...Changes for the Future of Nursing The Institute of Medicine (IOM) set forth to identify how nurses could be better utilized in the health care changes occurring in the United States of America. There is an increased strain on our current health care system due to longer life spans and with more people obtaining health coverage. The number of primary care physicians is unable to increase at a rate to alleviate the need from the general population. Nurses provide a fundamental role to the doctors and the patients they serve. The nursing role has transformed throughout the profession’s lifespan. Nursing care is in a pivotal transformation in the evolving health care system. Nurses are being underutilized while demand for educated providers has increased. “While most nurses are registered nurses (RNs), more than a quarter million nurses are advanced practice registered nurses (APRNs), who have master’s or doctoral degrees and pass national certification exams.” (Institute of Medicine [IOM], 2010a, p. 2). A report from the IOM identified four recommendations to improve the role nurses play in healthcare. These recommendations expanded on nursing education, providing care to full extent of education and training; reshaping relationship between nurses and doctors; and changing policies to improve data collection and the information infrastructure. (Institute of Medicine [IOM]. 2010a). To produce enough educated nurses during World War II, a two-year associates degree of...
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...explain, in my own words, the impact that the Institute of Medicine 2010 report, “The future of Nursing: Leading change, Advancing Health”, has had on nursing education, a nurses role as a leader and on the nurses practice, (particularly in the primary care setting) as well as how I would change my practice to meet the goals of the Institute of Medicine report, in 750-1000 words. I would like to explain the Importance of the Institute of Medicine. The Institute of Medicine is an interdisciplinary committee to our country that focuses on points about our community’s health. This team was formed in 1970 under the charter of the National Academy of Sciences. They give self-governing facts that are researched for policy makers and healthcare providers for both the public & private sectors. As these teams are necessary for yielding reports, the Institute of Medicine is also attributed to having forums and other activities to create discussions and encourage critical-thinking. The Institute Of Medicine will also make recommendations for making health care more desirable and improve health professions education that has a great influence on encouraging change. Dr. Harvey V. Fineberg is president of the Institute of Medicine. “The Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, is a thorough examination of how nurses’ roles, responsibilities and education should change to meet the needs of an aging, increasingly diverse population and to respond to...
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...IOM Report: The Future of Nursing: Leading Change, Advancing Health Zillian Harvey Grand Canyon University NRS-430V September 27,2015 IOM Report: The Future of Nursing: Leading Change, Advancing Health The Institute of Medicine(IOM) and the Robert Wood Johnson Foundation (RWJF)conducted a survey from 2008-2010 which analyzed changes needed to reform nursing profession thereby improving healthcare in the United States overall. Due to the many challenges being faced by the healthcare system the report was done to focus on the evolving healthcare system focusing on the need for changes in the nursing profession. The committee focused on three primary areas of concern in the health care system which are quality, access and value. There has been a shift in the health challenges facing the health care system. There is a increase in disease processes conditions such as diabetes, arthritis, heart disease, mental health which affects almost ever 2 Americans(CDC,2010a). These conditions are expected to continue (DeVol etal., 2007) with contributing factors such as diabetes. The aging population has seen a rise in the extensiveness of chronic illnesses. Census projections predicts the population of citizens older than 65 is expected to rise from 12.7 percent in 2008 to 19.3 percent in 2030 (U.S. Census Bureau 2008), due to the increasing life expectancy of the Baby Boomers. Projections from the U.S. census board projects...
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...The Future of Nursing: Leading Change, Advancing Health Lisa Greenspon Grand Canyon University Professional Dynamics NRS-430V-0102 Elizabeth Larkins May 5, 2013 The Future of Nursing: Leading Change, Advancing Health “According to the IOM report, the nursing profession is the largest segment of the nation’s healthcare workforce. Nursing represents the largest sector of the health professions, with more than 3 million registered nurses in the United States.” Transforming Practice Patients, in any healthcare setting, deserve respect and care that is centered on their unique needs. Nurses and health care are required to assist them to achieve this goal. Changing the health care system will require us to reestablish our roles as health professionals. We strive to provide and improve quality care, availability of healthcare to all patients and to help patients to value health through high quality care through proper education to gets patients healthy and understand that they need to maintain their health with our support. Building competency within the nursing practice can be done by: Encouraging and supporting nurses to practice to the full extent of their education, training, and competencies; and to foster interprofessional collaboration. Achieving such a shift will enable nurses to provide higher-quality care, reduce errors, and increase safety. Knowledge builds confidence and confidence builds competence. By transforming practice, we can create...
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...How the IOM report: “The Future of Nursing: Leading Change, Advancing Health” Impacts Nursing Kylie Kuehl Grand Canyon University: NRS 430V March 7, 2016 How the IOM Report: “The Future of Nursing: Leading Change, Advancing Health” Impacts Nursing In 2010, the Institute of Medicine (IOM) released a nursing report titled “The Future of Nursing: Leading Change, Advancing Health.” The report stressed the importance of developing a more highly educated nursing workforce, providing nurses more leadership opportunities, and interdisciplinary collaboration (Robert Wood Johnson Foundation, 2013). The release of the IOM report has lead to a number of revolutionary changes in nursing education and practice; it has impacted all aspects of the nursing profession. When it comes to nursing education, the recommendation stated in the IOM report is that nurses should obtain higher levels of education and preparation. Specifically, it is recommended that the percentage of BSN educated nurses be increased to 80% by the year 2020. The release of the IOM report has provided the momentum necessary to change nursing education across the country. (Institute of Medicine, 2011) One particular program that was approved in response to the report is The Rhode Island Nurses Institute Middle College Charter High School. The concept of this middle college was developed due to the number of students from low-income areas that were dropping out of nursing school. The middle college is intended to...
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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 FUTURE OF NURSING: LEADING CHANGE, ADVANCING HEALTH Introduction Studies show that the nursing profession cover most of the workforce in the health sector, and they are mainly served with the responsibility of acting as patients’ advocates as well as defining the care that is to be provided to ailing patients (Hamric, Spross and Hanson 21). Nurses mainly work on the frontline of patient care, and they tend to play a significant role in realizing the objectives formulated in the in the 2010 Affordable Care Act and the Robert Wood Johnson Foundation Initiative (RWJFI) in collaboration with the Institute of Medicine (IOM), which define the need to change and advance healthcare (Initiative on the Future of Nursing n.d). Therefore, as much as there is a need to restructure the current healthcare, it is important to first address issues that interfere with the provision of quality and evidenced healthcare. To promote changes and advance health, the IOM report recommends nurses to practice to the full extent of their education, achieve higher levels of education and training through improved education process, and nurse to be involved in decision making processes touching on healthcare (Institute of Medicine n.d). The Future of Nursing: Leading Change, Advancing Health The impact of the IOM report on nursing education The primary goals of nursing education is mainly to prepare nurses to meet the ever increasing patients’ needs, function as leaders, and provide...
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...Developments in Professional Nursing Grace Varghese Grand Canyon University NRS-430 Professional Dynamics June 16th, 2013 In the health care system nurses are taking the important role. Bed side nurses, school health nurse, nurses in different leadership positions etc. We can see many obstacles in the fast changing health care systems. To prevent these obstacles, institution such as IOM (Institute of Medicine) and RWJF (Robert wood Johnson Foundation), introduced a two year plan to make some changes to remodel and repair the nursing profession. The nurses have to provide a high quality nursing care to the patients and in order to achieve this, they have to attain high education, training and attend health care conferences and mandatory classes along with healthcare team including the physicians. This participation will bring a great change in reformation of the health care system in the future. This is also known as required effective work force (IOM Future of Nursing Report). The future of nursing is going to face many challenges. In order to overcome these challenges, the health care system has found some new solutions. Those solutions are: to advance the nursing profession to higher level degrees to perform safe and quality nursing care teaching, leadership, evidence based practice, and expand nursing schools Why we are in need of higher education in the future? Because the competencies are very essential to spread the nursing profession and nurses are in a great...
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...The Future of Nursing through Education, Practice and Leadership Grand Canyon University Nursing 430 Professor Jude Belmonte Raeanne Shope December 15, 2013 The Future of Nursing through Education, Practice and Leadership In the 21st century the focus of healthcare and the way it is disbursed needs to change to fit the needs of an aging population. As the face of healthcare changes, nurses must change and become more involved in all aspects of patient care. Nurses must step out of the shadows and assume a leadership role and shape policies that affect patient care. The Institute of Medicine report” The Future of Nursing” researched nursing education, practice and leadership and made recommendations on how to elevate nurses to their full potential. Changes need to occur throughout the profession with emphasis on education, practice changes and leadership. There are numerous barriers that prevent nurses from responding to the rapidly evolving heath care setting. These barriers will need to be removed so nurses can lead changes and drive advances in health care (The future of, 2011). Nursing is one profession with multiple entry level positions, LPN, ADN, and BSN. With so many levels of education and no seamless transition of education from one level to another, nurses struggle to achieve higher education. Improving the education system and achieving a more educated workforce, specifically increasing the number of nurses with baccalaureate degrees, will change...
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...The Impact of the 2010 IOM Report on The Future of Nursing Robert Loperfido Felician Health Policy and Politics NURS 385 Helena Correia RNC, MSN August 18, 2014 The Impact of the 2010 IOM Report on The Future of Nursing The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation...
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...Institute of Medicine’s report on Future Nursing Compare to some other developed countries American health care is very complex and expensive. The need to develop a health care system that is affordable to every citizen is very necessary to face the challenges and get a better care to the diverse populations of the United States. Since nurse working in the front line of health care and largest health care professionals Nurses should be full partners, with other health professionals, in redesigning our health care and make sure that care is delivered safely, effectively, and compassionately. But there are some obstacles that prevent nurses from participate in the front line of health care formation. Nurses should identify these obstacle and respond immediately to play a leading role in the future and transforming health system. In 2010 the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM)published a report that focus on the future of nursing after two years of research. The report divided into three parts. Part one describes how the U.S. health care system is evolving and the committee’s vision for health care in the United States, explains why nurses have an essential role in realizing this vision and why a fundamental transformation of the nursing profession is needed.(The Future of Nursing: Leading Change, Advancing Health,2011, p. 17) part two details the fundamental transformation of the nursing profession that is needed to achieve the...
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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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...Impact and Future of Nursing in Reference to the IOM Report In Transforming Nursing Education, Primary Care, and Leadership Grand Canyon University: NRS-430V October 23, 2015 Impact and Future of Nursing in Reference to the IOM Report in Transforming Nursing Education, Primary Care, and Leadership Nursing’s future is greatly impacted by the need for major transformation as recommended by the Institute Of Medicine report (IOM, 2010). Nursing must act fast and come forward as leaders to make changes in their practice. Demand for highly educated nurses and the growing healthcare customer needs are the focus point of IOM report. This paper shows the impact of the IOM report on nursing education, primary care, and nurse leadership. Changes that could be made to the daily practice of nursing to meet the goals, as well as some of the writer’s thoughts, are also explained. If the IOM report (2010) recommendations are not followed, the future of nursing could be negatively impacted because nurses have to be well educated and adequately prepared to practice nursing to their full magnitude of training; more advanced practice nurses (APRN) are needed to meet the growing healthcare needs of society, and nurses need to be involved in decision making affecting the health of future population. For the future of nursing, current nursing education needs to be transformed. Compared to other healthcare professions nursing is undereducated starting with one year practical...
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...In 2010, the Institute of Medicine produced The Future of Nursing report in response to the United States Congress passing health care reform legislation, and the enactment of the Affordable Healthcare Act (AHA). The passing of these laws provides a platform in which the United States can forever change the health care system. The numerous goals of the IOM report are focused on the role of nursing in this transformation of care. “By virtue of its numbers and adaptive capacity, the nursing profession has the potential to effect wide-reaching changes in the health care system.” (The Future of Nursing: Leading Change, Advancing Health, 2011, pg.2) Besides the numbers, nurses are at the patient bedside and beyond (community and public health centers, schools etc.), providing care to a diverse patient population. Therefore, according to the IOM report, nurses are thought to be ideal in the leadership of redesigning and improving system of healthcare in the United States. The IOM report shows that there are many levels of nursing involvement in the transformation of healthcare. One main and prominent focus is Education. “Nurses should practice to the full extent of their education and training” (The Future of Nursing: Leading Change, Advancing Health, 2011, pg.163) This key statement addresses a barrier cited by the IOM noting the high turnover rate among newly graduated nurses, illuminating the reality that the field of nursing is losing talented new graduates before that talent...
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...Running head: The impact on nursing of the 2010 IOM Report The Impact on nursing of the 2010 IOM report on the future of nursing. THE IMPACT ON NURSING OF THE 2010 IOM REPORT ON THE FUTURE OF NURSING. The institute of medicine and the Robert Wood Johnson foundation formed a Committee to look into ways of making nursing a strong profession where nurses become partners and leaders to improve health care in the period of health care reforms, this led to the creation of Robert Wood Johnson initiative (RWJF) on the future of nursing in conjunction with the Institute of medicine (IOM), The Committee made some recommendations on nursing in the United States titled “ The future of Nursing: Leading change, advancing health” The RWJF and IOM worked on this project for two years.in order to study, research learn and understand the implications for nursing as a profession being the largest component of health care workforce of this anticipated changes in health care. To realize this vision of transforming the health care system into a safe, accessible, patient centered care, this will require improved nursing education before and after nurses are licensed. The RWJF and IOM considered many challenges that face nursing education and proffered solutions that will assist in advancing the health care system, the Committee determined that nurses should be trained at higher levels of education by improving...
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