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Division of Nursing Overview

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Title: Division of Nursing Overview


1
Division of Nursing Overview
Technical Assistance Workshops October 11-12,
2007 (Dallas, TX) October 17-18, 2007
(Washington, DC) E. Michele Richardson, MS, BSN,
RN CDR Daniel Reed, MPH U.S. Department of
Health and Human Services Health Resources and
Services Administration Bureau of Health
Professions Division of Nursing

2
Title VIII Legislation
  • Nursing Education and Practice Improvement Act of
    1998
  • Public Law 105-392
  • Nurse Reinvestment Act of 2002
  • Public Law 107-205
  • Amends Public Law 105-392

3
Program Administration
  • Department of Health and Human Services (DHHS)
  • The Department of Health and Human Services is
    the United States government's principal agency
    for protecting the health of all Americans and
    providing essential human services, especially
    for those who are least able to help themselves.

4
Program Administration
  • The Division of Nursing programs are administered
    by
  • Health Resources and Services Administration
    (HRSA)
  • Bureau of Health Professions (BHPr)
  • Division of Nursing (DN)

5
Division of Nursing (DN) Mission Statement
  • HRSAs Division of Nursing is the key Federal
    focus for nursing education and practice.
  • The Division provides national leadership to
    assure an adequate supply and distribution of
    qualified nursing personnel to meet the health
    needs of the Nation.

6
DN Strategic Goals
  • Increase access to quality care through improved
    composition, distribution, and retention of the
    nursing workforce
  • Increase diversity in the nursing workforce
  • Increase cultural competence in the nursing
    workforce

7
DN Strategic Goals (cont.)
  • Improve the quality of nursing education and
    practice
  • Identify and use data, program performance
    measures and outcomes to make informed decisions
    on nursing workforce issues
  • Increase the supply, distribution, and retention
    of the nursing workforce through financial
    assistance

8
Division of Nursing Senior Staff
  • Annette Debisette, Ph.D., ANP, RN, Director
  • Joan Weiss, Ph.D., R.N.,Deputy Director
  • E. Michele Richardson, MS, BSN, R.N., Chief, DBNE
    Branch
  • Irene Sandvold, DrPH, CNM, RN, Acting Chief, ANE
    Branch

9
Division of Nursing Programs
  • Diversity and Basic Nursing Education Branch
  • Nursing Education, Practice and Retention Program
    (NEPR)
  • Nursing Workforce Diversity Program (NWD)
  • Advanced Nurse Education Branch
  • Advanced Education Nursing Program (AEN)

10
Division of Nursing Programs Cont.
  • Advanced Nursing Education Branch
  • Advanced Education Nursing Traineeship Program
    (AENT)
  • Nurse Anesthetist Traineeship Program (NAT)
  • Nurse Faculty Loan Program (NFLP)
  • Faculty Development Integrated Technology

11
Division of Nursing Programs Cont.
  • Nursing Education Loan Repayment Program Branch
    facilitates the critical shortage of nurses by
    loan repayment for services
  • Nurse Scholarship Program provides scholarships
    for individuals to become RNs
  • Both programs are administered by the HRSA Bureau
    of Clinician Recruitment and Service

12
Submission Requirements
  • All HRSA grants must be submitted electronically
  • All grantees must register with www.grants.gov
    and HRSA EHB
  • Applications can not exceed 10MB or 80 pages when
    printed by HRSA
  • All applicants must complete SF 424 RR form and
    signed face page must be uploaded with application

13
Healthy People 2010
  • Applications must summarize the relationship and
    identify which of the program objectives relate
    to the goals of Healthy People 2010
  • The Healthy People 2010 website
  • http//www.health.gov/healthypeople/document/

14
Linkages
  • Include established or planned linkages with
    relevant educational and health care entities
  • Signed linkage agreements are preferable

15
Funding Preferences
  • Statutory Funding Preference
  • substantially benefit rural populations, or
  • underserved populations, or
  • help meet public health nursing needs in state or
    local health departments

16
Funding Preferences (cont.)
  • Applicants are strongly recommended to request
    the funding preference in their applications
  • Applicants should select preference (s) as
    appropriate to their application
  • Applicants must describe how they meet the
    preference(s)

17
Division of Grants Management Operations
  • Please direct questions concerning the fiscal
    aspects of the application to
  • Division of Grants Management Operations, OFAM
  • Parklawn Building, Room 11A-13
  • 5600 Fishers Lane
  • Rockville MD 20857
  • Phone (301) 443-6960
  • (See Grants Contact Person on Program Guidance)

18
Budget Considerations
  • General guidance
  • Does the total proposed budget appear consistent
    with the size and scope of the project?
  • Does the proposed budget and budget justification
    relate logically to the narrative describing the
    project?
  • Does budget flow from objectives?

19
Budget Considerations (cont.)
  • Are the individual line items in the budget
    clearly defined in terms of what they will pay
    for in the proposed project?
  • Are there extraneous items of cost that do not
    appear necessary or reasonable in support of the
    proposed project?
  • Does any individual line items appear inflated
    (or under-funded) compared to the overall scope
    or individual tasks proposed?

20
Maintenance of Effort
  • Must be completed by all applicants
  • Grant funds shall not be used to take the place
    of current funding for activities described in
    the application
  • Applicants must provide a FY 2008 actual amount
    and FY 2008 estimated amount

21
Sustainability of Program/Project
  • The applicant must describe a plan to continue
    the program/project after the Federal funding
    period is complete
  • The description will include other sources of
    income, the nature of income, future funding
    initiatives and strategies, Federal funding plans
    by year, and a timetable for becoming
    self-sufficient
  • In Methodology section of application, discuss
    activities included to assure sustainability

22
Sustainability of Program/Project (cont.)
  • Documentation may include
  • Higher percentage return of student tuition from
    university to SON
  • Assurance letter from Dean includes specific
    language for support and future support of the
    program/project

23
Sustainability of Program/Project (cont.)
  • Partner with other entities corporations,
    hospitals, health departments, etc.
  • Reimbursement for faculty services
  • Preceptor costs as in-kind contributions to
    organization
  • Employ Graduate Teaching Assistants

24
Sustainability of Program/Project (cont.)
  • Seeking local grants
  • Other fund raising activities/efforts
  • Completion of Maintenance of Effort Chart

25
  • Cultural Competence

26
Cultural Competence
  • DN Definition
  • A set of academic and interpersonal skills that
    allow an individual to increase their
    understanding and appreciation of cultural
    differences and similarities within, among, and
    between groups. This requires a willingness and
    ability to draw on community-based values,
    traditions, and customs and to work with
    knowledgeable persons of and from the community
    in developing targeted interventions,
    communications, and other supports.

27
Cultural Competence (cont.)
  • ANA Code for Nurses
  • "Health care that is not sensitive to
    differences in race, specific health practices
    and needs of different groups is not quality care
    and can even be harmful.

28
Cultural Competence (cont.)
  • Institute of Medicine Report on Unequal Treatment
    (2003)
  • Bias, stereotyping, prejudice, and clinical
    uncertainty on the part of the healthcare
    providers may contribute to racial and ethnic
    disparities in healthcare. While indirect
    evidence from several lines of research supports
    this statement, a greater understanding of the
    prevalence and influence of these processes is
    needed and should be sought through research.

29
Importance of Cultural Competence
  • To respond to demographic changes in the U.S.
  • To improve the quality of services and health
    outcomes
  • To meet legislative and regulatory mandates
  • To gain comprehensive edge in the marketplace
  • To reduce the overall health care expenditures
  • To decrease medical malpractice cases
  • To eliminate long-standing disparities in health
    and mental health

30
Becoming Culturally Competent
  • Value diversity
  • Building awareness of culture differences,
    biases, and racism
  • Cultural Competence Assessments
  • Integrating cultural competence in education,
    training, and practice

31
Assessment Tools
  • AAMC. (2005). Tool for Assessing Cultural
    Competence Training TACCT. http//www.aamc.org/med
    ed/tacct/start.htm
  • Goode, T. (2000). Promoting cultural and
    linguistic competency. Self-Assessment checklist
    for personnel providing primary health care
    services. National Center for Cultural
    Competence, Georgetown University, Washington,
    D.C. http//www11.georgetown.edu/research/gucchd/n
    ccc/
  • Campinha-Bacote, J. (2002). Inventory for
    Assessing the Process of Cultural Competence
    among Healthcare Professionals-revised
  • http//www.transculturalcare.net/Cultural_Compete
    nce_Model.htm

32
Online Resources
  • HRSA's new Web page on cultural competence
  • http//www.hrsa.gov/culturalcompetence
  • National Center for Cultural Competence
    Georgetown University Center for Child and Human
    Development
  • http//gucchd.georgetown.edu/nccc/
  • Transcultural Nursing Society
  • http/www.tcns.org

33
Online Resources (cont.)
  • Kaiser Family Foundation -
  • www.kff.org/uninsured/6067-index.cfm
  • ANA Position Statements
  • Cultural Diversity in Nursing Practice (Oct
    22, 1991)
  • Discrimination and Racism in Health Care (
    Mar 26, 1998)
  • www.nursingworld.org/readroom/position
  • Diversity Rx
  • http//www.diversityrx.org

34
Web Based Training Resources
  • Cultural Competency and Patient Care Improve
    Treatment and Comply with the JCAHO-
    AUDIOCONFERENCE ON TAPE OR CD
  • http//www.hcmarketplace.com/Prod-839-EZ45758A.htm
    l
  • Communicate to Make a Difference Exploring
    Cross-Cultural Communication
  • http//www.nynj-phtc.org/cc/home/cc-default.cfm
  • National Center for Cultural Competence Curricula
    Enhancement Module Series
  • http//www.nccccurricula.info/modules.html

35

DIVISION OF NURSING INTERNET
ADDRESS http//www.bhpr.hrsa.gov/nursing THANK
YOU!
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