Dates of Project: December 2010 to September 2011
Field of Work: Social network analysis in nursing
Problem Synopsis: In October 2010, RWJF and the Institute of Medicine released the report of the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine.
The report offered eight key recommendations that called for substantive changes in nursing education, clinical practice, nursing workforce development, policy-making, and leadership. A strategic advisory committee was charged with guiding the implementation phase of the initiative. RWJF staff believed that an analysis of the social network connections among advisory committee members and other key stakeholders would provide information valuable to the implementation of the initiative's recommendations.
Synopsis of the Work: Researchers at Sage Colleges conducted interviews of strategic advisory committee members, RWJF staff, and other stakeholders colleges to ascertain stakeholder perceptions as to issues the advisory committee will face, and to identify the social networks for each; they then used special software to analyze these networks.
Key Findings: Major themes about the issues include:
- A "clear, agreed upon" strategic plan is needed that addresses how the recommendations will be implemented.
- The business case for implementation of some of the recommendations is not being discussed; cost savings must be demonstrated in order for those involved to be willing to work to make such changes.
- Education leaders, especially those representing community colleges, are "critically" needed on the advisory committee.
- Representation from the business community, including Fortune 500 companies, is needed on the advisory committee and the business community must be included in implementation efforts.
- Despite many issues on which physician and nursing organizations can agree, scope of practice is a major roadblock to progress.
Key findings from the analysis of advisory committee members' social networks include:
- Advisory committee members had the most connections with membership and advocacy organizations.
- Members had a broad range of connections with the health care field.
- While the advisory committee members had a fair number of connections with universities and colleges (267 different institutions), almost all were with large public universities or top private institutions, with only four connections to community colleges.
- Less than 5 percent of total network connections were with the business sector.
RWJF Scholar examines neighborhood-based death rates from opiate-based painkiller overdoses, compared with heroin overdose deaths.
RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.
Learn how The Robert Wood Johnson Foundation is dedicated to building a culture of health in Risa Lavizzo-Mourey's 2014 annual message.
A new paper reports on the proceedings of an unprecedented meeting that brought together diverse leaders from community colleges around the ...
How the tragic loss of a dancer's leg led to a Culture of Health within the team that restored her mobility.
The County Health Rankings & Roadmaps can be put to use right away to help create a culture of health in your community.
The reconvened Commission to Build a Healthier America will provide new guidance in three key areas: early childhood, healthy communities, a...
America is not getting good value for its health care dollar. These resources explore issues of cost and value of health care.
Developing small community homes as alternatives to nursing homes, this radical, new national model for skilled nursing care returns control...
The RWJF DataHub tracks state-level data, and allows visitors to customize and visualize facts and figures.
RWJF Executive Nurse Fellow Marni Storey writes about her career as a public health nurse and why she would recommend the field to others.
RWJF established the Future of Public Health Nursing initiative to identify and implement strategies to increase the skills and ability of p...