maryland statewide commission on the crisis in nursing update and future directions june 5, 2002

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Maryland Statewide Maryland Statewide Commission on the Commission on the Crisis in Nursing Crisis in Nursing Update and Future Directions June 5, 2002

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Page 1: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Maryland Statewide Maryland Statewide Commission on the Crisis in Commission on the Crisis in

NursingNursing

Update and Future Directions

June 5, 2002

Page 2: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Legislated ChargeLegislated Charge

Convene Summit

“Do something”

Page 3: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

“ “Do something”Do something”

COMMISSION

Page 4: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

“ “Do something”Do something”Subcommittees Formed

Education

Recruitment

Retention

Workplace Issues

Refined Commission Structure

Vice Chairs’ Leadership

Keeping Nurses Informed

Page 5: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Registered Nurses - Active Licenses*Registered Nurses - Active Licenses*1996 - 20001996 - 2000

50,68246,990 47,86045,525 46,67547,737

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

55,000

1996 1997 1998 1999 2000 2001

*Registered Nurses - Maryland Addresses Only

Page 6: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Licensed Practical Nurses-Active Licensed Practical Nurses-Active Licenses* 1996- 2000 Licenses* 1996- 2000

8,481 8,468 8,2297,895 7,945 8,821

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

9,000

10,000

1996 1997 1998 1999 2000 2001

*Licensed Practice Nurses with Maryland Addresses

Page 7: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

RNs By Age GroupsRNs By Age Groups1997 - 20001997 - 2000

0

2,000

4,0006,000

8,000

10,000

12,000

14,00016,000

18,000

20,000

18 - 27 28 - 37 38 - 47 48 - 57 58 - 67 68 +

1997

1998

1999

2000

2001

Page 8: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

LPNs BY AGE GROUPSLPNs BY AGE GROUPS1996 - 20001996 - 2000

0

500

1,000

1,500

2,000

2,500

3,000

18 - 27 28 - 37 38 - 47 48 - 57 58 - 67 68 +

1997

1998

1999

2000

2001

Page 9: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Inactive Licenses by AgeInactive Licenses by Age20012001

0

100

200

300

400

500

600

700

800

18-22 23-27 28-32 33-37 38-42 43-47 48-52 53-57 58-62 63-67 >=68

RN LP

Page 10: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Newly Licensed RNs by TypeNewly Licensed RNs by Type

1100

1150

1200

1250

1300

1350

Exam Endorse

2000

2001

Page 11: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Number of Newly Licensed RNs by Number of Newly Licensed RNs by Age 1998 - 2001Age 1998 - 2001

0

200

400

600

800

1000

1200

18 - 27 28 - 37 38 - 47 48 - 57 58 - 67 68+

1998

1999

2000

2001

Page 12: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Workforce Diversity 2001Workforce Diversity 2001

RNs 5% Males 24% Minority

LPNs 11% Males 50% Minority

Page 13: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Admissions 1997-2001Admissions 1997-2001Registered Nursing ProgramsRegistered Nursing Programs

12021101 1094

698 759

0 0

12471165

850

870855

09546

0

200

400

600

800

1000

1200

1400

1997 1998 1999 2000 2001

Associate Degree Baccalaureate Diploma RN-BSN

Page 14: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Graduations 1997-2001 Graduations 1997-2001 Registered Nursing ProgramsRegistered Nursing Programs

769

0 0 0 0

713

922

898837

616527

813841841

32

178185

0

200

400

600

800

1000

1997 1998 1999 2000 2001Associate Degree Baccalaureate Diploma RN-BSN

Baccalaureate totals include RN to BSN students. 1997-1999

Page 15: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Practical Nursing ProgramsPractical Nursing ProgramsAdmissions & GraduationsAdmissions & Graduations

1997-20001997-2000

169

160

177181

165168

169

131

144144

40

60

80

100

120

140

160

180

200

1997 1998 1999 2000 2001

Admissions Graduations

Page 16: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Places of Employment - RNsPlaces of Employment - RNs1996 - 20011996 - 2001

0%

10%

20%

30%

40%

50%

60%

Hospitals

LTCCom

m. Health

Sch. Health

Home Health

HMO

Amb. Care

Office Nsg

All Other

1996

1997

1998

1999

2000

2001

Page 17: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Places of Employment - LPNsPlaces of Employment - LPNs1996 -20011996 -2001

0%

5%

10%

15%

20%

25%

30%

35%

40%

Hos

pitals

LTC

Comm

Schoo

l Hea

lth

Offi

ce N

sgH

MO

Hom

e Hea

lth

All Oth

er

1996

1997

1998

1999

2000

2001

Page 18: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Statewide Commission on the Statewide Commission on the Crisis in NursingCrisis in Nursing

Solving the NursingShortage

Recruitment Collaborate to Recruit • Image• Web—disseminate

Information• Tool Kit Development

Education• Education Processes• Scholarship & Financial Aid• Finance & Marketing• Mentoring

Retention• Adequate & Flexible Staffing Protocols• Communication/respect/ Recognition• Competitive Compensation

& Flexible Benefits

Workplace Issues • Stress in the Workplace• Clinical Practice Delivery Models & Quality of Care• Regulatory Issues• Participate in Decision Making Scheduling & Lifestyle Issues

Commission

Page 19: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Chair: Ann Possidente

Vice Chair: Debra B. Doyle

Recruitment SubcommitteeRecruitment Subcommittee

Page 20: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment – SummitRecruitment – Summit

1. Poor public and media image Women’s profession

What do nurses do?

Promoted to middle & high schoolers

as job vs career

Page 21: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment – SummitRecruitment – Summit

2. Hospitals are a business

3. Lack respect as a profession by the public and among nurses

Page 22: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Maryland Commission on Maryland Commission on the Crisis in Nursingthe Crisis in Nursing

Project a more positive and professional image of nursing

Attract middle and high school students into nursing as a career

Page 23: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Our Charge Our Charge

Develop statewide campaign

Promote nursing as worthwhile career

Page 24: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Who are wetrying to attract &retain?

What is thecompetition

doing?

What do thesecoworkers

want/value?

What should we do?

Page 25: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

The Nursing The Nursing Profession’s FutureProfession’s Future

11 Y.O. 21 Y.O. 30 Y.O.

Middle School1) Students2) Parents

High School College1) Non-Nsg Students2) Nsg Students

“Second Career”1) People desiring a second career

Nurses1) Current Nurses

Expected Outcomes:

Understand current perceptions of the nursing profession

Attract more students into the nursing profession

Page 26: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment—Middle/High Schools Recruitment—Middle/High Schools Participants N = 219Participants N = 219

1. Viewed Nursing as technical as opposed to professional (like a “shop”)

2. No Career advancement—58.7%

3. Unsure of “what it takes to become an RN”

Educational requirements Differences in 2yr vs. 4yr programs

Page 27: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment—Middle/High SchoolsRecruitment—Middle/High Schools

4. “Scary” job with life and death decisions

5. Job security Computers and teaching “sure bet” If cut Medicare, hospitals will close

24.1% 6. “Girls” job - 79.9%

Page 28: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment—Middle/High SchoolsRecruitment—Middle/High Schools

7. Wearing a uniform—unappealing

8. Unfavorable hours & tasks

(work weekends and holidays)

9. Stressful—watching people die

Page 29: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment Subcommittee Recruitment Subcommittee AccomplishmentsAccomplishments

Nursing Image Videos Resources Library

(www. marylandhealthcareers.org) Web Site Developed through MHA

(www. marylandhealthcareers.org) & (mbon.org)

Information for parents, teachers, students Facts about nursing, scholarships Hyperlinks to other nursing information

Page 30: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment Subcommittee Recruitment Subcommittee AccomplishmentsAccomplishments

Legislative Shadow ProgramTool kits

(middle and high school students, counselors, teachers and Parents)

Student Volunteer Program Speakers Bureau Listening to constituents

Page 31: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment Subcommittee Recruitment Subcommittee AccomplishmentsAccomplishments

Working with Education Subcommittee on the best

approach for recruiting faculty Healthcare settings to find clinical

rotations

Page 32: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

•Ann Possidente, Chair

•Mona Bahouth•Carolyn G. Baker•Susan Battistoni•Mary L.Beachley•Sharan Lee Bidle•Justin Bishop•Jean L. Bridle•Barbara Marx Brocato•Melissa A. Brodeur •Trena Brown • Linda Brown-Sutphin• Kathryn Buffington• Ann T. Bures

•Debra B. Doyle, V.Chair

•Ann Byrne•Martha R. Caputo•Amy Chi•Virginia R. Clark•Harold Cohen•Robb Cohen•Carol Costante•Judith Covich•Frances Crites•Catherine Crowley•Regina M. Curran•Parker David•Jack Davisdon

•Mary H. Deeley•Lynn M. Derrickson•Mae Esh •Jeffrey Friedman •Susan E. Gibson •Robyn Gilden •Bruce N. Griffin •Dorna P. Hairston •Kathryn V. Hall•John A. Harris•Cheryl Heilman•Sharon Hobson•Mary Cathryn Hoffman•M. Theresa Hommel•Kay Hoskinson

Recruitment Subcommittee VolunteersRecruitment Subcommittee VolunteersTHANKS!

Page 33: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment Subcommittee MembersRecruitment Subcommittee Members

Wayne HowardCecelia HughesLorraine Hughes-GirandolaJoan HumlockEmeka IfemejeLinda JanzikSeth Johnson Stephanie JourdanLaura L. KatzKathy KemperLisa LambertLena LeeFran LeibfreidRomona Lewis Amy L. Lohfield

MontgomeryBarbara LuminellaSusan LynottKim Kathryn Lothschuetz- McCarronChristina McGannJanet MelsonFran MillerBerta R. MitchellDonna MuellerDawn NallyKathleen N. NeelyJack Neil Matt NeiswangerLola NullKathleen Ogle

Lisette K. OsborneMarc PalovitzYvonne ParawayDavid ParkerKaren M. ParrotteKaren C. PoiskerConstance M. PryorJennifer B. RainerAnn RegierHope RipkinGeorge RoseSharon M. RossiPeter RussellStephanie L. SandPat Saunders

THANKS!

Page 34: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Amy SchaeferCarol SchatzmanMary SchriverLisa SeldomridgeLynn Z. SklarJeanne SmootKaren SullivanVicki L. TaliaferroMarion TaylorLisa TenneyLana ThomasTammy J. ThompsonMary R. ToweDenise TuckerDavid Uhlfelder

Recruitment Subcommittee MembersRecruitment Subcommittee Members

Laura Van SyckleLisa WadeMaureen WakefieldMary Lou WatsonElizabeth WegleinCarol WigginsErica WilliamsEvelyn S. WilmerPat WilmsenBonnita D. WilsonMark WoodardEmmaline T. WoodsonRhonda WyskielGary Yakimov

THANKS!

Page 35: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Recruitment SubcommitteeRecruitment Subcommittee

Get involved We welcome additional volunteers Access the Maryland Board of Nursing

(mbon.org)

Page 36: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Workplace Issues SubcommitteeWorkplace Issues Subcommittee

Chair: Donna Wilhelm

Vice Chair: Maria Koszalka

Page 37: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Workplace Issues Subcommittee Workplace Issues Subcommittee MembersMembers

Micaela, M Aigner-JacobsNancy AllenLoretta BeckmanStephanie BernardSusan D. BoettgerJudith E. BreitenbachJean L. BridleMelissa A. BrodeurDeneen brownAngela T. BurdenAnn ByrneRosalyn G. CarterFilissa M. CasertaPhyllis CassidyApril C. ChaseNalini CherianDeborah L. ChesserVirginia R. ClarkJanet CoglianoRobb CohenHarold CohenStacey M. CookCatherine CrowleyRegina M. CurranCarol A. Curran

Donna Damico

Sandra L. Dearholt

Mary H. Deeley

Connie A. Dennis

Mary Dent

Carole Derck

Sarah S. Detmer

Dottie Devine

Sallie Dicus

Elizabeth Ann Evins

Beverly S. Francis

Susan E. Gibson

Beverly B. Goldsmith

Sheila Greenwood

Catherine M. Griswold

Larry L. Grosser

Beverly S. Guy

Kathryn V. Hall

Sharon G, Hameroff

Elise Handelman

Janet Holly Hoppenstein

Ellen L. Horowits

Kay Hoskinson

Belinda D. Houston

Paula A. James

S. Nooshin Javan

Michael Jenifer

Sharon A. Johnson

Seth Johnson

Keith Jones

Judith Karp

Silvie Kassar

Laura L. Katz

Jack C. Keane

Juanita Kennedy

Vicky P. Kent

Kathie Kloch

Maria V. Koszalka

Dina A. Krenzischek

Pamela E. Kumar

Mary J. Larkin

Sandy Levy

Mary A. Linton

Kathryn Lothschuetz-Montgomery

Sandra Lucci

Suzan Lundy

Marsha Marcus W.

Christin McGann

Christin McGann

Kate McPhaul

Judith Meyers

Barbara Anne Miklewski

Linda A. Miles

Sharon Millar

Linda Miller

Berta Z. Mitchell

Harriett Moore

Toni Moore-Duggan

Dawn Nally

Moira Namuth

Sandra Natolly

Victoria B. Navarro

Kathleen N. Neely

Jack Neil

Lois H. Neuman

Robin Purdy Newhouse

Catherine S. Novak

Linda O'Hara

Joann Oliver

Carolyn R. Overcash

Vanessa R. Pierre

Carol Portner

Curtis Price

Page 38: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Workplace Issues Subcommittee Workplace Issues Subcommittee Members Members (cont.)(cont.)

Constance Sumpter

Sandra Sundeen

Cecile E. Sutherland

Carol Swartz

Tami W. Swearingen

Irene Taylor

Lana Thomas

Tammy J. Thompson

Lynn Z. Sklar

Dianne C. Smith

Lucie Smith

Regina Smith-Yurek

Annette E. Snyder

Joan M. Spear

Denise Stanback

Cathy Stonebraker

Eleanor Walker

Joan Humlock

Mary Zohlen

Barbara Watts

Patricia Watts-Kelley

Beverly A. Wehmer

Donna Wilhelm

Erica Williams

Marisa Wilson

Helen Jane Wobbeking

Heather Yockey

Gloria Zarlenga

Karen Tipton

Cathy Toepfner

Janis Trainor

Denise Tucker

David Uhlfelder

Brenda Vitucci

Maureen Wakefield

Florine Marshel

Delores M. Puno

Donna Raimondi

Ann Rasenberger

Anne E. Rehfegd

Robin H. Reid

Susan Reiman

Tina Roach

George Rose

Arlene Marie Rosen

Stephanie L. Sand

Genene Saxton

Judy J. Schuur

Ernestine Scott

Carol Sheehan

Denise Singleton

Dawn Strecker

Karen Sullivan

Page 39: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Workplace Issues SubcommitteeWorkplace Issues Subcommittee

Initial ChargeInitial Charge

Identify workplace issues causing nurse dissatisfaction

Recommend ways to improve

nurses’ work environments

Page 40: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nurse Dissatisfaction Nurse Dissatisfaction Issues IdentifiedIssues Identified

Scheduling and Life Style Mandatory overtime Flexible scheduling On call Child care/sick child care Reassignment Scheduling Women-friendly issues Age appropriate assignments

Page 41: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nurse DissatisfactionNurse Dissatisfaction Issues Identified Issues Identified

Professional environment Difficulties with delegation Physician collaboration Autonomy Respect Agency nurse accountability/autonomy Skill mix LPN scope of practice Difference in practice settings

Page 42: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nurse Dissatisfaction Nurse Dissatisfaction Issues IdentifiedIssues Identified

RegulatoryScope of practice for techs, extenders, etcDocumentation requirementsLPN scope of practiceInconsistent regulation for providers in

different settings

Page 43: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nurse Dissatisfaction Nurse Dissatisfaction Issues IdentifiedIssues Identified

Clinical Practice Delivery Model/ Quality of Care

Nurse-patient ratio Quality of care Skill mix

Page 44: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nurse Dissatisfaction Issues Nurse Dissatisfaction Issues IdentifiedIdentified

Stress in the workplace Public expectations Support services Occupational health issues Self-care Injury protection Safety/violence/abuse

Page 45: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Workplace Issues SubcommitteeWorkplace Issues SubcommitteeAccomplishments Accomplishments

1. Survey validated nurses’ issues & concerns

2. Paper written that identified: Scope of the problems Impact on quality of care Strategies to address identified concerns

Page 46: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Workplace Issues SubcommitteeWorkplace Issues SubcommitteeAccomplishmentAccomplishment

3.Developed Concept Paper to Support LegislationMandatory overtimeWhistleblower protection Nurses participating in organizational policies

4. Impact on Legislation-all legislation passedHB 329 - Healthcare Whistleblower Protection ActSB 537 - Nurses Involuntary Overtime ProhibitionHB 590/SB 46 - Study of the Use of Technology to

Assist Nurses in Caring for Patients

5. Established Workplace Subgroup to Address

Technology Issues

Page 47: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Next StepsNext Steps1. Address the following topics:

Review information obtained from nursing survey to determine which areas of focus

2. Other areas to address are: Stress in the workplace Technology issues- Professional environment Regulations Clinical practice delivery model/quality of care

3. Respond to legislative updates to current legislation

HB 329, SB 537, & HB 590/SB 46

Page 48: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Maryland Board of Nursing Website

(Http://www.mbon.org)

For Upcoming Meeting Dates and

Locations

Page 49: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Workplace Issues SubcommitteeWorkplace Issues Subcommittee

Nursing Technology Nursing Technology WorkgroupWorkgroup

Chairperson: Maria KoszalkaChairperson: Maria Koszalka

Page 50: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology WorkgroupCommittee MembersCommittee Members

Maria Koszalka Chairperson

Mary Beachley Stephen Buckingham Bycoffe Marcia Robert Cohen Ernestine Cosby Brian Gugerty Toni Hughes Terry Herbert

Dina Krenzischek Janet Marron Carol Mariglia

Pat Maher

Linda Miller

Sandra Natolly

Susan Newbold

Carol Sheehan

Mary Lou Watson

Marisa Wilson

Page 51: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology Workgroup Initial Charge Initial Charge

HB 590 – Taskforce to Study the Use of

Technology to Assist Nurses in Caring for

Patients Technological applications MUST:

Maximize nursing productivity Increase quality of patient care Improve work environment infrastructure in

health care settings

Page 52: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology Workgroup PurposePurpose

Establish Workplace Issues Taskforce Identify technology driven point of care

applications Consultation with technology driven

point of care application experts

Page 53: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology WorkgroupAccomplishmentsAccomplishments

Goal statements developed to support nursingpractice through technology:

Systems functional for nurses Maximize nursing time Maximize patient safety Bar coding standardized to support technology Reports allow for data extraction & electronic

transferal Programs maximize information sharing via

web-based technology

Page 54: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology WorkgroupAccomplishments- Goal StatementsAccomplishments- Goal Statements

( continued)( continued)

Hard and software adaptable to nursing workflow Nursing staff participate in hardware selection Clinical staff involved in development of clinical data

base Acceptance of technology by nurses UAPs by on-the-

job training (mandatory competency) Technology competency education supported by

administration Basic informatics training occur in nursing education

programs

Page 55: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology Workgroup Expected OutcomesExpected Outcomes

How will information be used? Direct policy development Investigate funding for developing specific

technology Develop criteria/parameters for selecting

technology Healthcare organizations use criteria to select

technology Develop resource manual

Page 56: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology Workgroup Expected OutcomesExpected Outcomes

References will be developed to include Criteria for selection of information, clinical,

robotics technology Information to determine benefits of integrated

versus “best of breed” systems Recommendations for selection of basic

technology required to provide safe nursing care Data on technology that support nursing practice

Page 57: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology Workgroup

“ “Big Impact”Big Impact”

Focus: Support nursing practice and enhance

patient safety Provider Order Management Electronic medical record

Supported by: Leapfrog organization IOM report Professional nursing organizations

Page 58: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology Workgroup Next StepsNext Steps

Representation from Acute care hospitals Nurse managers IS Staff nurses Third party payer MNA

Need representation LTC Home care Ambulatory Department of

Health and Mental Hygiene

IS nurses in clinical setting

Page 59: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Nursing Technology WorkgroupNursing Technology Workgroup Next StepsNext Steps

Develop: Criteria to evaluate technology

(cost- benefit) Recommendations for basic technology

required to provide nursing care List of technology currently used

(survey)

Page 60: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Retention Subcommittee Retention Subcommittee

Chair: Jeff Jefferies

Vice Chair: Nancy Dianis

Page 61: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

We want to Thank our VolunteersWe want to Thank our Volunteers Ruby Anderson Gloria Barlow Anne Bilderback Bramblee Bird Lorna Branch Jean L. Bridle Audrey Byrd Timothy Carey Amy Chi Pat Cimno Sandy Cohen Robb Cohen Catherine Crowley Regina M. Curran Mary Kay Demarco Sarah S. Detmer Donna M. Dorsey Joyce Emerick Jill L. England Joanne Evans Rebecca Faughander Jane H. Flowers Susan Gibson Kathryn V. Hall DeLois G. Hamilton Elise Handelman Elaine J. Holman Mike Holy Bernice Hughes Jeannette Jefferies Bonita E. Jenkins H. Scott Johnson Susan Kalaine Theresa A. Kapetanovic Jack Keane Eileen Lacijan Diane Liebeskind Dora Long “Ski” Lower Sandra Lucci Florine Marshel Carol Marsiglia Suellyn Masek Christina McGann Judith McMillan Grace McNeal Elaine Mennito Steve Morrison Rosemary Mortimer Donna Mueller Pat Mynarski Kathy Neely Bonnie Neibauer Bette Nunn Bette Carole O’Connor Leigh Pancoast Julia Pannell Karen M. Parrotte Janet Passley-Harp Tina Patrico Anne E. Rehfegd Tina Roach Deborah L. Royalty M. Judith Rudell Vicki Ryan Valerie Shearer Carol Sheehan Leslie R. Simmons Lynn Sklar Dean Smith Dawn Stecker Karen Sullivan Constance Sumpter Cecile E. Sutherland Irene Taylor Mary R. Towe David Uhlfelder Diane Walbridge Jan Watts Elizabeth Whiting Carol Wiggins Donna Wilhelm Mark Woodward

Page 62: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

And a Special Thanks And a Special Thanks to Our Co-Chair:to Our Co-Chair:

Nancy Dianis

Page 63: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Retention Subcommittee Retention Subcommittee Initial ChargeInitial Charge

Review data that describes nurse retention issues

Explore compensation as a nurse retainerExplore aspects of professional

development as a nurse retainer

Page 64: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Retention Subcommittee Retention Subcommittee RecommendationsRecommendations

Total Compensation Guiding Principals:– Flexible and possibly transferable– Reduce salary compression– Review of salaries at specified intervals– Benefits menu – developed with RN input – Benefits reviewed annually– Career development plan– Non-selected benefits reinvested by RN into –

additional educational days, retirement account, etc.

Page 65: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Retention Subcommittee Retention Subcommittee RecommendationsRecommendations

“Holistic” Compensation Models by Generation

– 401 (k)– Medical Coverage– Pension– Clear sense of Organizational purpose– Compensation that grows with the RN

Page 66: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Retention Subcommittee Retention Subcommittee RecommendationsRecommendations

Career Path Development Within current workplace Across healthcare organizations

Coaching/mentoring Work Place Safety

Create safe environment Create resources for RN to handle safety issues

(threatening behaviors, verbal and physical abuse)

Page 67: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Retention Subcommittee: Retention Subcommittee: the Next Stepsthe Next Steps

Create a “product” that represents the compensation package recommendations

Written information disseminated to stakeholders– Create a “tool kit” to be used for presentations– Create materials focused on each stakeholder– Hold compensation forums to present information– Include total compensation package information in the

Commission’s Annual Report– Design a “Nurses Compensation Hot-Line” via web or

phone that provides nurses with a venue to learn about compensation and to ask questions

Page 68: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Retention Subcommittee: Retention Subcommittee: the Next Stepsthe Next Steps

Develop plans to overcome barriers to a comprehensive compensation plan

Develop Career Path options Explore Nursing Care Delivery Systems – to

enhance the work environment Encourage participation of RN volunteers to

develop these programs

Page 69: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

The Education Subcommittee The Education Subcommittee ReportReport

Chair: Patricia Watts-Kelley

Vice Chair: Peggy Soderstrom

Page 70: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

The Goals The Goals of the Education Subcommitteeof the Education Subcommittee

Facilitate the education of qualified individuals

Ensure that pool of qualified, accessible nurses continues to alleviate the existing void

Prepare future nurses with the competency based skills to meet the healthcare needs

Page 71: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

BackgroundBackground

Working groups of the Subcommittee Education Financial Mentoring Faculty

Page 72: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

BackgroundBackground

Working groups of the Subcommittee Education Financial Mentoring Faculty

Page 73: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Accomplishments to dateAccomplishments to date

Scholarship legislation Financial assistance enhances many students’

ability to finish a nursing program often leading to early entry into the workforce

Measuring successful completion outcomes (Scholarships are a crucial factor) Supported an increase in funding of the nursing

scholarship to include all eligible students

Page 74: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Work Priority Work Priority Fall 2001Fall 2001

Identify a credible method for determining the number of nurses needed to meet the healthcare needs of Maryland’s citizens Explore an accurate method to measure need

related to demand Develop outcome-based recommendations to

address the nursing shortage

Page 75: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

On Going Work-OutcomesOn Going Work-Outcomes

Developing a forecasting model A credible method to calculate the number of

nurses needed Project the supply and demand/need

Analyze trend data Use forecasting model for future

educational adjustments

Page 76: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Forecasting ModelForecasting Model

Estimates the future supply of nurses Forecasts the size, the age and the educational

level of the nursing workforce New graduates are added, as well as

in-migration Predicts impact of retirements, deaths and out-

migration of experienced nurses

Page 77: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Present Data CollectionPresent Data Collection

Occupational Projections of RNs, LPNs and nursing faculty

Nursing student enrollment (LPN, AD, BSN, Advanced degrees)

Faculty Salaries Preliminary data analysis indicate a widening of the

gap between clinical service and faculty salaries

2002 year first time licensure exam takers RN & LPN candidates

Page 78: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Monitor, Evaluate, ReviseMonitor, Evaluate, Revise

What is succeeding? What can be improved upon? What additional issues and areas need to be

addressed?

Page 79: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Future WorkFuture Work

Diversity (geographic, ethnic, cultural, physiologic, and gender)

Questions for future consideration are: What is the extent of the need for a more diverse

nursing faculty? How do nursing educators address the needs of diverse

students?

Page 80: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Pamela Ambush Lynda A.Bartko Madeliene Becker Rosemarie O.Berman Sharon L.Bernier Teresa Bianco Barbara Marx Brocato Trena Brown Martha R.Caputo Virginia R.Clark Mary Clisham Robb Cohen Harold Cohen Frances Crites Catherine Crowley Regina M. Curran Barbara P. Daniel Mary H. Deeley Thomas James DeGraba

Rosie Delegrotti Mary Dent Carol G. Dignon Elizabeth Dunne Eugenie J.Dunnells Sandra

Dunnington Linda Epstein Judith Feustle Jane Garvin Susan E.Gibson Bruce N.Griffin Kathryn V.Hall Donna Helfferich Gertrude T.Hodges Janice Hoffman Dorothy Holley Marie T. Holley Robyn E.Holley

Education Subcommittee Members

Thank YOUThank YOUEllen L. HorowitsKay HoskinsonM. Patricia HowardJoan HumlockS. Nooshin JavanBonita E. JenkinsBeth JerniganSeth JohnsonKathleen JonesJohnnye S. JonhsonGoar KaramiSilvie KassarLaura L. KatzBarbara H.KemererCynthia E.KielinenMichael KiphartKathryn Lothschuetz-

MontgomerySandra Lucci

Susan LynottErin MarekDenise MarshallJoyce B. McAdooBlanka McClammerChristina McGannJudith McMillanCheryl McNamaraGrace McNealEarlene B. MerrillFran MillerNancy MonahanToni Moore-DugganRosemary E. S. MortimerMarion MulhollandRobert MurrayDawn NallySandra Natolly

Page 81: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Thank YOU MembersThank YOU Members Kathleen N. Neely Jack Neil Ronnie Netteburg Jean Nichols Janice Oliver Kathleen Parsons Edith Patten Carol Bryant Payne Lesley Perry Nayna Phillipsen Karen C.Poisker Barbara C.Poniatowski Ann Possidente Constance M. Pryor Ann Rasenberger Robin H. Reid Bernadette Rock Stephanie L. Sand

Georgeanne C. Santolla Amy Schaefer Terri Schreyer Marge Schueler Judy J. Schuur B. Joan Scott Lisa Seldomridge Valerie Shearer Darlene Shoemaker Dianne C. Smith Peggy Soderstrom Karen Sullivan Sandra Sundeen Lana Thomas Tammy J.Thompson Patricia Travis Eleanor Walker Robin Wantz

Joan WarrenJan WattsElizabeth WeathingtonAnna WhiteCarol WigginsErica WilliamsKaren Wons

Page 82: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Please Join Us !!!Please Join Us !!!

E-mail questions about subcommittee activities [email protected]

Check the MBON website for meeting schedules and subcommittee Volunteer Form

mbon.org

Page 83: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Major FocusMajor Focus Education Subcommittee

MORE Students Faculty Scholarships Basic Graduates

Page 84: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Major FocusMajor Focus Recruitment Subcommittee

Collaborate! Collaborate! Collaborate! Youth Help from nurses and nursing

students Develop recruitment tools

Page 85: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Major FocusMajor Focus Retention Subcommittee

Value nurses Respect nurses Take control of career

Page 86: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Major FocusMajor Focus Workplace Issues

Give nurses their “due” Acknowledge

Needs Fears Lifestyle

Page 87: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002
Page 88: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002

Thanks

VOLUNTEERS!

Page 89: Maryland Statewide Commission on the Crisis in Nursing Update and Future Directions June 5, 2002