The Future of Nursing Report

The Future of Nursing Report

The Future of Nursing Report

The report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, provides a comprehensive overview of how nurses can utilize research, education, and healthcare technology in addressing social issues and emerging trends in healthcare, such as health disparities, racial prejudices, and barriers to quality and equitable care. The National Academies of Sciences, Engineering, and Medicine used research findings and data from the trend and emerging issues in healthcare from 2011-2021 to project the future of nursing and provide recommendations on improving nursing practice. The report addresses various factors and hindrances to quality patient care. The purpose of this paper is to explore the influence of leading change, advancing health, and state-based action coalitions on nursing practice, nursing education, and nursing workforce development and how they continue to advance the goals of the nursing profession.

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Work of The National Academies of Sciences, Engineering, and Medicine

The National Academies of Sciences, Engineering, and Medicine are independent institutions that use evidence-based information to give expert advice, encourage innovation and progress and point out challenges affecting the nation. Before providing recommendations, these academies conducted research and reviewed the existing reports on the social, economic, and political factors impacting quality and affordable care. Over the past decade, the nation has experienced inequities in nursing, racial injustices, trauma and crises of the pandemic to nursing and the society at large (Flaubert et al., 2021). The state of equity in the U.S. has been a matter of concern following the rise in cases of hate crimes. For instance, the death of George Floyd, being the most highlighted, caused numerous protests and motions about racial treatment in the U.S (Flaubert et al., 2021). Besides, there were concerns over decreased access to care for people with disabilities, low financial status, and low socioeconomic status. After years of evidence documentation, a committee was selected in 2019 to compile the report. The report included research findings, analysis, conclusions and recommendations on the future of nursing.

Trends in Nursing Workforce

Looming nursing shortage and technology in nursing practice are the main trends in the nursing workforce. There is a growing need for nursing healthcare due to rapid population growth and pandemics. The population is expected to rise even more in this decade, creating a health workforce imbalance (Flaubert et al., 2021). The high demand for nurses requires a distribution strategy to regions where the need is high. Besides the increased demand for care, there has been health disparities among Americans. The rapidly growing American population has experienced major health inequities that have reduced healthcare provision quality. Recruitment and retention of the nursing workforce will be key to meeting the gender, ethnic and racial composition of the diverse American population. On the other hand, the impact of COVID-19 preventive measures and policies accelerated the adoption of technologies that enable nurses to deliver care while maintaining social distancing (Wang et al., 2020). Technologies such as telehealth have improved the output of the nursing workforce in terms of patient engagement and quality of care.

Nursing education has incorporated equity and related concepts into teaching programs. Also, nursing education is quickly adopting technology as a more efficient way of addressing health disparities and meeting the needs of the nursing industry. Technological programs that encourage critical thinking, innovations and strategy in nursing practice are key to transforming healthcare. Nurses play a crucial role in leading change. Through their leaders, nurses participate in designing and implementing innovative changes to health policy. These policies promote advancement in nursing practice through care coordination and evidence-based practice.

Role of State-based Action Coalitions

State-based action coalitions encourage and promote local initiatives facilitating access to quality and affordable care. For instance, state-based action coalitions have been adopting and supporting nursing campaign initiatives with the potential of driving change locally. Such initiatives include education, research, and collaboration. The other Role is building healthier communities. Extensive focus on approaches and initiatives that promote nursing care is one of the strategies used by state-based coalitions to protect the well-being of their respective communities (“AARP Foundation, n.d). Furthermore, a State-based coalition led by nurses and nurse allies engages in programs or agreements that advance the future of nursing report recommendations. There are various ways in which state-based coalitions advance the proposals of the Future of Nursing 2020-2030 report. For example, state-based coalitions encourage teamwork and care coordination in healthcare settings to improve patient care and minimize medical errors. Besides encouraging care coordination, coalitions provide training opportunities for students from different backgrounds to enhance diversity in nursing practice. Diversity helps overcome barriers to quality healthcare, such as language barriers and miscommunication (Flaubert et al., 2021). State-based coalitions also promote advanced nursing studies by providing scholarship opportunities to nursing students.

Arizona’s State-Based Coalition Initiatives

Arizona’s state-based coalition works on various initiatives such as interprofessional collaborations, nursing research, and technology. The coalition has established effective approaches to advance interprofessional collaboration between nurses and other health workers across Arizona. One of these approaches is encouraging the use of technologies such as telehealth to link nurses and other health stakeholders (“AARP Foundation, n.d). The initiative to advance interprofessional collaboration aims to promote the exchange of knowledge and evidence-based practice. Also, Arizona’s state-based coalition focuses on nursing research and technology. The coalition directs a section of its resources and efforts into research on the most effective approaches or technologies that can be employed in nursing practice to improve patient outcomes.

The primary purpose of interprofessional collaboration and nursing research initiatives is to advance the nursing profession. Interprofessional collaboration between nurses and other health stakeholders plays a crucial role in the professional development of nurses (Peltonen, et al., 2020). By sharing information and experiences, nurses are able to acquire more knowledge and skills relating to their practice. Also, interprofessional collaboration enhances care coordination within healthcare settings. On the other hand, nursing research helps discover the best approaches and technologies that can be used to advance the nursing profession.

Barriers to Advancement that Currently Exist in Arizona

Even though Arizona’s State based coalition has adopted various initiatives to advance the nursing profession, the State lacks a unifying professional identity for most nurses. Most nurses with low professional identities have been exposed to unfriendly experiences and external risks (Blackwood et al., 2019). Lack of recognition has created a poor public perception of nurses leading to poor morale and dissatisfaction among nurses. The nursing practice is mostly based on compliance with orders from the doctor and other physicians, a factor that discourages foresight and critical thinking. This makes it a major factor hindering the advancement of nursing practice in Arizona State. Besides professional recognition, most nurses lack full practice authority. A considerable percentage of advanced practice nurses lack licenses due to various factors, such as the long processes involved in order to acquire the license (Blackwood et al., 2019). This is a major drawback to the efforts of the nurses and limits advancement in the nursing practice.

Conclusion

Leading change, advancing health, and state-based coalitions significantly influence the nursing profession. The future of nursing 2020-2030 report issued by the National Academies of Sciences, Engineering, and Medicine details the trends in the nursing profession and hindrances to quality and affordable care. The report also provides recommendations on how nurses can advance their profession to meet the needs of the evolving world. The formation of State-based action coalitions is based on the premise that the future of the nursing profession relies more on the ability of nurses at the state level to collaborate and support each other in implementing strategies and policies that promote nursing goals. Therefore, analysis of the report on the future of nursing 2020-2030, along with State-based coalition initiatives, provides a clear understanding of the hindrances to nursing practice and ways of advancing the nursing profession.

References

AARP Foundation. (n.d.). Arizona Action Coalition. State action coalitions. Retrieved March 24, 2023.  https://campaignforaction.org/state/arizona/

Blackwood, D. H., Walker, D., Mythen, M. G., Taylor, R. M., & Vindrola‐Padros, C. (2019). Barriers to advance care planning with patients as perceived by nurses and other healthcare professionals: A systematic review. Journal of clinical nursing, 28(23-24), 4276-4297. DOI: 10.1111/jocn.15049.

Flaubert, J. L., Le Menestrel, S., Williams, D. R., & Wakefield, M. K. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. DOI: 10.17226/25982

Peltonen, J., Leino-Kilpi, H., Heikkilä, H., Rautava, P., Tuomela, K., Siekkinen, M., … & Stolt, M. (2020). Instruments measuring interprofessional collaboration in healthcare–a scoping review. Journal of Interprofessional Care, 34(2), 147-161. DOI.org/10.1080/13561820.2019.1637336

Wang, E. A., Western, B., & Berwick, D. M. (2020). COVID-19, technology, and the role of nurses, clinicians, health systems, and payers: a report from the National Academy of Sciences, Engineering, and Medicine. Jama, 324(22), 2257-2258. DOI:10.1001/jama.2020.22109

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Assessment Description

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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.

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Rubric Criteria
Total
165 points
Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

National Academies of Sciences, Engineering, and Medicine and Future of Nursing Report

A description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report.

0 points

A description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report is omitted or inaccurate.

12.38 points

A description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report lacks detail or is incomplete.

13.04 points

A description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report is presented.

14.69 points

A detailed description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report is presented.

16.5 points

A clear and accurate description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report is presented.

Current Trends and Education

An explanation of current trends in the nursing workforce and how nursing education is adapting to meet the needs.

0 points

An explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change is omitted or inaccurate.

12.38 points

An explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change lacks detail or is incomplete.

13.04 points

An explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change is discussed.

14.69 points

A detailed explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change is discussed.

16.5 points

A clear and accurate explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change of the profession is discussed.

State-Based Action Coalitions and Their Help in Advancing Goals form National Academy of Sciences re

A discussion of the role of state-based action coalitions and how they help advance the goals in the National Academy of Sciences report.

0 points

The role of state-based action coalitions is omitted or inaccurate.

12.38 points

A discussion of the role of state-based action coalitions and how these advance the goals in the National Academy of Sciences report lacks detail or is incomplete.

13.04 points

A discussion of the role of state-based action coalitions and how they help advance the goals in the National Academy of Sciences report is presented.

14.69 points

A detailed discussion of the role of state-based action coalitions and how they help advance the goals in the National Academy of Sciences report is presented.

16.5 points

A clear and accurate discussion of the role of state-based action coalitions and how they help advance the goals in the National Academy of Sciences report is presented.

State Action Coalition Initiatives Advancing Nursing Profession

A discussion of two initiatives spearheaded by a state action coalition and how they advance the nursing profession.

0 points

A discussion of initiatives spearheaded by a state action coalition and how they advance the nursing profession is omitted or inaccurate.

24.75 points

A discussion of initiatives spearheaded by a state action coalition and how they advance the nursing profession lacks detail or is incomplete.

26.07 points

A discussion of two initiatives spearheaded by a state action coalition and how they advance the nursing profession is present.

29.37 points

A detailed discussion of two initiatives spearheaded by a state action coalition and how they advance the nursing profession is present.

33 points

A clear and accurate discussion of two initiatives spearheaded by a state action coalition and how they advance the nursing profession is present.

Barriers to Advancement

A description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers.

0 points

A description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers is omitted or inaccurate.

24.75 points

A description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers lacks detail or is incomplete.

26.07 points

A description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers is present.

29.37 points

A detailed description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers is present.

33 points

A clear and accurate description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers is present.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

8.66 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.

9.12 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

10.28 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.

11.55 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

8.66 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

9.12 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

10.28 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

11.55 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

7.43 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.

7.82 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

8.81 points

Relevant evidence that includes other perspectives is used.

9.9 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

7.43 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

7.82 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

8.81 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

9.9 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

4.95 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

5.21 points

Appropriate format and documentation are used, although there are some obvious errors.

5.87 points

Appropriate format and documentation are used with only minor errors.

6.6 points

No errors in formatting or documentation are present.