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Impact of leadership in nursing
The future of nursing iom report 2010
The future of nursing iom report 2010
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Recommended: Impact of leadership in nursing
Background
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).
The Future of Nursing report provided recommendations for nursing education, expanded roles, increasing nursing in leadership positions,
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The primary barrier to nurses being able to practice at their full potential is the states varied legislation (Fairman, Rowe, Hassmiller, & Shalala, 2011). The IOM (2011) report suggests that state scope of practice regulations should model the National Council of State Boards of Nursing Model Nursing Practice act and Administrative rules to provide legal authority to practice to the accomplished level of training. The IOM (2011) report also requested a review of states laws to identify potentially anticompetitive effects that do not protect the health and safety of the public. The new recommendations are to build a common ground with interdisciplinary groups and to include a diverse coalition for the Future of Nursing: Campaign for action (IOM, …show more content…
The recommendations called for increased opportunities for nurses to be leaders, manager, and executives in the various settings that they are employed. In addition, there was a push for more interdisciplinary collaboration during training as well as in the various levels of professional interactions (IOM, 2011). In practice these recommendations suggest more diverse performance measures, pooling of interdisciplinary funds, organizations supporting nurses in leadership, and encouraging nurses to work with information technology and medical device developers and manufacturers on new products.
The recently developed Doctorate of Nursing Practice program encourages the development of practice competencies including translating and disseminating research into practice, active involvement in health policy issues related to practice, and incorporating healthy promotion and disease prevention (Moran, Burson, & Conrad, 2014). These important leadership functions will prepare nurses for the new roles encouraged by the IOM. By facilitating these changes the report anticipates improvements across the healthcare system from a less acknowledged but important
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.
Both Nurse Practitioners and Nurse Practitioner-students work closely with patients to monitor their health and provide care for acute and chronic illnesses. However, in the academic-clinical setting, the NP-student may only perform this function at the discretion of the supervising NP. Although work environments and responsibilities bestowed upon these distinctive nurses can be quite different, Nurse Practitioners, Registered Nurses and students is bound to the same laws and regulations governed by all states and territories that have enacted a nurse practice act (NPA). The NPA itself is insufficient to provide the necessary guidance for the nursing profession, therefore each NPA establishes a state board of nursing (BON) that has the authority to develop administrative rules or regulations to clarify or make the governing practice law(s) more specific (NCSBN
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.
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 ).
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).
National Council for the State Boards of Nursing, APRN background, (2012). Report of the nursing policy and legislative efforts. Retrieved from https://www.ncsbn.org/428.htm#Nurse_Practitioner_Certification
Grossman, S. C., & Valiga, T. M. (2009e). Shaping a preferred future for nursing (P. J. Maroney, Ed.) (pp. 137-151). Philadelphia, Pa: F.A. Davis Company.
About 32 million people will represent the newly insured, affecting the health care system and nurses are the fundamental in health system. Health care reform is positive for nurses. The health care bill provides money for advance practice and general nurse education. The law also creates a grant program for innovative safety net programs, such as nurse-managed health clinics. Due to the shortage of family Physicians, nurse practitioner programs are going strong. The health care reform is a good opportunity for nurses; the law will permit different approaches to deliver primary care and with the decreasing number of physicians going in to primary care, Nurses represent the best way to provide primary care to the millions of new insured people. (Satowski, 2010)
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’.
For many years, the nursing shortage has been a relevant topic in today’s society. The nursing shortage is defined as a lack of trained nurses to provide care for ill individuals. Nursing schools inability to grow programs quickly enough to meet demands (Nursing Association of Colleges of Nursing, 2014). The shortage is not only an issue in the United States but all over the world. This problem affects a wide range of people from current registered nurses, patients, and other members of the healthcare team. According to the Nursing Association of Colleges of Nursing (Rosseter, 2014), the nursing shortage is due to the expansion of healthcare and nurses who are baby boomers beginning to retire. The Bureau of Labor Statistics’ Employment reports,
There has been a drastic cut in both the Medicare and Medicaid reimbursement rates. According to Robert (2012), “cuts of more than $360 billion to Medicare and Medicaid will be made over the next 10 years. The focus of nursing needs to emphasize more on wellness care and prevention rather than acute care” (McNeal, G., 2012). Nursing practice will need to shift more towards community and population focused nursing. Baccalaureate prepared nurses are provided with a curriculum that includes both community health and leadership skills that are not included in the associate program. By encouraging associate’s degree nurses to obtain a bachelor’s degree in nursing, an increase in the awareness of the needs of the community and population may be seen. The IOM report has outlined the anticipated obstacles that healthcare will face if changes are not made. By allowing nurses to provide care within their full scope of practice, quality care may be provided at an affordable cost to the population. The use of advanced practice nurses in primary care may provide quality, access, and cost efficient healthcare to high-risk populations and possibly decrease hospital admission rates, thus lowering the overall cost of healthcare. If nurses partner with doctors and other healthcare providers, it may improve healthcare by providing seamless transitions (Institute of Medicine,
Sherman, R. & Pross, E. (2010). Growing future nurse leaders to build and sustain healthy work
In nursing practice, the NLN’s mission aligns with extending nursing education by fostering excellence to progress a diverse team in evolving health on both national and global levels (NLN, 2016). The NLN seeks to be a leader in nursing education by setting goals and objectives. This organization plays a prominent role in nursing education by spearheading the nursing workforce with nursing certifications and examinations and serving as the main source for legislation reform. The NLN inspires students to apply professional clinical expertise to practice in an ethical manner with the utmost respect and value caring (Bavier, 2015). In nursing research, the NLN endorses evidence-based nursing education by promoting resources to foster research and evolve research initiatives to transform education in nursing (NLN, 2016). As stated in the mission, nursing excellence is an integral force for the basis of the NLN. In the NLN’s goals and objectives, the drive to be the official source of information for legislation, the emphasis to rally attention to the political, academic, and professional areas, the advocacy in setting standards of caring all around the globe, all reflect the aspirations
The Future of Nursing Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting, the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings, as well as the plans that put them at the forefront of the future.