...The Impact of the 2010 IOM Report on The Future of Nursing Robert Loperfido Felician Health Policy and Politics NURS 385 Helena Correia RNC, MSN August 18, 2014 The Impact of the 2010 IOM Report on The Future of Nursing The United States is at a significant junction. Health care reforms are being carried out and the system is beginning to change. The largest component of the health care workforce is nurses and the needs to strengthen this group will only improve the delivery of care and the health care system. The IOM and the Robert Wood Johnson Foundation established that accessible, high quality care cannot be achieved without extraordinary nursing care and leadership (American Nurses Association, 2014, p. 1). The report calls on nurses individually and as a profession to embrace changes needed to promote health, prevent illness and care for people across the lifespan. The report also calls for support from interprofessional collaborations from physicians, dieticians, physical therapist and other multisector professions to work with nurses to make the changes necessary for a more accessible, cost efficient and high quality health care system. This report expands on the theme that high quality, safe, evidence based patient centered care is a critical role of nursing and that to have a successful health care system rests on the future of nursing (Institute of Medicine, 2010). In 2010 the President signed into law and Congress approved health care legislation...
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...There are many ways in which nursing has evolved with the times but there are also some areas in which it has not. In 2011, The Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine (IOM) released a report discussing the future of the nursing profession. The report describes what nursing education, practice, and leadership looks like today and how it needs to change for the future. Transforming Education The IOM reports a nationwide goal of eighty percent of the nursing workforce being educated at the baccalaureate level by year 2020. This is necessary to move nursing practice to a broader set of competencies, particularly in community and public health, leadership, research, and health policy (Committee on the Robert Wood Johnson Foundation, 2011). This goal is achievable because a lot of the educational capacity needed already exists. Online programs such as the RN-BSN, RN-MSN, and BSN-MSN options are beneficial to those already in the workforce and those with families (Committee on the Robert Wood Johnson Foundation, 2011). Community colleges in some states now offer baccalaureate degrees (Rosseter, 2015). Hospitals typically offer financial incentive for employees to continue their education. Some hospitals may also have agreements with local schools to offer onsite classes. The committee believes diploma programs should be phased out over the next ten years and should consolidate their resources with universities...
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...OF THE 2010 IOM REPORT ON THE FUTURE OF NURSING. The institute of medicine and the Robert Wood Johnson foundation formed a Committee to look into ways of making nursing a strong profession where nurses become partners and leaders to improve health care in the period of health care reforms, this led to the creation of Robert Wood Johnson initiative (RWJF) on the future of nursing in conjunction with the Institute of medicine (IOM), The Committee made some recommendations on nursing in the United States titled “ The future of Nursing: Leading change, advancing health” The RWJF and IOM worked on this project for two years.in order to study, research learn and understand the implications for nursing as a profession being the largest component of health care workforce of this anticipated changes in health care. To realize this vision of transforming the health care system into a safe, accessible, patient centered care, this will require improved nursing education before and after nurses are licensed. The RWJF and IOM considered many challenges that face nursing education and proffered solutions that will assist in advancing the health care system, the Committee determined that nurses should be trained at higher levels of education by improving the educational system that promote academic progress (IOM 2010). THE IMPACT OF IOM REPORT ON NURSING EDUCATION According to IOM (2010) the American population is getting older, most health care need today is relate to chronic conditions...
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...Future of Nursing Report Nursing comprise the largest group of health care workforce in the United States (US), with more than 3 million members (Institute of Medicine (IOM), 2010). Nurses can play an important role in helping to fulfill the goals set by the Affordable Care Act in 2010 (IOM, 2010). However, many obstacles are blocking nurses to advance change in the health care settings. These obstacles need to be lifted for nurses to better position themselves to advance health and lead change. The goals of this paper is to discuss the Institute of Medicine (IOM) report with the Robert Wood Johnson Foundation (RWJF) committee “Future of Nursing: Leading Change, Advancing Health”, the importance of the IOM report on nursing workforce, Campaign for Action, state-based action coalitions and initiatives. IOM report, "Future of Nursing: Leading Change, Advancing Health" In 2008, the IOM, in collaboration with RWJF, launched an initiative to meet the challenges of the nursing shortage to transform the nursing profession (IOM, 2010). With the RWJF initiative on the Future of Nursing, the IOM appointed the Committee with the intention of creating a roadmap to fulfill the RWJF objectives for the future of nursing (IOM, 2010). The RWJF recommends nurses to utilize the fullest extent of their training and education; pursue higher education and training via an educational system that promotes ease of academic progression; collaborate with inter-professionals and physicians as full partners...
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...longer adequate for dealing with the realities of health care in the 21st century. As patient needs and care environments have become more complex, nurses need to attain requisite competencies to deliver high-quality care. These competencies include leadership, health policy, system improvement, research and evidence-based practice, and teamwork and collaboration, as well as competency in specific content areas such as community and public health and geriatrics. Nurses also are being called upon to fill expanding roles and to master technological tools and information management systems while collaborating and coordinating care across teams of health professionals. To respond to these increasing demands, the IOM committee calls for nurses to achieve higher levels of education and suggests that they be educated in new ways that better prepare them to meet the needs...
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...report in 2011 on the state of the nursing profession, its workforce and the future of both. The Future of Nursing: Leading Change, Advancing Health was released after over two years time. The committee charged with making recommendations for meshing nursing with the future developed four key points. Theses were: Nurses should practice to the full extent of their training; nurse should seek and continue higher education; nurses should be full partners in redesigning the healthcare system; and, better data collection and infrastructure will help make this goals possible. This brief looks at an overview of the IOM’s report but focuses on the impact of its contents in the areas of nursing education, nursing practice and nursing leadership. When the 2010 Affordable Care Act (ACA) was enacted, it offered a unique opportunity for the nursing profession to join in the rapidly evolving healthcare system. Nursing represents the largest segment of the healthcare workforce, but faces a number of historical, regulatory and policy barriers when it comes to responding effectively to the modern health care system. (IOM, “TFON:LCAH, 2011). In 2008, The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) initiated a study to assess the needs and wants for the future the nursing profession and its workforce. The IOM released a report entitled The Future of Nursing: Leading Change, Advancing Health. The committee had four recommendations to act as template for the future...
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...profession, in particular, was expected to face several obstacles in response to a transformed healthcare system (Trouble, 2014). According to an article in Health Affairs, addressing these obstacles requires effective production and use of the nursing workforce (Rother & Lavizzo-Mourey, 2009). In an effort to guide the impending increase of Americans expected to seek healthcare, the Institute of Medicine (IOM) along with the Committee on the Robert Wood Foundation (RWJF) formed an initiative on the future of nursing. The 2-year initiative served as an action-based model for the restructuring of the nursing profession (IOM, 2011). The committee identified four key messages that guided the IOM discussion including the future of nursing education, nursing practice and the nurse’s role as a leader. The key messages and recommendations of the initiative on nursing provided nurses with the unique opportunity to further define its role in the healthcare field. Impact on Nursing Education To ensure the delivery of safe and effective patient care, the committee recognized the need for an improved education system for nurses. The committee stated, “Nurses should achieve higher levels of education and training through an improved education...
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...STRAEGIES AND PRACTICES RELATED TO MODERNISING MEDICAL CAREERS (MMC) Human Resource Strategies set out what the organisations intend to do about its human resource management policies and practises and how they should be integrated with the business strategy and with each other. (Armstrong, 2006). The purpose of HRM strategies is to; Guide development and implementation programmes Provide a means of communicating to all concern the intentions of the organisation about how its human resource will be managed Enable the organisation measure progress and evaluate outcomes against objectives. (Armstrong, 2006) Modernising Medical Careers, MMC, was designed by the National Health Service, NHS, to reform postgraduate medical education and training to speed up the production of...
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...of the best nurses in the hospital where I work. Being the best nurse, however, is not the point of furthering my education, the patient is. If there is one thing that I learn from this Baccalaureate program that saves a patient’s life, then this will be well worth the time and money invested. When I started researching this topic, I was drawn to the American Association of Colleges of Nursing regarding their stance on a higher qualified nursing workforce. I found multiple studies showing that patient outcomes improved dramatically when the nurses had more education (Rosseter). After reading study upon study, my question became why. Why do Baccalaureate Nurses have so many great outcomes where Associate Nurses fail? We both have the same clinical skills. What could we possibly learn in twelve extra classes that increase our patient’s survival rate by 4% for every 10% increase in Baccalaureate Nurses (Aiken)? Of course the American Association of Colleges of Nursing would promote education; that is their job. However, there were too many studies done with peer review to just sweep this under the rug as propaganda. Today’s patients are not like those of the 1960’s, when the American Nurses Association Committee on Education released a report stating that by 1985 the minimal requirement for professional nursing practice should be a baccalaureate degree (Committee). In fact, today’s patients are more complex than they were even ten years ago. Medicine has become an ever changing...
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...barriers need to be overcome. In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) formed a committee who 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 (The future of nursing, 2010). Nurses practice in several settings such as long-term care facilities, hospitals, nursing homes, clinics, schools, homes, battlefields, public health centers, so they need a variety of levels of education and competencies in order to effectively carry out the treatment decisions made by healthcare experts within the treatment team. Considering all nurses in they different roles, settings and education, the committee acknowledged the necessity of formulating some key recommendations that will help nurses to meet up with the tremendous evolvement that the profession is undergoing. In their report, the committee made four key recommendations to the profession and the recommendations are as follow: 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 professional...
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...nation’s health care workforce and has become integral part of health care services, so the future without large numbers of nurses is impossible to vision. The changing landscape of the health care system and the changing profile of population require that the system undergo a fundamental change to provide patient-centered care. To meet the demand for safe, quality, and affordable care will require a fundamental rethinking of the roles of many healthcare professional, including nurses. But nurses are unable to fully participate in the resulting evolution of the US health care system. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care setting. These barrier need to be overcome to ensure that nurses are well-positioned to lead change and advance health. In 2008, The Robert Wood Johnson and IOM launched a 2 year initiative to response to the need to assess and transform the nursing profession. The IOM appointed the Committee on the RJWF initiative on the Future of Nursing, at the IOM, with the purpose of producing a report that would make recommendations for an action-oriented blue print for the future of nursing. Nurses works in different setting, including hospitals, schools, long-term care centers. They have different level of education from LPN to nurse scientist. Through its deliberation, the committee developed four key messages. 1. Nurses should practice to the full extent of their education and training (page 85...
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...response to the transformation of the nursing profession. The Future of Nursing: Leading Change, Advancing Health, and the committee deemed many challenges that face the system of education in nursing and some of the answers that will be necessary to move forward the system. As part of the IOM report, nurses should succeed in higher educational goals and training that promotes progressional values on academics. In the IOM report, it states that Nurses should receive higher levels of education and training through an improved education system that promotes seamless academic progression. The demand for skilled nurses is on the rise. In a report called the Future of Nursing it states, “In the 21st century, the health challenges facing the nation have changed dramatically. The American population is older—Americans 65 and older will be nearly 20 percent of the population by 2030—as well as more diverse with respect not only to race and ethnicity but also other cultural and socioeconomic factors.” By this analysis, the number of nurses is on the rise; also the way in which nurses were educated in the 20th century is not adequate for the reality of health care in the 21st century. The IOM committee is setting a goal of increasing the percentage of 80% BSN degree nurses by 2020. This might have complications to achieve but it is necessary to move the nursing workforce to an expanded set of competencies, especially in the regions of public health, leadership, systems improvement and change...
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...Associate-Degree Level Nurses and Baccalaureate-Degree Level Nurses Vicki Brown NSG-430V Professional Dynamics Luci Hanus April 26, 2015 In nursing there are two primary pathways of education used to enter the profession, the Associate degree level (ADN) and the Baccalaureate degree level (BSN). The associate degree level program of study typically requires two to three years for completion, and is usually offered at the community college level. It was created in 1951 by Mildred Montag as an alternative to the four year university degree and the hospital based apprentice style of education in an effort to combat the severe shortage of nurses following the war (Nursing Timeline of Historical Events). “Today associate degree programs are the major point of entry into nursing” and have opened nursing education to a broader population of students (Creasia 15). The Baccalaureate level program is typically four years in length and offered at Universities. Both AND and BSN graduates sit for the NCLEX-RN licensing exam. Both educational levels have similar passing rates as the NCLEX “tests for minimum technical competency for safe entry into basic nursing practice” (Creating a More Highly Qualified Nursing Workforce 2014). The American Association of Colleges of Nursing (AACN) believes education plays a significant role in the knowledge and competencies of the nurse. BSN programs encompass the same course work as the ADN program. Additionally, the BSN program provides a more in-depth...
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...Engaging the Health Care Workforce The restructuring of the health care industry and ongoing efforts to improve quality are changing how the work of health care is organized. Many health care workers are taking on new roles and responsibilities. Some are excited by these changes and the new opportunities they create. Others are unsure about whether their training has adequately prepared them for the dramatic changes that are taking place. While understanding the need for change, many of these workers are asking for more of a voice in the process of change. The challenge for industry leaders is to harness the tremendous talent, energy and commitment of the ten million people who have been drawn to work in the health care industry because of its strong sense of mission. In order to improve the quality of health care, they must build a health care workforce that is strongly dedicated to caring for patients, knowledgeable and well trained, committed to continuous quality improvement and cooperative work, secure in their employability, confident in the safety of their work, fairly compensated, and competent in caring for the wide diversity of the American people. RECOMMENDATIONS The training of physicians, nurses, and other health care workers must change to meet the demands of a changing health care industry. Education and training of health workers should provide those individuals with greater experience in working in interdisciplinary teams, the provision of care in nonhospital...
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...The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine PREPUBLICATION COPY: UNCORRECTED PROOFS Copyright © National Academy of Sciences. All rights reserved. The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies...
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