Policy and Health Promotion
The Institute of Medicine (IOM) report on the future of nursing characterizes a detailed evaluation of nursing workforce. The recommendations of this report are aimed at supporting the efforts to enhance health of US citizens through the nursing contribution to the health care delivery. As such, the ultimate goal of this report is enhance patient outcomes and health care for diverse population across the lifespan with nursing as the primary tool needed to realize the that goal. Therefore, as an Advanced Practice Nurse (APN), the IOM reports from 2010 to 2016 can be used as a framework for transformations in the nursing profession and the health care delivery system (Altman et al., 2016). Specifically, the report can be used as the key driver of interprofessional collaboration and coordination, provision of quality and affordable care, ensure value-based payment of health care, and guiding of health care system.
Regarding the implementation of the report, the APN should take action to expand opportunities for nurses to lead and spread collaborative improvement endeavors. This can be realized by leading development of patient-centered care and innovative care models, and advocating for educational curricula that enhance collaborative and coordinated care efforts. The report can also be implemented in the clinical practice settings by adopting nursing care model redesign initiatives, developing nurse managed programs such as wound care and anticoagulation therapy, and leading quality improvement initiatives across departments (Kovner et al., 2018). APN can also implement the report by taking action to promote nurse residency program, eradicate scope of practice barriers, and ensure incentives to promote lifelong learning in nurses, which is essential in increasing the number of nurses with a baccalaureate degree in the organization.
Altman, S. H., Butler, A. S., & Shern, L. (Eds.). (2016). Assessing progress on the Institute of Medicine report The Future of Nursing. DOI: 10.17226/21838
Kovner, C. T., Djukic, M., Jun, J., Fletcher, J., Fatehi, F. K., & Brewer, C. S. (2018). Diversity and education of the nursing workforce 2006–2016. Nursing outlook, 66(2), 160-167. https://doi.org/10.1016/j.outlook.2017.09.002
Health initiatives are part of the drivers used in making improvements to the nursing care practices. One of the things that have always ensured that health policies and promotion form part of nursing care is the increased demand for better health care services by the patients. Over the years, various health initiatives and policies have been established to help in guiding nursing practice, hence influencing various nurse roles. As an Advanced Practice Nurse, there are four main health policies and initiatives that guide my clinical practice. They include the patient protection affordable Act, the IOM report, the doctor of nursing practice movement, and the Advanced Practice Nurse regulation (Altman et al., 2016). This brief paper explores those health policies and initiatives.
Policies and Initiatives
The APRN regulation Consensus Model recommends that an individual possesses a single advanced practice registered nurse license that allows independent practice devoid of regulatory obligation for physician collaborative agreement or supervision. The IOM report gives recommendations that drive nursing forward. The aim is for every nurse professional to proceed with education and ultimately achieve a nursing practice doctorate. Besides, the report also directs that the scope of nursing practice barriers be removed and that the nurses use evidence-based practice in the professional work. The Patient Protection and Affordable Care Act pointed to the need to redesign the healthcare system and raise the number of primary care providers leading to the expansion of the practice scope and roles of registered nurses. As an APRN, there are, therefore, various health policies and initiatives that guide my practice, even though some of the initiatives have not been fully implemented.
In conclusion, the presence of the mentioned resources are vital in ensuring that the healthcare system continues to grow, and with the APRNs getting recognition as part of the frontrunners in offering primary care such as chronic condition management and preventive services, the policies and initiatives will only make the nurses serve better and give the patients better care.
Altman, S. H., Butler, A. S., & Shern, L. (Eds.). (2016). Assessing progress on the Institute of Medicine report The Future of Nursing. DOI: http://www.nap.edu/21838
Dubree, M., Jones, P., Kapu, A., & Parmley, C. L. (2015). APRN practice: Challenges, empowerment, and outcomes. Nurse Leader, 13(2), 43-49. DOI: 10.1016/j.mnl.2015.01.007