Abstract
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.
Professional Development of Nursing Professionals: Impact on Future of Nursing The key points that the Institute of
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The need for expansion in their roles for higher levels of education and an improved system of education are required for nurses now for meeting the diverse needs of the patients and to provide better care. Improving the education system and achieving a more educated work force is increasing with nurses having baccalaureate degrees , that is, a traditional Registered Nurse to Bachelor of Nursing program or a traditional 4 year Bachelor of Nursing program or a program that allows seamless transition from Associate in Diploma Nursing to Bachelor of Nursing. Impact of Report on Transforming Practice The impact of report on practice particularly in primary care is very huge. Over the past decades, we have realized, with every passing decade, nursing has become an increasingly integral part of the healthcare services, so that a future without large numbers of nurses is highly impossible to envision. We have also witnessed the drastic changes and advancement that have happened in the field of nursing over the past decades. Nurses have to change their current health care practice in order to meet the growth and also the goals of the IOM report. The report indicates, of the overall nurses employed in healthcare, 80% of the nurses will have a baccalaureate degree by the year 2020. The baccalaureate and graduate nursing programs prepare nurses thoroughly so that they will have significant knowledge,
With an ever-increasing body of knowledge in the field of nursing, more education is being required to enter the field of nursing. Many healthcare institutions are raising the educational requirements in order to become employed or maintain employment in their facilities. Healthcare organizations are transitioning to hiring registered nurses (RN) who have a higher level of education, such as, a graduate from a Baccalaureate Degree Nursing (BSN) program. The goal of these institutions is to have nurses with a broader array of skills that can meet the growing demands of our patient population. BSN prepared nurses are recognized for their well-rounded skills in critical thinking, management, case management and health promotion versus Associate Degree nurses (ADN)/Diploma nurses that focus on direct patient care.
Furthermore according to American Association of College of Nursing, “the baccalaureate degree is designed to prepare nurses for work within the growing and changing health care environment. With nurses taking more active role in the health care, they are expected to develop critical thinking and communication skills in addition to receiving training in clinics and hospital”(American Association of College of Nursing) .
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 impact of iom report on nursing practice particularly on primary care and how you would change your practice to meet the iom report. Scope of practice barriers are particularly problematic for advance practice registered nurses (APRN’s) aprn’s and the expansion of healthcare organization that have increased the roles and responsibilities of nurses in patient care- such as veterans, health, administration/ remove scope of practice barriers, particularly for aprn’s. How I can change to meet the IOM reccomendations. I have taken the first step by enrolling in an ADN to BSN program. I recently got a certification in my specialty- maternal newborn nursing. With these skills, I will be able to not only advance my personal career, but also apply my knowledge to make the environment more efficient and beneficial for the patient. By incorporating research and evidence based practices in patient care, I will be able to assist the patient to the best of my abilities.
Bachelor degree nursing programs are highly regarded for the skilled, clinical thinking, and professionalism of nurses they provide for the community. Obtaining a baccalaureate in nursing provides the same skills and knowledge encompassed in most associate’s programs, while allowing a broadened look into research, public health, management, and humanities (AACN IENP, 2012). Many facilities are now providing incentives for nursing staff to continue their education; from tuition reimbursement, an increase in pay, and played time off for the sole purpose of education. Research has proven that with a more educated
The report shows that the part of nursing must be expanded so that nurses are able to practice to the fullest degree of their education and training. Currently, advanced practice nurses (APRNs) work according to the scope of practice guidelines set forth by their individual state, meaning these highly educated nurses may not be working to the extent of their training but to the individual state laws. The report offers recommendations to streamline these idiosyncrasies and get rid of the red tape so that nurses can work in their appropriate manner and deliver safe quality care to some 32 million Americans who will before long gain access to health care services (American Association of Colleges of Nursing [AACN], 2012). The report correspondingly finds that nurses need to attain advanced levels of education and training through an enhanced education structure which encourages a cohesive academic progression as to safeguard the delivery of quality health care services. Patients are becoming progressively more complex and nurses need to attain the proper skills to care for these persons. Nursing education must embrace the continuous move towards a streamline approach to higher degree programs (Institute of Medicine [IOM], 2010, p. 2). Nurse residency programs
The (Institute of Medicine Report ,2010) pointed that there was need in the transformation of nursing
The Impact of the 2010 Institute of Medicine (IOM) Report on the Future of Nursing in Education, Practice and Leadership
In the future nurses will have to face complex care situations in hospitals and should take critical lifesaving decisions with the help of technology and information management systems which requires analytical and synthetic skills. A baccalaureate or doctoral degree will help nurses to master the domain with more than basic knowledge of patient care.
Review the Institute of Medicine (IOM) report: "The Future of Nursing: Leading Change, Advancing Health," focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.
In 2010, the Affordable Care Act (ACA) was signed into law by the United States government and is the largest health care reform since Medicare and Medicaid were established in 1965. With this new legislation, there will be a huge transformation of the health care system we know today. The Institute of Medicine (IOM) is an organization that is independent of government and provides unbiased advice used in making informed legislative decisions about health care. The Robert Wood Johnson Foundation (RWJF), the largest philanthropy in the United States, collaborated with the IOM to evaluate and transform the nursing profession in order to provide
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).
“Throughout the last decade, policymakers and practice leaders have recognized that education makes a difference” (Impact of Education, n.d.). Hospitals are also trending towards preferred hiring of bachelors prepared nurses for their workforce. Even national organizations are jumping on the bandwagon requiring “all nurse managers and nurse leaders to hold a baccalaureate or graduate degree in nursing by 2013” (Impact of Education, n.d.), likewise the Institute of Medicine has also recommended that all hospitals have at least 80% of their nursing staff with a BSN or higher by the year 2020 (Impact of Education, n.d.).
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.
The fourth recommendation suggests the increment of the proportion of nurses with a baccalaureate degree to 80% by 2020. In this way, it is fundamental to note that such an increase is likely to impact extensively on the performance of nurses and the general efficiency of the nursing profession. An increase of such nurses to 80% would certainly mean that the care and duty normally provided by the nurses will certainly improve. Considering that most nurses only hold diploma certificates as the basis for their service, an increase in degrees will mean that more nurses will have learnt more about the nursing profession. In this regard, their performance would be expected to increase drastically.