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    Nightingale's Vision: Advancing the Nursing Profession Beyond 2022
    Nightingale's Vision: Advancing the Nursing Profession Beyond 2022
    Nightingale's Vision: Advancing the Nursing Profession Beyond 2022
    Ebook150 pages2 hours

    Nightingale's Vision: Advancing the Nursing Profession Beyond 2022

    By Sue Johnson

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    About this ebook

    Florence Nightingale never could have predicted the current, complex landscape of the nursing profession when she built its foundations more than a century ago. But her vision is still alive, as evidenced in recommendations from the 2010 Institute of Medicine (IOM) Future of Nursing report and its 2015 follow-up assessment.
    Health care reform will be a constant over the next few years, and nurses must be at the table for decision-making—nationally, regionally, and locally.
    Drawing on feedback about the IOM’s vision of nursing from a representative sample of nurses, as well as their thoughts on both sets of recommendations, Nightingale’s Vision: Advancing the Nursing Profession Beyond 2020 brings into focus the status of each recommendation, and the ways in which Florence Nightingale’s vision aligns with them.
    The IOM recommendations are a blueprint, but all nurses must understand them and be involved in their success. Applicable to any practicing nurse in any role or setting, Nightingale’s Vision: Advancing the Nursing Profession Beyond 2020 is an essential reference to guide nurses in the advancement of their profession in the next decade and beyond.
    Florence Nightingale would approve!
    LanguageEnglish
    PublisherNursesbooks
    Release dateMay 17, 2017
    ISBN9780972608800
    Nightingale's Vision: Advancing the Nursing Profession Beyond 2022

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      Nightingale's Vision - Sue Johnson

      Introduction

      A profession, a trade, a necessary occupation, something to fill and employ all my faculties, I have always felt essential to, I have always longed for, consciously or not. The first thought I can remember, and the last, was nursing work.

      —F. Nightingale

      (Cook, 1913a, p. 106)

      Florence Nightingale established a deep and diverse foundation for professional nursing practice. Within and from that foundation have rooted and grown several generations of nursing practice, theory, and policy that continue to this day.

      However robust and productive this ongoing growth, nurses can still find it helpful/useful to acknowledge it as more than simply our inheritance, our historical legacy. Nightingale’s vision continues today as nursing moves into uncharted territory in a dynamic and, at times, dysfunctional, health care environment.

      Today’s nurse leaders must advance the profession by leveraging our past and present into a future in which nursing is a dynamic force in health care locally, regionally, nationally, and globally. The 2010 Institute of Medicine (IOM) report and the 2015 assessment of its first five years of implementation set several goals for 2020, a year that will mark the 200th birthday of the profession’s founder, Florence Nightingale.

      Nightingale’s accomplishments that reflect the IOM recommendations:

      Transformed nursing education by founding the first English training school at St. Thomas’ Hospital in London

      Leveraged nursing leadership by training, recommending placement, and mentoring nurse superintendents at major hospitals in England and throughout the world

      Fostered collaboration between nurses and physicians

      Utilized data collection and statistics to improve health care across the British Commonwealth

      Insisted that Nightingale Nurses learn something every day to make progress in their careers by promoting lifelong learning

      Emphasized that nursing practice must focus on the patient and his or her needs in care delivery redesign

      The issues have changed, and nurse leaders must change their approaches and think out of the box to advance the profession beyond 2020 into a future that was undreamt of a generation ago. Yet to be addressed: How nurse leaders from 25 to 45 years of age perceive their role in nursing beyond 2020. This book now looks into this in detail in the context of the 2010 Institute of Medicine (IOM) recommendations from The Future of Nursing for nursing and the 2015 follow-up Assessment Report.

      Beginning with Chapter 2, each chapter follows this outline to assist the reader in following Nightingale’s Vision, the progress of the IOM recommendations, and the perspectives of practicing nurses from age 25 to 45.

      Nightingale’s Vision: Following a quote by Nightingale, this section depicts a situation from her life that parallels the Institute of Medicine (IOM) recommendation described in the chapter.

      IOM’s Vision: This section describes one of the eight 2010 IOM recommendations and plans by the IOM committee to achieve this goal (IOM, 2011).

      Progress toward IOM’s Vision: This section addresses review findings of the 2015 Committee for Assessing Progress on Implementing the Recommendations of the IOM Report (the Study Committee). Subtopics include the following:

      Accomplishments: Delineates the achievements by the Future of Nursing: Campaign for Action (the Campaign) and its 51 state Action Coalitions (National Academies of Sciences, Engineering, and Medicine, 2016, Preface ix) in the first five years (2010–2015).

      Challenges: Outlines areas for improvement to achieve IOM goals.

      Study Committee’s Conclusion: A statement about findings related to the IOM recommendation.

      Study Committee’s Recommendation: A statement from the Study Committee about how to make future progress toward the IOM recommendation.

      Nurses’ Vision [select survey questions]: A 15-question survey—integrating Nightingale’s vision for the profession, the 2010 Institute of Medicine (IOM) recommendations for nursing and the 2015 Assessment Report about education, nursing leadership, interprofessional collaboration, data collection/utilization, lifelong learning, and involvement in care delivery redesign—was developed via Survey Monkey (Appendix A). The survey was posted on Facebook, and a link was sent to 1,000 registered nurses between ages 25 and 45 throughout the United States in January 2017 to determine their knowledge of the IOM recommendations and their views about the future of nursing. This age group was selected because they will be leaders of the nursing profession in the 2020s and beyond. Their feedback will be included in each chapter and is vital in assessing their knowledge and perception of the IOM recommendations in shaping the future course of nursing in the United States. Two hundred and thirty responses were received—a 23% return—from 34 states and the District of Columbia. To preserve anonymity, each response was only evaluated by location. Graphic depiction of response summaries is found in Appendix B. Each chapter describes these nurses’ responses about the subject of that chapter. All comments are quoted as stated by respondents without commentary or judgment. Their ratings and insights deserve the reader’s attention even in cases of disagreement.

      Careful review of the status of each of the IOM recommendations using this framework may help nurses develop a plan for action to advance the profession beyond 2020. Florence Nightingale would applaud their accomplishments.

      These nursing leaders in multiple settings and in this age cohort will determine nursing’s future; they must play a significant role in practice issues and the growth of the profession. Their voices must be heard and heeded for nursing to achieve Nightingale’s vision for the profession and the outcomes of the IOM recommendations. This is their opportunity to be heard.

      CHAPTER 1

      How It Began: The Institute of Medicine (IOM) and Nursing

      God meant me for a reformer and I have turned out a detective. I have never been used to influence people except by leading in work; and to have to influence them by talking and writing is hard.

      —F. Nightingale (Cook, 1913a, p. 251)

      The National Academy of Sciences was chartered by the U.S. Congress in 1863 as a private, nonprofit group of scholars to advance science and technology for the general welfare of citizens. In 1970, the Academy created the Institute of Medicine* (IOM), where members of health professions examine public health policy issues; advise the government; and identify medical care, research, and education issues (IOM, 2010, p. 5). After the 2008 election, the Robert Wood Johnson Foundation (RWJF) partnered with the IOM to recommend changes in nursing education and practice to meet the demands of health system reforms. They held three information-gathering forums between 2009 and 2010 that explored nursing in acute care, in the community, and in education (IOM, 2010, p. 1). The final forum occurred one month prior to March 23, 2010, when President Barack Obama signed the law creating the Patient Protection and Affordable Care Act (IOM, 2010, Preface ix). The RWJF and the IOM realized that high-quality, accessible health care in a climate of health care reforms required outstanding care and leadership by the nation’s largest health care profession: nurses.

      The IOM expert panel, supplemented by RWJF staff experts in nursing, research, and communications, combined best practices and innovative approaches in the RWJF Initiative on the Future of Nursing at the IOM (IOM, 2011, Foreword, ix).

      In late 2010, their alliance created and published a seminal work: The Future of Nursing: Leading Change, Advancing Health (IOM, 2011). Their recommendations included the following:

      Remove scope-of-practice barriers (IOM, 2011, p. 9)

      Expand opportunities for nurses to lead and diffuse collaborative improvement efforts (IOM, 2011, p. 11)

      Implement nurse residency programs (IOM, 2011, p.11)

      Increase the proportion of nurses with a baccalaureate degree to 80% by 2020 (IOM, 2011, p. 12)

      Double the number of nurses with a doctorate by 2020 (IOM, 2011, p.13)

      Ensure that nurses engage in lifelong learning (IOM, 2011, p. 13)

      Prepare and enable nurses to lead change to advance health (IOM, 2011, p. 14)

      Build an infrastructure for the collection and analysis of interprofessional health care workforce data (IOM, 2011, p. 14)

      After the report and its recommendations were released, RWJF and AARP initiated a campaign—the Future of Nursing Campaign for Action—to implement these recommendations via the Center to

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