...many aspects of nursing has changed. Obviously technology has played a major role in the ever-changing field of nursing. With the advances in technology comes a whole new skill set for the practicing nurse. New equipment requires continued education and training for the nurse to stay in the forefront of patient care. Increased demands on the nurse to do more than just bedside care have led to a variety of changes in the scope of practice. Nurses are doing more and going places that have in the past been outside their scope. Medication delivery, prescriptive authorities, nursing orders all advancing over these past 9 years. LPNs and RNs alike are now working outside the original scope of practice changing the dynamic of total patient care from a “I’ll get your nurse” or “I’ll get the Doctor” mentality to a let’s get this taken care of now!, confidence. This continuity of care aids in better patient communication and streamlines the care given. The advancements in technologies, changes in scope of practice and the new educational avenues have lent themselves to opening up a multitude of new career paths for nurses as well. Nurses aren't just in the hospital and nursing homes but have expanded out into the community as home health nurses, community educators, legal nurse consultants as well as specialties such as nurse anesthetist and increased trauma related nursing including flight nurses or even private holistic care nursing. With all the changes comes danger as...
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...providing cost and ease-of-use advantages. The word intravenous simply means “within a vein”, but it is usually used to refer to IV therapy. Intravenous therapy is getting fluid directly into a vein. It can be intermittent or continuous; continuous administration is called an intravenous drip. Treatments administered intravenously are often much needed medications. Compared with other routes of giving medications, the intravenous route is the fastest way to deliver fluids and medications to the body. Some medications, like blood transfusions, can only be given intravenously. I have to put in an IV, my patients’ pervious IV is older than 72 hours and per protocol a new has to go in. Oh, I remember back in nursing school going to clinical watching the more experienced nursing putting in fresh IVs and being horrified at some of the techniques used behind closed doors. One particular clinical a nurse gathers all the necessary material to start an IV. I watched her that tie off the arm above the elbow, clean it and then insert the needle. Standing off to the side being the student that I am thinking, wow she’s so good at IVs she doesn’t even...
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...Professional Development of Nursing Professionals: The Impact of the IOM Report, Nursing a Change for the Future Dina Gibson Grand Canyon University: NRS-430V February 10, 2013 Professional Development of Nurses: The Impact of the IOM Report, Nursing a Change for the Future The health care field is always growing and changing. With this advancement in technologies, it is important for the members of the professional health care field to grow with it. According to Robert Wood Johnson (2010), “With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce” (Institute of Medicine 2010 pg1). A pathway needs to be cleared so that nurses can play an instrumental role in the improvement of the health care system. The purpose of this paper is to discuss the impact of the IOM (Institute of Medicine) report on nursing education, the impact of the IOM report on nursing practice, and the impact of the IOM report on the nurse’s role as a leader in the future of nursing care. The Impact of the IOM Report on Nursing Education There are many different educational paths one can choose when becoming a registered nurse (RN). These include the bachelors of Science (BSN), the associate’s degree (ADN), and the diploma in nursing. All three pathways are required to take National Council of State Board of Nursing (NCSBN). This exam measures competency for an entry level RN to begin practice. According to Robert Wood Johnson (2010),...
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...Changes for the Future of Nursing The Institute of Medicine (IOM) set forth to identify how nurses could be better utilized in the health care changes occurring in the United States of America. There is an increased strain on our current health care system due to longer life spans and with more people obtaining health coverage. The number of primary care physicians is unable to increase at a rate to alleviate the need from the general population. Nurses provide a fundamental role to the doctors and the patients they serve. The nursing role has transformed throughout the profession’s lifespan. Nursing care is in a pivotal transformation in the evolving health care system. Nurses are being underutilized while demand for educated providers has increased. “While most nurses are registered nurses (RNs), more than a quarter million nurses are advanced practice registered nurses (APRNs), who have master’s or doctoral degrees and pass national certification exams.” (Institute of Medicine [IOM], 2010a, p. 2). A report from the IOM identified four recommendations to improve the role nurses play in healthcare. These recommendations expanded on nursing education, providing care to full extent of education and training; reshaping relationship between nurses and doctors; and changing policies to improve data collection and the information infrastructure. (Institute of Medicine [IOM]. 2010a). To produce enough educated nurses during World War II, a two-year associates degree of...
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...Change in Nursing Practice Jamie L. Eden Walden University NURS 4001-5, Research and Scholarship for Evidence-based Practice November 16, 2013 Change in Nursing Practice A patient who is admitted to a facility may be alert, oriented, and independent in ambulation. Add on intravenous (IV) tubing attached to a pole, a telemetry monitor, a foley catheter, and new medications for the patient. This patient now has fall risk factors. The purpose of this paper is to describe and evaluate change in preventing falls in the hospital setting. Falls in Hospitals Patient safety is number one in hospitals. Every staff member that comes into contact with a patient should always have the question, “Will the patient be safe?” in the back of their mind. Mistakes do happen just as patients do fall in hospitals even with prevention strategies. There are between 700,000 to 1,000,000 falls in hospitals in the United States (Preventing falls in hospitals: A toolkit for improving quality of care, 2013). If a patient falls any number of serious injuries could occur, such as bruising, lacerations, fractures, hemorrhaging, and even death. The costs of treating a patient for injuries as a result of a fall while in the hospital is not reimbursed by Medicare as of 2008 (Preventing falls in hospitals: A toolkit for improving quality of care, 2013). Not only will the facility not get reimbursed for costs related to the fall, the patient may likely have a longer length of stay and could potentially...
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...Proposed Change Theory The change model that will be used in this project is the Iowa Model. This model was choose because it encompassed my proposed change of patient education options by focusing on the aspect of improving the quality of care as well as increasing the knowledge of our patients. According to (Doody & Doody, 2011) the first step of the Iowa Model is to identify a trigger. My trigger is the process we are currently using for giving our prenatal patients education at the first visit in a large packet along with a 200-page book. The second step is to form a team. This team will consist of the clinic manager, staff, providers, leadership, finance, patients, and IT department. The third step is to review the evidence. This step...
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...Improving Nursing Shift Changes Introduction Nursing hand-offs rank high in situations where errors occur, often due to how shift changes are structured as much as mistakes by individual nurses (Halm, 2013). Wooldridge Place, for example, has a number of systemic deficiencies that contribute to communication breakdown between shifts and compromise patient care. It is anticipated that switching to a bedside handoff and addressing factors that contribute to negative outcomes from shift changes will allow Wooldridge to increase its patient safety and standards of care, and to meet National Patient Safety Goals and reduce overall costs to the organization. Background Significance While medical record-keeping is vital to patient care, nurses also...
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...The Impact of Nursing – 21st Century Changes This paper will review the 2010 Institute of Medicine (IOM) report on the future of nursing and highlight the need of lifelong education for nurses as changes occur in the American health care system. The leadership role of the 21st century nurse is changing in and outside of traditional healthcare settings. The paper will include possibilities of the nurse’s functions in the changing administrative and policy making capacity in the health care profession. In addition to providing information about educational needs and leadership roles the paper includes an opinion of personal practice as it relates to the goals of the IOM report’s Focus on Scope of Practice. Learning should be a lifelong venture for many professions that have changes occurring during their careers. Nursing is one of the professions that will benefit if the majority of practitioners take up the challenge of continual education during their careers. Society will be the beneficiary of the nurse’s increased knowledge and skill. The IOM report states “All health care organizations and schools of nursing should foster a culture of lifelong learning and provide resources for interprofessional continuing competency programs” (Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine [IOM], 2010, p. 6). The report continues with recommendations of “funding for grants and scholarships for nurses” to accommodate the lifelong learning...
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...nation’s health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change and advance health. In 2008, The Robert Wood Johnson Foundation (RWJF) and the IOM launched a two-year initiative to respond to the need to assess and transform the nursing profession. The IOM appointed the Committee on the RWJF Initiative on the Future of Nursing, at the IOM, with the purpose of producing a report that would make recommendations for an action-oriented blueprint for the future of nursing. Through its deliberations, the committee developed four key messages: Nurses should practice to the full extent of their education and training. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. Effective workforce planning and policy making require better data collection and information infrastructure. The...
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...Change Project Proposal To provide high-quality care, nurses must be the coordinator of the care and activities of the multidisciplinary team that is providing care for the patient. Clinical pathways and physician standing orders can be used as a guide for the team in managing stroke patients. They ensure that the appropriate diagnostic tests, therapies and care needs are being included in plan for a patient. Clinical pathways also improve coordination of acute stroke care and discharge planning, decrease hospital care costs, decrease readmission rates, reduce length of hospital stay, and improve patient outcomes by providing a guide to ensure best practice care guidelines are being followed (Summers et al, 2009). Currently, our hospital does not utilize nursing clinical guidelines for patients who suspected or actual stroke. I am proposing that our hospital implement the use of nursing clinical guidelines for the care of possible and actual stroke patients beginning in the Emergency Department and to other nursing units that provide care to stroke patients....
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...Changes in Nursing Since 2001 Christina M. Jensen, RN Over the past 9 years since I was a practicing nurse, many aspects of nursing has changed. Obviously technology has played a major role in the ever-changing field of nursing. With the advances in technology comes a whole new skill set for the practicing nurse. New equipment requires continued education and training for the nurse to stay in the forefront of patient care. Increased demands on the nurse to do more than just bedside care have led to a variety of changes in the scope of practice. Nurses are doing more and going places that have in the past been outside their scope. Medication delivery, prescriptive authorities, nursing orders all advancing over these past 9 years. LPNs and RNs alike are now working outside the original scope of practice changing the dynamic of total patient care from a “I’ll get your nurse” or “I’ll get the Doctor” mentality to a let’s get this taken care of now!, confidence. This continuity of care aids in better patient communication and streamlines the care given. The advancements in technologies, changes in scope of practice and the new educational avenues have lent themselves to opening up a multitude of new career paths for nurses as well. Nurses aren't just in the hospital and nursing homes but have expanded out into the community as home health nurses, community educators, legal nurse consultants as well as specialties such as nurse anesthetist and increased trauma related...
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...IOM Report: The Future of Nursing: Leading Change, Advancing Health Zillian Harvey Grand Canyon University NRS-430V September 27,2015 IOM Report: The Future of Nursing: Leading Change, Advancing Health The Institute of Medicine(IOM) and the Robert Wood Johnson Foundation (RWJF)conducted a survey from 2008-2010 which analyzed changes needed to reform nursing profession thereby improving healthcare in the United States overall. Due to the many challenges being faced by the healthcare system the report was done to focus on the evolving healthcare system focusing on the need for changes in the nursing profession. The committee focused on three primary areas of concern in the health care system which are quality, access and value. There has been a shift in the health challenges facing the health care system. There is a increase in disease processes conditions such as diabetes, arthritis, heart disease, mental health which affects almost ever 2 Americans(CDC,2010a). These conditions are expected to continue (DeVol etal., 2007) with contributing factors such as diabetes. The aging population has seen a rise in the extensiveness of chronic illnesses. Census projections predicts the population of citizens older than 65 is expected to rise from 12.7 percent in 2008 to 19.3 percent in 2030 (U.S. Census Bureau 2008), due to the increasing life expectancy of the Baby Boomers. Projections from the U.S. census board projects...
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...my own words, the impact that the Institute of Medicine 2010 report, “The future of Nursing: Leading change, Advancing Health”, has had on nursing education, a nurses role as a leader and on the nurses practice, (particularly in the primary care setting) as well as how I would change my practice to meet the goals of the Institute of Medicine report, in 750-1000 words. I would like to explain the Importance of the Institute of Medicine. The Institute of Medicine is an interdisciplinary committee to our country that focuses on points about our community’s health. This team was formed in 1970 under the charter of the National Academy of Sciences. They give self-governing facts that are researched for policy makers and healthcare providers for both the public & private sectors. As these teams are necessary for yielding reports, the Institute of Medicine is also attributed to having forums and other activities to create discussions and encourage critical-thinking. The Institute Of Medicine will also make recommendations for making health care more desirable and improve health professions education that has a great influence on encouraging change. Dr. Harvey V. Fineberg is president of the Institute of Medicine. “The Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, is a thorough examination of how nurses’ roles, responsibilities and education should change to meet the needs of an aging, increasingly diverse population and to respond to a complex...
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...The Future of Nursing: Leading Change, Advancing Health Lisa Greenspon Grand Canyon University Professional Dynamics NRS-430V-0102 Elizabeth Larkins May 5, 2013 The Future of Nursing: Leading Change, Advancing Health “According to the IOM report, the nursing profession is the largest segment of the nation’s healthcare workforce. Nursing represents the largest sector of the health professions, with more than 3 million registered nurses in the United States.” Transforming Practice Patients, in any healthcare setting, deserve respect and care that is centered on their unique needs. Nurses and health care are required to assist them to achieve this goal. Changing the health care system will require us to reestablish our roles as health professionals. We strive to provide and improve quality care, availability of healthcare to all patients and to help patients to value health through high quality care through proper education to gets patients healthy and understand that they need to maintain their health with our support. Building competency within the nursing practice can be done by: Encouraging and supporting nurses to practice to the full extent of their education, training, and competencies; and to foster interprofessional collaboration. Achieving such a shift will enable nurses to provide higher-quality care, reduce errors, and increase safety. Knowledge builds confidence and confidence builds competence. By transforming practice, we can create...
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...How the IOM report: “The Future of Nursing: Leading Change, Advancing Health” Impacts Nursing Kylie Kuehl Grand Canyon University: NRS 430V March 7, 2016 How the IOM Report: “The Future of Nursing: Leading Change, Advancing Health” Impacts Nursing In 2010, the Institute of Medicine (IOM) released a nursing report titled “The Future of Nursing: Leading Change, Advancing Health.” The report stressed the importance of developing a more highly educated nursing workforce, providing nurses more leadership opportunities, and interdisciplinary collaboration (Robert Wood Johnson Foundation, 2013). The release of the IOM report has lead to a number of revolutionary changes in nursing education and practice; it has impacted all aspects of the nursing profession. When it comes to nursing education, the recommendation stated in the IOM report is that nurses should obtain higher levels of education and preparation. Specifically, it is recommended that the percentage of BSN educated nurses be increased to 80% by the year 2020. The release of the IOM report has provided the momentum necessary to change nursing education across the country. (Institute of Medicine, 2011) One particular program that was approved in response to the report is The Rhode Island Nurses Institute Middle College Charter High School. The concept of this middle college was developed due to the number of students from low-income areas that were dropping out of nursing school. The middle college is intended to...
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