NRS 430V Week 4 Assignment Professional Development of Nursing Professionals
Continuing professional development of nurses is a fundamental aspect of lifelong learning and allows nurses to keep knowledge and their skills up-to-date. The Institute of Medicine (IOM) in its 2010 recognized the role that nurses would play in healthcare reforms and made a raft of recommendations based on its four key messages (Brunt & Morris, 2021). Therefore, a core aspect of these messages is the need for nurses to improve their skills through lifelong learning by getting advanced nursing education. The purpose of this paper is to discuss the influence of the IOM report on nursing practice and the need for professional development among nurses as a critical component of healthcare provision.
Four Message of the IOM Report & Significance to Nursing Practice
The 2010 IOM report had four key messages or recommendations for nurses to position themselves strategically in healthcare provision. Firstly, the report stresses the need for nurses to practice to the fullest level of their education and training without any hindrances imposed by state boards of nursing. The message influences nursing practice as it means that nurses should be barred from practicing what they have trained on in different specialties (Price & Reichert, 2018). Secondly, the report asserted that nurses should engage in lifelong learning to acquire higher levels of education and training based on a better education system. The message means that the nursing practice requires professional nurses to engage in continual professional development to attain the latest skills and knowledge in healthcare provision, especially the deployment of technology.
Thirdly, the report asserts that nurses should be full partners alongside physicians and other healthcare profession to redesign the health care system. The message means that nurses can also practice autonomously based on their training to enhance access to care among patient populations. Fourthly, the report asserts that effective workforce planning and making policies needs better data gathering and an improved information infrastructure (Grand Canyon University, 2018). The implication is that the nursing profession should have relevant data to assess the different specialties for nurses to improve care delivery.
The IOM report has significant influence on nursing education and leadership. Firstly, as equal partners, nurses are leaders and have increased power to advocate change and revise restrictive barriers to practice. Nurses are recognized as primary care providers in certain states and can lead in care provision among inter-professional and multidisciplinary teams (Shelton et al., 2020). The IOM report has improved nurses access to better and advanced education as it recommended an increase in Bachelor of Science in Nursing (BSN) prepared-nurses to respond to the changing nature of healthcare provision. Through the recommendation and evidence-based practice (EBP) findings, many facilities introduced tuition reimbursement, instituted continuing education plans and promotions to incentivize nurses to attain higher educational qualifications.
BSN-prepared nurses have more competency and necessary skills in communication, critical thinking, management and leadership compared to their non-BSN-prepared colleagues. Further, BSN-prepared nurses are becoming designers, coordinators, and care managers in different situations (Tierney et al., 2020). Therefore, the IOM report implores stakeholders to continuously transform the nursing profession as frontline care providers, and encourages them to attain higher education to be leaders in different areas of care provision.
Evolving Role and Education of Nurses to Meet Needs of Diverse Patient Population
Nurses roles continue to expand and transform because of different aspects impacting the healthcare sector and care delivery. These include an aging population, patient diversity, and integration of innovative care models like value-based purchasing aimed at enhancing access to quality care as well as the implementation of evidence-based practice (EBP) interventions (Tierney et al., 2020). Today, nurses leverage their education and training to deliver safe and quality care in an effective manner. The increasing prevalence of chronic conditions due to arise in life expectancy means that nurses will have more roles in different care settings. Emerging infectious diseases like the Coronavirus disease of 2019 (COVID-19) that cause pandemics and public health concerns like the opioid epidemic means that nurses will remain frontline care providers. Therefore, nurses must educate patients on aspects like self-management for those with diabetes, promote primary and preventive care in community settings, and collaborate with other healthcare workers to deliver quality care.
Nurses need higher education and training to meet the needs of the expanding scope of practice and increasing accessibility among patients. Racial diversity continues to define American society and nurses need cultural competence to deliver quality care. The implication is that nurses should be prepared to offer services, initiative, and interventions that are culturally appropriate and sensitive to these diverse patient populations (Mlambo et al., 2021). Nurses based on their expanding roles have the best position to advance and advocate for patient needs, especially in primary care settings.
Significance of Continuing Nursing Education
Professional development or lifelong learning is significant to nursing and very relevant in caring for diverse populations across the lifespan and in the health-illness continuum. Lifelong learning allows nurses to acquire requisite skills to interact with patients, especially from diverse cultural settings. Lifelong learning ensures that nurses have up-to-date medical and health knowledge and can promote primary care interventions in their practice (Price & Reichert, 2018). Lifelong learning gives nurse a chance to acquire better approaches to care situations, align their experience and scientific study findings by implementing EBP model, and increasing wellness of patients (Brunt & Morris, 2021). Through professional development, nurses acquire better skills that include critical thinking and problem-solving attributes required to resolve issues that they face in care delivery. Therefore, nurses must embrace lifelong learning to improve their skills and offer quality care to diverse patient populations through cultural competent care.
Evolution of Healthcare System and Management of Patient Care
The management of patient care is at the core of the nursing profession. Nurses can effectively manage patient care as the health care system evolves by using EBP interventions and offering care that is patient-focused. They should also acquire advanced education and competence aimed at meeting demands of an aging and diverse population and society. Advanced education will remove practice barriers and allow nurses to engage in research (Grand Canyon University, 2018). Nurses can transform the health care system through advanced education when they focus on utilization of research evidence and safe quality patient care. Nurses should also lead inter-professional teams and focus on enhanced teamwork to deliver quality care. They also need to understand their roles and responsibilities within their multidisciplinary team setting for better patient care management.
Professional nursing development is critical for nurses to meet the growing need and diversity of health care system. Nurses should attain the suggestions made by the IOM report to position themselves better to deliver quality care. The diversity in population and care demand require nurses to enhance their education, adopt EBP interventions, and work collaboratively in teams to deliver quality care to patients and health populations.
Brunt, A. B. & Morris, M. M. (2021). Nursing Professional Development. StatPearls [Internet].
Grand Canyon University (Ed). (2018). Dynamics in nursing: Art & science of professional
practice. Chapter 4. https://lc.gcumedia.com/nrs430v/dynamics-in-
Price, S., & Reichert, C. (2018). The importance of continuing professional development to
career satisfaction and patient care: meeting the needs of novice to mid-to late-career nurses throughout their career span. Administrative Sciences, 7(2), 17. doi:10.3390/admsci7020017
Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing
professional development, a meta-synthesis of the literature. BMC nursing, 20(1), 1-13. DOI: https://doi.org/10.1186/s12912-021-00579-2
Tierney, M., Finnell, D. S., Naegle, M., Mitchell, A. M., & Pace, E. M. (2020). The Future of
Nursing: Accelerating gains made to address the continuum of substance use. Archives of psychiatric nursing, 34(5), 297-303. DOI: 10.1016/j.apnu.2020.07.010.
Shelton, D., Maruca, A. T., & Wright, R. (2020). Nursing in the American justice system.
Archives of Psychiatric Nursing, 34(5), 304-309. DOI: 10.1016/j.apnu.2020.07.019
Topic 4 DQ 1
Sep 12-14, 2022
Outline the process for the development of nursing standards of practice for your state, including discussion of the entities involved in developing the standards of practice and how the standards of practice influence the nursing process for your areas of specialty.
Sep 18, 2022, 12:25 PM
With our country having been in the midst of a global health crisis with the COVID-19 pandemic for the last two plus years – are you seeing standards of practice changing? Or “bending”? What are your thoughts on this?
replied toDana McKay
Sep 18, 2022, 3:40 PM
Over the last two years we have seen such a change in policies and procedures then before the pandemic hit and our lives were changed. The biggest and most obvious is continuous masking requirement in clinical settings which was very scary in the beginning because at first our hospital actually spoke out against continuous masking and discouraged it before it was a requirement. one of the biggest changes in standard of practice in my workplace has to be getting rid of the dual RN co-sign requirement before administering subq insulin to diabetic patients. Prior to COVID we had to actually find another RN to sign and verify our insulin dose and sign off in EPIC chart before administering to the pt to prevent medication error but due to the social distancing and global pandemic that hit us that was changed to where we no longer do that anymore.
Sep 16, 2022, 6:50 PM
Nurses have to be careful about what they take pictures of and what they post on social media.
Below is a link to a story about a nurse who posted a picture of an empty but messy trauma room and captioned it with a caption related to what had caused the trauma. It was identifiable with what was being seen in the news. She didn’t overtly mention the patient but it was something that could be identified. The hospital fired her not for a breach of confidentiality but for being insensitive.
What are your thoughts?
replied toDana McKay
Sep 17, 2022, 1:39 PM
- I think we have to be really vigilant and aware of what we post nowadays especially in the social media age where it seems like anything and everything is posted online and information is so readily available. For example there are so many healthcare social media influencers like nurses with a large social media following and they often share pics and posts like the one described in the above article about just the trauma room but even if if does not have any patient identifiers in the post it is still a violation HIPAA is a federal law and is enforced heavily. When I am scrolling on Instagram I will see posts from nurse social media personalities showing day in their life or they will post about certain stuff not pertaining to actual patients but indirectly it can be traced back to a patient so I am always baffled at why or how they keep posting this stuff because it does infringe on patient privacy and confidentiality.
- Moses Belewa
replied toDana McKay
Sep 19, 2022, 3:43 AM(edited)
- Sadly, many individuals have turned social media into something else other than the intended purposes. They take every aspect of their life events to social media platforms and many may not know how to separate personal life from professional life when it comes to Social media. The issue here in my opinion, for this nurse is not about breach of confidentiality but about bad public relations for the hospital and possible law suit from the patient’s family. I don’t think the nurse acted in a professional manner by posting the picture of the scene where the event took place. However, a warning or some form of other disciplinary action should have been given to her and not terminated her.
- Beatrice Kisumba
replied toDana McKay
Sep 18, 2022, 7:43 PM
- Its very crucial when we share messages online, especially when it pertains to patients and their families, At times patients want to take photos with us and it becomes difficult to refuse . Its important to remember not to use the media in a negative way. Safe guarding our license is important , following the states rules is equally important as it pertains all what is legal and illegal.
Sep 16, 2022, 6:46 AM
The New York State Board of Nursing is governed by the Board of Regents who in conjunction with the state’s Department of Education and Office of Professions develops rules, standards and regulations. The said body oversees, monitors and maintains all aspects of discipline in effort to ensure public safety and trust. The body is responsible for holding licensees to a level of accountability for practicing within the state upon issuance of said license. The granting of licensure comes with the expectance of licensees to practice safely, competently and with integrity. Licensees are not only to practice within their scope but also within qualified ability. If competence and ability is lacking with respect to a said task or procedure, one must not practice such simply because he/she is licensed to do so. If such is done and leads to harm, the licensee will be held accountable and may face charges of misconduct. In essence, the main of objective of the Board of Regents is public protection and safety. Measures taken to ensure such include assisting with recertification, continuing education, responding to and investigating complaints of misconduct and keeping licensees up to date with policies and procedures in regard to respective licensure.
Active licensure includes valid registration which is to be renewed every three years with the New York State Board of Education so that board may actively monitor licensees in hopes that professionalism is being upheld within a said profession/ field according to New York States standards. The board must also be informed of any name or address changes in order to effectively and efficiently do such.
I work in the field of nursing which involves the developmentally disabled which is governed by the Office for People with Developmental Disabilities. This particular office has its own set of standards, policies and procedures that licensees must be aware of and abide by or otherwise be held accountable. These set of standards are guided and enforced by yearly auditing and quality assurance mechanisms. Should regulations not be followed, this organization has its own Justice Center that will make determinations on charges brought forth.