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Roles and responsibilities of a nurse
Fitting into the following IOM Future of Nursing recommendations
Future of nursing campaign for action
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Future of Nursing Report
The nursing profession that has a workforce of over three million registered nurses is the backbone of the United States of America’s healthcare system that efficiently responds to the nations’ health needs. However, the nursing fraternity faces a number of challenges that make it strenuous for it to meet the present and future needs of the health care sector. Shortage in the number of nurses, a fewer number of experienced nurses in terms of advancing education as well as technological change pose a great danger for the future of nursing and the healthcare sector as a whole. Thus, these challenges have to be solved so as to ensure a reliable, stable and competent nursing workforce functioning at all levels of health
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Consequently, the Robert Wood Johnson Foundation (RWJF), an avid advocate for the evidence-based recommendations for change and advancement of health care and the Institute of Medicine (IOM) in recognizing these challenges in 2008, partnered to establish a two-year Initiative on the Future of Nursing. The committee was tasked with producing a comprehensive report with recommendations for action-based blueprint for the future of nursing, redesigning the role of nurses, expansion of nursing faculty besides attraction and retention of well-prepared and qualified nurses in various care settings capable of handling present and future the nation’s health care needs..(IoM.edu, 2015). After two years of vigorously working, the committee formulated four key messages that formed the basis of their recommendations which …show more content…
The campaign envisioned accessibility to high-quality, patient and family tailored care in a health care system for all Americans.(IOM,2010) The campaign provides a platform for all nurses can lead system change to improve health. Further, the initiative was designed to help initiate progress by supporting Action Coalitions in implementing the IOM report recommendations. Comprising of diverse teams of stakeholders that are able to effect sustainable change both the state and regional level, Action Coalitions, work to set well-defined goals that align with the IOM report recommendations to advance educational transformation, removal of barriers to practice and care as well as nursing
The IOM report had four key messages needed for advancing the future of nursing. “Nurses should practice to the full extent of their education and training; achieve higher levels of education and training through an improved education system that promotes seamless academic progression; be full partners, with physicians and other health care professionals, …and; effective workforce planning and policy making require better data collection and an improved information infrastructure” (Institute of Medicine, 2011). The report also included eight recommendations needed to facilitate the necessary changes to in the nursing profession so meet to demands of the healthcare reform.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
This paper focuses on providing a summary of the efforts of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research which influenced the IOM report, “Future of Nursing: Leading Change, Advancing Health.” The importance of the IOM “Future of Nursing” report related to the nursing practice, nursing education and nursing workforce development will be stated. The role of state-based action coalitions and how they advance goals of the Future of Nursing: Campaign for Action will be described. A summary on will be provided of two (2) initiatives that are spearheaded by Florida state’s Action Coalition with an explanation of ways in which the initiatives advance the nursing profession. Existing barriers to advancement currently in Florida and ways in which nursing advocates may overcome these barriers will be discussed.
The shortage of registered nurses (RNs) in the United States has been a cyclical topic dating back to the 1960s. Only recently have employers in certain regions of the nation stated a decline in the demand for RNs. Consequently, according to the American Association of Colleges of Nursing’s (American Association of Colleges of Nursing [AACN], 2014) report on 2012-2013 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing, American nursing schools denied admission to 79,659 qualified applicants from baccalaureate and graduate nursing programs in 2012. The reported decrease in job availability and rejected admissions has left many individuals to question if the nursing shortage still exists. On the other hand, some experts project that the United States will be short more than one million RNs by 2020 (Dolan, 2011). Although some parts of the country are in less of a demand than others, it is undeniable that there is a national shortage of RNs.
Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine Testimony Submitted by The Joint Commission, Cong. 1 (2010) (testimony of ).
Zerwekh, J., Claborn, J. (2006). Nursing today: Transitions and trends (pp. 343-346). St. Louis, Missouri:
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
The nursing shortage is a growing issue in the United States. The problem began in the 1930s, as there was increased hospital use. Nursing shortage makes some of the hospitals to close the beds or hire temporary nurses, which is expensive with the aim of filling the gap and providing less optimal care to the patients (Chan et al., 2013). The issue is not that individuals are not going into nursing but also the fact that the existing nurses are not going into education. Shortsightedness and retention concerning retention and recruitment contributed to the beginning of a shortage of nurses in the late 1990s, and the shortfall has lasted for long. Additionally, the lifespan of human beings has increased due to the advancing technology, and it
Historically, the nursing field is one that has consistent positive job outlooks, as there is typically a continued shortage. Healthcare is the backbone of most communities, not just for its services, but also for the jobs it provides and the economy stimulation. Jill Bernstein, author for “Changes in Health Care Financing and Organization” states, “The health care industry is a critical component of the national, and most regional and local economies of the United States” (4). The nursing field has suffered challenges due to the economic, social, and the political downturn of the U.S. Nevertheless, there is still some noticeable growth taking place and opportunities available. This shows encouraging signs for new nursing graduates.
... research have positively influenced the health care field. Nursing practice, education, and research are embracing and responding to changing demographics. Advances in processing capacity and speed have contributed to the explosion of information technology applications. One issue still remains, that is the lack of health care coverage for many Americans today. It is a saddening and stressful moment for health care providers, especially nurses, across the globe. Hopefully, Obama Care will do more for the population than past health care reforms. Furthermore, we must remember that research in the nursing field is done in order to improve the outcomes of patients and to advance the health and well being of communities. Everything must be done in order to create more funding and create more opportunities for more nurses, in order to help the ever-growing population.
The first critical factor influencing nursing/healthcare organizations is the shortage of healthcare providers. According to the National Rural Health Association (2012),“The Association of American Medical Colleges projects a shortage of 124,000 full-time physicians by 2025” (p. 2). The shortage of nurses is also expected to increase. Currently, “There are 19,400 RN vacancies in long-term care settings, according to the American Health Care Association, and 116,000 open positions in hospitals, as reported by the American Hospital Association” (National
The Institute of Medicine has released a report that discusses the future in nursing. The IOM has developed four key messages that outline the barriers that need to be overcome, so that nurses can work effectively and to their fullest ability.
In 2011, The Institute of Medicine (IOM) published its recommendations for how to improve the nursing practice and promote recognition of nursing as a profession. IOM’s report consisted of some key suggestions, such as increasing the proportion of nurses with a bachelor degree, expanding leadership opportunities and nursing leadership development, eliminating barriers to practice to the full extent, and creating an effective workforce that resolves health policy issues (Institute of Medicine [IOM], 2011). Since the power to implement those recommendations does not belong to nurses only, the key suggestions were also addressed to government, health care institutions, organizations, and health care professionals. Together, these groups have the ability to better the nursing profession and support its recognition among public as well as health care industry.
Several years ago in 2008 the RWJF and the IOM collaborated for two years to discern the future needs of the nursing profession. Most importantly, the objective was to outline the critical actions needed to ensure nursing was ready to seamlessly move towards the future. This was no easy task as nurses work in such diverse settings such as outpatient areas, acute care settings, the community, and long term settings to name a few. Couple this with the fact that nurses have a variety of educational avenues such as the associates, diploma, or bachelor’s degree open to them to achieve the status of registered nurse (Institute of Medicine, 2010). All of this considered, the committee did design four key messages regarding the future of nursing as key in the transformation of health care as evidenced in their "Future of Nursing" report.