On episode 348 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Dr. Greer Glazer, professor and dean emeritus of the University of Cincinnati College of Nursing, regarding what’s lies ahead for the nursing profession and the goal of health equity for all based on the newly released Future of Nursing Report 2020-2030 from the American Academies of Science, Engineering, and Medicine.
Greer Glazer Ph.D., R.N., professor and dean emeritus of the University of Cincinnati (UC) College of Nursing, is the rare academic who combines teaching, research, practice, community service, and policy work. Dr. Glazer has worked in large and small higher education institutions; research-intensive and not research-intensive environments; public and private universities, and colleges that are part of an academic health center. She has personally taught both undergraduate- and graduate-level students and has developed new programs and educational models in several institutions.
Holding an established history of commitment to diversity, equity, and inclusion, Dr. Glazer created, implemented, and supported programs that promote inclusion and the success of diverse populations, whether as patients, students, faculty or staff. She’s been PI of initiatives that advance nursing education and create opportunities for underrepresented individuals in health care professions, which is best illustrated by her co-leadership of the National Study on Holistic Review.
To date, Dr. Greer has been responsible for over 100 publications, over 220 presentations, in addition to abstracts and contributions to newspapers, radio, and TV. She’s also co-authored the book “Nursing Leadership from the Outside In” and is the co-founder and legislative editor of the Online Journal of Issues in Nursing (OJIN).
Her significant national accomplishments include: 1998 Fulbright Scholar in Israel, RWJ Executive Nurse Fellow, Chair of the American Nurses Association Political Action Committee, recipient of NLN Mary Adelaide Nutting Award for Outstanding Leadership in Nursing Education award and the 2018 American Association of Colleges of Nursing Diversity, Inclusion and Sustainability in Nursing Education Lectureship Award. Dr. Glazer has previously served as dean and professor at the University of Massachusetts Boston College of Nursing; Director of parent-child nursing and professor at Kent State University; and assistant professor at Case Western Reserve University. She holds a bachelor’s degree in nursing from the University of Michigan and a master’s and Ph.D. degree in nursing from Case Western Reserve University.
From the report website:
“The decade ahead will test the nation’s nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions.
“A nation cannot fully thrive until everyone – no matter who they are, where they live, or how much money they make – can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people’s ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone.
“The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
“Sponsored by the Robert Wood Johnson Foundation, this report builds on the foundation set out by the 2011 Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health.”
The nine main recommendations from the report are as follows:
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.
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.
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.
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 by 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 commercial1 impediments.
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.
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.
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.
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.
Recommendation 9: The National Institutes of Health, the Centers for Medicare & Medicaid Services, the Centers for Disease Control and Prevention, the Health Resources and Services Administration, the Agency for Healthcare Research and Quality, the Administration for Children and Families, the Administration for Community Living, and private associations and foundations 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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