Future of Nursing in North Carolina
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July/August 2011 Volume 72, Number 4 www.ncmedicaljournal.com a journal of health policy analysis and debate 2010 Full implementation of new 1993 Advanced practice curriculum achieved in NC Community Future of nurses become eligible for College System’s 55 ADN programs direct reimbursement from insurance companies 1987 NC A&T School of Nursing grad Clara Nursing Adams-Endler appointed chief of Army Nurse Corps 1981 NC becomes only state where Board of Nursing members are elected by nurses in North Clara Adams-Endler rather than appointed by governor 1976 MSN program at UNC-Greensboro Carolina 1970 UNC Dept of Public School of Nursing begins Health Nursing Chair Margaret Dolan and others create one of nation’s 1st NP programs Also in this issue 1966 NCCU School of Nursing Dean Helen Margaret Dolan Miller is 1st African American to be appointed to Cost analysis of ED use for NC Board of Nursing primary care services Presence of automated defi- 1965 Charlotte College brillators in NC schools 1964 Eloise Lewis Dept of Nursing (now 1959 NC General Assembly appointed 1st dean of UNC-Charlotte School of plus authorizes creation of School of UNC-Greensboro Nursing) welcomes 1st Call for applications, nomi- Nursing at East Carolina College School of Nursing students nations for NCMJ editor in (now ECU College of Nursing) chief 1957 Duke School of Nursing Eloise Lewis unveils nation’s 1st clinical masters program in nursing 1950 UNC–Chapel Hill School of Nursing is founded 1941 Ruth Hay tapped to establish Dept of Public Health Nursing at UNC School of Public Health; is university’s 1st female professor Ruth Hay 1923 Fayetteville’s 1902 Creation of NC Carrie E. Broadfoot leads Nurses Association creation of professional association for African American nurses 1894 Under guidance of Mary Lewis Wyche, 1st NC nursing school opens Mary Lewis Wyche Carrie E. Broadfoot 1876 NC’s 1st civilian hospital opens in Charlotte, largely through efforts of Jane Wilkes Jane Wilkes Published by the North Carolina Institute of Medicine and The Duke Endowment PSA_Layout 1 8/29/2011 3:10 PM Page 1 Healthy Nursing Workplaces Lead to Healthy North Carolinians he Magnet Recognition Program® was developed by the American Nurses Credentialing Center, a subsidiary of the American Nurses Association, to recognize health care organizations that provide Tnursing excellence. Recognizing quality patient care, nursing excellence, and innovations in professional nursing practice, the Magnet Recognition Program® provides consumers with the ultimate benchmark to measure the quality of care that they can expect. The North Carolina Nurses Association (NCNA) developed the Hallmarks of Healthy Workplaces recognition program to recognize work- places which have created positive work environments for nurses in North Carolina. North Carolina’s 21 Magnet® hospitals H S OF EALT and 33 Hallmarks workplaces are a RK HY A W M leading indicator that North Carolina’s L O L R A K nursing workplaces are among the H P L This success provides A A best in the nation. C N E C a competitive edge to the state regarding S N nursing recruitment, retention and safe Embracing the Achievements of Nursing Excellence Professional Development • Operations and Governance • Quality Systems delivery of quality health care which is also important to the health of North Carolina and its citizens. For more information, go Magnet® and Magnet Recognition Program® are registered trademarks of the American Nurses to www.hallmarks.ncnurses.org. Credentialing Center. All rights reserved. MAGNET®-RECOGNIZED ORGANIZATIONS Presbyterian Orthopedic Hospital Carolinas Medical Center – University ICU/PCU CaroMont Health (Gaston Memorial Hospital) Rex Hospital Carolinas Medical Center – University Maternity Center Catawba Valley Medical Center Southeastern Regional Medical Center Carolinas Medical Center – University PeriOperative Duke Raleigh Hospital University of North Carolina Hospitals Services Unit Duke University Hospital Carolinas Medical Center – University Surgical/ Durham Regional Hospital HALLMARKS-RECOGNIZED WORKPLACES Pediatrics Unit FirstHealth Moore Regional Hospital CapeFear Valley Health System – PACU Carolinas Medical Center – University NorthCross Forsyth Medical Center Carolinas Medical Center – Lincoln – New Beginnings Unit Surgery Center High Point Regional Health System Carolinas Medical Center Cardiac Catheterization Lab Duke Raleigh Hospital Moses Cone Health System-Annie Penn Hospital Carolinas Medical Center Infusion Center Duke University Medical Center Cardiac ICU Moses Cone Health System-The Behavioral Carolinas Medical Center Neurosurgical ICU Duke University Medical Center Clinical Education Health Center Carolinas Medical Center 11B GYN/Oncology Services Moses Cone Health System-The Moses H. Cone Carolinas Medical Center PCU Durham Regional Hospital Endoscopy Services Memorial Hospital Carolinas Medical Center Cardiac Division Gaston Memorial Hospital – Day of Surgery Unit Moses Cone Health System-The Woman’s Hospital Carolinas Medical Center PACU Highsmith Rainey Specialty Hospital ICU of Greensboro Carolinas Medical Center Transplant Center Hugh Chatham Memorial Hospital Moses Cone Health System-Wesley Long Community Carolinas Medical Center – Mercy – Kidney Dialysis Unit James E. Davis Ambulatory Surgical Center Hospital Carolinas Medical Center – Mercy – 2 North Levine Children’s Hospital – Ricky Hendricks Center North Carolina Baptist Hospital of Wake Forest Carolinas Medical Center – Mercy – PACU for Intensive Care University Baptist Medical Center Carolinas Medical Center – Mercy – Surgical ICU Mercy School of Nursing Presbyterian Hospital Charlotte Carolinas Medical Center – Mercy – Anesthesia Team Randolph Hospital Presbyterian Hospital Huntersville Carolinas Medical Center – University Endoscopy Special Southern Regional Area Health Education Center Presbyterian Hospital Matthews Procedures Unit (AHEC) World Class Physicians. Nationally Recognized. Caring for You. Once again, U.S. News & World Report recognized Carolinas Medical Center as one of the Top 50 hospitals in the nation for orthopaedics. By bringing together world-class physicians, education, research and compassionate care, we set the highest standards and deliver outcomes that lead the nation. www.carolinasmedicalcenter.org Comprehensive orthopaedic services available at: Carolinas Medical Center | CMC-Lincoln | CMC-Mercy | CMC-NorthEast | CMC-Pineville | CMC-Union | CMC-University ♦ ♦ ♦ ♦ Publishers of the North Carolina Medical Journal The North Carolina Institute of Medicine In 1983 the North Carolina General Assembly chartered the North Carolina Institute of Medicine as an independent, quasi-state agency to serve as a nonpolitical source of analysis and advice on issues of relevance to the health of North Carolina’s population. The Institute is a convenor of persons and organizations with health-relevant expertise, a provider of carefully conducted studies of complex and often controversial health and health care issues, and a source of advice regarding available options for problem solution. The principal mode of addressing such issues is through the convening of task forces consisting of some of the state’s leading professionals, policymakers, and interest group representatives to undertake detailed analyses of the various dimensions of such issues and to identify a range of possible options for addressing them. The Duke Endowment The Duke Endowment, headquartered in Charlotte, NC, is one of the nation’s largest private foundations. Established in 1924 by industrialist James B. Duke, its mission is to serve the people of North Carolina and South Carolina by supporting programs of higher education, health care, children’s welfare and spiritual life. The Endowment’s health care grants provide assistance to not-for-profit hospitals and other related health care organizations in the Carolinas. Major focus areas include improving access to health care for all individuals, improving the quality and safety of the delivery of health care, and expanding preventative and early intervention programs. Since its inception, the Endowment has awarded $2.2 billion to organizations in North Carolina and South Carolina, including more than $750 million in the area of health care. 258 NCMJ vol. 72, no. 4 NCMJ vol. 72, no. 4 ncmedicaljournal.com ncmedicaljournal.com North Carolina Medical Journal Founded by the North Carolina Medical Society in 1849 Publisher Pam C. Silberman, JD, DrPH a journal of health policy analysis and debate NC Institute of Medicine Morrisville Publisher Eugene W. Cochrane Jr. The Duke Endowment Editorial Board Charlotte Cynthia B. Archie, RN, MSN, EdD / Wayne Community College, Goldsboro Editor in Chief William K. Atkinson II, PhD, MPH, MPA / WakeMed, Raleigh Thomas C. Ricketts III, PhD, MPH Steve Cline, DDS, MPH / Division of Public Health, NC DHHS, Raleigh University of North Carolina Fred M. Eckel, MS / NC Association of Pharmacists, Chapel Hill Chapel Hill Elizabeth R. Gamble, MD, MSPH / Wake Forest University, Winston-Salem Scientific Editor Ted W. Goins Jr. / Lutheran Services for the Aging, Salisbury John W. Williams Jr., MD, MHS Beth A. Griffin, MHP, PA-C / New Hanover Community Health Center, Wilmington Duke University Medical Center Blaine Paxton Hall, MHS-CL, PA-C / Durham Regional Hospital, Durham Durham Margaret N. Harker, MD / Family Practice, Morehead City Assistant Scientific Editor Robert T. Harris, MD / Trust for America’s Health, Raleigh Ben Powers, MD, MHS Olson