Recommendations for Creating Strong Nursing Communities.

Recommendations ce Creating Strong Nursing Communities.

 

Recommendation 1: Remove intention-of-action barriers. Deceased action registered nourishs should be potent to action to the ample limit of their training and trailing. To consummate this view, the committee recommends the restraintthcoming actions.

Ce the Congress:

  • Extend the Meditrouble program to grasp coverage of deceased action registered nourish services that are among the intention of action below applicpotent propound legislation, reasonable as physician services are now tried. Recommendations ce Creating Strong Nursing Communities.

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  • Reform the Meditrouble program to apportion deceased action registered nourishs to accomplish advent assessments, as well-behaved-behaved as certification of resigneds ce home soundness trouble services and ce advent to hospice and manifestationful nursing facilities.

  • Extend the unfoldment in Medicaid liquidation rates ce principal trouble physicians intervening in the ACA to deceased action registered nourishs providing homogeneous principal trouble services.

  • Limit federal stocking ce nursing training programs to merely those programs in propounds that possess adopted the National Council of Propound Boards of Nursing Model Nursing Action Act and Model Nursing Administrative Rules (Article XVIII, Chapter 18). Recommendations ce Creating Strong Nursing Communities.

Ce propound legislatures:

  • Reform intention-of-action regulations to yield to the National Council of Propound Boards of Nursing Model Nursing Action Act and Model Nursing Administrative Rules (Article XVIII, Chapter 18).

  • Claim third-party payers that penetratetain-a-distribute in fee-for-service cancelment arrangements to cater plain liquidation to deceased action registered nourishs who are practicing among their intention of action below propound legislation. Recommendations ce Creating Strong Nursing Communities.

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Suggested Citation:"7 Recommendations and Scrutiny Priorities." Institute of Remedy. 2011. The Controlthcoming of Nursing: Controling Fluctuate, Advancing Soundness. Washington, DC: The National Academies Press. doi: 10.17226/12956.

Ce the Centers ce Meditrouble and Medicaid Services:

  • Reform or disembarrass the claimments ce hospital competition in the Meditrouble program to secure that deceased action registered nourishs are desirable ce clinical privileges, admitting privileges, and conjunction on medical staff.

Ce the Office of Personnel Administerment:

  • Claim insurers participating in the Federal Employees Soundness Boons Program to grasp coverage of those services of deceased action registered nourishs that are among their intention of action below applicpotent propound legislation. Recommendations ce Creating Strong Nursing Communities.

Ce the Federal Trade Commission and the Antitrust Division of the Department of Reasonableice:

  • Review material and incomplete propound regulations relating deceased action registered nourishs to confirm those that possess anticompetitive possessions outside contributing to the soundness and insurance of the general. Propounds with unduly obligatory regulations should be urged to reform them to permit deceased action registered nourishs to cater trouble to resigneds in perfect plight in which they are adapted to do so. Recommendations ce Creating Strong Nursing Communities.

Recommendation 2: Extend opportunities ce nourishs to control and verbose collaborative journey exertions. Special and general stockers, soundness trouble organizations, nursing training programs, and nursing associations should extend opportunities ce nourishs to control and administer collaborative exertions with physicians and other members of the soundness trouble team to precede scrutiny and to redesign and reform action environments and soundness orders. These entities should also cater opportunities ce nourishs to verbose auspicious actions. Recommendations ce Creating Strong Nursing Communities.

To this end:

  • The Cpenetrate ce Meditrouble and Medicaid Innovation should livelihood the outbud and evaluation of models of cancelment and trouble gift that manifestation nourishs in an large and controlership compatability to reform soundness outcomes and narrow costs. Accomplishance gauges should be open and applianceed astride where best actions are visible to muse the contributions of nourishs and secure better-quality trouble.

  • Special and general stockers should collaborate, and when feasible pool stocks, to proceeding scrutiny on models of trouble and innovative solutions, Recommendations ce Creating Strong Nursing Communities.

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Suggested Citation:"7 Recommendations and Scrutiny Priorities." Institute of Remedy. 2011. The Controlthcoming of Nursing: Controling Fluctuate, Advancing Soundness. Washington, DC: The National Academies Press. doi: 10.17226/12956.

including technology, that conquer enpotent nourishs to subscribe to reformd soundness and soundness trouble.

  • Soundness trouble organizations should livelihood and aid nourishs in induction the control in enlargeing and adopting innovative, resigned-centered trouble models.

  • Soundness trouble organizations should attract nourishs and other front-line staff to enterprise with enlargeers and manufacturers in the sketch, outgrowth, acquisition, applianceation, and evaluation of medical and soundness devices and soundness counsel technology products.

  • Nursing training programs and nursing associations should cater entrepreneurial negotiative outbud that conquer enpotent nourishs to commence programs and officees that conquer subscribe to reformd soundness and soundness trouble. Recommendations ce Creating Strong Nursing Communities.

Recommendation 3: Appliance nourish residency programs. Propound boards of nursing, accrediting bodies, the federal legislation, and soundness trouble organizations should accept actions to livelihood nourishs’ amount of a transition-to-practice program (nourish residency) succeeding they possess completed a prelicsecure or deceased action limit program or when they are transitioning into upstart clinical action areas. Recommendations ce Creating Strong Nursing Communities.

The restraintthcoming actions should be acceptn to appliance and livelihood nourish residency programs:

  • Propound boards of nursing, in collaboration with accrediting bodies such as the Flexure Commission and the Order Soundness Accreditation Program, should livelihood nourishs’ amount of a residency program succeeding they possess completed a prelicsecure or deceased action limit program or when they are transitioning into upstart clinical action areas.

  • The Secretary of Soundness and Human Services should replain perfect furrow medical training stocking from letter nursing programs to livelihood the applianceation of nourish residency programs in rustic and precarious vestibule areas.

  • Soundness trouble organizations, the Soundness Media and Services Administration and Centers ce Meditrouble and Medicaid Services, and notorious-spirited organizations should stock the outbud and applianceation of nourish residency programs abutting perfect action fixedtings. Recommendations ce Creating Strong Nursing Communities.

  • Soundness trouble organizations that prprpresent nourish residency programs and foundations should evaluate the efficiency of the residency programs in proper the remonstrance of nourishs, extending competencies, and proper resigned outcomes.

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Suggested Citation:"7 Recommendations and Scrutiny Priorities." Institute of Remedy. 2011. The Controlthcoming of Nursing: Controling Fluctuate, Advancing Soundness. Washington, DC: The National Academies Press. doi: 10.17226/12956. Recommendations ce Creating Strong Nursing Communities.

Recommendation 4: Unfoldment the symmetry of nourishs with a baccalaureate limit to 80 percent by 2020. Academic nourish controlers abutting perfect instructs of nursing should enterprise coincidently to unfoldment the symmetry of nourishs with a baccalaureate limit from 50 to 80 percent by 2020. These controlers should companion with training accrediting bodies, special and general stockers, and employers to secure stocking, instructor journey, and unfoldment the heterogeneousness of students to cause a enterpriseforce prepared to unite the demands of distinct populations abutting the lifespan. Recommendations ce Creating Strong Nursing Communities.

  • The Commission on Collegiate Nursing Training, enterpriseing in collaboration with the National League ce Nursing Accrediting Commission, should claim perfect nursing instructs to prprpresent defined academic pathways, further elbow agreements, that elevate seamless vestibule ce nourishs to loftier flattens of training.

  • Soundness trouble organizations should permit nourishs with associate’s and letter limits to penetrate baccalaureate nursing programs among 5 years of stage by problation luxuriance liquidation, creating a humanization that stirs permanent training, and providing a remuneration differential and elevation. Recommendations ce Creating Strong Nursing Communities.

  • Special and general stockers should collaborate, and when feasible pool stocks, to extend baccalaureate programs to embody further students by problation scholarships and hypothecation cegiveness, hiring further donation, extending clinical command through upstart clinical companionships, and using technology to enhance command. These exertions should accept into suspect strategies to unfoldment the heterogeneousness of the nursing enterpriseforce in conditions of race/ethnicity, gender, and geographic classification. Recommendations ce Creating Strong Nursing Communities.

  • The U.S. Secretary of Training, other federal agencies including the Soundness Media and Services Administration, and propound and special stockers should extend hypothecations and grants ce second-limit nursing students.

  • Schools of nursing, in collaboration with other soundness negotiative instructs, should sketch and appliance controlthcoming and consecutive internegotiative collaboration through flexure classroom and clinical trailing opportunities. Recommendations ce Creating Strong Nursing Communities.

  • Academic nourish controlers should companion with soundness trouble organizations, controlers from principal and subordinate instruct orders, and other order organizations to invigorate and proceeding distinct nursing students.

Recommendation 5: Double the compute of nourishs with a doctorate by 2020. Schools of nursing, with livelihood from special and general stockers, academic administrators and university trustees, and accrediting bodies, should double the compute of nourishs with a doctorate by 2020 to supplement to the cadre of nourish donation and scrutinyers, with consideration to increasing heterogeneousness. Recommendations ce Creating Strong Nursing Communities.

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Suggested Citation:"7 Recommendations and Scrutiny Priorities." Institute of Remedy. 2011. The Controlthcoming of Nursing: Controling Fluctuate, Advancing Soundness. Washington, DC: The National Academies Press. doi: 10.17226/12956.

  • The Commission on Collegiate Nursing Training and the National League ce Nursing Accrediting Commission should instructor the journey of each accredited nursing instruct to secure that at smallest 10 percent of perfect baccalaureate furrows matriculate into a master’s or doctoral program among 5 years of stage. Recommendations ce Creating Strong Nursing Communities.

  • Special and general stockers, including the Soundness Media and Services Administration and the Department of Labor, should extend stocking ce programs problation unswerving furrow limits ce nourishs to unfoldment the genesis of master’s and doctoral nourish furrows and to unfoldment the heterogeneousness of nourish donation and scrutinyers.

  • Academic administrators and university trustees should cause remuneration and boon packages that are market competitive to invigorate and hold extremely adapted academic and clinical nourish donation. Recommendations ce Creating Strong Nursing Communities.

Recommendation 6: Secure that nourishs attract in lifelong experience. Accrediting bodies, instructs of nursing, soundness trouble organizations, and permanent parts educators from multiple soundness professions should collaborate to secure that nourishs and nursing students and donation live their training and attract in lifelong experience to constitute the competencies needed to cater trouble ce distinct populations abutting the lifespan.

  • Donation should companion with soundness trouble organizations to enlarge and prioritize competencies so curricula can be updated frequently to secure that furrows at perfect flattens are prepared to unite the prevalent and controlthcoming soundness needs of the population. Recommendations ce Creating Strong Nursing Communities.

  • The Commission on Collegiate Nursing Training and the National League ce Nursing Accrediting Commission should claim that perfect nursing students evince a broad fixed of clinical accomplishance competencies that effectuate the experience and aptitudes needed to cater trouble abutting fixedtings and the lifespan.

  • Academic administrators should claim perfect donation to penetratetain-a-distribute in permanent negotiative outbud and to accomplish with cutting-edge wealth in action, training, and scrutiny. Recommendations ce Creating Strong Nursing Communities.

  • Perfect soundness trouble organizations and instructs of nursing should stir a humanization of lifelong experience and cater media ce internegotiative permanent parts programs.

  • Soundness trouble organizations and other organizations that prprpresent permanent parts programs should frequently evaluate their programs ce adaptability, flexibility, vestibuleibility, and application on clinical outcomes and update the programs pleasantly.

Recommendation 7: Prepare and enpotent nourishs to control fluctuate to proceeding health. Nurses, nursing training programs, and nursing associations should

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Suggested Citation:"7 Recommendations and Scrutiny Priorities." Institute of Remedy. 2011. The Controlthcoming of Nursing: Controling Fluctuate, Advancing Soundness. Washington, DC: The National Academies Press. doi: 10.17226/12956. Recommendations ce Creating Strong Nursing Communities.

prepare the nursing enterpriseforce to pretend controlership positions abutting perfect flattens, while general, special, and legislational soundness trouble conclusion creaters should secure that controlership positions are availpotent to and populated by nourishs.

  • Nurses should accept trust ce their special and negotiative unfoldment by permanent their training and seeking opportunities to enlarge and drill their controlership aptitudes. Recommendations ce Creating Strong Nursing Communities.

  • Nursing associations should cater controlership outgrowth, mentoring programs, and opportunities to control ce perfect their members.

  • Nursing training programs should solidity controlership assumption and office actions abutting the curriculum, including clinical action.

  • Public, special, and legislational soundness trouble conclusion creaters at complete flatten should grasp resemblance from nursing on boards, on supporter administerment teams, and in other clew controlership positions. Recommendations ce Creating Strong Nursing Communities.

Recommendation 8: Build an infrastructure ce the assembly and resolution of internegotiative soundness trouble enterpriseforce basis. The National Soundness Trouble Enterpriseforce Commission, with slip from the Legislation Accountability Office and the Soundness Media and Services Administration, should control a collaborative exertion to reform scrutiny and the assembly and resolution of basis on soundness trouble workforce claimments. The Enterpriseforce Commission and the Soundness Media and Services Administration should collaborate with propound licensing boards, propound nursing enterpriseforce centers, and the Department of Labor in this exertion to secure that the basis are opportune and generally vestibuleible. Recommendations ce Creating Strong Nursing Communities.

  • The Enterpriseforce Commission and the Soundness Media and Services Administration should coordinate with propound licensing boards, including those ce nursing, remedy, dentistry, and pharmacy, to enlarge and announce a standardized stint basis fixed abutting propounds and professions that can be manifestationd to assess soundness trouble enterpriseforce needs by demographics, computes, aptitude compound, and geographic classification. Recommendations ce Creating Strong Nursing Communities.

  • The Enterpriseforce Commission and the Soundness Media and Services Administration should fixed standards ce the assembly of the stint basis fixed by propound licensing boards; supervise, coordinate, and homanifestation the basis; and create the basis generally vestibuleible.

  • The Enterpriseforce Commission and the Soundness Media and Services Administration should hold, excluding tinker, the Soundness Media and Services Administration’s registered nourish exemplification review by increasing the exemplification bigness, fielding the review complete other year, extending the basis attentive on deceased action registered nourishs, and releasing review results further promptly. Recommendations ce Creating Strong Nursing Communities.

  • The Enterpriseforce Commission and the Soundness Media and Services Administration should institute a instructoring order that manifestations the most

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Suggested Citation:"7 Recommendations and Scrutiny Priorities." Institute of Remedy. 2011. The Controlthcoming of Nursing: Controling Fluctuate, Advancing Soundness. Washington, DC: The National Academies Press. doi: 10.17226/12956. Recommendations ce Creating Strong Nursing Communities.

prevalent analytic approaches and basis from the stint basis fixed to orderatically gauge and contrivance nursing enterpriseforce claimments by role, aptitude compound, portion, and demographics.

  • The Enterpriseforce Commission and the Soundness Media and Services Administration should coordinate enterpriseforce scrutiny exertions with the Department of Labor, propound and portional educators, employers, and propound nursing enterpriseforce centers to confirm portional soundness trouble enterpriseforce needs, and institute portional targets and plans ce rightly increasing the give of soundness negotiatives.

  • The Legislation Accountability Office should secure that the Enterpriseforce Commission conjunction grasps deferred nursing expertise. Recommendations ce Creating Strong Nursing Communities.