New Hampshire

The New Hampshire Action Coalition is the driving force to transform health care through nursing. With a goal of long-term change, the NHAC leads the way to improve the health of New Hampshire transforming health care through nursing in our state. Understanding that New Hampshire has specific health care challenges and needs, we are working with diverse stakeholders to create and model innovative solutions with nurses leading the way to improve the health of New Hampshire.


If nurses are to be as effective as possible in helping to provide high-quality patient care in New Hampshire, they will need to be better prepared. Our challenge is to increase the number of nurses with higher degrees to meet such needs.


New Hampshire is advancing nursing education through a framework for nursing education and practice that focuses on core competencies.  Our education system is promoting competency-based models for seamless academic progression, in order to increase enrollment, access to higher education, and retention in redesigned nursing school curriculums and expanded programs.

New Hampshire is transforming nursing education through a partnership of Associate Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN) programs and practice partners. Each model has its own unique curriculum. All incorporate Nurse of the Future Nursing Core Competencies© as the foundation for curriculum redesign. The uniqueness of these models rests in inclusion of both public and private nursing programs throughout the state and a variety of health care organizations. We are also working to increase the number of doctoral prepared nurses in the state, which will increase the pool of educators needed to train more nurses. We our building on a PIN grant  to address the goal of implementing a statewide inter-professional education, practice and research model


Nurses bring a unique, important perspective to health care, higher education, business and policy leadership. Our challenge is to ensure that nurses are involved in decision-making processes from the bedside to the boardroom.


The New Hampshire Nurses Association, a New Hampshire Action Coalition sponsoring partner, is working with the American Nurses Association (ANA) promoting the ANA Leadership Institute.

We are committed to developing future nurse leaders. The ANA Leadership Institute will help develop leadership skills and will encourage nurses to take on leadership roles in health care, nursing organizations, and other sectors.  Nurses engaged in the program will include emerging, developing, and advanced leaders. The institute will provide leadership and development training, mentoring opportunities, and the skills and knowledge to extend nurse leadership beyond healthcare.


In our small rural state, access to quality health care is challenging. It is important that New Hampshire’s nurses practice to the full extent of their education and training. Uniting these practitioners to provide the comprehensive scope of services to advance health is paramount. 


Although the New Hampshire nurse practice act provides for independent practice for APRNs, barriers still exist. We are implementing strategies that improve patient access to health care services by leveraging partnerships with key stakeholders. With this network, our goal is to drive the necessary changes to regulatory and institutional barriers to ensure nurses’ ability to provide care across the state.

Interprofessional Collaboration

Nurses, physicians and other health professionals must collaborate in education and practice, and across all health care settings. We are building partnerships with diverse stakeholders, including physicians and other health providers, to support, spread and implement models of interprofessional collaboration.


We have developed a workgroup to specifically address creating interprofessional models of education and delivery. New Hampshire is currently part of the Tri-state Collaborative for Interprofessional Education as part of the Partners in Nursing (PIN) 6 grant. The tri-state is comprised of stakeholders from Massachusetts, Rhode Island, and New Hampshire. One of the goals of the Tri-State Collaborative is to host an annual interprofessional conference to share ideas with regard to interprofessional education. This year New Hampshire will host the first of these conferences at Colby-Sawyer College on November 10, 2012.


While New Hampshire’s population is aging, youth are becoming increasingly diverse.  Many residents have unique health care needs. By evolving to capitalize on changing dynamics and creating a more diverse nursing workforce, we will better address all patients’ needs.


We are working with our nursing and non-nursing colleagues throughout the state to communicate the value of diversifying the nursing workforce to reflect the state’s population.  In collaboration with the New Hampshire Nursing Diversity Pipeline Project (2010 PIN grantee) we are promote nursing as a potential career among minority youth and support the career advancement of practicing minority nurses through the pipeline to advanced degrees and faculty positions.  A critical step to our success is strengthening the cultural competency of our nursing institutions and empowering them to better support minority students in academic completion and advancement. 


Effective deployment of the health care workforce requires information – data to tell us what kind of health providers we will need and with what skills. Yet major gaps exist in the workforce data we now have.


While there is nursing workforce data collected within the state, there is a need for a more comprehensive and unified approach. New Hampshire is working to incorporate the minimum data sets developed by the National Forum of Nursing Workforce Centers. We have established a workgroup comprised of nursing and non-nursing entities who are passionate about this project. New Hampshire has the opportunity to develop a more unified and consistent approach to data collection and analysis. Schools of nursing suggest that many of their graduates leave the state to work and we are unsure of the status of our aging workforce in NH. We are exploring partnerships and examining models from other states to develop a plan for data collection in our state. Once developed, we will work to promote data-driven policy decisions that improve health care for patients and families in New Hampshire.



Sherrie Palmieri, Chief Nurse Administrator/Associate Dean of Program Development Southern Hew Hampshire University

Brian Pinelle, Assistant Vice President; Inpatient Services, Wentworth Douglass Hospital 

Shawn LaFrance, Executive Director, New Hampshire Foundation for Healthy Communities

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