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Introduction
The United States healthcare system has a high extent of division across several sectors, which increase barrier substantially to offering quality: and accessible care at an affordable price. Diverse strategic transformations have been progressively transforming the nursing practice in the context of America. The paper examines the work of different stakeholders in improving nursing practice, the trends within the nursing labor force, their position with the professional requirements, and other entities contributions in California State.
National Academies of Sciences, Engineering, and Medicine, and Future of Nursing Report
The National Academies of Sciences, Engineering, and Medicine (NASEM) earlier referred to as the Institute of Medicine (IOM), initiated a campaign for action on The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. The report emanates from the concerted endeavors of various stakeholders, with NASEM leading the process in partnership with the Robert Wood Johnson Foundation (RWJH). The work of the participants was to improve the current objective of upholding and supporting health for all people across the US (Hassmiller & Wakefield, 2022). The stakeholders focus on addressing systemic racism in healthcare by looking for the engagement of other like-minded teams comprising the nursing community to achieve the goal in all aspects of life.
The aim is to implement the recommendations of the report via national and state actions. The campaign for actions has focused on major areas, for example, promoting nursing leadership, increasing the percentage of nurses holding a bachelors degree, and eradicating barriers associated with nursing care and delivery. Further, it focuses on improving and changing nursing education, encouraging professional collaborations, supporting diversity in the nursing practice, and reinforcement of workforce data. The campaign for action operates in partnership with 51 state action and District of Columbia coalitions. It aims to influence reform in all the states along with its nurses, educators, stakeholders, policymakers, consumer advocates, and insurers (Nicholas et al., 2021). In addition, the report stresses the nurses critical role in enhancing healthcare services globally.
Current Trends and Education
According to the varying demographics, an increase in chronic illnesses, and a rise in demand for patient care and delivery approaches. Therefore, the nurses have a significant role in executing these transformations and improving their nursing education. Based on the report on the future of nursing, nursing professionals enacted a Patient Protection and Affordable Care Act (PPACA). It aims to support nurses to provide quality healthcare services to prevent the prevalence of illnesses and promote health among the population. Further, nurses have a role of restructuring and enhancing the healthcare systems, and facilitating diverse care delivery. The implementation of PPACA has contributed to more than 15 million people having attained health insurance coverage to permit them access to affordable and subsidized medical costs (Hassmiller & Wakefield, 2022). Further, they have initiated teamwork, effective and efficient management of chronic illnesses and prevention approaches, and enhanced community healthcare and provision strategies.
Consequently, because of these trends and transformations in the nursing labor force, there is a growing emphasis on inter-professional teamwork, education, and advanced practices and roles. It intends to enhance and keep sustainable advancements in the healthcare industry. Nursing practitioners and health experts are encouraged to advance and train in using technological improvements in the healthcare industry to permit easier acceleration of communication and responsibilities (Julion & Reed, 2020). The changes and trends assist to facilitate value-based care, professional education, patient management, teamwork among healthcare providers, and advanced technology utilization.
State-Based Action Coalition and Their Help in Advancing Goals for NASEM Report
State-based coalitions refer to coalitions spearheaded by nurses to transform and influence change in the delivery of care within the healthcare system in the communities. They were established to assist in implementing reforms in given state regimes, and private, and citizens healthcare facilities (Coker & Perrin, 2022). These coalitions assure health equity is achieved as stated in the NASEM report. The Center for Champion Nursing in America (CCNA) and RWJF offer communication strategies and tools, promoting information exchanges between states, and planning resources (Nicholas et al., 2021). In addition, the campaign for action offers internal financing via state implementation schemes and stresses getting external financing to source their projects. The state coalitions in 2021 collected approximately $100 million with the stakeholders support to enhance quality healthcare delivery for all people regardless of their race, religion, ethnicity, age, or gender (Hassmiller & Wakefield, 2022). They associate to assure social and health community care equity.
State Action Coalition Initiatives Advancing Nursing Profession
Every state has initiatives and coalitions to achieve as proposed in the NASEM report. California is one of the nine states created to effect advancements and reforms in the nursing workforce (Harrington et al., 2020). It has two fronted initiatives purposed at meeting the goals and objectives of the future of nursing. The first initiative is to form a highly educated and advanced nursing staff. It partners with stakeholders in healthcare and academic institutions to support nurses to gain advanced skills, knowledge, and healthcare strategies that efficiently and effectively enhance healthcare services delivery and the nursing profession. The second initiative is the California State Action, which entails a workgroup of approximately 700 healthcare leaders and nurses to assist develop a framework for executing the NASEM reports proposals (Hassmiller & Wakefield, 2022). The coalition comprises the leadership council, management committee, recommendation workgroups, and regional groups to guarantee nurses and other healthcare providers gain leadership proficiencies to transform healthcare facilities to deliver quality and safe care.
Barriers to Advancement
The barriers that limit nursing advancement in California include the lack of a unifying proficient identity, and a majority of nurses who are working are those approaching retirement, while newly registered ones are jobless. Further, there are many nurses working in counties with doctors and nurses, limiting opportunities for nurses (White et al., 2019). The lack of ethnic minorities in nursing leadership also affects the advancement of nurses. The substantially low number of black American nurse leaders in faculty positions and top leadership highlights the prevalence of Eurocentric stereotypes within the faculty hiring and leadership in the nursing profession (IheduruAnderson, 2020). Ethnic minority nurses in leadership play a critical role in advancing new knowledge and skills, mentoring, and promoting diverse views among nursing students and nurses who may advance health equity in a global and diverse society.
Further, most educational initiatives provide diverse nursing practice education for learners from rural areas; however, after they graduate, they have no place to practice their training and offer care services. Therefore, to resolve the barriers to nursing advancement, nursing advocates and policymakers need to work towards guaranteeing a diverse workforce (White et al., 2019). In addition, to delivering programs of education that assure nurses exploit their skills and knowledge in the areas of caring for their patients in clinics. Healthcare facilities should also offer leadership opportunities to all regardless of their race, ethnicity, gender, or age (Hassmiller & Wakefield, 2022). Nursing entities must cooperate with other health units to spot and gather the needed databases on the workforce.
Conclusion
The NASEM report on the future of nursing has spearheaded advancements in the nursing profession as revealed in this paper. The report has provided key recommendations for various stakeholders to perform to enhance the nursing profession and facilitate the achievement of health equity. Further, nurses need to be involved and have a voice in healthcare policy resolution-making. Nonetheless, the state faces various challenges in implementing the recommendations provided in the report.
References
Coker, T. R., & Perrin, J. M. (2022). The NASEM report on implementing high-quality primary careImplications for pediatrics. JAMA Pediatrics, 176(3), 221. Web.
Harrington, C., Ross, L., Chapman, S., Halifax, E., Spurlock, B., & Bakerjian, D. (2020). Nurse staffing and coronavirus infections in California nursing homes. Policy, Politics, & Nursing Practice, 21(3), 174-186. Web.
Hassmiller, S. B., & Wakefield, M. K. (2022). The future of nursing 20202030: Charting a path to achieve health equity. Nursing Outlook, 70(6), S1-S9. Web.
IheduruAnderson, K. (2020). Barriers to career advancement in the nursing profession: Perceptions of Black nurses in the United States. Nursing Forum, 55(4), 664-677. Web.
Julion, W. A., & Reed, M. (2020). Health equity and nursing education: Past, present, and future. Health Equity and Nursing, 3(2), 1-45. Web.
Nicholas, P., Gona, C., Evans, L., & Pusey Reid, E. (2021). Intersection of climate change and health: An explication of the future of nursing 2020-2030: Charting a path to achieve health equity. Witness: The Canadian Journal of Critical Nursing Discourse, 3(2), 10-17. Web.
White, E. M., Aiken, L. H., & McHugh, M. D. (2019). Registered nurse burnout, job dissatisfaction, and missed care in nursing homes. Journal of the American Geriatrics Society, 67(10), 2065-2071. Web.
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