Division of Nursing’s Workforce Diversity and Health Equity Agenda Department of Health and Human...

Division of Nursing’s Workforce Diversity and Health Equity Agenda

Department of Health and Human ServicesHealth Resources and Services Administration

Bureau of Health ProfessionsDivision of Nursing

Shanita D. Williams, PhD, MPH, APRNChief, Nursing Practice and Workforce

Development BranchBureau of Health Professions

June 13, 2013

HRSA Mission

To improve health and achieve health equity through access to quality services, a skilled health workforce and innovative programs.

HRSA, BHPr, Division of Nursing 2

Health Equity Attainment of the highest level of health for all

people Valuing everyone equally Focused and ongoing societal efforts to address:

avoidable inequalities historical and contemporary injustices

Elimination of health and health care disparities • Healthy People 2020

HRSA, BHPr, Division of Nursing3

Cascading Strategic Initiative on Health Equity


DN Structure


Division of Nursing Mission

To provide national leadership to assure an adequate supply and distribution of qualified nursing personnel to meet the health needs of the Nation.


Division on Nursing Goals Enhance the composition, skills and distribution

of the nursing workforce Ensure program accountability through focused

performance and outcomes assessment Promote effective communication with the

public and stakeholders on nursing workforce development

Increase diversity and cultural and linguistic competence of the nursing workforce


Nursing Workforce Development (NWD) Program

LegislationTitle VIII Section 821 of the Public Health Service Act; 42 U.S.C. 296m, as amended by the Patient Protection and Affordable Care Act (Affordable Care Act), P.L. 111-148

Legislative Definition of DiversityCreate and expand nursing education opportunities for individuals from disadvantaged backgrounds (including racial and ethnic minorities underrepresented among registered nurses)


• Increase nurse education opportunities for individuals from disadvantaged backgrounds using stipends, scholarships, and mentoring

• Achieve a culturally-aligned and competent workforce that is reflective of the population

• Develop innovative pipeline programs to recruit, retain, and help graduate nurses (RN programs)

HRSA, BHPr, Division of Nursing

Nursing Workforce Development (NWD) Program

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Workforce Diversity to Achieve Health Equity


Vision• Leadership Role in Workforce Diversity:

Support portfolio of next generation NWD projects and evaluation

Partner with other federal agencies, foundations, and public and private organizations

• Models of Best Practice: Grantees/Awardees develop and rigorously

evaluate innovative NWD programs Clearinghouse of exemplar programs and

evaluation methodologies HRSA, BHPr, Division of Nursing 11

Vision• Incorporating Social Determinants of Health (SDOH) in

Workforce Diversity efforts• Integrating/Coordinating diversity efforts with the DN’s

interprofessional education and collaborative practice initiatives and investments

• Increase diversity of portfolio of grantees• Expand outreach efforts:

• Tribal colleges and universities (TCU)• Historically Black Colleges and Universities (HBCU)• Minority Serving Institutions (MSU)• Hispanic Serving Institutions (HSI)


Vision

• Expand definitions of diversity • Cultural and linguistic diverse• Economic and educational disadvantaged• Persons with disabilities• Men


Towards Health Equity• Multi-focal program evaluation

• Detailed portfolio assessment• Prevalent strategies• Effective (non-effective) interventions• Prior investments

• Identifying best practices• Diversifying nursing workforce



Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence.

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Health Equity


Reduce Health Disparities

Health Resources and Services Administration. (2006). The rationale for diversity in the health professions. A review of the evidence.

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DN’s Diversity to Health Equity Model


Social Determinants of Health Conditions in which people are born, grow,

live, work and age Shaped by the distribution of money, power

and resources global, national and local levels influenced by policy choices

Responsible for health inequities unfair and avoidable differences in health

status observed within and between countries

World Health Organization 18

Move from individual-level to multi-level approaches and

strategies…

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Nursing Workforce Diversity

Multi-level strategies are needed to: address the larger social and structural forces

that impede efforts to diversify the nursing workforce

increase access to quality care reduce health disparities improve health equity


The Nursing in 3D Summit


• Public Health Reports• Integration of the 3D’s• 15 invited manuscripts

• 3D Summit presenters• HRSA staff

Nursing in 3D Journal Supplement


Towards Health Equity

NWD 2013 Funding Opportunity Announcement:•Develop innovative workforce diversity strategies that would facilitate the entry, retention and graduation of racial and ethnic minorities from Schools of Nursing•Create “new” partnerships/alliances•Integrate diversity, disparities, and social determinants (3D)


What’s Next…

• Engage stakeholder groups• NACNEP • Professional Associations etc.

• Continue to shape the vision• Develop “new” partnerships

• Nontraditional • Multiple disciplines, sectors


Contact Information

Shanita D. Williams, PhD, MPH, APRNChief, Nursing Practice and Workforce Development Branch, Division of Nursing

Bureau of Health ProfessionsOffice: 301-443-1253

Email: [email protected]. http://bhpr.hrsa.gov/nursing/index.html

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Division of Nursing’s Workforce Diversity and Health Equity Agenda Department of Health and Human...

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