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.
While the need to address disparities in care is well known, few strategies for reducing disparities have been studied systematically.
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
"The light at the end of the tunnel is ... that I carried the struggle further, and that I taught my children correctly, in the way they cho...
In 1990, Dr. Hotz's focus on collaboration led to the creation of another nonprofit organization designed to coordinate public and private h...
To Dr. Cheryl Holder, success lies in "…understanding the needs of my community and how to make solutions happen."
"I remember Ronald's smile and upbeat attitude about everything. No matter how despairing and hopeless I felt (I was clinically depressed) h...
To Dr. Arlene Goldsmith, anyone can become a leader, provided they are driven, have a personality that is open and engaging, and a passionat...
Whatever I learn from those experiences, I pass on to the people around me, so they don't have to go through what I went through in order to...
Since winning the award, Dr. Bonds has expanded her health-related educational programs, particularly through the increased use of technolog...
"Being a volunteer tests you, to see if you really can make a difference and if you really want to do it - because you do have to make sacri...
"Mr. Chatman will always be in my heart and mind. He taught me to love myself and others. He gave me a chance when no one else would."
The way Mr. Lynch looks at it, anyone can be a leader - with mentoring, training, and the right opportunity (the chance to make a living doi...