Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing.

The Institute of Medicine (IOM) addresses the future of nursing practice in an illustration of the changes in education, roles and responsibilities of nurses. The variations in nursing practice are attributed to the increasing number of the ageing population, evolving system of health care and the changes in patterns of disease occurrences (Prybil, 2016). A number of efforts have been made in a bid to respond to the dynamics in the field of medicine. These include alterations in the nursing practice as well as nursing education together with the development of nursing staff. Nonetheless, different personalities have also been in the forefront to initiate policies for the improvement of IOM to lay a foundation for nursing development. The contributions made by Robert Wood Johnson Foundation (RWJF) has provided highlights on how IOM reports can be used for the development of future nursing (Altman, Butler & Shern, 2016). However, the way in which Johnson’s foundation promotes o the development of nursing field remain unclear. Besides, the contributions of state-based coalitions as explained by Johnson in the future roles of nursing practice is worth exploring.

The present article is based on an analysis of IOM and its importance in the development of future nursing. Moreover, a brief description of state-based action coalitions and the findings of IOM report will form part of this discussion to analyze the goals required in future nursing.

Works outlined by Robert Wood Johnson Foundation

The RWJF provides vital components in the advancement of the nursing profession. The foundation advocates for the changes in the nursing practice to conform to the dynamics of diseases presented by patients (Spetz, Cimiotti & Brunell, 2016). In essence, the changes in health care delivery need to match the changing demands of healthcare. Ideally, the report by the RWJF committee suggests that the health needs of patients continue to change with the rate of technological development. This means that a health facility that aims to optimize quality of care outcomes to patients need to remain abreast with the latest technological development in delivery of services (Prybil, 2016).

However, other than adopting new technology, nurses in these care settings must also be educated about the new technology and the principles in which these advancements in health sector can yield remarkable outcomes in improving patient care. In the report by RWJF, nurses need an induction about the current approaches in health care for them to remain relevant in the delivery of services to patients. The foundation has also been crucial in detecting in the analysis of the nursing workforce based on the capacity of health facilities. This entails an assessment of the available workforce in a health setting and comparing the outcome with the recommended number of staffs as per the state standards (Altman, Butler & Shern, 2016). In other words, the RWJF has led to identification of potential loopholes related to nursing workforce, particularly in the detection of unsafe high nurse-to-patient ratios. Through this, a recommendation on nursing staff recruitment has been proposed by RWJF in the event of deficits to prevent further alterations in quality care.

The work of RWJF cannot be underestimated especially in the wake of current health care practices that emphasizes on evidence-based practice. The foundation emphasizes on the quality training of nurses by utilizing the current curriculum on patient care. Quality learning and implementation in nursing practice motivates the professionals to utilize their maximum potential in patient care. In essence, nurses will develop a perception of further learning considering that the quality learning they achieved will not be underutilized. Guided by this premise, nurses can acquire further education so that they specialize in specific aspects of patient care. Furthermore, the RWJF advocates for the collaboration among nurses with other professionals to deliver a coordinated care to patients.

Importance of IOM in Future Nursing

The contribution of the institute is based on promotion of education to nurses especially by formulating curriculums that corresponds to the current demands of patient care.  IOM analyzes the evolving systems of healthcare and provide changes the meet the needs of patients. Basically, the institute is considered as the critical intersection point by bridging the gap between health needs of clients across the entire lifespan and the readiness of the facility based on nursing workforce integral in address the demands. The recommendations proposed by IOM improves the contribution of nurses towards the delivery of optimal care.

Role of State-based Action Coalitions

State initiatives aim at improving care to patients by addressing the nursing workforce. For instance, in New York, action coalitions emphasizes on building a healthy nation.  Campaigns are organized at the local, regional as well as state level to build healthier populations in different communities through nursing (Spetz, Cimiotti & Brunell, 2016). This entails training of nurses on health approaches and patterns of care represented by patients. The future of action coalitions is based on a focus of how nurses can reduce health disparity and improve health of the American population in the next decade.

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            The state-based action coalitions focus on the scope of nursing practice as defined by advanced practice registered nurse (APRN). The premise mainly emphasizes on laws to define the scope of nursing practice. Most importantly, improving access to patient care is another fundamental role of the state-based action coalitions (Prybil, 2016). The latter formulate the procedures for modernized care practices to develop goals for future nursing practice. In other words, the coalition deliberates in the legislative battles on patient care developed by a state and recommends evidence-based strategies that conforms to the patterns of diseases in New York. Through this premise, nurses will be well-versed with the standard operating procedures in nursing care developed by the state to correspond to the laws on scope of practice to optimize quality outcomes to patients. Action coalitions in a state supports the latest practice of care and enhances the sharing of the methods in health service delivery. The approach allows nurses to debate about the need for a change by advocating for work patterns that transform health care provision (Altman, Butler & Shern, 2016). However, the state-action coalitions must incorporate other professionals in a bid to improve the changes proposed in provision of healthcare. It means that wider consultations must be made and this implies that the implementation of change might take longer periods.


The scope as well as the level of nursing practice determine quality outcomes to patients. Robert Wood Johnson Foundation launched IOM to define the future role of nurses in line with the patient care due to changes in need of health services. The foundation emphasizes on the need for advanced nursing education and compliance with laws as defined by a given state. However, the quality of services delivered by nurses will depend on the extent of innovative solutions guided by evidence and which they are willing to provide to patients.


Altman, S. H., Butler, A. S., & Shern, L. (Eds.). (2016). Assessing progress on the Institute of Medicine report The Future of Nursing. Washington, DC: National Academies Press.

Prybil, L. D. (2016). Nursing engagement in governing health care organizations: Past, present, and future. Journal of nursing care quality31(4), 299-303. DOI: 10.1097/NCQ.0000000000000182.

Spetz, J., Cimiotti, J. P., & Brunell, M. L. (2016). Improving collection and use of interprofessional health workforce data: Progress and peril. Nursing outlook64(4), 377-384. DOI: 10.1016/j.outlook.2016.03.001.

IOM report on the Future of Nursing

Topic 4 DQ 2

Outline the concept of professional accountability as it pertains to nursing. Provide examples of how a nurse demonstrates professional accountability in clinical expertise, the nursing process, and evidence-based practice. How do you incorporate self-care that includes mental health and spiritual well-being for you and your clients? What does the Bible say about self-care?

As a nurse we must do certain things to maintain our licensure. Depending on the state we are licensed in there are different requirements for renewing our licenses. If we have certifications we have things we must do to maintain those certifications.

In our nursing practice we will have education that maybe required to do as part of our employment. Hospitals frequently have yearly education that must be done by employees. There may be new education that comes up based on unit needs or new policies and protocols. As a professional nurse we must meet these requirements and do them in a timely manner.

What are some things that you have to do to remain accountable in your practice?

I think continuous education is super important to keep us in the healthcare field up to date and in the loop of latest practices and such. We are in such a ever evolving field that we have to stay up to date to keep our skills relevant. In my practice we have to keep up to date on oncology nursing via continuous education certificates or attending workshops. I usually attend classes or seminars online there are alot of resources on medscape.com which is where i did most of my education for this year. in addition getting new certifications such as ACLS, PALS, etc. are immensely helpful in staying accountable in your practice.


On my unit both the RNs and Cardiovascular Techs (CVTs) require to have both ACLS & BLS certification in order to work in the Cath lab. In addition to this, we are required to do mandatory Radiation safety modules annually, Rhythm Interpretation module and test. If these modules are not completed by the end of the fiscal year, violators will be removed from the schedule until completed and if these modules are not completed with a set time from by your supervisor/Manager you may loose your job. In the District of Columbia, the DC board of nursing requires that within two years of the RNS practice in DC all RNs must complete 24 credit hour continue education and this must include HIV and LGBTQ lessons. So in order to continue practicing in DC & renewing your license, nurses may have to fulfill this requirement.

As a new international nurse, i had to do a lot of transitions, which included, license endorsement. The parts that interested me most were the continuous education posted on our portals, for continuity of growth and competency. We need to continue with these studies as per specialty to renew our licenses as pertains to the nursing board. We need to also follow the ethical part of nursing, practice according to the scope of practice and follow institutions policy to be able accountable in all we do to continue practicing.

To meet the developing medical services needs of patients who are living longer with persistent ailments and complex infection processes, we should be expertly responsible for extending our clinical range of abilities and reliably executing highest quality level proof based practice discoveries to direct our nursing mediations. Continuous clinical ability requires dynamic investment to achieve and keep up with the abilities important to give outstanding consideration to our patient populace. Be available at the time during every expert instructional meeting, without individual distractors. This engaged cooperation permits us to explain central issues that might influence patient security and results. Go about as a guide and deal help to your friends who are figuring out how to perform new errands to expand their certainty and furthermore approve whether their training is in consistence with hierarchical principles.