The Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine (IOM) Report The Future of Nursing: Leading Change, Advancing Health was asked to assess the changes in the field of nursing and peripheral areas over the past 5 years resulting from that report. The role of AARP and Robert Wood Johnson Foundation (RWJF) Future of Nursing: Campaign for Action (the Campaign) was considered in assessing these field changes. The committee also was asked to assess the Campaign's progress in meeting its stated goals and to identify areas that should be emphasized over the next 5 years to help the Campaign fulfill the recommendations of The Future of Nursing.
To respond to its charge, the committee examined data from a variety of sources. These sources included a literature review on actions taken and progress made toward implementing the recommendations of The Future of Nursing, reports and information provided by the Campaign documenting its activities and progress, public input obtained through a series of workshops and meetings, and written public comments on aspects of the study charge. The study was conducted over a 12-month period.
DESCRIPTION OF THE STUDY COMMITTEE
The study committee comprised 12 individuals with expertise in nursing and health professions education and practice, health services research, health policy, workforce data, health systems, economics, and communications. See Appendix C for biographical sketches of the committee members. The committee convened for four 2-day meetings in April, May, July, and August 2015.
LITERATURE REVIEW
Several strategies were used to identify literature relevant to the committee's charge. First, a reference search for The Future of Nursing: Leading Change, Advancing Health conducted in SCOPUS and Web of Science yielded more than 1,600 journal articles and books that cite the report. A LexisNexis news search for the report's title resulted in more than 900 articles. A LexisNexis search for the report's title within the Congressional Record, the Federal Register, law reviews, federal and state cases, and legislative history also was conducted. A separate LexisNexis search of congressional records, committee reports, statutes, state administrative codes, bills, and registers was carried out using keywords from each of the eight recommendations of The Future of Nursing. A more extensive search of bibliographic databases, including MEDLINE and SCOPUS, was conducted to identify additional articles on relevant topics from peer-reviewed journals. The keywords used in searches included nurse, registered nurse, advanced practice registered nurse, APRN, nurse practitioner, nurse anesthetist, nurse midwife, nonphysician practitioners, nonphysician provider, federal funding, Centers for Medicare & Medicaid Services, Medicare, Medicaid, Center for Medicare & Medicaid Innovation, reimbursement, payment model, care delivery model, health information technology, primary care, ambulatory care, National Council of State Boards of Nursing, third party payer, insurer, scope of practice, practice authority, clinical privileges, admitting privileges, conditions of participation, medical staff, Federal Employee Health Benefits, Federal Trade Commission, regulations, state regulations, entrepreneurship, business, Health Resources and Services Administration, Community Health Accreditation Program, transition to practice, nurse residency, nurse fellowship, graduate medical education, accreditation, evaluation, competencies, baccalaureate, BSN, associate degree, ADN, master's, MSN, doctorate, PhD, DNP, academic pathway, academic progression, RN-to-BSN, ADN-to-BSN, higher education, articulation agreement, tuition reimbursement, scholarship, loan forgiveness, financial support, second-degree, returning student, interprofessional education, interprofessional collaboration, interprofessional training, health professions education, faculty, recruitment, enrollment, vacancy, education funding, diversity, lifelong learning, continuing education, continuing competency, clinical competency, performance competency, professional development, faculty development, leadership, leadership development, leadership positions, leadership education, management position, National Health Care Workforce Commission, health workforce data, health workforce statistics, minimum data set, data collection, data standards, workforce projections, nursing supply, and nursing demand.
Staff sorted through approximately 2,100 articles, reports, issue briefs, and other documents and pieces of information to identify those relevant to the committee's charge and created an EndNote database. In addition, committee members, Campaign staff, meeting participants, and members of the public submitted articles and reports on these topics.
PUBLIC MEETINGS
The committee hosted three public workshops to obtain additional information on specific aspects of the study charge. These meetings were held on May 28, July 27, and July 28, 2015. Subject-matter experts were invited to present information and recommendations for the committee's consideration. The workshops brought together stakeholders and leaders from the areas of health professions education and training, policy and regulation in care delivery, provider and organizational efforts in care delivery, and health workforce data to discuss the efforts, successes, and barriers related to implementing the recommendations of The Future of Nursing. Specific topics included
- working toward and achieving a more highly educated nursing workforce, including the development and implementation of models of academic progression, and implications for education and health care delivery;
- development and evaluation of nurse residency programs for registered nurses (RNs) and advanced practice registered nurses (APRNs);
- recruitment and retention of a diverse nursing workforce;
- impacts of health care system changes and culture change on health care delivery; and
- information and data available for assessing health professions education, training, and demand to inform workforce policy.
Speakers included leaders from health professions associations, health delivery organizations, health insurance organizations, higher education, academia and research, government agencies, health professions education and training accrediting agencies, and more.
The committee also held open forums at each workshop at which members of the public were encouraged to provide testimony on topics related to the study charge. Agendas for the three public meetings are presented in Boxes A-1 through A-3.
Publication Details
Copyright
Publisher
National Academies Press (US), Washington (DC)
NLM Citation
Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health ; Institute of Medicine; National Academies of Sciences, Engineering, and Medicine; Altman SH, Butler AS, Shern L, editors. Assessing Progress on the Institute of Medicine Report The Future of Nursing. Washington (DC): National Academies Press (US); 2016 Feb 22. Appendix A, Data Sources and Methods.