The second key message focused on the recommendation that registered nurses receive greater levels of training and education. This message emphasized the need for nurses to enter the work force with a baccalaureate degree, or obtain it shortly afterwards. It also stressed the need more graduate nurses, specifically “nurse faculty and researchers at the doctoral level” (IOM, 2011, p. 164). Innovative solutions were devised to speak to nursing school capacity and curriculum in order to attain the IOM recommended goal of 80 percent of nurses holding a BSN by the year 2020.
Nurses should practice to the full extent of their education and training. The IOM report transforms the health care system to achieve the goal. It will need a rethinking of the functions of the nursing
The IOM reported the aim of future of nursing is to create improvement in the health of Americans through nursing profession, also to meet need of the different environmental health settings in which they will practice. It is important nurses get advanced education and training. IOM recommended “80 per cent of nurses to get BSN in nursing by the year 2020” (Institute of medicine, 2010). Doing this will enable those nurses to use their critical thinking skills and research to enhance quality of nursing care. The understanding is that nurses need to achieve advanced
The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading Change, Advancing Health has generated a solution to the shortage of primary care providers by promoting a transformation of the nursing profession to fill the gap.
The new IOM report has put a lot of responsibilities on the healthcare industry to change its face from a sick to wellness approach. With this new demand many feel compelled to start a new era in the way of putting the patient at the center of healthcare. With new laws enacted and opportunities at hand nurses have an enormous role to fulfill. Influence by the expectation of the public and our devotion to our calling, great steps are taking to make sure that the patient is receiving excellent care not only in the hospital setting but across the country. An education on what the whole movement entails has raised many questions among nurses who are asked to take a leadership role in the change. In my hospital three nurses were asked about their
Access to quality healthcare is a growing concern in the United States especially in light of healthcare reform coverage expansions made possible by the Patient Protection and Affordable Care Act of 2010. It is estimated that 94% of all Americans will acquire healthcare coverage under the law, an increase of nearly 30 million people (King, 2011). This dramatic influx of patients into the healthcare system has projected to cause an immediate increase in added pressure on an already challenged healthcare workforce (King, 2011). Notably, at a time when healthcare demands are growing, graduate rates from medical schools remain unchanged while advanced practice registered nurse (APRN) graduate rates are rising (Cipher, Hooker, Guerra, 2006). The increased availability of APRNs, along with enhanced delivery of healthcare skills, gives the role a unique advantage in the current state of healthcare. These specialized advanced practice nurses provide services often at a patient’s first (and in some cases, primary) point of contact into the healthcare system (Brassard, 2013). Due to this, many states have started to take action to mitigate the increased healthcare system burden by enhancing the APRN’s scope of practice by broadening prescriptive authority. This has been shown to be one of the fundamental ethical avenues of increasing not only access to healthcare, but also efficiency and quality of care (Ross, 2012).
Advanced practice nursing (APN) has been evolving for some time now. There was a time when nurses practiced in the role of an APN but it was not recognized as a specialty role. This began in the 19th century. However, the term APN was established in the 1980’s to describe the four roles of certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), clinical nurse specialist (CNS), and nurse practitioner (NP) (Hamric, Hanson, Tracy & O’Grady, 2014). According to the definition for the APN, it requires an education preparation, the provision of direct patient care and also competencies that may vary depending on the population of patients the APN serves (Hamric et al., 2014). The APN is required to earn a minimum of a graduate degree in nursing and also to perform direct clinical care to their patients. Therefore, the profession of nursing has grown and expanded to provide specialized care to individuals in
...ch like life in general, is full of uncertainty, as well as endless possibilities. As long as nursing continues to grow, there is no limit to the achievements that can be accomplished in the profession, for not only the individual patients, but also for the healthcare industry as a whole. Nurses must remember, that as they move forward, they will continue to break down barriers and stake their claim as a necessity in healthcare. Nurses must also hold tight to the teachings of their predecessors. The future of nursing holds great advances in healthcare and technology innovation; but, most importantly, the future of nursing needs to be saturated with nurses that are willing to put their heart and soul into healing the human spirit. The future of nursing must bring with it the teachings of the past, while providing their patients with the most qualified nursing care.
...uickly changing medical technology and environment. The bickering and infighting amongst nurses has to come to a stop if the profession is to move forward alongside the other medical professions. It is too late to take nursing back to the point of basic care of the 19th century now fulfilled by certified nurse aides. A nurse is the first and last person many people will ever see. They provide complex care, recognize symptoms and changes when the ever shrinking physician pool is not available, advocate for patient and families, and care deeply for their patients recovery. In this paper the author used past nursing history, current medical demands and advancements, and clinical patient outcomes to argue that the minimum education for a nurse should be a Baccalaureate degree in order to meet the Institute of Medicines goal of 80% of nurses should have BSNs by 2020.
Throughout the centuries the role of the nurse has evolved through many changes due to the demands of healthcare. Currently, there seems to be a shift from the hospital setting and treating diseases to the community and preventive health. I think the future of the professional nurse will continue to evolve around social, economic, political, economic, technological, and organizational issues. As the public becomes more involved in their care, nurses will become more involved in the community to address its needs and assist in preventive care. The healthcare environment is always changing and we continuously try to make it better and positive for patients and nurses. I see future nurses playing a major role in the attempt to contain healthcare
"In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) began a two year study initiative to respond to the need to assess and transform the nursing profession (Institute of Medicine, 2010). An interdisciplinary committee was put together to report the nation 's issues impacting health care. Recommendations were set forth by the IOM in a way to improve and restructure the nursing profession to fit the future of the medical field (Institute of Medicine, 2010). The recommendations from the committee start with an action-oriented blueprint for the future of nursing and identify matters of medical care, research and education. (Hassmiller, 2010). The Affordable Care Act
The National Advisory Council on Nurse Education and Practice, policy advisors to Congress and the Secretary for Human Health Services on nursing issues, encouraged that 2/3 of the nurse workforcr hold baccaulaureate or higher degrees in nursing. According to a 2013 HRSA report, only 55 pervent held these level degrees. But with there being 692 RN to BSN and 159 RN to MSN programs that build on the education provided in associate and diploma programs, graduates are being educated to perform on broader scales of practice. (American Association of Colleges o Nursing,
The Association of Colleges for Nursing (AACN) justification for exchanging the advance practice nursing education to a doctoral level was based on the recommendations of the Institute of Medicine (IOM). Additionally, the complexities our healthcare environment require nurses that understand how to navigate through the healthcare delivery system. The Doctorate of Nursing Practice (DNP) was designed to fill a gap in nursing education. This program focuses on advancing nursing practice and executive management. The American Association of Colleges of Nursing (AACN) proposed that by 2015 that all advanced practice nurses obtain a doctor of Nursing Practice (DNP) to fill the vital role of much needed nursing leaders in healthcare. This movement prompted educators to examine the doctoral education curriculum. The DNP curriculum now educates the student in scientific underpinnings, quality improvement, analytical method, evidence-based practice, systems/technology, policy collaboration, and advanced practice. While, the role of the DNP programs is to prepare the DNP as a clinical expert. The curriculum emphasis on management allows nurses to obtain leadership positions to ensure that nurses
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.