intro to equity, achievement, and thriving...this continuing nursing education activity is not...
TRANSCRIPT
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Intro to Equity, Achievement, and Thrivingin Nursing Academic Progression
Presented By:
Sofia Aragon, JD, BSN, RN
Garrett Chan, PhD, RN, APRN, FAEN, FPCN, FCNS, FNAP, FAAN
Vivienne Friday, EdD, MSN, RN, CNE
Tina Lear, MHA
Gail McGuill, MS, RN, NE-BC
September 16, 2020
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Division of NursingCenter for Continuing Education
Provider Unit Disclosure
Notice of Requirement for successful completionAttend the entire program. At the end of the program a QR Code will be made available to you. Using your phone, you will access the evaluation
and CNE certificate using this code. A direct link will also be made available in the chat box. Complete the evaluation, you will then be
taken to your certificate where you will need to insert your first and last name before you print your certificate. Be sure to print your certificate
before you close the application. The evaluation link will be closed following this activity.
Conflict of InterestThe planning committee and presenter have no conflicts of interest.
Commercial SupportThis Continuing Nursing Education Activity is not receiving commercial
support.
NEPIN: Intro to Equity, Achievement and Thriving in Nursing Education
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General Info
• Be sure you completed the pre-activity assessment
• Mute your line
• Enter questions in the chat box – we will read them aloud at the end
• Complete post-activity evaluation for CEU
• We are recording this session
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Presentation Overview
• Intro to the NEPIN Collaborative
• Overview of White Paper on Equity, Achievement and Thriving in Nursing Academic Progression -process, data and definitions
• Strategies for success from the employer perspective
• Strategies for success from the academic perspective
• Connections between academic progression and equity, achievement and thriving
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2010 IOM/NAM Report
• Advancing education transformation
• Leveraging nursing leadership
• Removing barriers to practice and care
• Fostering interprofessional collaboration
• Promoting diversity
• Increasing workforce data
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Academic Progression in Nursing (APIN)
• 9 States funded by RWJF
• Technical assistance provided nationally
• Outcomes• RNs with BSNs entering practice historical high
• RN to BSN graduations increased 2 ½ times between 2010-2015
• National % of RNs with BSN+ increased from 49% to 56% between 2010-2017
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National Progress toward 80% BSN+
49%50%
51% 51% 51%
53%54%
56%
2010 2011 2012 2013 2014 2015 2016 2017
Campaign for Action, 2019
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APIN Final Summary & Outcomes
• Partnerships
• Data
• Inconsistencies
• Regulations
• Financial Aid
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PURPOSE
Advance nurses to
higher degrees.
MISSIONFoster collaboration to ensure that nurses
have access to higher levels of education and achievement.
VISION
A nursing workforce that optimizes
health equity for all
Americans.
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NEPIN Expands on APIN’s Successes
• Goals for 2025• 1 million incumbent nurses
• 90% of new ADN graduates to the BSN or higher
• NEPIN’s Structure• National Program Director
• Leadership Alliance
• Advisory Alliance (SIGs)
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What We Wanted to Know
Equity, Achievement & Thriving in
Nursing
Data
Employer Strategies
Educator Strategies
Link(s) Between Equity &
Progression
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Data – Nursing Demographics
BSN
ADN
0
10
20
30
40
50
60
70
Asian Black/African American Native Hawaiian White/Caucasian Hispanic/Latino
9 9
0
70
11
5
13
0
67
14
2018
BSN ADN
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Definitions
Diversity EquityEducational
Equity
Health Equity
Social Determinants
of HealthThriving
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Study: Research
The Problem:
There is an ongoing challenge to achieve equitable academic progression due to specific barriers.
The Project:
An exploratory study of current practices and innovations
The Goal:
Obtain in-depth understanding of the factors that impact an RNs’ opportunity to pursue academic progression
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Data – Barriers Align with Social Determinants
Time-Related Considerations
• Full-time work + Full-time school
• Work-Life Balance
• Time Management Skills
Financial Considerations
• Overall Cost, Debt
• Financial Aid
• Expectation of Increased Pay
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Data – Barriers Align with Social Determinants
Geographic Considerations
• Proximity to Program
• Internet Connection
• Home-Work-School
Support Considerations
• Lack of Employer Support
• Lack of Recognition for Professional Development
• Lack of Personal Support
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Data – Changing Demographics• Minorities, now 37% of the US population is
projected to comprise 57% of population in 2060 (U.S. Census Bureau, 2012)• 2020 WA state population: 79.5% white alone• WA 2019-2020 school year, 52.6% white• WA Kindergarten class of 2017-2018, 56%
identify with ethnic community
• Nursing lags with demographics of the U.S. population and state population
• Differences persist in health care quality among racial and ethnic minority groups (AHRQ, 2014)
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Academic Progression: Career Advancement to Make a Difference
• Minority nurses in influential leadership roles are more likely to…directly influence resource (s)…in recruitment, retention of a diverse workforce, and shape…national policies aimed at eliminating health disparities (Phillips and Malone, 2014).
• Progression supporting nursing leadership have a significant opportunity to shape the workforce and other policy
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Strategies for Employers
Strategic Plan
Designated Leader
Equitable Treatment of All
Mentor Leaders
Monitoring & Data Collection
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Strategies for Employers in Practice Settings
Employer Incentives
Tuition Reimbursement
Flexible scheduling
Cohorts of employed RNs study groups
Educators collaborate with Practice Leaders to identify students
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Strategies for Educators
Strategic Plan
Program Development
Certification
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Strategies for Educators
Holistic Admissions
Process
Open Educational Resources
Bridging Faculty
Early Recruitment
Monitoring & Data
Collection
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Putting it all Together
Efforts to Increase Diversity in the
Profession are not Progressing
Comparable to the Population
Nursing Students’ Social
Determinants are as Critical to
Success as their Patients’
We Are All In This Together!
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Social Determinants of Health Pre-Licensure Nursing Student Survey
Student Debt Dollarsn=1,935
Maximum $200,000
Median $29,000
Mean $42,000
https://healthimpact.org/wp-content/uploads/2020/06/California-Newly-Licensed-RN-Employment-Survey-Report-Fall-2019.pdf
Confidence to Pay Back
Percentn=2,188
Very Concerned 9.7%
Some Concern 19.3%
Confident 21.1%
Very Confident 23.1%
No Debt 26.9%
Housing Percentn=1,622
No steady housing 3.2%
Worried losing 7.8%
Have housing 89.0%
SDOH Issues Percentn=751
Food 31.1%
Utilities 30.9%
Health Care 56.3%
Transportation 30.9%
Childcare 27.6%
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Keep in Touch
• NEPIN: https://nepincollaborative.org/
• Tina Lear, MHA• National Director, NEPIN• [email protected]
• JOIN THE MOVEMENT!
• Up Next: Two more webinars coming soon. Watch for invites!
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