2010 IOM Report and the Impact on Nursing

The IOM Report and the Impact of Nursing The IOM (The Institute of Medicine) is trying to get nursing more toward a higher educational stand point. During the information on education they are pushing toward having the working nurse be at an 80% of the work force have their baclorets degree by 2020. While reading the article it continually talks about how the nurse with the bachelors degree is better prepared to take care of the patient. That the bachelor nurse critical thinking skills are more decide and sharp. The IOM also believes that “a nurse should practice to her fullest extent of her education and training” (IOM Pg. 85) the article also talks about how the nurse should be more of a partner with physicians and other health care workers. The IOM would impact nursing education by pushing for all nurses to have the bachelors degree. They also feel that the nurse who received a diploma or an associate degree in nursing are not as divers in nursing as the nurse who has the bachelors degree. They talk about the money that the government puts out for the diploma school should be better spent on the bachelors programs. They promote a nurse to get her education any way possible but you can tell that they favor a nurse going for her bachelors first and not going for the associate or the LPN (Licensed Practical Nurse) degree first. There are many bridge programs out there. I fell that they should not put down all the different routes there are to get your degree. Not every nurse has the income to go to school for their bachelor degree right off the bat. The Impact that IOM is trying to portray with primacy care being the focus instead on the specialty field. I think that if this would go into effect that the patient would be held more responsible for their care instead of the doctor or other medical professionals. The patients need to be held accountable for their actions. Particularly the ones they do when they know what they are doing is harmful to ther self. I would change the practice my having my patient realize for every action there is an equal and opposite reaction. For example if a patient choses to smoke I feel that they should have to go to the more and see a patients lungs that are all covered in tar then go to the oncology floor and have them visit with a patient who is suffering from lung cancer. The IOM report has had a big impact on the nurse’s role as a leader. When you are a nurse you must take charge and be the leader to care for your patients. There are people working with each patient and one of the people that needs to know what is going on with that patient at all times and that would be the nurse. The nurse plays a very important leadership role. Nurses must communicate with the doctor to voice concerns about the patient. Nurses need to be able to communicate with other for report along with being able to to express if they need help with a patient. Everyone needs to work together as a team in order to provide the patient with safe patient centered care. I will make sure I am communicating all my concerns to the doctor and fellow nurses to better care for my patient. IOM shows the important of nurses by how and what we do affects everyday lives and how it can change the future. The nurse is the person who has the most hand on care with the patient. We are there nurse, there friend and there company all throughout ne day some patients have no one who comes and visits with them. They value the nurses time and effort that we give to them. We as nurse are the first one to see change in the patient. Sometimes the change is for the better. But other times the change is for the worse. We must be able to communicate with the doctor to express what is going on with the patient. By focusing on the patient and their unique needs you can provide safe, effective, patient centered care. Nurses are a very important part of the health care community. They will be around for years to come to take care of patients young and old. From the extremely sick to the new born!
References
The Future of Nursing: Leading Change, Advancing Health. Washington, DC: The National Academies Press, 2011 INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES