As the health care environment become much more complex, with sicker patients, there is an increased need for coordinated care and critical care decisions for chronic disease management. Resolution recommendations by the Institute of Medicine (IOM) regarding the Future of Nursing, seek to increase the percentage of baccalaureate degree nurse from 50 to 80 percent by 2020. My decision to embark on this experience was not based on this recommendation but I am privileged to be amongst that percentage called to expand our education to a higher level thereby fulfilling that requirement. This training is preparing me to be more equipped for leadership, and more advanced roles in the management of practice, research skills, collaboration, teamwork gaps, care of various populations and evidence based practice. With 29 years of experience, coupled with a BSN degree, ensures me the knowledge and capability to effectively function in these capacities with improved mentoring and critical thinking skills. The Institute of Medicine, requires nurses to be better able to master innovative technological tools required to improve patient care. As I move into leadership roles, I am already assisting with recruitment and retention of nurses for advancement by encouraging my colleagues and new grads to pursue higher education and providing information regarding financial assistance. Being an experienced preceptor will only broaden my ability to ensure their success (Academic Progression in Nursing, 2014).
The Affordable Care Act of 2010, has driven a lot of challenges into the health care system and specific expectations have been placed on the nursing profession to deal with the evolving changes. Nurses are encouraged to advance to the Doctoral level, doubling the percentage by 2020. Once I have accomplished the BSN degree, within a few weeks, I will be positioned to pursue the Master’s and the PhD levels to serve in the capacity of researching, nurse faculty or as a primary care provider, presently in dire need, as less than one percent of advanced level nurses are said to be PhDs. I am passionate about precepting and mentoring so I do consider advancing to this level (Institute of Medicine of the National Academics, 2011). Achieving the PhD degree will furnish me with the expertise to face the challenges, and for better interaction with physicians and executives within the health care sector (Sacred Heart University, 2013). A PhD degree will definitely allow me more involvement in providing safe, accessible, cost effective, quality patient centered care with a focus geared toward primary care and public health within the community setting.
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 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.
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.
Leading You to a Healthy Lifestyle: Nurse Practitioners. I have imagined myself in several different careers that have interested me as I've grown up, from styling hair to being a fashion designer, and even a professional singer. Now, even though it is crazy to believe time has flown by so fast, I am at the age where I am deciding what I want to major in. Even though all of those professions I listed above were very interesting, there was one job when I was growing up that I knew would be a stable and interesting profession: a nurse practitioner. I have always been interested in health sciences and seeing as though I was familiar with a doctor’s office/hospital setting due to being born with a birth defect, I felt that nurse practitioner was the most suitable job for me.
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
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
...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.
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’.
The field of medicine is a continually evolving field. There are developments in medicine made daily that affect both medical professionals and patients. While the positive progress of medicine offers many obvious advantages, it is important that the knowledge of everyone involved with health care grows with these advancements. With the evident importance of nurses in the healthcare setting, the education of nurses is clearly significant. There are many problems in the nursing field that are associated with the inability to set standards at the entry level (Jacobs et al., 1998). The writer believes that the nursing degree should always be advanced to a bachelor’s degree, and then fostered with continuing education courses. Furthermore, the bachelor’s program should place an importance on forming a good knowledge foundation and then building clinical skills. Ultimately the writer believes a highly clinical and critical thinking bachelor’s program is the best educational preparation for an entry level nurse.
Both my current job and are dream jobs are in the medical field they are very similar yet different. For example, my job now is a certified nursing assistant and my dream job is to become a registered nurse. Both jobs consist of taking guardianship of people providing hands-on work, comfort care, and compassion. My dream is to further my career from a nurse assistant and become a nurse that does more for people in the world.
After completing registered nursing school in 2006, a few years later, I obtained a bachelor’s of Science in Nursing in 2016. Over the last 10 years, I have tried to look for inefficient procedures, finds ways to streamline them, and consistently have striven to boost the productivity of everyone around me. Working as a nursing supervisor an area hospital for the last 3 years, I have tried to promote healthy patient outcomes. I understand the need for procedures but I also try to maximized the time spent educating the patients and family. By allowing time for good explanations to both the patient and family development of an understanding their disease process can occur. This empowers them to make informed decisions and promote health improvements. Throughout my career in nursing, I have tried to successfully communicate and partner with other members in
It’s been my desire, longing for a nursing career since I was in my primary and secondary school. At the age of 12, I began to look after children and baby-sitting then, from there, I gained the understanding of how to deal with children. Nursing is one of the highly demanding careers that bring new challenges every day and it comes with various rewards and a real sense of job satisfaction. I chose nursing because it is a profession where you never really finish learning. It has been my dream job since my tender age. Seeing nurses visiting my school treating students, immunisation, teaching us about health and sexual health issues, this encouraged me. My goal and desire at that age have been to help people within the Health sector. That is how; I decided to go to college where I am currently doing my Access to Higher Education Diploma (Science), which involves Biology and Chemistry. I chose this pathway because I want to gain the relevant skills and knowledge of my career to be. As someone who wants to become a nurse, I found biology as an important role in the delivery of client car...
With my academic, professional and volunteer experience, I have reached a point in my career where I am fully equipped to enter the advanced curriculum of the Doctor of Nursing practice, Family Nurse Practitioner program. Working in the nursing profession for the past three years has shown me that there is an increasing need for research to improve health care delivery and access to vulnerable populations. It is rewarding to be a nurse; however there are limitations in my current scope of practice that prevents me to go beyond my job requirements. Through advanced education, my aim is to provide quality patient-family
The BSN is the opportunity to increase the knowledge and understanding of the nursing career. “Nursing is a unique profession because of its synthesis of practice, multidimensional assessment/intervention, interpersonal communication, case management, and resource-linking on behalf of patients” (Jackson et al. 150). I love my work and as a registered nurse I feel totally complete, nevertheless, an advance education as the BSN program, will incorporate critical thinking expertise and leadership skills, required qualities in order to get a better position in the 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.