Candidate for Director-at-Large

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

Director-at-Large Responsibilities:

  • Serves as representative of all member boards
  • Acts on behalf of the NCSBN and conducts the business of the organization

Describe all relevant professional, regulatory, and community experience.

My experience as a nurse regulator began thirty-two years ago when I was appointed executive director of the Tennessee Board of Nursing after nine years in academic nursing. I jumped at 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, thus beginning the journey that led to the interstate nurse licensure compact. Later, I chaired the 25th Anniversary Planning Committee which began 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 membership on the Finance Committee, the 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 over the years. Currently I serve 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.

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

  1. Borderless healthcare delivery
    Partnerships with international colleagues have helped us appreciate that we share the common goal to deliver healthcare more safely and efficiently irrespective of borders. We recognize the value in congruent standards for delivery and expectations for providers. Healthcare delivery continues its transformation at a breathless pace and our traditional regulatory model challenges us in advancing nursing regulation worldwide. Our primary challenge is to remain relevant and bring value in a consumer and entrepreneurial driven world teeming with technological advances such as wearable artificial intelligence devices and robotics that have potential for enhancing health outcomes and enjoyment of life. 

  2. Regulation of nursing education
    With a rise in schools struggling to achieve mission, now is not the time to retreat from regulating nursing education. We need to foster research in promising pedagogical efforts such as the NCSBN Simulation Study. It is time to explore best practices in measuring program outcomes to reduce reliance on NCLEX pass rates for measuring quality. We need to support efforts to reduce redundancies in data collection among boards and accrediting bodies to reduce the burden for schools and to standardize data collected. Let us continue the effective teamwork to support students impacted by abrupt school closures.

  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.

Why do you want to serve in the role you are applying for?

I have never been more optimistic about the potential for actualizing NCSBN’s vision to advance regulatory excellence worldwide. Ground breaking initiatives such as Nursing 2030, Next Generation NCLEX, the e-NLC and the new APRN compact add to NCSBN’s solid foundation of programs that ease the regulatory burden to protect the public. Leadership is vital to innovation. It is imperative that we have information informed by evidence and made useful for us to successfully navigate challenges such as the opioid epidemic, APRN consensus and borderless practice.

Election to the NCSBN Board of Directors would fulfill a professional goal to serve NCSBN in a new and important role. The opportunities derived from by membership in NCSBN have been the source of a great deal of the success we have had in our jurisdiction. Over the years, I have developed treasured relationships across the membership. These friends represent a diversity of background that has enriched my perspective across a multitude of issues. I will bring the skills and knowledge obtained through thirty-two years of nursing regulation to the position as director at large. My values mirror those of NCSBN. I pledge to serve with integrity, collaborate with all in seeking solutions, to always strive to do my best and to remain open and accountable. It would be an honor to be given the opportunity to serve NCSBN in the director at large role and join the ranks of those who have served and whom I have admired over the years. It is exciting and humbling to consider serving as a director at large to serve the purpose, mission, vision and values of NCSBN to the betterment of public protection and patient safety.