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Development of the Future of Nursing

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Title: Development of the Future of Nursing
James Flynn
Grand Canyon University
December 7, 2012

Title: Development of the Future of Nursing
In an effort to provide American citizens with high quality, affordable health care the president signed into law and passed with help of congress, the Patient Protection and Affordable Care Act also known as the Affordable Care Act (ACA) in March of 2010. The ACA will attempt to provide at least 94% of the population with quality health coverage, while staying within the means of the average citizen. At the same time staying within the $900,000,000.00 budget set by President Barak Obama (Responsible Reform for the Middle Class n.d.). This however, will not be an easy task. In 2010 The Robert Wood Johnson Foundation (RWJF) alongside with the Institute of Medicine (IOM) released the report “Future of Nursing: Leading Change, Advancing Health” (Committee on the Robert Wood Johnson Foundation 2011). At its core the report was a mandate to renovate the current health care system, and at the same time introducing nursing as an essential piece to this renovation. Within the IOM’s report are a few key points that outline their vision of the future of heath care (2011). If instituted, these key points will have major and long term affects on the nursing profession. The report places a higher responsibility on the Advanced Practice Registered Nurse (APRN) to take on the role of a Primary Care Provider (PCP). In order to accomplish this goal it will be necessary for nursing as a profession to place a greater emphasis on higher education at all levels, and innovators within nursing will be required to lead with the new changes that are to come.
Primarily within the ACA is a focus on the reduction of health care costs. One of the ways the IOM attempts to address this issue is by using nurses to the maximum degree of their education and skill level (2011). Meaning the use of APRN such as Nurse Practitioners (NP’s) in the role of primary care givers. Among some of the other directives of the ACA, is the need to increase the amount of federally qualified health centers (FQHC’s) to make available high quality, affordable primary care to the underserved populaces (Flinter, M 2012). In order to make ready the number of Advanced Practice Registered Nurses (APRN) that will be required to accomplish the goals set by the ACA and the IOM’s report, special education and more modern programs will need to be employed. One creative idea to assist Nurses Practitioners (NP) into the role of PCP is the introduction of the one-year NP residency program (2012).
Responding to the challenge of increasing the number of APRN’s as PCP’s serving underserved populations at FQHC’s, nursing will have to provide leaders to effectively work with other health professionals.
The IOM (2011) states the following about the qualities that a leader within nursing must posses.
Knowledge of the care delivery system, how to work in teams, how to collaborate effectively within and across disciplines, the basic tenets of ethical care, how to be an effective patient advocate, theories of innovation, and the foundations for quality and safety improvement. Additionally, nurses who are interested in pursuing entrepreneurial and business development opportunities need competencies in such areas as economics and market forces, regulatory frameworks, and financing policy.
In the end, in order to reach the goals that the IOM has mandated it will be imperative to elevate every level of nursing education. Beginning with the undergraduate level. The IOM’s report is in agreement with multiple other nursing organizations by setting the goal that 80% of nurses within health care should be Bachelor Degree Nurses (BSN’S) (Committee on the Robert Wood Johnson Foundation 2011). Although the debate between the preparedness of the BSN nurse and the Associate Degree Nurse (ADN) has been argued for decades. The simple fact remains that the BSN nurse is ready to make the next step toward becoming an APRN (2011).
As a relatively new nurse I feel that I am currently doing my part to meet the goals of the IOM’s report. By returning to school and becoming a BSN level nurse I will be ready to take the next step in my academic journey toward becoming an APRN. When I was in my ADN program and I would be asked, “Which field of nursing do you want to work in?” my response would be, “I think the field chooses me, not the other way around”. I am still not sure what my next step will be after completing my BSN, but I do know that without my BSN the “next step” will not have the opportunity to choose me.

References
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, Institute of Medicine. "Front Matter." The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies, 2011. http://books.nap.edu/openbook.php?record_id=12956
Flinter, M (2012). From New Nurse Practitioner to Primary Care Provider: Bridging the Transition Through FQHC-Based Residency Training. Online Journal Of Issues In Nursing, 17(1), 1. Doi:10.3912/OJIN.Vol17No01PPT04
Responsible Reform for the Middle Class. (n.d.). The Patient Protection and Affordable Care Act. Detailed Summery. Retrieved December 7, 2012, from http://dpc.senate.gov/healthreformbill/healthbill04.pdf

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