...A Review of the IOM Report and its Impact on the Future of Nursing Focusing on Nursing Education, Primary Care and Leadership Nursing as we know it has evolved from the days of Florence Nightingale to be part of today’s complex health care system. The demands and the expectations of the patient and the society in general has gone beyond basic good bedside nursing. Although the public trusts nurses to provide good care, they also see nurses as assistants without much say or assistants in the health care field who dress wounds, give injections and so on. In order to change direction of nursing to be able to meet the current demands of the profession and for the other health care professionals to see nurses as equal allies, an overhaul is required. To address this issue, the Robert Wood Johnson Foundation (RWJF) teamed up with the Institute of Medicine (IOM) to find ways to bridge the gap between the nursing we have today and the nursing that can meet future demands. “The Institute of Medicine is an independent non-profit organization that works outside of the government to provide unbiased and authoritative advice to decision makers and the public” (2010). Their goal is to reform the US health care system. To achieve this objective, they focused among other things, on nursing education, leadership role, and practice, particularly primary care. In writing this paper, I will focus on how the IOM intends to improve nursing education, nursing practice, and in particular primary...
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...The Impact of The IOM Report on Nursing Mariama Jalloh Grand Canyon University Professional Dynamics NRS-430V-0500 Teresa Gaither June 21, 2015 The Impact of The IOM Report on Nursing The Institute of Medicine (IOM) is an independent, nonprofit organization, which was established in 1970. Their aim is to provide advice to all level of healthcare sectors to ensure that effective healthcare policies are being implemented. In the late 2010, IOM released a special report “The Future of Nursing: Leading change, Advancing health”. The report contains three messages related to nursing, which focus on the following sections: transforming practice, transforming education and transforming leadership. This paper focuses on the IOM report and how it impacts nursing education. This paper will also discuss the role of a nurse as a leader and their practice, particularly in primary care. Lastly, this paper will disclose how I would change my practice to meet the goals of the IOM report. Firstly, the IOM report also stated that it is crucial that a nurse must have training from an accredited institution system to so they can be ready contribute at their work (IOM, 2010). Educational standard has influence perceptions about nurses. Academics and professionals have hotly debated the minimum education needed by nurses for several decades. The IOM report also discuss and offer the reason why nurses having a higher level of education is a must; Nursing practice have expand greatly, they...
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...THE IMPACT OF THE INSTITUTE OF MEDICINE REPORT ON NURSING Looking back, the health care system has changed rapidly within decades. Medical discoveries and technical improvements in health care have resulted in exceptional complexity. To be able to provide the best possible care to meet those standards, it becomes a necessity to review and revise guidelines to meet these goals. In 2010, the Institute of Medicine (IOM) prepared and published its ambitious report to support the development of a new health care system for the 21st-century. It calls for nurses to take leadership to transition to a high quality care for an increasing number of patients ("IOM," 2010). To meet this goal, a transformation in education, nursing practice and leadership is demanded. It is imperative for nurses to be knowledgeable and to play an active part in this interesting but challenging time of change. To be prepared for the healthcare modification, the key element towards success is education to build a strong workforce. To ensure safe care and foster critical thinking skills for more complex patient needs, irremissible competencies are required. Beside the basic educational nursing standards, new competencies are emerging. The focus for competencies as improving quality, understanding research and evidence- based practice, making decisions, thinking systematically and leading a team must become part for every nurse in any level of education. A higher level of training becomes necessary...
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...The Impact of the IOM Report on Nursing Grand Canyon University Nurses are an integral part of today’s health care system. Making up the largest group of all providers in the healthcare field, nurses are at the forefront when delivering care for patients. Nurses hear all the time that the aging American population is growing faster than they can keep up with and provide care for. Aside from this older patient population, the healthcare field is also seeing the rise in health problems affecting the younger population as well. For example, more prevalent than every before is type 2 diabetes and obesity-linked conditions in American teens and adolescents. Because of the rapidly evolving health care system nurses must be able to adapt and evolve with it. Obstacles to reaching their maximum practicing potential can sometimes prevent nurses from advancing health. In 2010, the Institute of Medicine with the partnership of Robert Wood Johnson Foundation published their study on the future of nursing, which envisioned expanded roles for nurses in all fields practicing in this country’s health care system. (Hasmiller, S.B., 2013) This study helped pioneer changes in three key fields of nursing practice: nursing education, nursing practice, and nursing leadership. Included in the 2010 IOM report was the recommendation that a minimum of 80% of all nurses have a baccalaureate degree by the year 2020 as opposed to 50%, which was the current number at...
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...Transforming Nursing: IOM Impact Transforming Nursing: An Institute of Medicine Report In 2008, the Institute of Medicine in coordination with the Robert Wood Johnson Foundation (RWJF) formed a partnership to examine the future of the nursing profession and its place in an ever evolving health care system. The resulting report, The Future of Nursing: Leading Change, Advancing Health, was completed in 2010 at about the same time as the passing of the Patient Protection and Affordable Care Act (ACA). The architects of this study recognized that the nursing profession makes up a substantial proportion of all health care providers and consequently, nurses will have a significant impact on the successful delivery of "safe, high-quality, and effective health care service" (Institute of Medicine [IOM], 2010, xi). Accordingly, the primary focus advanced by the committee included transforming nursing education, nurse practice, and leadership within the nursing profession (IOM, 2010). The committee, being cognizant of the challenges facing the health care community, identified a highly educated and well trained nursing corps as being the foundation behind a trustworthy and dependable health care system. Nursing education and training must therefore play an integral part in developing highly skilled and effective providers of excellent nursing care. With this requirement in consideration, four out of the eight final recommendations allude to education and training, including...
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...The Impact of the IOM Report on Nursing Lori VanDerveer-Hand Grand Canyon University October 6, 2013 The Impact of the IOM Report on Nursing Key Message #1:“Nurses should practice to the full extent of their education and training” (Institute of Medicine of the National Academies, 2010, p. 85). The impact that the IOM report has had on nursing and it’s future, as we know it has been colossal already. The report that was obtained in 2010 shows us the importance of nursing in patient centered care and the delivery of more primary care than specialty care as well as the focus of shifting care into the community instead of the acute care setting. If we as professionals can alter this shift in healthcare we will provide advanced quality care, decrease errors and provide better safety. The call for the advanced degree practitioner (APN) and physician assistant (PA) is vast; the IOM report is calling for advanced degree practitioners (APN) and physician assistants (PA) to be able to practice to the extent in which they were trained so that they may be able to take some of the burden off the shrinking medical profession and an already fragmented healthcare system. The hope is by giving the APN and PA a less restrictive role in health care it will help to streamline the fragmented healthcare system as well as significantly bringing down costs. These streamlined plans have already proved effective in the Geisinger Health...
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...The 2010 IOM Impact on Nursing Practice, Education and Leadership Crystal Graham Grand Canyon University May 26, 2010 In 2010 after spending two years researching and discovering that many roadblocks in our current health care system restrict nurses from responding to the rapidly aging and changing health care setting, the Institute of Medicine (IOM) along with the Robert Wood Johnson Foundation (RWJF) released their report, “The Future of Nursing: Leading Change, Advancing Health” (Institute of Medicine, 2011). It was determined in the report that our current health care system was selling patients short on accessible, affordable, safe, quality health care. In response to their findings the IOM called on nurses in particular to transform their practices and become leaders in the health care arena. This can be accomplished through a lifetime of continuous education and leadership skills developed into a more patient centered health care system. This would ensure a safer, higher quality, accessible and affordable health care system for all (American Nurses Association, 2010) (Institute of Medicine, 2011). Our aging population needs more primary care, acute care, and long term care while most nurses seem to migrate toward specialty care services. The demand for care continues in specialty areas, but sometimes excludes many services needed by the aging population. If nurses were to continue their education from the time they became licensed until they retired or left the...
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...Running head: IMPACT OF THE IOM REPORT ON NURSING Impact of the IOM Report on Nursing Grand Canyon University: NRS 430V April 27, 2012 Impact of the IOM Report on Nursing On October 5, 2010, the Institute of Medicine (IOM), in collaboration with the Robert Wood Johnson Foundation (RWJF), released the report “The Future of Nursing: Leading Change, Advancing Health.” This detailed report explores the need of the nursing profession to evolve and prepare for the impact that will occur as a result of the health care reform and the transformation that will be seen to our complex health care system. With the recent passage of the Affordable Care Act (ACA), millions of Americans who were previously uninsured now find themselves with the opportunity to seek out and obtain the much needed medical attention that was previously denied to them. With the heightened number of individuals who are now able to receive primary care, there is concern as to whether or not there will be enough providers available to handle the massive increase in patient load. The reformed health care system now brings on new challenges and these challenges offer nurses the opportunity to practice with more freedom in order help close the gaps within our health care delivery system. The IOM committee formulated key messages that structure its recommendation for this transformation, focusing on three crucial areas including nursing practice, nursing education, and nursing leadership. The...
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...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 conditions in the healthcare system and new legislations to make the system more patients centered will place many demands on the healthcare professionals. The Affordable Care Act (ACA), which was enacted into law in 2010, is expected to add another 32 million people, who were hitherto uninsured, to the country’s healthcare sector. The new law provides enhanced health care through extensive health insurance reforms making insurance providers accountable, reducing health care costs, and providing quality health care for all Americans. The report uses the terms Nurse, Nursing, and Nurse Practitioner (NP) to refer to the nursing profession. Since nursing is the most important and central core of the healthcare system, there is no doubt that the newly...
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...The Impact of the 2010 IOM Report on the Future of Nursing Nursing has evolved so much from its original intent. Nurses progressed from being classified as disorderlies to a well respected name in the health profession. However, even though nursing has come a long way, there are still more changes to come in relation to the shift of focus of healthcare from acute care to community health. As the US population continues to become diversified, nursing too will require adjustments to the ever-changing population. The health care system is now reforming to a prevention rather than cure model. With changes in the healthcare system and the population, the Institute of Medicine (IOM) developed a report depicting the need for nursing to be transformed in the areas of practice, education and leadership. I believe this report will have a strong impact on the future of nursing as it relates to expanding practice, furthering education and demonstrating leadership, all of which will enable a nurse to work at the maximum potential within their scope. Transforming the practice of nursing will be beneficial in its future. It will enhance quality, promote health, prevent illness, and care for people of all ages and ethnicities. One concept involved in this transformation, is providing patient-centered care in all aspects. The IOM report refers to this as nurse guided care. “The nurse providing guided care offers eight services: assessment; planning care; monitoring; coaching; chronic disease...
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...The impact of IOM report on nursing 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. One of the topics discussed in this report is the future of nursing education. The changes being made to our country’s healthcare system must include changes in nursing education prior to licensing and post license practicing nurses. With this change comes the need for a larger amount of nurses entering the workforce to have a bachelor’s degree or obtain it very early in the career. This report states that nurses must be adequately trained to care for a diverse population and to provide all patients safe and quality care and to perform as a leader. Nurses also must be prepared to care for patients in different care settings, such as, community...
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...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 Medicine report covers are that nurses should be able to practice their full potential and extent based on the training and the education (Transforming Practice); the nurses should be able to achieve excellence in improved system of education and as well training (Transforming Education); and nurses should partner in full with doctors and professionals in health care in the redesigning of practices (Transforming Leadership). Impact of Report on Transforming Education The report recommends five core competencies to be integrated in the nursing education. They are, patient centered care, working with other interdisciplinary teams, emphasize practice based on evidence, seeking improvement in quality, and informatics. Computer skills and information...
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...The IOM's Impact on the Future of Nursing Angel Carroll Grand Canyon University Professional Dynamics NRS-430V Mrs. Hathcock February 8, 2014 The IOM's Impact on the Future of Nursing “In November of 2010, the Institute of Medicine issued a special report titled The Future of Nursing: Leading Change, and Advancing health.”(The Institute of Medicine [IOM], 2010). Over the next ten years as new judicial restructurings are brought forth, the Institute of Medicine has contemplated the roles nurses should be taking in an ever changing health care system. However, there are a number of barriers preventing nurses from being able to respond successfully to the hastily changing health care, surroundings, and a growing health care system. The Institute of Medicine believes that these barriers need to be overcome to make sure that nurses are qualified to lead the changes and advance health. The major barrier is governing. The scope of nursing practice is controlled by regulations that differ from state to state. The Institute of Medicine requests nurses to take a grander role in Americas progressively compound health care system. The Institute of Medicine has developed four fundamental messages. The first three relate directly to nursing traditions. It states, that nurses should practice to the full level of their knowledge and training. They believe nurses should complete complex levels of education and training through an accredited school. They also think nurses should be...
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...The Impact of the IOM Report on the Future of Nursing Marsha McGinnis Grand Canyon University Professional Dynamics NRS-430V October 13, 2013 The role of nursing today has vastly changed over the years. Additional responsibilities, growing demands of higher education, and increased job requirements have resulted in an exceptionally complex practice for the modern nurse. In order to meet these higher demands, the committee on the Robert Wood Johnson Foundation at the Institute of Medicine (IOM) published a report containing recommendations to aid and enhance the future of nursing practice. This report contains four main key points. 1. Nurses should practice to the full extent of their education and training. 2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. 3. Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. 4. Effective workforce planning and policy making require better data collection and information infrastructure (IOM (Institute of Medicine), 2011). These recommendations are essential tools that today’s nurses can use to assist in the evolution of nursing practice. Nursing education, nursing practice and leadership skills are all areas that need improvement according to the IOM report. If these improvements are achieved, nurses will be able to enrich the quality of...
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...Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011} The Impact of the IOM report on Nursing Education. According to IOM report the future of nursing is aimed at improving the health of Americans by transforming the nursing profession. It is important for nurses to receive higher education and training to meet the dynamic environment in which they will practice.{Institute of Medicine,2010}. The IOM recommends that 80% of the nursing workforce will have baccalaureate degree in nursing by the year 2020. These nurses would be able to promote quality of nursing care through their critical thinking skills and research. Nurses should achieve higher levels of education and training through an improved education system by encouraging associate degree nurses to obtain BSN degrees. A highly educated nurse is preferred...
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