The Future of Nursing
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.
Committee of the Robert Wood Johnson Foundation
Several years ago in 2008 the RWJF and the IOM collaborated for two years to discern the future needs of the nursing profession. Most importantly, the objective was to outline the critical actions needed to ensure nursing was ready to seamlessly move towards the future. This was no easy task as nurses work in such diverse settings such as outpatient areas, acute care settings, the community, and long term settings to name a few. Couple this with the fact that nurses have a variety of educational avenues such as the associates, diploma, or bachelor’s degree open to them to achieve the status of registered nurse (Institute of Medicine, 2010). All of this considered, the committee did design four key messages regarding the future of nursing as key in the transformation of health care as evidenced in their "Future of Nursing" report.
To briefly summarize, the report acts to identify nurses as an important faction in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommend...
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Hansen, J. (2013a, July 13). Wisconsin continues to prepare nursing leaders!. Retrieved from http://campaignforaction.org/news/wisconsin-continues-prepare-nursing-leaders
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Institute of Medicine. (October, 2010). The future of nursing leading change, advancing health.
Retrieved from http://thefutureofnursing.org/sites/default/files/FutureofNursing2010ReportBrief.pdf
Robert Wood Johnson Foundation. (n.d.a). Future of nursing: Campaign for action. Retrieved from http://www.rwjf.org/en/topics/rwjf-topic-areas/nursing/action-coalitions.html
Robert Wood Johnson Foundation. (n.d.b). Inititiave on the future of nursing. Retrieved from http://thefutureofnursing.org/about
What led me to nursing in the beginning was having a passion for people. I love the holistic approach and level of care that nurses bring to the literal bedside table. I knew throughout nursing school that I wanted to advance my education further than bedside nursing. I debated on whether to pursue a master’s degree in nursing and just become a nurse practitioner, but ultimately, I knew I wanted to advance my education even further to help make and promote changes in healthcare. By choosing to become a doctorally prepared nurse practitioner, I hope to change the stigma that is attached with being “just a nurse” and show that nurses play a vital role in redesigning
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
This paper focuses on providing a summary of the efforts of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research which influenced the IOM report, “Future of Nursing: Leading Change, Advancing Health.” The importance of the IOM “Future of Nursing” report related to the nursing practice, nursing education and nursing workforce development will be stated. The role of state-based action coalitions and how they advance goals of the Future of Nursing: Campaign for Action will be described. A summary on will be provided of two (2) initiatives that are spearheaded by Florida state’s Action Coalition with an explanation of ways in which the initiatives advance the nursing profession. Existing barriers to advancement currently in Florida and ways in which nursing advocates may overcome these barriers will be discussed.
What is happening to our health care system? Things are not looking up for those in the nursing profession as the nursing shortage is expected to intensify. According to the Bureau of Labor Statistics’ Employment Projections, in 2022 there will be 1.05 million job openings Registered Nurses (RNs). Currently the turnover rates in hospitals are 8.9% to 34.3%, with a national turnover rate on average of 16.5%, a 1.8% increase from 2012 (Colosi, 2014).There are several factors that affect the shortage, such as: lacks of instructors to enable more people to enroll in nursing school, people are coming up for retirement, and an increase in turn over (Rosseter, 2014). Now is the time for leaders and managers in nursing to step up and not only recruit
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’.
For many years, the nursing shortage has been a relevant topic in today’s society. The nursing shortage is defined as a lack of trained nurses to provide care for ill individuals. Nursing schools inability to grow programs quickly enough to meet demands (Nursing Association of Colleges of Nursing, 2014). The shortage is not only an issue in the United States but all over the world. This problem affects a wide range of people from current registered nurses, patients, and other members of the healthcare team. According to the Nursing Association of Colleges of Nursing (Rosseter, 2014), the nursing shortage is due to the expansion of healthcare and nurses who are baby boomers beginning to retire. The Bureau of Labor Statistics’ Employment reports,
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
Health care reform has been a major issue over the past decade. The Nursing industry has in particular experienced a period of unpredictable change. On Dec 24, 2009, a landmark measure was passed in the senate by a vote of 60 to 39. This decision to pass the health care reform will change America forever. Nurses will constitute the largest single group of health care professionals. They will have a huge impact on quality and effectiveness in health care. The nursing industry will help hold this new program together by acting as the glue (The nursing industry will be the glue holding the new health care in tact.) It is estimated that by 2015 the number of nurses will need to increase to over 4 million. Nurses are the backbone of the health care industry thus creating better polices for this profession will help ease the workload and high demand. A nurse’s main concern is always to insure quality care and the safety of their patients. Under the new health care reform several new measures have been set into place to ease the transition and improve the quality of care for all patients. One program is designed to fund scholarships and loan programs to offset the high costs of education. Nursing shortages and the high turnover has become a serious epidemic. Health care reform is supposed going to solve many of these problems.
Profession of Nursing is always regards as a complex, dynamic and noble. The nursing profession requires many things such as hard work, a vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine .The present patient statistics poses, nurses are expected to take responsibility of accomplishing the requirements. The requirement for excellent nursing skills is added as well as well-formed skills in different aspect. Because of the high demand in excellent nursing care, the IOM have declared the recommendations for the future of nursing.
Issues and trends in the nursing profession are constantly changing due to discoveries in technology and research, changes in reimbursement and legislation, and the changing needs of our population; in fact the only constant in healthcare is change. This course has provided me with a foundation and better understanding of the need for higher education to empower nurses to become leaders and help shape the future of the nursing profession. Nurses are the “backbone” of healthcare and this is becoming more evident with the changes we are currently seeing in the healthcare industry.