39% of hospitals/other healthcare settings prefer hiring new RNs with BSN (AACN, 2012) 77% of employers have strong preference for BSN educated nurses Strong data supporting better outcomes with employment of higher proportion of BSN prepared nurses Move to Magnet – Require all nurse managers/leaders to hold > BSN by 2013 – Have plan in place for achieving 80% BSN by 2020 Salaries more than 10% higher (HRSA) National Nursing Employment Trends

Oregon Action Coalition Formed in 2012 Steering Committee made up of nurse and community leaders from around the state Goal to implement the IOM recommendations in Oregon

A LOOK AT NURSES IN OREGON

BSN Graduates are Increasing BSN Graduates are Increasing

Age of average Oregon RN Source: 2014 Oregon Health Authority and Oregon State Board of Nursing datasets

Nurse Retirement Plans Nurse Retirement Plans Source: 2014 Oregon Health Authority and Oregon State Board of Nursing datasets

Nurses must build leadership skills Nurses need better understanding of systems leadership and quality sciences Identification of the unique contributions nurses make to health care committees or boards Identification of the skills and knowledge critical to leaders of/in healthcare organizations (ACOs, healthcare homes, clinics, acute care) Transforming Nursing Leadership

High-quality, patient- centered health care for all will require a transformation of the health care delivery system One of the most viewed online reports in IOM history. Institute of Medicine Report

Enable nurses to practice to the full level of their training. Remove scope-of- practice barriers. Implement nurse residency programs. Improve nursing education. Increase proportion of nurses with a BSN degree to 80% by Double the number of nurses with a doctorate by Ensure that nurses engage in lifelong learning. Prepare and enable nurses to lead change. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. Prepare and enable nurses to lead change to advance health. Improve workforce data collection and analysis. Build an improved infrastructure to collect and analyze health care workforce data. Key Messages of the IOM Report

Recommendation 1: Remove scope-of-practice barriers

Recommendation 2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts

Recommendation 3: Implement nurse residency programs

Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020

Recommendation 5: Double the number of nurses with a doctorate by 2020

Recommendation 6: Ensure that nurses engage in lifelong learning

Recommendation 7: Prepare and enable nurses to lead change to advance health

Recommendation 8: Build an infrastructure for the collection and analysis of inter-professional health care workforce data

Leadership Focus on advocacy for advanced practice nurses, and advancing the position of nurses in policy roles and on boards Education Identify ways to encourage nurses to pursue higher education, including BSN and PhD/DNP programs Communications Spread the message of IOM recommendations, promote work done by OAC, and encourage partnerships OAC Focus Areas

What Can You Do? Volunteer to be on a OAC workgroup Get your organization involved Let us know what you are working on that relates to the IOM Don’t wait for someone else to take the initiative! Don’t get caught up in thinking “we’ve heard this before and nothing has happened” Get involved today to help our profession grow and prosper!

Oregon Action Coalition Website Contact Co-Leads: Jana BittonTom Engle Oregon Center for NursingOregon Public Health Assoc. Get Involved!

Special Thanks Emily Goerke, CRNA, ORANA Sarah Frazier, RN, VA Medical Center Texas Team