Category: Blog


APP Week 2026

Jackie Iseler, DNP, MSN, RN, ACNS-BC, CNE, FCNS, NACNS President

I had the wonderful opportunity to speak on a panel alongside our Advanced Practice Provider Colleagues at the University of Virginia Health (UVA) for National APP Week held September 21-25 and hosted by UVA Health this year. This year’s theme: The Pulse of Progress: APPs Powering Tomorrow.

I was joined by the following presidents:

  • Valerie Fuller, American Association of Nurse Practitioners (AANP)
  • David Bunnell, American Academy of Physician Associates (AAPA)
  • Peter Johnson, American College of Nurse-Midwives (ACNM)
  • Tracy Young, American Association of Nurse Anesthesiology (AANA)
  • Emily Mycyk, American Academy of Anesthesiologist Assistants (AAAA)

We spoke about metrics and outcome measurement, and how APPs can be involved at the organizational level — understanding how healthcare at the systems level affects the care provided to the individual patient, and vice versa. What we do doesn’t stay within the four walls of where care happens; it impacts care everywhere.

One question posed to me was: which metrics and outcomes matter most when evaluating APP impact? My answer: there isn’t a single metric or outcome we should follow, and relying solely on productivity is short-sighted. We should look at it from a portfolio framework:

  1. Clinical and Quality: Are our patients receiving evidence-based guideline-concordant care? Are we practicing evidence-based practice – using the best available evidence, with the resources available, within our clinical expertise, and with shared decision-making with our patients?
  2. Business case: Of course, clinics and hospitals are a business that need to stay financially viable. We should track productivity, return on investment, and value on investment – data that gives our C-suite and administrators the full picture, both the financial and clinical story of the care we provide.
  3. Workforce well-being: What is the level of engagement and retention rate? When APPs leave an organization, they take those years of experience and productivity with them.
  4. Patient access and satisfaction: Are patients getting timely, high-quality care because an APP is available? Has access improved as a result?

I was also asked what opportunities exist for APPs to play a larger role in system-wide clinical strategy and innovation. CNSs, fortunately, understand how care at the patient level affects the organizational level—our foundation: the spheres of impact, our competencies, and what makes us indispensable in healthcare. APPs understand clinical work at a granular level; what we need to do is build the same fluency at the systems level and finance.

I shared a personal story of when I worked at Mayo Clinic, and we were moving from paper charting to electronic charting. I was one of many nurses asked to advise the clinical nurse specialist leading the charge on how we would like the electronic charting to look and feel. That is the kind of seat at the table APPs need to be claiming.

Artificial Intelligence is here; it is a tool that our organizations are implementing – from ambient listening to summarizing provider documentation. As end-users, we should be working alongside our computer scientists and informaticists to build and improve these tools. Because these are tools, they are supposed to make our work easier and safer.

I also had the opportunity to speak with the CNSs at UVA and learn about their role as APPs there. Kim Elgin asked me: what can they do to help NACNS? My reply was simple: help amplify the CNSs! Share on social media, write manuscripts, and share with your leaders and one another the work and the metrics you move.

Presidents of APP organizations.

Jackie Iseler (NACNS); David Bunnell (AAPA); Tracy Young (AANA); Peter Johnson (ACNM); Vallerie Fuller (AANP); Emily Mycyk (AAAA); and Bill Lombardi

CNSs at UVA and Bill Lombardi, Associate Chief Nursing Officer


ANA HILL DAY RECAP

Advocacy in Action: CNSs Make Their Presence Known

This week, NACNS leadership joined the American Nurses Association Assembly in Washington, D.C., and the message was clear: when nurses speak with a unified voice, the profession cannot be ignored.

Five hundred nurses representing 49 states descended on the nation’s capital, and NACNS was among them. Along with the NACNS President-Elect Kayla Little, we represented the CNS community at this critical national advocacy forum alongside nursing leaders who understand what is at stake when nurses show up prepared, unified, and unwilling to be overlooked.

But here is what one of the most powerful voices in the room reminded us: you do not have to be in Washington, D.C. to make a difference.

As Laura Underwood said during the assembly: “Tell them the stories only nurses can tell.”

Work with your state representative and senators. We are their constituents.

That is the truth of advocacy. Legislators hear from lobbyists every day. What they hear far less often are the real human stories from the nurses who care for their constituents in hospitals, communities, and districts. That is the voice that moves people. That is the voice only we can offer.

What We Advocated For

NACNS joined nurses from across the country in advancing four critical legislative priorities:

  1. Protecting Nurses from Preventable Workplace Violence | H.R. 2531 / S. 1232 Workplace violence against nurses is not inevitable; it is preventable. This legislation would require healthcare facilities to implement comprehensive workplace violence prevention programs, ensuring that the people who care for patients are protected. CNSs, who operate across patient, nursing practice, and systems spheres, have a direct role in creating safer care environments. This bill is personal to our profession.
  2. Title VIII Nursing Workforce Reauthorization | H.R. 3583 / S. 1874 Nursing is the largest healthcare profession in the United States, with more than 5 million nurses serving patients across every care setting, and for more than two decades running, nurses have been ranked the most trusted profession in America. That trust is not accidental. It is earned through education, clinical preparation, and an unwavering commitment to patients.

    Title VIII is the primary federal investment in nursing workforce development, including funding for education, scholarships, training programs, and the pipeline that brings the next generation of nurses, including CNSs, into practice. It is the backbone of a workforce that the nation depends on, and it must be protected and strengthened.

    Reauthorizing Title VIII is not just a nursing issue. It is a public health issue. A healthcare access issue. A patient safety issue. When we invest in the nursing workforce, we invest in the 5 million professionals that patients trust more than any other, and we invest in the future of care delivery for every community in this country.

    NACNS stands firmly in support of robust Title VIII funding. The CNS pathway depends on it. Our patients deserve it.

  1. Improving Care and Access to Nurses (I CAN) Act | H.R. 1317 / S. 575 The I CAN Act would remove outdated barriers that prevent Advanced Practice Registered Nurses from practicing at the full extent of their education and training. For CNSs, this legislation directly advances our longstanding priority of a full scope of practice and proper recognition as APRNs. Passage of the I CAN Act would mean better access to care for patients and long-overdue recognition for CNSs across the country.
  2. Nursing is a Professional Degree. The Department of Education has proposed changes that would reclassify nursing education, potentially significantly affecting student loan eligibility and forgiveness for nursing students. This is unacceptable. Nursing is a professional degree, and it must be recognized and protected as such.

The consequences of getting this wrong are not abstract. Fewer financial supports mean fewer nursing students. Fewer nursing students means fewer nurses at the bedside. And critically, it means fewer resources to sustain the nursing faculty who educate the next generation. No faculty. No pipeline. No nurses. And ultimately, patients suffer the consequences of a workforce dismantled not by a shortage of people willing to serve, but by policy decisions that failed to value the profession.

NACNS did not stand on the sidelines. NACNS is one of ten organizations that joined ANA in filing suit against these proposed changes. This is what it looks like when a professional association fights for its members, its students, its faculty, and the patients who depend on them. We took action because the stakes demand it.

That advocacy is already showing results. A federal judge recently blocked part of the Department’s rule, and as of now, students pursuing graduate nursing degrees are once again eligible for higher federal loan limits available to other professional degree programs. It is an encouraging sign, but not a finish line. The Department has been clear that it intends to keep fighting in court to restore the original rule, and a separate lawsuit from a coalition of states remains pending as well.

For students and the faculty who prepare them, the stakes could not be higher. NACNS stands firmly against any policy that undermines access to nursing education, threatens the sustainability of CNS programs, and puts patients at risk. We will continue to advocate loudly and clearly that nursing education must be protected, funded, and recognized for what it is — professional, essential, and irreplaceable.

You Don’t Have to Go to D.C.

Five hundred nurses in the capital are powerful. But 5 million nurses in their home states and continuing that conversation with their own representatives? That is how policy changes.

Your state legislators are your constituents, too. They represent your hospital, your community, your patients. A phone call, a meeting request, a letter that shares what you see at the bedside every day, that is advocacy. And it matters every bit as much as a Hill Day visit.

CNSs are uniquely equipped to tell these stories. We see the systems. We understand the evidence. We live the impact of policy decisions in ways that statistics alone can never convey. Use that.

Connect with your state representatives and senators. Share what these four priorities mean for your patients and your practice.

The work does not end in Washington. It continues wherever you are.

A divided voice is easily dismissed. A unified voice is impossible to ignore.

The work continues.


Celebrating Nurses on Capitol Hill: Advocacy, Recognition, and a Call for Action and Unity

Jackie Iseler, DNP, MSN, RN, ACNS-BC, CNE, FCNS, NACNS President

It was an honor to represent NACNS at the Nursing Community Coalition to the Thank a Nurse Congressional Reception on Capitol Hill, in Washington, D.C., last week. This congressional event was held at the Rayburn House Office Building, where staffers and healthcare allies gathered to celebrate nursing, and stand strong in promoting the field during a time of challenging professional proposals.

Representative Suzanne Bonamici (D-OR), co-chair of the bipartisan Congressional Nursing Caucus, delivered heartfelt remarks praising nurses’ critical role in healthcare, sharing a personal story about a family member’s newborn who required NICU care, and the awe she felt witnessing those nurses’ compassion and expertise firsthand. Rep. Bonamici also participated in a bipartisan, bicameral resolution recognizing National Nurses Week.

Nurse advocates used the occasion to urge congressional support for:

  • Reauthorization of Title VIII Nursing Workforce Development Programs
  • Increased funding for Title VIII and the National Institute of Nursing Research (NINR)
  • Reclassification of graduate nursing programs as professional degrees under the One Big Beautiful Bill Act (H.R. 1), expanding access to higher federal loan limits

The following day, celebrations continued with an event hosted by the Health Resources and Services Administration’s (HRSA) Bureau of Health Workforce, Division of Nursing and Public Health. The occasion marked National Nurses Month and the Division of Nursing’s 80th Anniversary, an agency that predates HRSA itself.

The theme, Advancing the Nursing Workforce: The Impact of Title VIII Investments, brought together grantees and national nursing organizations to highlight Title VIII’s lasting impact amid a projected 30% nursing shortage. Participants were also encouraged to complete the National Sample Survey of Registered Nurses. If selected at random, individual nurse responses matter.

As the president of NACNS, a clinician, educator, and innovator, I shared one of our biggest challenges: it comes from within.

Nurses have to stop working in silos. ADNs, BSNs, DNPs, PhDs, NPs, CNSs —are one profession. The competition for preceptors, the internal turf wars, and the fragmented advocacy are holding us back. Medical residents receive priority placement because hospitals receive Federal Medicare GME Funding to support their training, a financial incentive that nursing students do not benefit from. This must change.

We also need to invest in how we teach. A terminal degree is not a teaching credential. Evidence-based education matters. And every nurse deserves to practice to the full scope of their education and license.

Nurses are stronger united. It’s time to demonstrate that fact.


Highlights from Collaborate: the NACNS 2026 Annual Conference

Under the sunny skies of San Diego, clinical nurse specialists from across the country came together for four energizing days of learning, connection, and inspiration at the NACNS 2026 Annual Conference. Centered around this year’s theme — Collaborate — the conference showcased the power of partnership in advancing patient care, strengthening healthcare systems, and elevating the CNS role. 

With 704 in-person attendees, including 336 first-time participants, the energy throughout the conference was welcoming and forward-looking. Representing 40 states and 270 organizations and schools, this year’s gathering reflected the reach and impact of the CNS community. 

From the opening sessions to the final conversations in the exhibit hall, one thing was clear: collaboration is not just a concept, it’s a catalyst for meaningful change. 

Advancing Practice Through Education and Innovation

Across sessions, attendees explored critical topics shaping today’s healthcare landscape, including workplace safety and violence prevention, sepsis recognition and management, maternal health, and early mobility initiatives. These discussions highlighted the essential role CNSs play in improving patient outcomes and leading system-level change. 

Quality improvement and evidence-based practice remained central themes throughout the conference. Sessions focused on translating evidence into action, measuring impact, and driving sustainable improvements in care delivery. Attendees gained valuable insights into how data-informed decision-making can reduce costs, enhance outcomes, and strengthen clinical practice. The program also emphasized innovation in documentation, care processes, and technology integration — offering actionable strategies to streamline workflows and improve efficiency in increasingly complex healthcare environments. 

With insights shared by 330 industry experts, the conference delivered both depth and practical value across every session. 

Supporting the Future of the CNS Role 

A strong focus on CNS education and workforce development underscored the importance of preparing the next generation of clinical leaders. Sessions explored academic-practice partnerships, preceptor development, and strategies to expand and sustain the CNS pipeline. Pharmacology and advanced clinical practice sessions reinforced the CNS’s role as a clinical expert — ensuring attendees left with both the knowledge and confidence to lead in their specialty areas. 

Research, Posters, and Shared Learning

The exhibit hall served as a vibrant hub of innovation and idea-sharing, with poster sessions highlighting the breadth of work being led by CNSs across the country. 

This year featured 44 student posters and 84 professional posters, showcasing real-world solutions, emerging evidence, and creative approaches to improving care. From student-led research to experienced clinician projects, these presentations fostered meaningful dialogue. 

Celebrating Excellence and Leadership

The conference also provided an opportunity to recognize the outstanding contributions of CNSs making an impact across healthcare. The CNSI Fellow induction and awards ceremonies honored individuals who exemplify leadership, innovation, and excellence in clinical practice. These moments of recognition served as a powerful reminder of the depth of expertise and dedication within the CNS community. 

Building Connections That Last

Beyond the sessions, the NACNS Annual Conference created space for connection—whether through networking events, informal conversations, or time spent exploring the exhibit hall. With the support of 49 partners, sponsors, and exhibitors, attendees engaged with leading organizations and industry innovators, further enriching the conference experience. This sense of community is at the heart of NACNS, and it was on full display throughout the week in San Diego. 

Continuing the Momentum

We look forward to continuing this momentum and bringing the community together again next year in Kansas City, Missouri, for the NACNS 2027 Annual Conference. With the theme Amplify, we’re excited to build on this year’s energy and further elevate the voice and impact of clinical nurse specialists. See you there! 

 

 


NACNS Publishes Position Statement Affirming Commitment to DEIB

The National Association of Clinical Nurse Specialists (NACNS) stands unequivocally in support of diversity, equity, inclusion, and belonging (DEIB) as foundational to nursing practice, patient outcomes, and the advancement of healthcare.

NACNS remains unwavering in its advocacy for DEIB in nursing education, practice, research, and leadership. We will continue to push for policies that reinforce evidence-based strategies for mitigating health disparities and promoting workforce inclusivity. We call upon our members to actively engage in these efforts — whether through institutional advocacy, mentorship, or scholarship — so that we may collectively uphold the core values of nursing: compassion, advocacy, and justice. View Full Statement


NACNS Represents CNSs at the ANA General Assembly

On behalf of Clinical Nurse Specialists nationwide, NACNS President Rick Bassett and President-Elect Jackeline Iseler participated in the 2025 American Nurses Association (ANA) General Assembly, ANA’s highest governing body. As an Organizational Affiliate, NACNS ensures CNS voices are heard in shaping national nursing priorities.

Our participation reinforces NACNS’s commitment to:

  • Advocating for full practice authority by removing outdated Medicare and Medicaid barriers;
  • Influencing national nursing policy to reflect the unique contributions of CNSs in clinical leadership, systems change, and quality improvement;
  • Collaborating across nursing organizations to address workforce safety, health equity, and education reform;
  • Elevating the CNS role through national visibility and recognition.

Your NACNS leadership is at the table, amplifying your voice, advancing your role, and shaping the future of nursing.


Advocating for the Nursing Profession on Capitol Hill: ANA Hill Day 2025

On June 26, 2025, nearly 500 nurses from 47 states gathered in Washington, D.C., for the American Nurses Association (ANA) Hill Day. These nurse leaders participated in meetings with members of Congress and their staff, collectively advocating on behalf of more than 5 million registered nurses across the United States. 

Among the attendees were Rick Bassett, President of the National Association of Clinical Nurse Specialists (NACNS), and Jackeline Iseler, NACNS President-Elect, who joined hundreds of nurses in bringing key legislative issues to the forefront during a time of unprecedented staffing shortages and workforce challenges. Their presence underscored the importance of strong advocacy to advance policies that support the nursing profession and improve health outcomes for patients nationwide. 

This year’s advocacy agenda centered on four critical legislative priorities: 

Improving Care and Access to Nurses (ICAN) Act 

This bipartisan legislation seeks to remove outdated and arbitrary restrictions within Medicare and Medicaid that prevent Advanced Practice Registered Nurses (APRNs) from practicing to the full extent of their education and clinical training. Modernizing these policies is vital to improving access to high-quality care and addressing persistent healthcare workforce shortages. 

Protecting and Stabilizing Medicaid 

Nurses voiced opposition to proposed Medicaid reforms that could negatively impact patients and the providers who care for them. They called for policies that ensure stable, long-term financing for Medicaid to protect access to essential health services. 

Reauthorizing Title VIII Nursing Workforce Development Programs 

Participants advocated for the reauthorization of Title VIII programs through Fiscal Year 2030 and urged Congress to support at least $530 million in funding for nursing workforce development, along with $210 million for the National Institute of Nursing Research (NINR) in FY 2026. These programs are crucial to sustaining and strengthening the current and future nursing workforce. 

Preventing Workplace Violence Against Nurses 

Nurses advocated for legislative measures that protect healthcare workers from violence in the workplace, recognizing that a safe work environment is essential to both nurse retention and patient care quality. 

These legislative priorities directly impact the work environment, education, and practice authority of nurses—especially Clinical Nurse Specialists—who are uniquely positioned to lead quality improvement, reduce costs, and improve patient outcomes across care settings. 

As noted in the ANA Hill Day 2025 press release, the collective voice of nursing was powerfully represented at the Capitol. By uniting behind common goals, nurses including leaders from NACNS continue to influence national policy and dismantle long-standing barriers to practice. 

These four topics all relate to improving nurses’ working environment and practice barriers that have existed for decades. Participants of Hill Day collectively focused on these topics, working together to make their voices heard. The positive impact that Hill Day brings will benefit all registered nurses, including CNSs, by improving work environments and removing practice barriers. 


Unforgettable Moments and Powerful Insights: 2025 NACNS Conference Recap

The 2025 NACNS Conference brought clinical nurse specialists together from March 10–13 in Boston, MA, at the Boston Marriott Copley Place. Attendees shared delicious meals, participated in engaging learning experiences, built new connections, and celebrated the role that unites us all.

Record In-Person Attendance and Positive Feedback

This year’s conference set a new record, with 554 in-person attendees representing 265 organizations and schools across 44 states. While the full results from our post-event survey are still coming in, early feedback has been overwhelmingly positive:

“Overall had a great time!”

“Thank you for another great conference!”

“Very excellent program! I felt so empowered and encouraged the whole time!”

Inspiring Speakers and Unforgettable Moments

The conference featured an impressive lineup of speakers and sessions who built on the “Innovate” theme. Opening keynote speaker Cynthia Bautista, PhD, APRN, FNCNS, FCNS, energized the crowd with a lively presentation on the power of humor in nursing — complete with a clown costume and a marshmallow fight that had the audience laughing and engaged.

Closing keynote speaker Elizabeth Bridges, PhD, RN, CCNS, FCCM, FAAN, delivered a powerful, heartfelt talk about her experiences as a military nurse. She shared stories of innovative projects aimed at improving survival rates for service members injured in the line of duty, leaving the audience inspired.

Celebrations, Awards, and Exploring Boston

The Gala Celebration & CNSI Induction Dinner was a highlight, where attendees showed off their dance moves and outstanding CNSs were recognized for their contributions to the profession.

Beyond the conference sessions, attendees enjoyed a tour of historic Fenway Park — known as America’s Most Beloved Ballpark — and took in breathtaking views of Boston from the Prudential Center.

Save the Date for 2026

Mark your calendar for next year’s NACNS Conference, March 9–12, 2026, in San Diego, California, at the Marriott Marquis San Diego Marina Hotel. The call for abstracts and poster presentations will open over the summer, and registration links will be available this fall. Stay tuned to our social media channels for updates.

We look forward to seeing you there!


In Memoriam: Dr. Linda Burnes Bolton

The National Association of Clinical Nurse Specialists is deeply saddened by the passing of Dr. Linda Burnes Bolton, Dr.PH, RN, FAAN. All her life, she dedicated herself to advocacy in nursing and developing a strong, supportive community for those in need.

While pursuing her Master’s degree at UCLA, she joined Cedars-Sinai Medical Center in 1971. Before rising to the roles of Senior Vice President and Chief Nurse Executive, she served as a Clinical Nurse Specialist. Dr. Burnes Bolton was a leader of national impact, contributing to organizations such as the Institute of Medicine, the Robert Wood Johnson Foundation, the National Black Nurses Association (NBNA), the AARP Foundation, the “Future of Nursing” Campaign for Action, the American Organization of Nurse Leaders, the American Academy of Nursing, and many others.

As a true CNS, she led by example, elevating the quality of care through creating supportive environments and fostering leaders who aspired to build stronger, more equitable health systems. NACNS is grateful to Dr. Burnes Bolton for her dedication to nursing and leadership.

Read More About Linda Here


CNSs Take Leading Role in Call for Change in Acute and Critical Care Nursing

A groundbreaking paper was released in the November-December 2024 issue of Nursing Outlook. The paper, “Call to Action: Blueprint for Change in Acute and Critical Care Nursing,” calls for a new framework highlighting their nursing practice, their practice environment and nursing outcomes. It also called out the need for more CNSs because of their essential role in supporting nursing practice.

The paper was written as a response to the many challenges with articulating the work of nursing that were always there, but came to a crisis point during COVID-19 when healthcare teams were under unprecedented stress. 

An expert panel representing clinical practice, academia, and administration decided to give voice to hospital-based nurses in focusing on what nursing care provides to patients and their families, and developed this Call to Action and Blueprint for change. Not surprisingly given their expertise and mandate, many of the authors of the paper are CNSs. Two of these, Maureen Seckel and Kathleen Vollman, kindly took some time to speak to us about the Blueprint. 

Maureen Seckel has been a critical care nurse since 1980 and a critical care CNS for about 30 years at Christiana Care, Newark DE. Now retired, she is a consultant in both critical care and sepsis. She has also been a long-time member of NACNS and is a past chair of the Clinical Nurse Specialist Institute.

Kathleen Vollman has been a critical care nurse since 1980 and spent a decade as a clinical nurse specialist in the ICU at Henry Ford Hospital in Detroit. She later founded Advancing Nursing, a company dedicated to empowering nursing environments through enhanced knowledge, skills, and processes. Vollman also played a pivotal role in establishing the NACNS, serving as both a founding director and a charter member.

Why Change is Needed Now

Nursing policy needs urgent reform because of a projected workforce gap, estimated to be 10% by 2027. There are several causes of this gap, including the retirement of baby boomers, with over 25% of nurses expected to retire within five years. Additionally, high levels of burnout during the COVID-19 pandemic led many nurses to leave their roles, highlighting a need for better support structures.

The result is a much younger nursing workforce where nurses with just a year or two of experience must mentor incoming graduates. This high turnover and rapid influx of inexperienced staff creates a cycle of limited mentorship and a potentially unstable care environment.

Vollman says, “From a patient and family perspective, nurses are very important because we’re a large part of their care and support experience. In almost every annual Gallup poll about the most respected profession in this country, nurses have been number one.” 

Seckel added, “There’s a common expression used by my bedside colleagues, particularly post-COVID, about getting back to basics and improving critical thinking and having nurses describing nurses. A lot of what we have now was created without any input from us.”

The second reason for reform lies in the difficulty in proving return on investment for nursing care. In financial analyses, nursing salaries are lumped in with the cost of hospital beds and supplies. Metrics are focused on measuring the absence of nursing care with the goal of reducing costs as much as possible, instead of investigating the presence of quality nursing care and its impact.

Noted Vollman, “We’ve always had to create ROI metrics that show, ‘when this prevention isn’t given, here’s the harm that takes place.’ But these preventative measures are considered soft costs because if you prevent it, the harm doesn’t occur.”

She added, “Devin Carr, one of the authors of the paper and the CNO of Maine Medical, brought up an example in which his system has been measuring the number of patient falls, and falls with injury, for many years. Now, they’re flipping the narrative, measuring the quality of patient mobility and the difference that nursing care has on patient ambulation, hospital stay length, and how much assistance they need when they go home — which all impact quality of life. Falls just happen to be going down as well.”

A Prescription for Better Care

The Blueprint outlines a complete structure including nine domains of nursing practice and determining metrics that will allow healthcare systems to measure the true value of nursing care.

“The practice of acute and critical care nurses will thrive when the outcomes of their day-to-day practice are made visible to everybody touched by the work of nurses,” said Seckel. “These outcomes should be viewed and measured from the return on investment perspective as the ROI of nursing human capital development in terms of improved consumer, nurse and organizational outcomes. There’s an additional paper recently published titled ‘The Nursing Human Capital Value Model’ that I think does a great job of showing organizations how to measure better outcomes, and getting away from simple cost reduction-oriented models.”

Vollman added, “Instead of focusing on failures, such as ‘failure to rescue,’ hospitals could flip the narrative and describe the “number of lives saved”. For example, achieving early intervention prevents longer hospital stays 90-98% of the time. By linking these positive outcomes to shorter hospital stays, a stronger case for prevention-focused investments could be made.”

The paper also calls for the establishment of a federally-funded National Nursing Workforce Commission to support nursing research and ensure nursing input in healthcare policy decisions.

Seckel noted, “If you’re not at the table, you’re on the menu. Nursing professionals must be integral to policy development to ensure healthcare evolves to meet patient and family needs effectively.”

Next Steps

The Blueprint is aimed at everyone in the healthcare system, including the educational institutions that train nurses. NACNS has committed to creating a Think Tank to explore the outcomes that CNSs contribute to the Blueprint for Change.

Seckel commented, “It’s open access, so everybody can read and share it. You can drop a copy on your leadership’s desk, or review it at your CNS meetings. It needs to be talked about now because change takes time and action.”

“In my perfect world,” said Vollman, “we get seed funding for an operational person to work with us to put a plan together that would target patients and families, nurses, and healthcare systems, and getting work groups together and moving on this mission.”

Summing up, Seckel said, “We’re all very willing to take this forward, but this is not just ours. It needs to be shared and everybody needs to be a part of it.”