Now Viewing: Nurses and Nursing

The Role of the Chief Nursing Officer in Bridging Gaps Among Health Systems and Communities to Improve Population Health

Jan 8, 2015, 9:56 AM

Jerry A. Mansfield, PhD, RN, is chief nursing officer at University Hospital and the Richard M. Ross Heart Hospital, and a clinical professor at Ohio State University College of Nursing. He is an alumnus of the Robert Wood Johnson Foundation Executive Nurse Fellows program.

Since my doctoral work in public health, I have thought a great deal about the relationship of public health theory and practice and my acute care background. With more than 30 years of progressive leadership experience in a variety of for-profit/non-profit, inpatient and outpatient positions, I am trying to generate dialogue and discern a purposeful plan regarding the role of a Chief Nursing Officer in an academic medical center and the health of the populations we serve in our communities.

Based on earlier work in the 1990s and early 2000s, in 2007 the Health Research and Education Trust (HRET) engaged national experts to address the following question: How can hospitals engage their communities to improve the health of everyone? The report provides a framework and encourages hospital leaders and community members to envision health care in communities beyond the medical services offered by providers; it notes that the production of health is not only medical care, but also our environment, individual behavior, and genetic make-up.

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'We Need People to be Incensed by the Health Inequality that Persists in This Country'

Jan 5, 2015, 9:00 AM

Felesia Bowen, PhD, PCPNP-BC, is an assistant professor at Rutgers University School of Nursing, and a Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholar (2014-2017). Her research focuses on community-based pediatric asthma care.

Scholars Forum 2014 Logo: Disparities, Resilience, and Building a Culture of Health.

When I first began working as a pediatric nurse in New Jersey 20 years ago, I was committed to getting asthma care right. I worked hard to educate my young patients and their families about the disease, how to avoid the triggers that cause attacks, and how to use their medications. I wrote asthma action plans and prescribed the correct medications to control symptoms. 

It wasn’t always enough. One Monday morning, one of my young patients experienced asthma symptoms. The family followed his asthma action plan, “stepping” his medications in an effort to relieve his asthma symptoms. On Tuesday, he wasn’t feeling better, and went to the nurse practitioner (NP) in his school’s health office, who appropriately modified his treatment plan and called the asthma specialist to get a next-day appointment for him.

She remembers the young man telling her that he really needed to feel better, because he was going to his middle school graduation dance Wednesday night. On Thursday morning, he visited the NP again, still with asthma symptoms. He told her that he had missed the appointment with the asthma specialist because his mom couldn’t make it—she had health issues of her own, and three other children to care for. But he’d gone to his dance and proudly showed her his middle school class ring.

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The Legacy of PIN: A New Level of Collaboration in the Pacific

Dec 17, 2014, 9:00 AM

Partners Investing in Nursing’s Future (PIN), an initiative of the Northwest Health Foundation and the Robert Wood Johnson Foundation (RWJF), was represented in the U.S. Affiliated Pacific Islands (USAPI) by two partnerships: Building Nursing Faculty Capacity in the U.S. Affiliated Pacific Islands, which brought together the American Pacific Nurse Leaders Council, the World Health Organization and others to strengthen nursing education in the USAPI; and Step by Step, Hand in Hand: Expanding PIN Synergies in the Pacific, which introduced the Dreyfus Health Foundation’s Problem Solving for Better Health® (PSBH®) model to effect change within nursing education and within communities. 

As part of a series of posts on PIN’s legacy of encouraging innovative collaborative responses to challenges facing the nursing workforce in local communities, a number of the USAPI partners have responded to the question: What do you think has been the major impact of the Pacific PIN?

“Since the first meeting of the Pacific PIN, we have come to learn more about each other’s nursing programs and the common needs that we shared. Through the years, this knowledge has expanded our friendship to those who have patiently stayed with us and directed us toward sharing resources and seeking new learning experiences, all to increase the number of qualified nurses for the Pacific region. I am most grateful to the foundations that were directly involved and the special people who made this all possible. Fa’afetai tele.”

--Lele Ah Mu, RN, BSN, Chair, Nursing Department, American Samoa Community College, American Samoa

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The Top Five Issues for Nursing in 2015

Dec 3, 2014, 9:00 AM, Posted by Susan Hassmiller

Susan B. Hassmiller, PhD, RN, FAAN, directs the Future of Nursing: Campaign for Actionwhich is implementing recommendations from that report. Hassmiller also is senior adviser for nursing for the Robert Wood Johnson Foundation.

In 2013, the Institute of Medicine released a report, U.S. Health in International Perspective: Shorter Lives, Poorer Health, that compared the United States with 16 other affluent nations. The United States ranked last or near last on nine key indicators:  infant mortality and low birth weight; injuries and homicides; teenage pregnancies and sexually transmitted infections; prevalence of HIV and AIDS; drug-related deaths; obesity and diabetes; heart disease; chronic lung disease; and disability. This is despite the fact that we spend significantly more on health care than any other nation.

I believe there are five ways nurses can contribute to improving these conditions in 2015. 

Nurses Can Help Us Build a Culture of Health

In a Culture of Health, the goal is to keep everyone as healthy as possible.  That means promoting health is as important as treating illness. Unless everyone in the country joins this effort, we will remain at the bottom of the list of healthiest nations. “Everyone” means all health care workers, business owners, urban planners, teachers, farmers and others, including consumers themselves.  Nurses especially understand wellness and prevention, and have a special role to play in building a Culture of Health. 

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The Legacy of PIN: Strengthening Long-Term Care in Arkansas

Nov 21, 2014, 9:00 AM, Posted by Chris Love

As PIN holds its final national meeting this week, the Human Capital Blog is featuring posts from PIN partners about the program’s legacy of encouraging innovative collaborative responses to challenges facing the nursing workforce in local communities. PIN is an initiative of the Northwest Health Foundation and the Robert Wood Johnson Foundation (RWJF).

The PIN journey with Arkansas Community Foundation and University of Arkansas for Medical Sciences (UAMS), among other partners, has been one of both providence and progress. It was in the fall of 2008 that we were approached by leaders from UAMS with the idea for us to become partners with them in this endeavor.

At first, the idea seemed daunting. Then, after some consideration by our senior leadership, it became an open door for opportunity—an opportunity to leverage the structure and resources of our foundation to complement the expertise of our colleagues and friends at UAMS to address a major issue of mutual concern: the aging population in our state and the significant shortage of adequately prepared nurses to care for that population. Not long into the partnership, our organizations realized this would be a match made in heaven.

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The Legacy of PIN: Keeping the Pipeline Flowing

Nov 20, 2014, 4:00 PM, Posted by Bobbie D. Bagley, Paula Smith

Bobbie D. Bagley, MS, RN, MPH, CPH, is director of public health and an instructor in the nursing program at Rivier University. She played a key role in the Partners Investing in Nursing’s Future (PIN) Pipeline Project. Paula Smith, MBA, is director of the Southern New Hampshire Area Health Education Center and is in the doctoral program in education, leadership and learning at Rivier University. She oversaw implementation of the Nursing Quest summer camps, the Diverse Nurse Network, and the Minority Nursing Student Support Program components of the Pipeline Project. 

As PIN holds its final national meeting this week, the Human Capital Blog is featuring posts from PIN partners about the program’s legacy of encouraging innovative collaborative responses to challenges facing the nursing workforce in local communities. PIN is an initiative of the Northwest Health Foundation and the Robert Wood Johnson Foundation (RWJF).

As New Hampshire becomes increasingly diverse, partners in the state have joined together to promote workforce diversity. These are exciting times. Support from RWJF and other funders provided the opportunity to implement the New Hampshire Nursing Diversity Pipeline Project—a partner-driven effort to increase diversity within the nursing workforce as well as nursing faculty. Lead partners included the Endowment for Health, the New Hampshire Office of Minority Health and Refugee Affairs, the BRINGIT!!! Program (Bringing Refugees, Immigrants and Neighbors, Gently Into Tomorrow—an after school enrichment program), and the Southern New Hampshire Area Health Education Center (AHEC). In addition, this Pipeline Program engaged partners from a variety of organizations in the state, including hospitals, medical practices, youth-serving organizations, middle and high schools, as well as nursing leaders in practice and academia.

In addition, this Pipeline Program engaged partners from a variety of organizations in the state, including hospitals, medical practices, youth-serving organizations, middle and high schools, as well as nursing leaders in practice and academia.

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The Legacy of PIN: An Urban-Rural Model to Increase the Number of Baccalaureate Nurses

Nov 20, 2014, 10:07 AM, Posted by Darlene Curley

Darlene Curley, MS, RN, FAAN, is executive director of the Jonas Center for Nursing and Veterans Healthcare, which served as the lead foundation for the Partners Investing in Nursing’s Future (PIN) project, Regionally Increasing Baccalaureate Nurses (RIBN).

As PIN holds its final national meeting this week, the Human Capital Blog is featuring posts from PIN partners about the program’s legacy of encouraging innovative collaborative responses to challenges facing the nursing workforce in local communities. PIN is an initiative of the Northwest Health Foundation and the Robert Wood Johnson Foundation (RWJF).

Human Capital Blog: Why did the Jonas Center decide to become a part of PIN? What were your goals for the project?

Darlene Curley: There were three things that were attractive about PIN. First, there was this project itself, which was developing a pathway for associate degree to baccalaureate nurses. That’s critical for building a highly educated workforce and a pipeline for preparing the next generation of faculty. The second reason was the partnership funding model. It related to the Jonas Center’s philosophy that we should be funding projects together with others in nursing, but also in interdisciplinary models for health. The third reason was the process of bringing stakeholders together in regions, which was critical. We knew that if we could bring nurse educators, students and other stakeholders together to work on the RIBN project, that group could stay together and work on other projects that were important to nursing and health care as they came along. The third reason was the process of bringing stakeholders together in regions, which was critical. We knew that if we could bring nurse educators, students and other stakeholders together to work on the RIBN project, that group could stay together and work on other projects that were important to nursing and health care as they came along.

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Addressing the Needs of Female Veterans Who Have Experienced Violence and Harassment

Nov 13, 2014, 1:00 PM, Posted by Angela Amar, Jacquelyn Campbell

Jacquelyn Campbell, PhD, RN, FAAN, is director of the Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholars program and Anna D. Wolf chair and professor at the Johns Hopkins University School of Nursing.  Angela Amar, PhD, RN, FAAN, is an associate professor at the Nell Hodgson Woodruff School of Nursing at Emory University and an alumna of the RWJF Nurse Faculty Scholars program.

As two scholars who have worked in research, practice and policy arenas around issues of gender-based violence for years, we honor our veterans this week by paying tribute to the Pentagon and the U.S. Department of Veterans Affairs (VA) for addressing intimate partner and sexual violence among active duty and returning military and their families, and urge continued system-wide involvement and innovative solutions.  

In our work, we’ve heard outrageous, painful stories. One female servicemember explained to Angela why she was ignoring the sexual harassment she experienced. She knew that hearing that she was inferior because she was a woman, being called “Kitty” instead of her name, and having the number 69 used in place of any relevant number was harassing. She knew it was wrong. But she had decided that she would not let it bother her. I can acknowledge that he is a jerk, but I can’t let that affect me.  

I can’t let his behavior define me as a person. On some level this may seem like an accurate way of dealing with a problem person. However, sexual harassment isn’t just about one obnoxious person. Not telling the story doesn’t make the behavior go away. Rather, it sends the message that the behavior is acceptable and that sexist comments are a normal part of the lexicon of male/female interactions.

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Stony Brook Helps Veterans Become Nurses

Nov 11, 2014, 1:00 PM, Posted by Lori Escallier

Lori Escallier, PhD, RN, CPNP, is a professor and associate dean for evaluation and outcomes at the State University of New York at Stony Brook School of Nursing. She is her university’s project director for a program that helps veterans earn baccalaureate degrees in nursing (VBSN) and for New Careers in Nursing, a program supported by the Robert Wood Johnson Foundation (RWJF) and the American Association of Colleges of Nursing (AACN) that supports second-career nurses in accelerated master’s and baccalaureate nursing programs.

Human Capital Blog: Please tell us about your university’s program for nursing students who are veterans.

Lori Escallier: The project is entitled Enhancing the Nursing Workforce: Career Ladder Opportunities for Veterans. The purpose is to increase the enrollment, retention and educational success of veterans in the baccalaureate nursing program at Stony Brook. Our program operationalizes the collaborative efforts of the Health Resources and Services Administration, the Department of Defense, and the Department of Veterans Affairs (VA) by providing opportunities for veterans to transition into nursing careers.

HCB: How is the VBSN program helping to build a Culture of Health that more effectively serves veterans?

Escallier: One of the project’s aims is to enhance the nursing workforce with veterans. Veterans certainly have a good understanding of the needs of other veterans and their families. Who better to promote a Culture of Health for veterans than those who have “walked the walk?”

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Teen Take Heart

Nov 5, 2014, 11:00 AM, Posted by Steven Palazzo

Steven J. Palazzo, PhD, MN, RN, CNE, is an assistant professor in the College of Nursing at Seattle University, and a Robert Wood Johnson Foundation (RWJF) Nurse Faculty Scholar (2013 – 2016. ) His research focuses on evaluating the effectiveness of the Teen Take Heart program in mitigating cardiovascular risk factors in at-risk high school students.

Difficult problems demand innovative solutions. Teen Take Heart (TTH) is a program I’ve worked to develop, in partnership with The Hope Heart Institute and with support from the RWJF Nurse Faulty Scholars Program, to address locally a problem we face nationally: an alarming increase in obesity and other modifiable cardiovascular risk factors among teenagers. The problem is substantial and costly in both economic and human terms. We developed TTH as a solution that could, if it proves effective in trials that begin this fall in my native Washington state, be translated to communities across the country.

The State of Obesity: Better Policies for a Healthier America, released recently by the Trust for America’s Health and RWJF, makes it clear that as a nation we are not winning the battle on obesity. The report reveals that a staggering 31.8 percent of children in the United States are overweight or obese and only 25 percent get the recommended 60 minutes of daily physical activity. The report also finds that only 5 percent of school districts nationwide have a wellness program that meets the physical education time requirement.

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