NUR 513 Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry

NUR 513 Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry

NUR 513 Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry

According to the consensus report of the National Academies of Sciences, Engineering, and Medicine, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, “The authoring committee produced a set of recommendations for the field of nursing and it provided a blueprint for improving nurse education; ensuring that nurses can practice to the full extent of their education and training; providing opportunities for nurses to assume leadership positions; and improving data collection for policymaking and workforce planning.” Out of the nine key recommendations the consensus report has addressed, the two main ones that I consider to be on the top level of importance within my community and organizations involve the nurse’s health and wellbeing and the inequities surrounding public health emergencies.

Recommendation 3: By 2021, nursing education programs, employers, nursing leaders, licensing boards, and nursing organizations should initiate the implementation of structures, systems, and evidence-based interventions to promote nurses’ health and well-being, especially as they take on new roles to advance health equity.

Recommendation 8: To enable nurses to address inequities within communities, federal agencies and other key stakeholders within and outside the nursing profession should strengthen and protect the nursing workforce during the response to such public health emergencies as the COVID-19 pandemic and natural disasters, including those related to climate change.

Recommendation 8 hits close to home on so many levels. I have been a nurse for 3 years, and the pandemic took me by surprise. I had been working as a nurse for about a year when Covid started. The amount of stress and distrust myself and my coworkers felt navigating around the everchanging policies and procedures associated with the pandemics CDC instruction was unnecessary. Unfortunately, I experienced the blatant disregard our organization had for our health and wellbeing by withholding and rationing vitally needed supplies when they were readily available for us to use. It was infuriating at the time, because this was a whole new ballgame for even the most seasoned nurses, and it caused a significant number of employees to resign. Management never came on the unit anymore like they used too and we felt abandoned. Bringing up the concerns with our director and management at staff meetings was futile and our concerns would be triumphed over with CDC recommendations and the organizations rationales based on fear and lack of knowledge. The COVID pandemic was an eyeopener to the world in terms of high-level planning and preparation for patient and provider safety.

I agree with how the report describes the evolution of the advanced practice registered nurse role. The solution the

NUR 513 Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry
NUR 513 Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry

report proposes states, “The committee recommends that all relevant state, federal and private organizations enable nurses to practice to the full extent of their education and training by removing practice barriers that prevent them from more fully addressing social needs and social determinants of health and improve health care access, quality, and value.” Advanced practice nurses can help curb disparities and positively influence communities’ health and wellbeing by letting the ever evolving career of nursing take the front seat with the physicians and other specialty roles. As nurses we are in the frontlines and are the eyes and ears for our physicians. We may not be as educated in medicine as the physicians are but we are strong in our assessment, implementation and evaluation skills. We are a golden asset to the care team and as APNs, we can have a deeper impact within our patients lives and communities with the right education and support.

 

National Academies of Sciences, Engineering, and Medicine. 2021. The future of nursing 2020–2030: Charting a path to achieve health equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982

REPLY

Well stated and described . Recommendation #8 stands out for all of us to be able to learn from our mistakes as a community. The amount of burnout and disparities seen during the pandemic among nurses and other health care professionals is unexplainable. Words cannot to do justice about the experiences many went through with Covid 19. Not one organization or industry is to blame as I have not encountered such a worldwide phenomenon of a pandemic as this in my life.

Recommendation #3 is apt in the light of #8 of how very important it to guide and guard the well being of a nurse no matter the setting where they work or study in. We have not reached a post pandemic state, thus it is yet to see how federal agencies , stakeholders and private organizations are responding to new work environments for nurses being in telehealth, working remotely and creating jobs within the nursing profession to allow for a better work life balance

REPLY

One phrase that stood out to me while reading The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity report was “cultural humility” (National Academies of Sciences, Engineering, and Medicine, 2021).  This phrase was new and intriguing to me. What exactly is cultural humility and how do we include the concept into nursing education since, according to the authors of the report, it is “essential” to accomplishing the goal of delivering person centered care and education to diverse populations (National Academies of Sciences, Engineering, and Medicine, 2021, p. 206)? The report states that the concept of cultural humility is so important that it should be included in nursing education “as a thread throughout the curriculum.” (National Academies of Sciences, Engineering, and Medicine, 2021, p. 206)

Shamaila Khan, PhD states that the phrase “cultural humility” is a “dynamic and lifelong process focusing on self-reflection and personal critique, acknowledging one’s own biases” (Khan, 2021). This phrase struck me as radical, when I read it for the first time in the report. Although I do view the concept of cultural humility as a drastic shift from the previous and current approaches to addressing culture in healthcare, it is a very appropriate change in the right direction. Khan makes a profound statement that part of being culturally humble is to realize “that even in sameness there is difference” (Khan, 2021). This concept speaks to the foundation of providing the “person-centered care” that the report has deemed necessary to achieve the goal of healthcare equality (National Academies of Sciences, Engineering, and Medicine, 2021, p. 206)

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I have personally witnessed situations where individuals within the healthcare system treat certain patients differently, based on their race, culture, or socioeconomic status. In each of these experiences, I was amazed at how oblivious the person was to the inappropriateness of their actions. While I agree that nursing education should include courses on cultural humility and biases, if we are going to see the change in the industry that is needed, every discipline within the healthcare system needs to be educated on cultural humility training, not just nurses.

I agree that the advanced practice registered nurse role has evolved to include more autonomy and prominence within the healthcare system since the growth and changes in healthcare delivery methods, such as retail clinics. I also agree that APRNs could have a greater positive impact on promoting equality of healthcare access if certain political barriers were removed. (National Academies of Sciences, Engineering, and Medicine, 2021)

 

References:

Khan, S. (2021, March 09). Cultural humility vs. cultural competence- and why providers need both. Health City. https://healthcity.bmc.org/policy-and-industry/cultural-humility-vs-cultural-competence-providers-need-both 

 

National Academies of Sciences, Engineering, and Medicine. 2021. The future of nursing 2020–2030: Charting a path to achieve health equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982