Summary Of The IOM Future Of Nursing Report

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

A pivotal IOM recommendation was the expansion of opportunities for nurses to lead and diffuse collaborative improvement efforts with physicians and other healthcare members (The Future of Nursing Leading Change, Advancing

These impose severe constrictions on the ability of the nurse to move forward or advance into the areas of practice where traditional nursing practices were not allowed {Institute of Medicine, 2010}. However with the increase in the number of nurses graduating with advance degrees in nursing; the situation is changing. These well educated nurses are leading the charge to confront the complex issues that the rapidly changing health care situation presents. Regulatory barriers must be lifted so that nurses can practice within their scope in order to be reimbursed by private insurance for the services they provide. These changes can be done through the federal and state legislators as well as supervisory agencies and bodies such as congress and licensing regulatory boards. The IOM also recommends that nurses will expand their scope of practice and increase their responsibility through teaching and counseling of patients. {Institute of Medicine,2010}. The use of Advance Practice Registered Nurses and Physician Assistant in providing primary care services will decrease wait time and increase patient satisfaction. The high turnover of nurses transitioning from school to practice also affects the quality of care. These nurses do not have enough experience to make decisions in patient care.{Institute of Medicine,2010}.The IOM and JCAHO{2012} report supports the recommendations for the introduction of nursing residency

The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing

The 2011 Institute of Medicine (IMO) report regarding the Future of Nursing, recognized that the nursing profession has the ability to create change for patient outcomes and for the entire health care system. One of the core competencies of the Future of Nursing IOM report is for professional nurses to utilize evidence-based practice to incorporate clinical evidence at the point of care to improve outcomes for patients (Institute of Medicine, 2011). One way nurses can improve patient care is through the use of check lists or care bundles. Care bundles grouping together of clinically evident care to improve outcomes for patients. Many care bundles are nurse driven and have demonstrated through research, improve outcomes for patients (AACN,

Patients, in any healthcare setting, deserve respect and care that is centered on their unique needs. Nurses and health care are required to assist them to achieve this goal. Changing the health care system will require us to reestablish our

Nursing career is one of the few fastest growing fields in the health care industry not only in the United States but also in the world. Nurse practice has drastically changed in the last decade and as a result the need for changes in nursing practice is becoming more and more important. The Institute of Medicine report discusses so many aspects in nursing but this paper requires detailing the impacts on Nursing Practice (Transforming Practice), Nursing Education (Transforming Education), and the Nurse’s role as a Leader (Transforming Leadership). These three key aspects are discussed in the following pages.

Healthcare systems and the way safe, quality health care is delivered are continually changing to better serve patients and communities. Professional nursing practice is a large component in the healthcare system today. Back in the 1960s, professional nursing leaders tried to adopt the bachelor degree programs as the only educational track to become a registered nurse (Creasia & Friberg, 2011). Due to nursing shortages and demands this motive did not hold fast. Individuals entering the nursing profession today must first decide which educational pathway to take to become a Registered Nurse (RN).

There are over three million nursing professional in United States and they make the largest segment of nation’s health care workforce. Nurses can play a vital role in helping to realize the objectives set forth in the 2010 affordable act, legislation that represents the broadest health care overhaul since the 1965 creation of Medicare and Medicaid program (IOM 2010). Due to the restricting barriers nurses were not able to respond effectively to the changing health care systems. In 2008, The

Nurses will see tremendous job opportunities in primary care settings, because the focus of care is shifting to prevention and wellness, and in geriatric nursing due to the soaring numbers of the aging population requiring the health care. PPACA uses significant resources and stimulus plan to implement care delivery models that are dependent on a powerful nursing commitment and leadership in achievement to provide a quality cost-effective patient-centered care (Haney, 2010). Nurses will assume more roles in health care with expanded power and responsibility in the evolving care delivery models specifically addressed in PPACA (Haney, 2010, p. 2), and in providing continuity of

According to the IOM report, the nursing profession is undergoing fundamental changes within the underlying operations of the field. A new regulatory environment coupled with increased scrutiny of the profession will dramatically impact the nursing profession. As the report indicates nurses, in the near future, will have job requirements that are business oriented. Nurses will need to have a better understanding of quality management methods in addition to overall concepts of management. As the health care system continues its rapid reform nurses must also be cognizant of the effects these changes will have on their overall roles and responsibilities. This involves a transformation of the roles and responsibilities of nurses as they enter the profession. As the health care landscape continues to change, so too must the nurses of the future. A dedication to continual learning is therefore needed to help diminish the influence of antiquated and obsolete knowledge regarding the profession.

In 2010, the Patient Protection and Affordable Care Act (PPACA) has turned into law which impacts the health care system, expands the nurse’ role, and alters the practice of nursing and patient care delivery. The reform has shifted more nursing jobs from the acute care facilities to the communities’ settings. PPACA stresses in three new care delivery models, which include: Accountable Care Organizations (ACOs), Medical Homes, and Nurse-Managed Health Clinics.

The shift in the health care management from individual disease management to the population health care approach has been a driven force for the recommendation by the institute of medicine (IOM) in the United States (Sickora, & Chase, 2014). Some of the recommendations include that the advanced practice registered nurses (APRN) to operate more efficiently, practice to their full professional scope, and in a cost effective manner. In light of this, the American Association of Colleges of Nursing (ANCN) in 2004, endorsed that the training for APRN should receive training to the doctor of nursing practice (DNP) degree level (Potempa, 2011). In addition, the ANCN stipulated the education and competency roles of the DNP nurses to include eight

Nursing practice is also one of the key messages addressed in the IOM report. The report suggests that “nurses should practice to full extent of their education and training”. Furthermore, “nurses should be full partners with physicians and other health professionals, in redesigning health care in the United States. This report has a great impact on nursing practice. The IOM report suggests that greater focus on managing the transition from nursing to practice. It recommends that regulatory reforms must be made to allow nurses to expand their scope of practice (IOM report, 2010).

The American Nurses Association (ANA) is an advocate of the IOM’s report. The report is consistent with ANA’s recommendations and goals and highlights the importance to nursing to continually advance the profession. Furthermore, the ANA agrees with the emphasis and significance placed on the need for nurses to be owners of leadership roles within the health care setting (American Nurses Association, n.d.). The report is relevant for all people and never loses sight of the patient as the center of care and most importantly is based on evidence (Robert Wood Johnson Foundation, n.d.b). The Campaign for Action was derived with the intent to continue the efforts and to further the advancement of the objectives of the