NRS 440 Topic 1

Assignment: Future of Nursing Report

Assessment Description

Review “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” and explore the “Campaign for Action: State Action Coalition” website, both located in the topic Resources. In a 1,000-1,250-word paper, discuss the influence “The Future of Nursing: Leading Change, Advancing Health” and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

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Include the following:

Describe the work of the National Academies of Sciences, Engineering, and Medicine that led to the report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.” NRS 440 Topic 1

Explain the trend occurring in the nursing workforce and how nursing education is adapting to meet the evolving needs of the profession. What is the role of the nurse in leading change?

Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the National Academy of Sciences report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”

Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.

Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. NRS 440 Topic 1

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

NRS 440 Topic 1 Rubric

LISTGRID

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Rubric Criteria

Total165 points

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

National Academies of Sciences, Engineering, and Medicine and Future of Nursing Report

A description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report.
0 points

A description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report is omitted or inaccurate. NRS 440 Topic 1

12.38 points

A description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report lacks detail or is incomplete.

13.04 points

A description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report is presented.

14.69 points

A detailed description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report is presented.

16.5 points

A clear and accurate description of the work of the National Academies of Sciences, Engineering, and Medicine that led to the Future of Nursing report is presented.

Current Trends and Education

An explanation of current trends in the nursing workforce and how nursing education is adapting to meet the needs.
0 points

An explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change is omitted or inaccurate.
12.38 points

An explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change lacks detail or is incomplete. NRS 440 Topic 1
13.04 points

An explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change is discussed.

14.69 points

A detailed explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change is discussed.

16.5 points

A clear and accurate explanation of current trends in the nursing workforce, how nursing education is adapting to meet the needs, and the role of the nurse in leading change of the profession is discussed.

State-Based Action Coalitions and Their Help in Advancing Goals form National Academy of Sciences re

A discussion of the role of state-based action coalitions and how they help advance the goals in the National Academy of Sciences report.

0 points

The role of state-based action coalitions is omitted or inaccurate. NRS 440 Topic 1
12.38 points

A discussion of the role of state-based action coalitions and how these advance the goals in the National Academy of Sciences report lacks detail or is incomplete.

13.04 points

A discussion of the role of state-based action coalitions and how they help advance the goals in the National Academy of Sciences report is presented.
14.69 points

A detailed discussion of the role of state-based action coalitions and how they help advance the goals in the National Academy of Sciences report is presented.

16.5 points

A clear and accurate discussion of the role of state-based action coalitions and how they help advance the goals in the National Academy of Sciences report is presented.

State Action Coalition Initiatives Advancing Nursing Profession

A discussion of two initiatives spearheaded by a state action coalition and how they advance the nursing profession.
0 points

A discussion of initiatives spearheaded by a state action coalition and how they advance the nursing profession is omitted or inaccurate.

24.75 points

A discussion of initiatives spearheaded by a state action coalition and how they advance the nursing profession lacks detail or is incomplete.
26.07 points

A discussion of two initiatives spearheaded by a state action coalition and how they advance the nursing profession is present. NRS 440 Topic 1
29.37 points

A detailed discussion of two initiatives spearheaded by a state action coalition and how they advance the nursing profession is present.
33 points

A clear and accurate discussion of two initiatives spearheaded by a state action coalition and how they advance the nursing profession is present.

Barriers to Advancement

A description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers.
0 points

A description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers is omitted or inaccurate.
24.75 points

A description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers lacks detail or is incomplete.

26.07 points

A description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers is present.

29.37 points

A detailed description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers is present.
33 points

A clear and accurate description of barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers is present.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience. NRS 440 Topic 1
0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.
8.66 points

The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.
9.12 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

10.28 points

The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.
11.55 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

8.66 points

Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.

9.12 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. NRS 440 Topic 1 Conclusion is simplistic and not fully aligned to the development of the purpose.
10.28 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

11.55 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.
0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.
7.43 points

Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.
7.82 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

8.81 points

Relevant evidence that includes other perspectives is used.

9.9 points

Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered. NRS 440 Topic 1

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.
0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.
7.43 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

7.82 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
8.81 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.
9.9 points

No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

0 points

Appropriate format is not used. No documentation of sources is provided.

4.95 points

Appropriate format is attempted, but some elements are missing. NRS 440 Topic 1 Frequent errors in documentation of sources are evident.

5.21 points

Appropriate format and documentation are used, although there are some obvious errors.

5.87 points

Appropriate format and documentation are used with only minor errors.

6.6 points

No errors in formatting or documentation are present.

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NRS 440 Topic 1 Future of Nursing Sample

Nursing remains a core component of promoting health and improving outcomes for millions of Americans because of the role that nurses play in care provision. Nurses lead change and advance health since they form the largest portion of healthcare workers (HCWs). The report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity” by the National Academy of Sciences, Engineering, and Medicine advances that nurses are at a pivotal point of the intersection in healthcare to enhance quality outcomes and reduce disparities through increased care provision and access (NASEM, 2021). The purpose of this paper is to discuss the influence of nurses leading change and advancing health, and state-based action coalitions on nursing practice, nursing education, workforce development, and their continuation in advancing the goals of the profession.

NRS 440 Topic 1 Work of the National Academies of Sciences, Engineering, and Medicine

The National Academies of Sciences, Engineering, and Medicine (NASEM) carried out a comprehensive study on the nursing profession and its role in helping the U.S. healthcare sector attain health equity in the population. The report, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity” explores the position of nurses in developing the profession and preparing nurses to help individuals and communities (NASEM, 2021). NASEM through a committee of experts reviewed literature, heard from various stakeholders, and deliberated during several meetings and sessions. The committee also reviewed the previous roadmap: The Future of Nursing: Leading Change, NRS 440 Topic 1 Advancing Health by the Institute of Medicine in 2010 to develop a new approach to helping the nursing profession deliver quality care for millions of Americans.

Before developing and presenting the report, the NASEM (2021) committee conducted studies investigating the interactions between social determinants of health (SDOH) and health outcomes. The revelation shows that SDOH is the main cause of health inequity. Therefore, the report helps nurses address these issues. The committee also assessed the readiness of nursing faculty to address health disparities and realized that the profession was not well-prepared for the future, hence published the report to prepare nurses to care for diverse populations. The report offers a roadmap for the nursing profession to promote health equity, mainly through nursing education, practice, and research.

NRS 440 Topic 1 Trends in Nursing Workforce and Education and Nursing Roles

Nurses form the largest share of the healthcare workforce and are a critical component of care delivery. As the healthcare needs within the population evolve and increase, the nursing workforce also changes to meet these needs emanating from the increased prevalence of chronic diseases due to an aging population and a rising prevalence of mental health cases. A core trend in the nursing workforce is the increased demand for nursing care to address the population’s health needs (Tsimane & Downing, 2020). The healthcare system can only meet healthcare demands through more nurses and improved access to quality care. The second trend is specialization as nurses, especially advanced practice nurses, specialize in certain areas to enhance access to quality care for patients (Kleinpell et al., 2022). The third trend in the nursing workforce is diversity and inclusion based on the rising demand for culturally sensitive care provision for various populations and patients. The current nursing workforce is diverse with nurses from all ethnic and racial backgrounds. NRS 440 Topic 1 This trend ensures that nurses understand different patient needs and develop patient-centered care plans.

Trends in nursing education focus on equipping nurses with current and relevant skills to handle patients and health populations from diverse settings. Nursing education equips nurses with the competencies and skills to engage patients from diverse cultural settings (Potter et al., 2021). Imperatively, the trends in nursing education include increased specialization through advanced nursing education, cultural competence skills development, and holistic care provision. NRS 440 Topic 1 Further, nurses are at the forefront of research to improve knowledge and competencies aimed at offering quality care.

Nurses are a core part of leading healthcare changes as they interact and engage with patients to improve care provision. Nurses lead change in the healthcare system by advocating policies to improve patient care and the nursing profession. They also lead research to determine evidence-based practice (EBP) approaches to improve the quality of care and propose policy interventions to improve the performance of the health system (Azar, 2021). They also engage in leadership to improve health equity and promote policies to address systematic inequalities and disparities. They are patient advocates because of their special relationships with them.

NRS 440 Topic 1 State-based Action Coalitions

State-based action coalitions play an important role in advancing the goals of the NASEM report. Established under the Robert Wood Johnson Foundation, these coalitions drive changes through working with nurses. These coalitions involve various stakeholders whose interest is to improve healthcare through nursing practice. Action coalitions promote health equity in communities through improved access and quality of care (Campaign for Action, n.d). These coalitions advocate, educate, and partner with all stakeholders to increase access to healthcare and promote better interventions for all providers. They also increase awareness of nursing courses to improve nursing workforce diversity. Therefore, they advance the goals of the report by NASEM through nurses to reduce disparities and inequities in healthcare settings. NRS 440 Topic 1

i). Initiatives of Alabama Action Coalition

The Alabama Action Coalition focuses on creating a culture of health by serving as the driving force in healthcare transformation using nurses. The coalition recognizes the important work underway in the state and focuses on long-term sustainable change. The coalition activities are illustrated through its achievements like highlighting the nursing profession and the importance of diversity in over 40 high schools, reaching more than 3,000 students. The coalition has also developed a curriculum for RN mobility designed to encourage 4-year institutions to implement it (Alabama Action Coalition, n.d.). The proposed curriculum eliminates the varied requirements for each institution for nursing students. NRS 440 Topic 1 The coalition also conducts public health awareness campaigns that include observing Health Literacy Month, oral care campaigns, and advocacy efforts to remove nurse restrictions.

These initiatives advance the nursing profession as they ensure that nurses can enhance their competencies through higher education, advocate better care provision for patients, and have more Alabamans join the nursing profession to improve care delivery (Kleinpell et al., 2022). The initiatives are essential as they ensure that nurses integrate other stakeholders in the community to improve health outcomes. The initiative promotes the nursing profession by demonstrating its important role in care delivery across the care continuum.

NRS 440 Topic 1 Barriers to Advancement for Nurses in Alabama

Barriers to advancement in the nursing profession differ from one state to another. In Alabama, one of the core barriers is restricted practice authority as nurses, especially advanced practice registered nurses (APRNs) cannot practice to full authority based on their education and training. The second barrier is limited diversity in the nursing workforce, and limited opportunities for advanced education (Iheduru‐Anderson, 2020). These barriers hinder nurses’ advancement in Alabama and quality of care. Nurse advocates through the state-based coalition and other stakeholders are making efforts to overcome these barriers using advocacy, education, and partnerships. For instance, they are advocating for policies to increase resource allocation and remove practice barriers like restricted practice authority (Dick et al., 2023). Modification of the nursing curriculum to embrace diversity and culturally competent care is also another critical effort by nurses to address these barriers.

NRS 440 Topic 1 Conclusion

The nursing profession is pivotal in addressing health disparities and attainment of quality care outcomes among patients and health populations. The NASEM report identifies the critical role of these providers and suggests ways that nurses and other stakeholders can enhance the attainment of health equity and reduction of health disparities. As such, state-based coalitions like the one in Alabama provide a platform for nurses and all interested stakeholders to address these challenges to enhance healthcare quality and access.

NRS 440 Topic 1 References

Azar, K. M. (2021). The evolving role of nurse leadership in the fight for health equity. Nurse

            Leader, 19(6), 571-575. https://pubmed.ncbi.nlm.nih.gov/34539261/

Alabama Action Coalition (n.d.). Working to create a Culture of Health in Alabama.

            https://campaignforaction.org/state/alabama/

Campaign for Action (n.d.). State Action Coalitions.

State Action Coalitions

Dick, T. K., Loan, L. A., Ladner, K. A., Becker, D. J., Li, P., & Patrician, P. A. (2023).

Alabama’s Acute Care Registered Nurse Workforce Demand: A Descriptive Survey-Based Study. Journal of nursing regulation, 14(3), 33-43. DOI:https://doi.org/10.1016/S2155-8256(23)00111-4

Iheduru‐Anderson, K. (2020, November). Barriers to career advancement in the nursing

profession: Perceptions of Black nurses in the United States. Nursing Forum, 55(4):664-677. DOI: 10.1111/nuf.12483

Kleinpell, R., Myers, C. R., Likes, W., & Schorn, M. N. (2022). Breaking down institutional

barriers to advanced practice registered nurse practice. Nursing administration quarterly, 46(2), 137-143. DOI: 10.1097/NAQ.0000000000000518

National Academies of Sciences, Engineering, and Medicine (NASEM) (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

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. (2021). Fundamentals of nursing-e-book.

            Elsevier health sciences.

Tsimane, T. A., & Downing, C. (2020). Transformative learning in nursing education: A concept

            analysis. International journal of nursing sciences, 7(1), 91-98.

DOI: 10.1016/j.ijnss.2019.12.006. NRS 440 Topic 1