Statewide Strategic Plan for Nursing in the State of Arizona · PDF file2006 Nursing Statewide Strategic Plan Prepared by: The Arizona Governor’s Task Force on the Nursing Shortage

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


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


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


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.


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

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1.5

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3

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Nation Arizona

Num

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ses

per 1

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le in

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are

Setti

ngs


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

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f Nur

ses

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e


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.


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.


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


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


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.


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.


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


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.


Ta

ble 2

: Str

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ullen

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Ta

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Factors Influencing the Healthcare Industry

19

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odel

being

explo

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Nurse

Res

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at th

e Ariz

ona

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rses w

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nt sta

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s.

Pat H

arris,

Jayn

e W

ilkins

, Fran

Ro

berts

, Mart

y En

rique

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chard

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tze

~ A si

gnifi

cant

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er of

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borat

ive,

creati

ve an

d inn

ovati

ve pr

ogram

s hav

e be

en de

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roug

h part

nersh

ips w

ith

hosp

itals.

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kgro

up co

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ca

talog

thes

e effo

rts.

~ All

four

Univ

ersiti

es ha

ve de

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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


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


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


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


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


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

Statewide Strategic Plan for Nursing in the State of Arizona · PDF file2006 Nursing Statewide Strategic Plan Prepared by: The Arizona Governor’s Task Force on the Nursing Shortage

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