Following the release of the Institute of Medicine (IOM) report “The Future of Nursing: Leading Change, Advancing Health,” advocates across the country began working to implement the report’s recommendations. The recommendations constitute a blueprint for ensuring that all Americans get high-quality, cost-effective care when and where they need it.
The Future of Nursing: Campaign for Action launched in November 2010 to help move the recommendations forward at national, state and local levels. These efforts are being coordinated through the Center to Champion Nursing in America, an initiative of AARP, the AARP Foundation and the Robert Wood Johnson Foundation.
Thirty-six states have campaign-designated Action Coalitions that include nurses and other health care professionals, business executives, academic and nonprofit leaders, policy-makers and consumer advocates to implement the IOM report recommendations. Each state has chosen priorities, based on the IOM recommendations that best suit needs within their state.
Each of the seven videos in this series describes the work and goals of a state Action Coalition.
Virginia Action Coalition
Ensuring that nurses can practice to the full extent of their education and training is a top priority for the Virginia Action Coalition, explains Linda Ault, MSN, BSN, commissioner of government affairs for the Virginia Nurses Association. Nurse practitioners in the state are unable to practice without physician supervision, making it difficult for patients in rural areas with limited numbers of health care providers to get the care they need. The coalition is currently seeking additional subcommittee members to ensure that all areas of the state are represented and that business and consumer voices are included.
Hawaii State Center for Nursing and the Hawaii Medical Service Association Foundation
The Hawaii State Center for Nursing and the Hawaii Medical Service Association Foundation have teamed to advance the Future of Nursing report recommendations in their state. Watch Dale Allison, PhD, APRN, and Mark Forman, MPH, JD, discuss the goals of their partnership. When a patient is admitted to a skilled nursing facility, the initial medical assessment must be led by a physician, Allison explains, sometimes causing delays in the care patients need. Coalition leaders plan to focus on enabling nurses to practice to the full extent of their education and training.
Cooperative to Advance Health Through Nursing (Montana)
The Cooperative to Advance Health Through Nursing is a partnership of the Montana Hospital Association and the Montana State Board of Nursing. It has created three work groups to address key priorities: improving opportunities for nursing leadership, making education more accessible and transition to advanced degrees seamless, and implementing nurse residency programs that are appropriate for rural facilities. Casey Blumenthal, MHSA, RN, CAE, and Cynthia Gustafson, PhD, RN, discuss the work of the coalition.
Wyoming Center for Nursing and Health Care Partnership
In a state with relatively few doctoral nurses, the Wyoming Center for Nursing and Health Care Partnership is working to create a new generation of nurse leaders. It has created a leadership and mentoring program and is redesigning the state’s nursing curriculum. The coalition has garnered the support of 40 partners throughout the state to address health care issues. Watch Veronica Taylor, RN, MS, and Brad Westby discuss the future of nursing in Wyoming.
New Jersey Action Coalition
Susan W. Salmond, EdD, RN, discusses the work of the New Jersey Action Coalition, which is addressing the four pillars of the Future of Nursing report: nursing leadership, workforce data collection, nurses’ ability to practice to the full extent of their education and training, and advanced degrees and continued education for nurses. Because nearly 60 percent of nurses in New Jersey enter the workforce through an associate’s degree program, the coalition is working to encourage more nurses to pursue baccalaureate degrees. More than 200 individuals from nursing and non-nursing partners are involved in the coalition to date.
Florida Action Coalition
The Florida Center for Nursing and the Blue Cross and Blue Foundation are leading the Florida Action Coalition. The coalition is focusing on increasing the level of education of practicing nurses and allowing them to practice to the full extent of their education and training. Watch Michael Hutton, PhD, discuss the coalition’s goals and describe how an advanced-practice nurse who leads a clinic for low-income and uninsured patients helped a patient get the care she needed.
California Action Coalition
Watch Deloras Jones, RN, MS, and Terry Hill, MD, FACP, discuss the work of the California Action Coalition. A nurse-run clinic in San Francisco that serves the homeless is an ideal model for the rest of the state, Jones says. The clinic offers interprofessional, comprehensive care that is accessible and affordable. The California Action Coalition hopes to build on existing partnerships of nurses, physicians, businesses, workforce groups, government agencies and more, which have been working to alleviate the state’s nursing shortage.
Linda Ault, MSN, BSN, discusses the work of the Virginia Action Coalition, a Virginia effort to implement the Institute of Medicine recommendations from "The Future of Nursing: Leading Change, Advancing Health".