Author Archives: Nancy Fishman

How Nurses Are Caring for Their Communities

May 8, 2017, 1:15 PM, Posted by Nancy Fishman

Let’s recognize nurses for the roles they play within and beyond the health care setting.

I was a visiting nurse early in my career, working outside the bricks and mortar of our health care system to provide care directly in patients’ homes. I saw firsthand the important role that the home and neighborhood environment plays in shaping health. I’m no longer a visiting nurse who sees patients, but I’m still a nurse who is building a Culture of Health—through my work here at the Robert Wood Johnson Foundation and out in the community.  

I recently volunteered with Habitat for Humanity in Trenton, where my colleagues and I helped build affordable homes for people in need of them. The tasks assigned to me didn’t require any nursing-specific skills, but many of the same qualities nurses bring to the job every day—teamwork, empathy, the ability to multi-task, and understanding how the conditions we live in affect our physical and mental well-being—made me feel comfortable (and even somewhat competent) on a construction site.

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It's Spring and Allergy Season is Upon Us. Is our Primary Care Workforce Ready to Meet Patient Needs?

Mar 28, 2012, 1:00 PM, Posted by Nancy Fishman

By Nancy Fishman, BSN, MPH and Maryjoan Ladden, PhD, RN, FAAN. Fishman and Ladden are senior program offers at the Robert Wood Johnson Foundation

Spring is blooming all around us here in central New Jersey and that means nice weather, flowers and a constant search for allergy solutions! For those of us on the Robert Wood Johnson Foundation (RWJF) Human Capital team, this brings up several questions about how to use the primary care workforce more creatively. In this scenario, who in the primary care office could help us with our common allergy symptoms? How would we feel if we went in for a visit and didn’t see a health professional but were instead counseled about common over-the-counter treatments by the medical assistant according to standard protocol?

These are questions that seem practical and every day, but tie back to some basic questions about the primary care workforce and how we could be more creative in using all members of that workforce to improve patient access to care and the value of that care.

At the Robert Wood Johnson Foundation, we are all aware of the shortage of primary care providers – but short of producing a large number of physicians, nurse practitioners and physician assistants this instant – we need to get creative with what we have.

To that end, we are thrilled to be launching a new program to identify those practices that are already creatively using their whole office teams in new ways. This program “The Primary Care Team: Learning from Effective Ambulatory Practices” (LEAP) will first identify and then study sites that have succeeded in providing high quality health care and involving all staff in new and creative ways.

We believe that studying these sites will provide us with insights that we can share with other practices that would like to make changes.

 

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