THE IOM / RWJF INITIATIVE ON THE
FUTURE OF NURSING REPORT:
What Does it Mean for Nursing and Michigan
2010 MONE Conference
Michael R. Bleich, PhD, RN, FAAN
Dean and Dr. Carol A. Lindeman Distinguished Professor of Nursing
Vice Provost of Interprofessional Education and Development
Oregon Health & Science University
November 12, 2010
The Report
Messages and recommendations
are from The Future of Nursing:
Leading Change, Advancing
Health report, published by the
Institute of Medicine of the
National Academies
(Hardcopy available in January 2011)
Visit http://www.iom.edu/nursing to view the report
Committee on the RWJF initiative on
the Future of Nursing, at the IOM
18 members (5 intergenerational nurses) with expertise in:
 Public health
 Nursing
 Federal & state
administration
 Hospital & health plan
administration
 Business administration
 Health information & technology
 Health services research
 Health policy
 Workforce research & policy
 Economics
 Health care consumer
perspective
Study Process
 5 committee meetings
 3 public workshops
 3 public forums (including
submission of testimony)
that resulted in published
workshop reports
Acute care
Care in the community
Education
 Literature review
 5 commissioned papers
 RWJF Nursing Research
Network
 Interviews with nurses for
case studies and nurse
profiles
The Gestalt of the Report
 Public lens and need for
nurses and nursing
 Focused messages and
recommendations
 Actors named
 Implementation plans and
funding
 The last chapter matters
Examples of Implementation:
Scope of Practice
Advanced practice registered nurses should be able to practice
to the full extent of their education and training. To achieve this
goal, the committee recommends actions for the following entities:
Congress
State Legislatures
Centers for Medicare
and Medicaid Services
Office of Personnel Management
Federal Trade Commission
and Antitrust Division of the
Department of Justice
Examples of Implementation:
Nurse Residency Programs
State boards of nursing, accrediting bodies, the
federal government, and health care organizations
should take actions to support nurses’ completion of
a transition-to-practice (nurse residency) after they
have completed a prelicensure or advanced practice
degree program or when they are transitioning into
new clinical practice areas.
State of Our Science
 Research priorities for
Transforming Nursing
Practice
 Research priorities for
Transforming Nursing
Education
 Research priorities for
Transforming Nursing
Leadership
Key Messages
Key Message No. 1
RECOMMENDATION NO. 1:
Nurses should
practice to the full • Remove scope-ofextent of their
practice barriers
education & training
Key Message No. 2
Nurses should
achieve higher
levels of education
& training through
an improved
education system
that promotes
seamless academic
progression
RECOMMENDATION NO. 3:
• Implement nurse
residency programs
Nurses should
achieve higher
levels of education
& training through
an improved
education system
that promotes
seamless academic
progression
RECOMMENDATION NO. 4:
• Increase the
proportion of nurses
with a baccalaureate
degree to 80% by
2020
Nurses should
achieve higher
levels of education
& training through
an improved
education system
that promotes
seamless academic
progression
RECOMMENDATION NO. 5:
• Double the number of
nurses with a
doctorate by 2020
Nurses should
achieve higher
levels of education
& training through
an improved
education system
that promotes
seamless academic
progression
RECOMMENDATION NO. 6:
• Ensure that nurses
engage in lifelong
learning
Key Message No. 3
Nurses should be
full partners, with
physicians and
other health care
professionals, in
redesigning health
care systems in the
United States
RECOMMENDATION NO. 2:
• Expand opportunities
for nurses to lead and
diffuse collaborative
improvement efforts
Nurses should be
full partners, with
physicians and
other health care
professionals, in
redesigning health
care systems in the
United States
RECOMMENDATION NO. 7:
• Prepare and enable
nurses to lead change
to advance health
Key Message No. 4
Effective workforce RECOMMENDATION NO. 8:
planning and policy
•
Build
an
infrastructure
making require
for the collection &
better data
analysis of intercollection and an
professional health
improved
information
care workforce data
infrastructure
Lessons Learned
• With best
minds
available
• Best minds
are NOT
“like” minds
Solve
Complex
Issues
Process
Matters
• Movement
• Responsiveness
• Nimbleness
Use Your
Voice
• Listen for
principle(s)
• Do not take
literally
• Some have the
gift of argument
Extreme
Viewpoints
• Be patient &
iterative
• Reframe the
message at
critical times
• Listen sharply
& differently
Get Involved!
 Upcoming Robert Wood Johnson Foundation (RWJF)
Meeting on November 30th – December 1st
 500 multi-stakeholder participants
 Go to the RWFJ Website link to volunteer and receive more
information about the upcoming live webcast:
http://www.rwjf.org/humancapital/product.jsp?id=69548
Implementation Strategy
 Regional Access Coalitions
 Must be co-led
 Five lead states named, but
more to follow and not to deter
other action from moving ahead
California
Mississippi
New York
New Jersey
Michigan
Convergence and Forward!
The convergence of decades
of hard work, growth in our
science, linkage of academicservice technology with the
human condition, and health
policy can reinvigorate our
purpose for being nurses. Let
us converge our energy for
the sake of good.
Contact Information
Michael R. Bleich, PhD, RN, FAAN
Dean & Dr. Carol A. Lindeman Distinguished Professor
Vice Provost for Interprofessional Education and Development
Oregon Health & Science University
School of Nursing – SN-ADM
3455 SW US Veterans Hospital Road
Portland, OR 97239-2941
Phone: 503-494-7444
Fax: 503-494-5165
Email: bleichm@ohsu.edu