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1 | UPDATED: OCTOBER 2023 | ||||||||||||||||||||||||||
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8 | Rec. # | Recommendation | ANA\C Action | Comments | ANA\C Public Policy Agenda | ||||||||||||||||||||||
9 | 1 | CREATING A SHARED AGENDA | Collaborate with coalitions/projects/initiatives partners in this process | Keep Advancing ANA\C Strategic Priorities | |||||||||||||||||||||||
10 | 1.1 | Within nursing organizations: Assess & eliminate racist & discriminatory policies | x | Racism in Nursing and Healthcare Campaign (incl. Health Institution Assessment & Academic Assessment), Advocacy Institute Fellows on Racism in Nursing (2022, 2023, 2024), Webinars (Care Incarcerated Webinar, Cultural Competence in the Workplace, Catalyst to Case Study: Creating our Racism in Nursing Assessment (Panel Discussion) | x | ||||||||||||||||||||||
11 | 1.2 | Across nursing organizations: Leverage expertise of public health nursing | x | Legislative Policymaking Series 1-4, Coalitions (Advisory member of HealthImpact, CCRF coalition member) Veteran's Health Campaign, San Diego Taskforce Letter (Homelessness), Amplified RN News Show Episode (Nurses Promoting Vaccination Equity by Christine Locke | Episode 2) | x | ||||||||||||||||||||||
12 | 1.3 | Across nursing organizations: Leverage expertise in care coordination and care management. | x | CHA CNO Advisory Council Member | |||||||||||||||||||||||
13 | 1.4 | Across nursing organizations: Develop mechanism for nurses health, wellbeing, resiliency, selfcare | x | Advocacy Institute Fellowship (2022, 2023, 2024), Barriers to Accessing Mental Health In Nursing Panel Discussion, Mental Health in Nursing: Barriers to Employer Responsibility Panel Discussion, Analysis of Mental Health Solutions, Webinars (Moral Injury, The Importance of Foot Anatomy on Overall Health, Beyond Burnout, Holistic Nursing and the Importance of Spiritual Care, The Impact of Suicide in Nurses and Students, Effective Communication for Nurses-Burnout Series 2, Behavioral Fitness™ Presents: “What’s Behind Door #3?”, Nurse Incivility: A Leader's Guide, Spirituality and Nursing, WHO Cares?, Unplug and Recharge: Creating a Fulfilling Life Beyond Work), Shoe Donations @ Shriners Childrens Hospital, Dignity Health locations 3x | x | ||||||||||||||||||||||
14 | 1.5 | External to nursing organization: Use communication strategies to amplify health -equity related issues. | x | Advocacy Institute Fellow on Future of Nursing Make'da Traynum article on Shared Agenda. Racism in Nursing and Healthcare Campaign (incl. Health Institution Assessment & Academic Assessment), Advocacy Institute Fellows on Racism in Nursing (2022, 2023, 2024), Care Incarcerated Webinar by Dr. Danisha Jenkins, Cultural Competence in the Workplace Webinar by Dr. Victoria Squier, Catalyst to Case Study: Creating our Racism in Nursing Assessment (Panel Discussion), Amplified RN News Show Episodes (Nurses Promoting Vaccination Equity by Christine Locke | Episode 2, Mentorship Matters: Driving Diversity in Nurse Executive Leadership | E6, The Literacy Prescription: Enhancing Healthcare Outcomes | E7, Obstacles to Opportunities: Rethinking Care Delivery for Health Equity | E11, Realizing the Power: Minoritized Nurses' Role at the Leadership Table | E12) | x | ||||||||||||||||||||||
15 | 1.6 | External to nursing organization: Increase the number and diversity of nurses. | x | Collaboration with nursing students and various ethnic based nursing organizations (Pre-Licensure Lobby Day, California Chapter of NBNA, PNAA & NAHN invited to Racsim in Nursing Workgroups) Advocacy Institute Fellowship (2022, 2023, 2024), Nurses in Media Trainings | x | ||||||||||||||||||||||
16 | 1.7 | External to nursing organization: Establish award recognizing contributions in achieving health equity. | x | ANA\C General Assembly 2022 announced Health Equity Award. | x | ||||||||||||||||||||||
17 | 2 | SUPPORTING NURSES TO ADVANCE HEALTH EQUITY | Highlighting the importance of health equity in every aspect of nursing, healthcare & education | ||||||||||||||||||||||||
18 | 2.1 | Rapidly increase the number of nurses with expertise in health equity and in specialty areas with current shortage. | x | Legislative Policymaking Series 2, The Future Is Now: Nurses Advancing Health Equity (Virtual Conference), Racism in Nursing Campaign, Veteran's Health Campaign, LGTBQIA+ Equity Campaign, Amplified RN News Show, Webinars (State of the California Veteran, Psychological Wounds: Mental Health Nursing Care of America’s Veterans, Month of the Military Child, Caring for LGBTQ+ Veterans and Service-Connected Families: Fundamentals) | x | ||||||||||||||||||||||
19 | 2.2 | Invest in nursing education and traineeships in public health. | x | ANA\C Foundation could give public health scholarships, (state/fed gov.) | x | ||||||||||||||||||||||
20 | 2.3 | Direct funds to nurses and nursing schools to sustain and increase diversity. | x | Racism in Nursing Academia Campaign, ANA\C Foundation could give scholarships, ANA\C donate(?)/increase financial support to CNSA earmarked for diversity student needs | x | ||||||||||||||||||||||
21 | 2.4 | Invest in nurse loan and scholarship programs. | x | ANA\C Foundation could give scholarships, ANA\C donate(?)/increase financial support to CNSA earmarked for diversity student needs | x | ||||||||||||||||||||||
22 | 2.5 | Prioritize longitudinal community-based learning opportunities in all relevant title 8 programs. | Highlight and focus via professional advocacy and communication channels (including leg. reg. and policy advocacy) | ||||||||||||||||||||||||
23 | 2.6 | Support the academic progression of socioeconomically disadvantaged students. | x | CNSA collaboration on Pre-Licensure Lobby Day, ANA\California Mentorship Program and Be1Support1 Mentorship, Webinars, Racism in Nursing Academia Campaign, COADN Panel Discussion, Workgroups (Instituting two student positions) | x | ||||||||||||||||||||||
24 | 2.7 | Establish a National Nursing Workforce Commission or significantly invest in and enhance the current capacity of HRSAs National Advisory Council on Nurse Education and Practice | National ANA | ||||||||||||||||||||||||
25 | 2.8 | Quality nursing expenditures related to health equity and SDOH | Providing stipends for nurses leading Racism in Nursing assessment in rural facilities, Cooperate with other foundations, community orgs, Paid Media Opportunities via Nurses in Media Campaign, The Nursing Voice Magazine Editions | x | |||||||||||||||||||||||
26 | 2.9 | Include nursing expertise when health-related multisector policy reform is being advanced. | x | Legislative Policymaking Series 3, Advocacy Institute Fellows (2022, 2023, 2024), Collaboration with coaltion partners ACNL, HealthImpact, CHA. CACN, CNMs, NPs, CRNAs, CNSs, ANHE, variety of ethic nursing orgs., Nurses in Media Campaign, Amplified RN News Show, Legislative Committee, Racism in Nursing and Healthcare Workgroup, Racism in Nursing Academia Workgroup, LGBTQIA+ Workgroup, Veteran's Health Campaign, Mental Health Campaign, Nursing Innovation Campaign, Webinars & Panel Discussions, The Nursing Voice Magazine Editions | x | ||||||||||||||||||||||
27 | 2.10 | Provide sustainable state and federal funding to prepare nurses to address SDOH and advanced health equity. | state / federal governments | ||||||||||||||||||||||||
28 | 2.11 | Employers support nurses to help them play a leading role in achieving health equity. | Employers | ||||||||||||||||||||||||
29 | 3 | PROMOTING NURSES' HEALTH AND WELL-BEING | Mental health and wellbeing as a priority for the future of our profession | ||||||||||||||||||||||||
30 | 3.1 | Nursing education programs: Integrate content on nurses' health and well-being into their programs. | x | Advocacy Institute Fellowship, Mental Health Campaign, Mental Health Analysis of Services and Solutions, Mental Health Solution Identifiers Chart, Webinars & Panel Discussions, The Nursing Voice Magazine Editions | x | ||||||||||||||||||||||
31 | 3.2 | Nursing education programs: Create mechanisms to protect students most at risk for behavioral health challenges. | x | Nursing schools, Mental Health Campaign + Identifiers Tool | |||||||||||||||||||||||
32 | 3.3 | Employers: Provide sufficient human and material resources to enable nurses to provide high -quality care effectively and safely. | Employers | x | |||||||||||||||||||||||
33 | 3.4 | Employers: Establish a culture of physical and psychological safety. | Employers | x | |||||||||||||||||||||||
34 | 3.5 | Employers: Create a mechanism to protect nurses from retaliation. | Employers | x | |||||||||||||||||||||||
35 | 3.6 | Employers: Support diversity, equity and inclusion across the nursing workforce. | Employers | x | |||||||||||||||||||||||
36 | 3.7 | Employers: Prioritize and invest in health interventions for nurses, including reward programs. | Employers | ||||||||||||||||||||||||
37 | 3.8 | Employers: Establish and standardize processes that strengthen nurses' contribution to improving design and delivery of care and decision-making. | Employers | x | |||||||||||||||||||||||
38 | 3.9 | Employers: Reduce stigma associated with mental and behavioral health treatment and nurses. | x | Mental Health Campaign, Mental Health Analysis of 24 Solutions, Identifiers Tool, Webinars & Panel Discussions | x | ||||||||||||||||||||||
39 | 3.10 | Employers: Collect systematic data to better understand the health and well-being of the nursing workforce. | Employers | ||||||||||||||||||||||||
40 | 4 | CAPITALIZING ON NURSE'S POTENTIAL | Continuing to increase nursing presence in politic, policy & media, amplyfing nursing voices inside and outside of institutions | ||||||||||||||||||||||||
41 | 4.1 | Changes to institutional policies and laws adopted in response to COVID-19 pandemic should be made permanent. | x | Collaboration with CHA, HealthImpact, CANPs, CNMs, CRNAs, CNSs, and the BRN. Legislative advocacy | x | ||||||||||||||||||||||
42 | 4.2 | Federal authority should be used where available to supersede restrictive state laws. | Federal government, CMS | ||||||||||||||||||||||||
43 | 4.3 | Health Care Regulator Collaborative should work to advance interstate compacts and the adoption of model legislation. | x | Collaboration with CHA, HealthImpact, and the BRN. NEWAC | x | ||||||||||||||||||||||
44 | 5 | PAYING FOR NURSING CARE | Not all nursing services should be a part of the hospital charge | ||||||||||||||||||||||||
45 | 5.1 | Reform fee-for-service payment models. | state / federal governments | ||||||||||||||||||||||||
46 | 5.2 | Reform value based payment models | state / federal governments | ||||||||||||||||||||||||
47 | 5.3 | Reform alternative payment models. | state / federal governments | ||||||||||||||||||||||||
48 | 5.4 | Create a National Nurse Identifier | state / federal governments | ||||||||||||||||||||||||
49 | 5.5 | Ensure adequate funding for public health nursing. | x | Legislative Policymaking Series 4, Highlight and focus via professional advocacy and communication channels (including leg. reg. and policy advocacy) | |||||||||||||||||||||||
50 | 6 | USING TECHNOLOGY TO INTEGRATE DATA ON SOCIAL DETERMINANTS OF HEALTH INTO NURSING PRACTICE | Leverage IT, data analytics, and the overall use of data in nursing education & practice | ||||||||||||||||||||||||
51 | 6.1 | Integrate data on SDOH and build nationwide infrastructure. | National ANA | ||||||||||||||||||||||||
52 | 6.2 | Ensure that health equity data collaborative improve visualization of data on SDOH. | Racism in Nursing Assessments, LGBTQIA+ Equity Assessment (TBD) | ||||||||||||||||||||||||
53 | 6.3 | Employ nurses with expertise in informatics to improve individual and population health. | x | Employers, Highlight and focus via professional advocacy and communication channels (including leg. reg. and policy advocacy) | x | ||||||||||||||||||||||
54 | 6.4 | Give nurses in clinical setting responsibility and associated resources to innovate and use technology | x | Employers, Highlight and focus via professional advocacy and communication channels (including leg. reg. and policy advocacy) | |||||||||||||||||||||||
55 | 6.5 | Provide resources to facilitate telehealth by nurses. | x | Employers, Highlight and focus via professional advocacy and communication channels (including leg. reg. and policy advocacy) | |||||||||||||||||||||||
56 | 7 | STRENGTHEN NURSING EDUCATION | Nursing education must evolve to serve the needs of 21st century patients | ||||||||||||||||||||||||
57 | 7.1 | Actions for deans, administrative faculty leaders, faculty course directors and staff of nursing education programs. | x | Racism in Nursing Academia Workgroup, Veteran's Health Campaign, Nurses in Media Campaign, Advocacy Institute Guide, Collaboration with CACN and COADN | x | ||||||||||||||||||||||
58 | 7.2 | Actions for accreditors | Accreditors | ||||||||||||||||||||||||
59 | 7.3 | Action for National Council of State Boards of Nursing and specialty certification organizations. | NCSBN | ||||||||||||||||||||||||
60 | 7.4 | Actions for continuing education providers. | x | Evaluate all CE offerings, education courses, podcasts and webinars to include content on social needs and health equity. | x | ||||||||||||||||||||||
61 | 8 | PREPARING NURSES TO RESPOND TO DISASTERS AND PUBLIC HEALTH EMERGENCIES | Nurses must be part of emergency system planning, prepardness and deployment. COVID19 showed nurses were completely left out of emergency planning and response in CA | ||||||||||||||||||||||||
62 | 8.1 | Actions for CDC | National ANA | ||||||||||||||||||||||||
63 | 8.2 | Develop and support emergency preparedness and response knowledge base of the nursing workforce. | National ANA (Emergency Preparedness Certification Course), include RedCross Disaster Simulation Course that is part of BRN CEUs | ||||||||||||||||||||||||
64 | 8.3 | Lead transformational change in nursing education to address workforce development in disaster nursing and public health preparedness. | x | Collaboration with CACN and COADN, HealthImpact, include RedCross Disaster Simulation Course that is part of BRN CEUs | |||||||||||||||||||||||
65 | 8.4 | Employer emergency response plans. | Employers | ||||||||||||||||||||||||
66 | 9 | BUILDING THE EVIDENCE BASE | Nursing is science-based education. | ||||||||||||||||||||||||
67 | 9.1 | Develop mechanism for proposing, evaluating, and scaling evidence-based practice models that leverage collaboration. | x | Establishing ANA\C Research Taskforce? | x | ||||||||||||||||||||||
68 | 9.2 | Identify effective multisector team approaches to improve health equity and addressing social needs and SDOH. | x | Racism in Nursing and Healthcare Workgroup, Assessment, Action Plans, and Data, Racism in Nursing Academia Workgroup, Assessment. Veteran's Health Campaign, LGBTQIA+ Equity Campaign | x | ||||||||||||||||||||||
69 | 9.3 | Use Evidence-based approaches to increase number and diversity of students from disadvantaged groups. | x | Partnership with CNSA and Ethnic Nursing Organizations, Student Positions in ANA\C Workgroups | x | ||||||||||||||||||||||
70 | 9.4 | Determine evidence-based education strategies for preparing nurses to eliminate structural racism and implicit bias to strengthen culturally competent care. | x | Partnership with joint Academia to identify and include in educational offerings our Racism in Healthcare assessment & plans of actions, Anna Valdez Implicit Bias Webinar, Cultural Competence Webinar | x | ||||||||||||||||||||||
71 | 9.5 | Use technology to identify and integrate health and social data to improve nurses' capacity for support. | x | Racism in Nursing and Healthcare Asssessment, Racism in Nursing Academia Assessment, Mental Health Solutions Identifiers Tool, Veteran's Health Campaign, Innovation Campaign, AI | x | ||||||||||||||||||||||
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