Category Archives: Health Care Workforce
The federal government announced on July 7 it had awarded more than $83 million to expand access to care by training hundreds of new primary care providers.
The money will be used to support primary care residency programs in family medicine, internal medicine, pediatrics, obstetrics and gynecology, psychiatry, geriatrics, and general dentistry at 60 health centers across the country. The expanded residency programs will help train more than 550 residents in coming academic year—about 200 more than were trained in the previous academic year, according to the U.S. Department of Health and Human Services (HHS). The funds will also be used to boost the number of states with teaching health centers from 21 to 24.
“This program not only provides training to primary care medical and dental residents, but also galvanizes communities,” said Mary K. Wakefield, PhD, RN, head of the Health Resources and Services Administration, a division of HHS. “It brings hospitals, academic centers, health centers, and community organizations together to provide top-notch medical education and services in areas of the country that need them most.”
This is part of the July 2014 issue of Sharing Nursing’s Knowledge.
Short Rest Between Nurses’ Shifts Linked with Fatigue
New research from Norway suggests that nurses with less than 11 hours between shifts could develop sleep problems and suffer fatigue on the job, with long-term implications for nurses’ health.
Psychologist Elisabeth Flo, PhD, of the University of Bergen in Norway, led a team of researchers that analyzed survey data from more than 1,200 Norwegian nurses, focusing on questions about how much time nurses had between shifts, their level of fatigue at work and elsewhere, and whether they experienced anxiety or depression.
Analyzing the data, they found that nurses, on average, had 33 instances of “quick returns” in the previous year—that is, shifts that began 11 hours or less after another shift ended. Nurses with more quick returns were more likely to have pathological fatigue or suffer from difficulty sleeping and excessive sleepiness while awake—both common problems for night workers.
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 related to academic progression, leadership, and other essential nursing issues. Following are some of the stories in the June 2014 issue.
Campaign for Action Is Chalking Up Successes that Will Improve Patient Care
Three years after it launched, the Future of Nursing: Campaign for Action is making steady progress on nurse education, practice, interprofessional collaboration, data collection, and diversity, according to a series of indicators released last month. Led by RWJF and AARP, the Campaign has created Action Coalitions in all 50 states and the District of Columbia that are working to implement recommendations from the Institute of Medicine. “Because of the Campaign, there’s more awareness about the importance of preparing the nursing workforce to address our nation’s most pressing health care challenges: access, quality, and cost,” says RWJF Senior Program Officer Nancy Fishman, MPH.
Pioneering Nurse Scientist Addresses Asthma-Related Disparities
Kamal Eldeirawi, PhD, RN, a pioneering scientist with expertise in immigrant health, was born in the Gaza Strip in Palestine, where he saw the profound impact of poverty and disadvantage on health in his own community. A career in nursing, the RWJF Nurse Faculty Scholar believed, would allow him to make a difference at both the individual and population-wide levels. Today, Eldeirawi, is researching risk factors that contribute to asthma in Mexican American children living in the United States, and the effects of immigration and acculturation on children’s health.
Directors at the National Institutes of Health, medical school deans and presidents, professors, members of the Institute of Medicine and the National Academy of Sciences—these are just a few examples of the impressive roles that Harold Amos Medical Faculty Development Program (AMFDP) alumni have gone on to fill after completing the program. Its impact over three decades of nurturing the careers of physician-scientists from disadvantaged backgrounds is the subject of an article in the May issue of the Annals of the American Thoracic Society.
Authored by AMFDP Program Director David S. Wilkes, MD, and Deputy Director Nina L. Ardery, MA, MBA, both of the Indiana University School of Medicine, and David M. Krol, MD, MPH, FAAP, a senior program officer at the Robert Wood Johnson Foundation (RWJF), the article explores the evolution of the AMFDP since RWJF created it in 1983 as the Minority Medical Faculty Development Program. (It was renamed in 2004 in honor of its first director.)
Among key assumptions in creating the program, the authors write, were that minority faculty would encourage more minority students to go to medical school; exposure to more minority faculty would encourage medical schools, hospitals, and others to seek out more candidates from disadvantaged backgrounds; and minority faculty would help medical schools better understand minority issues, ultimately contributing to better care for minority patients in teaching hospitals and stronger scientific study of minority health.
This is part of the June 2014 issue of Sharing Nursing’s Knowledge.
Nurse history buffs have two new titles to choose from this summer reading season.
In Nurses and Midwives in Nazi Germany: The“Euthanasia Programs,” Susan C. Benedict, CRNA, PhD, FAAN, professor of nursing and ethics at the University of Texas Health Science Center in Houston, tells the harrowing tale of how ethics in nursing and midwifery were abrogated during the Nazi era. Edited by Benedict and Linda Shields, MD, PhD, BSN, professor of nursing at James Cook University in Australia, the book was published in April.
Another new history book, by author Mary Cronk Farrell, tells a heroic story of nursing during World War II. Released in February and targeted at young readers, Pure Grit: How American World War II Nurses Survived Battle and Prison Camp in the Pacific, tells the inspiring story of American Army and Navy nurses serving in the Philippines who survived three years as prisoners of war.
The bookshelves are also offering a host of new nursing memoirs, including Duty Shoes: A Nurse’s Memoir, by Camille Foshee-Mason, RN; The Last Visit: Reflections of a Hospice Nurse, by Margaret Pecoraro Dodson, RN; and Whose Death Is It, Anyway?: A Hospice Nurse Remembers, by Sharon White, RN, BSN.
Catherine Malone, DBA, MBA, is a program associate working with the Disparities Portfolio at the Robert Wood Johnson Foundation (RWJF).
I am so excited to share this infographic for New Connections: Increasing Diversity of RWJF Programming, which illustrates the grants component of the program and its impact. New Connections provides research grants and career development opportunities for researchers of diverse backgrounds, while expanding the perspectives that inform Robert Wood Johnson Foundation programming. To date, 115 scholars, spanning seven cohorts, have received research grants coupled with services related to career development through the program. These scholars are junior investigators and mid-career professionals from low-income communities, groups that have been historically underrepresented in research disciplines, and those who are the first in their families to graduate college.
But that is just part of the program. What makes New Connections so unique is the program’s diverse network of more than 1,300 scholars—which includes grantees and alumni, in addition to 1,200 scholars who have not received grant funding through the program. The New Connections Network includes scholars who are eligible for the program and have either (1) applied for a grant and/or (2) participated in one of the career development activities offered by New Connections, such as a major training event, regional meeting, or webinar. The Network’s career development opportunities include methodological training, manuscript and grant writing workshops, and leadership development coaching.
For more than a decade, the percentage of newly licensed nurse practitioners who chose to work in primary care was on the decline. But that trend is changing, according to a survey released last month by the Health Resources and Services Administration (HRSA).
Fifty-nine percent of nurse practitioners (NPs) who graduated in 1992 or earlier went into primary care, and 42 percent of those who graduated between 2003 and 2007 did so, according to the survey. But 47 percent of the very newest NPs—those graduating between 2008 and 2012—opted to work in primary care, reversing the downward trend.
“We are encouraged by the national growth of primary care nurse practitioners, and HRSA is committed to continuing this trend to ensure an adequate supply and distribution of nurses for years to come,” HRSA Administrator Mary K. Wakefield, PhD, RN, said in a statement.
Susan Schrand, MSN, CRNP, a family nurse practitioner and executive director of the Pennsylvania Coalition for Nurse Practitioners, agreed. “We’re excited,” she said. “It’s good to hear that nurses, and especially new graduates, are staying in primary care.”
The Robert Wood Johnson Foundation’s (RWJF) LEAP National Program is working to create a culture of health by discovering, documenting, and sharing innovations in the primary care workforce. To advance this goal, the program is holding a series of six webinars that highlight best practices. The first webinar addressed the responsibility of health delivery organizations to strengthen community health and the ways primary care providers can address social determinants of health. It featured leaders from four primary care sites around the country that the LEAP program has deemed exemplars.
Bringing Change to a Low-Income Community in Philadelphia
Patricia Gerrity, PhD, RN, associate dean for community programs at Drexel University and director of 11th Street Family Health Services at Drexel University, discussed the origins and work of her clinic, which is a partnership with the Philadelphia Housing Authority (PHA) that began in 1996. In response to a letter between the University and the PHA, Gerrity worked to gain mutual trust with the aim of improving the residents’ health status.
Getting started wasn’t easy, Gerrity noted. To achieve some wins, she assigned a public health nursing faculty member from Drexel to each public housing development. The nurse faculty members asked residents about pressing problems—and then became partners in solving them. For instance, residents said car accidents were an issue, so stop signs were put up. Residents wanted to learn CPR, so training was offered. Residents expressed concerns about dog bites, so they worked with Animal Control to remove stray dogs. “We had to have some short term wins to gain trust,” Gerrity said.
RWJF Scholars in the News: Diversity in the nursing workforce, barriers to breast-feeding, child maltreatment, and more.
Around the country, print, broadcast, and online media outlets are covering the groundbreaking work of Robert Wood Johnson Foundation (RWJF) leaders, scholars, fellows, alumni, and grantees. Some recent examples:
HealthLeaders Media features New Careers in Nursing (NCIN), a joint initiative of RWJF and the American Association of Colleges of Nursing (AACN) that is increasing diversity in the nursing workforce. “The reason [increasing diversity] is important, of course, is because the population of nursing does not really reflect the population at large,” Polly Bednash, PhD, RN, FAAN, says in the story. “We are now working very aggressively to have the number of people entering the profession look more like the population of the United States.” Bednash is NCIN program director and AACN’s CEO.
In an opinion piece for the Philadelphia Inquirer, Jooyoung Lee, PhD, writes that, in the aftermath of mass shootings, the media and public often focus chiefly on the shooters and forget about the families of those slain. “Instead of fixating on the shooter, or retreating into our own lives, let’s remember and honor those who are left behind. Their lives are often difficult and grinding; their grief is immeasurable. Healing from murder is rarely—if ever—a quick or complete process,” writes Lee, an RWJF Health & Society Scholars program alumnus. Read more about Lee’s work.
Living in neighborhoods with high rates of violence can affect students’ academic performance, according to a study from RWJF Health & Society Scholars program alumnus from Patrick Sharkey, PhD. The Washington Post reports that the study found that neighborhood violence that occurred within seven days of a test appeared to reduce Black children’s performance on language arts assessments. “When violence is in the air, when the threat of violence is in the air, then it becomes something that spills over to affect not just people who are involved, but everyone who lives in the community,” Sharkey says.
Ann H. Cary, PhD, MPH, RN, is dean and professor at the School of Nursing and Health Studies at the University of Missouri-Kansas City. She was a Robert Wood Johnson Foundation (RWJF) Executive Nurse Fellow from 2008 to 2011.
Human Capital Blog: Congratulations on the grant from the Centers for Disease Control and Prevention (CDC) to support the creation of a national resource center for HIV prevention at the School of Nursing and Health Studies at the University of Missouri-Kansas City! What will your role be at the center?
Ann H. Cary: My role is to ensure that the new center has the institutional resources it needs to succeed. This translates into procuring space reallocation and furnishings; supporting personnel hires; consulting with the CDC grant leadership team to remove organizational barriers; assisting in solving any challenges to the center’s rollout; and telling the story about this project through institutional messaging to our community, the discipline of nursing, and to other stakeholders and partners.
HCB: What is your vision for the center?
Cary: That the National HIV Prevention Coordinating Resource Center grant results in a center that leads and coordinates products for providers and the communities they serve to ultimately improve the prevention and treatment of people living with, or at risk of, acquiring HIV.
HCB: The center will be housed at a school of nursing and health studies. Why is that important?