Review The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, and explore the Campaign for Action: State Action Coalition website, both located in the topic Resources
Review The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, and explore the Campaign for Action: State Action Coalition website, both located in the topic Resources. In a 1,000-1,250-word paper, discuss the influence “The Future of Nursing: Leading Change, Advancing Health” and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
- Describe the work of the National Academies of Sciences, Engineering, and Medicine that led to the report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”
- Explain the trend occurring in the nursing workforce and how nursing education is adapting to meet the evolving needs of the profession. What is the role of the nurse in leading change?
- Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the National Academy of Sciences report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”
- Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
- Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Expert Answer and Explanation
Trends and Issues in Today’s Healthcare
The outbreak of the covid-19 in 2020 in the United States (U.S.) revealed the deficiencies in the country’s healthcare system because the country responded poorly to the pandemic. Given the shortage of the healthcare workforce, and the lack of full protection of the nurses, the morale off the American health workers declined.
Accordingly, nurses resigned from their work in droves as the rates of infections kept on climbing, and this is supported by the recent statistical data which showed that one in five nurses quit. At the height of the pandemic, Americans also witnessed the health inequality because the pandemic significantly affected minorities (Nagorcka-Smith et al., 2022).
The experience of handling the pandemic, and witnessing the health inequality, informed the establishment of report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.” It is important to explore the work that led to this report, and conduct analysis aimed at investigating the role of nurse in leading change, and the mandate of the State-Based Action Coalitions (SBACs).
The Work of the National Academics of Sciences, Engineering, and Medicine that led to the Report
The divide in access to the health services can be attributed to the limited availability of the nursing professionals, and limitations that limit the nurse Scope of Practice (SOP). These are some of the issues that informed the decision by the National Academics of Sciences, Engineering, and Medicine (NASEM) to develop their report, recommending solutions to address the health inequality (2021).
Part of the NASEM’s recommendations includes the involvement of the nurses in expanding access to care through delivering culturally competent care, and tailoring care to optimize the outcomes of clinical interventions (National Academics Press, 2022). NASEM further propose strategies to address the health inequity by emphasizing hiring of more nurses, prudent allocation of nurses, and increasing their diversity in terms of skills they possess.
The NASEM’s work also tackles the practice barriers nursing staff grapple with, and which hamper their capacity to deliver services to patients and communities in need of care. In the U.S., only 23 states allow nursing practitioners (NPs) to fully practice. This means that a nurse who wants to practice in the 27 other states can only diagnose and treat patients strictly under the supervision of a physician.
Acknowledging the impact of restriction on the patient, NASEM recommends the elimination of the restrictions that put nurses in position where they cannot help patients (National Academics Press, 2022). Other NASEM’s proposals include improving nursing education, and recognizing the important role of community nursing.
The Trend occurring in the Nursing Workforce and Nursing Education is adapting to meet the Evolving Needs of the Profession
The evolving patients’ needs require the adaptation of the nursing workforce to help meet these needs. The need for quality care is growing considering that better quality care translates to better use of the medical resources. To adapt to this particular trend, nurses are pursuing career advancement opportunities with more nurses opting to get baccalaureate degrees.
Research has shown that when patients are treated by nurses with these degrees, their experience of care improves as a result of optimal care. Additionally, more nursing professionals are pursuing leadership ambitions because the current laws allow them to work in leadership roles. Furthermore, more NPs are taking advantage of the existing education opportunities to further their education so that they can fit within the healthcare that is embracing informatics, and evidence-based practice (EBP).
The Role of the Nurse in leading Change
Nursing role is critical when it comes to leading change, and one way in which they can exercise this mandate is monitoring the implementation of the NASEM-based recommendations to ensure there is alignment. For instance, they may examine hospitals’ compliance with the SOP regulations to ensure that they conform to these regulations (Friberg & Creasia, 2019). Additionally, they lead change by using their experience, gained from practice, to guide the adoption of the changes.
The Role of the State-based Action Coalitions
When it comes to driving change, SBACs play a vital role considering that they work collectively to bring the desired changes. They are particularly involved in mobilization of the agencies including healthcare organizations to effect change. The input of the SBACs is critical as far as the implementation of the proposed change is concerned because they provide insights to help guide the implementation (Reid et al., 2019).
How the State-Based Action Coalitions help advance the Goals specified in the National Academy of Science Report
The involvement of the SBACs is necessary to advance the goals specified in NASEM report. One of the fundamental roles of these coalitions is that provide support needed during the implementation of the NASEM’s proposed goals. This support comes in different forms including giving advice on how to execute the objectives stipulated in the report. For instance, they can recommend the strategies states can use to ensure they move away from the tradition system where nurse SOP is limited to where the nurse has a full freedom to practice (Salmond & Echevarria, 2017).
The Two Initiatives which my State-Based Action Coalition is working on and how they advance the Nursing Profession
Currently, my state is working on two initiatives; expanding the nurse SOP and improving nurse leadership roles. As part of its work on the former initiative, the SBAC is working on a law that would remove restrictions for nurses who want to practice to the full extent of their knowledge, experience and academic qualification. Conversely, it is working on expanding the number of nurse-led healthcare facilities as part of the strategy increasing the number of nursing professionals in leadership roles.
Barriers to Advancement that currently exist in my State and how Nursing Advocate in my State Overcome the Barriers
In my state, nurses grapple with lack of access to the mentorship, which makes it difficult for them to pursue leadership roles. Often when one wants to become a leader, they learn from others or work under a mentee. For nurses in my state, getting someone to provide the necessary mentorship is a major problem that seems to discourage some of them from pursuing leadership roles. To overcome this barrier, nursing advocate may call for the enactment of a policy that mandates organizations to provide mentorship opportunities to nurses.
Conclusion
In conclusion, some of the new trends witnessed within the healthcare system include expanding nurse roles and responsibilities. To fit adapt to the emerging trends, nurses need to advance their education, and increase their competency especially in leadership. Most importantly, nurses should be ready to put to action the proposals made by the NASEM, by expressing willingness to become leaders. They can also work in collaboration with SBACs to ensure the implementation of the NASEM’s proposals succeeds.
References
Friberg, E. E., & Creasia, J. L. (2019). Conceptual foundations: The bridge to professional nursing practice. St. Louis : Mosby.
Nagorcka-Smith, P., Bolton, K. A., Dam, J., Nichols, M., Alston, L., Johnstone, M., & Allender, S. (2022). The impact of coalition characteristics on outcomes in community-based initiatives targeting the social determinants of health: a systematic review. BMC public health, 22(1), 1358. https://doi.org/10.1186/s12889-022-13678-9.
National Academics Press. (2022). The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. https://nap.nationalacademies.org/read/25982/chapter/2#2.
National Academies of Sciences, Engineering, and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030, Flaubert, J. L., Le Menestrel, S., Williams, D. R., & Wakefield, M. K. (Eds.). (2021). The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. National Academies Press (US). https://pubmed.ncbi.nlm.nih.gov/34524769/.
Reid, A., Abraczinskas, M., Scott, V., Stanzler, M., Parry, G., Scaccia, J., Wandersman, A., & Ramaswamy, R. (2019). Using Collaborative Coalition Processes to Advance Community Health, Well-Being, and Equity: A Multiple-Case Study Analysis From a National Community Transformation Initiative. Health education & behavior : the official publication of the Society for Public Health Education, 46(1_suppl), 100S–109S. https://doi.org/10.1177/1090198119838833.
Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopedic nursing, 36(1), 12–25. Doi: https://doi.org/10.1097/NOR.0000000000000308.
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FAQs
The future of the nursing workforce
The future of the nursing workforce is likely to be shaped by a number of factors, including demographic changes, advances in technology and healthcare delivery models, and ongoing changes in healthcare policy and regulation.
Here are some potential trends that may impact the future of the nursing workforce:
- Aging population: As the population continues to age, there will likely be an increased demand for healthcare services, including nursing care.
- Chronic disease management: The prevalence of chronic diseases, such as diabetes, heart disease, and cancer, is likely to continue to rise, leading to increased demand for nurses who specialize in managing these conditions.
- Technological advances: Advances in technology, such as telemedicine and remote monitoring, may shift some healthcare services from hospitals and clinics to patients’ homes. Nurses will need to be trained to work with these technologies and provide care in new and innovative ways.
- Team-based care: Collaboration and coordination among healthcare professionals is becoming increasingly important, and nurses will need to work effectively as part of interdisciplinary teams to provide comprehensive, patient-centered care.
- Diversity and inclusion: The nursing workforce is becoming more diverse, reflecting the changing demographics of the United States. Nurses will need to be trained in cultural competence and inclusivity to provide high-quality, culturally sensitive care to diverse patient populations.
- Increased demand for advanced practice nurses: As the healthcare system continues to evolve, there will likely be a greater need for advanced practice nurses, such as nurse practitioners, nurse anesthetists, and nurse midwives, to provide high-quality, cost-effective care.
Overall, the future of the nursing workforce is likely to be shaped by ongoing changes in healthcare delivery and policy, as well as advances in technology and demographic trends. Nurses will need to be adaptable and flexible, willing to learn new skills and work in new care delivery models to provide high-quality, patient-centered care to diverse patient populations.
The future of nursing education
The future of nursing education is likely to be shaped by a number of factors, including ongoing changes in healthcare delivery and policy, advances in technology and educational methods, and demographic trends.
Here are some potential trends that may impact the future of nursing education:
- Greater emphasis on interprofessional education: Collaboration and coordination among healthcare professionals is becoming increasingly important, and nursing education programs may place a greater emphasis on interprofessional education to prepare nurses to work effectively as part of interdisciplinary teams.
- Increased use of technology: Technology is rapidly changing the way healthcare is delivered, and nursing education programs may incorporate more online and simulation-based learning to prepare nurses for these changes.
- Shift towards competency-based education: The focus of nursing education may shift from traditional classroom-based learning to competency-based education, which emphasizes the development of skills and abilities rather than just acquiring knowledge.
- Greater focus on diversity and inclusion: As the nursing workforce becomes more diverse, nursing education programs may place a greater emphasis on cultural competence and inclusivity to prepare nurses to provide high-quality, culturally sensitive care to diverse patient populations.
- Lifelong learning: Ongoing professional development and continuing education will be increasingly important for nurses to stay current with changes in healthcare delivery and policy, as well as advances in technology and nursing practice.
- Greater emphasis on leadership and management skills: As nurses take on more leadership and management roles in healthcare organizations, nursing education programs may place a greater emphasis on developing these skills.
Unleashing the power of the nurse to achieve health equity
Nurses play a critical role in achieving health equity, which is the idea that everyone deserves a fair and just opportunity to be as healthy as possible. Here are some ways in which nurses can unleash their power to achieve health equity:
- Advocacy: Nurses can advocate for policies and programs that promote health equity, such as improving access to care, addressing social determinants of health, and reducing health disparities.
- Cultural competence: Nurses can develop cultural competence to better understand and respond to the needs of diverse patient populations, including those who have experienced discrimination or oppression.
- Health promotion and education: Nurses can promote health and prevent disease by educating patients and communities about healthy behaviors, disease prevention, and management of chronic conditions.
- Patient-centered care: Nurses can provide patient-centered care that considers the whole person, including their social, emotional, and cultural needs, rather than just focusing on their medical conditions.
- Collaboration: Nurses can collaborate with other healthcare professionals and community organizations to address health inequities and promote health equity.
- Research: Nurses can engage in research that identifies and addresses health disparities and examines the impact of interventions on health equity.
Overall, nurses have the power to make a significant impact on achieving health equity, through advocacy, cultural competence, health promotion and education, patient-centered care, collaboration, and research. By leveraging their knowledge, skills, and passion for patient care, nurses can help create a more just and equitable healthcare system for all.
Vision of nursing for the future
The vision of nursing for the future is to continue to improve the health and well-being of individuals, families, and communities by providing high-quality, patient-centered care in an ever-changing healthcare landscape. Here are some key elements of the vision of nursing for the future:
- Patient-centered care: Nursing care will continue to be focused on meeting the unique needs and preferences of individual patients and families, with a holistic approach that considers their physical, emotional, and social well-being.
- Interprofessional collaboration: Nurses will work collaboratively with other healthcare professionals and community partners to provide coordinated and comprehensive care that addresses the social determinants of health and promotes health equity.
- Leadership: Nurses will play an increasingly important role in healthcare leadership and management, shaping healthcare policy and practice to improve patient outcomes and promote health equity.
- Technology: Nurses will continue to adopt and integrate new technologies into their practice, such as telehealth, electronic health records, and data analytics, to improve patient care and outcomes.
- Education and research: Nursing education and research will continue to evolve to meet the changing needs of healthcare, preparing nurses to provide high-quality, evidence-based care and conduct research that advances nursing science and improves patient outcomes.
- Diversity and inclusion: The nursing workforce will continue to become more diverse, reflecting the changing demographics of the United States, and nursing education and practice will place a greater emphasis on cultural competence and inclusivity to promote health equity.
Overall, the vision of nursing for the future is to continue to lead the way in providing high-quality, patient-centered care that improves health outcomes and promotes health equity for all individuals and communities.
