...Institute of Medicine Report 2010-Impact on the Future of Nursing Hazel Fernandez Grand Canyon University: NRS-430V (0102) 02/16/2014 Abstract Nursing profession, dynamic in nature is fast growing globally in the industry of health care. Nurses need to be trained and educated to provide quality care and safety to patients in an affordable manner in today’s world. The 2010 Report on the FUTURE OF NURSING: Leading Change, Advancing Health released by the Institute of Medicine (IOM) and the Robert Wood Johnson Foundation (RWJF) gives a detailed discussion with recommendations on Transforming the health care system at the Nurses level. This paper discusses the impact of the IOM report on Education, Practice, and Leadership for nurses. IMPACT ON EDUCATION According to the report of the IOM health care system requires a comprehensive transformation to provide quality, safety, accessibility, patient as the center of focus at the same time it should be affordable to the common man. The 2010 Affordable Care Act is the biggest transformation since the creation of Medicare and Medicaid programs in 1965. To make a difference in this nursing education needs to be improved at all levels. Nursing education is an ongoing process and it should be made available to all practicing nurses whether an LPN/LVN, ADN or BSN. The report determines the fact that all nurses achieve an optimum level of training and education from an education system that caters to the academic requirements...
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...A nursing assistant wheels Margie Whitson back to her room at Golden Oaks Rehabilitation Center and helps her back into bed. Golden Oaks is located on the grounds of Marion General Hospital, owned and operated by the hospital board of directors. It has been a very difficult day. Margie takes a deep sigh as she leans back into bed and says, “I’ll get into night clothes in a few minutes if that’s alright. I’d just like to sit here and think for a little while.” The nursing assistant nods in agreement Margie has just attended the funeral of her son William, who died this week after several years of poor life quality in the same nursing facility. William’s first stroke happened 3 years prior; two more strokes followed, and he lingered in poor health at the center over the intervening time. Margie is now 95 years of age, and William was 73 when he passed this week. The last 5 years have simply been devastating for Margie. First her husband Earl passed on at the age of 88. They had been married for 68 years, most of them wonderful and successful years together, until the medical problems began. They had one other son, Jacob, who died in a motor vehicle accident in his 30s. As Margie sits in the quiet of her nursing home room, she faces the reality that she is utterly and completely alone in the world. She and Earl had hoped for grandchildren, but that never happened, and Margie’s family is simply all gone now. Margie’s own health is poor. A hip fracture 10 years ago...
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...known as Park Central Hospital has provided quality care for the community since its beginning six months ago. However, since there has been a significant reduction in the workforce a new design for patient care delivery is needed. A redesign of the universal worker may be an option for Park Central. Other options need to be examined in hopes that a new delivery system of health care can be provided for the growing community. Quality care and team-work will be the cornerstone of Park Central. The universal worker is a person who is cross trained in many job departments and can provide coverage to another area in the hospital to alleviate staffing shortages. Universal workers in an assisted care facility are certified nursing assistants who provide personal care and services, and also facilitate other needs of the client (Jenkins, 2008, p. 4). Beginning The Process of Job Redesign As the nation’s largest group of health professionals, nurse’s roles are constantly evolving. They play an important role in the delivery of quality and cost effective health care. Since we have nursing shortages, traditional systems of health care delivery cannot be sustained. Reports have highlighted the underutilization of health care professionals (Fyke,2001;Mazankowski,2001; Gieni; ACHHR,2002). As a result of focusing on nurses working to their full potential, efficiency will be optimized and retention of nurses strengthened.(Advisory Committee on Health Human Resources[ACHHR] 2002, p. 6) ...
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...Future of Nursing Report Nursing comprise the largest group of health care workforce in the United States (US), with more than 3 million members (Institute of Medicine (IOM), 2010). Nurses can play an important role in helping to fulfill the goals set by the Affordable Care Act in 2010 (IOM, 2010). However, many obstacles are blocking nurses to advance change in the health care settings. These obstacles need to be lifted for nurses to better position themselves to advance health and lead change. The goals of this paper is to discuss the Institute of Medicine (IOM) report with the Robert Wood Johnson Foundation (RWJF) committee “Future of Nursing: Leading Change, Advancing Health”, the importance of the IOM report on nursing workforce, Campaign for Action, state-based action coalitions and initiatives. IOM report, "Future of Nursing: Leading Change, Advancing Health" In 2008, the IOM, in collaboration with RWJF, launched an initiative to meet the challenges of the nursing shortage to transform the nursing profession (IOM, 2010). With the RWJF initiative on the Future of Nursing, the IOM appointed the Committee with the intention of creating a roadmap to fulfill the RWJF objectives for the future of nursing (IOM, 2010). The RWJF recommends nurses to utilize the fullest extent of their training and education; pursue higher education and training via an educational system that promotes ease of academic progression; collaborate with inter-professionals and physicians as full partners...
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...A TERM PAPER PRESENTED BY EUGENIA NWOKEFORO ON PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS THE EFFECT OF IOM REPORT 2010 ON THE FUTURE OF NURSING PRACTICE Nursing is a profession which plays vital role in improving the health care system by promoting, protecting and optimizing health and abilities, prevention of illness and injury, alleviating suffering through the diagnosis and treatment of human response and an advocate in care of individuals, families, communities and populations(ANA). INSTITUTION OF MEDICINE (IOM) was founded in 1970. In 2008, The Robert Wood Johnson Foundation(RWJF) and Institution of medicine (IOM) formed a two year committee to respond to the need to assess and transform the nursing profession. Today healthcare faces serious issues like child obesity, influenza(H1N1), HIV-AIDS, IOM is the entity that is advising on how to improve the health care system to meet the increased issue as it pertains to saving life and disease prevention and THE EFFECT OF IOM REPORT ON NURSING EDUCATION Nursing education is a crucial issue according to IOM report, Improved education system is paramount to increase nursing competence ,Advanced nursing degree provide nurses with more knowledge in their area of specialization, improve quality and efficient care for...
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...Use of Information Technology to Improve Patient Safety and Quality of Nursing Care Introduction We are in a great evolution in the way we are gathering data, gaining information, and increasing our knowledge to provide our patients’ with safe quality care. Without information technology (IT) in today’s healthcare industry, it would be impossible to delivery high quality care. The purpose of this paper is to explore data accuracy & safety, data integrity, and the contributions of IT. Data Accuracy and Safety One of the biggest obstacles to interoperability among information systems is the vast amount of medical terms used to describe the same concept. One strategy that is being implemented in IT to increase data accuracy and safety is to ensure that all electronic health records (EHRs) in all hospitals share common standards for data, classifications, coding systems (Qamar, R., Kola, J.S., & Rector, A.L., 2007). The aim is to standardize medical vocabulary to reduce differing interpretation of information and errors resulting from the traditional paper records. This is an accomplishment that groups have been working on for the last decade. The health IT Standards committee has endorsed a single set of vocabulary standards and a single guide for putting them in place for each area of quality reporting measures (Mosquera, 2011). Two work groups, The Systemized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) and The Logical Observation Identifiers Names and Codes...
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...Future Of Nursing Elizabeth Lang NRS 430V November 4, 2012 The Affordable Care Act (ACA) enacted into law in 2010, is expected help the 32 million people without insurance in the United States healthcare sector. In 2008, the Robert Wood Johnson Foundation (RWJF) approached the Institute of Medicine (IOM) proposed a partnership to assess and respond to the need to transform the nursing profession to meet the upcoming new challenges and needs from the ACA. After two years of intense discussions and consultations, they released in 2010 a report on the future of nursing. According to the report The Future of Nursing: Leading Change, Advancing Health, “The committee envisions a future system that makes quality care accessible to the diverse populations of the United States, intentionally promotes wellness and disease prevention, reliably improves health outcomes, and provides compassionate care across the lifespan. In this envisioned future, primary care and prevention are central drivers of the health care system. Interprofessional collaboration and coordination are the norm”(IOM, page 2). Currently, with 3 million nurses in practice, nurses make up the largest segment of health care workers. “Nurses thus are poised to help bridge the gap between coverage and access, to coordinate increasingly complex care for a wide range of patients, to fulfill their potential as primary care providers to the full extent of their education and training, and to enable the full economic...
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...Future of Nursing in Education, Practice and Leadership Esther Edukuye Grand Canyon University: Professional Dynamics NRS 430v 5/6/12 Janet Arnold Abstract This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to enhance needed reforms. Having reviewed the 2010 institute of medicine (IOM ) report on the Future of Nursing Leading Change Advancing Health, despite being a practicing nurse for a long time, I felt a renewed sense of call to duty. I felt better about my decision to go back to school to earn my baccalaureate degree and started to think of how I can use the knowledge I will acquire thereby, to empower myself, as related to my present field of practice and start effecting changes immediately in the areas of nursing education, practice and leadership as identified in the report, needing crucial, innovation and reform. As a nurse presently in the mainstream of practice, it is no doubt that nursing care delivery today is really impacted in so many ways, according to the report as follows. Nursing Education:...
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...Implementation of the IOM Future of Nursing Report Grand Canyon University Trends and Issues in Health Care NRS-440V August 09, 2013 Implementation of the IOM Future of Nursing Report In 2010, Patient Protection and Affordable Care Act provided many people access to previously unavailable health care coverage. The goals of the reform are to make health care accessible and affordable to all Americans by controlling insurance costs by making rates similar across all states, standardizing coverage and ensuring that quality care is delivered at all times (Graszkruger, 2011). The health care system and nursing are evolving. The reform provided nurses an important opportunity to lead in the changes. The largest sector of the health care industry workforce is nursing with millions of members (IOM, 2011). The Robert Wood Johnson Foundation (RWJF) and the IOM collaborated over a two-year period starting in 2008 in the evaluation of the importance of changes in nursing in relation to the transforming landscape in health care. IOM chose a committee that came up with outlines of the necessary changes that nursing needs to make to meet the increasing needs of the system. The committee was tasked with the development of recommendations that will address the need for nurses to be active participants in the design and implementation of efficient and effective health care system. The committee came up with the following four areas of focus for nurses: maximizing their education and...
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...Professional Development of Nursing Professionals The nursing profession plays a vital role in the nation’s health care workforce. Currently there are 3 million members thus it is imperative that nursing be ready to respond to the rapid evolving health care system. The Institute of Medicine (IOM) worked over 2 years to produce a report that would be available to make recommendations and serve as an action-oriented blue print to the nursing professionals. This paper will discuss the impact on nursing due to the recommendations on the IOM report regarding transforming education, transforming practice, and transforming leadership. (Institute of Medicine, 2011) Impact on Nursing Education The IOM report made a key point in which “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (Institute of Medicine, 2011, p. 164). As the year’s progress it is vital that nursing education be transformed to stay current with today’s evolving health care. The IOM reports that even though the nursing profession must be transformed to work in a variety of complex settings however, they recognized that the primary goal of nursing education should still be that nurses prepared to meet diverse patients’ needs; function as leaders; and advance science that benefits patients and the capacity of health professionals to deliver safe, quality patient care. (Instiute of Medicine, 2011) The IOM report emphasized...
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...Professional Development of Nursing Professionals According to the Institute of Medicine (IOM) report (2010), the nursing profession has become the nation’s largest health care workforce with more than three million active licensed members. Registered nurses (RNs) usually work in hospitals, physician inpatient or outpatient offices, home healthcare, nursing care facilities, correctional facilities, government offices, schools or public health offices, and within the military. There primary role is provide and coordinate patient care, educate patients and the public about health conditions, and provide advice as well as emotional support for the patients and their family members (Bureau of Labor Statistics, 2016). Nursing has become one of the fastest growing healthcare professions with an expected 20% increase per decade by the year 2030 based on the high demand but quick turnover from the new grad nurses population and the 2010 Affordable Care Act (Auerbach, et. al., 2013). The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) in 2008, created a two-year initiative response toward the need to assess and transform the nursing profession in response to the 2010 Affordable Care Act legislation which has become one of the largest health care overhauls since the 1965 creation of Medicare and Medicaid. The IOM appointed a committee on the RWJF Initiative on the Future of Nursing at the IOM to produce multiple reports that would make recommendations for an action...
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...the IOM Future of Nursing Report Grand Canyon University: NRS 440V Implementation of the IOM Future of Nursing Report In 2010, the Patient Protection and Affordable Care Act, or PPACA gave many Americans the opportunity to have health care coverage that previously may have not been available to them. The reform is primarily aimed at decreasing the number of uninsured and underinsured Americans. The landscape of health care is changing and nursing is evolving alongside it. This health care overhaul gives nurses a vital role in leading the reform revolution. With more than three million strong, nursing is the biggest sector of the nation’s health care labor force (Institute of Medicine [IOM], 2012). In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) joined forces and embarked on a two year joint venture to really assess the need for changes in the nursing profession in the face of the changing health care landscape. This joint committee fashioned a report that outlined the necessary and dynamic actions that the nursing profession needs to make in order to progress with the climate of health care reform. Through its discussions, the committee fashioned four key points that erect the framework for its recommendations; these areas are nurse training, education, professional leadership, and lastly workforce policy (Robert Wood Johnson Foundation [RWJF], 2011). This paper will expand upon...
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...Professional Development of Nursing Professionals Candace Tiley Grand Canyon University April 21, 2013 Professional Development of Nursing Professionals The nursing profession represents one of the largest work forces in the nation with more than 3 million members. In 2008, the Robert Wood Johnson Foundation (RWJF) partnered with the Institute of Medicine (IOM) and began 2 years of research to develop a thorough report on the future of nursing. As we move closer to the implementation of the Affordable Care Act (ACA) of 2010, nurses will be asked to take on the task of transforming the nursing workforce and expanding the delivery of nursing care. (Montalvo, 2010) We, as nurses, are in an important and unique position in that we are the segment of the healthcare field who addresses patient care both in a holistic realm as well as a contextual realm. The purpose of this paper is to look at three aspects of the IOM research and its implications. Nurses Scope of Practice is one of the key areas that the IOM put its focus upon. One of the ways the IOM anticipates changes imminently at hand is that nurses will be required to function to the full extent of their training and education no matter what level of education they currently have. The nursing profession is plagued by polices that are outdated. This is particularly true with regard to the policies regarding Scope of Practice. Much focus is being placed on APRN’s (Advanced Practice Registered Nurses) to act...
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...The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies...
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...Employee Training and Career Development Paper FUNDAMENTALS OF HUMAN RESOURCE MANAGEMENT HRM/300 Employee Training and Career Development Paper Training and development of the employees are important to an organizations success. The human resources management team’s role in the employee training and development, and organizational development is to provide the tools and information needed to be successful. Employee development methods are beneficial to the organization and employees because it ensures that changes are met within the organization. The importance of the human resource management’s involvement in the process is to develop and make sure that programs are available to meet the needs of the organization. Role of Training in an Organization’s Development The role of training in an organizations development is to develop employee’s skills, and knowledge to help the employees to perform his or her job more effectively. DeCenzo and Robbins (2007) defines employee training as “present-oriented training that focuses on individual’s current jobs” (p. 209). An organizations development depends on how well an employee can do his or her current job. Training provides employee’s an opportunity to develop his or her skills, knowledge, attitude, and behavior. An organization profits from training employee’s because the organization needs to have workers who are well-adjusted, have training, and experience to perform the job requirements. Organizations invest in employee...
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