The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
The Future of Nursing report provided recommendations for nursing education, expanded roles, increasing nursing in leadership positions, …show more content…
The primary barrier to nurses being able to practice at their full potential is the states varied legislation (Fairman, Rowe, Hassmiller, & Shalala, 2011). The IOM (2011) report suggests that state scope of practice regulations should model the National Council of State Boards of Nursing Model Nursing Practice act and Administrative rules to provide legal authority to practice to the accomplished level of training. The IOM (2011) report also requested a review of states laws to identify potentially anticompetitive effects that do not protect the health and safety of the public. The new recommendations are to build a common ground with interdisciplinary groups and to include a diverse coalition for the Future of Nursing: Campaign for action (IOM, …show more content…
The recommendations called for increased opportunities for nurses to be leaders, manager, and executives in the various settings that they are employed. In addition, there was a push for more interdisciplinary collaboration during training as well as in the various levels of professional interactions (IOM, 2011). In practice these recommendations suggest more diverse performance measures, pooling of interdisciplinary funds, organizations supporting nurses in leadership, and encouraging nurses to work with information technology and medical device developers and manufacturers on new products.
The recently developed Doctorate of Nursing Practice program encourages the development of practice competencies including translating and disseminating research into practice, active involvement in health policy issues related to practice, and incorporating healthy promotion and disease prevention (Moran, Burson, & Conrad, 2014). These important leadership functions will prepare nurses for the new roles encouraged by the IOM. By facilitating these changes the report anticipates improvements across the healthcare system from a less acknowledged but important
Nurses make up the greatest sector of health care workers, and are vital to meeting the objectives of the 2010 Affordable Care Act (ACA). Identifying the barriers that nurses face, and recommending a plan to overcome those barriers, were the goals of the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) in their two-year movement to “assess and transform the nursing profession” (The National Academies of Sciences, 2016). This paper will recapitulate the IOM report, Future of Nursing: Leading Change, Advancing Health. It will also recognize the position of the RWJF and the American Association of Retired Persons (AARP) on the Future of Nursing: Campaign for Action. It will stress the implication of the IOM report as it
Nurses are active, they see policies as what they can restructure or change, instead of taking it as what has been imposed on them. They are involved in policy development as well as working together as one profession. As nurses, they participating in decision making regarding health policies, as well as taking part in implementations associated with changes in health care. Currently, nurses are serving “on advisory committees, commissions, and boards” (Cohen, M. & Walker, A. 2010). Policies and decisions in these areas will help to advance patient care in health
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.
Institute of Medicine (2010). The future of nursing: Leading change advancing health Retrieved from http://books.nap.edu/openbook.php?record_id=12956&page+R1
The Robert Wood Johnson Foundation has been in operation for more than 40 years and has been instrumental in working to improve the status of health and the health care for all individuals within the United States of America. They hold a vision “as a nation, to strive together to create a culture of health enabling all in our diverse society to lead healthy lives, now and for generations to come” ("Robert Wood Johnson Foundation," 2014). The Foundations nursing programs has early initiatives that would improve the profession with the advancement of nurse practitioners, programs improving nursing academics, improved hospital nursing. Currently the foundation is developing leadership skills in advanced level nurses and transforming working conditions of nurses within the hospital setting. In support of nursing and in light of the nation’s severe nursing short...
According to the Bureau of Labor Statistic’s Employment Projections 2012-2022 released in January 2014, the Registered Nursing workforce is the top occupation in terms of job growth through 2022. It is expected that the number of employed nurses will grow from 2.71 million in 2012 to 3.24 million in 2022, an increase of 526,800 or 19 percent. Growth will take place for a number of reasons: demand for health care services due to increasing life expectancy; chronic conditions, such as arthritis, dementia, diabetes, and obesity; and the number of individuals who have access to health services.
Nurse Residency Programs are one way to make nursing practice safer for the patient and to keep nurses from leaving the practice. The Affordable Care Act will increase the number of patients receiving medical care over the next several years. We, as a nation, will need adequate numbers of nurses to fill the void. Many hospitals and universities are constructing nurse residency programs to meet that need. The designation of these programs is to increase knowledge, confidence and job satisfaction of new graduate nurses in their first year of practice. The AACN and University HealthSystem Consortium support the concept of nursing residencies. In 2004, an outline for nurse residency programs became available through their joint effort. Currently, 30 states are currently using the model successfully. The funding for nursing residencies is an area that needs addressing, federal funding for nursing education should include nursing residencies ("Nurse Residency Program," 2012). The purpose of this paper is to describe how this issue can move into a “policy window” using John Kingdon’s Policy Stream Model.
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
Consequently, combined efforts of various nursing organizations resulted to a Consensus Model for APRN Regulation. The Consensus Model is a national effort to guarantee uniformity in APRN education and practice (Kendig, 2014). The Consensus Model outlines the structure for a consistent regulation of APRN practice in all states (Kendig, 2014). The state of Georgia (GA) has completed the process of statutory or regulatory modifications following the APRN Consensus Model (Phillips,
The Institute of Medicine has released a report that discusses the future in nursing. The IOM has developed four key messages that outline the barriers that need to be overcome, so that nurses can work effectively and to their fullest ability.
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
In nursing practice, the NLN’s mission aligns with extending nursing education by fostering excellence to progress a diverse team in evolving health on both national and global levels (NLN, 2016). The NLN seeks to be a leader in nursing education by setting goals and objectives. This organization plays a prominent role in nursing education by spearheading the nursing workforce with nursing certifications and examinations and serving as the main source for legislation reform. The NLN inspires students to apply professional clinical expertise to practice in an ethical manner with the utmost respect and value caring (Bavier, 2015). In nursing research, the NLN endorses evidence-based nursing education by promoting resources to foster research and evolve research initiatives to transform education in nursing (NLN, 2016). As stated in the mission, nursing excellence is an integral force for the basis of the NLN. In the NLN’s goals and objectives, the drive to be the official source of information for legislation, the emphasis to rally attention to the political, academic, and professional areas, the advocacy in setting standards of caring all around the globe, all reflect the aspirations
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.