...The Impact of the 2010 Institute of Medicine (IOM) Report on the Future of Nursing Education, Practice and Leadership Aaron Peterson Grand Canyon University Profession Dynamics NRS-430V April 14, 2013 The Institute of Medicine’s (IOM) 2010 report on The Future of Nursing is a vision for ways to evolve nursing to better impact the changes in the world. The IOM was established in 1970 by the National Academy of Sciences. The IOM consists of a group of experts that discuss, debate, and examine future solutions in regards to the many concerns that the nation faces in regards to healthcare. This group’s primary goal is to improving high quality care, reduce medical errors and increase patient safety. In order to achieve these goals the group focuses the need to advance nursing education, nursing practice and nursing leadership. In healthcare nursing is considered one of the most versatile occupations with many different career pathways, a broadening scope of practice and increasing number of responsibilities. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. We must embrace the changes to improve the healthcare sector and provide care for people in all different settings. “The committee envisions a future system that makes quality care accessible to the diverse populations of the United States, intentionally promotes wellness and disease prevention, reliably improves health outcomes, and provides compassionate...
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...levels impact patient care and outcomes. In 1965, ANA has consistently affirmed the baccalaureate degree in nursing as the preferred educational requirement for basic nursing practice (ANA, 2003 p 76). Currently, after so many years, there are still Diploma, ADN, and BSN programs offered as a starting point for nurses. Typically, an ADN or diploma level nurse will attend school for two to three years. While the Bachelors of Science major will attend for four years. There are even some private schools where students get all text and classroom time and no clinical experience until they are actually hired into. Those programs are worrisome because of the lack of interaction with patients and minimum basic care. The ADN program relies on care plans and focuses on task-oriented clinical skills. The bachelor program is knowledge, theory, and research based. The curriculum includes clinical, scientific, decision making, and humanistic skills, including preparation in community health, patient education, and nursing management and leadership (AACN 2000). Associate degree programs became popular during WWII and are still popular due to the shorter duration, inexpensive cost, and accessibility in getting into the program without being impacted. Students entering associates/diploma programs focus on providing direct care to patients and families. Post WWII public health nursing was added to the BSN curriculum and the learning content was expanded making a widened difference between...
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...AACN Statement of Support for Clinical Nurse Specialists The American Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe...
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...MENTORSHIP IN HEALTH CARE SETTINGS Section 2: Role of the Mentor Critically analyse the role of a mentor, refer to the different aspects of the role and link analysis to specific requirements and standards for mentorship for your profession. Forefront Several definitions of the role of a mentor have evolved over the years, for a variety of professions (Gopee, 2011) as too have the requirements for mentors within the health profession. The current definition from the Nursing and Midwifery Council (NMC, 2008a) states that “A mentor is a registrant who has met the outcomes (of a mentor preparation course) and who facilitates learning, supervises and assesses students in a practice setting” (NMC, 2008a). The role of a clinical nurse mentor is described as someone who supervises, teaches and assesses student nurses in a practice setting (Jokelainen et al, 2011, Ousey, 2009), although the role is more complex in that a clinical nurse mentor needs to process the ability to select and support learning opportunities, they have a responsibility to manage diversity and equality, be accountable and ensure standards are maintained (NMC, 2008a). This is supported by Jokelainen et al (2011) who describes mentoring as being complex due to contextual, collegial, pedagogical and clinical teaching. Student nurses are supernumerary in the practice placement, meaning they are there as learners even though they must make an active contribution to the work of the practice area (RCN, 2007). Their...
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...ASN Program Description Mission and Goals Our Mission Trinity College of Nursing and Health Sciences provides a quality higher learning environment preparing competent practitioners for health-care professions. Continuous quality improvement guides the educational process as students prepare to deliver culturally congruent health care, perform as responsible citizens within the global community and seek avenues for life-long learning. Our Goals Program goals for each department in the College derive from the philosophy of the College and the domain competencies, as follows: Knowledge • ability to examine and explain phenomena • ability to construct and organize knowledge • ability to integrate and synthesize knowledge • ability to apply quantitative and qualitative concepts Proficiency • ability to solve practical problems • ability to collaborate with multiple disciplines • ability to communicate effectively • ability to practice competently and skillfully in a changing health-care environment Culture Care Values • ability to preserve/maintain cultural identities • ability to accommodate/negotiate diverse life ways • ability to re-pattern/restructure health-care delivery methods • ability to apply ethical and legal principles to health care The Associate of Science in Nursing Program (ASN) is a two-year program of study combining didactic and clinical nursing courses as well as general education courses. The Program...
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...Advanced Generalist: Reaction Paper In today’s society nursing has grown to fit the healthcare needs of society. We have grown by providing different nursing educational roles that will evolve healthcare as we know it. The advanced generalist education role is a clinical nurse leader. The American Association of Colleges of Nursing defines the clinical nurse leader role (CNL) as a leader in the healthcare system that delivers care across different settings within a Microsystems, using assimilation and application of research-based information to design, implement and evaluate the patients plan of care (Thompson, and Lulham, 2007). The Clinical Nurse Leader is further described as designing and implementing, and evaluating client care by coordination, delegation, and supervision of the care provided by the health care team (Thompson and Lulham, 2007). Thompson and Lulham (2007) states that the healthcare team in which supervision care is provided from the CNL include the license nurses, technicians, and other various health care professionals. American Association of Colleges of Nursing (2013) states that clinical nurse leaders are masters prepared nurses that involves risk anticipation for individuals and groups of patients, implementation of evidence based practice initiatives, team leadership, management and collaboration with other health care professional team members, and the use of information system and technologies to improve healthcare. The advance generalist advocates...
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...Academic Paper on Curriculum Development Asghar Khan Nursing Education Ms. Nasreen Ghani July 04, 2014. The subject of Leadership and Management plays a key role in the development of nursing profession all over the world. Nurses’ leaders empower themselves and others to achieve their professional goals. Nursing leaders from all level as a student to the chief executive are in key positions to participate in decision making which ultimately affect the patients’ care and the image of nursing profession. It means that nurses at all level have the opportunity to exhibit their leadership and management skills at practice area and in the educational areas. Although management and leadership can overlap and you must have both sets of skills to be effective, management is more concerned with accomplishing more specific tasks, leadership is broader concept (Hersey, Blachard, & Jonson, 2008). Keeping in view the current status, the nurses’ community in Pakistan needs to have efficient leadership and management skills. For this reason nursing student should have all the required educational knowledge of leadership and management so that they participate in critical decision making. This is the reason that I have selected the subject of Leadership and Management for critique. Higher Education Commission(HEC) has allocated 4 credits to the course of Leadership and Management, 2 credits for theory and 2 for clinical, 2 credit is sufficient for theory because students at this...
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...future of Nursing Sunu Saju Grand Canyon University NRS 430V April 07, 2013 IOM report and future of Nursing IOM (Institute of Medicine), in partnership with RWJF (Robert Wood Johnson Foundation), developed the report “The Future of Nursing: Leading Change, Advancing health on October 5, 2010.This detailed study focus on the significant connection between the health needs of various, varying populations and the actions of the nursing staff. The health care delivery system and nursing profession consider this report as a framework for transformation. The changes in health care system and nursing workforce are directed to health care researchers, payers, national, state and local government leaders, professionals and executives comprised of nurses and others, and individual policy makers. These changes are also directed to educational organizations, licensing departments, and charitable and legal institutions who advocate for customers ("Institute of Medicine," 2010). Committee of IOM created key messages that constitute its suggestion for this change, which focus on education, leadership, and practice in nursing. The need to transform practice is addressed in first key message of Institute of Medicine, “Nurses should practice to the full extent of their education and training”. United States is proud to have more than three million nurses today. Nurses in each state have scope of nursing practice developed by the state board of nursing. The scope of nursing practice...
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...Elizabeth A. Curtis, Jan de Vries, Fintan K. Sheerin This article provides an introduction to the issue of nursing leadership, addressing definitions and theories underpinning leadership, factors that enhance leadership in nursing, and the nature of leadership content taught in undergraduate programmes. Highlighted are differences between leadership and management, and the notion that leadership can be ‘learned’. The authors also point out that there is a discrepancy between how leading undergraduate nursing programmes prepare students primarily in the transition of education to practice, and the suggestion from a number of nursing publications that leadership in nurses should be fostered throughout their education. Key words: Nursing leadership n Management n Factors that enhance leadership n Undergraduate programmes he importance of effective leadership in health care has been emphasized by a number of authors (Dunham and Fisher, 1990; Hewison and Griffiths, 2004; Carney, 2006; Greenfield, 2007; Sutherland and Dodd, 2008), and nursing leadership is pivotal to this as nurses represent the largest discipline in health care (Oliver, 2006; Marquis and Huston, 2009; Roussel et al, 2009; Sullivan and Garland, 2010). Research on leadership has demonstrated a positive relationship with improved patient safety outcomes (Tregunno et al, 2009); healthy work environments (Shirey, 2009); job satisfaction (Heller et al, 2004; Sellgren ...
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...(ADN) level versus the baccalaureate-degree level in nursing (BSN) is miniscule. The BSN program incorporates most of the curriculum taught in the ADN program, excluding the leadership/ management, public health and critical thinking aspects. In 1951, Mildred Montag introduced a 2-year degree program (ADN), which trained the nurses for “intermediate functions requiring skill and some judgment” (Schank & Stollenwerk, 1988). In Montag’s curriculum, the role of nurse was focused on clinical skills and mostly task oriented. Due to the advanced education, a BSN graduate varies from a ADN graduate, in that they are well equipped to have a broader scope of practice, better comprehension of the culture, economic and public health issues that impact the patients. According to the American Association of College of Nursing (2012), nurses prepared at the BSN level, tend to have lower mortality rates, scarcer medication errors, and encouraging outcomes (Fact Sheet, 2012). In this paper, nursing judgment on patient care situations will be the differentiated between ADN and BSN competencies, which regard to the three major factors only required within BSN education: leadership/management, critical thinking and public health nursing. The art of leadership/management in nursing consist of the ability to communicate with staff and to recognize new resources that can be utilized to enhance patient care. A BSN graduate acquires leadership qualities such as motivating, inspiring, delegating...
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...Interview with an Advanced Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into practice to improve health outcomes of patients as well as improvement of education of nurses. What...
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...learning in the practice setting A reflective account of my experience of facilitating learning, assessing and teaching a student or co-worker, and how this experience will inform my future development within the mentor or practice teacher role. Student Number: 2930211 Word Count: 3150 Part 1: Introducing the Mentorship role I am a band five registered paediatric nurse based on an orthopaedic and spinal surgical ward in a tertiary paediatric hospital. I am currently engaging in completing my training to become a qualified mentor. This reflective account details my experiences assessing, teaching and facilitating the learning of a student during their practice based learning, and how this experience may affect my future practice. Throughout the account, in order to protect the identities of people, trust and clinical setting involved confidentiality will be maintained via the use of pseudonyms or omission of names (Nursing and Midwifery Council (NMC), 2008a). The function of practice based learning is to provide experience, serving an important role in developing the skills of the student in interacting with patients and their families assisting in technical, psychomotor, interpersonal and communication skills (Ali and Panther, 2008). Practice based learning provides an opportunity to link theory and practice, and promotes professional identity development (Fishel and Johnson, 1981). Practice based learning is also crucial in the profession of nursing due to the vocational...
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...The State of Oregon’s Nursing Schools and the US Nursing Shortage Analysis by Bridget Nickerson Introduction * The United States has been aware of an impending shortage in the qualified nursing staff of US hospitals since the late 1990’s. Oregon actively began addressing the problem in the early 2000’s. The state of Oregon has Sixteen Associate degree programs for Registered Nurses, and six baccalaureate degree programs (offered at 10 universities). There are currently four universities that offer RN to BSN completion programs; however, only Portland State University and Oregon Health Sciences University (OHSU) offer advanced degree programs (MSN & PhD). * I have a long-term career goal of breaking into the field of public health administration. From my experience working at OHSU I’ve gotten firsthand knowledge of how interconnected a health system is with the education and research institutions. I believe that it is this symbiotic relationship that will creates excellent care providers and in turn leads to exceptional patient care. Therefore, I chose this topic as I believe the relationship between Oregon healthcare providers and Oregon educational institutions is vital to the analysis and search for solutions to the current healthcare crisis facing the US. The Problem The United States is currently experiencing a Nursing shortage that will get exponentially worse in the next 10 years. The state of Oregon is no exception to this trend. There...
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...decisions in hospital setting, long term care setting and in community healthcare setting. Since “nursing is based upon a body of knowledge that is always changing with new discoveries and innovation” Potter and Perry (2005), nursing profession is compelled to grow from being just a traditional bedside nurse. IOM’s future of nursing report which is released in 2010 calls nurses to be “more highly educated, diverse nursing workforce”. There are two educational routes for becoming a professional registered nurse in U.S. One of the educational routes is be Associate Degree in Nursing (ADN) and another one is obtaining Bachelors in Nursing (BSN) or Bachelors of Science in Nursing. Although, both degrees enable nurses to get licensed as a Registered Professional Nurse, there are differences among Associate level prepared nurses and Baccalaureate level prepared nurses. In order to meet the requirements and demands of our changing health care system, nurses have to be least Baccalaureate level prepared. First of all, Associate degree program is a two year program that is usually offered by community college or junior college. Upon graduation, ADN student’s earn70 credits. The BSN program is usually four year of study in a college or university with at least 120 credits upon completion of the degree. While both ADN and BSN degree, teach nursing students the basic nursing curriculum such as anatomy, physiology, nutrition, behavioral sciences, medical surgical nursing, maternity, psychiatry...
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...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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