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Describe the evolution of nursing practice
Roles and duties of nurses
Describe the evolution of nursing practice
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Introduction
The health care system and nursing practices are undergoing rapid changes, which are as well becoming complex. Preparing nurses balance these changes is a significant challenge. The Institute of Medicine (IOM) report explored how nursing profession has to change to bring out a more solid health care system. As a result of these changes, the Institute of Medicine (IOM) decided to examine “Future of Nursing, Leading change and Advancing Health” (Creasia & Fribery, 2011). This paper will discuss the impact of the 2010 IOM report on nursing Education, nursing Practice with emphasis on primary care, its effects on present nursing practice, and the nurse’s role as a leader.
Effect of IOM report on nursing education
The IOM reported the aim of future of nursing is to create improvement in the health of Americans through nursing profession, also to meet need of the different environmental health settings in which they will practice. It is important nurses get advanced education and training. IOM recommended “80 per cent of nurses to get BSN in nursing by the year 2020” (Institute of medicine, 2010). Doing this will enable those nurses to use their critical thinking skills and research to enhance quality of nursing care. The understanding is that nurses need to achieve advanced
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Nurses are active, they see policies as what they can restructure or change, instead of taking it as what has been imposed on them. They are involved in policy development as well as working together as one profession. As nurses, they participating in decision making regarding health policies, as well as taking part in implementations associated with changes in health care. Currently, nurses are serving “on advisory committees, commissions, and boards” (Cohen, M. & Walker, A. 2010). Policies and decisions in these areas will help to advance patient care in health
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.
Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy and politics in nursing and health care (7th Ed.). St. Louis, MO: Elsevier.
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
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.
This week I have learned about the importance and nurse’s role in the healthcare policy making. Nurses provide essential services and knowledgeable about client needs. They interact with healthcare consumers in a wide variety of settings. This provide nurses a wide knowledge about patients health needs, an understanding of factors that affect the health of patient and their families and have insight into how people respond to various strategies and services. Nurses play a vital role in interpreting people's needs and expectations for healthcare. They also understand the expectations and needs of society's vulnerable groups. Therefore, they have an important role in the development and enactment of policies that promote health and wellness
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).
Health care reform has been a major issue over the past decade. The Nursing industry has in particular experienced a period of unpredictable change. On Dec 24, 2009, a landmark measure was passed in the senate by a vote of 60 to 39. This decision to pass the health care reform will change America forever. Nurses will constitute the largest single group of health care professionals. They will have a huge impact on quality and effectiveness in health care. The nursing industry will help hold this new program together by acting as the glue (The nursing industry will be the glue holding the new health care in tact.) It is estimated that by 2015 the number of nurses will need to increase to over 4 million. Nurses are the backbone of the health care industry thus creating better polices for this profession will help ease the workload and high demand. A nurse’s main concern is always to insure quality care and the safety of their patients. Under the new health care reform several new measures have been set into place to ease the transition and improve the quality of care for all patients. One program is designed to fund scholarships and loan programs to offset the high costs of education. Nursing shortages and the high turnover has become a serious epidemic. Health care reform is supposed going to solve many of these problems.
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
“I’m not telling you it’s going to be easy – I’m telling you it’s going to be worth it.” Art Williams describes people who are looking for the easy option with this quote. Something may be simple, but not necessarily easy to do for most people. It’s the people who willingly do the task many times, which make it look easy. Repetition improves skill to its greatest. Nursing school isn’t the easiest to overcome, but if you study and are willing to put in the effort, then you will eventually succeed at being a qualified nurse. Nurses are a necessity because they are the ones that spend more direct time with the patient, they are on the Frontline of administering the patients treatment. When you are a patient, nurses are your
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.
Healthcare policy is quickly becoming one of the most important aspects of medical care in an evolving political climate. Nurses are beginning to realize the importance of policy in their work environments and may see how changes in policy can affect the health of their patients and even their own job satisfaction. Previously policy was left to lawmakers, but those in the trenches are speaking out and advocating for their own rights and the rights of their patients. There are several websites dedicated to health care policy, evidence based practice, and research towards finding better ways to eliminate public health disparities and prevent many of the major health care problems the United States faces as a nation. This
Policy analysis encompasses the progress of ascertaining and evaluating alternative policies or program that intended to relieve or lessen economic, physical or social problems in the population (Patton, 2011). In determining the necessary steps of health care policy assessment that assist to shape the nursing practice environment, El-Jardali, et al., (2014) reported that policy analysis application offers results that are essential for the stakeholders and policymakers that can utilized in reviewing some of the laws in nursing laws in order to grasp an operative alternative that is feasible. Constructively, the aims of the policy analysis is to create a comprehensive vision on the process of making public policies, then recognize the issues
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.
Encouraging nurses to maintain a watchful eye on the current on health care policies and trends that may affect practice presents a challenge to the profession. As the workload for the average nurse increases it becomes difficult to dedicate time to policies. However, this is a fault that many must overcome and put forth effort as not being current on trends and policies may result missing a change leading to poor outcomes and patient harm. Facilities may have committees or groups that focus keeping up with current trends then must rely on the group to disperse information to the rest of the staff. Nurses that continually keep surveillance on the community and legislative changes bridge the gap between patient and the needs of the community
From the literature I learned about the importance of driving the nursing profession towards the community health-care system. There is currently a need for revitalization of the primary health care system as stated in this document. There is a need to change some of the focus of education and training in new nurses in an effort to respond to the health care demands of today and the future, since many students are not going into this field. In addition, nurses already working in community health should begin focusing on current prevention and promotion aspects of health. I plan to apply these ideas in my own nursing practice to this rotation.