Module 2 Discussion: Exploring The Future of Nursing 2020-2030 Recommendations TQE

Readings Related to Discussion

Select two articles published within the past two years from peer-reviewed journals that are relevant to your discussion.

Note: You do not need to purchase this publication. You may read online for free, and will need to set up an account at the National Academies to do so. This is a reputable organization.

Discussion Instructions

This discussion provides an opportunity for you to become familiar with the nine recommendations outlined in the Future of Nursing 20202030: Charting a Path to Achieve Health Equityreport, and to explore one recommendation in greater depth. These recommendations are central to the future of nursing leadership, education, and practiceparticularly in addressing health equity and the social determinants of health.

You are encouraged to skim the full report, focusing on the recommendations section. For your convenience, the nine recommendations are also listed below in this module.

We will continue using the TQE methodThoughts, Questions, and Epiphaniesto guide our discussion. This reflective approach encourages deeper engagement with the material and with each other. (Refer to Module 1 for more information on the TQE method.)

Instructions for Your Initial Post

Claim a Recommendation
- Choose one of the nine recommendations from the report.
- Begin a new discussion thread with the recommendation number and titlein the subject line to claim it.
- All nine recommendations should be selected before any are repeated.
- You may post a placeholder to claim your recommendation and return later to complete your post using the Reply button.
Compose Your Post Using the TQE Framework
- Thoughts:
  - Interpret what the recommendation means to you personally and professionally.
  - Reflect on how it aligns with your envisioned future as a nurse educator, administrator, or other advanced practice role.
- Thoughts/Epiphanies:
  - Discuss how this recommendation addresses or could addresssocial determinants of health.
  - Share any insights or realizations you had while reading the report or related literature.
- Thoughts/Epiphanies:
  - Analyze one way masters-prepared nurses can advance this recommendation through legislative or regulatory mechanisms.
  - Consider involvement in policy, politics, advocacy, or professional organizations, and discuss potential barriers and strategies to overcome them.
- Question:
  - Pose a thoughtful question to your peers related to your chosen recommendation to encourage further discussion.
Support Your Discussion
- Incorporate at leasttwo peer-reviewed scholarly journal articles published within the last five years to support your analysis.
- Ensure your sources are cited in APA format.
Important Note
- Be sure you are addressing one of the nine recommendations, not one of the key messages from the report. These are distinct components.

A list of recommendations is below:

In an effort toward creating a shared agenda:

Recommendation 1: In 2021, all national nursing organizations should initiate work to develop a shared agenda for addressing social determinants of health and achieving health equity. This agenda should include explicit priorities across nursing practice, education, leadership, and health policy engagement. The Tri-Council for Nursing and the Council of Public Health Nursing Organizations, with their associated member organizations, should work collaboratively and leverage their respective expertise in leading this agenda-setting process. Relevant expertise should be identified and shared across national nursing organizations, including the Federal Nursing Service Council and the National Coalition of Ethnic Minority Nurse Associations. With support from the government, payers, health and health care organizations, and foundations, the implementation of this agenda should include associated timelines and metrics for measuring impact.

In an effort toward supporting nurses to advance health equity:

Recommendation 2: By 2023, state and federal government agencies, health care and public health organizations, payers, and foundations should initiate substantive actions to enable the nursing workforce to address social determinants of health and health equity more comprehensively, regardless of practice setting.

In an effort toward promoting nurses’ health and well-being:

Recommendation 3: By 2021, nursing education programs, employers, nursing leaders, licensing boards, and nursing organizations should initiate the implementation of structures, systems, and evidence-based interventions to promote nurses’ health and well-being, especially as they take on new roles to advance health equity.

In an effort toward capitalizing on nurses’ potential:

Recommendation 4: All organizations, including state and federal entities and employing organizations, should enable nurses to practice to the full extent of their education and training by removing barriers that prevent them from more fully addressing social needs and social determinants of health and improving health care access, quality, and value. These barriers include regulatory and public and private payment limitations; restrictive policies and practices; and other legal, professional, and commercial impediments.

In an effort toward paying for nursing care:

Recommendation 5: Federal, tribal, state, local, and private payers and public health agencies should establish sustainable and flexible payment mechanisms to support nurses in both health care and public health, including school nurses, in addressing social needs, social determinants of health, and health equity.

In an effort toward using technology to integrate data on social determinants of health into nursing practice:

Recommendation 6: All public and private health care systems should incorporate nursing expertise in designing, generating, analyzing, and applying data to support initiatives focused on social determinants of health and health equity using diverse digital platforms, artificial intelligence, and other innovative technologies.

In an effort toward strengthening nursing education:

Recommendation 7: Nursing education programs, including continuing education, and accreditors and the National Council of State Boards of Nursing should ensure that nurses are prepared to address social determinants of health and achieve health equity.

In an effort toward preparing nurses to respond to disasters and public health emergencies:

Recommendation 8: To enable nurses to address inequities within communities, federal agencies and other key stakeholders within and outside the nursing profession should strengthen and protect the nursing workforce during the response to such public health emergencies as the COVID-19 pandemic and natural disasters, including those related to climate change.

In an effort toward building the evidence base:

Recommendation 9: The National Institutes of Health, the Centers for Medicare & Medicaid Services, the Centers for Disease Control and Prevention, the Health Resources and Service Administration, the Agency for Healthcare Research and Quality, the Administration for Children and Families, the Administration for Community Living, and private associations and foundation should convene representatives from nursing, public health, and health care to develop and support a research agenda and evidence base describing the impact of nursing interventions, including multisector collaboration, on social determinants of health, environmental health, health equity, and nurses’ health and well-being.

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NURS 6020 Contemporary Issues in Health Care