we have not been as successful in reducing disparities in health care. This dichotomy has persisted, despite the fact that health care spending continues to rise. In fact, health care costs have been escalating at an unsustainable rate, reaching an estimated 17.3 percent of our gross domestic product in 2009, according to the Centers for Medicare and Medicaid Services. Despite these high costs, the delivery system remains fragmented and inequities in the quality of health care persist. The impact of disparities in health status and access for racial and ethnic minorities is quite alarming.

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Nov 24 2014
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Conference to Focus on Integrating Policy into Nursing Curricula

The Robert Wood Johnson Foundation (RWJF) Nursing and Health Policy Collaborative at the University of New Mexico is hosting a one-day conference this winter for PhD and DNP nurse faculty who seek to better integrate health policy into their curricula. It will be held on January 27 at the Hotel Del Coronado in San Diego.

Hotel Del Coronado The Hotel Del Coronado in San Diego

The conference will feature interprofessional panels of speakers who will discuss strategies to develop faculty and student expertise in policy analysis and research. Panel topics will include:

  • shaping health policy leadership through doctoral nurse education;
  • exercising health policy leadership through nursing and community organizations;
  • strategies for enriching doctoral health policy education; and
  • integrating health policy content into doctoral nursing programs.

The conference supports RWJF’s work to promote a Culture of Health across America. It aims to support faculty in preparing students to address health policy issues, developing programs of research that relate to health policy, and integrating an understanding of social determinants of health into policy analysis and research.

More information on the conference is here and registration is here.

Nov 21 2014
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Ebola as an Instrument of Discrimination

Jennifer Schroeder, Stephanie M. DeLong, Shannon Heintz, Maya Nadimpalli, Jennifer Yourkavitch, and Allison Aiello, PhD, MS, professor at the Gillings School of Global Public Health, University of North Carolina at Chapel Hill and an alumna of the Robert Wood Johnson Foundation (RWJF) Health & Society Scholars program. This blog was developed under the guidance of Aiello’s social epidemiology seminar course.

Allison Aiello Allison Aiello

Ebola is an infectious disease that the world has seen before in more moderate outbreaks in Africa. As the devastating Ebola outbreak in West Africa has taken a global turn, fear, misinformation and long-standing stigma and discrimination have acted as major contributors to the epidemic and response. Stigma is a mark upon someone, whether visible or invisible, that society judgmentally acts upon. Ebola has become a significant source of stigma among West Africans and the Western world.

In many ways, the source of this discrimination can be traced back to the legacy of colonialism and the western approach to infectious disease response in Africa. The history of foreign humanitarian aid has sometimes dismissed cultural traditions and beliefs. As a consequence, trust in westerners has eroded and has been compounded by a disconnect between western humanitarian aid approaches and a lack of overall infrastructure investment on the part of African national health systems. This is apparent in the Ebola epidemic in West Africa. Some don’t actually think that Ebola exists; instead they believe that it is a hoax carried out by the Western world. All of these factors are facilitating the rapid spread of the disease.

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Nov 21 2014
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The Legacy of PIN: Strengthening Long-Term Care in Arkansas

Chris Love, MMin, MSLE, is the program director for the Arkansas Community Foundation, which served as the lead foundation for the Partners Investing in Nursing’s Future (PIN) project, Planning for Workforce Development in Geriatric and Long-Term Care.

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As PIN holds its final national meeting this week, the Human Capital Blog is featuring posts from PIN partners about the program’s legacy of encouraging innovative collaborative responses to challenges facing the nursing workforce in local communities. PIN is an initiative of the Northwest Health Foundation and the Robert Wood Johnson Foundation (RWJF).

Chris Love

The PIN journey with Arkansas Community Foundation and University of Arkansas for Medical Sciences (UAMS), among other partners, has been one of both providence and progress. It was in the fall of 2008 that we were approached by leaders from UAMS with the idea for us to become partners with them in this endeavor.

At first, the idea seemed daunting. Then, after some consideration by our senior leadership, it became an open door for opportunity—an opportunity to leverage the structure and resources of our foundation to complement the expertise of our colleagues and friends at UAMS to address a major issue of mutual concern: the aging population in our state and the significant shortage of adequately prepared nurses to care for that population. Not long into the partnership, our organizations realized this would be a match made in heaven.

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Nov 20 2014
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The Legacy of PIN: Keeping the Pipeline Flowing

Bobbie D. Bagley, MS, RN, MPH, CPH, is director of public health and an instructor in the nursing program at Rivier University. She played a key role in the Partners Investing in Nursing’s Future (PIN) Pipeline Project. Paula Smith, MBA, is director of the Southern New Hampshire Area Health Education Center and is in the doctoral program in education, leadership and learning at Rivier University. She oversaw implementation of the Nursing Quest summer camps, the Diverse Nurse Network, and the Minority Nursing Student Support Program components of the Pipeline Project. 

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As PIN holds its final national meeting this week, the Human Capital Blog is featuring posts from PIN partners about the program’s legacy of encouraging innovative collaborative responses to challenges facing the nursing workforce in local communities. PIN is an initiative of the Northwest Health Foundation and the Robert Wood Johnson Foundation (RWJF).

As New Hampshire becomes increasingly diverse, partners in the state have joined together to promote workforce diversity. These are exciting times. Support from RWJF and other funders provided the opportunity to implement the New Hampshire Nursing Diversity Pipeline Project—a partner-driven effort to increase diversity within the nursing workforce as well as nursing faculty. Lead partners included the Endowment for Health, the New Hampshire Office of Minority Health and Refugee Affairs, the BRINGIT!!! Program (Bringing Refugees, Immigrants and Neighbors, Gently Into Tomorrow—an after school enrichment program), and the Southern New Hampshire Area Health Education Center (AHEC). In addition, this Pipeline Program engaged partners from a variety of organizations in the state, including hospitals, medical practices, youth-serving organizations, middle and high schools, as well as nursing leaders in practice and academia.

In addition, this Pipeline Program engaged partners from a variety of organizations in the state, including hospitals, medical practices, youth-serving organizations, middle and high schools, as well as nursing leaders in practice and academia.

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Nov 20 2014
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The Legacy of PIN: An Urban-Rural Model to Increase the Number of Baccalaureate Nurses

Darlene Curley, MS, RN, FAAN, is executive director of the Jonas Center for Nursing and Veterans Healthcare, which served as the lead foundation for the Partners Investing in Nursing’s Future (PIN) project, Regionally Increasing Baccalaureate Nurses (RIBN).

As PIN holds its final national meeting this week, the Human Capital Blog is featuring posts from PIN partners about the program’s legacy of encouraging innovative collaborative responses to challenges facing the nursing workforce in local communities. PIN is an initiative of the Northwest Health Foundation and the Robert Wood Johnson Foundation (RWJF).

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Darlene Curley

Human Capital Blog: Why did the Jonas Center decide to become a part of PIN? What were your goals for the project?

Darlene Curley: There were three things that were attractive about PIN. First, there was this project itself, which was developing a pathway for associate degree to baccalaureate nurses. That’s critical for building a highly educated workforce and a pipeline for preparing the next generation of faculty. The second reason was the partnership funding model. It related to the Jonas Center’s philosophy that we should be funding projects together with others in nursing, but also in interdisciplinary models for health. The third reason was the process of bringing stakeholders together in regions, which was critical. We knew that if we could bring nurse educators, students and other stakeholders together to work on the RIBN project, that group could stay together and work on other projects that were important to nursing and health care as they came along. The third reason was the process of bringing stakeholders together in regions, which was critical. We knew that if we could bring nurse educators, students and other stakeholders together to work on the RIBN project, that group could stay together and work on other projects that were important to nursing and health care as they came along.

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Nov 19 2014
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The Imperative to Improve Health Literacy

Joy P. Deupree, PhD, MSN, APRN-BC, is an assistant professor at the University of Alabama (UAB) School of Nursing and a Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellow. She is engaged in community participatory research studies on health literacy. For 12 years, Deupree has taught a campus-wide elective on health literacy and has been a guest lecturer on the topic at the UAB schools of medicine, dentistry and public health. She founded the Alliance of International Nurses for Improved Health Literacy and established a nursing special interest group for the Health Literacy Annual Research Conference.

Joy Deupree

Health literacy is extremely important to building a culture of health. Basic understanding of health care information is essential if people are to live healthy lives, but an alarming number of American adults report poor understanding of health care instructions. 

This year marks the 10-year anniversary of the Institute of Medicine (IOM) report, Health Literacy: A Prescription to End Confusion.While progress has been made, the work has really just begun. We can no longer blame the patient for poor health literacy, and we should keep in mind that limited health literacy affects us as all and contributes to increased health care costs. 

American Public Health Association Meeting & Expo

The IOM report defines health literacy as “the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions.” These skills involve not only reading ability but also numeracy. Failure to develop the necessary skills to manage health care can cost millions of dollars as well as add to human suffering and even cause death.

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