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Nevada action coalition.

Three years have passed since The Institute of Medicine (IOM) first released The Future of Nursing: Leading Change, Advancing Health. The implementation of this landmark report is intended to transform the U.S. health care system by strengthening nursing care and better preparing nurses to meet the health demands of our country for years to come.

The goal of this column is to inform and raise awareness of activities of the Nevada Action Coalition (NAC) on both a local and national level. The Nevada Action Coalition serves as the driving force for the implementation of the IOM's recommendations in the state. Since the launch of the Future of Nursing: Campaign for Action, the Nevada Action Coalition has been working to strengthen the nursing profession to improve health and health care in Nevada. It is our hope through this column to encourage thoughtful dialogue regarding issues that nurses face regarding the future of nursing and to initiate commentary from nurses across the state.

The Nevada Action Coalition was designated by the Robert Wood Johnson Foundation (RWJF) and AARP in February 2011. The NAC is composed of a voluntary coalition of key partners that includes nursing, business, government, labor and nursing education leaders. Action Coalitions are composed of two co-lead organizations; a nursing and a non-nursing organization in Nevada our co-leads are the Nevada Governor's Workforce Investment Board Health Care and Medical Services Sector Council and the Nevada Alliance for Nursing Excellence (NANE).

The mission of the future of nursing campaign is to ensure that all Americans have access to high quality, patient-centered care in a health care system where nurses contribute as essential partners in achieving success. The mission of the NAC is to:

* Set clearly defined goals (aligned with the IOM recommendations)

* Form and mobilize key stakeholders representing a variety of sectors to build a blueprint for action

* Educate policymakers and other decision makers

* Reach out to philanthropies/funders to seek financial support for the NAC's efforts

* Gain visibility through the media and other outlets

* Work to advance key recommendations

As members of the largest group of healthcare professionals in the health care workforce, nurses are integral to overcoming our health care challenges. Our delivery system is fragmented and overcome with health care disparities. Nevada nurses are on the front lines of health care delivery and play a major role in overhauling our health care system. However, nurses continue to face barriers that prevent them from performing to the best of their abilities. In some states nurses are not able to work to the fullest extent of their education and training nor are they at the table when important decisions are made. These barriers must be overcome to ensure that nurses are well positioned to lead change and advance health.

Several exciting things are going on in Nevada such as the development of residency programs that will help transition new nurses from school to practice. We want new nurses to feel confident and comfortable with their abilities so we do not lose them along the way. The passage of AB 170 gives advance practice nurses full practice authority which will help with access issues in the State. Individuals are being invited to serve as leads of the IOM's eight recommendations to ensure success of their implementation. During the Nursing Excellence Conference in Reno, the NAC held its first event, an elegant reception to recognize Dr. Susan Reinhard, senior vice president at AARP which was sponsored by the University of Reno, Orvis School of Nursing,

In order for the Action Coalition to be successful, nurses and other stakeholders in all areas of the state are being recruited. Nurse leaders in regulation, education, and clinical practice have embraced the IOM recommendations and have committed to working together to achieve our shared goals.

State Implementation Program Grant

The work of the Nevada Action Coalition has been conducted by the countless volunteer hours of its members. Based on the need for full time support the Nevada Action Coalition submitted a proposal to the Robert Wood Johnson Foundation for a State Implementation Grant (SIP) that would allow for the hiring of a director and an assistant to work on the Institute of Medicine's recommendations.

The Nevada Action Coalition chose two recommendations as our focus in the grant proposal. The initial focus will be to work on increasing nurse residency programs throughout the state for new nurse graduates and for registered nurses returning to the workforce after a significant absence from practice. There are currently programs at four hospitals that help new nurses transition into practice. NAC leaders want to expand programs for working nurses who are transitioning into new practice settings. Currently gaps exist in the availability of residencies for new graduate RN in Nevada

Another recommendation will be to increase the number of bachelor prepared nurses to 80% by 2020, this will be done by encouraging matriculation agreements between public and private colleges/universities with the community colleges thereby allowing the Associate Degree prepared nurse to advance seamlessly in his/her education.

Good news about the grant.Nevada is a finalist. We hope to hear good news by the first of the year!

The Nevada Action Coalition welcomes the participation and support of all health care and business individuals and organizations as we begin the work of improving Nevada's healthcare status. For more information please contact Debra A. Toney at or Debra Collins at

Debra A. Toney, PhD, RN, FAAN

Chair, Nevada Action Coalition
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Author:Toney, Debra A.
Publication:Nevada RNformation
Geographic Code:1U8NV
Date:Feb 1, 2014
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