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2023 ANA Annual Impact Report

In 2023 and for the 21st consecutive year, the public ranked nurses and the nursing profession as the most trusted and ethical profession. Alongside this high honor, every nurse deserves:

Read Our Leaders' Message
three_nurses_walking

2023 by the Numbers

Our service to nurses and the nursing profession delivered tangible results in 2023. See our progress on key issues.

3 nurses talking

Nurses in Healthy Work Environments

The American Nurses Association, along with our constituent and state nurses associations, is determined to see the nation’s more than 5 million RNs in better work environments, free from violence, burnout, and restrictions that prevent them from providing optimal patient care.
nurses sitting together

Nurses in Healthy Work Environments

In 2023, we advocated in force for legislative and regulatory safeguards against unsafe staffing and workplace violence.

We highlighted the staffing crisis to policymakers, the public, and health care leaders, and offered concrete solutions emphasizing the right of all nurses to advocate for the solutions they find most suitable in their practice settings.

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Nurses in Healthy Work Environments

We supported legislation removing barriers to practice and spoke against actions that threaten human rights and dignity or that compromise ethical standards of the nursing profession.

a nurse with a virtual reality headset on

Nurses in Healthy Work Environments

We anticipated a new era of health care surging with AI tools and technologies used to deliver care in new ways.

a nurse works in front of a laptop

Nurses in Healthy Work Environments

We served our members across practice settings and career stages with resources to see them thrive professionally, with mental and physical well-being, and we laid the groundwork for nurses to be fully valued in health care reimbursement systems.

“Every single day, nurses in organizations across the United States ration care because there’s not enough time for them to do what they know is right. It’s time to end this moral distress by whatever means necessary—staffing committees with direct care nurses, mandated disclosures of staffing levels, or legislated minimum ratios.”

— Jennifer Mensik Kennedy, PhD, MBA, RN, NEA-BC, FAAN
ANA President

a picture of jennifer mensik kennedy, the president of the ANA
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Over 6 Years

1.9
million participants

Healthy Nurse, Healthy Nation™
 + Well-Being Initiative

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In 2023

400
 nurses

participated in ANA Hill Day
 on Capitol Hill

“Our work to achieve appropriate staffing should be a lifelong initiative. We should be working on this for the rest of our careers and the people after us should be working on it. This is a sea change. It’s not a moment.”

— Laura Reichhardt, MS, APRN, AGPCNP-BC
Hawai’i-ANA Member

“The COVID-19 pandemic highlighted the critical importance of nurse leaders in policy and advocacy. Nurse policymakers are the voice of their constituents, develop and champion legislation to improve health care, and advance the nursing profession.”

— Darlene J. Curley, EdD, RN, FAAN
Utah Nurses Association Member

“My mind is focused on what I need to do to ensure the success of those behind me. I’m not going to be in my current position forever, and I want the person who replaces me to thrive.”

— Julian Gallegos, PhD, MBA, RN, FNP-BC, CNL, FAUNA
Indiana State Nurses Association Member

“Having a solid connection between my state nurses association and ANA strengthens my commitment to ANA as the voice of RNs and offers me opportunities to continue a long, active, and visible presence.”

— Jeri A. Milstead, PhD, RN, NEA-BC, FAAN
ANA-Ohio Member
ANA Hall of Fame Honoree

a group of nurses standing in a line

A Nursing Profession that Reflects Those it Serves

The American Nurses Association envisions a more diverse nursing profession that better represents our patients and enables all nurses to thrive professionally, bringing their whole selves to patient care, research, teaching, and leadership.
a group of ANA employees standing together

A Nursing Profession that Reflects Those it Serves

Our concrete steps to achieve this began with ourselves. In 2022, we embarked on a journey of organizational reckoning with past practices and policies that harmed nurses of color and our patients. In 2023, our journey continued in meetings and substantive discussions with racial and ethnic minority nurses associations—to apologize, seek reconciliation with, and ask forgiveness from nurses of color.
the logo for the National Commission to address Racism in Nursing

A Nursing Profession that Reflects Those it Serves

We committed $200,000 to support 10 projects selected by the National Commission to Address Racism in Nursing that enable evidence-based programs and interventions aimed at dismantling racism in nursing.
a group of smiling nurses sitting together

A Nursing Profession that Reflects Those it Serves

We adopted a position statement that empowers nurses with tools to dismantle systemic racism wherever they practice and replace it with a just and equitable culture.
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A Nursing Profession that Reflects Those it Serves

We organized the Mary Eliza Mahoney Lecture Series in honor of the first professionally licensed African American nurse—a pioneering leader, innovator, and visionary in nursing practice and civil rights. Continuing in 2024, this series will examine Mahoney’s influence on contemporary nursing practice.
A nurse speaking to colleagues on her tablet

A Nursing Profession that Reflects Those it Serves

In collaboration with the National Commission to Address Racism in Nursing, we sponsored a Project ECHO on Racism in Nursing, enabling nurses to have consequential conversations that advance understanding and healing in the profession across practice settings and career stages.
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1,600+
 Participants

Project ECHO on Racism in Nursing

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3
 Seasons

39
 Podcasts

6,800
 Listeners

Mental Health Trailblazers Podcast

“When you think about all of the factors that influence someone’s mental health, racism is a factor that Black people can’t divorce themselves from. One of the things we’re trying to do in nursing schools and programs is have the conversation about race with our students and show the impact of racism.”

— Christopher L. Coleman, PhD, MS, MPH, APRN-BC, ACRN, FAAN
ANA Member
Alumnus of the Minority Fellowship Program at ANA—Celebrating 50 years and 1,000 alumni in 2024

“Mary Eliza Mahoney did more than simply pave the way for nurses of color. She laid our foundation and set our trajectory on the journey towards racial reconciliation.”

— Vivienne Pierce McDaniel, DNP, MSN, RN
Virginia Nurses Association Member
Speaker for “Service for Humanity: The Life of Mary Eliza Mahoney”
inaugural lecture series presentation

“What we’re trying to do is not just increase the number of Native American nurses working in tribal communities, but also enhance the overall educational experience that uniquely supports Indigenous students.”

— Timian Godfrey, DNP, FNP-BC, FAAN
Arizona Nurses Association Member

“If nurse leaders truly want to diversify leadership and the nursing workforce, they have to put in the effort. Mentorship has a lot to do with it. …. Mentors can provide opportunities for us to gain experience and develop our leadership qualities.”

— Roxana Chicas, PhD, BSN, RN, FAAN
Georgia Nurses Association Member

Read Our Message
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Investing in Nurses

Anchored in the conviction that nurses are the key to a healthy world, the American Nurses Foundation invests in nurses and the nursing profession. We see nurses as inspired and capable change-makers and we contribute resources to research, test, and amplify their insightful solutions.
4 ANA employees standing infront of a chamberlain college of nursing banner

Investing in Nurses

In 2022, we committed $14 million to 10 bold projects developed and led by nurses to transform nursing for improved access, care, and outcomes for all. In 2023, our Reimagining Nursing Initiative grantees convened to exchange ideas and insights about how to scale change. In 2024, the most successful projects will advance to further implementation and dissemination across health care settings.
a nurse talking to someone on the phone

Investing in Nurses

We granted $5.5 million to support four inspired nurse-developed and led Reimagining Nursing Initiative projects that document nurses’ value to health care—a necessary milestone to achieving reimbursement for nursing care.
a nurse working on a tablet

Investing in Nurses

We acted on results from our Pulse on the Nation’s Nurses Survey Series showing nurses—especially those younger and newer to practice—remain saddled with stress and burnout. We invested in a three-year Stress and Burnout Prevention Program to test tools and resources created by nurses for nurses that use a common language to describe stress and normalize talking about it.
a nurse wearing safety goggles and a face mask

Investing in Nurses

We asked the provocative question, Are nurses worth only one penny? Our ground-breaking research showed that just $0.01 of all private health care philanthropy goes to nurses—a dynamic we’re committed to upending.
a nurse helping an elderly woman see something on a phone

Investing in Nurses

We fed nurses’ solution-finding superpowers, supporting nurse developed innovations such as a first of its kind distal pharyngeal airway, and a comprehensive health assessment app for families and communities.
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Over 4 years,

16
 Surveys

200,000
 Respondents

Pulse of the Nation's Nurses Survey Series

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4
 Pilot Organizations

150,000+
 Nurses

Stress and Burnout Prevention Program

“Being able to communicate more effectively is really important when it comes to patient safety in hospitals. We’ve found a way to objectively measure and communicate nurses’ concerns among care teams so they can act together quickly to save patients sooner.”

— Sarah Rossetti, PhD, RN, FACMI, FAMIA
Co-developer of CONCERN, a pilot funded by the American Nurses Foundation Reimagining Nursing Initiative

“I really enjoy working and making a difference in society. My wish to make positive social changes requires vigilance and persistence. So much work remains, and I wish to be a part of the solution.”

— Irene Trowell-Harris, EdD, RN, Maj Gen USAF (ret.)
Virginia Nurses Association Member
Founder of Dr. Irene Trowell-Harris Endowed Leadership Fund

“I’m fighting for families living in underserved communities, and for health care access and equity, diversity, educational equity, inclusion, and accessibility in health care and educational opportunities.”

— Alita-Geri Carter, MSN, RN, CPNP-PC
Maryland Nurses Association Member
Recipient of the 2023 Jeannine Rivet National Leadership Award

“I hope that nurses will be at the table actively participating in creating innovative health care solutions. By pooling our collective ideas and experiences, nurses can contribute to equitable solutions that enhance patient and community outcomes and streamline health care delivery.”

— Ryan J. Shaw, PhD, RN
North Carolina Nurses Association Member
ANA Innovation Advisory Board Member

Read Our Message
A nurse wearing a stethoscope in room full of nurses

Advancing Excellence in Nursing Globally

The American Nurses Credentialing Center’s certification, designation, and accreditation programs touch the professional lives of hundreds of thousands of nurses worldwide who strive for excellence against evidence-based standards. As the only nursing credentialing organization to attain ISO 9001:2015 certification, we exemplify high achievement against world-class standards.
a male nurse holds an elderly man

Advancing Excellence in Nursing Globally

We contributed substantially to nursing workforce development, in the United States and globally. The nearly 900 programs that we’ve accredited prepare nurses to transition to practice and provide continuing education to both nurses and other health care professionals.
a nurse smiles in front of a baby

Advancing Excellence in Nursing Globally

We’ve credentialed more than 300,000 nurses, nurse practitioners, and clinical nurse specialists, according to the latest standards and practices. These exceptionally qualified nurses dedicate their expertise to enhancing their workplaces and improving patient care, creating a ripple effect of enhanced quality and service excellence.
3 nurses stand together

Advancing Excellence in Nursing Globally

We supported more than 800 health care organizations in their quest to sustain positive practice environments for many thousands of nurses and align nursing strategic goals to improve patient outcomes, based on evidence-based standards.
a nurse talks to a small girl

Advancing Excellence in Nursing Globally

We recognized the extraordinary innovation and implementation prowess of nurses, who developed technologies and services that improve care for substance use disorder and end of life decision-making, reduce health disparities for patients undergoing kidney transplant, and bridge the gap from hospital to home for children with complex health needs.

“I’m thrilled and honored to be a triple-certified, master’s-prepared nurse executive through ANCC! My certifications have solidified my commitment to the nursing profession and my professional credibility, as I influence and lead my health center in caring and achieving health equity for the most vulnerable populations.”

— Julia Jurkiewicz, MSN, RN, NEA-BC, NE-BC, AMB-BC

“Being a nurse at a Pathway to Excellence®- designated hospital has been a great opportunity to grow as a person and as a nurse. The culture here helps facilitate professional growth, which helps improve patient care and helps nursing have a direct impact on the care we provide.”

— Jessie Perkins, RN
Kentucky Nurses Association Member

“The ANCC Magnet Recognition Program® ideals have been an integral component of our structure for decades, and a long-time partner in our quest for and success in achieving excellence. We’re humbled and honored to be the first organization to receive Magnet with Distinction for our 7th consecutive designation.”

— Julie Swann, MBA, MHA, BSN, RN, NEA-BC
VP Patient Care Services and Chief Nursing Officer
Emory Saint Joseph’s Hospital
Georgia Nurses Association Member

“It’s essential that we continue this movement to work collaboratively across states that have not accomplished full practice authority to ensure all nurse practitioners can practice to the full extent of their education and ensure patients’ improved access to health care.”

— Linda Adams-Wendling, PhD, APRN, GNP-BC, NEA-BC, CNE
Kansas State Nurses Association President

The ANA Enterprise thanks all nurses for their dedication to their patients, families, communities, and the profession. We deeply appreciate ANA members, nurses and organizations, and contributors who joined with us to create a healthy world through the power of nursing.

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2023 Annual Impact Report

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ANA Enterprise: American Nurses Association. American Nurses Foundation. American Nurses Credentialing Center

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