The committee’s charge included examining whether nursing education provides the competencies and skills nurses will need-the capacity to acquire new competencies, to work outside of acute care settings, and to lead efforts to build a culture of health and health equity-as they enter the workforce and throughout their careers. For future nurses to capitalize on this potential, however, SDOH and equity must be integrated throughout their educational experience to build the competencies and skills they will need. Nurses’ close connection with patients and communities, their role as advocates for well-being, and their placement across multiple types of settings make them well positioned to address SDOH and health equity.
Given the growing focus on SDOH, population health, and health equity within the public health and health care systems, the need to make these changes to nursing education is clear. Also essential will be recruiting and supporting diverse students and faculty to create a workforce that more closely resembles the population it serves. As part of their education, aspiring nurses will need new competencies and different types of learning experiences to be prepared for these new and expanded roles.
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Nurses will need to be educated to care for a population that is both aging, with declining mental and physical health, and becoming increasingly diverse to engage in new professional roles to adapt to new technologies to function in a changing policy environment and to lead and collaborate with professionals from other sectors and professions. Throughout the coming decade, it will be essential for nursing education to evolve rapidly in order to prepare nurses who can meet the challenges articulated in this report with respect to addressing social determinants of health (SDOH), improving population health, and promoting health equity. And nursing students-and faculty-not only need to reflect the diversity of the population, but also need to help break down barriers of structural racism prevalent in today’s nursing education. Nursing schools will need to ensure that nurses are prepared to understand and identify the social determinants of health, have expanded learning experiences in the community so they can work with different people with varied life experiences and cultural values, have the competencies to care for an aging and more diverse population, can engage in new professional roles, are nimble enough to adapt continually to new technologies, and can lead and collaborate with other professions and sectors. Nursing school curricula need to be strengthened so that nurses are prepared to help promote health equity, reduce health disparities, and improve the health and well-being of everyone. By 2030, the nursing profession will look vastly different and will be caring for a changing America.
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