...The Impact On Nursing of the 2010 IOM Report On The Future Of Nursing GBUllet, RNC Grand Canyon University: NRS-430V Professional Dynamics As the largest single profession in US healthcare, Nursing plays a major role in the healthcare delivery in both rural and urban areas. The nursing profession is a work in progress and constantly evolving. Nurses in this era in many ways are far different than what it was at its inception. Today’s nurses must embrace change and incorporate evidence based medicine, creativity and the enthusiasm with discipline. Currently nurses are limited with their ability to deliver care with the changing healthcare practice in US. In order to be an effective participant in the evolving and transforming healthcare system, The Robert Wood Johnson Foundation (RWJF) and Institute of medicine (IOM) launched an initiative in 2008 which created a report with eight recommendations for the future transformation of the nursing profession. The IOM report had 8 key recommendations for the future of nursing. The following key messages were the framework for the recommendations. * Recommends that nurses should be able to practice to the full extent of their training and education * Recommends that nurses should attain higher levels of schooling and training through an enhanced education system that encourages seamless academic advancement...
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...Nurses 11/28/2013 Transformation and evolution related to basic level of education requirement is evident in the nursing profession. Currently there is a mixed population of educational training and skills working at the same capacity. “The sample survey also shows that 50.0% of the RN workforce holds a baccalaureate or graduate degree while 36.1% earned an associate degree and 13.9% a diploma in nursing.” (Rosseter, 2012) Each program prepares their students with the same basic training to pass the boards required for licensure. However the ability to pass the same standardized test does not equate to equality in educational training or practicing skill level. The NCLEX tests for minimum technical competency for safe entry into basic nursing practice. Passing rates should be high across all programs preparing new nurses. This exam does not test for differences between graduates of different programs, measure performance over time, or test for all of the knowledge and skills developed through a baccalaureate program. (Creasia & Friberg, 2011) Studies connecting patient outcome to educational training have enlightened employers prompting a change in the demand for higher educated and skilled nurses in the field especially in the hospital setting. Developing and producing a skilled work force is not a new concept to nursing. Since the early 1800’s movement toward education in the nursing industry has continually transformed and evolved. Hospitals were the first...
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...Professional Development of Nursing Professionals Today’s healthcare system is consistently evolving with new advances, technologies, and evidence based research, which challenges nurses to continue to stay on top of the industry to meet the increasing demands of our specialty to ensure continued safe and effective practice, and positive patient outcomes. Nursing most specifically is focused on a future of preventative, community, and palliative care to promote an increase in healthy living, and a proactive approach to ones health which will help to prevent an increase in healthcare cost in the future. In order to be successful our profession will need to focus on nursing education, leadership, and nursing practice. Nurses are the nerve center of the healthcare system and ensuring these key components are in place will lead us to a successful future. The Impact of the IOM Report on Nursing Education “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM p.163) The IOM is a report which has created a plan for the growth and future of nursing which focuses on higher education to ensure nursing stays proactive in its approach in the ever changing field of medicine. The evolvement of the health care system requires nurses to further their knowledge through advanced education. The education will need to focus on the level of nursing degrees and advanced certifications. For an example;...
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...Professional Development of Nursing Professionals The nursing profession plays a vital role in the nation’s health care workforce. Currently there are 3 million members thus it is imperative that nursing be ready to respond to the rapid evolving health care system. The Institute of Medicine (IOM) worked over 2 years to produce a report that would be available to make recommendations and serve as an action-oriented blue print to the nursing professionals. This paper will discuss the impact on nursing due to the recommendations on the IOM report regarding transforming education, transforming practice, and transforming leadership. (Institute of Medicine, 2011) Impact on Nursing Education The IOM report made a key point in which “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (Institute of Medicine, 2011, p. 164). As the year’s progress it is vital that nursing education be transformed to stay current with today’s evolving health care. The IOM reports that even though the nursing profession must be transformed to work in a variety of complex settings however, they recognized that the primary goal of nursing education should still be that nurses prepared to meet diverse patients’ needs; function as leaders; and advance science that benefits patients and the capacity of health professionals to deliver safe, quality patient care. (Instiute of Medicine, 2011) The IOM report emphasized...
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...A. Nurse sensitive indicators are factors that are directly impacted by nursing. There indicators fall into three categories; structure, process and outcomes of nursing care. The structure indicators are the organizational piece of nursing care. These relates to the amount of staff on duty at a given time, how many RN's are on duty and experience level of the staff. For example, evidence indicates institutions with a higher number of RN’s possessing a Bachelor Degree in nursing result in improved patient outcomes. The process indicators measure nursing care such as patient assessment, patient care and intervention. These are the organizational policies and procedures of nursing. The patient outcomes are indicators directly related to nursing care and quality of care provided. Patient satisfaction, pain management or infections rates are some examples of patient outcome indicators. In the case provided, knowledge of nursing sensitive indicators would have assisted the nurses in several ways to provide a positive patient outcome. First, if the nursing assistant had knowledge of pressure ulcer prevention, sign and symptoms and treatment of pressure ulcers, the pressure ulcer on the patient’s sacrum may have been prevented. In this case, the nurse assistant did not recognize the patient had the first stages of a pressure ulcer developing. When the assistant got the patient up for toileting she should have checked his bottom and upon seeing the red area on his sacrum, she should...
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...Evidence-Based Nursing Practice Many professional associations, federal government agencies, and other organizations, using research findings and other evidence have developed clinical practice guidelines and standards of care through the years to improve the healthcare practices. The reasons why different groups have come together and have established and implemented guidelines and standards are because there have been many problems and issues that the healthcare setting have encountered. Theses guidelines reduce or decrease, “Never Events”, while improving quality care and patient safety. The purpose of this paper is to review the guidelines that has been developed to address the Urinary Tract Infections (UTI) problem, it’s importance and significance to nursing practice, as well as its impact on the patients and community, and the differences in care based on evidence. “Patients with indwelling catheters, even with current standards of care and evidence-based practice, urinary tract infections continue to be a problem”(Kevin J. Ribby, June 2006). Practice setting problem Urinary tract infections continue to be a problem in healthcare. The numbers of patient’s with urinary tract infections are still too high. “A plethora of articles have been written about nosocomial urinary catheter-related infections, management of the catheter, and proper placement of the indwelling catheter in the male patient 4 but little about the impact of nursing education on outcomes related to decreasing...
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...Associate-degree level versus the Baccalaureate-degree level? What are the advantages of the health care industry employing more nurses with a higher level of education? Is raising the educational standard for the nursing profession a means to help improve overall care? Studies have been done to understand the differences, if any, between the two levels of nursing. The health care industry is constantly focused on improving the efficiency and quality of care for patients and the community. These studies and comparisons between the two levels of nursing education are in effort to continue to enhance patient care and treatment outcome. The differences in competencies between nurses prepared at the Associate-degree level (ADN) versus the Baccalaureate-degree level (BSN) in nursing are important in specific settings of the profession where leadership and authoritative decision is required, in my opinion. The advanced nursing education curriculum that is prepared to transition an RN to a BSN has been “designed to facilitate the students’ abilities to creatively respond to continuously changing health care systems throughout the world” (Grand Canyon University College of Nursing Philosophy). I believe the two separate programs both help to prepare nurses with the practical skills needed to be successful in any basic clinical setting, while the BSN helps to build upon these skills and increases the adaptability of a nurse to an ever changing and improving healthcare industry. ...
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...NRS-430V November 20, 2015 In the nursing profession, nurses have evolved along with advances in education and practice. Throughout the profession’s history, nurses have functioned as advocate for a better, safer health care system, and for public guidelines that promote the health of the population. Nurses have the option of choosing from two levels of college education in other to achieve their goals and become professional nurses, an associate degree or a baccalaureate degree. Their purpose is training nurses to function independently, collaborate with the others team members, and implement critical thinking skills in providing high quality nursing care. Both degrees fulfill the requirements to become an RN, however the main differences in competencies are length of the program, educational level and finances. National League of Nursing had a complete study about todays nursing schools. The study gave detailed description of the schools, described their curricula, and made recommendations for professional nursing collegiate education. Mildred Montag is the originator of ADN programs in the states. She dedicated herself to educate “technical nurses” to assist professional nurses. Her further goal was all nurses to possess a baccalaureate degree and achieve higher education. An Associate degree in nursing is typically two years college degree program which emphases on clinical nursing skills, disease conditions and bedside nursing with no evidence-based practice. I consider...
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...ADN nurses versus BSN nurses For many years, nursing was practiced by religious men with only crude training and no formal education. These men had a calling to help the sick and poor. As time went on the task of taking care of the sick fell upon the lowest of society, and nursing was at its’ worst (The Daughters of charity, 2014). Nursing was not looked at as a desirable or respectable profession and many chose any other job over nursing. This paper will explore how nursing has changed to become the most trusted and highly respectable profession and how formal education and training is the fulcrum of that change. It will prove that more education means better care and outcomes for patients. Early Education When Florence Nightingale changed the conditions of the injured soldiers, she not only improved their outcomes but she began the reform and change of nursing. The situation Florence encountered confirmed that with a lack of knowledge, education, and training the sick and injured would suffer further. Training schools opened at several hospitals in the United States, however the nursing students were treated more like servants and it was evident that there was a problem with this system. In 1894, discussions to raise and standardize the training of nurses arose. In 1903 nurses that attended a nursing program and passed the evaluation examination were able to become state registered (Creasia, Friberg, J., 2011, p. 6). Graduate registered nurses practiced mainly...
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...“Nursing Future” Education Impact on Nursing Practice Grand Canyon University: NURS-430V 6/4/2016 “Nursing Future” Education Impact on Nursing Practice The Institute on Medicine (IOM) released a document in 2010 entitled: “The Future of Nursing: Leading Change, Advancing Health.” The group that arranged this report were made up of professionals who recommended and helped shape legislation and health care policy (“Professional Accountability,” 2011). The document guided health care improvement by advancement of the nursing profession as the number of insured Americans rose to over 32 million in 2010 (IOM, 2011). This report has resulted in “The Future of Nursing: Campaign for Action,” whose purpose is to put into effect the proposals started by “The Future of Nursing: Leading Change, Advancing Health” report (Future of Nursing Campaign for Action, n.d.). The goal of most healthcare organizations is to improve nursing practice by hiring more educated nurses, as stated in the IOM’s report. This paper will discuss the impact of the IOM’s report about advancing nurse education and the role of leadership. IOM’s Report Impact on Nursing Education “Nurses should achieve high levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2011). The IOM report discusses the effect of having a baccalaureate or higher degree in nursing, and its correlation to positive patient experiences. The American Association of Colleges...
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...The Level of Education Directly Affects the Knowledge and Competency of the Clinical Nurse Abstract The level of education and the resulting competency levels have been an area of debate throughout the history of formalized nursing education. This is evident in the increased patient acuity and call for shorter hospitalizations. Many hospitals have taken this need a step further and are presently encouraging staff to further their education to the baccalaureate level. Clinical situations have demonstrated the use of critical thinking and increased competency utilized in everyday patient care. Higher levels of communication and problem solving skills are key competencies that contribute to the positive outcomes and increased patient safety. With the increasing needs for baccalaureate prepared staff, many hospitals are taking steps to ensure educational opportunities for advancement are available and attainable. Nursing and the method of education has been a source of controversy since the development of ADN and the BSN prepared programs. In March 2007, the American Association of Colleges of Nurses released an updated statement supporting the belief that the level of education directly affects the knowledge and competency of the clinical nurse. AACN professes that nurses with Bachelor of Science in nursing degrees are well-prepared to meet the demands placed on today’s nurse. The skills of critical thinking, leadership, case management, and health promotion are...
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...Baccalaureate-Degree Level in Nursing Jenny Curie Grand Canyon University NRS-430V Tara Harris February 10, 2013 DIFFERENCES IN COMPETENCIES BETWEEN ADN VS BSN 2 Competency is defined as the quality of being competent. To be competent one must possess required skill, knowledge, qualification, or capacity. The profession of nursing requires a skillset and knowledge base that is specific to its kind. There are many options in one’s educational journey to obtain a nursing degree. Nursing is the largest health care profession in our society today with three million registered nurses nationwide (AACN, Nursing Workforce). Along with the growing profession and the ever growing need for quality health care the debate over what qualifies a nurse to be skillful and competent in her profession and what type of education is required is at the for front. What are the differences in competency between a nurse with an associates degree and one holding a baccalaureate degree? Of the three million registered nurses nationwide 50% of those hold a baccalaureate degree while 36.1% have an associates degree, and 13% a diploma (AACN, Nursing Workforce). The quality in which we provide patient care and the need for those in this field to obtain higher levels of education is being discussed. The NCLEX exam taken to become a licensed nurse in any given state only tests for the minimum technical competency for safe entry into basic nursing practice (FACT SHEET). ...
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...Application of Nursing Theory Nurses have to make numerous decisions on a day to day basis. Some are simple decisions and other issues are more complex and require guidance to make decisions. Nursing theory is one way for nurses to make decisions based on problems or situations they face. As Cody (2003) states, “one learns to practice nursing by studying nursing theories” (pg. 226). This statement can be applied to problem solving and decision making. By using theory, nurses can apply concepts to solve problems, since practice is derived from theory. It is also noted by Cody (2003), that “nursing practice will be transformed to the betterment of humankind when all nursing practice is fully autonomous and guided predominantly by nursing theory” (pg. 230). This includes all aspects of nursing including nursing leadership, nursing education, nursing informatics and health policy. The middle range nursing theory of nursing intellectual capital is one that was developed to understanding how nursing knowledge within healthcare organizations influences patient and organizational outcomes (Covell, 2008). It is comprised of two mutually supporting concepts of nursing human capital and nursing structural capital. Nursing human capital is influenced in the workplace by nurse staffing and employer support for continuing professional development and is directly related to patient and organizational outcomes. The nursing structural capital is directly related to patient outcomes (Covell, 2008)...
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...Importance of Nursing Theory Chamberlain College of Nursing Theoretical Basis Adv Nursing NR501 July 20, 2015 Importance of Nursing Theory Theory is an arrangement of thoughts meant to describe something. These thoughts and ideas usually have basic principles that validate the purpose of the proposed theory. Nursing theory is a well thought out scholarly structure of concepts. These concepts are created to help guide nursing practice. They explain the fundamentals of nursing care. Multiple clinical decisions are based upon nursing theories. There are many different types of nursing theories developed primarily by nurses. Nursing theorist’s main goal is to examine nursing practice and explain the working or non-working parts of nursing. Theorists frequently use their academic and clinical experiences when producing theories. A very popular and influential nursing theorist in the twentieth century was Virginia Henderson. The development of her Nursing Need Theory has greatly impacted nursing practice today (Waller-Wise, 2012). This paper will include four sections. Section one will examine how theories have an impact and importance to the nursing profession. Section two will review the relationships among the concepts of Henderson’s Nursing Need Theory. Section three will examine two real-life examples illustrating the views of Henderson’s Theory. Section four will contain a summary and conclusion along with the knowledge gained from writing this paper. Section...
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...provide better patient care than ADN nurses? Dorene Simpson-Longoria Grand Canyon University: NRS 430V 01-30-2016 While a patient in the hospital may not readily recognize whether their nurse holds an associates (AND) or bachelors (BSN) degree; is the underlying care superior when care is delivered by a BSN nurse? According to Robert Rosseter, in his fact sheet titled, “Creating a More Highly Qualified Nursing Workforce,” “Quality patient care hinges on having a well-educated nursing workforce. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels” (Rosseter,2015). One of the primary goals of patient care is long term health improvement, known as positive outcome. In order to achieve more positive outcomes, nurses must have a comprehensive knowledge of patient care as well as the ability to apply that knowledge. Nursing care consists of many components and many of those elements are developed over time. Assessing and diagnosing patients are basic skills that require development over time. Each of these skills are taught in the ADN programs at the rudimentary level. With experience and practice, ADN nurses become proficient at assessing and diagnosing patients based on their level of education. When these functions are performed by a BSN nurse, the base knowledge is greater and the possibility of catching less common problems increases. Another important...
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