The 2010 IOM Report And The Focus On Changes To The Nursing Profession Amber L. Boyd
Grand Canyon University
NRS-430V Professional Dynamics
February 2nd, 2014
Change is always vital to progress and the field of nursing is constantly in change. The world that we live in today is creating a higher need for more nurses, changing the way that nurses are educated and creating new approaches to utilize nurses out in the field. On October 5th, 2010, the Institute of Medicine (IOM) released the report “The Future of Nursing: Leading Change, Advancing Health.” The report elaborates on the need for the nursing profession to prepare for the changes that are occurring due to the health care reform and the current
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The number of medical students and residents who are entering the health profession has declined while the numbers of Nurse Practitioners and Physician Assistants have increased over the years. It has bee said that guidelines should be set based on their experience and competency instead of regulations based on past experiences. These actions also need to be carried out to assure that as the population needs increase, there will be adequate amounts of providers available. The largest change that can be made currently in my nursing practice is continuing to advance my education level so that I am able to fulfill some of these roles at the bedside. While in my current position, I will focus on changing my practice to follow more closely the evidenced based procedures that follow the nursing standards set in place by my home state. Continuing to practice while keep patient centered care at the forefront of my care, will ensure that I can continue to provide the best care possible. Nurses are increasingly becoming the strong leadership in developing all aspects of health care policy and decisions. Unfortunately the shared consensus is that most nurses do not possess leadership skills adequate enough to keep up with the ever-evolving field. The IOM reports on this by stating: “Nurses at all levels need strong leadership skills to contribute to patient safety and quality of care.” (IOM, 2010 pp.223) It is felt that nurses are depicted as people who carry out
Throughout the process of composing this report, the Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing devised and enacted what is known as the Future of Nursing: Campaign for Action. The engendering of the "Future of Nursing: Leading Change, Advancing Health" was a major component of that initiative. The aforementioned organization was not only responsible for conducting the research that this report was based on, but actually provided four essential recommendations that it believed the data supported and that have a direct correlation to the data collection necessary for future workforce policy making and planning, as
There will be a few challenges ahead for our healthcare system and the nursing profession: 1. The Aging Population- (baby boomers will be hitting retirement age). 2. Poverty-“the increasing numbers of disenfranchised people and pressure to limit health care expenditures will collide to create an intense values conflict for nurses of the future”. (Chitty & Black p.382) 3. Unhealthy Lifestyles- (obesity, tobacco use, lack of exercise, stress, HIV/AIDS and drug abuse). 4. Faculty and Student shortages- making nursing shortage worse. Nurses as
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
I believe the issues that prompted a need for healthcare reform included an increase in chronic, life-long diseases, and rising costs of healthcare. The care that is delivered by registered nurses is taking on more leadership roles and advocacy of care functions. A 2010 IOM report indicates that nurses have an important contribution to make to "building a health care system that will meet the demand for safe, quality, patient-centered, accessible, and affordable care" (Wilson, Whitaker, & Whitford, 2012). With this being the focus of our health care system as nurses; we can lower the rates of hospital readmissions, as well as advocate for our patient’s chronic diseases which will hopefully provide adequate patient education limiting the severity
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
This paper will be exploring the impact of the Institute of Medicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health released on October 05, 2010. In 2008, The Robert Wood Johnson Foundation (RWJF) and the IOM launched a two-year initiative to respond to the need to assess and transform the nursing profession. The IOM appointed a committee with the purpose of, “producing a report that would make recommendations for an action-oriented blueprint for the future of nursing.” This paper will explore the impact of this report on nursing education, nursing practice, and the
The IOM report recommends that continuing education to help nurses maintain clinical skills and develop leadership abilities. Need more nurses with advanced degrees to provide primary care and teach the next generation of students.
For current and future needs we need to enable all healthcare professionals especially nurses to practice to the full level of their education and training. Advanced practice nurses can fulfill the primary care needs. This will free up physicians to address more complex cases which needs their expertise. Current practice focus on specialty and acute care only and a shift in practice to deliver more primary care and community care services is essential to improve the quality of nursing care and address the growing need of care in these areas.
The world is an ever-changing planet with continuous progress towards bigger and better. Nursing is no different. We are always striving for ways to increase our knowledge, skills, existence, authority, independence, and notability as we work towards a healthier community and patient population. The Institute of Medicine (IOM) report researched and has designed a new plan for nursing with four key points that will encourage the profession to advance to the next level.
Nursing leaders must apply critical thinking and analysis skills in order to find opportunities to improve gaps in care. Consequently, nurses with the ability to identify, understand, and influence opportunities for improvements while consistently achieving quality and safety goals have unlimited opportunities to exercise leadership (Grossman & Valiga, 2012). Lastly, nurses whom have the understanding of the complexity of leadership and the awareness that the leadership role is something every nurse can fulfill will lead nurses towards change and advancing health as the Robert Wood Johnson Foundation (RWJF) and Institute of Medicine (IOM) has campaigned for action while enhancing nurses’ contributions to delivering quality
Review the Institute of Medicine (IOM) report: "The Future of Nursing: Leading Change, Advancing Health," focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.
with recommendations for changes needed in nursing. This was a response for the need to assess
As a medical community, our knowledge, our practices and our technologies are in a constant state of evolution. While this means that we constantly improve our abilities to treat patients and improve health outcomes, we must also remain abreast of a field that is often changing at a rapid pace. This is a condition which especially applies to nursing professionals, who must navigate the front lines of this fast-paced industry. This serves as the basis for the comprehensive report issued by the Institute of Medicine (IOM)(2011) at Robert Wood Johnson Foundation. The document provides a valuable and exhaustive assessment of the evolving challenges, expectations and opportunities that have come to characterize the nursing profession today. Our particular interest is in the transformation of the field and therefore, the focus of this discussion is on the sections highlighting the themes of Transforming Education, Transforming Practice and Transforming Leadership.
Nursing leadership is also one of the very important messages of the 2010 IOM report on nursing. The IOM calls to expand opportunities for nurses to lead. It advises that nurses need to be prepared and enabled as leaders in order to advance healthcare. One of the recommendations states that “expand opportunities for nurses to lead and diffuse collaborative improvement efforts” (IOM Report, 2010). In that regards, a research article (Sherman, 2011) points out that charge nurses on frontline of acute care setting are the
These impose severe constrictions on the ability of the nurse to move forward or advance into the areas of practice where traditional nursing practices were not allowed {Institute of Medicine, 2010}. However with the increase in the number of nurses graduating with advance degrees in nursing; the situation is changing. These well educated nurses are leading the charge to confront the complex issues that the rapidly changing health care situation presents. Regulatory barriers must be lifted so that nurses can practice within their scope in order to be reimbursed by private insurance for the services they provide. These changes can be done through the federal and state legislators as well as supervisory agencies and bodies such as congress and licensing regulatory boards. The IOM also recommends that nurses will expand their scope of practice and increase their responsibility through teaching and counseling of patients. {Institute of Medicine,2010}. The use of Advance Practice Registered Nurses and Physician Assistant in providing primary care services will decrease wait time and increase patient satisfaction. The high turnover of nurses transitioning from school to practice also affects the quality of care. These nurses do not have enough experience to make decisions in patient care.{Institute of Medicine,2010}.The IOM and JCAHO{2012} report supports the recommendations for the introduction of nursing residency