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2006 Nursing Statewide Strategic Plan
Prepared by:
The Arizona Governor’s Task Force on
the Nursing Shortage - 2006
Statewide Strategic Plan for Nursingin the State of Arizona
2006 Nursing Statewide Strategic Plan
Acknowledgements 3
Executive Summary 4
Introduction 5
Background 6-7
Vision and Mission 8
Strategic Themes 9
Concurrent Efforts 10-14
Goals and Objectives 15
Strategic Map Table 16-24
T a b l e o f C o n t e n t s
2
Table of Contents
2006 Nursing Statewide Strategic Plan
This strategic plan would not be in existence without the vision and leadership ofGovernors Hull and Napolitano in appointing a statewide taskforce to address the nursingshortage in Arizona. Thanks to the professional nursing community and key stakeholderswho served as members of the Governor’s Task Force on the Nursing Shortage (listedbelow). Members represented all areas of nursing as well as geographic regionsthroughout the state. A special thanks to Marla Weston and Fran Roberts for providingleadership in the development of this report, and to Dan Anderson of the Arizona Board ofRegents who provided data on the economic impact of Arizona’s healthcare industry.
Members and their representative organizations included:Daniel Chafetz, Staff nurses, TucsonRose Conner, Public Health PolicyBarbara Durand, Arizona State UniversityMarty Enriquez, University Medical CenterAmy Franciscus, Staff nurses, PhoenixSusan Gerard, Governor’s OfficeColleen Hallberg, Thunderbird HospitalPatricia Harris, Maricopa Community CollegesSandy Hughes, AZ Healthcare Human Resources AssociationLinda Hunt, St. Joseph’s Hospital, PhoenixMarjorie Isenberg, University of ArizonaJack Jewett, Tucson Medical Center, Board of RegentsCharlotte Kelly, Nurse supervisors, FlagstaffRaymond Kronebitter, Staff nurses, YumaRobert Lucero, ASU graduate studentPeggy MacMacken, Carondelet Health NetworkKathy Malloch, Nursing consultantLinda Maschner, Public health nursesMelinda Miller, Staff nurses, PhoenixDoris Milton, University of PhoenixJoanne Motley, Staff nursesMargaret Mullan, The Beatitudes Campus, PhoenixRichard Patze, Pima Community CollegeJoey Ridenour, Arizona State Board of NursingFran Roberts, Arizona Hospital and Healthcare AssociationCarol Robinson, Staff nurses and nurse supervisors, PhoenixJudith Sellers, Northern Arizona UniversityBertha Sepulveda, Hispanic Nurses AssociationMargaret Taylor, Yavapai Regional Medical CenterPatricia Torrington, Handmaker Jewish Services for the Aging, TucsonMarla Weston, Arizona Nurses AssociationJayne Swinford Wilkins, Staff nurses, Show Low
3
Acknowledgements
2006 Nursing Statewide Strategic Plan
Although national in scope, the nursing shortage is particularly problematic in Arizona.Nationwide there are 782 registered nurses (RNs) for every 100,000 people, whereas inArizona there are only 628 RNs per 100,000 people. The Governor’s Task Force on theNursing Shortage was charged with developing a statewide strategic plan to ensure thatthe State of Arizona has the nursing resource necessary to meet the healthcare needs ofits citizens.
The work of the Governor’s Task Force on the Nursing Shortage was organized aroundfour strategic themes that categorize the factors that contribute to the nursing shortage andrecommendations to counter those factors. The themes are:
· Attracting People to the Profession· Educating More Nurses· Improving the Work Environment· Removing Regulatory Barriers
This report summarizes work done to date and identifies specific goals, strategies andresponsible parties for impacting the nursing shortage in the short and long term. The goalsrelate to the themes and are:
GOAL 1. Strategies are implemented for forecasting the changing nursing workforcedemand and attracting people to the profession.GOAL 2. Strategies are implemented to double the capacity of Arizona’s registered nursingeducation programs over 2003 levels by the year 2007.GOAL 3. Strategies are implemented to improve the work environment of Arizona’sregistered nurses.GOAL 4. Strategies are implemented to remove regulatory barriers to nursing practice andeducation.
The Governor’s Nursing Shortage Task Force recommends the appointment of anOversight Committee to assure implementation of the strategic plan.
4
Executive Summary
2006 Nursing Statewide Strategic Plan 5
Introduction
The state of Arizona is facing a shortage of registered nurses (RNs) that is reaching a crisisof critical proportion. In 2001, in recognition of this crisis, Governor Hull appointed theGovernor’s Task Force on the Nursing Shortage. Now, under the leadership andadministration of Governor Janet Napolitano, the Task Force has been charged with thedevelopment of a statewide strategic plan targeting the multiple and complex factorsinvolved with the shortage of RNs.
2006 Nursing Statewide Strategic Plan
Since the turn of the century, the country and state have experienced repetitive and cyclicalnursing workforce shortages. The conventional wisdom was that these supply and demandswings were an inevitable part of the dynamic system of healthcare delivery in America.However, today’s nursing crisis is fundamentally different from past shortages. Thecoupling of fewer people entering the profession along with increasing demand related tostatewide population growth, a disproportionate increase in the elderly population, andmedical and technological advances, has created an unprecedented and persistentshortage.
Although national in scope the shortage is particularly problematic in Arizona. In acute caresettings in the United States the average number of RNs is 3.3 for every 1,000 people. InArizona the ratio is 1.9 RNs per 1,000 people. Nationwide there are 782 RNs per 100,000people; in Arizona there are only 628 RNs per 100,000 people. In the United Statesbetween 1996 and 2000 there was a 2% decline in the ratio of RNs to the population; inArizona there was a 12.9% decline.
6
Background
Acute Care Nursing Shortage in Arizona
3.3
1.9
0
0.5
1
1.5
2
2.5
3
3.5
Nation Arizona
Num
ber o
f Nur
ses
per 1
000
Peop
le in
Acu
te C
are
Setti
ngs
2006 Nursing Statewide Strategic Plan
At the same time, the growth of the healthcare industry has been unprecedented. Sincethe 1990’s, healthcare employment has grown 20% faster than total Arizona jobs.Furthermore, the healthcare industry is responsible for 8.6% of jobs in Arizona and 10% ofwages. Investment in ensuring a stable and responsive healthcare infrastructure not onlyserves the healthcare needs of Arizona citizens, but also contributes to the strength of theeconomy. For every dollar invested in the industry about 2.2 total dollars are added to thelocal economy.
Background
7
Nur s in g Sh o r tag e in Ar iz o na
782
628
0100200300400500600700800900
Nation A r izonaNum
ber o
f Nur
ses
per 1
00,0
00 P
eopl
e
2006 Nursing Statewide Strategic Plan
The health and well being of residents of Arizona will be supported and enhanced through theprovision of accessible, high quality care and nursing services by the nursing profession.
8
Vision for Nursing in AZ
Mission of the Governor’sTask Force
The mission of the Governor’s Task Force on the Nursing Shortage is to ensure that theState of Arizona has the nursing resources necessary to meet the healthcare needs of itscitizens. The Governor’s Nursing Shortage Task Force shall develop a statewide strategicplan to address the nursing shortage in Arizona for both the short and long term. Toachieve this end, the Governor’s Task Force on the Nursing Shortage will facilitatecomprehensive planning and policy development to strengthen the nursing workforce inArizona, as well as identify potential funding for strategic initiatives. In addition, the TaskForce will study and make recommendations on new and emerging issues upon therequest of Task Force members.
2006 Nursing Statewide Strategic Plan 9
Strategic Themes
The work of the Governor’s Task Force on the Nursing Shortage was organized aroundfour strategic themes that categorize the factors that contribute to the nursing shortage andrecommendations to counter those factors. The factors are:
· Attracting People to the Profession· Educating More Nurses· Improving the Work Environment· Removing Regulatory Barriers
Attracting people to the profession focuses on limited public knowledge about theprofession of nursing and what nurses do to enhance people’s lives related to wellness,renewed health, or the inevitability of dying. Educating more nurses focuses on the need toexpand the capacity of programs of nursing education in the state, and programs of highereducation leading to more advanced practice nurses and nurse educators. Improving thework environment focuses on issues in settings where nurses practice that contribute tosatisfaction, the desire to continue to practice and the quality of patient care. Removingregulatory barriers focuses on examining any statute or rule that currently prevents nursesfrom proficiently providing high quality care and nursing services to the residents ofArizona.
2006 Nursing Statewide Strategic Plan
A number of concurrent efforts have been undertaken while the taskforce has been inprogress (Table 1). Funding, assistance, and collaboration by hospitals, foundations, andprofessional associations have been organized through the leadership and direction of theArizona Hospital and Healthcare Association (AzHHA) in creating and implementing the“Campaign for Caring”, a statewide initiative aimed at increasing interest in healthcareprofessions, supporting an increased capacity in the state’s nursing education programs,and addressing problems related to healthcare workplaces.
Universities and community colleges have responded to the shortage by creativelyenhancing the capacities of their programs (See table below). Extended course hours intoevenings and weekends have maximized availability of teaching space and clinical rota-tions. New programs, including second career programs, school and hospital partnerships,and on-line courses have accommodated more learners.
10
Concurrent Efforts
Data obtained from the Arizona State Board of Nursing website
Arizona Nursing Program Admissions and Capacity
1614 1652
2083
1773 1701
21602308 2369
0
500
1000
1500
2000
2500
2001 2002 2003 2004
Year
Num
ber o
f Stu
dent
s
AdmitsCapacity
2006 Nursing Statewide Strategic Plan
The Arizona Legislature in 2002 passed Senate Bill 1260 charging the “Arizona board ofregents and the president or chancellor of each community college district or their designeeand one member of the state board of directors for community colleges appointed by thechairman, in conjunction with private educational institutions that provide nursing educationprograms, hospitals and private hospitals and healthcare organizations, shall develop acaregiver and resource expansion program. The caregiver and resource expansionprogram shall be a five-year plan to increase the number of nurses who enter and graduatefrom nursing education programs in this state.” The bill also provides more specificdirection regarding the development of a plan to double the capacity of Arizona’s registerednursing education programs by 2007.
Healthcare organizations that employ nurses have initiated plans to create workenvironments that facilitate the work of nursing. Many have implemented programs tofinancially support faculty and programs to educate more nurses, and nearly all haveenhanced scholarship and loan programs.
The Arizona Nurses Association (AzNA) has provided leadership and direction byeducating nursing employers on the characteristics of environments that are attractive andsupportive to nurses. In addition, a program was initiated by AzNA and the ArizonaOrganization of Nurse Executives (AzONE) to enhance leadership skills of nursingsupervisors in partnership with the University of Arizona Colleges of Business and Nursing.
AzNA spearheaded legislation in 2003 concerning reporting of patient safety issues. Thepassage of Senate Bill 1178 established reporting policies and procedures prohibitingretaliation against health professionals working at health care institutions when they in goodfaith report any unsafe practices or violation of law that put patients’ health or safety at risk.In addition, AzNA worked with the AzONE on a project that would eliminate the use ofmandatory overtime by hospitals within the state.
Concurrent Efforts
11
2006 Nursing Statewide Strategic Plan 12
Concurrent Efforts
Regulatory initiatives by the 2004 Arizona Legislature included the passage of House Bill2256, which provides for piloting a study of medication technicians passing medications tocustodial patients in long-term care facilities. The adoption of rules by the Arizona StateBoard of Nursing (ASBN) related to the multistate compact for nurse licensure and theapplication process for foreign-educated nurses. These new rules have ensured that nursesmoving into the state meet educational and competency standards. The Department of HealthServices (DHS) has proposed rules which will strengthen nurse staffing requirements,including an acuity plan that is reviewed and evaluated annually, with results reported to thegoverning authority. In addition, the DHS is proposing the acuity plan include an assessmentof a patient’s need for nursing services be made by a registered nurse who is providingnursing services directly to that patient.
The Task Force acknowledges that these many efforts have not been sufficient to address theshortage of nurses in Arizona. As evidence mounts demonstrating that nurses are critical inensuring patients receive quality health care, the need to address the nursing shortage inArizona becomes even more critical. Unfortunately, there is no easy or simple solution.
The Task Force acknowledges reasons for this shortage are multiple and complex and mustbe addressed in a comprehensive manner through public and private partnerships. Sincemuch time, funding and energy has been directed to this shortage, the Task Force hasidentified key priorities as well as gaps in current initiatives, and focuses this strategic plan onthose areas needing current and future attention.
2006 Nursing Statewide Strategic Plan 13
Concurrent Efforts
Table 1: Concurrent Efforts Strategic Theme Activity Status Attracting People to the Profession
Campaign for Caring Across the state there are reports of waiting lists for entry into nursing programs
Educating More Nurses
1. Universities and Community Colleges increasing capacity.
2. Nursing Education
Program and Expansion Plan (plan to double enrollment by 2007).
1. Student admissions are near or exceed capacity. Capacity has been increased at universities and community colleges. Enrollment in nursing programs (RN & PN) increased 26% from 2001 to 2003. See Board of Nursing Website.
2. Estimated cost to double capacity is $125 million; $14 million has been identified.
3. New programs are entering the market using new educational approaches.
4. Legislation introduced to allow Community Colleges to prepare nurses at the baccalaureate level.
5. Changing community demand for advanced practice nurses including NPs as intensivists and CNSs.
2006 Nursing Statewide Strategic Plan
Concurrent Efforts
Improving the Work Environment
1. “Magnet” Work Environment
2. Staffing
1. One hospital in Arizona Magnet Credentialed. Seven more are in development.
2. Eliminating mandatory overtime.
3. Two hospitals in Arizona implemented 1:4 ratios on med-surg. DHS implementing 1:2 ratios in ICU, requiring an acuity system and requiring that staff have knowledge of the staffing plan.
Removing Regulatory Barriers
1. Legislation introduced to pilot med tech role in long term care.
2. Multistate licensure enacted.
3. State Board added flexibility to application process for foreign-educated nurses while maintaining educational and competency standards.
1. Legislation on pilot medication technician passed.
2. Licensure compact adopted by 20 states.
3. Foreign educated nurses continuing to experience delays at the national level.
Table 1: Concurrent Efforts (continued) Strategic Theme Activity Status
14
2006 Nursing Statewide Strategic Plan 15
Goals and Objectives
With the intent of focusing statewide efforts on those activities that would most dramaticallyimpact the nursing shortage in the short-term while simultaneously creating aninfrastructure for addressing future demands for nursing care, the Governor’s Task Forceon the Nursing Shortage prioritized suggested activities. Four goals were identified, andstrategies, expected outcomes, and responsible parties were identified.Table 2 details a strategic map for addressing priority strategies.
The Governor’s Nursing Shortage Task Force recommends the appointment of anOversight Committee to assure implementation of the strategic plan.
Goal 1: Strategies are implemented for forecasting the changing nursing workforcedemand and attracting people to the profession.
Goal 2: Strategies are implemented to double the capacity of Arizona’s registerednursing education programs over 2003 levels by the year 2007.
Goal 3: Strategies are implemented to improve the work environment of Arizona’sregistered nurses.
Goal 4: Strategies are implemented to remove regulatory barriers to nursing practiceand education.
2006 Nursing Statewide Strategic Plan 16
Ta
ble 2
: Str
ateg
ic M
ap
Them
e Ac
tivity
Ex
pect
ed
Out
com
e/Dat
e Re
spon
sible
Part
yUp
date
/ St
atus
Ja
nuar
y 20
06
Iden
tify
the n
umbe
r of n
urse
s an
d nu
rsing
assis
tants
need
ed
in v
ario
us p
racti
ce se
tting
s by
geo
grap
hica
l loc
ation
, ed
ucati
onal
prep
arati
on an
d eth
nicit
y.
Repo
rt on
num
ber o
f nu
rses a
nd n
ursin
g as
sistan
ts ne
eded
ge
ogra
phic
ally,
and
by
educ
ation
al pr
epar
ation
, by
Dece
mbe
r 200
4.
Rose
Con
ner,
Kath
y M
alloc
h,
Pegg
y M
ullen
, Fr
an R
ober
ts,
Mar
la W
esto
n,
Lynn
Mas
chne
r
~ Ha
ve id
entif
ied is
sues
in th
e av
ailab
ility
and
cons
isten
cy o
f data
. ~
Cons
ider
ing
a com
preh
ensiv
e data
re
posit
ory.
Re
sear
ch p
ositi
on at
Ariz
ona S
tate B
oard
of
Nur
sing
fund
ed, w
ill co
ntin
ue th
is wo
rk.
CLO
SED
Attracting People to the Profession
Impl
emen
t cen
traliz
ed
info
rmati
on fo
r stu
dent
s on
waiti
ng li
sts to
acce
ss
info
rmati
on o
n op
enin
gs in
sc
hool
s thr
ough
ASB
N we
bsite
.
Avail
able
nursi
ng
educ
ation
ope
ning
s ro
utin
ely
listed
on
webs
ite b
y Au
gust
2004
.
Joey
Rid
enou
r ~
Disc
ussio
ns fo
r the
dev
elopm
ent o
f a
publ
ic ac
cess
web
bas
ed ta
ble t
hat
inclu
des t
he fo
llowi
ng d
ata e
lemen
ts:
1. S
choo
l nam
e
2. C
ohor
t star
t date
3.
# st
uden
ts ap
plied
4.
# st
uden
ts qu
alifie
d
5. #
stud
ents
adm
itted
6.
If h
ospi
tal b
ased
pro
gram
~
Need
to d
evelo
p m
echa
nism
to id
entif
y du
plica
te ap
plica
nts.
Re
sear
ch p
ositi
on at
Ariz
ona S
tate B
oard
of
Nur
sing
fund
ed, w
ill co
ntin
ue th
is wo
rk.
CLO
SED
2006 Nursing Statewide Strategic Plan 17
Ta
ble 2
: Stra
tegic
Map
Them
e Ac
tivity
Ex
pecte
d Ou
tcom
e/Dat
e Re
spon
sible
Party
Up
date
/ Sta
tus
Janu
ary 2
006
Desig
n stra
tegy f
or re
tainin
g pe
ople
on w
aiting
list.
Iss
ue re
viewe
d brie
fly
at Oc
t. 05 m
eetin
g.
Outco
mes a
nd da
te inf
orma
tion w
ill be
pr
ovide
d onc
e res
pons
ible p
arty
deter
mine
d.
Not a
ssign
ed –
pend
ing re
spon
se
from
grou
p.
At th
e Oct.
05, 2
005 u
pdat
e ses
sion
this
issue
was
decid
ed to
hav
e it’s
own
activ
ity b
lock
as it
will
requ
ire
reso
urce
s to a
ddre
ss.
Deter
mine
, thro
ugh a
lon
gitud
inal s
tudy,
if pe
ople
on w
aiting
lists
rema
in int
ereste
d in p
ursin
g a ca
reer
in nu
rsing
or ha
ve ch
ange
d ca
reer p
aths.
Plan
deve
loped
to
coun
sel i
ndivi
duals
cu
rrentl
y on e
duca
tion
prog
ram w
aiting
lists
.
Pat H
arris,
Joey
Ri
deno
ur, J
ean
Sten
gel
~ Dev
elopin
g a pl
an th
at wi
ll co
mmun
icate
what
scho
ol pr
ogram
s cu
rrentl
y hav
e stud
ent o
penin
gs so
stu
dent
optio
ns ar
e ava
ilable
. Data
will
ide
ally b
e link
ed to
abov
e refe
rence
d web
ba
sed t
able.
Re
sear
ch P
ositi
on at
Ariz
ona S
tate
Boar
d of N
ursin
g will
colle
ct da
ta on
e du
plica
te ap
plica
tions
to es
tabl
ish an
ac
cura
te nu
mbe
r of s
tude
nts w
aitin
g.
ONGO
ING—
Educ
ation
al pr
ogra
ms t
o wo
rk on
reten
tion
of w
aitin
g stu
dent
s.
2006 Nursing Statewide Strategic Plan 18
Ta
ble 2
: Str
ateg
ic M
ap
Them
e A
ctiv
ity
Expe
cted
O
utco
me/
Dat
e R
espo
nsib
le P
arty
Upd
ate /
Sta
tus
Janu
ary
2006
Iden
tify
strat
egie
s for
at
tract
ing
a m
ore
dive
rse
popu
latio
n an
d m
ore
bilin
gual
indi
vidu
als t
o nu
rsin
g.
Mar
ketin
g ca
mpa
ign
deve
lope
d an
d im
plem
ente
d fo
r at
tract
ing
dive
rse
popu
latio
ns a
nd
bilin
gual
indi
vidu
als t
o nu
rsin
g by
200
6.
Add
a Ale
xand
er
~ Th
roug
h th
e A
zHH
A H
RSA
gra
nt, a
2
day
conf
eren
ce o
n di
vers
ity tr
aini
ng w
as
held
for i
nstru
ctor
s so
min
ority
stud
ent
nurs
es w
ill b
e re
tain
ed.
~ A
cqui
ring
list o
f med
ia co
ntac
ts fo
r m
inor
ity b
ased
med
ia
~ La
unch
ed n
urse
stor
y te
lling
pro
ject
fe
atur
ing
min
ority
nur
ses
Recr
uitm
ent o
f stu
dent
s has
bee
n su
cces
sful
, div
ersit
y ef
forts
con
tinue
.
CLO
SED
Cont
inue
to m
onito
r num
ber
of in
divi
dual
s ent
erin
g pr
ogra
ms a
nd n
umbe
r on
wai
ting
lists.
Ann
ual r
epor
t to
nurs
ing
com
mun
ity b
y D
ecem
ber 2
004.
Joey
Rid
enou
r ~
Cont
inue
to m
onito
r and
par
t of r
outin
e re
porti
ng p
roce
ss.
CLO
SED
Educating More Nurses
Mon
itor a
nd co
llabo
rate
on
fund
raisi
ng an
d pl
an
deve
lopm
ent f
or N
ursin
g Ed
ucat
ion
Prog
ram
and
Expa
nsio
n Pl
an.
Plan
dev
elop
ed to
id
entif
y $1
11 m
illio
n ov
er th
e ne
xt fi
ve y
ears
fo
r inc
reas
ing
educ
atio
nal c
apac
ity.
Fran
Rob
erts,
M
arjo
rie Is
enbe
rg
~ SB
129
4 fu
nded
brin
ging
$20
mill
ion
for e
duca
tion
staff
(not
for c
apita
l ex
pens
es).
AzH
HA
will
con
tinue
thei
r ef
forts
and
try
to g
et m
atch
ing
Fede
ral
fund
ing.
Cap
acity
incr
easin
g as
fo
reca
sted.
~G
roup
to m
eet t
o de
velo
p ad
ditio
nal
strat
egie
s C
LOSE
D
2006 Nursing Statewide Strategic Plan
Factors Influencing the Healthcare Industry
19
Ta
ble 2
: Stra
tegic
Map
Them
e Ac
tivity
Ex
pecte
d Ou
tcom
e/Dat
e Re
spon
sible
Party
Up
date
/ Sta
tus
Janu
ary 2
006
Addr
ess t
he fa
culty
shor
tage
and t
he no
n-co
mpeti
tive
salar
y stru
cture
of nu
rsing
fac
ulty t
o mee
t cur
rent a
nd
futur
e fac
ulty d
eman
ds.
Deve
lop a
plan f
or
attrac
ting n
urse
s to
facult
y pos
ition
s inc
luding
(1) o
utline
fo
r adju
sting
salar
ies to
me
et ma
rket
dema
nds
and (
2) pr
edict
ion of
nu
mber
of fa
culty
ne
eded
base
d on
grow
ing de
mand
and
retire
ment
proje
ction
s.
Marj
orie
Isenb
erg,
Pat H
arris,
Fran
Ro
berts
, Jud
y Se
llers
~ SB
1294
fund
ed $2
0 mill
ion fo
r sala
ry
impa
cts w
ith fa
culty
– bo
th to
acqu
ire
new
staff
and m
ake s
alary
rang
es
comp
etitiv
e and
attra
ctive
. ~ P
redict
ive m
odel
being
explo
red.
Nurse
Res
earch
er po
sition
at th
e Ariz
ona
State
Boa
rd of
Nur
sing R
esea
rcher
will
inc
lude f
acult
y nee
ds in
pred
ictive
mod
el un
der d
evelo
pmen
t.
Explo
re str
ategie
s for
inc
reasin
g alte
rnati
ves f
or
educ
ating
mor
e nur
ses w
hile
maint
aining
curre
nt sta
ndard
s.
Strat
egies
iden
tified
for
increa
sing a
ltern
ative
s fo
r edu
catin
g mor
e nu
rses w
hile
maint
aining
curre
nt sta
ndard
s.
Pat H
arris,
Jayn
e W
ilkins
, Fran
Ro
berts
, Mart
y En
rique
z, Ri
chard
Pa
tze
~ A si
gnifi
cant
numb
er of
colla
borat
ive,
creati
ve an
d inn
ovati
ve pr
ogram
s hav
e be
en de
velop
ed th
roug
h part
nersh
ips w
ith
hosp
itals.
Wor
kgro
up co
ntinu
es to
ca
talog
thes
e effo
rts.
~ All
four
Univ
ersiti
es ha
ve de
velop
ed
fast t
rack p
rogr
ams f
or 2nd
degr
ee R
Ns.
Three
of th
e fou
r hav
e bee
n imp
lemen
ted.
CLOS
ED
2006 Nursing Statewide Strategic Plan 20
Ta
ble 2
: Str
ateg
ic M
ap
Them
e Ac
tivity
Ex
pect
ed
Out
com
e/Dat
e Re
spon
sible
Part
y Up
date
/ St
atus
Ja
nuar
y 20
06
Impl
emen
t pro
gram
to as
sist
fore
ign
educ
ated
nurse
s to
succ
essfu
lly co
mpl
ete
NCLE
X.
Prog
ram
gra
duate
s firs
t cla
ss b
y Aug
ust 2
005.
Be
rtha S
epul
veda
~
Will
grad
uate
first
coho
rt in
Aug
ust
2005
. Inq
uirie
s for
this
prog
ram
have
be
en re
ceiv
ed fr
om ar
ound
the w
orld
. Fi
rst co
hort
has p
rovi
ded
grea
t fee
dbac
k an
d “le
sson
s lea
rned
” for
follo
wing
co
horts
to as
sure
succ
ess a
nd sa
tisfa
ction
. Th
e sec
ond
coho
rt be
gan
in A
ugus
t, 20
05.
CLO
SED
Ev
aluate
the m
erits
of
bacc
alaur
eate
nursi
ng
educ
ation
thro
ugh t
he st
ate’s
com
mun
ity co
llege
s.
Nursi
ng co
mm
unity
re
com
men
datio
n fo
r in
crea
sing
bacc
alaur
eate
nursi
ng
educ
ation
in A
rizon
a.
Mar
la W
esto
n,
Kath
y Mall
och
~ Da
y of D
ialog
ue o
ccur
red
in N
ov.
2004
. ~
Legi
slativ
e effo
rts in
itiate
d on
2005
and
will
cont
inue
in 2
006.
CL
OSE
D
Expl
ore H
RSA,
WIA
(w
orkf
orce
inve
stmen
t act)
an
d ot
her f
undi
ng fo
r en
hanc
ing p
rece
ptor
de
velo
pmen
t.
Appl
y for
a gr
ant t
hat
enha
nces
recr
uitm
ent
and
reten
tion
of n
urse
s.
Mar
dy T
aylo
r, Ad
da A
lexan
der,
Mar
ty E
nriq
uez,
Rose
Con
ner
~ Az
HHA
HRSA
gran
t will
hav
e an
optio
n ne
xt ye
ar fo
r a th
ree-
year
ex
tensio
n. If
gra
nted
, will
cont
ain
prec
epto
r com
pone
nt.
CLO
SED
2006 Nursing Statewide Strategic Plan
Ta
ble 2
: Str
ateg
ic M
ap
Them
e Ac
tivity
Ex
pect
ed
Out
com
e/Dat
e Re
spon
sible
Part
yUp
date
/ St
atus
Ja
nuar
y 200
6
Clar
ify an
d en
hanc
e the
wor
k of
pre
cept
ors.
Enha
nce
supp
ort i
n th
e wor
k en
viro
nmen
t to
orien
t and
m
ento
r stu
dent
s, ne
w gr
adua
tes, n
ew em
ploy
ees
trave
ling
nurse
s, an
d pr
ogra
ms t
o tra
nsiti
on
expe
rienc
ed n
urse
s to
new
setti
ngs.
Crea
te an
d di
ssem
inate
tem
plate
for m
odel
orien
tatio
n, p
rece
ptin
g,
resid
ency
and
men
torin
g pro
gram
s.
Sand
y Hug
hes
~ Ar
izona
Hea
lthca
re H
uman
Res
ourc
es
Asso
ciatio
n (A
HHRA
) is c
ollec
ting
data
and
prog
ram
info
rmati
on fr
om v
ario
us
exist
ing p
rogr
ams a
cros
s the
nati
on.
(DON
E)
~ W
ill b
e con
ducti
ng ev
aluati
on p
roce
ss
of d
ata o
btain
ed an
d m
akin
g re
com
men
datio
ns.
(DON
E)
CLO
SED.
Pro
misi
ng P
ract
ices w
ill b
e po
sted
on th
e int
erne
t at a
web
site
to
be d
eter
min
ed.
Estab
lish
prac
tices
for
trans
ition
ing n
ew g
radu
ates
into
com
peten
t RNs
.
Evalu
ate p
ilot
resid
ency
pro
gram
and
inco
rpor
ate in
to m
odel
prec
eptin
g/re
siden
cy
prog
ram
. Ev
aluate
a na
tiona
l pi
lot r
esid
ency
pro
gram
an
d a c
hang
e in
hour
s wo
rked
from
12
hour
do
wn to
8 h
our s
hifts
.
Sand
y Hug
hes,
Mar
jorie
Isen
berg
, M
arty
Enr
ique
z
~ Un
iver
sity M
edica
l Cen
ter (U
MC)
pa
rticip
ated
in N
ation
al pi
lot p
rogr
am.
~ Pr
ogra
m re
sults
shar
ed at
the A
rizon
a Nu
rses A
ssoc
iatio
n co
nven
tion
in
Sept
embe
r 200
5.
CLO
SED
2006 Nursing Statewide Strategic Plan
Ta
ble 2
: Str
ateg
ic M
ap
Them
e A
ctiv
ity
Expe
cted
O
utco
me/
Dat
e R
espo
nsib
le P
arty
U
pdat
e / S
tatu
s Ja
nuar
y 20
06
Iden
tify
exce
llent
pre
cept
ors
as fu
ture
facu
lty.
Del
inea
te c
riter
ia fo
r se
lect
ing
prec
epto
rs as
fu
ture
facu
lty an
d di
ssem
inat
e to
clin
ical
pr
ofes
sors
.
Lind
a Hun
t, Fr
an
Robe
rts, L
ynn
Mas
chne
r
~ U
MC
deve
lopi
ng a
pro
gram
that
coul
d be
shar
ed. S
t. Jo
seph
’s M
edic
al C
ente
r ha
s also
dev
elop
ed a
mod
el.
~ In
form
atio
n ga
ther
ed re
gard
ing
thre
e un
ique
pro
gram
s for
new
gra
d m
ento
ring
/ pre
cept
orsh
ips.
Costs
and
reso
urce
s var
y be
twee
n pr
ogra
ms.
This
info
rmat
ion
will
be
pos
ted
on th
e AzO
NE,
AzN
A an
d A
zHH
A w
ebsit
es.
CLO
SED
Fo
cus o
n im
prov
ing
the
wor
k en
viro
nmen
t in
thre
e ar
eas
whe
re m
ost n
urse
s wor
k:
hosp
itals,
long
-term
car
e,
hom
e hea
lth/h
ospi
ce.
Shar
e bes
t pra
ctic
es o
n cr
eatin
g a p
ositi
ve
wor
k en
viro
nmen
t fro
m
diffe
rent
em
ploy
men
t se
tting
s. D
evel
op
mat
eria
ls to
hel
p H
COs
impl
emen
t des
irabl
e nu
rsin
g pr
actic
e en
viro
nmen
ts (re
posit
ory
of
info
rmat
ion)
Jayn
e Wilk
ins,
Add
a Ale
xand
er,
Pegg
y M
cMac
ken,
Pe
ggy
Mul
lan,
Ju
dy S
elle
rs
~ In
divi
dual
org
aniz
atio
ns co
llect
ing
best
prac
tice d
ata
~ W
orkg
roup
to m
eet t
o re
view
dat
a an
d co
llate
wor
k. In
tend
to co
mpi
le fo
r di
strib
utio
n.
HCI
wor
kgro
up o
n Be
st Pr
actic
es/P
rom
ising
Pra
ctic
es es
tabl
ished
. Re
sults
will
be p
oste
d on
web
. C
LOSE
D
Improving the Work Environment
Prom
ote e
duca
tiona
l ses
sion
by A
zNA
on
“wha
t it m
eans
to
be a
pro
fess
iona
l nur
se.”
Incr
ease
pre
sent
atio
ns
to cl
inic
al n
urse
s, em
phas
izin
g th
e im
porta
nt co
ntrib
utio
ns
of n
ursin
g’s v
oice
and
ex
perti
se.
Mar
ty E
nriq
uez,
M
arla
Wes
ton
~
Cont
inue
d ed
ucat
ion
prov
ided
thro
ugh
Ariz
ona N
urse
s Ass
ocia
tion
and
Prof
essio
nal A
dvoc
acy
~ Pr
ogra
m re
sults
shar
ed a
t the
Ariz
ona
Org
aniz
atio
n of
Nur
se E
xecu
tives
Se
ptem
ber 2
005.
C
LOSE
D
2006 Nursing Statewide Strategic Plan
Ta
ble 2
: Str
ateg
ic M
ap
Them
e Ac
tivity
Ex
pect
ed
Out
com
e/Dat
e Re
spon
sible
Part
y Up
date
/ St
atus
Ja
nuar
y 20
06
Estab
lish
rew
ard
mec
hani
sms f
or b
est p
ract
ice
facil
ities
, inc
ludi
ng A
zNA
reco
gniti
on an
d no
min
atio
n by
clin
ical
nurse
s.
Expa
nd ex
istin
g aw
ard
prog
ram
to in
crea
se
parti
cipati
on in
no
min
ation
s and
re
cogn
ition
s.
Mar
la W
esto
n ~
Awar
ds g
iven
by
the A
rizon
a Nur
se
Asso
ciatio
n.
CLO
SED
Estab
lish
an A
rizon
a Cen
ter
for N
ursin
g as
a ve
nue f
or
data
colle
ction
on
nursi
ng to
se
rve a
s a ce
ntra
lized
re
posit
ory
of in
form
ation
on
nursi
ng an
d to
pro
vide
re
sour
ces f
or as
sistin
g nu
rses
to n
avig
ate r
egul
atory
ag
encie
s.
Dev
elopm
ent o
f pr
oces
s and
repo
rts fo
r re
liabl
e data
abou
t the
ne
ed fo
r nur
sing
inclu
ding
pro
jecti
ons
for p
racti
ce an
d ed
ucati
on.
Mar
la W
esto
n,
Kath
y M
alloc
h, P
at Ha
rris
~ Ar
izon
a Boa
rd o
f Nur
sing
takin
g th
e lea
d on
this
and
has b
een
appr
oved
for
one F
TE to
star
t the
pro
cess
. HC
I will
file
to b
ecom
e a W
orkf
orce
Ce
nter
with
in n
ation
al ne
twor
k of
ce
nter
s. O
nce a
ccep
ted, a
n or
gani
zatio
nal
struc
ture
will
be e
stabl
ished
in
coop
erati
on w
ith al
l stak
ehol
ders
. Ar
izon
a Stat
e Boa
rd o
f Nur
sing
Rese
arch
er p
ositi
on fu
nded
and
will
be
hire
d CL
OSE
D
Cont
inue
to m
onito
r ac
tiviti
es in
oth
er st
ates
relat
ed to
initi
ative
s.
Com
mun
icate
in
form
ation
to A
rizon
a nu
rses
Mar
la W
esto
n ~
Ariz
ona N
urse
s Ass
ocia
tion
cont
inue
s to
mon
itor a
nd d
istrib
ute i
nfor
mati
on to
th
e nur
se m
embe
rship
via
their
elec
troni
c ne
wslet
ters
ever
y ot
her w
eek.
CL
OSE
D
2006 Nursing Statewide Strategic Plan
Ta
ble
2: S
trat
egic
Map
Them
e A
ctiv
ity
Expe
cted
O
utco
me/
Dat
e R
espo
nsib
le P
arty
U
pdat
e / S
tatu
s Ja
nuar
y 20
06
Prom
ote
lead
ersh
ip
educ
atio
n fo
r clin
ical
nur
sing
supe
rviso
rs.
Mod
ify p
rogr
am b
ased
up
on p
ilot a
nd e
xpan
d to
stat
ewid
e im
plem
enta
tion
by
Dec
embe
r 200
4.
Uni
vers
ity o
f A
rizon
a Co
llege
of
Nur
sing
and
Busin
ess,
Mar
la
Wes
ton
~ A
rizon
a N
urse
s Ass
ocia
tion
cont
inue
s to
pro
vide
trai
ning
thro
ugh
the
Ariz
ona
Hea
lthca
re L
eade
rshi
p A
cade
my
prog
ram
. ~
Six
prog
ram
s com
plet
ed a
nd a
dditi
onal
of
ferin
gs a
re sc
hedu
led.
C
LOSE
D
Eval
uate
dat
a co
llect
ed o
n ba
rrier
s to
fore
ign
educ
ated
nu
rse
licen
sure
.
Dat
a ev
alua
ted
at th
e en
d of
the
first
coho
rt co
mpl
etin
g th
e pr
ogra
m b
y A
ugus
t 20
05.
Berth
a Se
pulv
eda
~ Fi
rst c
ohor
t gra
duat
ed in
Aug
ust 2
005.
Se
cond
coh
ort a
dmitt
ed A
ugus
t 200
5.
CLO
SED
Impl
emen
t med
icat
ion
tech
nici
an p
ilot s
tudy
. Im
plem
ente
d by
A
ugus
t 200
5.
Pegg
y M
ulle
n ~
Curri
culu
m, c
riter
ia fo
r fac
ilitie
s and
pr
ogra
m p
roto
cols
are
deve
lope
d.
~ Se
ekin
g fu
ndin
g so
urce
s ~
Six
Long
Ter
m C
are
faci
litie
s are
in
volv
ed a
nd su
ppor
ting
the
prog
ram
. A
rizon
a St
ate
Boar
d of
Nur
sing
will
co
nduc
t res
earc
h on
Cer
tifie
d M
edic
atio
n Te
chni
cian
and
pat
ient
safe
ty a
nd re
port
to L
egisl
atur
e ou
tcom
es o
f the
stud
y in
20
07.
CLO
SED
Removing Regulatory Barriers
Cont
inue
to m
onito
r for
oth
er
regu
lato
ry b
arrie
rs.
Barri
ers i
dent
ified
on
ongo
ing
basis
. Jo
ey R
iden
our
~ M
onito
r as n
eede
d C
LOSE
D