Category Archives: Interprofessional collaboration
Eileene Shake, DNP, RN, NEA-BC, is CEO of the Foundation for Nursing Excellence. The Robert Wood Johnson Foundation Human Capital Blog asked scholars and experts to consider what the election results will mean for health and health care in the United States.
The 2012 election is over and now, as health care leaders, we are trying to figure out how to move forward with implementing the Affordable Health Care Act (ACA). Yes, there will be an influx of Americans entering the health care system who did not have access to health care in the past. The impact on nursing will be significant as nurses are being recognized as important to providing care to the large number of new patients entering the system. Nurses will be key players working on interdisciplinary teams to redesign how health care is delivered. Nurses and advanced practice nurses will need to practice to the full extent of their education in order to care for the increased number of citizens entering the health care system.
There will be less resistance to implementing the ACA and more emphasis will be placed on how to implement it. Hospitals are already putting processes in place to reduce readmission rates for patients with chronic disease. New programs are being implemented to manage health care after the patient is discharged to reduce readmission rates. Nurses are following up with patients to ensure they are taking their medications, checking their blood pressure, and following their therapeutic diets. It is important to note that there will still be some resistance to implementing the ACA from states that do not feel they can afford to pay for the health care program.
The Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative (INQRI) will host a webinar on November 28, where INQRI grantees will discuss their research and future implications of their work. This is the first in a new series of webinars from the program, Translating Research into Practice.
The webinar, which will be held from 12-1 p.m. EST, will feature project investigators Robin Newhouse, PhD, RN, NEA-BC, FAAN, and Bonnie Spring, PhD, discussing their research on nurse-led interventions to improve screening and treatment for substance abuse.
The Health Resources and Services Administration (HRSA) last week announced that the University of Minnesota Academic Health Center will lead its new Coordinating Center for Interprofessional Education and Collaborative Practice. The Center will have a mission to accelerate teamwork and collaboration among nurses, doctors and other health professionals, with a particular focus on medically underserved areas.
“Health care delivered by well-functioning coordinated teams leads to better patient and family outcomes, more efficient health care services, and higher levels of satisfaction among health care providers,” said HRSA Administrator Mary K. Wakefield, PhD, RN, in a news release issued Friday. “We all share the vision of a U.S. health care system that engages patients, families, and communities in collaborative, team-based care. This coordinating center will help us move forward to achieve that goal.”
The Robert Wood Johnson Foundation (RWJF) and three other leading foundations this summer announced their support for the Center and committed up to $8.6 million over five years. RWJF, the Josiah Macy Jr. Foundation, the Gordon and Betty Moore Foundation, and The John A. Hartford Foundation aim to help make the Center the “go to” coordinating and connecting body for efforts to promote interprofessional education and collaborative practice, as well as a place to convene key stakeholders, develop interprofessional education programs, and identify and disseminate best practices and lessons learned.
“Interest in interprofessional education and team-based care has increased in recent years but we need to move faster,” Maryjoan Ladden, PhD, RN, FAAN, senior program officer at RWJF, said in announcing support from the four foundations. “We hope this Center will foster collaborations between educators and practice organizations to advance the field and improve how care is delivered to patients and families.”
The U.S. Department of Health and Human Services (HHS) this week announced more than $100 million in new grants to expand and strengthen the nation’s health care workforce. The goal of the funding is to educate and strengthen training for health care workers, and provide fellowships and traineeships.
The grants include:
- Nursing ($30.2 million): Partial loan forgiveness for students who serve as full-time nursing faculty for a designated period of time after graduating from a master’s or doctoral program; grants for schools of nursing to provide financial aid and mentoring to students from disadvantaged backgrounds underrepresented in nursing; and funding for nurse anesthetist traineeship programs for licensed registered nurses enrolled in master’s or doctoral nurse anesthesia programs.
- Dental ($3.0 million): Grants to increase oral health care education capacity for programs that train future faculty in general, pediatric, or public health dentistry, or in dental hygiene.
- Public Health ($48.0 million): Funds for 37 Public Health Training Centers to train current and future public health workers in basic health skills and key public health issues; and grants to expand public health training programs and support medical residency-type fellowships at state and local health departments.
- Interdisciplinary and Geriatric Education ($6.6 million): Grants for projects to train and educate workers to provide geriatric care for the elderly; and support for the collaboration and integration of public health curricula in medical and clinical education.
- Centers of Excellence ($18.8 million): A five-year program to support the recruitment and performance of underrepresented minority students entering health careers, and to support research and the development of curricula, training and resources related to minority health issues.
“These grants and the programs they support are vital to achieving a comprehensive and culturally competent health professions workforce capable of meeting future health care challenges,” HHS Secretary Kathleen Sebelius said in a statement announcing the funds.
Hospital units designed specifically for the care of older patients could save as much as $6 billion a year, a study from the University of California at San Francisco (UCSF) finds. In a randomized controlled trial, patients in “acute care for elders units” had shorter hospital stays and incurred lower hospital costs than patients in traditional inpatient hospital settings. At the same time, patients’ functional abilities were maintained, and hospital readmission rates did not increase.
The Acute Care for Elders program (ACE) relies on a specially trained interdisciplinary team, which can include geriatricians, advanced practice nurses, social workers, pharmacists, and physical therapists. The team assesses patients daily, and nurses are given an increased level of independence and accountability.
“Part of what ACE does is improve communication and decrease work. And that’s a strategy that’s generally popular with lots of folks involved,” Seth Landefeld, MD, senior author and chief of the UCSF Division of Geriatrics, said. “What we found was that ACE decreased miscommunication and it decreased the number of pages nurses had to make to doctors. Having people work together actually saved people time and reduced work down the line.”
The study was published in the June 2012 issue of Health Affairs.
Michelle Scott recently graduated from Rowan University and is an intern at the Robert Wood Johnson Foundation (RWJF), working with The Future of Nursing: Campaign for Action.
I had the privilege of attending the Pennsylvania Action Coalition conference in Philadelphia in early June. It was hosted by Julie Fairman, PhD, RN, FAAN, and Afaf Meleis, PhD, DrPS (hon), FAAN, and the co-leads of the Pennsylvania Action Coalition, Betsy Snook, MEd, MSN, RN, and Christine Alichnie, PhD, RN
The conference was held to educate Pennsylvanians about how nurses and other leaders can prepare themselves for these monumental changes in health care as recommended in the Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health. The audience included nurses and other health professionals, business employees, educators and students. It is this diversity that drives the campaign. We need resources to ensure the many campaign supporters can advance its agenda.
The following Q&A was conducted by Michelle Scott, a recent graduate of Rowan University who is an intern at the Robert Wood Johnson Foundation (RWJF), working with The Future of Nursing: Campaign for Action. Scott recently attended a conference to launch the Pennsylvania Action Coalition, and interviewed some students who also participated. Read Scott’s reflections on the conference here.
Question: What do you feel your role as a rising physician will be in the plan to bring nurses and doctors together to work toward improving patient care?
Paul Shay: In health care, there has been a historical hierarchy that places the infallible physician above all other health care providers; however, recent literature has shown that collaborative health care is the best health care. It turns out that doctors aren’t infallible, and every team member, from social worker to nurse to physician, is equally valuable in patient care.
As a rising physician, I would be foolish not to embrace this collaboration in my future practice. I will make a concerted effort to let all of my non-physician colleagues know and feel that they are equal members in our team. Furthermore, it is equally, or arguably more, important that I advocate for other physicians to do the same. And outside of our own practices, we need to support the efforts of nursing organizations such as the Pennsylvania Action Coalition and the Pennsylvania State Nurses Association (PSNA).
On Monday, June 25, the Robert Wood Johnson Foundation (RWJF) Interdisciplinary Nursing Quality Research Initiative (INQRI) will hold a webinar on expanding opportunities for nurses to lead and disseminate collaborative improvement efforts. The webinar is the next in INQRI’s series exploring recommendations from the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health.
The webinar, “Expanding Opportunities for Nurses to Lead: Impact of a Nurse Manager Development Program,” will focus on the INQRI project “Creation of a Nurse Manager Development Program to Increase Patient Safety.” It will take place from 1:00-2:00 pm EST.
By Lisa Wright Eichelberger, DSN, RN, dean, College of Health, Clayton State University and co-lead, Georgia Action Coalition
I know I am not in Oz but, I must tell you, Georgia does seem like a different place since the release of the Institute of Medicine’s (IOM) report on the future of nursing. I have worked as a nurse in Georgia for the past 16 years, but in the past 18 months I have seen things happen that I never thought would. As I told this year’s graduating class at Clayton State University, I truly believe this is the most exciting time to be a nurse. One of the reasons is the release of the IOM’s nursing report and the support for nursing from the Robert Wood Johnson Foundation (RWJF) and AARP.
Make no mistake, when the IOM and RWJF speak, people listen.
In the past few months, I have had the honor and privilege to use the “Future” report to initiate conversations with former Surgeon General David Satcher, MD, PhD, and Louis Sullivan, MD, former secretary of the U. S. Department of Health and Human Services. I also had the opportunity to talk to former Ambassador Andrew Young, BS, BDiv, about the report during a recent lunch. All three of these leaders were familiar with the IOM and RWJF.
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 latest nursing news, research and trends. Here are descriptions of some of the stories in the April issue:
Though men comprise a small percentage of the nursing workforce, and an even smaller percentage of nurse faculty, men are enrolling in nursing programs at higher rates than in the past. Still, the nursing profession needs to do more to speed up the gender diversification and inclusion of the workforce, experts say. More visible and powerful male nurse educators can serve as recruiters and role models.
Read a profile of RWJF Executive Nurse Fellow Shirley Orr, MHS, ARNP, NEA-BC, a leader in the field of public health nursing. During her tenure at the Kansas Department of Health and Environment, Orr co-founded the Kansas Public Health Leadership Institute, which aims to support public health leaders and bring officials from health care organizations, academic institutions and other settings together to improve population health.
The RWJF Interdisciplinary Nursing Quality Research Initiative (INQRI) held its annual conference in April, celebrating seven successful years and 40 landmark research projects conducted by INQRI-funded interdisciplinary research teams. At the conference, members of those teams and others who have worked with the program discussed how far interdisciplinary research has come since INQRI began and the benefits of this approach for health care research, for health professionals, and for patients.
The Missouri Action Coalition is working to advance the recommendations of the Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health. The Coalition has already made progress in allowing nurses to practice to the full extent of their education and training, making it easier for associate degree-prepared nurses to move into baccalaureate programs through a seamless articulation agreement, and working to establish a state nursing workforce center to collect nursing data.