President's Message

100 Years

PhotoWe will remember 2020 as the year a Great Pandemic put the vision of our world-class nephrology nursing association – improving members’ lives through education, advocacy, networking, and science – to the test. It has never been more important. The pandemic also brought additional risks into clearer focus, including recession, protectionism, division, cyber threats, climate change, racism, gender inequality, and inequity. In time, these risks and others, if we ignore them or do not act on them, could contribute to uncharted waters for ANNA. Moving toward action, across 2020, the ANNA Board of Directors (BOD) engaged in diversity training in a curriculum on adaptive and inclusive leadership and established a Diversity, Equity, and Inclusion Committee. We seek the mindset and a toolset to identify risks and biases, cultivate relationships and coalitions, and take courageous actions. ANNA is making progress. We have enormous resources and advantages that make a difference in the lives of ANNA members and in the broader renal community we reach. Our responsibility is proportionate to our resources, which we know have accumulated across generations from experience, hard work, and societal advantages.

In the face of these risks, we keep our over-arching objective in mind – to sustain ANNA for 100 years and more. We remind ourselves that less than 1% of organizations survive to the 100-year mark. Why 100 years? Why sustainability? An organization’s social impact, community benefit, and environmental stewardship for one year has some value to members, patients we serve, families, and society. ANNA has over 50 years of gains, impact, benefits, and stewardship, and we continue to build momentum. I am reminded of the words of author and motivational speaker Zig Ziglar: “F-E-A-R has two meanings: ‘Forget Everything and Run.’ or ‘Face Everything and Rise.’ The choice is yours” (, n.d., p. 1).

In physics, E=mc2 (energy equals mass times velocity). Our mass, scale, and scope must continue to grow. Our velocity is increasing in many ways, including decision-making, volunteerism, and networking. Our energy is accelerating in leadership, education, advocacy, and collaborations. Like our responsibility, our opportunity is large.

2021 and Beyond

More changes are ahead. A few of the nursing trends we expect to see in 2021 are:

  • Online education programs will increase in popularity.
  • The demand for family nurse practitioners (NPs) will increase.
  • There will be major job growth for nurses.
  • Salaries will remain the same or increase.
  • Higher education degrees will become the standard.
  • The nurse licensure compact and the states granting NPs full practice authority will expand.
  • More nurses will specialize.
  • The use of technology will expand, and the specialty of health informatics will grow.
  • Nurses will retire later, with some choosing instead to work part-time.
  • There will be an increased demand for bilingual nurses, and the number of male nurses will increase (Carson-Newman University Online, 2021).

The second Future of Nursing report, which was released on May 11, 2021, will help guide us in charting a path for the nursing profession “to give everyone a fair and just opportunity for health, reduce health inequities, and improve the health and well-being of the U.S. population in the 21st century” (Diamond, 2020, p. 1).

The Next Decade

ANNA enters the next decade with a strong foundation and experience, resilience, and diversification of the BOD and members. In July, we will develop a new strategic plan that will focus on being purposeful, durable, profitable, and competitive, and creating an impact for our members. This is where you come in. If you have ideas on a direction, platform, initiative, or collaboration, the ANNA BOD would love to hear from you. Please reach out to any of the national ANNA BOD members or the national office, or contact me directly at

Becoming the first male president of ANNA is humbling, and I bring 22 years of experience in dialysis to draw on. I reflect on past presidents of ANNA and am in awe in their success. I will work hard for you and look to continue to represent ANNA to the highest of standards.

We have a large reservoir of experience, resources, and advantages that enable us to continue to navigate and confront the risks the world presents, to pursue and capture the opportunities available to us, and to honor and live our values as trusted partners, innovative leaders, and responsible stewards. Beyond imagining the next decade with humility, gratitude, joy, excitement, determination, and great energy, we wonder what could our collective, cumulative impact be across 100 years.

David F. Walz, MBA, BSN, RN, CNN, FACHE
2021-2022 ANNA President

Update ~ August 2021

On August 31, I provided an update on the strategic planning session held during the July 2021 Board of Directors meeting. If you missed the presentation, click below to listen and learn more about ANNA's strategic priorities and future initiatives.


Carson-Newman University Online. (2021, January). 21 nursing trends we expect to see in 2021.

Diamond, L. (2020, July 30). Future of nursing 2020-2030 report delayed until spring 2021. Campaign for Action. (n.d.). 67 inspirational Zig Ziglar quotes on attitude, life, and being helpful.