Center to Champion Nursing in America, Spokane, WA.
Center to Champion Nursing in America, Arlington, VA.
Nurs Outlook. 2019 Mar-Apr;67(2):154-160. doi: 10.1016/j.outlook.2018.11.008. Epub 2018 Nov 28.
The Institute of Medicine Future of Nursing (2011) report recommended nurses achieve higher levels of education and training through an improved education system that promotes seamless academic progression. The report cited evidence that a higher proportion of BSN prepared RNs in the workforce improves patient outcomes.
An extensive network of funding and grassroots support from Robert Wood Johnson Foundation and AARP Foundation generated a host of activities to advance progress in this recommendation. Community colleges and universities strengthened strategic partnerships and developed tools to address identified challenges. The community colleges and universities testing academic progression models developed a new model with the potential to accelerate progress by providing community college RN students an option to exit with a BSN (Gerardi, 2017). Building on these successes and using a projection tool (Spetz, 2018), this paper illustrates recommended next steps. Implementing the proposed changes would accelerate progress to 83.9% RNs in the workforce with BSN or higher preparation by 2025 rather than the predicted 64% at the current rate of progress.
RECOMMENDATIONS/CONCLUSIONS: Accelerating progress to meet national academic progression goals will require targeted support for increased education capacity at community colleges and universities. Addressing faculty shortages, increased student and faculty diversity, and economic drivers will be essential for success. The strategic action proposal described in this paper can be the essential next step to accelerate progress in this important work.
医学研究所未来护理(2011 年)报告建议护士通过改进教育系统来实现更高水平的教育和培训,促进无缝的学术进步。该报告引用了证据表明,劳动力中具有更高比例的 BSN 准备的注册护士可以改善患者的治疗结果。
罗伯特伍德约翰逊基金会和美国退休人员协会基金会广泛的资助网络和基层支持,产生了一系列活动,以推动这一建议的进展。社区学院和大学加强了战略伙伴关系,并开发了工具来解决确定的挑战。正在测试学术进步模型的社区学院和大学开发了一种新模型,有可能通过为社区大学注册护士学生提供获得 BSN 的选择来加速这一进程(Gerardi,2017 年)。在此基础上取得成功并使用预测工具(Spetz,2018 年),本文说明了建议的下一步措施。实施拟议的变革将加速到 2025 年,使劳动力中具有 BSN 或更高学历的注册护士比例达到 83.9%,而不是按照目前的进展速度预测的 64%。
建议/结论:加快实现国家学术进步目标的进展将需要有针对性地支持社区学院和大学增加教育能力。解决师资短缺、增加学生和教师多样性以及经济驱动力将是成功的关键。本文所述的战略行动计划可以成为加速这一重要工作进展的必要下一步。