...Effective Health Care Workforce Planning Model Contents Executive Summary...................................................................................................................1 Getting Started with a Workforce Planning Model .................................................................2 Data – Collecting, Understanding, and Using ........................................................................3 Strategy – Understanding and Addressing the Business Need .............................................9 Planning – How to be Prepared for the Future .....................................................................12 Evaluation – Understanding Success ..................................................................................21 Conclusion ...............................................................................................................................23 Literature Review ....................................................................................................................24 Acknowledgements.................................................................................................................26 Executive Summary is aging at a rapid rate; health care reform is expected to bring millions more patients into the system; and there are anticipated shortages in numbers of trained health care professionals to care for these patients. Therefore, the need to start now to develop more effective and efficient workforce planning...
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...Qualified Nursing Workforce Quality patient care hinges on having a well educated nursing workforce. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. The American Association of Colleges of Nursing (AACN) is committed to working collaboratively to create a more highly qualified nursing workforce since education enhances both clinical competency and care delivery. This fact sheet looks at today’s nursing workforce; highlights research connecting education to outcomes; and outlines the capacity of four-year colleges to enhance the level of nursing education in the U.S. Snapshot of Today’s Nursing Workforce According to the National Center for Health Workforce Analysis within the Health Resources and Services Administration (HRSA), approximately 2.8 million registered nurses (RNs) are currently working in nursing (HRSA, 2013). This count reflects an increase from the last National Sample Survey of Registered Nurses conducted by HRSA in 2008 which found that 2.6 million RNs were employed in nursing (out of a population of more than 3 million licensed RNs). HRSA’s 2013 report, titled The U.S. Nursing Workforce: Trends in Supply and Education, also found that 55% of the RN workforce held a baccalaureate or higher degree. In a separate study conducted by the National Council of State Boards of Nursing and The Forum of State Nursing Workforce Centers in 2013...
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... Grand Canyon University NRS430 December 12, 2015 The Differences Between Baccalaureates Versus Associate Degree The American Association of Colleges of Nursing (AACN), the national voice for baccalaureate and graduate nursing programs, believes that education has a significant impact on the knowledge and competencies of the nurse clinician, as it does for all health care providers. Nurses with Bachelor of Science in Nursing (BSN) degrees are well-prepared to meet the demands placed on today's nurse. BSN nurses are prized for their skills in critical thinking, leadership, case management, and health promotion, and for their ability to practice across a variety of inpatient and outpatient settings. Nurse executives, federal agencies, the military, leading nursing organizations, health care foundations, magnet hospitals, and minority nurse advocacy groups all recognize the unique value that baccalaureate-prepared nurses bring to the practice setting. AACN encourages employers to foster practice environments that embrace lifelong learning and offer incentives for registered nurses (RNs) seeking to advance their education to the baccalaureate and higher degree levels. We also encourage BSN graduates...
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...following the war (Nursing Timeline of Historical Events). “Today associate degree programs are the major point of entry into nursing” and have opened nursing education to a broader population of students (Creasia 15). The Baccalaureate level program is typically four years in length and offered at Universities. Both AND and BSN graduates sit for the NCLEX-RN licensing exam. Both educational levels have similar passing rates as the NCLEX “tests for minimum technical competency for safe entry into basic nursing practice” (Creating a More Highly Qualified Nursing Workforce 2014). The American Association of Colleges of Nursing (AACN) believes education plays a significant role in the knowledge and competencies of the nurse. BSN programs encompass the same course work as the ADN program. Additionally, the BSN program provides a more in-depth study of physical and social sciences, nursing research, public and community health, nursing management, and the humanities. The AACN believes that BSN prepared students are more prepared to meet the demands of today’s nurse. That the additional education, above and beyond that which the ADN student receives, better...
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...Health Care Workforce Shortages The access to quality healthcare is at risk due to the healthcare workforce shortages. The shortages include all members of the hospital work staff from nurses to primary care physicians to highly trained surgeons. Many hospitals do not have enough nurses to tend to the patients. The United States is projected to have a nursing shortage that is expected to intensify as baby boomers age and the need for health care grows. Compounding the problem is the fact that nursing colleges and universities across the country are struggling to expand enrollment levels to meet the rising demand for nursing care. ("AACN") The enrollment in for educational programs for medical professions whether hospital-based or in colleges and universities has declined significantly. There are simply not enough graduates to fill existing or anticipated vacancies. There are other issues that add to the shortages of nurses in the healthcare workforce. Such as; insufficient staffing which is raising the stress level of nurses, impacting job satisfaction, and driving many nurses to leave the profession. The high turnover and vacancy rates have an impact on healthcare. Insufficient nurse staffing is related to higher patient mortality rates. The mortality risk for patients was about 6% higher on units that were understaffed as compared with fully staffed units. (Clark) The mortality risks also increases when...
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...of demand of Baccalaureate degree graduates over the Associate degree as a new hire in the medical setting. We will also focus on magnet status hospitals and those trying to achieve magnet status and how they have promoted a change in hiring of this two degrees. The American Nursing Association view of Baccalaureate Degree in comparison to Associate degree. We will also address research that has recently be published that displayed baccalaureate patient outcomes and patient safety in writing and statistical data. Patient care situation will be analyze decision making approach relating Associate degree versus Baccalaureate degree in nursing. First we must address the similarities they both are able to be called and hold the title of Nurse, they both are able to seat to take the National Council Licensure Examination for Registered Nurses. They both work in similar settings ambulatory and inpatient medical facilities to name the most prevalent. The main difference in competency and preparation lies in education and training the Associate Degree Nurse in most cases is a two year technical nurse who graduates from a community college or nursing school. The baccalaureate degree nurse per the American Nursing Association has claim encompasses all of the course work trained in associate degree plus a more in depth education in nursing practice that integrates the roles of a more profound nursing process. Hospitals applying for Magnet status must also show policies are in set to reach...
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...CONTACT: Robert J. Rosseter, 202-463-6930, x231 rrosseter@aacn.nche.edu Fact Sheet: Creating a More Highly Qualified Nursing Workforce Quality patient care hinges on having a well educated nursing workforce. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels. The American Association of Colleges of Nursing (AACN) is committed to working collaboratively to create a more highly qualified nursing workforce since education enhances both clinical competency and care delivery. This fact sheet looks at today’s nursing workforce; highlights research connecting education to outcomes; and outlines the capacity of four-year colleges to enhance the level of nursing education in the U.S. Snapshot of Today’s Nursing Workforce According to the 2008 National Sample Survey of Registered Nurses conducted by the Health Resources and Services Administration (HRSA), nursing is the nation's largest health care profession with more than 3 million registered nurses (RNs) nationwide. Of all licensed RNs, 2.6 million or 84.8% are employed in nursing. The sample survey also shows that 50.0% of the RN workforce holds a baccalaureate or graduate degree while 36.1% earned an associate degree and 13.9% a diploma in nursing. Graduates of entry-level nursing programs (baccalaureate degree, associate degree and diploma) sit for the NCLEX-RN© licensing examination. The...
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...largest group of health care workforce in the United States (US), with more than 3 million members (Institute of Medicine (IOM), 2010). Nurses can play an important role in helping to fulfill the goals set by the Affordable Care Act in 2010 (IOM, 2010). However, many obstacles are blocking nurses to advance change in the health care settings. These obstacles need to be lifted for nurses to better position themselves to advance health and lead change. The goals of this paper is to discuss the Institute of Medicine (IOM) report with the Robert Wood Johnson Foundation (RWJF) committee “Future of Nursing: Leading Change, Advancing Health”, the importance of the IOM report on nursing workforce, Campaign for Action, state-based action coalitions and initiatives. IOM report, "Future of Nursing: Leading Change, Advancing Health" In 2008, the IOM, in collaboration with RWJF, launched an initiative to meet the challenges of the nursing shortage to transform the nursing profession (IOM, 2010). With the RWJF initiative on the Future of Nursing, the IOM appointed the Committee with the intention of creating a roadmap to fulfill the RWJF objectives for the future of nursing (IOM, 2010). The RWJF recommends nurses to utilize the fullest extent of their training and education; pursue higher education and training via an educational system that promotes ease of academic progression; collaborate with inter-professionals and physicians as full partners in improving health care in the US; and assist...
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...Issue Analysis: The Affordable Care Act and Nursing April 7, 2013 Policy Issue Analysis: The Affordable Care Act and Nursing Problem Identification Healthcare costs are soaring in the United States today. More people than ever before are uninsured or underinsured. In 2006-07, there were 46 million people uninsured (Gulley, Rasch, & Chan, 2011), and 9 million children also did not have health insurance (Coddington & Sands, 2008). A change in how healthcare is managed and financed is greatly needed to avoid worsening of this situation. Background The cost of healthcare and the number of uninsured individuals has become a critical issue today. Healthcare spending in the U. S. has grown faster than the economy, by about two to three percent per year since the end of World War II (Brown, 2009, p. 1). If nothing changes, Medicare will cost as much as the sum of all federal income taxes in about 75 years (Brown, 2009, p. 2). Healthcare premiums have become so unaffordable, that many families do without. The lack of insurance has a direct effect on poor health outcomes, increasing morbidity and mortality, which also contributes to increased healthcare costs (Coddington & Sands, 2008, p. 1). The Patient Protection and Affordable Care Act (PPACA), also known as Obamacare, was signed into law on March 23, 2010, and the Supreme Court made a final decision to uphold the law on June 28, 2012 (U. S. Department of Health and Human Services). The PPACA...
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...World War II, the Associates degree was proposed to be a temporary need to help increase the amount of educated nurses in the workforce. (Creasia & Friberg, 2011). Recently, there have been many ongoing debates on which degree should be required before a student is able to receive the RN licensure- Diploma, Associated Degree, or Baccalaureate Degree. The answers that may be heard vary from organization to organization, each having research to support their decision. Many have argued that regardless of the reasons, the pathway to becoming an educated nurse is disorganized and confusing. Many say that change is needed, and many suggest, that there be only one way to become a professional nurse (Creasia & Friberg, 2011). Outlined below are the competencies for each degree and how it applies to the medical settings. The Competencies of an Associate Degree Nurse Associate degree programs (ASN) offer students an opportunity to become a competent nurse, and once completed, is eligible to take the NCLEX-RN and work as a licensed Register Nurse (RN). The ASN program can take 2-3 years and is designed to educate and train to be “technical nurses” and provide entry level care in hospitals. Each student receives a strong foundation of knowledge and skills in many areas of nursing such as fundamentals, medical surgical, and critical care to provide safe bedside care. The classes taken also give them a pathway to move forward with their education. They are encouraged to take continued...
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...Implementation of the IOM Future of Nursing Report Grand Canyon University NRS-440 Trends October 8, 2015 Health Care Transition The United States Health care system is in the mist of converting to a preventative, health management focus system from a treatment focused system. There has been plenty of benefits and trials during the transformative period, like as with any other changes. The Institute of Medicine (IOM) requested that a report be done that would bring clarity to and direct the nursing profession on their parts and conversions that nursing is going to face. In this essay the IOM report that was completed by the Robert Wood Johnson Foundation (RWJF) on the future of nursing will be explored. There will be discussion of the four nursing initiatives as well as the influence that the IOM report has on the nursing workforce in the near feature. The Future of Nursing Campaign for Action and rationale of state based action coalitions will be discussed as well as their intentions. IOM Report Summary The IOM and the RWJF instigated a study that would define the ideal approach in which nurses would be able to make positive impression on the health of the over-all public. This research began in 2008 and lasted two years; while compiling the necessary statistics to complete the report that was then released in 2010. The IOM report on the future of nursing shown emphasizes on four key components. McNeal stated in the IOM report that the first component that is important...
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...Who Cares? Why the Shortageof Nurses Should Matter Dondi A. Dancy Webster University INTRODUCTION The Bureau of Labor Statistics (BLS) projects that between calendar years 2001 and 2018 the most significant increase in job growth will occur in the healthcare industry, primarily within the nursing sector. Registered Nurses (more commonly known as RNs) complete an Associate degree nursing program (ASN) or higher (BSN, MSN, ND, DNSc, or DNP). Every healthcare experience involves the knowledge, support, and comfort of an RN – they are a large, diverse group who are integral to and in the delivery of healthcare. In fact, the Society of Human Resources Management (SHRM) Job Satisfaction 2010 survey indicates that nursing is the only “profession offering genuine opportunity for meaningful work.” The Employment Projections 2010-2020 profile suggests that there are 3.5 million licensed RNs working in various settings across the United States - which effectively means that RNs represents the single largest group of healthcare professionals in the United States; Wanted Analytics reported in December 2012 of 121,000 newly placed classified advertisements seeking RNs to fill positions in various settings to include schools, hospitals, long-term care facilities, companies, and staffing firms during the months of October and November 2012; and the National Institute of Medicine confirms that between 2005 and 2012 the nursing sector experienced average annual growth of twenty-three...
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...Nursing Robert Loperfido Felician Health Policy and Politics NURS 385 Helena Correia RNC, MSN August 18, 2014 The Impact of the 2010 IOM Report on The Future of Nursing The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation called the Affordable Care Act. This legislation gives the...
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...going to be much different than our past. This presentation will review four major topics that are worth consideration, and hopefully provide food for thought about each nurse’s plans and goals for his or her own career in the future. We will discuss evidence-based practice, nursing theory, research, and nursing roles and opportunities. Each of these topics includes a myriad of ideas, publications, and opportunities for self assessment and growth. Evidence-based nursing, evidenced-based practice, and evidence-based medicine are all based on the idea that health care treatment has transitioned from “practice that was based on intuition, experience, clinical skills and guesswork” to practice based in science (Chitty, 2010, p. 258). This has allowed nurses to make decisions based on research, and to provide the most skilled, advanced, and expert care. Nurses should know where to find research to support evidence-based care decisions. According to Ciliska, Haynes, and Marks (2013), a nurse could review textbooks, online data bases, journal articles, and the internet. One should consider that both consolidated and distilled information resources are available, and remember that distilled information resources do not always provide the most accurate and up to date information. The consolidate resources can be plentiful and one may have some difficulty choosing which research documents to review when searching for a specific topic. Chitty (2010) suggested using the PICO tool, which...
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...current health care system in the United States is undergoing many and various changes, and since nursing represents the largest healthcare profession, with more than 2.8 million registered nurses (HRSA, 2013), it has become accepted that this sector will face significant transformation as well. Some of the current trends that are driving these changes in our healthcare system consist of the aging of the population, particularly the baby boomers, which will create a greater demand for nurses in the very near future, accelerated by the large number of nurses nearing retirement. Also the implementation of the Affordable Act is another reason for an increase in the demand for RNs, as this act expands the role of nurses in primary care and other advanced practice roles. According to the Health Resources and Service Administration, in 2010, the Associate Degree in Nursing( ADN), was the most common degree obtained for entry into the nursing profession, with almost one-half of all new nurses possessing this degree ( HRSA, 2010, p. 2-2). Considering the three ways to get into nursing, Diploma, ADN or BSN, it was quite outstanding to find out that ADN and Diploma graduates together in 2010 comprised 65.8% of all new nurses( HRSA, 2010). Even more puzzling was reading the report from the Institute of Medicine released the same year calling out to increasing the number of baccalaureate-prepared nurses to 80% by 2020, in order to respond “to the demands of an evolving health care system...
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