04/05/2026
2026 NFK President's Message - for all nurses.
NFK Nurses,
April is the fourth month of the year, and it has arrived! As you may know, things have really been building up for nursing since the start of the year. Besides all that has been happening within NFK, which you can read about in Norma's column in the Colorado Nurse, there are things in the news that affect us all.
Overall, we have been busy with what's new in the updated changes to our licensing exams, addressing critical workforce strategies, continuing to seek health equity solutions, and strengthening our advocacy and professional development. April 1, 2026, is more than April Fool’s Day, and more than a day that starts our worry about those taxes being due.
April 1 marks the day that the new NCLEX exams for both RN and LPN went into effect and are good till March 31, 2029. The new exams have updated contemporary language and more focus on clinical judgment. The last time it was updated was in 2023 (it's a triennial thing) and it added the clinical judgment component to the exam. It also changed clinical content in the areas of management of care (decreased), safety and infection control (increased), and physiological adaptation (increased).
So, what's really new on the latest one if the content is the same? Test takers will have a set number of case studies (and each question builds on the next) and they may get single, stand-alone judgement items. (offering 2 antecedents on one side and 2 outcomes on the other), which requires pulling the antecedent to the outcome based on pathophysiology or some nursing care characteristic. The new test also uses partial-credit score testing. There are a few other differences too. However, I'm glad I already took my NCLEX a while back.
Nurses across our nation are active in union bargaining that is centered on staffing levels, safety, and compensation. These critical workforce strategies have highlighted a need for enforceable standards, rather than voluntary guidelines. One area this brings attention to is the safe nurse to patient ratios involving understaffing and impacts to patient care.
Nurses continue trying to fix the workplace violence issues and are asking for increased security and staffing of security at the entrance of facilities. Nurses are having to fight to protect their health benefits, along with getting wages adjusted to the cost of living and our rising inflation. Nurses are fighting for the right resources to provide their patients care, and to protect everyone from the inappropriate use of AI. Nurses are calling out the increased hospital profits and executives' pay and pointing out that patient safety is not being invested in or prioritized. Nurses are also working to integrate health equity training throughout nursing education and advocating for nursing payment systems. We currently lack sufficient payments mechanisms.
Nurses are on the roadmap to find health equity solutions. We are the frontline workers who are addressing the social determinants of health that contribute to society's health disparities. We are the ones that are challenging structural racism. We are the ones that are advocating for changes and policies that provide an equitable opportunity for health. April is National Minority Health Month, where nurses have a heavy focus on health equity and in raising awareness about disparities and promoting culturally competent care. Nurses know that everyone deserves to have their highest level of health met.
We are the ones taking action to the core areas of health equity by addressing social needs of our patients in clinical settings, leading community and public health initiatives, influencing policy advocacy and leadership, and prioritizing the dismantling of areas of systemic racism. Some of the things we can look forward to are being the leaders in achieving these goals and creating policies that encompass our full scope of practice. Nurse designed models of care, nurse led care management programs, and the formation of a collaborative coalition to support the upcoming changes and amplify the nurses' voice are just a few of the things in the present and future works for nurses. We are the champions of healthcare.
As we go forward to strengthen our advocacy and professional development, CNA and ANA are taking up battle to address the proposed idea to reclassify advanced practice nursing degrees, as non-professional for federal loan purposes, which could take effect this year (July 1). Nurses are demanding that the Post BSN programs be recognized as professional degrees. A national petition was sent out to try and reverse this decision. As nurses, we know the rigor and skills required for these roles.
Many of you have written letters and made phone calls to your State Reps, Senators, and Congress urging them to help us fight this, utilized social media, and attended town halls. If it passes, it will have a profound impact on our nursing profession. Not only will it be a financial barrier and create a workforce shortage, but it undermines our expertise and disrespects our nursing education. Continue to be a strong voice and be persistent!
It looks like we have a lot of work ahead of us and will certainly face some challenges! On that note, April just so happens to be National Stress Awareness Month. Nurse burnout, mental health and strategies for our wellbeing, both on and off the job, are critical to address because they cause emotional exhaustion, depersonalization, and yes, reduced empathy. Peer support is important, as well as getting enough sleep and setting those boundaries! Self-care is vital.
Let's continue to prep for May through Advocacy and Connection, as that is when National Nurses Week will be here, and we want to be ready for that much deserved Recognition!
Annette Cannon, NFK President
Constituent Association of CNA