Iom 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

The (Institute of Medicine Report ,2010) pointed that there was need in the transformation of nursing

The role of nursing has evolved over time and will continue to evolve. Currently, in an effort to keep up with the health care reform and

As the shortage of physicians grows, so does the demand for care. Patients and organizations will rely on nurses to close this gap in primary care. This will require nurses to provide a higher level of care and a broader range of services. They will be expected to be more independent, accountable, professional, and highly educated. Baccalaureate programs provide advanced training in critical thinking, leadership, education and patient safety (Cresaia & Friberg, 2010). Associate degrees are more focused on the technical aspects of nursing care and teach only the basics of leadership (Moore, 2009). Nurses that obtain a BSN degree are more prepared to face today’s challenges in health care and

The medical world is about to entire unfamiliar territory in the very near future. The first Baby Boomer hit retirement age in 2011. Progressively, the medical world will be flooded with the largest aging population in history. The issue isn’t the number of those in need but the number of those available to meet that need. The graduate nurses are finding that each country has their own minimum standard in order to work. The United States is one of the few that has yet to mandate BSN as the minimum. In order to keep pace with the rest of the world, nursing schools are initiating the RN to BSN push.

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

To practice evidence-based nursing, one must understand the concept of research and how to precisely evaluate research. ADN programs are primarily geared towards the basic nursing skills and lack exposure to this type of research. The BSN programs will cover a broader range of theory-based practice, as well as encourage more developed adaptation skills. The result will be an overall better patient outcome, due to the higher level of education.

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.

Impact on Nursing of the 2010 Institute of Medicine (IOM) on the future of nursing.

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.

214) “The ACA and the need for APRNs, nurse faculty, and nurse researchers would have increased dramatically under any scenario.” (L R Cronenwett [RWJF Iniative on the Future of Nursing], 2010, table 1). “Not only must schools of nursing build their capacity to prepare more students. Nursing need to focus on fundamental improvements in the delivery of nursing care to improve patient safety and quality is key.” (IOM, 2010, p. 208)

Changes in health care system have rendered the system unprepared to support new demands. The current system is not set up to support the evolving needs .To address these changes and to meet the demands of a changing health care system, the Institute of Medicine (IOM), working in collaboration with the Robert Wood Johnson Foundation, released a report entitled The Future of Nursing: Leading Change, Advancing Health, to respond to the need to assess and transform the nursing profession. Recommendations in the report advocate for major changes in the education and practice of nursing in the United States. This essay discusses the impact of Institute of Medicine’s report on nursing education, nursing practice, nursing role as a leader, and ways in which nurses and educators can help promote expectations..

In 2008, The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) launched an initiative to assess and reform the nursing profession to address the complex unique nursing needs for the current world. The IOM report published in 2010 calls on nurses to take greater role in the healthcare system by taking leadership roles and obtaining high level education. The report envisions nurses to use their full potential and attain academic progression to redesign the healthcare profession in United States.

“Nurses are more than caregivers in today’s healthcare settings. They are teachers, advocates and pioneers in improving healthcare. They are stepping out of the old model and taking ownership for changes in healthcare. Nurses are developing their own scientific research programs to improve patient care. They are playing a pivotal role in healthcare reform. Nurses are becoming leaders, not followers in healthcare reform.”

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.