Monday, May 7, 2012

Guest Post: Advancing RNeD 80 by 2020

By Lyzanne Mason

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Situation: Advancing Nursing Education 80 by 2020. Why support this cause?

Background: Health care is becoming increasingly more complex as patients accessing our health care system have multiple co-morbidities and compounding problems requiring sophisticated care. The 80 by 2020 campaign recommends that graduates from ADN programs further their education and acquire a BSN by 2020. The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) strongly urge the nursing workforce to be prepared at the baccalaureate level as entry to practice to protect the safety of patients and improve health outcomes. Nurses need to join coalition groups to push this agenda forward. Educational standards for nurses must be improved. Support for 80 by 2020 will guarantee that nursing will continue to have a strong voice and lead change in our communities, our hospitals, and our legislative arenas.

About: The RWJF and IOM released The Future of Nursing: Leading Change, Advancing Health in October 2010. This report emphasizes the need to strengthen the nursing workforce through education better equipping future nurses leaders to advance health care reform and improve the state of our current system (RWJF, 2011, p.1). Moreover, several studies have shown that the educational background of nurses is a predictor of patient mortality rates, failure to rescue, and patient falls (Aiken, Clarke, Cheung, Sloane, & Silber, 2003; Kendall-Gallagher, Aiken, Sloane, & Cimotti, 2011). Education does make a difference in the health and longevity of a profession. Data from the Health Resources and Services Administration (HRSA) in 2008 reveals that 13.3% of nurses hold diplomas, 38.7% are prepared at the associate degree level, 37.6% at the baccalaureate level, 10% at the graduate level, and only 0.4% at the doctoral level (RWJF, 2011, p.1). Susan Hassmiller, RN, PhD, FAAN states that, “We must all stand together as a profession to make health care better—not quibble about whether the ADN and BSN degree is better. Both have value. To address future health care needs, we must accelerate educational progression, using all the tools we have, and we must reach out to other partners in other sectors to achieve this goal” (RWJF, 2011, p.2). Nurses from all educational backgrounds should support this agenda because it will ensure nursing’s longevity and strength in the health care arena for years to come.

Review: You can support the 80 by 2020 campaign by joining an action coalition in your state. Action coalition leaders can be found on the following website: http://thefutureofnursing.org/AC-Contact

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Lyzanne Mason, RN, BSN, CCRN-CSC is a graduate student in the MSN  Administration program at the University of Texas-Arlington. She works as a Clinical Nurse Educator in the Simulation Lab at the University of Texas Health Science Center School of Nursing . Lyzanne continues to work as a supplemental staff nurse in the Cardiovascular Recovery Room at St. Luke's Episcopal Hospital, Houston, TX.

Thursday, May 3, 2012

Article Review: Nurses Leaders and EHR

Strategic Considerations During Electronic Health Record Implementation

As mentioned in earlier posts, last year I left the "floor" and started to work on an EHR implementation project. My current employer is transition from one vendor to another and went through a brisk selection process that was mostly lead by physicians.This article offers a nursing perspective.

Situation: With the latest boom in electronic health record industry, this article provides instruction and advice when choosing an EHR vendor.

Background: The HITECH Act and "meaningful use" standards are driving health care facilities on a "dash for the cash" to receive US federal reimbursement money. When an EHR system is selected, a considerable amount of effort is required to analyze how current operations can be morphed into the future product. Most vendors require a complete overhaul workflow habits and policies and procedures. Depending on the size of the institution, or enterprise, the process can take up to several years to complete. Too often, administrators discover "strategic mistakes" when it is too late.

Abstract: Early decisions during electronic health record (EHR) implementation can determine the long-term success of the EHR within organizations. Questions that should be addressed during EHR implementation are presented with an emphasis on how these questions relate to the success and usability of EHRs.

Review: The following areas are suggested to consider when choosing a system.
  • Modularity - allows for options and fine tuning
  • Compilation and Configuration - provides a perception of future maintenance
  • Installation - outlines the transition process
  • Workflow - current vs future
  • Interoperability - allow for future connectivity
  • Data Access - access patient data
For more details, please refer to the article.


Article written by Stone, Andrew H. MSN, RN; Yoder, Linda H. PhD, MBA, RN, AOCN, FAAN
JONA: The Journal of Nursing Administration
Issue: Volume 42(4), April 2012, p 208–214
DOI: 10.1097/NNA.0b013e31824ccdb2