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Nursing leadership and impacts in nursing practice
IOM Future of Nursing Report and Nursing
Future of nursing report four key messages
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Recommended: Nursing leadership and impacts in nursing practice
Nurses make up the greatest sector of health care workers, and are vital to meeting the objectives of the 2010 Affordable Care Act (ACA). Identifying the barriers that nurses face, and recommending a plan to overcome those barriers, were the goals of the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) in their two-year movement to “assess and transform the nursing profession” (The National Academies of Sciences, 2016). This paper will recapitulate the IOM report, Future of Nursing: Leading Change, Advancing Health. It will also recognize the position of the RWJF and the American Association of Retired Persons (AARP) on the Future of Nursing: Campaign for Action. It will stress the implication of the IOM report as it …show more content…
RWJF is a private foundation dedicated to raising the health of all Americans (Robert Wood Johnson Foundation Website, 2001 - 2015). RWJF approached the IOM to address the issues of nursing in response to the changing face of health care. With the IOM’s mission to improve national health, and the longstanding commitment of RWJF to nursing needs, the two organizations collaborated to establish a two-year initiative to look at the future of …show more content…
The initiative recognized that nurses have the opportunity to change health care, as we know it, and transform it to meet the needs of the ACA. The barriers that were identified include “outdated policies, regulations and cultural barriers” (IOM, 2011, p. 85). While increasing the scope of practice for APRNs was a large part of this key message, cultural diversity, gender diversity, and the aging workforce were also highlighted. Nursing Education The second key message focused on the recommendation that registered nurses receive greater levels of training and education. This message emphasized the need for nurses to enter the work force with a baccalaureate degree, or obtain it shortly afterwards. It also stressed the need more graduate nurses, specifically “nurse faculty and researchers at the doctoral level” (IOM, 2011, p. 164). Innovative solutions were devised to speak to nursing school capacity and curriculum in order to attain the IOM recommended goal of 80 percent of nurses holding a BSN by the year 2020. Nursing
The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading Change, Advancing Health has generated a solution to the shortage of primary care providers by promoting a transformation of the nursing profession to fill the gap.
The national shortage of Registered Nurses (RNs) has helped generate formidable interest in the nursing profession among people entering the workforce and those pursuing a career change. According to a report issued by the U.S. Department of Health and Human Service in 2002, the national population is continuing to grow and age and medical services continue to advance, so the need for nurses will continue to increase. They report from 2000 to 2020 the predicted shortage of nurses is expected to grow to 29 percent, compared to a 6 percent shortage in 2000. With the projected supply, demand, and shortage of registered nurses and nursing salaries ever-increasing, the nursing profession can offer countless opportunities. But first one must determine which educational path to pursue, Bachelor of Science in Nursing (BSN) or Associate Degree in nursing (ADN). Most will initially be educated at the associate degree level, even though the American Organization of Nursing Executives (AONE) has recommended a baccalaureate level as a minimal for entry-level nurses. With the expanding number of RN to BSN programs available there is always the option to further one’s education at a later date. The benefits for acquiring a BSN over an ADN include a better knowledge for evidence-based practice, an increased advantage for promotion, and the necessary gateway for higher education.
Institute of Medicine (2010). The future of nursing: Leading change advancing health Retrieved from http://books.nap.edu/openbook.php?record_id=12956&page+R1
The Robert Wood Johnson Foundation has been in operation for more than 40 years and has been instrumental in working to improve the status of health and the health care for all individuals within the United States of America. They hold a vision “as a nation, to strive together to create a culture of health enabling all in our diverse society to lead healthy lives, now and for generations to come” ("Robert Wood Johnson Foundation," 2014). The Foundations nursing programs has early initiatives that would improve the profession with the advancement of nurse practitioners, programs improving nursing academics, improved hospital nursing. Currently the foundation is developing leadership skills in advanced level nurses and transforming working conditions of nurses within the hospital setting. In support of nursing and in light of the nation’s severe nursing short...
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 ).
The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
Zerwekh, J., Claborn, J. (2006). Nursing today: Transitions and trends (pp. 343-346). St. Louis, Missouri:
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the other hand, this has ignited the need for advanced practiced registered nurses to unveil the profession’s fullest potential. Nurse practitioners have been called to the public to meet the demand for safe and convenient healthcare. These academically and clinically well prepared nurse practitioners demonstrate their knowledge, skill and leadership in the communities (Hansen-Turton, Miller, Nash, Ryan, & Counts, n.d.). Due to the magnified concerns for additional access to healthcare, ANA has supported nurse practitioners’ ongoing work in retail-based health clinics to reflect a positive movement towards accurate, quality medical care for all citizens.
In 2009, President Obama signed the Patient Protection and Affordable Care Act (ObamaCare) and former ANA President Rebecca M. Patton, MSN, RN, CNOR witnessed this historical moment. American nurses celebrate with satisfaction, because their hard work paid off, enacting historical health care reform legislation that benefits not only nurses but their patient as well. Despite that the health care reform is now a reality, is important to keep working in order to make sure that the reform is implemented effectively (Routson, 2010).The ANA has been in favor of a health care reform that would provide high quality medical services for all. ANA believe that with Patient Protection and the Affordable Care Act, millions of American will be protected against the lost or denied health insurance coverage and improved access to primary and preventive care. (ANA, 2011)
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.
The BSN program helps the nurses in many ways including utilizing the process to the full scale and it will encourage nurses to use their skills like educating the patient as we’ll as creating new nurses. Because of the new health care reform, the BSN program will also aid in filling the gap from the influx of patients. The baccalaureate degrees and BSN program helps prepare students for the significant part they are going to play in reinforcing the new healthcare reform. At present, I utilize and develop nursing care plans in the nursing process, even though it needs some corrections due to the nature of my work. The highest standards of nursing can only be achieved through better research and advanced training.
"Nurses For A Healthier Tomorrow." Nurses for a Healthier Tomorrow. American Nurses Association. Web. 30 Nov. 2010. .
Committee of the Robert Wood Johnson Foundation 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.
All Americans deserve the right to accessible health care. Consequently, the government has started the Affordable Care Act (ACA), which is simply “quality, affordable health care for all Americans” (Patient Protection and Affordable Care Act, 2010). The demand for health care is increasing yearly, which can be contributed to not only the aging and population growth, but also the Affordable Care Act. It is estimated that by the year 2019, over 32 million individuals will be gaining health coverage (Hofer, Abraham, & Moscovice, 2011). To be able to care for the rapidly growing number of health care recipients, continued changes must take place within the health care setting. Not only is there an increase number of people seeking health care but there is a shortage of nurses available to deliver quality patient care. The US Census Bureau (2014) states that the average age of nurses will continue to rise, with approximately fifty percent entering retirement by 2020. There is an...