National Campaign for Action
The Campaign for Action, led by RWJF and AARP, marks an unprecedented initiative to address the increased demands for health care by using all the skills, talents, knowledge, and experience of nurses. The purpose of the Campaign is to guide the implementation of the recommendations of the Institute of Medicine (IOM) landmark report, The Future of Nursing: Leading Change, Advancing Health (2010). The Campaign implements its mission through the State Action Coalitions. In our first ten years, strategic priorities centered on strengthening the nursing profession in the following areas:
The Eight IOM Recommendations
#1: Remove scope-of-practice barriers.
#2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts.
#3: Implement nurse residency programs.
#4: Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020.
#5: Double the number of nurses with a doctorate by 2020.
#6: Ensure that nurses engage in lifelong learning.
#7: Prepare and enable nurses to lead change to advance health.
#8 Build an infrastructure for the collection and analysis of interprofessional health care workforce data.
The projects described on our website all relate to these eight recommendations. To learn more about the progress made nationwide on these recommendations, click here
In 2020, the National Academy of Medicine and Science (NAMS), formerly known as the IOM, issued a new report, Charting a Path to Health Equity. This report sets the stage for our next ten years, leveraging nurses and community partners to improve health by reducing and eliminating barriers, by achieving health equity. Action areas include permanently removing barriers to full scope nursing practice, improving compensation for nursing care, and building diversity in the nursing profession.
New National Academy of Medicine Report
Charting a Path to Achieve Health Equity (2021)
#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.
#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.
#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.
#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.
#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.
#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.
#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.