In the face of an ever-changing health care system, as nurses, we have no choice but to change as well. The Institute of Medicine (IOM), an independent organization with a mission to, “Serve as advisor to the nation to improve health,” created a report outlining major categories of change necessary so that nurses can meet the changing health care needs of the United States (Institute of Medicine, 2010). This report, titled, “The Future of Nursing: Leading Change, Advancing Health”, will be the focus of this paper. This paper will look at the impact of the Institute of Medicine’s report on nursing education, nursing practice in primary care, the impact of the report on the nurses as leaders, and how the author of this paper will change her practice to meet the goals of the report. One of the key points in the report states, “Nurses should practice to the full extent of their education and training” (Goeshchel, 2011). This report fully encourages nurses to never stop learning, and to prepare themselves to maintain a high level of knowledge in their field. The IOM report also follows this key message on education with recommendations for moving forward. One of the recommendations is that as a profession, nurses “increase the proportion of nurses with baccalaureate degrees to 80% by 2020” (Goeshchel, 2011). The next two recommendations are that nurses “double the number of nurses with a doctorate degree by 2020, and ensure that nurses engage in lifelong learning” (Goeshchel, 2011). Through these recommendations, there are many changes in store for nurses at the bedside and practicing elsewhere. Though there are still many ADN programs throughout the country, many ADN prepared nurses are finding it more difficult to find employment than ADN prepared nurses did in years past (Cresaia & Friberg, 2010). This is in part to the changes that we will face regarding