Improving Access to Health Care News Archive | Campaign for Action / Future of Nursing Mon, 23 Sep 2024 10:52:02 +0000 en-US hourly 1 https://wordpress.org/?v=6.0.10 AI/AN Mentoring Curriculum for Nursing Faculty /resource/ai-an-mentoring-curriculum-for-nursing-faculty/ Wed, 04 Oct 2023 14:55:00 +0000 /?post_type=resource&p=37067 The purpose of this resource is to guide faculty on culturally responsive approaches for engaging and mentoring of American Indian /Alaskan Native students, as well as to offer teaching and learning strategies for faculty to use with students. (Updated October 4, 2023). The objectives of the American Indian Alaska Native Mentoring Curriculum are: Provide an […]

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The purpose of this resource is to guide faculty on culturally responsive approaches for engaging and mentoring of American Indian /Alaskan Native students, as well as to offer teaching and learning strategies for faculty to use with students. (Updated October 4, 2023).

The objectives of the American Indian Alaska Native Mentoring Curriculum are:

  • Provide an overview of AI/AN historical, social, and political context and its influence on higher education experiences
  • Provide guidance on culturally sensitive and responsive mentoring approaches, and teaching and learning strategies for faculty
  • Provide guidance on strategies to support AI/AN student retention and academic success
  • Provide information and resources on approaches for recruitment of AI/AN students

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Current Activity on Removing Barriers to Practice and Care /resource/current-activity-removing-barriers-to-practice-and-care/ Mon, 31 Jul 2023 21:00:00 +0000 /?post_type=resource&p=7323 This two-page document provides current activity on removing barriers to practice and care.  It was last updated July 2023. The document includes: Overview Map of State Progress in Removing Barriers to Practice and Care Recent Publications in Support of Removing Barriers Let us know if you have anything to add by emailing Winifred Quinn at wquinn@aarp.org

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This two-page document provides current activity on removing barriers to practice and care.  It was last updated July 2023.

The document includes:
  • Overview
  • Map of State Progress in Removing Barriers to Practice and Care
  • Recent Publications in Support of Removing Barriers

Let us know if you have anything to add by emailing Winifred Quinn at wquinn@aarp.org

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Current Nursing Workforce Shortage & Promising Solutions /webinar/current-nursing-workforce-shortage-promising-solutions/ Tue, 30 May 2023 10:31:55 +0000 /?post_type=webinar&p=41566 The Current Nursing Workforce Shortage and Promising Solutions discussion highlighted the current nursing workforce shortage and various promising programs to recruit and retain nurses. Facilitator: James Ballinghoff, DNP, MBA, RNChief Nurse Executive, University of Pennsylvania Health SystemVice President/Chief Nursing Officer, Penn Presbyterian Medical Center Panelists: Katie Boston-Leary, PhD, MBA, RNDirector of Nursing Programs, American Nurses […]

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The Current Nursing Workforce Shortage and Promising Solutions discussion highlighted the current nursing workforce shortage and various promising programs to recruit and retain nurses.

Facilitator:

James Ballinghoff, DNP, MBA, RN
Chief Nurse Executive, University of Pennsylvania Health System
Vice President/Chief Nursing Officer, Penn Presbyterian Medical Center

Panelists:

Katie Boston-Leary, PhD, MBA, RN
Director of Nursing Programs, American Nurses Association

Karen N. Drenkard, PhD, RN, FAAN
Senior Fellow, Public Policy Institute, AARP

Anne H. Gross, PhD, RN, FAAN
Senior Vice President, Patient Care Services and Chief Nursing Officer, Dana-Farber Cancer Institute, Harvard Teaching Hospital

Karren Kowalski, PhD, RN, FAAN,
Founder and CEO, Karren Kowalski & Associates
Professor, Texas Tech University School of Nursing

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State practice environment for nurse practitioners (2010-2023) /resource/state-practice-environment-nurse-practitioners/ Tue, 28 Mar 2023 21:15:00 +0000 /?post_type=resource&p=8920 Nurse practice laws and regulations are specific to each state. This interactive map from the American Association of Nurse Practitioners (AANP) provides licensure and regulatory requirements, as well as practice environment details, for nurse practitioners in all 50 states and the District of Columbia. These data expand on Dashboard Indicator 3: Removing Barriers to Practice and […]

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Nurse practice laws and regulations are specific to each state. This interactive map from the American Association of Nurse Practitioners (AANP) provides licensure and regulatory requirements, as well as practice environment details, for nurse practitioners in all 50 states and the District of Columbia.

These data expand on Dashboard Indicator 3: Removing Barriers to Practice and Care, used to measure the Campaign’s progress toward modernizing outdated policies (public and private), changing state and federal laws and regulations, and removing cultural and organizational barriers to allow advanced practice registered nurses to be able to practice to the full extent of their education and training.

Note: The map below is current as of March 2023. 

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Improving Access to Care: What You Need to Know /resource/improving-access-care-need-know/ Tue, 28 Mar 2023 17:41:00 +0000 /?post_type=resource&p=10563 The Campaign for Action works to bring better care and wellness to more Americans by changing laws and policies that prohibit nurses from practicing to the full extent of their education and training. Below are facts you can use to educate others about our efforts. The four types of advanced practice registered nurses: nurse practitioners […]

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The Campaign for Action works to bring better care and wellness to more Americans by changing laws and policies that prohibit nurses from practicing to the full extent of their education and training. Below are facts you can use to educate others about our efforts.

The four types of advanced practice registered nurses:

  • nurse practitioners
  • clinical nurse specialists
  • certified registered nurse anesthetists
  • certified nurse-midwives

APRNs are registered nurses with advanced degrees who have passed national certification exams. Learn who APRNs are.

Twenty-seven states and the District of Columbia allow nurse practitioners to practice without restriction. See other states’ efforts  to update their laws.

Studies show that better laws mean more Americans enjoy greater access to high-quality health care at a lower cost:

Access

In 2012, the National Governors Association produced a paper supporting its premise that the best way “states could increase access to primary care for their residents is to consider easing their scope of practice restrictions.”

Quality

A review of published literature over 18 years on care provided by APRNs shows “APRNs provide effective and high-quality patient care, have an important role in improving the quality of patient care in the United States.”

Cost

Separate studies in multiple states show the economic benefits of removing barriers to practice and care; scholars and think tanks make the same case in articles. A Federal Trade Commission report states that “expanded APRN scope of practice is good for competition and American consumers.”

Two webinars, “The Evidence Shows: Better Laws Mean Better, More Accessible Care” and “Progress on the Institute of Medicine Recommendations: More Evidence” provide data showing that the  nation benefits when nurses can practice to the full extent of their education and training.

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Four Types of Advanced Practice Registered Nurses /resource/types-advanced-practice-registered-nurses/ Fri, 16 Dec 2022 13:29:00 +0000 /?post_type=resource&p=6878 There are four types of advanced practice registered nurses: Nurse practitioners Clinical nurse specialists Certified registered nurse anesthetists Certified nurse-midwives Find out how many are in the United States, and what they do, by type. PowerPoint Slide  – Types of APRNs Advanced practice registered nurses: Are registered nurses (RNs) with a master’s, post-master’s, or doctoral […]

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There are four types of advanced practice registered nurses:

  • Nurse practitioners
  • Clinical nurse specialists
  • Certified registered nurse anesthetists
  • Certified nurse-midwives

Find out how many are in the United States, and what they do, by type.

PowerPoint Slide  – Types of APRNs

Advanced practice registered nurses:

  • Are registered nurses (RNs) with a master’s, post-master’s, or doctoral degree.
  • Pass national certification exams.
  • Teach patients to understand their health problems and what they can do to get better.
  • Coordinate care and advocate for patients.
  • Refer patients to physicians and other health care providers.

PowerPoint Slide  – Who Are APRNs

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State practice environment for certified nurse-midwives (2010-2022) /resource/state-practice-environment-certified-nurse-midwives/ Tue, 07 Jun 2022 13:30:00 +0000 /?post_type=resource&p=8674 Nurse practice laws and regulations are specific to each state. This map from the American College of Nurse-Midwives shows the practice environment for certified nurse-midwives in all 50 states and the District of Columbia. These data expand on Dashboard Indicator 3: Removing Barriers to Practice and Care, used to measure the Campaign’s progress toward modernizing outdated policies (public […]

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Nurse practice laws and regulations are specific to each state. This map from the American College of Nurse-Midwives shows the practice environment for certified nurse-midwives in all 50 states and the District of Columbia.

These data expand on Dashboard Indicator 3: Removing Barriers to Practice and Care, used to measure the Campaign’s progress toward modernizing outdated policies (public and private), changing state and federal laws and regulations, and removing cultural and organizational barriers to allow advanced practice registered nurses to be able to practice to the full extent of their education and training.

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Kansas Joins States Offering Improved Access Care /kansas-joins-states-offering-improved-access-care/ Tue, 26 Apr 2022 12:36:14 +0000 /?p=38966 Kansas’ approximately 3 million residents will soon have direct access to primary care from advanced practice registered nurses. The Sunflower State on April 15 became the 26th state – and the second state within a month – to adopt full practice authority, meaning all APRNs can practice to the full extent of their education and […]

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Kansas’ approximately 3 million residents will soon have direct access to primary care from advanced practice registered nurses.

The Sunflower State on April 15 became the 26th state – and the second state within a month – to adopt full practice authority, meaning all APRNs can practice to the full extent of their education and training. New York did the same April 9.

Kansas’ change means that more than half of the states, plus the District of Columbia, now give their combined 94* million residents direct access to nurse care.

“Kansas, like so many other states, is experiencing a health care shortage – especially in rural parts of the state,” Kansas Gov. Laura Kelly said in signing the bill. “This will improve the availability of high-quality health care by empowering APRNs to reduce local and regional care gaps.”

AARP supports the Center to Champion Nursing in America (CCNA) in its work to advocate for changes that would allow nurses to practice to the full extent of their education and training. CCNA is an initiative of AARP Foundation, AARP and the Robert Wood Johnson Foundation.

CCNA runs the Future of Nursing: Campaign for Action, also an initiative of AARP Foundation, AARP and RWJF with a vision that everyone in America can live a healthier life, supported by nurses as essential partners in providing care and promoting health equity and well-being.

AARP Kansas State Director Glenda DuBoise noted that Kansas ranks 40th in the nation for number of physicians per 100,000 people. “Giving APRN’s full authority to provide health care is a big win for our state,” DuBoise said. “Nurse practitioners will be able to help fill the gap, providing quality health care for patients where they live, especially in rural areas of Kansas.”

The legislation eliminates outdate requirements for most advanced practice registered nurses to hold a state-mandated contract with a physician to practice.

The new law also requires nurse practitioners, clinical nurse specialists and certified nurse midwives to have national certification and be covered by malpractice insurance. The new law does not require a transition to practice, which means Kansas is the first state to pass a thorough full practice authority law since North Dakota’s 2010 statute.

Since the Campaign for Action began in 2010, 13 states have increased consumers’ access to care by removing legal barriers that prevented nurse practitioners from providing care to the full extent of their education and training. That’s in addition to the 26 states and the District of Columbia that allow nurse practitioners to provide full care.

*Source: Annual Estimates of the Resident Population for the United States, Regions, States, District of Columbia, and Puerto Rico: April 1, 2020 to July 1, 2021 (NST-EST2021-POP), U.S. Census Bureau, Population Division.

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New York Increases Access to Nurse-Provided Care /new-york-increases-access-to-nurse-provided-care/ Fri, 15 Apr 2022 12:01:05 +0000 /?p=38857 New York’s more than 20 million residents will now have direct access to primary health care from nurse practitioners. On April 9, Gov. Kathy Hochul signed the state budget into law, and it included a provision that secured improved health care access for residents in the state.

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New York State Capitol in Albany, New York state capital, USA

New York’s more than 20 million residents will now have direct access to primary health care from nurse practitioners. On April 9, Gov. Kathy Hochul signed the state budget into law, and it included a provision that secured improved health care access for residents in the state.

“Full practice authority for advanced practice registered nurses will provide safe care, expand access to rural and medically underserved areas, reduce wait and travel times, and control healthcare costs, as decades of research and overwhelming evidence suggests,” said Beth Finkel, state director of AARP New York, which worked for years to achieve full practice authority.

“Advanced practice registered nurses provide the type of care, care coordination, and links to community resources that patients and family caregivers need to effectively manage chronic conditions. Full practice authority is an important step in AARP New York’s ongoing efforts to disrupt disparities impacting our rural areas and communities of color,” Finkel added.

New York, the fourth most populous state, joins 24 states and the District of Columbia in recognizing nurse practitioners’ full practice authority. This is the culmination, as we reported in 2020, of New York being one of many states that waived laws limiting access to health care as a result of the COVID-19 pandemic.

“New York has taken a critical step forward in our country, increasing access to vital health care services,” said April N. Kapu, DNP, FAANP, FAAN, president of the American Association of Nurse Practitioners. “New Yorkers will now have full and direct access to the comprehensive care NPs provide.”

Since the Future of Nursing: Campaign for Action began, 12 states have increased consumers’ access to care by removing legal barriers that prevented nurse practitioners from providing care to the full extent of their education and training. More than 91 million* people in 25 states and the District of Columbia now have direct access to nurse practitioners who can provide care.

*Source: Annual Estimates of the Resident Population for the United States, Regions, States, District of Columbia, and Puerto Rico: April 1, 2020 to July 1, 2021 (NST-EST2021-POP), U.S. Census Bureau, Population Division.

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Archived: Dashboard Indicators /resource/campaign-dashboard-indicators/ Wed, 09 Mar 2022 20:15:00 +0000 /?post_type=resource&p=7120 In 2024, we condensed and updated the graphs and charts. View new measures. Developed in 2011, the Campaign for Action Dashboard is a series of graphs and charts the Campaign uses to evaluate its efforts to implement the recommendations in the Institute of Medicine’s The Future of Nursing: Leading Change, Advancing Health report. It contains seven primary indicators: education, doctoral degrees, […]

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In 2024, we condensed and updated the graphs and charts. View new measures.

Developed in 2011, the Campaign for Action Dashboard is a series of graphs and charts the Campaign uses to evaluate its efforts to implement the recommendations in the Institute of Medicine’s The Future of Nursing: Leading Change, Advancing Health report. It contains seven primary indicators: education, doctoral degrees, state practice environment, interprofessional collaboration, leadership, workforce data, and diversity, and can be viewed by clicking the “download” button below. It was updated twice per year and was last updated in September 2021.

Data Sources

Download

Dashboard Secondary Indicators

Dash- 1e

Below are links to secondary indicator graphics that provide further support for each goal represented within the Dashboard. Data collected was for years 2010-2019.

Indicator 1: Education—Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020
Number and percent of U.S.-educated, first-time NCLEX-takers with BSN
Number of RN‐to‐BSN graduates annually
Number of hospitals in the United States with Magnet status

Indicator 2: Doctoral Degrees—Double the number of nurses with a doctorate by 2020
Total fall enrollment in nursing doctorate programs
Number of people receiving nursing doctoral degrees annually

Indicator 3: State Practice Environment—Advanced practice registered nurses should be able to practice to the full extent of their education and training
State practice environment for nurse practitioners
State practice environment for certified nurse midwives
NCSBN’s APRN Consensus Model implementation status
Number of nurse-led clinics in the United States
Number of nurse-led clinics located in medically underserved areas (MUA)

Indicator 4: Interprofessional Collaboration—Expand opportunities for nurses to lead and disseminate collaborative improvement efforts
Number of articles published in top 10 health services research journals co-authored by an RN and authors from other disciplines

Indicator 5: Leadership—Health care decision-makers should ensure leadership positions are available to and filled by nurses
Percent of hospital boards with RN members

Indicator 6: Workforce Data—Build infrastructure for collection and analysis of interprofessional health care workforce data
State boards of nursing that participate in the NCSBN Nursys Data System

Indicator 7: Diversity—Make diversity in the nursing workforce a priority
Racial/ethnic composition of the RN workforce in the United States
New RN graduates by degree type, by gender
New RN graduates by degree type, by race/ethnicity
Number of Action Coalitions with members of its’ state’s ethnic or racial minority nursing organization or of its’ men in nursing state chapter as a voting member on its most senior executive-level policy-making body
Diversity of nursing doctorate graduates by race/ethnicity
Diversity of nursing doctorate graduates by gender
States that collect race/ethnicity data about their nursing workforce (by year)
Racial and ethnic composition of RN graduates of pre-licensure nursing education programs and the general population by state – upon request

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