APNA 30th Annual Conference Session 2014: October 20, 2016 APNA 2016 - - PDF document

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APNA 30th Annual Conference Session 2014: October 20, 2016 APNA 2016 - - PDF document

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APNA 30th Annual Conference Session 2014: October 20, 2016 APNA 2016 Annual Conference Jake Creviston , DNP, RN, PMHNP BC Michael Polacek , MSN, RN BC Participants w ill be able to: Creviston 1 APNA 30th Annual Conference Session 2014:

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APNA 30th Annual Conference Session 2014: October 20, 2016 Creviston 1

Jake Creviston, DNP, RN, PMHNP‐BC Michael Polacek, MSN, RN‐BC

APNA 2016 Annual Conference

Participants w ill be able to:

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APNA 30th Annual Conference Session 2014: October 20, 2016 Creviston 2

1840’s Sisters of Charity (initial ascent) The Nightingale Shift (progress and formalization) Contemporary Reforms (regrouping) State of the state (summit in view) Idealized leadership (summit!)

Nursing Leadership and Reformation (base camp)

 Healthcare Reform is a continual process  “History is revelation” (Libster & McNeil, 2009)  1840 Sister Matilda and Dr. Hughes Stokes open Mount Hope  Roles of the “nurse” and physician  Action evolves from care  Advices Concerning the Sick predated Notes on Nursing  Reformed care environment  Statistics and healthcare  Formal educational curriculum  Societal respect as a reformer

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APNA 30th Annual Conference Session 2014: October 20, 2016 Creviston 3

 Dix: advocacy for humane care  Barton: bedside to global care  Peplau: practice based on engagement  Bolton: leader in modern healthcare reform

 “Nurse‐Doctor Game” (Stein et al., 1967)  Oppressed‐group dynamics  Nurses underrepresented on boards

 2‐4% of hospital boards (Prybil, 2009)  2% of health care boards (Curran & Totten,

2010)

 To Err is Human (IOM, 2000)  Crossing the Quality Chasm (IOM, 2001)  Social Determinants of Health

(Commission on Social Determinants of health, 2008)

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APNA 30th Annual Conference Session 2014: October 20, 2016 Creviston 4

 The Triple Aim (Berwick, Nolan, &

Whittington, 2008)

 Affordable Care Act (PPACA,

2010)

 ACOs, CCOs and  behavioral health integration

 Future of Nursing (IOM, 2011)

 8 recommendations  4 key messages

 Interprofessional movement (IPEC, 2011)

 National  MHPA, TARP, Patrick Kennedy, the rules  Corrections: 16%‐24% SMI

(Durmont, et al., 2012)

 Oregon (MHA, 2015)  MH Statistics  Coordinated Care Organizations boards: 2.7% nurses (Creviston, 2015)  Oregon Strategic Plan: 18‐ member board 0 nurses

(OHA, 2015)

 Time, incentive, preparation, desire and lack of invitation limit maximal leadership (Creviston,

2015)

 Nurses least likely to drive reform (Khoury et

al., 2011) Fall warning, crevasses in area. ! Avalanche warning take alternative route. Watch out, winter storm ahead Caution high winds in area. Warning low oxygen levels.

!

But we are the most trusted profession 11 we have clinical and leadership expertise

  • ur leadership promotes patient outcomes 16

we are the largest segment of the workforce 15 and we are more successful in teams…10

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APNA 30th Annual Conference Session 2014: October 20, 2016 Creviston 5

 National Initiatives  Future of Nursing Campaign for Action  Nurses on Boards Coalition (10,000 nurses by 2020)  Culture of Health

 Oregon Initiatives

 Oregon Action Coalition; Nurses on Boards grant  ORAPNA Resource Center Scroll down to bottom and click appropriate link:

Now Now go go to to:

www.Nur .NursesOnBoar sesOnBoardsCoal sCoaliti tion.

  • n.org
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APNA 30th Annual Conference Session 2014: October 20, 2016 Creviston 6

Nurses are ideally prepared to contribute towards health care reform to optimize patient outcomes. We believe that nurses are crucial health care stakeholders. This requires participation at all leadership levels and nurses on EVERY BOARD!

Research:

 Measure nurse trustee impact on health

Prepare:

 Seek and provide governance mentorship and training  Start small e.g., nursing professional org

Participate:

 Promote national and local efforts  Join your state RWJF Action Coalition  Communicate via APNA member bridge  Follow the CampaignForAction.org

Do not wait for an invitation

Jake Creviston, DNP, RN, PMHNP‐BC

Assistant Professor Linfield Good Samaritan School of Nursing, Portland, Oregon

jcrevis@linfield.edu

Michael Polacek, MSN, RN‐BC

Professional Development Specialist, Salem Health, Oregon

fetchwood@gmail.com

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APNA 30th Annual Conference Session 2014: October 20, 2016 Creviston 7

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