Future of Nursing
Leading Change, Advancing Health
3.2 million
100,000
30,000
Objectives
To review Institute of Medicine, Future
of Nursing Report
To define Campaign for Action
To define the Virginia Action Coalition
To describe the workgroups
IOM Future of Nursing
Campaign for Action
IOM Future of Nursing
Committee on The Robert Wood Johnson Foundation
Initiative on the Future of Nursing
Membership
Opportunity to transform health care system
Provide seamless, affordable, quality care
Nursing profession is the largest segment of the
health care workforce
Campaign for Action:
Key Messages
Interprofessional Collaboration

Education
Leadership
Access to Care
Workforce Data
High-quality
patient
centered
care
Blueprint – Four Key Messages
 Nurses should practice to the full extent of their education and
training
 Nurses should achieve higher levels of education and training
through an improved education system that promotes seamless
academic progression
 Nurses should be full partners, with physicians and other health
professionals, in redesigning health care in the US
 Effective workforce planning and policy making require better
data collection and an improved information infrastructure
Future of Nursing Recommendations
Remove scope of practice barriers
Expand opportunities for interprofessional collaboration
Implement nurse residency programs
Increase proportion of nurses with BSN to 80% by 2020
Double the number of nurses with doctorates
Ensure that nurses engage in lifelong learning
Prepare and enable nurses to lead change and advance
healthcare
Build an infrastructure for data collection
Campaign for Action
The Campaign for Action is a national initiative
coordinated through the Center to Champion Nursing in
America (CCNA), an initiative of AARP, the AARP
Foundation, and the Robert Wood Johnson Foundation.
The campaign has mobilized diverse stakeholders
nationally and in all states to address the nation’s most
pressing health care challenges – access, quality and
increasing cost – by utilizing nurses more effectively and
preparing nursing for the future.
Vision
Americans have access to high
quality, patient-centered care in
a health care system where
nurses contribute as essential
partners in achieving success
AARP Virginia
Virginia Nurses Association
Virginia Action Coalition
Co-Leads
AARP Virginia
David DeBiasi , RN,
Associate State Director –
Advocacy
VNA
Shirley Gibson, DNP,
MSHA, RN, FACHE,
President
Janet Wall, CEO
Virginia Action Coalition Goals
 Nurses should practice to the full extent of their education and
training
 Nurses should achieve higher levels of education and training
through an improved educational system that promotes
academic progress and explore residency programs
 Nurses should be full partners, with all members of the
healthcare team in redesigning healthcare
 Nurses should develop strategies to ensure that nursing is skilled
to provide leadership at all levels
 Nurses should ensure effective workforce planning and policy
making require better data collection and an improved
information infrastructure
Mission
To implement the recommendations in the Institute of
Medicine report, The Future of Nursing: Leading
Change, Advancing Health
Vision
All Virginians have access to affordable, high quality
care and live in an optimal state of health
Virginia Action Coalition
Workgroups
VAC Leadership
Lindsey Jones-Cardwell, BSN, RN and Loressa Cole DNP, MBA, RN
Co-Leads
IOM Recommendation 7
Prepare and enable nurses to lead change to advance
health
Objective
Determine strategic boards to which nurse could be
appointed and work with stakeholders to identify,
mentor, and recommend individuals for those
appointments
Leadership Objectives
Continue “Nurse Leaders in the Boardroom” program
piloted with Robert Wood Johnson and AARP in
September, 2009
Continue to support Nurse Leadership Institute, a
program of the Richmond Memorial Health
Outcomes
Networking and educational event for the nurses
identified as 40 under 40
Recognized at VNF Gala - 2011
Mentoring event – May 31, 2012
Collaboration with:
VONEL
VNA
VNF
Outcomes
Survey to determine boards nurses are serving –
regional, state and national
Survey also identified those wanting to serve on boards
334 Surveys completed
118 Experienced Nurse Board Leaders
181 Virginia Registered Nurses are future board leaders!
Video : Value of having a nurse serve on hospital board
http://www.youtube.com/watch?v=MXwo0m8MLa0
Local Boards
Free Clinics
Crisis Pregnancy Centers
AORN, VNA, Black Nurses
& other professional
nursing associations
Public Health Advisory
Commissions
Red Cross
Alzheimer’s Association
Church Affiliated Boards
Performing Arts Council
Historical Councils
County Board of
Supervisors
AARP
University & Community
College Councils
YMCA
State Boards
Virginia Partnership for
Nursing
Virginia Board of Nursing
Virginia Nurses
Association
Virginia Nurses
Foundation
Multiple professional
nurses associations
Virginia Board of Health
Virginia Association of
Counties
VCCS Associates Degree
Nursing Program Heads
Virginia Association of
Colleges of Nursing
Health Insurance
Exchange Governing
Body
National Boards
American Nurses
Association & Political
Action Coalition
National eHealth
Collaborative
Nurses Organization of
Veterans Affairs
American Midwifery
Certification Board
AORN Journal Editorial
Board
National Kidney
Foundation
American Academy of
Nurse Practitioners
American Organization of
Nurse Executives
Various National Nursing
Organizations
Next Steps
 Survey hospitals to find boards where nurses serve
Develop a video campaign value of nurse on
 Enhance the Leadership Toolkit
 Develop structure for mentors and mentees serving
on boards
 Publish Leadership Article with Campaign for Action
 Blog for RWJF on Leadership
 Leadership Development Conference for nurses who
want to serve on boards
VAC Access To Care
Cindy Fagan, RN, MSN, FNP-BC
Kathy Baker, RN, PhD, NE-BC
Co-Leads
IOM Recommendation 1
Remove scope-of-practice barriers
Objective
All nurses should practice to the fullest extent of their
training
Objective
Educate stakeholders, legislators and the public about
APRN regulatory barriers that prevent full practice
authority to continue efforts to reform outdated scope-ofpractice regulations
Outcomes
House Bill 346 passed and signed by Governor
Eliminates supervisory language
Emphasized collaboration and consultation between
NPs (LNP & CNMs) and physicians to practice in teams
Increased from 4 to 6 number of APRNs physicians
can collaborate with
Joint Boards of Nursing and Medicine have 280
days from July 1 to develop regulations
HB 346 manifested in 2013
Outcomes
APRN Video has been completed
Next Steps
 Continue education of the public about the APRN scope of
practice
 Conduct a gap analysis with all nurse practitioner roles in respect
to the National Council of State Boards of Nursing Consensus
Model
 Meet with the Board of Nursing to review the NCSBN Consensus
Model
 Consider legislation to remove the Joint Board and establish an
Advisory Group for oversight
Next Steps
 Conduct research to explore how policies and practices in
hospitals in the state of Virginia either support or inhibit RNs
from practicing to their fullest extent through a Qualitative
Descriptive Case Study rebased on Yin’s Methodology for Case
Studies
 Participants include nurses from all hospitals in the state
 Areas include ICU, Med/Surg/Progressive Care and Emergency
Department
 Include the CNOs, RNs and Advanced Practice Registered Nurses
Education Progression
Deb Zimmermann, DNP, RN, NEA-BC,
Amy Gillespie, RN, MSN, EdD
Co-leads
VAC Education Progression
IOM Recommendation 4
Increase the proportion of nurses with a baccalaureate
degree to 80 percent by 2020
Objective
Convene stakeholders on the implementation of
seamless education progression
Future of Nursing Education
The Challenge
 50% of VA RNs BS prepared
 32% of AD graduates attain BSN
 31% of Diploma graduates attain BSN
Outcomes
Regional Groups
Eastern, Central, Northwest, North and Southwest
Inspiration to Aspiration
Interviews with nursing programs
RN-BSN Guide
Survey of RN-BSN students
Video of students
http://youtu.be/iT0ygHn4CYg
Academic Progression Models
Two statewide conferences with stakeholders
Shared models
Outcomes
Community College statewide forum
Vice Chancellor of the Community College System
Forecasting Model
Policies regarding returning to school
2 years to enroll, 5 years to complete
Hiring BSN
CNO Survey
Tuition Assistance and scholarships
Flexible schedules and weekend programs
Outcomes
Virginia Association Colleges of Nursing Meeting held
 Awarded SIP Grant from RWJF
Supported Community Colleges continuing the work
of collaboration for curriculum development
Provide support in policy development for education
progression
Held Academic Progression Summit – March 28, 2014
Workforce Data Objective
Nina Beaman, PhD, MS, RN-BC (PMH), RNC-AWHC and Richardean
Benjamin, PhD, MSN, MPH, RN
Co-Leads
Improve data collection and information
infrastructure
Develop and implement specific
geographical demand models for nursing
and other health professionals
Next Steps
 Identify pilots for academic progression
 Models from Campaign for Action
 Develop mechanisms to track organizational progress
for education progression
Outcomes
WHITE PAPER
Completed comprehensive white paper- Addressing
Nursing Workforce Issues in the Commonwealth of Virginia
Finalized
Distributed
Outcomes
Continue participation on DHP Healthcare Workforce
Data Center
Participation and dissemination of information from
the VA Workforce Development Authority to inform
AC workgroups
VHHA Workforce Development
Next Steps
Serve as data experts to other workgroups
Assist VAC with compiling necessary statistics for any
grant proposals
VAC Interdisciplinary Team-Based Care
Patti McCue, ScD., RN, MSN, NEA-BC
Bonnie Barndt-Maglio, PhD, RN
Co-Leads
IOM Recommendation 2
Expand opportunities for nurses to lead and diffuse
collaborative improvement efforts
Objective
Develop and deploy an educational program that
prepares nurses, physicians, and other care providers
to practice in a team-based, patient-centered care
model
Outcomes
Physician Foundation Grant
Expanded leadership program with MSV
Recruited 20 teams of physicians, nurses
and other health professions
Completed Evolve Team Based Education
New partnership with VHHA/MSV/VAC
Members of the Virginia Action Coalition honored for their contributions
to the nursing profession at the 2012 VNF Gala
Engage!
www.virginianurses.com
sgibson@mcvh-vcu.edu