With the help of the state, the federal government, and of course the healthcare professionals, particularly the nurses, the nation will definitely advance in its rapid changes in healthcare reform.…
The Institute of Medicine report shares many views of transformation for all aspects of nursing. These views contend that several changes will need to happen for the future of healthcare to be successful. No one ever predicted ten years ago that there would be an IOM report stating these perspectives of healthcare, but there was always someone attempting to predict the future of nursing.…
With changes in healthcare such as the Affordable Care Act of 2010 (ACA), nurses will be playing an ever increasing role in patient centered care as healthcare moves away from acute and specialty care, and focuses more on primary care. Today the top providers of primary care are physicians (287,000), nurse practitioners (83,000), and physician assistants (23,000) (Steinwald, 2008; HRSA, 2008). The demand for advanced practice registered nurses (APRN) is expected to increase dramatically to accommodate patients seeking primary care. The IOM suggests that to prepare for this increased demand for nurse practitioners “all health care professionals should practice to the full extent of their education and training so that more patients may benefit” (IOM, 2010, p. 96). This would include standardizing the scope of practice nationwide. Across the United States, scopes of practice vary widely, inhibiting many nurses to provide the full scope…
With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health.…
When considering the impact on nursing due to the report on The Future of Nursing (IOM report, 2010), the need for increased nursing education becomes even more relevant. The nursing profession constitutes the largest segment of the medical field. Thus, nursing will undoubtedly have a vital role in the development of the medical field. However, according to the IOM report, “A number of barriers prevent nurses from being able to respond effectively to rapidly changing healthcare setting and the evolving health care system” (IOM report, 2010).…
With the United States (US) and the world facing a multitude of issues, the nations healthcare concerns continue to take high priority. Finding timely solutions to health care reforms became the inspiration of the Institute of Medicine (IOM). Along with the Robert Wood Johnson Foundation (RWJF), the IOM created the RWJF Initiative on the Future of Nursing, which according the IOM (2010, p.ix) looks at the possibility of strengthening the largest component of the health care workforce – nurses – to become partners and leaders in improving the delivery of the care and the health…
Nurses are in an ideal position to propagate changing within the health care workforce, with three millions nurses to effectuate change, and the objectives within the Affordable Care Act (ACA) providing the largest overhaul within medical care since the inception of Centers for Medicare and Medicaid (CMS) in 1965 (Institute of Medicine [IOM], 2010). The intent of this paper is to discuss the Institute of Medicine (IOM) report regarding the future of nursing as it pertains to nursing practice, nursing education and nursing workforce development. Next, a review of Nevada’s state-based action coalitions and how Nevada advances the goals of the IOM report. Lastly, two Nevada coalition initiatives will be outlined, discussing the advancements and barriers that need to be overcome.…
In order to meet these demands, advances in the education level of the nursing work force as well as in nursing curriculum are needed. Changing outdated regulations and restrictions on nursing practice that will permit nurses to practice to the full extent of their training and education will be critical in meeting the shortage of primary care providers. Nursing leadership roles are also expanding and are important in working collaboratively with other health care professionals to deliver cost effective, high quality care. The window is now open for nurses to take active roles in the reformation of healthcare and the nursing…
In order for this to be effective, outdated policies, regulations, and cultural barriers will need to be removed (National Research Council, 2013). The effect the IOM Report has on primary care is its possible merger with health promotion (IOM, 2012). Because primary care and health promotion are such different entities, a complete merger would be ineffective. Rather, cooperation between the two was deemed more effective (IOM, 2012). This way primary care and health promotion can remain separate entities still. In order to meet the goals of the IOM report, I would encourage my practice to expand the diversity of the staff. The more diverse a practice is, the fewer the cultural barriers we need to overcome. In addition, I would stress the importance of individualized care given to each patient. To accomplish this, I would put a stronger emphasis on the individualized care plans for each patient. Nursing practice must evolve as our population and society in general evolves to ensure the most updated, individualized, and relevant care…
To this day there are three types of programs that exist to allow an individual to practice as an RN: the diploma, the Associate degree, and the Baccalaureate degree. The diploma route is a hospital based program that prepares an individual to sit for the NCLEX-RN. It is usually a two to three year program. It prepares the student for nursing jobs for delivering direct patient care in the hospital or other inpatient setting. The associate route RN is typically a two-year program that focuses on teaching the student technical nursing skills with basic education requirements in math, science, and English. It prepares the student for entry-level nursing jobs in hospitals and inpatient facilities. The baccalaureate route RN holds the higher level of education in nursing. It is achieved through a more rigorous educational study through research and evidence-based practices that prepares them for leadership and management positions. In comparing the associate degree nurse vs. the baccalaureate degree nurse, in order to increase patient safety, the associate degree nurse should attain their baccalaureate degree for standardization in with our continually changing health care systems.…
Nursing profession is the largest division of the healthcare employees. Nurses play an important role when it comes to patient care. There are many obstacles that prevent nurses from being able to respond effectively to constantly changing healthcare system and to make changes and advance health, these obstacles need to be overcome. The Robert Wood Johnson Foundation along with Institute of Medicine (IOM) proposed to assess the need to transform the nursing profession in 2010. The report included making…
In 2011, the Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) to publish The Future of Nursing: Leading Change, Advancing Health. This report is a collaborative report written by a committee of scholars nationwide. Its purpose is to put forth recommendations that allow nurses to “(1) ensure that nurses can practice to the full extent of their education and training (2) improve nursing education, (3) provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and (4) improve data collection for workforce planning and policy making” (The Robert Wood Johnson Foundation and the Institutes of Medicine [RWJF and IOM]. This report sets a blueprint to assist nurses in achieving these goal.…
In 2010, the United States healthcare system began its dramatic transformation as the president signed comprehensive healthcare legislation into law. The legislation, cumulatively referred to as the Affordable Care Act (ACA), offered 32 million, previously uninsured Americans, access to affordable health insurance (IOM, 2011). As Americans rejoiced and signed up for insurance, concern mounted as to whether the current healthcare system could tolerate the increased patient load. The nursing profession, in particular, was expected to face several obstacles in response to a transformed healthcare system (Trouble, 2014). According to an article in Health Affairs, addressing these obstacles requires effective production and use of the nursing workforce (Rother & Lavizzo-Mourey, 2009). In an effort to guide the impending increase of Americans expected to seek healthcare, the Institute of Medicine (IOM) along with the Committee on the Robert Wood Foundation (RWJF) formed an initiative on the future of nursing. The 2-year initiative served as an action-based model for the restructuring of the nursing profession (IOM, 2011). The committee identified four key messages that guided the IOM discussion including the future of nursing education, nursing practice and the nurse’s role as a leader. The key messages and recommendations of the initiative on nursing provided nurses with the unique opportunity to further define its role in the healthcare field.…
In 2010, the Institute of medicine released a report that focuses on the Future of Nursing. In this report the IOM focuses on nursing issues that impact the way health care is delivered and also discusses advances in practice. “Nursing has more than 3 million members, making the profession of nursing the largest segment of the nation’s health care workforce” (Institute of Medicine, 2015). This statistic reinforces the need for nurses to receive support in the way of education, primary care, and nursing leadership roles.…
In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others.…