Times Standard (Eureka)

Evolving the opportunit­ies for nurses

- By Dr. Tom Jackson Jr. and Dr. Kimberly Perris

A year ago, we were planning to launch our first cohort in the new Registered Nurse-Bachelor of Science in Nursing program at Humboldt State University. We were envisionin­g a program that would empower a new generation of nurses to think differentl­y about their role in health care and the way health care is delivered.

Now, our inaugural “cohort 1” of 13 students is midway through their second semester. We have seen strong interest from new students as well, with 175 applicants for the upcoming cohort that will have a size of about 25 students.

Each student has a unique story about their nursing journey and with each course, we can see their future unfold. We believe it is valuable for students to learn from other experience­s. It wasn’t that long ago that Dr. Perris was that nursing student who was filled with so many ideas for improving how we deliver care: “Feeling stuck, I went back to school, and that decision changed the way I looked at the healthcare system. It was then I adopted the mantra ‘Think positively, speak in possibilit­ies, and never give up!’”

Nurses are learning to look at the systems they work in through a lens of opportunit­ies, with an understand­ing that change is a process that takes time. They are also learning that many factors contribute to a person’s overall health and the choices they make, to look at each person individual­ly, and to listen to their story. All this helps them motivate, rather than try to dictate, behavior changes that will improve overall health.

When people think of a nurse, they often think of the nurse in a hospital. This is where most nurses work and where most nursing students want to work. That’s where the excitement is, the drama and the glory of “saving lives.” But what if we shifted our focus to prevention? What if we empowered the nurses and other health care workers in community and public health settings to elevate their roles so they could fill gaps in care, and offload work from busy providers? What if the healthcare systems embraced a culture of teaching and learning and mentorship so that all staff have the knowledge and skills to work to the top of their license and training? Could we improve access and the experience of care?

Could we lower the overall cost of care AND lower the rate of burnout in healthcare workers?

The United States spends more on health care than any other developed country, yet has some of the poorest outcomes, especially in rural areas. In Humboldt County we are very remote. It is critical that we think long-term about the way we care for our communitie­s and that we put systems in place that provide education and care to people where they can access it, such as in one’s homes, communitie­s, schools, and workplaces.

The future of nursing and health care will rely on interdisci­plinary education, collaborat­ion, and training. At Humboldt State, as we seek to transform into a polytechni­c institutio­n, there is an opportunit­y to partner with existing programs within our colleges, use local resources to enhance existing nursing roles in hospital settings, and re-envision new roles for nurses beyond the hospital walls.

Nurses are the largest health care workforce in the United States, and there is an opportunit­y to educate nurses to lead efforts

to address the needs of population­s. Nurses are part of a team and need to be seen as partners in the delivery of care. This is a shift that requires collaborat­ion with all areas of education, including K-12 and community colleges. This shift in nursing education will improve pathways to fill roles in leadership, public health nursing, nursing education, advanced practice nursing, and so much more.

Creating the Humboldt State nursing program, and this important opportunit­y for students and the community, truly took the effort of many throughout the region. It highlighte­d the potential of our community when we come together around a common purpose, and we know there is much more we can still do together to enhance other health care workforce opportunit­ies on the North Coast. This is our moment in time to build upon this success and expand not only nursing education but other health care profession­s. Be well.

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