Life Program: University of Central Florida

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Life ProgramUniversity of Central Florida

• Anne Peach, R.N., M.S.N, N.E.A-B.C.
• October 13, 2009

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Orlando Health

• Arnold Palmer Hospital for Children
• Dr. P. Phillips Hospital
• Orlando Regional Medical Center
• Lucerne Hospital
• M. D. Anderson Cancer Center Orlando
• Cancer Research Institute
• South Seminole Hospital
• South Lake Hospital
• Visiting Nurses Association
• Medical Education

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Orlando Health Nursing

• 4,000 nurses
• 8 hospitals and visiting nurses association
• Organized with Vice President of Nursing
• Chief Nursing Officer in each facility
• Councilor Structure
• Shared Governance
• Goal Achieve Magnet designation by the American
  Nurses Credentialing Center
• Focus transformational leadership, quality
  outcomes, evidenced based practice. technology,
  professional development

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Nursing Practice Councilor Structure
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Program Outline

• Nursings Rich History
• Nursing Education
• Nursing Facts
• Nursing Today
• Nursings Future

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Nursing History Florence Nightingale1820 - 1910

• British nurse and statistician who
  pioneered the improvement of nursing practices in
  Crimean War, and continued to raise respect for
  nurses as medical professionals

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Nursing History Florence Nightingale

• Wrote Notes on Nursing
• Known as the Mother of Modern Healthcare
  Quality
• Developed the First School of Nursing

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Nursing History Education in the United States

• 1872 first training schools in the United States
• 1885 first textbook written by an American nurse
• 1893 first visiting nurse organization
• 1912 National League for Nursing Education

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Famous Nursing Leaders
Lillian Wald Visiting Nurses Association
Margareta Styles International Council of Nurses
Clara Barton American Red Cross
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Nursing History Education in the United States

• Nurses' Associated Alumnae of United States and
  Canada established in 1897
• Renamed the American Nurses Association in 1911.
• North Carolina, New Jersey, Virginia, and New
  York established the first Nurse Practice Acts in
  1903.
• 1920 Goldmark Report nursing schools should be
  independent from hospitals

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Nursing History Education in the United States

• 1948 Brown Report education for nursing take
  place in colleges and universities, not
  hospitals.
• 1948 National League for Nursing accrediting
  education programs
• 1951 Dr. Elizabeth Montag two tier education
  system
• technical nurses (community colleges)
• Professional nurses ( university)
• she is credited with associate degree nursing

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Nursing History Education in the United States

• 1965 ANA position paper on nursing education
• Result
• Diploma programs closings
• Increase in university and community college
  program
• Orlando Memorial School of Nursing became
  Valencia Community College Nursing Program

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Nursing History Education in the United States

• Associate degree programs began in 1952
• Emphasis on technical skills
• Baccalaureate programs
• Emphasis on leadership, management, community
  health and research
• Graduate programs
• Emphasis on advanced clinical practice, research,
  and preparation for roles as educators and
  administrators.

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Nursing Education Trends

• Distance learning
• Advanced degrees
• National Certification

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National Nursing Facts

• 2.9 million registered nurses in the United
  States
• Nurses work in a variety of settings and in a
  variety of roles
• 240,000 advanced practice nurses in the US
• 144,200 nurse practitioners
• 69,000 clinical nurse specialists
• 14,600 who are both nurse practitioners and CNSs
• 13,700 nurse midwives
• 32,500 nurse anesthetists

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Nursing StatisticsNursing Workforce in State of
Florida

• Increased by 5.4 over two years
• The ARNP population grew most rapidly.
• Average age gt 50 years of age, on average.
• Characteristics female dominated, and
  non-Hispanic Caucasian
• Vacancy rates for RNs gt 9
• RN positions to be created during 6,459.
• Almost 50 of qualified applicants were turned
  away
• BSN 2900 qualified applicants turned away

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Nursing Venues

• Acute Care
• Community Health
• Long term Care
• Physician Practice
• Public Health
• Universities and Colleges

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Advanced Practice Nursing Roles

• Nurse Anesthetist
• Clinical Nurse Specialist
• Clinical Nurse Leader
• Nurse Educator
• Nurse Faculty
• Nurse Scientist

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National Nursing Facts

• Advance practice nurses can provide 60-80 of
  primary care services
• 49 states and the District of Columbia allow
  nurse practitioners to prescribe medications

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Nursing as an Art and Science

• Focus on healing by diagnosis and treatment
• Support wellness and disease prevention
• Evidence based practice
• Individualized multicultural approach

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Gallop Poll

• Nurses have ranked first by the public in
  honesty and integrity every year since 1999,
  except for 2001 when after the 9-11 attacks,
  firefighters police ranked 1st

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Nursing Practice Today Technology

• Allows endless possibilities including evidenced
  based practices, individualized care and quality
  safeguards
• Real time information and communication
• Not a Panacea

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Nursing Issues

• Sustainable nursing workforce in clinical
  practice
• International shortage of nurses
• Faculty Shortage nationally
• Current workforce
• Complexity and specialization will require a
  higher level of learning
• Employers will need to address diversity of
  patient population and workforce
• Employers will need to address the generational
  differences
• Healthcare will become electronic (Epocrates)
• Health care reform will change the face of
  healthcare in the future

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Questions