...Abstract Rapidly changing patient care environments result in significant ramifications for nursing team members caring for patients. These recent changes have refocused the current workflow views back onto inter-disciplinary teams, and collaborative working environments, and lead to a reexamination of nursing roles in the Long-Term Acute Care (LTAC) arena. Using action research methodology allows for the identification of areas of change, clarification of core and specialty skills, which in turn assist in the redefinition of nursing roles and eventually the adaption of a new nursing model. The new nursing model requires ongoing, detailed, and process driven education to establish and clarify the change objectives and new nursing roles. Quantitative and qualitative data collected from numerous sources, in conjunction with unit-based round tables, individual patients, nurse managers, and administrative interviews allows for consideration of multiple stakeholders. When patients vocalize a positive experience with services provided, this information helps to shape the new roles and responsibilities for the nursing teams. Proposed Change After the second California Medicare Services survey in 2013 major nursing deficiencies were highlighted between K Hospital’s patient acuities and the current staffing mix. In response to these specific deficiencies and under corporate direction an after action process improvement team was formed. Comprised of a regional chief...
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...Running head: THE FUTURE OF NURSING The Future of Nursing: Leading Change, Advancing Health Victoria G. Tapia Grand Canyon University: NRS 430V March 25, 2012 The Future of Nursing: Leading Change, Advancing Health On October 5, 2010, the Institute of Medicine (IOM) released its recommendations in Nursing in the United States, “The Future of Nursing: Leading Change, Advancing Health.” For two years a committee named Robert Wood Johnson Foundation (RWJF) worked to study facts, research literature, learn practices across the United States, and understand the reason change needed to happen to nursing in the complex changing healthcare. RWJF’s belief is that nursing is one of the largest portions of healthcare workforce and in partnership, able to actively achieve “accessible, high-quality healthcare.” They believed that transforming practice, transforming education, and transforming leadership in nursing will allow this to happen and reach this goal. This change was to increase a healthier population in the United States and expand the new improved healthcare system. One of the key impacts on the IOM report on nursing education stated that nurses achieve higher levels of education and training through an improved education system that promotes accessible academic progression. Nursing education needs to focus not only on delivering safe quality patient care but also focusing on care management, quality needs for the patient in the future, management, and constant...
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...gerontology primary care nurse practitioner, (AGPCNP) a registered nurse must complete a graduate nursing program with a concentration in adult gerontology primary care from an institution that has been accredited by either the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN). During this program, they must also complete a minimum of 500 hours of clinical practicum in settings that are relevant to adult primary care services. After completing their graduate program, prospective AGPCNPs must pass a certification examination administered by either the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners (AANP). After obtaining national certification, prospective AGPCNPs must also research and obtain any state-specific...
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...Development of the Nursing Professionals Professional Development of the Nursing Professionals Jill Blackman Grand Canyon University: NRS 430V January 6, 2012 Impact of IOM on Nursing Nursing has over three million members and is the largest sector in healthcare workers in the nation (Institute of Medicine, 2010). Since the Affordable Health Care Act passed in 2010, our nation now faces new challenges of providing affordable, quality health care to all Americans. The Institute of Medicine (IOM) is an organization that advises the federal government about how to improve our nation’s health care. The IOM has devised a plan to help change the future of nursing and break down the barriers that hinder the nursing profession in the new health care system. The report “Calls on nurses, individually and as a profession, to embrace changes needed to promote health, prevent illness, and care for people in all settings across the lifespan,” (Institute of Medicine, 2010 p. 10). How can nurses ensure that they are providing safe, quality care with the changing health care system and more complex patient care? Since nurses make up a major part of the health care workforce they can help shape and influence how the new health care reform will help the public obtain affordable, safe care that starts in the community and continues throughout all points of service, by further nursing education, establishing and participating in primary care and being leaders in the health care system. ...
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...Nurses: The Future of Nursing Amy K. Fettig RN Grand Canyon University: NRS-430V Professional Dynamics April 28, 2013 Professional Development for Nursing Professionals: The Future of Nursing A report was published in 2010 by the Institute of medicine discussing the future of healthcare. “The United States has the opportunity to transform its health care system to provide seamless, affordable, quality care that is accessible to all, patient centered, and evidence based and leads to improved health outcomes” (Institute of Medicine, 2010). This report has a significant effect on nursing. The impact on nursing practice, nursing education, and nursing leadership will be discussed. The Impact on Nursing Practice “Nurses should practice to the full extent of their education and training (Institute of Medicine, 2010).” In order for all patients to receive primary care then advanced practice nurse’s such as Nurse Practitioners should be used to their full extent of their abilities. There are several ways in which new opportunities are being opened up to advanced practice nurses and several barriers to overcome in order for them to improve healthcare. New Opportunities Healthcare is changing towards primary care. It is vital that nurses have advanced education in order to provide primary care. Advanced practice nurses, for example, are being used by the Department of Veterans Affairs to bring care to veterans in...
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...The Effect of the 2010 IOM Report on the Future of Nursing The Institute of Medicine was established in 1970 by the National Academy of Sciences. This organization was designed to secure the services of prominent members of appropriate professions in the examination of policy matters relating to the health of the public. “The Institute acts to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education” (Institute of Medicine [IOM], 2010, p. 5) In October 2010, The IOM (Institute of Medicine) released the report, The Future of Nursing: Leading Change, Advancing Health. This report examines the changing roles of nursing in healthcare, changes in nursing education and the changing roles as nurses as leaders This report was the culmination of two years of research by the Robert Wood Johnson Foundation (RWJF) and focused on best nursing practices in the United States, as well as, anticipated changes in healthcare and the implication it will have on nursing. With changes in healthcare such as the Affordable Care Act of 2010 (ACA), nurses will be playing an ever increasing role in patient centered care as healthcare moves away from acute and specialty care, and focuses more on primary care. Today the top providers of primary care are physicians (287,000), nurse practitioners (83,000), and physician assistants (23,000) (Steinwald, 2008; HRSA, 2008). The demand for advanced practice registered nurses (APRN)...
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...Professional Development of Nursing Professionals Robert Smith Grande Canyon University September 14, 2013 Professional Development of Nursing Professionals In 2010, comprehensive health care legislation was passed by Congress and signed into law by President Obama. These laws were the Patient Protection and Affordable Care Act and the Health Care and Education Affordability Reconciliation Act, collectively known as the Affordable Care Act (ACA). The ACA represents the largest changes to health care since the creation of Medicare and Medicaid programs 45 years prior. It is expected to allow more than 32 million Americans to finally afford health insurance. In the same year that the ACA was passed into law, the Institute of Medicine (IOM) wrote a report entitled The Future of Nursing: Leading Change, Advancing Health. The report was designed to show that nursing could help lead the future to a better health care system. A system that will meet the changing and challenging demands that will be realized with the implementation of the ACA. By virtue of their regular, close proximity to patients and their scientific understanding of care processes across the continuum of care, nurses have a considerable opportunity to act as full partners with other health professionals and to lead in the improvement and redesign of the health care system and its practice environment (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of...
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...Nursing and Future Changes: The IOM Report Grand Canyon University Nursing and Future Changes: The IOM Report The Institute of Medicine (IOM) report from 2011 titled “The Future of Nursing Leading Change, Advancing Health” focuses on the future of health care. The primary focus is on advanced nursing roles such as Nurse Practitioners. However, it does include the future roles of the RN. Although the primary focus is on Nurse Practitioners it is still relevant to the RN because health care changes will affect all roles of nursing. This report focuses on the future of nursing education, nursing practice, and the nurse’s role as a leader. All of these areas affect nurses, no matter what level of education you have obtained. We are all educated, we all practice nursing, and we are all leaders in some capacity. The IOM Report on Nursing Education Within the IOM report there are recommendations. Recommendation numbers three and four are about education. Recommendation number three recommends that nurses should have a residency program. It suggests that nurses should be more equipped to transition into the field after formal education. In providing a residency program the nurse would be more familiar with the work field and how to interact with patients as well as with other professionals in the medical field (Institute of Medicine, 2011). Through personal experience it is known that in 2007 120 hours of on floor time with a staff nurse was required of nursing students...
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...Difference There are many functional differences between a regulatory agency, such as a board of nursing (BRN), and a professional nursing organization (PNO) pertaining to professional nursing practice. Boards of Nursing (BONs) are state governmental agencies run by appointed individuals that regulate nursing practice. BONs are responsible for accepting/accrediting nursing programs, outlining the standards for safe nursing care and issuing licenses to practice nursing (National Counsel of State Boards for Nursing, 2015). In my daily practice as an RN the BON regulates my practice by monitoring for compliance and completion of all requirements for licensure within NY state laws; including successfully passing NCLEX and enforcing the nurse practice act accordingly. However a professional nursing organization such as the American Nurses Association (ANA) are generally a group of registered nurses that advocate for the members within the organization and the nursing profession. The ANA promotes the rights of nurses in the workplace while seeking to influence policies to realistically advance the high standards of nursing practice within the nursing profession.(Matthews, 2012) In order to attain a projected goal, in some cases, the ANA also will lobby the congress and regulatory agencies on healthcare issues affecting nurses and the public. In my daily practice as an RN the Professional Nursing Organization regulates my practice by offering seminars, networking events, evidence based journals...
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...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, evolving health care system. The recommendations...
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...The report, “The Future of Nursing: Leading Change, Advancing Health” promotes the advancement of nursing and it’s affects on the health care system. The report focuses on four crucial areas of advancement: transformation of practice, transformation of education, transformation of leadership, and meeting the need for better data on the healthcare workforce. This paper will go into more detail about the impact of the report on transformation of practice, education and leadership. Nursing education today is not sufficient for what the future of health care needs and has in store for nurses. The report stresses the importance for an improved education system. One that will ensure the new generations of nurses are equipped with the ability to deliver safe, quality, and patient centered care. (IOM (Institute of Medicine), 2011) “To ensure the delivery of safe, patient-centered care across settings, the nursing education system must be improved. Patient needs have become more complicated, and nurses need to attain requisite competencies to deliver high quality care” (Lola, 2011, p. 7). The report stresses the need for nurses to achieve higher levels of education and training in order to achieve these competencies. The suggestion is that more nurses should be entering in to the nursing field with a bachelor’s degree then going on to obtaining a masters or doctorate’s degree. The goal is to increase the number of nurses with a bachelor’s degree from 50-80% by 2020. (IOM (Institute of...
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...The Future of Nursing: Transforming Education, Practice, and Role Nurses form the front line of the nation’s healthcare workforce. Nurses make up the largest percentage of the patient concern group in the nation. A report filed by the Institute of Medicine, entitled “The Future of Nursing” recommends several suggestions to figure out the future of nursing. “The healthcare system is rapidly changing in all aspects; however nursing is hindered in its evolution by several obstacles that restrict nurses’ ability to adapt to these changes” (National Research Council, 2011). The report emphasis changing the scope of nursing practice to encourage successfully utilize the full curriculum, practice, and instruction of the nurse, in addition to enhance the schooling of nurses, and molding nurses to get supervisory positions . Transforming Practice According to the report many aspects of the healthcare system, primarily the based nursing itself. If nurses aren’t able to carry out with the full exploitation of understanding their usefulness and resources in the healthcare system are deeply rooted. According to the IOM 1978 new definition it includes 3 major areas of primary care that are family and the patient, community and incorporated delivery system. IOM 1978 report explain the first viewpoint, and the description in the 1984 addressed the second perception. Llatest definition thus focus the importance of the patient-clinician relationship (a) as understood in the context of the patient's...
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...(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 care across the lifespan. “In this envisioned...
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...Stroke Care at Hilo Medical Center The Care of a New Population of Patients Stroke Care at Hilo Medical Center The incidence of strokes among our population is increasing. According to the American Heart Association “It's the third largest cause of death, ranking behind "diseases of the heart" and all forms of cancer. Stroke is a leading cause of serious, long-term disability in the United States” ("Stroke statistics," 2011). Approximately 15 million people worldwide survive stroke annually (Seneviratne, Mather, and Then, 2009). Hospitals need to be able to care for the increasing number of patients being admitted due to strokes, and Hilo Medical Center is no exception. Currently at Hilo Medical Center, the vast majority of patients that are inflicted by CVA’s, or cardiovascular accidents, are transferred off island to better equipped medical facilities, such as Queen’s Medical Center in Honolulu. In the near future, that some of those practices will change. According to the nurse manager at HMC’s cardiovascular unit, Lisa Marie Nance, 6 beds will be added to the current 11 bed unit to accommodate some these patients. The unit will be changed to accommodate patients that are stable and do not meet criteria to receive thrombolytic therapy. It did seem odd that the hospital would be expanding the unit to care for a limited portion of the stroke patient population. I wanted to know more information regarding HMC’s plans, as well as what steps is needed to care for this...
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...FUTURE OF NURSING ROLES EXAMINED Christian A. Bagley Grand Canyon University: NRS-430V 05/06/2013 Future of Nursing Roles Examined Healthcare, specifically nursing, has come to the forefront of discussion recently in regards to dramatic changes in roles, education, and leadership. The changes are necessary to move forward in the volatile socio-economic times that the industry is currently facing. The move toward a deeper education development for all nursing roles, the strong push toward primary based care and case management, and changes to all levels of leadership are creating a financially stable patient centered industry that will thrive far in to the future. The Institute of Medicine has taken direct action to champion this change. Impact of IOM on Education Key message number two from the IOM publication speaks true to the desire for a more educated nursing field. “Future of Nursing: Leading Change, Advocating Health, states “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression”. (The future of, 2011) The trend toward bachelor educated nurses is the foundation for the other changes that the IOM has put forth in this report. BSN nurses have further education and a more diverse background that will allow them to move seamlessly from education in to practice in the fields of leadership, case management and community settings all of which the report seeks to impact directly...
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