Tag: nursing

  • Lifting as We Climb: A Reflection on Mentorship, Growth, and Leadership in Nursing Education – Faculty Focus

    Lifting as We Climb: A Reflection on Mentorship, Growth, and Leadership in Nursing Education – Faculty Focus

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  • Addressing Nursing Student Shortages with Precollege Support

    Addressing Nursing Student Shortages with Precollege Support

    The U.S. is expected to experience a shortage of nurses by 2030, which will only grow as older generations age and health-care needs increase, according to the American Association of Colleges of Nursing.

    One of the contributing factors to this shortfall is a disconnect between the number of students enrolling in nursing school and the projected demand for nursing services. Another is high levels of work-related stress, leading to burnout.

    In August 2023, the University of Wisconsin–Oshkosh launched the Pre-Nursing Pathway, a weeklong intensive precollege program that helps students prepare for the academic rigor of the nursing program and connects them with resources. In the pathway, students engage in peer interactions, mentorship and additional time with faculty and staff, allowing them to build emotional resiliency and a network of support.

    What’s the need: Staff at UW-Oshkosh noticed a decrease in qualified applicants to the nursing program and an overall decline in the matriculation of pre-nursing students, said Jessica Spanbauer, director of the center for academic resources.

    Students had large gaps in their foundational science and math concepts as well as a lack of time management and organizational skills, which could be tied in part to remote instruction due to the COVID-19 pandemic, Spanbauer said.

    The university decided to implement a pre-nursing program, in part to boost enrollment of students, but also to ensure students who do attend are successful on their career journey.

    How it works: The program is organized by the Center for Academic Resources and the College of Nursing, but is supported by admissions, the Undergraduate Advising Resource Center, the counseling center, the biology and chemistry departments, residence life, and recreation and wellness.

    Both admitted and deposited students are eligible to apply to the program, with special priority given to first-generation students.

    Selected program participants move onto campus a week before classes start for an intensive orientation experience. All students live in one wing of a residence hall together, mentored by two current nursing students, building a sense of community and peer support.

    During their week on campus, students participate in biology and chemistry labs led by professors; attend workshop presentations by advisers, counselors and academic support staff; and explore campus, familiarizing themselves with support resources. The goal is to proactively address knowledge gaps among students early on, enhancing their success and preparing them for the future demands of their profession.

    “By focusing on crucial and relevant concepts, we could ensure that students are well-equipped to excel in their nursing education,” Spanbauer said. “We could help build students’ confidence and encourage students to actively engage in shaping their academic trajectory.”

    Program participants are also offered tours of local hospitals, a Q&A session with nursing students and recent alumni, professional development workshops, and support from financial aid, dining, residence life and the Office of Accessibility.

    “We were fortunate that we had colleagues ready to enhance collaboration across units to further promote a student-focused supportive learning environment where students can thrive,” said Seon Yoon Chung, dean of the college of nursing.

    The impact: The program launched in August 2023 with 15 participants. Ninety percent of those students retained to fall 2024, and they earned an average GPA of 3.1. Eighty percent of the fall 2023 cohort are still in the pre-nursing major or accepted into the nursing program.

    An additional 12 students participated in August 2024 (100 percent of whom retained to spring 2025), and the staff hope to double participation rates this upcoming fall, Spanbauer said.

    Staff collect qualitative data about participants by using surveys and focus groups, as well as insights from faculty and other staff. In the future, longitudinal career-progression data and alumni surveys will help assess the program’s long-term impact, Spanbauer said.

    Campus leaders are also considering ways to enhance recruitment efforts and increase capacity for students through various resources, online modules and flexible scheduling to accommodate more interested students.

    Do you have an academic intervention that might help others improve student success? Tell us about it.

    This article has been updated to correct attribution of a quote to Seon Yoon Chung.

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  • L.A. Community Colleges, CSUs Partner on Nursing Initiative

    L.A. Community Colleges, CSUs Partner on Nursing Initiative

    After tussling over proposed legislation to allow community colleges to offer a bachelor’s of nursing degree, Los Angeles County’s 19 community colleges and the California State University system are working together to tackle local nursing shortages. The partnership, spearheaded by Compton College, may signal a new phase of cooperation between the two systems.

    The Nursing 2035 Initiative aims to foster collaboration between community colleges, the CSU system and other stakeholders; conduct research; and devise strategies to graduate more registered nurses in the region over the next decade. The project also includes the Los Angeles Economic Development Corporation, the Department of Economic Opportunity with the County of Los Angeles and California Competes, an organization focused on higher ed and workforce development in the state.

    Keith Curry, president of Compton College, said the need for more nurses in the region is dire. Lightcast, a labor market analytics firm, projected 6,454 job openings for registered nurses in Los Angeles County annually through 2035, but degree-completion data from 2023 shows local colleges only produced 5,363 graduates with relevant degrees that year.

    Curry described a nearby medical clinic’s emergency room as “flooded” with patients at the same time aspiring nurses face barriers to entering the profession, such as vying for limited spots in nursing programs. Programs, meanwhile, struggle to grow because of challenges with retaining nursing faculty, who can find better wages working in hospitals, and competition for scarce clinical placements.

    The goal is “really trying to address health disparities in the community I’m from, and nursing is just another one of those issues that we have to address,” Curry said.

    Teamwork After Tensions

    The move comes after Gov. Gavin Newsom encouraged more CSU–community college partnerships on nursing last year after he vetoed two bills that would have allowed some community colleges to offer B.S.N. programs as part of a pilot program.

    At the time, community college leaders argued that expanding their nursing offerings beyond associate degrees would make nursing education more affordable and combat nurse shortages in the state. But CSU leaders opposed the legislation, countering that the new programs would be duplicative and force the CSU’s existing programs to compete for resources, like clinical placements. (The two systems have also cyclically battled over community college baccalaureate degrees since the state allowed them a decade ago.)

    Newsom came down on the CSUs’ side.

    “All segments of higher education should continue to focus on building these programs together,” he wrote in one of his veto messages, “and I am concerned this bill could inadvertently undermine that collaboration.”

    The initiative is an attempt to do just that, Curry said.

    “It’s not us versus them,” he said. “It’s about how can we partner together to solve a problem. So, I felt that CSU has to be the table.”

    Jose Fierro, president of Cerritos College and co-chair of the Los Angeles Regional Consortium, a coalition of L.A. County’s 19 colleges, said he and other community college leaders were “disappointed” by Newsom’s rejection of community college B.S.N. degrees because he felt like they would help his place-bound students. He said his campus is nine miles on average from local universities.

    Students “may not be within driving distance because they would have to uproot their families, or because of the high cost of housing, they wouldn’t be able to move to a different city to be able to access these programs,” he said.

    At the same time, he believes the collaborative approach will benefit students.

    “We are bringing county representatives, hospital representatives, state officials, California State and community colleges to look at our programs and our shortage of nurses in a comprehensive manner,” to think about “how can we work together to meet the needs of the community?”

    An Example for Others

    Some nursing partnerships between community colleges and CSUs already exist. For example, California State University, Northridge, has an A.D.N.-B.S.N. Community College Collaborative Program, which allows students earning nursing associate degrees at partnering community colleges to earn a B.S.N. on an accelerated timeline. A program at Cal State Long Beach also allows nursing associate degree students to take B.S.N. classes while in community college.

    Nathan Evans, deputy vice chancellor for academic and student affairs and chief academic officer at the CSU Office of the Chancellor, believes the Nursing 2035 Initiative can serve as an example of how community college and CSU leaders can strategically confront local nursing shortages together.

    “The boundaries of our institutions don’t have to be what they were in the past,” he said. “Our hope is that this is a model of what collaboration looks like between our segments and there’s a lot less friction in terms of the student experience, that there are clear road maps for students, particularly in the nursing field.”

    As a first step, the group plans to research the region’s nursing education and workforce and release a report in the fall with policy and budget recommendations on how to expand nursing programs in the area. The goal is to work on the recommendations through 2035.

    Evans said the initiative is “using data to really drive a needs assessment and then allow that to lead us to, what are the ways we collectively can respond?”

    The hope is that process leads to new, innovative partnerships, said Fierro. For example, he can imagine CSUs offering B.S.N. programs on community college campuses, or partnering with community colleges on collaborative programs, so that students who struggle to commute to universities because of work or family obligations have more options.

    “To me, the main objective is to ensure that we bring that value to the local communities,” he said, “regardless of whose name is issuing the diploma.”

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  • From no qualifications to a first-class degree in nursing – Joannne’s inspirational story – ALL @ Liverpool Blog

    From no qualifications to a first-class degree in nursing – Joannne’s inspirational story – ALL @ Liverpool Blog

    My name is Joanne Henry and started Go Higher in 2018 as a mature student. I left school with no formal qualifications and since then had always worked in the retail sector. I always looked back and wished I had done better at school, but truth be told, whilst suffering the bereavement of my mother whilst still young at age 13 so unexpectedly, I had experienced some mental health difficulties and had lost all interest in doing well on my exams.

    Later in life, I become dissatisfied with how my life/career was progressing and applied for college to complete my level 2 in English and Maths. However, before being accepted, I had to sit an exam and was advised after this that unfortunately, it was believed I was not capable of sitting my level 2 in both subjects and that they could not accept me at the time. I found this extremely upsetting but accepted it and went back to my everyday employment within retail.

    It was a year after this that a friend had recommended Go Higher to me, at first, I didn’t quite believe that with no formal qualifications I could attend any university never mind one as prestigious as the University of Liverpool. My friend encouraged me to apply like she had, so I did. Shortly after, I received a letter inviting me for an interview and a test, I was filled with sheer dread after my last experience! On the day I contemplated not attending and ringing with some excuse due to my fear of being rejected, but I decided to go along and see what happened…

    That was when I met with a tutor from Go Higher for my interview who was warm, friendly and welcoming. My immediate dread subsided, and I was put at ease. I explained the reasoning for leaving school with no formal qualifications and I was given a big hug. I was then asked to sit the test. I did what I could and thought, well, it is what it is, if it is meant to be it will be.

    To my sheer astonishment, I received an acceptance letter. I was so proud of myself. I started the course which is and was life changing, the tutors, the course content, the lovely cohort I was with, it was all thoroughly enjoyable. The year went so quickly and after completing Go Higher, I started to believe in my own ability and my confidence had increased drastically. I then applied for a degree in mental health nursing, something which I felt passionate about, helping others who experience mental illness. I was surprised when I received the acceptance letter and commenced my 3-year journey to become a registered mental health nurse. I finished with a first-class honours degree and began my career in the NHS helping others.

    Go Higher provided me with the self-belief and confidence which I believe I would never have gained if I wasn’t for the lovely people who took a chance on me that day. I owe so much to Go Higher, and I hand on heart, encourage anyone who is considering starting higher education as a mature student not to hesitate, apply it’s never too late!

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  • Congress and Federal Agencies Consider Paid-Leave Proposals and Protections for Pregnant and Nursing Workers – CUPA-HR

    Congress and Federal Agencies Consider Paid-Leave Proposals and Protections for Pregnant and Nursing Workers – CUPA-HR

    by CUPA-HR | May 24, 2023

    Over the past year, lawmakers have taken an increased interest in establishing and expanding upon benefits and protections for paid leave and pregnant workers. As a result, Congress passed two bills granting workplace protections to pregnant and nursing mothers at the end of 2022, while  considering new federal proposals for paid family and medical leave. This post details some of the recent actions taken by lawmakers toward a federal paid-leave policy, as well as updates from federal agencies on the enforcement of the Pregnant Workers Fairness Act (PWFA) and the Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act.

    Bipartisan Working Group on Paid Leave

    In April, a group of bipartisan lawmakers in the House of Representatives established the Bipartisan Paid Family Leave Working Group, the goal of which “is to create a bipartisan paid family leave policy that supports American families and businesses.” The group consists of three Republicans — Reps. Stephanie Bice (R-OK), Julia Letlow (R-LA) and Mariannette Miller-Meeks (R-IA) — and three Democrats — Reps. Chrissy Houlahan (D-PA), Colin Allred (D-TX) and Haley Stevens (D-MI).

    In a letter establishing the working group, the lawmakers expressed their intention to explore both state and federal policies that already exist with the goal of creating an established paid-leave policy. The letter discusses both the successes and areas to improve of the Family and Medical Leave Act, and it states that there is a bipartisan consensus that paid leave is an issue that needs to become law.

    FAMILY Act

    On May 17, Sen. Kirsten Gillibrand (D-NY) and Rep. Rosa DeLauro (D-CT) reintroduced the FAMILY Act, which would grant up to 12 weeks of paid leave for employees at companies of all sizes through funds collected by payroll taxes paid by both employees and employers. The FAMILY Act was first introduced in 2013, but the most recent bill expands upon previous text by creating a progressive scale for wage replacement during the time off. Under the bill, the lowest paid workers would be eligible to receive up to 85 percent of their wages during their time off, while the average full-time worker would receive approximately two-thirds of their wages. Additionally, the bill extends coverage to include time off taken to address personal incidents with domestic violence, stalking and/or sexual assault.

    While most Democrats have championed the FAMILY Act as their preferred proposal for paid leave, the bill is unlikely to gain Republican support and will therefore not pass the House during this Congress. Republicans have previously opposed the bill, arguing against the proposed tax increases as well as potential burdens employers may face as a result of a paid-leave mandate. Instead, Republicans who have shown interest in advancing paid-leave policies have considered programs allowing individuals to borrow from their Social Security funds, incentivizing the creation of a private insurance system for leave pay, and providing tax credits to pay for time off.

    PUMP for Nursing Mothers Act

    On May 18, the Department of Labor Wage and Hour Division (WHD) issued a Field Assistance Bulletin (FAB) with enforcement information and public guidance for the PUMP for Nursing Mothers Act. The law went into effect on April 28, after being included in the Consolidated Appropriations Act of 2023 year-end legislation to fund the federal government.

    As a reminder, the PUMP for Nursing Mothers Act amends the Fair Labor Standards Act (FLSA) to expand access to breastfeeding accommodations in the workplace for lactating employees and builds on existing protections in the 2010 Break Time for Nursing Mothers Provision by broadening breastfeeding accommodations and workplace protections. Specifically, the bill ensures reasonable time and space for working individuals to pump in their workplaces as well as remedies for employer violations of the act.

    The FAB provides details on the requirements for reasonable space and break time, compensation, and employer posting of FLSA requirements as provided under the PUMP for Nursing Mothers Act. Employers and field staff alike may use the FAB document as a resource to understand compliance with the act as enforced by WHD.

    Pregnant Workers Fairness Act

    Alongside the PUMP for Nursing Mothers Act, the PWFA was also signed into law under the Consolidated Appropriations Act of 2023. The effective date of the PWFA is June 27, and the Equal Employment Opportunity Commission (EEOC) was expected to issue proposed regulations on how best to govern and enforce the PWFA by then.

    As of May, however, the EEOC has yet to release any proposed regulations, and it seems likely that the agency will not be able to issue a proposed rule by the June 27 date. The commission currently has two Democratic and two Republican commissioners, and given the need for a majority of commissioners to vote to advance a rulemaking, the agency is unable to move proposed rules forward because commissioners are split along party lines. Through the legislation, Congress has allowed the EEOC through the end of 2023 to finalize a rulemaking on the PWFA, which may or may not be achieved,  depending on whether the Senate is able to confirm Kalpana Kotagal as the third Democratic appointee on the commission. In lieu of the proposed rulemaking, the EEOC has issued guidance on the law through an FAQ webpage addressing the protections granted under the law, which stakeholders may use as they wait for the official regulations.

    CUPA-HR continues to monitor any developments related to these proposals and laws and will keep members apprised of any policy updates related to paid leave and protections for pregnant and nursing workers.



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  • WHD Begins Enforcement of Remedies Provided Under PUMP for Nursing Mothers Act – CUPA-HR

    WHD Begins Enforcement of Remedies Provided Under PUMP for Nursing Mothers Act – CUPA-HR

    by CUPA-HR | May 1, 2023

    On April 28, the Department of Labor’s Wage and Hour Division (WHD) will begin enforcing remedies for employer violations of an employee’s right to reasonable break time and space to pump breast milk under the Fair Labor Standards Act (FLSA). These remedies were codified into law under the Providing Urgent Maternal Protections (PUMP) for Nursing Mothers Act, which was included in the Consolidated Appropriations Act of 2023 — year-end legislation to fund the federal government.

    As a reminder, the PUMP for Nursing Mothers Act amends the FLSA to expand access to breastfeeding accommodations in the workplace for lactating employees and builds on existing protections in the 2010 Break Time for Nursing Mothers Provision by broadening breastfeeding accommodations and workplace protections. In the new law, protections are expanded to include salaried employees exempt from overtime pay requirements under the FLSA as well as other categories of employees currently exempt from such protections, such as teachers, nurses and farmworkers. It also clarifies that break time provided under this bill is considered compensable hours worked so long as the worker is not completely relieved of duty during such breaks, and it ensures remedies for nursing mothers for employer violations of the bill.

    According to a WHD fact sheet on FLSA protections to pump breast milk at work, there will be several legal or equitable remedies employers will be liable for if they are found to have violated an employee’s right to reasonable time and space to pump in the workplace. The document states that remedies may include “employment, reinstatement, promotion, and the payment of wages lost and an additional equal amount as liquidated damages, compensatory damages and make-whole relief, such as economic losses that resulted from violations, and punitive damages where appropriate.” The fact sheet also clarifies that the remedies listed above will be available regardless of whether an employee experienced retaliation.

    In addition to the fact sheet, the WHD has issued several resources on the PUMP for Nursing Mothers Act’s provisions since its enactment. On February 9, the WHD issued Field Assistance Bulletin No. 2023-1, “Telework Under the Fair Labor Standards Act and Family and Medical Leave Act.” This bulletin provides guidance for WHD field staff on how to apply protections under the FLSA that provide reasonable break time for nursing employees to express milk while teleworking, among other clarifications. The bulletin explicitly refers to the passage of the PUMP for Nursing Mothers Act and its expanded coverage to more employees. Additionally, on March 16, the WHD held a webinar to provide resources and tools to assist employees who wish to continue breastfeeding after returning to work and to help employers understand their responsibilities under the Act.

    For more information on the PUMP for Nursing Mothers Act and FLSA protections to pump at work, the WHD has provided a resource website with general guidance, additional resources and the webinar on the PUMP for Nursing Mothers Act. CUPA-HR will keep members apprised of any updates to this law and others regarding FLSA protections for pregnant and nursing workers.



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  • DOL to Host Webinar on the PUMP for Nursing Mothers Act – CUPA-HR

    DOL to Host Webinar on the PUMP for Nursing Mothers Act – CUPA-HR

    by CUPA-HR | March 8, 2023

    On March 16, the Department of Labor’s Wage and Hour Division (WHD) will present a webinar titled “The PUMP for Nursing Mothers Act: What Advocates and Employers Need to Know.” The free webinar is intended to provide resources and tools to assist employees who wish to continue breastfeeding after returning to work and to help employers understand their responsibilities under the law.

    In December 2022, the PUMP for Nursing Mothers Act was enacted into law through the Consolidated Appropriations Act of 2023. The bill amends the Fair Labor Standards Act (FLSA) to expand access to breastfeeding accommodations in the workplace for lactating employees and builds on existing protections in the 2010 Break Time for Nursing Mothers Provision by broadening breastfeeding accommodations and workplace protections. In the new law, protections are expanded to include salaried employees exempt from overtime pay requirements under the FLSA as well as other categories of employees currently exempt from such protections, such as teachers, nurses and farmworkers. It also clarifies that break time provided under this bill is considered compensable hours worked so long as the worker is not completely relieved of duty during such breaks, and it ensures remedies for nursing mothers for employer violations of the bill.

    Following the passage of the Act, on February 9, WHD issued Field Assistance Bulletin No. 2023-1, “Telework Under the Fair Labor Standards Act and Family and Medical Leave Act.” This bulletin provides guidance for WHD field staff on how to apply protections under the FLSA that provide reasonable break time for nursing employees to express milk while teleworking, among other clarifications. The bulletin explicitly refers to the passage of the PUMP for Nursing Mothers Act and its expanded coverage to more employees, and it may be discussed during the upcoming webinar.

    The webinar will be held on Thursday, March 16 at 2:00 p.m. ET. The webinar is free to the public, and participants can register to attend online. CUPA-HR’s government relations team will attend the webinar and keep members apprised of any significant updates related to the PUMP for Nursing Mothers Act.

     



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