Candidate for Director-at-Large

Elizabeth Lund , MSN, RN
Executive Director, Tennessee State Board of Nursing

Director-at-Large Responsibilities:

  • Serves as a representative of all member boards
  • Transacts the business and affairs, and acts on behalf of NCSBN 

Describe all relevant professional, regulatory and community experience. 

My regulatory experience began thirty-three years ago when I was appointed executive director of the Tennessee Board of Nursing after nine years in academic nursing. I took the first opportunity to volunteer for an NCSBN Committee, appointed to the Bylaws Committee where I served six years, four as chair. During that tenure, the committee accomplished the first comprehensive revision of the bylaws that positioned NCSBN to more nimbly respond to changing environments, allowing greater participation by members through special committees. Later I chaired the Regulation Subcommittee that examined the existing model of nursing regulation. After considering such models as a federal/national model and “fast” endorsement, the committee proposed a new mutual recognition model, beginning the journey that led to the interstate nurse licensure compact. Later, I chaired the Anniversary Planning Committee which started the tradition of an evening gala event that has served as a cherished model for subsequent anniversary celebrations. I have served on all the subsequent anniversary committees. Other committee service includes the Finance Committee, Awards Panel and co-lead of the executive officer group. More recently, I chaired the Executive Officer Succession Resource committee which produced a flexible online toolkit that has been used successfully by a number of boards to assist with leadership transition. I have volunteered as a mentor for many executive officers. I served as treasurer of the executive committee of the Nurse Licensure Compact Administrators and a member of the e-NLC Workgroup. In 2015, I was honored to be awarded the Meritorious Service Award. Currently, I serve on the NCSBN Board of Directors as a Director-at-Large and serve as liaison to the Standards Development Committee.

What is your perspective regarding the following issues affecting nursing regulation?

  1. Borderless health care delivery
    Partnerships with national and international colleagues heighten our appreciation that we share the common goal to deliver health care more safely and efficiently irrespective of borders. We recognize the value in congruent standards that flow from and are consistent with our overarching statutes and rules. Importantly we share knowledge, experience and resources and gain synergy from our efforts. As nursing regulators we face challenges to occupational licensure itself. It is imperative that we cross both physical and professional borders to make an evidenced case for professional licensing that can meet our common purpose to protect the public.
  2. Regulation of nursing education 
    With a continuing rise in schools struggling to achieve their mission and boards challenged to regulate from an evidence informed base, it is vital to foster research efforts comparable in quality and usefulness to the landmark NCSBN Simulation Study. I support NCSBN’s current nursing education study to identify evidence-based red flags and regulatory quality indicators. The results will provide much needed data to support school approval processes and reduce reliance on NCLEX pass rates as a sole measurement of education quality.
  3. The role of regulation in evolving scopes of practice 
    Nursing regulation has an ethical duty to support the provision of care by those qualified at every point along the caregiver continuum when grounded by sound evidence. Studies demonstrate that APRNs provide care equivalent to that of physicians. RNs and LPN/LVNs must be more effectively utilized to practice to the full scope of their education, harnessing the capabilities of these licensees to participate more fully in improving health outcomes. We must critically examine traditional models and build safe models for our burgeoning population of patients, many of whom would prefer to receive care at home or electronically.

Please describe a strategy or activity to increase participation in the leadership of the organization.

First, I believe that leadership in NCSBN does not equate with elected office; however, the goal to serve in an elected capacity is facilitated by taking full advantage of the leadership development opportunities available. One opportunity is committee membership. It is encouraging that members wish to participate in committees and my observation is there are ever more qualified members. Members report that it is frustrating to desire to serve and not be selected for limited slots on committees. These committees provide leadership opportunities that serve as a foundation for elected office. I suggest developing an open ended leadership inventory of members to form a database of willing members and their expertise. The inventory database has potential to level the playing field between new members seeking opportunity and those experienced leaders whose expertise is well known. Members would be encouraged to register in the database and these interested volunteers could form an identified group for leadership promotion activities. The inventory database would serve as a resource to match qualified applicants when leadership opportunities arise. Being elected to and serving on the Board of Directors is an honor. Experience in a broad array of NCSBN activities, committees as well as attendance and participation in meetings and conferences, provides invaluable leadership preparation and opportunity.