Today nursing is recognized as a promising career and has gained much significance over the years, several programs for becoming a nursing professional are being offered by universities, community colleges and hospital based schools. Since the mid 20th century, demands for nursing professional have been on an up rise, there has been a tremendous increase in the number of nursing graduates in the last decade (NLN, 2010b). The focus of nursing education have shifted to new dimensions such as community health, public health, primary care, geriatrics, disease prevention, health promotion and other areas rather than being limited to a particular area. And this is mainly to prepare nurse to deal with evolving health care system.
Demand for nurses produced high amount of entry-level nurses, the study emphasizes highly educated nurses are preferred to handle today's today’s health care challenges. By 2020 the nursing work force should consist of 80% BSN (Bachelor of Science in Nursing) prepared nurses. Achieving this targeted BSN level nursing workforce involves, the use technology (simulation, online education programs) and providing upgrade options for existing associate or diplomas holders and financial support from educational institutions, nursing employers and other healthcare organizations. Furthermore, the curriculum should be made future proof to facilitate academic advancement.
However, the achieving the above targeted workforce population is not an easy mission. Factors that affect the achievement of this goal are shortage of qualified faculties, salary disparities, incompetent curriculum and inadequate workforce planning. Certain initiative that were taken to overcome these hurdles are, 1) Inception of VANA (Veterans Affairs...
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...ain leadership skills, importance of taking responsibilities should be cultivated in nurses right from the beginning of their career. Partnership with other health care professionals and exposure to leadership can be created at entry level and in other educational environments. To meet the demands of our evolving heath care system, nurses have to be capable of performing in a leadership role in all environments specifically in delivery and transformation of heath care.
Conclusively, a combined effort from all the involved personals, government and health care organizations is required to implement the recommendations highlighted in this report. From the above-mentioned transformations, as a registered nurse I have been enlightened to utilize education as a tool attain a position where I can be involved in becoming a catalyst to this health care industry reformation.
The initiative recognized that nurses have the opportunity to change health care, as we know it, and transform it to meet the needs of the ACA. The barriers that were identified include “outdated policies, regulations and cultural barriers” (IOM, 2011, p. 85). While increasing the scope of practice for APRNs was a large part of this key message, cultural diversity, gender diversity, and the aging workforce were also highlighted.
The health care system and nursing practices are undergoing rapid changes, which are as well becoming complex. Preparing nurses balance these changes is a significant challenge. The Institute of Medicine (IOM) report explored how nursing profession has to change to bring out a more solid health care system. As a result of these changes, the Institute of Medicine (IOM) decided to examine “Future of Nursing, Leading change and Advancing Health” (Creasia & Fribery, 2011). This paper will discuss the impact of the 2010 IOM report on nursing Education, nursing Practice with emphasis on primary care, its effects on present nursing practice, and the nurse’s role as a leader.
The IOM report had four key messages needed for advancing the future of nursing. “Nurses should practice to the full extent of their education and training; achieve higher levels of education and training through an improved education system that promotes seamless academic progression; be full partners, with physicians and other health care professionals, …and; effective workforce planning and policy making require better data collection and an improved information infrastructure” (Institute of Medicine, 2011). The report also included eight recommendations needed to facilitate the necessary changes to in the nursing profession so meet to demands of the healthcare reform.
The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must determine which educational path to pursue, Bachelor of Science in Nursing (BSN) or Associate Degree in nursing (ADN). Most will initially be educated at the associate degree level, even though the American Organization of Nursing Executives (AONE) has recommended a baccalaureate level as a minimal for entry-level nurses. With the expanding number of RN to BSN programs available there is always the option to further one’s education at a later date. The benefits for acquiring a BSN over an ADN include a better knowledge for evidence-based practice, an increased advantage for promotion, and the necessary gateway for higher education.
Daniel P. Wright, K. M. (2010). Strategies for Addressing the Nursing Shortage: Coordinated Decision Making and Workforce Flexibility. Decision Sciences , 373-401.
The nursing shortage is divided into four different categories. The four categories are as follows; "willing nurse" shortage, funding or perceived funding shortage, shortage of understanding that nurses are needed to deliver care, and nurse education and empowerment shortages (What is the nursing shortage and why does it exist?., 18 October, 2007). To be able to repair this major problem, all four segments of shortages need to be addressed. The first nursing shortage, A "willing nurse" shortage, is the simple fact of not enough supply to fill the demand of nursing positions. This shortage occurs either because there are simply not enough nurses to fill the open positions, or because experienced nurses are opting out of nursing and the willingness to provide care due to the current occupational environment. The second nursing shortage is the funding or perceived funding shortage. This shortage is merely due to nurses not feeling as if they are being compensat...
The effects on nursing education includes a growth in the number of higher cadre of nurses equipped with leadership and community health skills and knowledge. Institutions with higher trained nurses have recorded less mortality rate (AACN, 2014). The growth in number of nurses would positively impact on the nursing shortage thus leading to improvement on care outcome (AACN, 2014). The training institution require nurses at doctorate level thus the initiative to double the existing number will assist the institution prepare adequately for the growing number of students (IOM,
McDermid, F., Peters, K., Jackson, D., & Daly, J. (2012). Factors contributing to the shortage of nurse faculty: A review of the literature. Nurse Education Today, 32(5), 565-569. doi:10.1016/j.nedt.2012.01.011
The future of nursing: Leading change advancing health [Report]. (2010). Retrieved from The Institute of Medicine: http://www.iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Recommendations.pdf
"What Works: Healing the Healthcare Staffing Shortage." Modern Healthcare 37.29 (July 2007). ABI/INFORM. ProQuest. Ithaca Coll. Lib., Ithaca, NY. 2 Dec. 2007
This is a research paper conducted on the very highly pursuited field of nursing. Nursing is a profession in the healthcare field that focuses or assisting others. Not to mention, nurses are heroes because of the many lives they save every day. This is an example that one doesn’t need tights or a cape to be a hero. Never the less, there are many reasons one may want to become nurse. Some of those reasons may be for personal gain or the greater good. However, before becoming a nurse one needs to be educated about educational requirements, licenses and certifications, projected salaries, and the projected job outlook for the next five – ten years for nursing. This research paper will provide thorough information on those four major aspects of
It is very fascinating the most of the universities are having online courses for nurses to get their higher education, while nurses are struggling between the work and home. Currently most of the hospitals in the United Sates are moving towards magnet status which needed higher educated nurses. In this situation, it is blessing for nurses to attain their higher education through online course even for associate RNs to become BSN. The BSN program helps the nurses in many ways including to utilizing the process to the full scale and it will promote nurses to use their skills like educating the patient as we’ll as creating new nurses. Because of the new health care reform, the BSN program also will aid to fill the gap from the influx of patients. The baccalaureate degrees and BSN program helps and prepares for the significant part they going to play in reinforcing the new healthcare modification. At present, I utilize and develop nursing care plan in the nursing process even though it needs some corrections due to the nature of my work. The highest standards of nursing could be only done through better research and advanced training. All these process will not only aid to create a healthcare model based on the clinicians wants, but also based on better data from the research which will eventually help to direct them towards right direction.
“In 2010, the US Department of Labor Statistics (DLS) projected a 22 percent increase in the demand for RNs or 581,500 new jobs by 2018, to total a projected 1,039,000 jobs needed to be filled by 2018” (Cottingham, DiBartolo, Battistoni, and Brown, 2011, p. 250). It is imperative that strategies be implemented to improve the recruitment of nurses to meet the needs. Without improvements in the recruiting of new grads or seasoned nurses, organizations will need to rely on expensive agencies and traveling nurses; therefore, causing a financial burden on organizations (Cottingham et al., 2011).
Nurses have always been an undervalued asset to the health care industry; however, there is always a great need for them. With more uninsured Americans requiring safe, affordable medical care, the pressing issue of nursing education is not a priority (Aiken, 2011). Recently, there have been modifications taken place toward the current nursing shortage, the decrease of nursing graduates, a workforce that is becoming older, and other factors that influence nurse educator shortage (Baker, Fitzpatrick, & Griffin, 2011). Nurse educators are required to advise students, complete research, and perform committee work all while teaching (Baker, Fitzpatrick, & Griffin, 2011). They also have multiple jobs outside of practicing nursing and teaching. Nurse educators have stressful roles that hold many expectations, yet there is no independence in making their own decisions concerning things. Aiken (2011) suggests that the best way to begin combatting this shortage should include increasing the number of nurses who hold a bachelor’s degree in nursing from 50% to 80% by 2020 (p. 196). Forty-eight percent of nurse instructors are expected to be aged 55 and older and are predicted to retire by this time. (Baker, Fitzpatrick, & Griffin, 2011).
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.