IOM Future of Nursing Report
Nurses comprise the biggest fragment of the health care profession, with around three million registered nurses in the US. They offer a range of services involving health promotion, direct patient care, coordination of care, and patient education. They are researchers, serve in leadership roles, and work towards the improvement of health policy. As the health care delivery system goes through reformation, partly as a result of the ACA, the profession of nursing is having a widespread impact by offering accessible and patient-centered at an affordable price. The IOM report offers recommendations for nursing the reformed health care system. The paper discusses the IOM report has influenced nursing education and training, practice, and role development and the role of state-based action coalitions in promoting implementations contained in the report.
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The work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report
In 2008, the RWJF entered into a partnership with the IOM to institute a two-year study to assess the profession of nursing, recognizing that redesign of the health care system would require nurses to be active, and visibly due to their numbers. According to Altman et al. (2019), The RWJF committee was given the task of examining if the nursing workforce was in a position to fulfill the demands or patients of a transformed health care system. It was to develop a series of recommendations, entailing recommendations that address the provision of nursing care a transformed health care system, and the education system to adequately prepare nurses.
The four “Key Messages” that structure the IOM Report recommendations
First key message
The first key message is that nurses should practice at the top of their training and education. The committee performing the study established that policy, regulatory and historical barriers have hindered nurses from performing a wide range of tasks for which their training and education have prepared them. Kimuyu (2018) indicates that the committee devised recommendations for state legislatures, Congress as well as several federal entities on actions that could be carried out to eliminate barriers to practice. Also, the committee established that new nurse graduates could gain from further help in transitioning to practice, and proposed the creation of residency programs to assist newly graduated nurses to further refine their skills NRS-440VN – IOM Future of Nursing Report and Nursing
This message has influenced nursing practice by enhancing the removal of practice barriers to enable nurses to practice at the top of their training and education. In 2013, fifteen had made changes in their laws to grant NPs full authority to practice and prescribe (Hansen-Turton, 2015).
Second key message
The second key message is that nurses should attain higher levels of training and education via an improved education system that supports flawless academic progression. According to Altman et al. (2026), the committee proposed that a high number of nurses advance their education so that by the year 2020, 80% of the nursing workforce nurses would possess a baccalaureate degree, with the with a doctoral degree doubling. Additionally, the committee proposed that nurses embark on lifelong learning all through their careers, and the diversity of the workforce be increased.
The message has led to a rise in baccalaureate degree programs and the number of students enrolling in and graduating with baccalaureate degrees. Additionally, there has been development or expansion of residency programs in different levels and settings. For instance, over 130 health systems and hospital s across the United States are presently participating in the AACN/UHC program, with yearly participation having risen to 9,000 in 2014 from 3,579 in 2010. In 2002, AACN and the university healthsystem consortium (UHC) have created a residency program for nurses who have completed their baccalaureate degree programs (Altman et al., 2016).
Third key message
The third key message is that nurses should fully partner with physicians and other health professionals in revamping health care in the US. According to Altman et al. (2016), the study committee established that for nurses be capable of fully take part in reforming the health care system, it will be essential for them to take leadership roles and work in collaboration with other health professions’ leaders. The committee proposed that education programs, financiers, along with health care organizations offer, fund, and expand opportunities for the nursing workforce to build up leadership skills and take on leadership roles, and that people who make health care decisions make sure that nurses leaders in both in management teams and boards.
There has been development and expansion of opportunities for leadership development by nursing associations, education programs, and private organizations. As indicated by Altman et al. (2016), nursing associations vigorously support programs designed to enable nurses to skills in leadership and entrepreneurship. For instance, the American Organization for Nurses executives offers a variety of nursing leadership education along with leadership development programs, for example, the nurse manager fellowship.
Fourth key message
The last key message is that effective planning of the workforce and making of policy needs an improved collection of data along with enhanced information technology. The committed found that planning and preparation of essential transformations in the system, necessitates granular and reliable data on the health care labor force. The committee suggested that the National Health Care Workforce Commission work together with the Health Resources and Services Administrations in improving data collection and analysis on the health care labor force (Altman et al., 2016).
The role of state-based action coalitions
The Center for Champion Nursing in America and the Association of Retired people launched state-based organizations referred to as Action coalitions in all states as well as the District of Columbia as the foundation for the implementations of the IOM recommendations. State-based action coalitions play the role of advancing the recommendations contained in the IOM report at local and state levels (Friberg, 2019). Action coalitions are regarded as the driving force for the Future of Nursing (FON) campaign since they are capable of working as a network to enhance transformation at the local level. NRS-440VN – IOM Future of Nursing Report and Nursing.
The initiatives on which the California action coalition is working
The California Action Coalition is the impetus for the execution of recommendations of the IOM report. The Action Coalition has partnered with HealthImpact to increase the sustainability of both groups and perform the universal goal of positively influencing health care is delivered in California. The coalition has also engaged in working to promote leadership opportunities for nurses. There is an active mentoring program in the state, which is administered by the Association of California nurse leaders. These initiatives advance the nursing profession by advancing public health and recognizing the role of nurses as leaders in the transformation of health care.
Barriers to advancement that currently exist in California
Lack of full prescriptive and practice authority are barriers to advancement in California. NRS-440VN – IOM Future of Nursing Report and Nursing. According to Phillips (2020), nurse practitioners in California must adhere to standardized protocols when carrying out medical functions or when ordering or prescribing devices and drugs. The protocols are created and consented by the physician, nurse practitioner, and the management of a health care organization in which the practitioner is employed. Opposition from physicians and lack of awareness by the patients and the general population on nurses’ competencies are other barriers to nursing advancement
Nursing advocates overcome thing barriers by lobbying policymakers to amend the current laws to allow nurse practitioners to practice and prescribe medications without being supervised by physicians. The advocates are also taking the lead in informing and educating physicians about the scope of nurse practitioners and their levels of education and educating patients and the general public about the responsibilities and roles of nurse practitioners.
The IOM report explores how the education, responsibilities, and the roles of nurses should significantly be changed to meet the high demand for care that will occur as a result of a reformed health system and to promote improvements in the United States health system. The report contains key messages related to nursing practice, nursing education, partnerships for progression, and date on health care labor force. . State action coalitions play the role of advancing the IOM recommendations at local and state levels. The report has greatly influenced nursing education and practice. NRS-440VN – IOM Future of Nursing Report and Nursing.
Altman, S., Butler, A., & Shern, L. (2016). Assessing Progress on the Institute of Medicine Report The Future of Nursing. The National Academies Press.
Friberg, E. E. (2020). Conceptual Foundations E-Book: The Bridge to Professional Nursing Practice. Elsevier Health Sciences.
Hansen-Turton, T., Sherman, S., & King, E. S. (2015). Nurse-Led Health Clinics: Operations, Policy, and Opportunities. Springer Publishing Company. NRS-440VN – IOM Future of Nursing Report and Nursing.
Kimuyu, P. (2018). The Future of Nursing as Envisaged by the Institute of Medicine. Munich, GRIN Verlag.
Phillips, S.J. (2020). 32nd Annual APRN Legislative Update: Improving access to high-quality, safe, and effective healthcare. The Nurse Practitioner, 45(1), 28-55. doi: 10.1097/01.NPR.0000615560.11798.5f
IOM Future of Nursing Report and Nursing
Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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