IOM Future of Nursing Report And Nursing Research Paper

IOM Future of Nursing Report And Nursing Research Paper

IOM Future of Nursing Report and Nursing

Introduction

IOM report explores how the education, responsibilities, and roles of nurses should significantly change to meet the increased demand for care as a result of the enactment 2010 Affordable Care Act and to advance improvements in the nation’s complex health system. The profession of nursing is the largest segment of the United States healthcare workforce. Yet, several barriers impede nurses from being capable of effectively responding to the evolving healthcare system and swiftly transforming healthcare settings.  The purpose of this paper is to analyze how the IOM  Report and state-based action coalitions have influenced nursing education and training,  practice, and workforce development IOM Future of Nursing Report And Nursing Research Paper.

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The work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health”

The IOM report was produced following a joint effort between the Institute of Medicine (currently The National Academy of Medicine) and The Robert Wood Johnson Foundation.  In 2008,  the two organizations launched a two-year initiative to emphasize the necessity to evaluate and change the profession of nursing. The RWJF committee was given the responsibility of whether the nursing workforce was capable of meeting the demands of a reformed health care system. The committee was to develop recommendations, including those addressing the ability of the education system to produce well-prepared nurses and the provision of nursing services amid nursing shortages. The committee was to define a blueprint and agenda for action, entailing alteration in institutional, and public policies at the local, state, and national levels (Rekha, 2021).

The core duty of the committee was to perform an assessment and give recommendations related to several issues, with aim of recognizing nurses’ crucial role in the design and implementation of a health care system that is more efficient and effective. The committee was to reevaluate the ability of nurses to meet the demands of the healthcare system in the context o  future and current technology and the entire healthcare workforce;  strategies for attracting and retaining well-educated nurses; and the capacity of nursing schools and nursing faculty to produce enough nurses who can meet health care demands (Rekha, 2021).

The four “Key Messages” structuring the IOM Report recommendations

The four key messages structuring the IOM report recommendations are: nurses should be given authority to practice to the full scope of their licensure, training, and education; nurses need to attain higher training and education levels;   nurses should work in partnership with physicians and other health care providers to redesign country’s health care system is necessary for the effective making of policies and planning of health care workforce (Chism, 2017) IOM Future of Nursing Report And Nursing Research Paper.

These four messages have greatly influenced nursing education and training, nursing practice, nursing workforce development, and nursing leadership.  Many states have amended their laws to grant APRNs full practice authority. For example, since 2010, nine states (Vermont, South Dakota, Connecticut, Nevada, Minnesota, Maryland, Rhode Island, North Dakota, and Nebraska) amended their scope of practice laws to allow APRNs to practice independently.   At present, twenty-two states and the District of Columbia have granted APRNs full practice authority, meaning that these health professionals can practice without the requirement for physician collaboration/ supervision in 22 states and the District of Columbia.  Also, the messages have made more nurses attain a baccalaureate degree. According to the American Association of Colleges of Nursing (2021), around 56 percent of registered nurses have a Bachelor of Science in nursing or higher degree, up from 49 percent in 2010 when the report was released. Nurse practitioners transition to practice residency programs operate in numerous healthcare settings, for example, federally qualified health centers,  retail clinics, hospitals Department of Veteran Affairs primary care centers,  Today, registered nurses are working as part of a  multidisciplinary team with health professionals who holds a doctorate or master’s degree. These professionals include pharmacists, physicians, occupational therapists, and speech pathologists (AACN, 2021).

The messages have influenced nursing leadership by equipping nurses with entrepreneurial and leadership skills. Nursing associations are actively sponsoring programs intended to develop entrepreneurial and leadership skills for nurse leaders in a range of positions. For example, the American Organization of Nurse Executives (AONE) provides an array of leadership opportunities and education, including the Nurse Manager Fellowship and the Emerging Nurse Leader Institute,

The role of state-based action coalitions and how the coalitions help advance the goals specified in the IOM report

State-based action coalitions perform the work of the campaign at the state, regional, and local levels. According to Yoder-Wise (2018), state action coalitions are working with the American Association of Retired Persons (AARP) and the RWJF imitative known as “The Future of Nursing Campaign for Action”. The action coalitions are working with universities and colleges, funding sources, nursing organizations, and state government agencies including state nursing boards. The state coalitions are striving to ensure nurses can advance their education t and take on advanced nursing roles and be able to shape the reformed health system.

Two initiatives spearheaded by Texas action coalition and the ways the initiatives advance the nursing profession.

Texas action coalition is working to transform health care and nursing in Texas and build healthier communities. The Texas Team believes that all Texas residents deserve better care, lower costs of health care, and better health. As the largest segment of health professionals in the state, nurses are necessary for attaining the goals in Texas.  Texas Team is working to remove SOP practice barriers and ensure nurses engage in lifelong learning.  These initiatives advance the nursing profession because the removal of SOP restrictions will enable nurse practitioners to practice to the full level of their education and training and nurses will regularly update their skills to be able to resolve issues they might encounter while providing patient care.

Barriers to advancement that exist in Texas

Restrictive scope of practice laws are barriers to advancement that presently exists in Texas. Under the current law, APRNs are required to have a delegation agreement with a physician for them to conduct medical acts such as performing diagnosis, ordering, and evaluating diagnostic testing, and prescribing medications. According to Phillips (2021), in Texas, the authority of APRNs to make a medication diagnosis and prescribe medications should be delegated by a medical doctor utilizing written protocols along with a prescriptive authority agreement that outlines the devices and drugs that the APRN might prescribe or order. The delegating the physician and the APRN jointly develop and sign the protocols. These protocols are kept in the APRN’s practice setting and they are reviewed and signed at least yearly IOM Future of Nursing Report And Nursing Research Paper.

Nursing advocates in Texas overcome these barriers by advocating for amendment of the current laws to grant APRNs the ability to perform medical tasks without physician collaboration. In 2021, a bill (House Bill 2029/ Senate Bill 915) would grant nurse practitioners full practice authority. Texas nurse practitioners support this legislation as it would permit NPS to practice to the full level of their education and training and eliminate burdensome and expansive regulatory requirements like delegation agreements with medical doctors.

References

American Association of Colleges of Nursing (2021) Fact Sheet: The Impact of Education on Nursing Practice. https://www.aacnnursing.org/Portals/42/News/Factsheets/Education-Impact-Fact-Sheet.pdf

Chism, L. A. (2017). The Doctor of Nursing Practice. Jones & Bartlett Learning.

Phillips, S. J. (2021). 33rd Annual APRN Legislative Update: Unprecedented changes to APRN Practice Authority in Unprecedented times.  The Nurse Practitioner, 46(1), 27-55. doi: 10.1097/01.NPR.0000724504.39836.69

Rekha, S. G. (2021). The future of nursing: leading change, advancing health. IP Journal of Pediatrics and Nursing Science, 3(3), 60-63. DOI:10.18231/j.ijpns.2020.013

Yoder-Wise, P. (2018). Leading and Managing in Nursing -E-Book. Elsevier.

IOM Future of Nursing Report and Nursing

SUBMIT ASSIGNMENT

Assessment Description

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

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Include the following:

  1. Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
  3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
  5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers IOM Future of Nursing Report And Nursing Research Paper.

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA 7 Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite IOM Future of Nursing Report And Nursing Research Paper.