NRS 440 IOM Future of Nursing Report and Nursing Assignment
NRS 440 IOM Future of Nursing Report and Nursing Assignment
Nurses are the healthcare professionals who tend to spend most of their time with patients, which makes them develop close relationship with them. As such, nurses play an essential role in enhancing patient care and health care system risk facing negative impacts without nurses’ contribution. The adoption of the IOM report on the future of nursing is a critical move towards empowering nurses to provide superior health care by improving the health care delivery system, improving the capacity of nurses to undertake scientific research, and equip nurses to take leadership positions. Eventually, these factors ensure enhancement in patient outcomes and also reduction in health care costs. Consequently, the purpose of this paper is to delve into the IOM Future of Nursing Report and Nursing by providing a description of the work of the Robert Wood Foundation Committee Initiative that led to this report, detail the key messages in the report, highlight the role of state -based action coalitions in advancing the report, provide some initiatives by state action coalition, barriers experienced by state action coalitions, and how to overcome the barriers.
Description of the Work of the Robert Wood Foundation Committee Initiative that Led to the IOM Report
The work of the Robert Wood Johnson Foundation (RWJF) committee initiative that led to IOM report was necessitated by widespread challenges that nurses encountered in their practice. The issues were attributed to the ever evolving and complex nature of health care system that nurses had problems in handling, thus, interfering with their practice. Therefore, it was imperative to reform nursing practice by addressing the challenges that nurses encountered and prepare nurses to actively participate in health care improvement and remain updated in the face of changing health care system and technological development.
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Informed by these nursing challenges, the RWJF committee initiative opted to determine the nursing practice in various health care settings across the US. After conducting the assessment, the RWJF established that there was huge disparity in the nursing competencies and academic credentials. Moreover, the committee noted that there is need to create mechanisms that could motivate nurses to work to the full extent of their competency and deliver quality care in the future. To realize these objectives, the RWJF committee initiative reported that nurses need to be given superior training and education that are supported by the quality education system (National Academies of Sciences, Engineering, and Medicine, 2016). Overall, the work of the RWFJ committee initiative was to conduct the assessment and make recommendations on what could be done to change the future of nursing profession and the action that could be taken to be successful in changing the future of nursing practice.
The culmination of the RWJF work was the formulation of the IOM report dubbed, “The Future of Nursing: Leading Change, Advancing Health.” This report entailed detailed evidence-based plans on how to improve nursing practice and to better the future of nursing. Among the major proposals in the report included ensuring capacity building of nursing training institutions, ensuring nurse residency programs, striving for 80% of nurses with baccalaureate degrees’ qualification and having more nurses with doctorate degrees. The report also called for the creation of flexible nursing programs that are future oriented to facilitate continuous nursing education.
Key Messages in the IOM Report Recommendations
The IOM report recommendations on the future of nursing contained four key messages. The first message in the recommendations entails the idea that nurses need to practice to the full extent of their training and qualifications. In this message, the federal and state governments are tasked with the responsibility of ensuring that the rules relating to the nursing practice to the full extent of the training are regulated and updated to ensure that patients receive quality health care services delivery. The second message in the IOM report recommendations entails calling upon nurses to seek advanced education and training through enhanced education system that facilitates flawless academic advancement. The intent of this message is to have sophisticated structuring of nursing education to foster direct and seamless advancement to higher nursing education levels. Improving nursing education system is also essential in equipping the existing and future generation of nurses with competency to provide safe, quality, and patient-oriented care in different health care organizations (Arzouman, 2016).
The third message on the IOM report recommendations is that nurses ought to work as full partners with other health care professionals including physicians in an effort to restructure health care system in the country. Full partnership implies that nurses should be fully accountable and take active roles in the identification of the issues and factors that contribute to wastes in health care, tracking health care improvements, designing and implementing improvement measures, and taking actions to achieve desired goals. As such, it is imperative for nurses to acquire core competency in leadership at all levels of nursing profession to realize the objectives of this message. Nurses are also advised to actively engage in policy areas to help in influencing nursing profession by joining commissions, boards, and committees to advocate for the nurses.
Finally, the message in the report calls for sophisticated management of data and information infrastructure to ensure effective workforce planning and policy development (Arzouman, 2016). The report proposed that the health care system needs to have universal methods of determining the number and type of nursing professionals, where they are employed, their tasks, responsibilities, and activities. The data will play a significant role of recognizing critical areas that require improvement and used to make future nursing workforce needs and influence changes in the nursing profession.
Role of State-Based Action Coalitions
The health care system in the US is organized in a way that every state has its unique health care regulations, laws, and programs. State-based action coalitions were developed to facilitate more participation and possession of the IOM report by the nursing practitioners, public health organization, private health organizations, and state governments. The coalitions get directives from the RWJF and the Center to Champion Nursing in America (CCNA) to enable them deliver universal health care programs in all states. The RWJF and the CCNA partner with state-based coalitions to equip them with information and campaign resources, inter-state knowledge sharing, foster communication, and provide planning tools including technical support in utilization of the tools (Gimbel et al., 2017).
Initiatives by Pennsylvania State Coalitions
The initiatives by state coalitions in Pennsylvania include endeavor to define the responsibilities of nurses in health care delivery and to create ground for full nursing practice. The coalitions also consult widely with coalitions from other states to create a standard structure of nursing course for various nursing education levels in the respective state. However, the effort to attain these objectives is compromised by various barriers including disparity in educational qualification and competency levels among nurses drawn from distinct specialties. This barrier can be addressed by encouraging and helping nurses to acquire higher education and continuous training.
Based on the IOM report on future of nursing, it is clear that the intention of the report is the focus on the vital relationship between nursing practice actions and the diverse population health requirements. From the recommendations of this report, nurses should strive to advance their education and engage in more training to meet the diverse needs and cover many specialty areas in nursing practice, which is crucial in delivery of superior patient-oriented health care. Ultimately, the success of the IOM report on future of nursing will ensure reduction of health care costs and improve health care delivery.
Arzouman, J. (2016). The future of nursing 5 years later–where are we now?. MedSurg Nursing, 25(1), 5-7. https://go.gale.com/ps/anonymous?id=GALE%7CA444912931&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=10920811&p=AONE&sw=w
Gimbel, S., Kohler, P., Mitchell, P., & Emami, A. (2017). Creating academic structures to promote nursing’s role in global health policy. International Nursing Review, 64(1), 117-125. https://doi.org/10.1111/inr.12338
National Academies of Sciences, Engineering, and Medicine. (2016). Assessing progress on the Institute of Medicine report The Future of Nursing. National Academies Press.
Nurses comprise the biggest fragment of the health care profession, with around three million registered nurses in the US. They offer a range of services involving health promotion, direct patient care, coordination of care, and patient education. They are researchers, serve in leadership roles, and work towards the improvement of health policy. As the health care delivery system goes through reformation, partly as a result of the ACA, the profession of nursing is having a widespread impact by offering accessible and patient-centered at an affordable price. The IOM report offers recommendations for nursing the reformed health care system. The paper discusses the IOM report has influenced nursing education and training, practice, and role development and the role of state-based action coalitions in promoting implementations contained in the report.
The nursing sector faces different challenges, one of the challenges is nursing shortage. Nurses are most important personnel in the healthcare. They work to ensure that the healthcare sector is operating efficiently and also ascertain that the different positions are availed and ensure high quality care. Having inadequate staffing in the healthcare sector has become a challenging aspect in the healthcare. It leads to improper nurse-to-patient ration which leads to nurse burnout and decreases the nurse’s efficiency in their roles. All these will lead to negative influence on patient outcome which also affects the healthcare performances. The healthcare will start registering higher mortality rates, medication errors, pressure ulcers, and different healthcare acquired infections (Driscoll et al., 2018).
Factors that leads to shortage in nursing include reduced enrollment of nursing programs due to reduced nursing faculties, higher number of nursing workforce who are almost retiring, and dynamic demographics which increases the need for elderly care (American Association of Colleges of Nursing, 2019). Also the fact that the healthcare sector is complex in nature also affects the working environment of nurses are they work with low incentives, less resources, and a poor nursing management. This has increased the rate of turnover in the healthcare sector leading to dissatisfaction and burnout of the nurses leading to shortage.
To solve this challenge, the nursing sector is trying to address different initiatives which addresses the RN nurse educator and shortage by giving fellowships and loan forgiveness to nurses that decides to teach after they graduate, the nursing carrier is also promoted through polishing the image nursing and forming some strategic partnership and private support that will help in expanding the student capacity (Johnson et al., 2016).
American Association of Colleges of Nursing. (2019). Nursing shortage. Retrieved from https://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing-Shortage
Driscoll, A., Grant, M., Carroll, D., Dalton, S., Deaton, C., Jones, I., & Astin, F. (2018). The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. Retrieved from https://pubmed.ncbi.nlm.nih.gov/28718658/
IOM Future of Nursing Report and Nursing
The IOM future of nursing report and nursing underscored the crucial need for developing a leadership plan of action that harness nurses’ potential to spur change and advance health and health care by coming up with innovative educational opportunities and professional growth opportunities (Tierney et al., 2020). The purpose of the essay seeks to discuss the impact of the IOM report and state-based action coalitions on nursing practice, nursing education, and nursing workforce growth, and how they continue to advance the goals for the nursing profession.
The Obligation of the Robert Wood Foundation Committee Initiative
The Committee was responsible for producing a report having proposals for an action-oriented roadmap for nursing, including changes in public and institutional regulations at the national, state, and local levels. The report emphasized four main areas as far as advancing the nursing profession is concerned. The four segment recommendations include: nurses should practice to the full potential of their education and training; nurses should achieve higher levels of instruction and training through an enhanced education system that encourages seamless academic progression (Hassmiller & Reinhard, 2019). Further, the report proposed nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States. Moreover, they emphasized effective workforce planning and policy-making that called for better data collection and an improved information framework.
The influence of four key recommendations on nursing practice.
The recommendations emphasized that nurses use their education, training, and competencies and collaborate with other medical staff to avail higher quality care, decrease errors, and increase safety. The four key messages have underscored the need for the inclusion of evidence-based practice in nursing practice, which has provided nurses with scientific research and real-time, data-driven insight to make well-founded decisions (Tierney et al., 2020).
Through EBP, nurses are updated about new medical protocols for patient care. Additionally, the recommendations have encouraged and enhanced strong leadership that has transformed the health care system in the United States. In addition, nurse leaders have become designers, implementers, and evaluators, as well as playing the role of advocacy for reforms to the relevant systems. Furthermore, nursing research and practice have developed evidence-based improvements to care, leading to policy changes across the health care systems (Tierney et al., 2020). In sum, the recommendations have influenced and enhanced the population health needs assessment and management and collaboration of health professionals enabling the provision of patient-centered, coordinated, and community-based primary and specialty care services.
The role of state-based action coalitions.
State Action Coalitions work to advance the proposals of the IOM report. Additionally, the coalitions help increase the goals specified in the IOM report and are led by nurses and business partners; they aid spur change locally by working to transform health care through nursing and build healthier communities (Wakefield et al., 2021).
The Initiatives On Which New York State Action Coalition is Working
In sum, the initiatives spearheaded by the New York action coalition comprise improving health equity, building healthier New York communities, improving access to care in the states, and promoting nursing leadership. In addition, they work to increase diversity in nursing, transforming nursing education, collecting workforce data, and enhancing Interprofessional collaboration (Dorritie et al., 2020).
The barriers include a lack of understanding of the role of the coalition. Similarly, a lack of professional recognition, poor physician relations, and poor administrator relations pose limitations to the advancement of the work. Further, other challenges include the nursing shortage and the issue of aging of the nursing workforce, and a lag in nursing salaries;
Despite the barriers, nurse, through their membership with health organizations and associations, has continued to advocate for better health care access and education of their members and addressing salient healthcare policy decisions in an atmosphere of problem-solving and responsibility.
The IOM future of nursing report emphasized the need for developing a leadership plan of action that harness nurses’ potential to spur change and advance health and health care by coming up with innovative educational opportunities and professional growth development opportunities. The four segment proposals have enhanced access to healthcare and improved the nurse profession through the work of state-based action coalition. However, the recommendations have faced barriers. Despite the obstacles, nurses in New York have continued to address the critical healthcare policies through responsibility and training.
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