The challenges of USA nursing education to meet local, regional and global need - Revista Brasileira de Enfermagem
Revista Brasileira de Enfermagem. 01/01/2016;69(3):417-418
The National League for Nursing (NLN), the voice for nursing education, is committed to the education of an exemplary nursing workforce that values and incorporates the richness of difference and inclusion to advance the health of the nation and the global community. With its population of over 320 million people, the United States of America (USA) claims 3.1 million registered nurses but experiences a shortage of diversity in the workforce. Nursing education has the additional challenge of faculty competence for classroom and clinical teaching. With implementation of the Patient Protection and Affordable Care Act (PPACA) (Public Law 111-48), and recommendations from the Institute of Medicine (IOM) Future of Nursing (2010), there was further pressure to scale-up a diverse workforce(). PPACA boosted the number and diversity of individuals with access to health care while IOM Future of Nursing report recommended a dramatic increase in baccalaureate and doctoral-prepared nurses to care for diverse populations in a complex healthcare environment. Designing education for new generations of nursing students dissimilar in race/ethnicity and gender became a challenge for nursing education in meeting local, regional and global health needs.
With rapidly increasing globalization, the USA continues to be a nation of immigrant, migrant and refugee populations. Implementation of PPACA in the USA increased access to healthcare for these diverse populations and has major implications for healthcare delivery and nursing education. Exploration of new models of health care has been required, accompanied by an increased demand for global health education. State and regional strategies have been strengthened to develop a more highly-educated and diverse workforce to address population care and simultaneously fill faculty and advanced nurse practice roles. Strategies included preparing more nurses with skills in cultural responsiveness to meet the needs of diverse populations along with educating students for entry-level competency in global health practice. In the era of globalization, nurse educators are expected to value diversity, become culturally self-aware, and incorporate global health competencies as key first steps in addressing the challenge of an increase in diverse populations.
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The National League for Nursing (NLN), the voice for nursing education, is committed to the education of an exemplary nursing workforce that values and incorporates the richness of difference and inclusion to advance the health of the nation and the global community. With its population of over 320 million people, the United States of America (USA) claims 3.1 million registered nurses but experiences a shortage of diversity in the workforce. Nursing education has the additional challenge of faculty competence for classroom and clinical teaching. With implementation of the Patient Protection and Affordable Care Act (PPACA) (Public Law 111-48), and recommendations from the Institute of Medicine (IOM) Future of Nursing (2010), there was further pressure to scale-up a diverse workforce(). PPACA boosted the number and diversity of individuals with access to health care while IOM Future of Nursing report recommended a dramatic increase in baccalaureate and doctoral-prepared nurses to care for diverse populations in a complex healthcare environment. Designing education for new generations of nursing students dissimilar in race/ethnicity and gender became a challenge for nursing education in meeting local, regional and global health needs.
With rapidly increasing globalization, the USA continues to be a nation of immigrant, migrant and refugee populations. Implementation of PPACA in the USA increased access to healthcare for these diverse populations and has major implications for healthcare delivery and nursing education. Exploration of new models of health care has been required, accompanied by an increased demand for global health education. State and regional strategies have been strengthened to develop a more highly-educated and diverse workforce to address population care and simultaneously fill faculty and advanced nurse practice roles. Strategies included preparing more nurses with skills in cultural responsiveness to meet the needs of diverse populations along with educating students for entry-level competency in global health practice. In the era of globalization, nurse educators are expected to value diversity, become culturally self-aware, and incorporate global health competencies as key first steps in addressing the challenge of an increase in diverse populations.
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