Category Archives: Registered nurses
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 February issue.
Preparing Nurses for Leadership in Public Policy
Many nurse education programs, including those that confer doctoral degrees, fall short in educating nurses about public policy, leaving them unprepared to maximize their expertise in policy arenas. To help change that, the RWJF Nursing and Health Policy Collaborative at the University of New Mexico hosted a recent conference that brought together leading nurse educators, public policy experts, social scientists, and others. The goal was to identify and share effective ways to prepare students in doctoral (PhD and DNP) nursing programs to be health policy leaders. Talking to lawmakers is “high-stakes communication,” one speaker said, and nurses need to know how to do it.
Nurse Leader Urges Nurses to Study Political Science, Too
Nancy Ridenour, PhD, APRN, FAAN, has combined a lifelong passion for policy with a drive to improve public health. Throughout her career, she has fought state laws that prevented Nurse Practitioners from practicing to the top of their education and training, and spoken out on health policies affecting access to care for patients in rural communities. “Policy is a tool to foster social change. Leadership and expertise in health policy ensure that nursing expertise is used to improve the health of the nation,” Ridenour says.
Martin Schiavenato is a PhD, an RN, a nurse scientist, a nurse educator, and an alumnus of the Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars program. In January, he also became the subject of a Johnson & Johnson “Day in the Life” video—a video series about the lives of people in various nursing professions.
What drives “decision regret,” the negative cognitive emotion that occurs when an actual outcome differs from the desired or expected outcome? For nurses, fatigue is a big factor, according to a study in the current issue of the American Journal of Critical Care.
The study found that nurses impaired by fatigue, loss of sleep, daytime sleepiness, and an inability to recover between shifts are more likely than well-rested nurses to report decision regret. And while decision regret reflects previous decisions and adverse outcomes, it may also contribute to work-related stress and compromise patient safety in the future, the researchers found.
“Registered nurses play a pivotal role as members of the health care team,” lead author Linda D. Scott, RN, PhD, NEA-BC, FAAN, associate dean for academic affairs and an associate professor at the University of Illinois at Chicago College of Nursing, said in a news release. “Proactive intervention is required to ensure that critical care nurses are fit for duty and can make decisions that are critical for patients’ safety.”
Staffing company AMN Healthcare has released the results of its 2013 Survey of Registered Nurses, highlighting generational differences that have implications for the imminent nursing shortage and the shape of the profession in years to come.
Among key findings, nearly 190,000 nurses may leave nursing or retire now that the economy is recovering, and nearly one in four nurses age 55 and older (23 percent) say they will change their work dramatically by retiring or pursuing work in another field.
Fewer than half the RNs with an associate degree or diploma who were surveyed say they will pursue additional education in nursing. However, younger and mid-career nurses are more likely to do so. The landmark Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health, recommends that 80 percent of the nation’s nurses have BSN or higher degrees by the year 2020.
While nurses of all ages say they are very satisfied with their career choice, younger nurses (19-39) are much more positive than nurses 55 and older about the quality of nursing today. Sixty-six percent of nurses 55 and older say they believe that nursing care has generally declined.
“The younger generation is more optimistic about the profession and more receptive to the changes the industry is experiencing,” Marcia Faller, PhD, RN, chief financial officer of AMN Healthcare, told Advance for Nurses. “These are differences that health systems must understand as they work with multiple generations of nurses.”
This was the fourth annual RN survey conducted by AMN Healthcare, which emailed 101,431 surveys in April to opted-in members of NurseZone.com and RN.com. The company received 3,413 responses, reflecting a response rate of 3.36 percent. Statistical analyses were run with a 95 percent confidence threshold.
What do you think about the survey findings? Do they reflect your views about the future of nursing? Register below to leave a comment.
This is part of the March 2013 issue of Sharing Nursing's Knowledge.
Study: APRN-Staffed Clinic Produces Shorter Wait for Diagnoses at Lower Cost for Women with Benign Breast Conditions
A nurse-based approach to diagnosing women with breast conditions is saving money and producing shorter wait times for diagnoses, according to an article in the January issue of Health Affairs.
In 2008, the Virginia Mason Medical Center, a Seattle-based multidisciplinary health care network that logs 800,000 outpatient and 17,000 hospital visits per year, opened a new breast care clinic, with the goal of streamlining the diagnosis and care for women with breast conditions. These include such benign conditions as cysts and fibrocystic breast disease, as well as breast cancer. As part of the clinic’s model, Advanced Practice Registered Nurses (APRNs) take the lead role in diagnosing patients, working with on-site equipment to perform mammography, ultrasound, and magnetic resonance imaging. Patients whose conditions cannot promptly be confirmed as benign meet with breast surgeons for diagnosis and care, if appropriate.
By 2020, nearly one in nine jobs in the United States will be in the health care sector, according to new research from the Center for Health Workforce Studies at the University at Albany, State University of New York. The industry is expected to add 4.2 million jobs during that time, growing at twice the rate of the overall economy.
The United States will need nearly 7.5 million health care workers to fill new and existing jobs, the report says, including 1.2 million registered nurses (RNs). The largest job growth is expected among RNs, home health aides, and personal care aides.
“With an aging health care professional workforce, we will not only see new job growth but also openings in existing positions as workers retire or leave for other job opportunities," Robert Martiniano, principal author of the report, said in a news release.
The report also found that the majority of jobs (63 percent) are expected to be concentrated in ambulatory care (non-institutional settings).
The analysis is based on data from the biennial U.S. Bureau of Labor Statistics 10-year (2010-2020) occupational and industry projections for employment.
Read a news release about the study.
Are 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’s a review of what’s in the January issue:
Read about the remarkable journey of RWJF Community Health Leader Jamie Kamailani Boyd, who made a long and arduous climb out of poverty and is now helping others do the same. She has created an academic program called Pathway Out of Poverty, which helps disadvantaged Hawaiians become nurse’s aides and registered nurses.
Several alumni of the RWJF Executive Nurse Fellows program are using the leadership and risk-taking skills they gained in the program to support Partners Investing in Nursing's Future projects in their home states.
This piece examines some of the early work that laid the foundation for even more innovative and ambitious RWJF programs to build nursing leadership, improve nurse education, strengthen the nursing workforce and, ultimately, improve health and health care. Read about former RWJF staff member Terrance Keenan, who influenced the Foundation’s early investments in nursing programs and initiatives.
As the economic downturn made hunger and food insecurity more common last year, RWJF Scholars and alumni stepped up to help in their communities. Read about their work, individually and through their nursing schools.
The health care industry added 22,600 jobs in December, according to a report released last week by the U.S. Bureau of Labor Statistics. The data is consistent with the upward trend the industry demonstrated throughout the year; health care gained about 315,000 jobs in 2011.
Ambulatory health services were responsible for 11,300 of the new jobs, and hospitals accounted for approximately 10,000 jobs.
Perhaps due to the increase in health care jobs filled, a new report from The Conference Board finds that online advertised vacancies for health care practitioners decreased in December. A decrease in advertised vacancies for Registered Nurses (RNs) was largely responsible for the drop, but demand for other health care practitioners remains high. “The number of advertised vacancies in this occupational category continues to be quite favorable and outnumber job-seekers by 2.9 to 1,” the report says.
As we head into 2012, the Human Capital Blog asked Robert Wood Johnson Foundation (RWJF) staff, program directors, scholars and grantees to share their New Year’s resolutions for our health care system, and what they think should be the priorities for action in the New Year. This post is by Dennis Sherrod, EdD, RN, RWJF Executive Nurse Fellow, Cohort 2003 and Professor and Director of Graduate Programs, Forsyth Medical Center Endowed Chair of Recruitment & Retention, Winston-Salem State University, Winston-Salem, North Carolina.
Increasing access and quality of health care services and promoting individual health continue to be national priorities. As Affordable Care Act provisions increase access to care and prevention services, demand for primary care providers, registered nurses, and other health professionals are expected to increase. A high priority for health care systems will be to develop innovative health care delivery models that fully utilize health promotion, chronic care management, and health care delivery skills of advanced practice nurses and registered nurses. Health systems will need to collaborate effectively with university systems to measure outcomes of these models and rapidly integrate findings into nursing curricula and educational programs, therefore informing the preparation of future nurse professionals.
The nursing profession will need to attract and retain a diverse nurse workforce educated to focus on health promotion and primary prevention. And health systems will need to encourage advanced practice nurses and registered nurses to practice within the full range of their educational preparation.
My New Year’s resolution for United States health care systems is to establish, activate, and/or reactivate health system and health professions educational program advisory groups to clearly communicate rapidly changing and evolving competencies and skills required to promote health and address evolving health care needs of our citizens. Advisory groups can assist stakeholders from service and education to collaboratively prepare and introduce nurse professionals better equipped and prepared to address health and health care needs in rapidly changing health care systems.
By Susan Hassmiller, Ph.D., R.N., F.A.A.N.
Director of the Initiative on the Future of Nursing and RWJF Senior Adviser for Nursing
Last summer, I fulfilled a lifelong dream in journeying to London and Turkey to follow in Florence Nightingale’s footsteps. I wanted to learn how her groundbreaking efforts to create modern nursing and make systematic changes in sanitation laws, military hospital design, the field of statistics, and of course, nursing, impacted nursing today.
What I discovered is that Florence’s work is relevant to all of us, particularly as our generation works to remake our health care system to ensure that all Americans receive integrated, equitable and cost-effective services through the Future of Nursing: Campaign for Action. This multi-year initiative seeks to advance comprehensive change for patients and the country by fully utilizing the expertise and experience of all nurses.
Among other things, this Campaign is working to improve nursing education and training, promote nursing leadership, enable all nurses to practice to the full extent of their education and training and improve data collection – all areas that Florence impacted in her day.
As we celebrate Florence Nightingale’s birthday May 12 and National Nurses Week, let’s continue her legacy.