Category Archives: Charting Nursing's Future

Jan 20 2015
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Nurses and the Future of Long-Term Services and Supports

Maryjoan Ladden, PhD, RN, FAAN, is a senior program officer at the Robert Wood Johnson Foundation (RWJF).

Maryjoan Ladden / RWJF

By 2050, as many as 84 million Americans will be 65 or older, and most of them will need some sort of help in maintaining their health and well-being. For them, and for the millions of younger Americans who will need similar assistance, it’s essential that we come to grips with the challenge of providing effective and affordable long-term services and supports (LTSS).

As it stands right now, we’ve got a long way to go. But the effort is under way, and nurses are at the forefront. At more than 3 million strong, the nursing workforce will be central to meeting growing demand for LTSS. In addition to providing clinical care, nurses can assess the long-term health prospects of individuals with physical and cognitive impairments, develop customized care plans, monitor individuals’ responses to care, coordinate care across providers and settings, and oversee the quality of the assistance older adults receive.

Aging in America

The latest issue of RWJF’s Charting Nursing’s Future policy brief series highlights a number of trailblazing LTSS efforts in which nurses play a key role. Among them:

  • Transitional Care. The Central New Jersey Care Transitions Program (CNJCTP) is one of a number of sites taking part in the Affordable Care Act-funded Community-Based Care Transitions Program. Six hospitals in the CNJCTP region work with registered nurses (RNs) and social workers, who together act as health coaches to teach self-care strategies to high-risk, chronically ill Medicare beneficiaries. Registered nurses (RNs) focus on beneficiaries’ symptoms and health care needs, including medication management, while social workers attend to socioeconomic needs that may lead beneficiaries to return to the hospital. Coaches visit patients in their homes within three days of discharge, facilitate a follow-up visit with a primary care provider, and follow up by phone for a month after discharge.

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Oct 30 2014
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Curricular Innovation at Nursing Schools

With so many aspects of the nation’s health care system undergoing significant change, many of the nation’s nursing schools have implemented curricular innovations aimed at ensuring that new nursing graduates are fully prepared for the challenges they’ll face in practice. These include working collaboratively in teams, providing evidence-based care, managing chronic conditions, coordinating complex care, and promoting a culture of health—and much more transformation lies ahead.

According to the latest issue of Charting Nursing’s Future, the Robert Wood Johnson Foundation’s (RWJF) issue brief series focused on the future of nursing, most clinical nursing education programs still emphasize hospital-based care, as they have for decades, even though much care has shifted to community settings. This results in a widening gap between clinical nursing education and the 21st-century competencies nurses need.

The brief highlights curricular innovations at a number of nursing schools around the nation, including re-sequencing of the curriculum, using a “concept-based” approach, a “coach model” supporting an online baccalaureate (BSN) degree, new types of academic/practice partnerships, and more. Increasingly, nursing schools are restructuring their students’ clinical experiences, embracing:

  • Simulation, using actors posing as patients, complex high-fidelity mannequins, or virtual reality. A newly released and eagerly awaited study by the National Council of State Boards of Nursing (NCSBN) offers powerful support for the trend toward simulation. It found no differences in licensure pass rates or other measures of overall readiness for practice between new graduates who had traditional clinical experiences and those who spent up to 50 percent of their clinical hours in simulation.

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Oct 17 2014
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Stay Up to Date with RWJF!

Want to stay on top of the latest news from RWJF? Check out all the ways you can get the latest news delivered to you:

·         Sign up for Content Alerts, newsletters, and funding alerts

·         Read the Sharing Nursing’s Knowledge e-newsletter, then subscribe

·         Sign up to receive Charting Nursing’s Future policy briefs

·         Stay up to date on the Future of Nursing: Campaign for Action

Jun 18 2014
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Stay Up to Date with RWJF!

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May 16 2014
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Stay Up to Date with RWJF!

Want to stay on top of the latest news from RWJF? Check out all the ways you can get the latest news delivered to you:

Apr 14 2014
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Stay Up to Date with RWJF!

Want to stay on top of the latest news from RWJF? Check out all the ways you can get the latest news delivered to you:

Sep 30 2013
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Making Nurses’ Academic Progression a Reality

Maryjoan Ladden, PhD, RN, FAAN, is a senior program officer at the Robert Wood Johnson Foundation.

Maryjoan Ladden / RWJF

There is near-universal agreement among health care stakeholders and experts that the country needs to grow the number of primary care providers. If the health care system is to meet the growing demand for care that will result from the greying of the Baby Boomers and the influx of millions of newly insured Americans, we're going to need a bigger, better-prepared health care workforce.

That’s a point the 2010 Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, made very clearly with respect to nurses. That landmark report also pointed out that health care is becoming increasingly complex as our understanding of illness grows and as the tools and systems we have available to combat it change and evolve.

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Apr 22 2013
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Meet the Charting Nursing’s Future Policy Brief Series

This is part of a series introducing programs in the Robert Wood Johnson Foundation (RWJF) Human Capital Portfolio.

What policies optimize nurses' role in solving the shortage of primary care practitioners? What approaches will promote and incentivize interprofessional education and practice in health care so as to improve the quality and safety of care? What promising state and federal initiatives are likely to achieve the Institute of Medicine's recommendation to increase the proportion of nurses who hold a baccalaureate or higher degree to 80 percent by the year 2020?

These and other crucial issues confronting nursing and the health care system are the focus of the Robert Wood Johnson Foundation (RWJF) Charting Nursing’s Future policy briefs. Launched in 2005, the series now includes 20 briefs covering a range of topics, including:

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Feb 19 2013
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RWJF’s First 40 Years Investing in Nurses and Nursing

For more than four decades, the grantmaking of the Robert Wood Johnson Foundation (RWJF) has advanced the nursing profession, supporting nurses in their efforts to improve care and strengthening nurses’ role in shaping the future of the nation’s health care system. The latest issue of Charting Nursing’s Future, RWJF’s periodic series of issue briefs, tracks the Foundation’s growing commitment to nursing.

The brief examines RWJF’s impact in five distinct areas:

  • Expanding roles for nurses;
  • Building educational capacity;
  • Demonstrating nurses' contributions to quality and safety;
  • Creating leaders for the 21st century; and
  • Bridging gaps in research and data.

Among the two dozen past and present programs highlighted in the brief:

  • Expanding roles. In the mid-1970s, RWJF played a critical role in the emergence and acceptance of nurse practitioners (NPs), supporting demonstration projects in rural areas of California, Alabama, Tennessee and New England. Subsequently, RWJF’s Nurse Faculty Fellowship Program helped create an intellectual home for primary care nursing, leading to the creation of master’s degree NP programs across the nation.

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Aug 28 2012
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Nurses' Evolving Role in Primary Care

While policy-makers in Washington and in state capitals across the nation have been embroiled in a debate over health care reform, many aspects of the health care system have been evolving in response to economic and demographic pressures. The latest issue of the Robert Wood Johnson Foundation’s ongoing Charting Nursing’s Future (CNF) series of policy briefs highlights a number of examples of that evolution, all related to nurses’ changing role in primary care.

The Institute of Medicine’s landmark report, The Future of Nursing: Leading Change Advancing Health, noted that nurses “are poised to help bridge the gap between coverage and access, to coordinate increasingly complex care for a wide range of patients, to fulfill their potential as primary care providers to the full extent of their education and training, and to enable the full economic value of their contributions across practice settings to be realized.” In fact, as the CNF brief points out, “Nurses are already leading the way in keeping patients healthy, managing their diseases, and reducing their use of costly hospital care by increasing the availability and scope of primary care services.”

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