...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...
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...The Institute of Medicine (IOM) started in 1970. It is a non-profit organization. The main goal of IOM is to help private organizations and the government in making health decisions based on evidence and practice. On October 5th, 2010, the IOM released its recommendations on nursing in the US. According to the report it is crucial for nurses to obtain higher levels of education and training. You can depend on the IOM to be a fair and reputable organization. The IOM works with national academies and has a large number of professionals and volunteers. Their time is spent trying to come up with ideas to improve and support health. In order to manage the increasing responsibilities that come with the rapidly growing health care, nurses have to increase their level of education and training. Nurses need to be able to take the role as leaders, particularly nurses who practice in primary care. A report issued by the IOM proposed that these better-trained nurses can fill a gap. This brings up an old debate regarding what is “scope of practice.” Should nurses be able to order tests, write prescriptions and take on other responsibilities only reserved to doctors? Health challenges have shifted in the 21st century. In the 20th century we focused more on treating acute illnesses and injuries. Today Americans are older, those 65 and older will be almost 20% of the population by 2030. The older population creates more chronic conditions such as diabetes, heart...
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...Professional Development of Nursing Professionals Vann Joyner , RN Grand canyon University NRS430V Professional Dynamics As the delivery of health care system goes through changes to meet the populations demand to provide affordable health care based on the( 2010 Affordable Health Care Act), and as new technology and methods of treatment are introduced to an aging system of old. The way nurses practice will directly need to change how it provides quality patient care. So with nurses being the largest component of the health care system, the role nurses play on the frontline and behind the scenes will need to change. In 2008 The Robert wood Johnson Foundation and the Institute of Medicine (IOM) did a report entitled the “Future of Nursing: Leading Change, Advancing Health”. Within this report recommendations are made to describe the areas in nursing where change is needed to allow nursing to provide optimum nursing care. Three of the areas discussed are how primary care is given by nurses, the need for ongoing nursing education and the development of nursing leaders participating in all areas of the development of health services. Nurses are one the most visible heath care providers you encounter when you think of within the acute care setting, hospitals , urgent care centers , etc. Related to primary care, nurses play a role from admission to discharge. The IOM states that “Nurses should practice to the full extent of their education and training (IOM, 2010).A large...
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...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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...Impact of IOM Report on Future of Nursing According to Institution of Medicine report on Future of Nursing, it is crucial to have advanced education in order to improve the critical thinking skills and to create efficient, improved and quality care to patient. The Institution of medicine is a nonprofit and unaffiliated organization, to provide advice to the government on health decision. The Institution of medicine was established in 1970 .Certain barriers may prevent nurses from being able to respond effectively to rapidly changing health care system. The barriers include age limits, poor competency level, communication skills or family and social factors. Robert Wood Johnson Foundation focuses on “attention and resources on health care challenges both broad and specific in order to make a difference on widest scale” (www.rwjf.org). A consensus report was developed on future of nursing to assess and guide the transformation of the nursing profession. According to Mar Crane , “ America’s health system is tangled , highly fragmented web that often waste resources by providing unnecessary services and duplicating efforts , leaving unaccountable gaps in care”(Crane, 2001, p. 1). The report recognizes that the nurses have central role in health care system transformation. There are barriers and resistance on transforming health care profession. The institute of medicine (IOM) report offers recommendations and key messages to make sure that each one treated respectively...
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...The Impact of the Institute of Medicine Report on Nursing Amy Nikrasch Grand Canyon University: NRS-430V 01 December 2013 The Institute of Medicine's Impact on Nursing The United States government has identified that a health care reform is needed to ensure that all individuals have access to health care. In March 2010 President Obama signed the Affordable Care Act (ACA) to ensure all individuals in the United States will have access to quality health care ("Key Features Affordable Care ", 2013). Many organizations, including the Institute of Medicine (IOM), recognize that changes need to be made to the current health care system in order for Affordable Care Act to be successful. In 2010 the IOM issued a report reflecting changes needed in health care including: nursing education, nursing practice, and nursing roles as leaders (“Future Nursing”, 2010). Changes in Education According to the IOM report, nursing education is one area of health care that requires changes. Currently entry nursing is comprised of nurses with diplomas, associate degrees, baccalaureate degrees, and master's degrees. The IOM's goal is to have 80% of nurses with a minimum of a baccalaureate degree and allow them to practice to the fullest of their education and training by 2020. Health care will be shifting to more patient centered care, focusing on health promotion and preventative care with less acute and specialty care. Associate level nursing curriculums do not prepare nurses...
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...Impact of the Institute of Medicine in the Nursing Practice Nurses play a critical role in our country’s medical field to provide safe and quality care for all patients. The Institute of Medicine (IOM, 2010) appointed a committee on the Robert Wood Johnson Foundation in 2008 with the purpose of creating a report that would make recommendations for a plan for the future of nursing. In order to keep up with the rapid increase in the health care demands changes have to be made, approved and implemented. The IOM report has impacted the future of nursing education, nurse’s role as a leader and the nursing primary care practice (IOM, 2010). The nurse’s education is constantly evolving to meet the demands of the population’s health care needs. The IOM report (2011) encourages nurses to achieve higher levels of education and recommends that they be educated in new ways that better prepare them to meet the needs of the population. Training nurses to deal with the changes in the health care system involves the input of the health care employer agencies, the school system and the community (IOM 2011). As stated in the IOM report, continuing education raises the capability needed to deliver care for various populations through the life span (IOM, 2010). To encourage nurses to advance their education there have been proposals for health care agencies to offer incentives for nurses that continue their education. Higher education will provide competent nurses that will be able to provide...
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...Institute of Medicine 2010 Report Guiding the Future of Nursing Susi Rubendall Grand Canyon University: NRS-430V-0506 February 22, 2015 Nurses are critical to the future health and healthcare of America. The enactment of the Affordable Care Act (ACA) calls for a transformation of healthcare to provide a safer, more affordable, more accessible and higher quality of healthcare. Central to these goals is high quality nursing care and practice. In 2008 the Robert Wood Johnson Foundation (RWJF) asked the Institute of Medicine (IOM) to become a partner to examine and consider what it would take to radically change and address the biggest issues of healthcare, cost and improved care. This ground breaking and far reaching collaborative effort resulted in the presentation in 2010 of a cohesive document “The Future of Nursing: Leading Change, Advancing Health”. The report focused on recommendations for improvements which include nursing’s important role in improving healthcare in America. This paper will look at the impact of the IOM 2010 report on nursing practice, nursing education and nursing leadership. Impact on Nursing Practice Nurses as the largest part of the healthcare workforce are poised to have an important role in transforming healthcare to provide quality care and improve health outcomes in America. An important message of the IOM report is the Key Message #1: Nurses should practice to the full extent of their education and training...
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...United States health care system is composed of physicians, Physician assistant, Nurse practitioner, Nurses and Care nurses. Nursing incorporated wide range of sub classes that includes Bachelors, associates, RN and LPNs and more. Nurses incorporate broad spectrum of care including health promotion, disease prevention and palliative care. Nursing profession also faces challenges as it’s not as diverse as our population is based on ethnicity, gender, and age. Many changes and improvements are required in profession in order to address the changing and newly developing problems. In 2010, report was published by IOM in order to improve the health care system of United States. This report focuses on many issues including transforming the health care system by improving the role of nursing. This report recommends that nurses should practice to full extent of their education and experience. Nurses must achieve higher level of education. Nurses should also have increased communication between all circles of health care system including physicians, professional and care nurses, leadership and policy making qualities, effective workforce and fine infrastructure of data collection. These recommendations highlight the intersection between the diversity in United States and actions taken by nurses. Theses recommendation only focus on how can nurses provide the best care to the patients regardless of how difficult it can be for nurse to practice them. IOM is very detailed report for the...
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...The Institute of Medicine (IOM) partnered with the Robert Wood Johnson Foundation (RWJF) in 2008, prior to the Affordable Care Act passing, stated a two year study on the nursing profession and changes needed to advance the future of nursing practice. The introduction of the report states the groups “established a 2-year Initiative on the Future of Nursing. The cornerstone of the initiative is this committee, which was tasked with producing a report containing recommendations for an action-oriented blueprint for the future of nursing, including changes in public and institutional policies at the national, state, and local levels” (IOM, 2011). This report also determined that nurses should continue to strive for higher levels of education and advanced training using an improved education system that promotes seamless academic progression unlike the stair-step type systems currently in place that do not facilitate education advancement. So when Congress passed the the Affordable Care Act March of 2010, which is the biggest reformation of the healthcare system since the Medicare and Medicaid programs were first created in 1965, created even more of a need for more nurses in advanced clinical roles. According to Medicaid.gov, “The Affordable Care Act is actually two separate pieces of legislation; the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Together these 2 legislative acts expand Medicaid...
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...The Impact of the 2010 Institute of Medicine (IOM) Report on the 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...
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...The Impact of the 2010 Institute of Medicine (IOM) Report on the Future of Nursing in Education, Practice and Leadership NRS-430V Professional Dynamics September 12 2012 This paper focuses on expanding the impact of Institute of Medicine report on future of nursing, leading change, advancing health and illustrates its impact on nursing education, practice and leadership. Focus of this report highlights re structuring of the health care system to provide better service to patients. Today nursing is recognized as a promising career and has gained much significance over the years, several programs for becoming a nursing professional are being offered by universities, community colleges and hospital based schools. Since the mid 20th century, demands for nursing professional have been on an up rise, there has been a tremendous increase in the number of nursing graduates in the last decade (NLN, 2010b). The focus of nursing education have shifted to new dimensions such as community health, public health, primary care, geriatrics, disease prevention, health promotion and other areas rather than being limited to a particular area. And this is mainly to prepare nurse to deal with evolving health care system. Demand for nurses produced high amount of entry-level nurses, the study emphasizes highly educated nurses are preferred to handle todays today’s health care challenges. By 2020 the nursing work force should consist of 80% BSN (Bachelor of Science in Nursing) prepared nurses...
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...Ethical Decision Making in Health Care 2014 Terry Schiavo Documentary Euthanasia is “intentionally causing the death of a person, the motive being to benefit that person and to protect them from further suffering. Many people who contemplate voluntary euthanasia are terminally ill or have been suffering with an illness for an extended time and they just want to end their suffering and pain. ne commit suicide or for not assisting them in the suicide process and allowing them to linger and shall not kill and that we should not interfere with God’s plans. Eastern religions’ stance is not to harm any living things and thus assisted suicide is unacceptable (BBC, 2014). Nurses have an obligation to provide our patients with the best care possible, physically, emotionally, and spiritually. Nurses need to meet the needs of their patients and families, this is particularly important with end of life care. Nurses need to make patients comfortable, allow them to voice their concerns, with the moral, spiritual, ethical, and social effects for the rest of their life. Decisions about life and death in the health professions are among the most challenging from an ethical and a practical viewpoint (Purtilo & Doherty, 2011). Nurses play key roles in caring for people at the end of life which include assessing and managing pain, addressing psycho-spiritual needs, articulating values, goals, and beliefs that influence the decisions made at the end of life, for not only the client...
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...the modern techniques, equipments, and knowledge based procedure. According to the Institute of Medicine nursing is one of the biggest workforces in healthcare. By starting a transformation in the nursing field, there can be change in the healthcare industry (Committee on the Robert Wood Johnson foundation 2011). The Institute of Medicine, on October 5, 2010, released their research based report “The Future of Nursing: Leading Change, Advancing Health” as a recommendation to improve nursing. Nurse must be able to provide the public accessible and high quality healthcare, there needs to be a higher standard of healthcare and highly educated nurses Impact of the IOM report on nursing education The education nurses acknowledged during the twentieth century are no longer adequate enough to handle the requirements of today’s healthcare. “Nurses should achieve higher levels of education and training through an improved education system that promotes flawless academic progression.”(Institute of Medicine, 2010). As the healthcare field moves forward, technology has played a major role. As technology advance, patient needs and healthcare setting have become more complex, nurses are required to acquire higher education to deliver high-quality and safe healthcare. Higher education in nursing includes Baccalaureate degree in Nursing, Doctorate in Nursing in Nursing Practice (Institute of Medicine, 2010). During the course of the higher education he/she are able to gain leadership...
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...The Future of Nursing The Institute of Medicine and the Impact on Nursing Rachel E Boyd Grand Canyon University: NRS-430V Professional Dynamics April 19, 2015 The Institute of Medicine and the Impact on Nursing The Institute of Medicine is setting the standard high for nursing and with good reason. Our healthcare system is changing and we need to be well versed and prepared for these changes. Nursing is changing politically and the way healthcare is being delivered is transitioning also. The Institute of Medicine has made a very bold statement and we in the nursing field need to make an effort to fulfill these goals set for us. These goals are set up for nurses’ best interest and giving the patients the best possible care. Better patient care is what the Institute of Medicine seems to aiming at improving. This should be the mission for all parties included when it comes to transforming the healthcare system as a whole. This will not be an easy task for the Institute of Medicine but is attainable especially with compliance from the healthcare industry. Nursing Education The Institute of Medicine is having a major impact on the nursing field and setting the educational requirements high especially for future nurses coming into this field. The expectation is for eighty percent of nurses to have a bachelor’s degree by 2020. The goals set by the Institute of Medicine is understandable and the push is very necessary. The direction that healthcare is going we have...
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