The recent change in health care reform (2010), Affordable Care Act (ACA), has increase the demand in quality, safe, affordable, patient-centered and accessible care in the areas of community and public health and geriatrics. To be successful with this reform, Institute of Medicine’s (IOM) Report 2010, The Future of Nursing: Leading Change, Advancing Health, is calling upon nurses to expand their role by achieving higher level of education, attain competencies in leadership, research and evidence base practice in collaboration with team to create high quality workforce. The shift/change in care needs and improvement in technology and science, nursing needed to be reexamined and evolve with new emerging competencies.
The report has presented recommendation to enable nurses with their education and training to practice in meeting challenges and demands of diverse public health care needs in the future by:
Proportion increase of nurses with BSN up to 80 percent by the next decade.
By next decade double the number of doctorate degree nurses in the workforce.
Improve education system to promote seamless academic transformation.
Lifelong learning education program to ensure to continue competency education across the life span.
Providing APRNs full extent of practice with in their scope of practice.
Providing opportunities to diffuse successful practice in collaborative effort and leadership.
These recommendation, where it gives nurses the opportunity for higher level of education up to the doctorate level like other health care profession, to be the part of future effective workforce team. It is also adding layer of need of more qualified instructors in nursing schools and other organizations, in order to deal with adoption of current rapid changes in today’s very divers public health care in the curriculum to create nurses ready to deal with the new health care divers need of the public