...Professional Development of Nursing Professionals Professional Development of Nursing Professionals Erica L. Carroll Grand Canyon University: NRS-430V Professional Dynamics December 13, 2015 Professional Development of Nursing Professionals The 2010 Institute of Medicine (IOM) report “The Future of Nursing: Leading Change, Advancing Health” asks “What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?” (IOM, 2010, p. xi, par 2). This paper will address three major categories that are impacted by the IOM report: education, practice, and leadership. Impact on Nursing Education According to the IOM report nursing education should include change management, quality improvement, and care management, as well as stressing the importance of lifelong learning and continuing education (IOM, 2010). To this end, the IOM is in favor of an all Bachelors of Science in Nursing (BSN) work force (IOM, 2010). The IOM isn’t alone, one survey showed 76% of physicians surveyed felt BSNs were more competent that Associate Degree in Nursing (ADN) (Institute of Medicine, 2010, p. 171, par 1). The American Association of Colleges of Nursing (AACN) also supports the need for BSN trained nurses. They state the BSN trained nurse is better-rounded, has more advanced critical thinking skills, and are more ready to step into an entry level leadership role than their ADN counterparts (AACN, 2012). One study shows hospitals would...
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...Professional Development of Nursing Professionals Grand Canyon University NRS 430V: Professional Dynamics February 1, 2015 PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS In 1970, The Institute of Medicine (IOM) was formed to assistance the government and non-government agencies in making decisions regarding healthcare, using reliable evidence. Robert Wood Johnson Foundation sponsored the IOM 2010 report, which is viewed as one of the first attempt involving the future of nursing (Institute of Medicine, 2011). A study was organized to research the numerous ways in which nurses can transform and attempt to find solutions to improve health and organize a patient-centered health care system. The report mainly sought to develop a conventional nursing structure for the future, so that the diverse population of United States can receive quality, affordable care. The impact of the IOM report on nursing education The report by IOM has strongly influences the field of education for nursing. The health sector is constantly improving at a maximum pace. To keep up with the constant changes, nursing staff must update their education level. This will help them adhere to the requirements of the evolving health care framework, which can be accomplished by advanced education and specialization (Rubenfeld & Scheffer, 2010). Due to the advancement of the healthcare industry, physicians are encountering new challenges and difficulties that were not present in the past. For this reason...
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...Future of Nursing In 2010 the Robert Wood Johnson Foundation (RWJK), a subsidiary of the Institute of Medicine (IOM), issued a report on nursing called, The Future of Nursing: Leading Change, Advancing Health, (http://www.iom.edu/Reports/2010/The-Future-of-Nursig-Leadership-Change-Advancing-Health.aspx). According to the IOM official website, (http://www.iom.edu/), “…the IOM provides independent, objective, evidence-based advice to policy makers, health professional, the private sector, and the public. The IOM advises Congress on important health questions, from the quality of medical care to conflicts of interest in medical research”. The IOM also states that they make honest calls and request that the highest standards be provided to the public and will provide information to decision makers so regulations or policies can be changed to improve health, (http://www.iom.edu/About-IOM/Making-a-Difference.aspx). The IOM is a highly respected non-biased institution, with its elected members consisting of individuals known for excellence in their field of practice; suggestions made by the IOM carries a great deal clout. The 2010 report suggest some major changes need to me made in nursing to keep up with the demanding field of health care. The Future of Nursing Report listed eight recommendations and four focus points on how and why nursing needs to change, focusing primarily on nursing education, leadership, and practice. With the Affordable Care Act of 2010, the demands...
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...The American Nurses Association (ANA) states nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. Nurses are delivering their care in a wide variety of practice areas with different scope of practice. The Institute of Medicine (IOM) was founded in the year of 1970, to aid the government and non-government zones in making decisions in health related issues, by providing reliable evidence. Robert Wood Johnson Foundation was the sponsor of IOM 2010 report, which is considered as the first move on the future of nursing. Astudy was conducted to explore the various ways in which nursing profession can transformed in order to increase the opportunities and to organize a health care system, which will deliver a quality standard care. The main focus of the report was to develop a standard health care system for the future, through which a large populations of United States will be able to achieve a quality care. The significance of the IOM report education sector The IOM report has a strong impact in the area of nursing education. Health industry is advancing day-by-day at a maximum pace. So, it is very important for nurses to upgrade their knowledge level to comply with the requirements of changing health care system, which can be achieved by higher education...
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...Medicine (IOM) report: "The Future of Nursing: Leading Change, Advancing Health,": Transforming Practice, Transforming Education, and Transforming Leadership. Debra New Grand Cannon University September 6, 2015 The Future of Nursing: Leading Change, Advancing Health to understand how the 2010 Institute of Medicine (IOM) report impacts nursing we must first understand what it is. The IOM report is the result of a two-year project that was launched by the Robert Wood Johnson Foundation (RWJF) along with the Institute of Medicine. The report presents recommendations for an action plan for the future of nursing (Institute of Medicine, 2010 p.119). The report titled the “Future of Nursing” contained research that supported a formation for the envision on the way nursing will become. The central idea was to make sure the public would receive quality, affordable care where they would feel protected. The report was designed for nurses, policy makers, government officials, insurance companies and the public, all of which have a vested interested to ensure quality, safe, cost effective health care (Holzemer, 2010 p.119). The recommended changes in these areas of nursing serve as a fundamental part of attaining the goals set forth by the Affordable Care Act(2010). The four...
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...Professional Development of Nursing Professionals Katrina Boluyt Grand Canyon University: Professional Dynamics November 2, 2015 Professional Development of Nursing Professionals The largest philanthropy in the United States focused exclusively on health, the Robert Wood Johnson Foundation (RWJF), together with the Institute of Medicine (IOM) published a report on nursing in 2010. This report was the result of a two year project designed to evaluate and revolutionize the nursing profession (IOM, 2011). The four key points published by the IOM are as follows: 1. “Nurses should practice to the full extent of their education and training” (IOM, 2011, p. 4); 2. “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2011, p. 6); 3. “Nurses should be full partners with physicians and other health professionals in redesigning health care in the United States” (IOM, 2011, p. 7); and 4. “Key effective workforce planning and policy making require better data collection and improved information infrastructure” (IOM, 2011, p. 8). This paper discusses the impact of the 2010 IOM report on nursing education, on nursing practice, and on nurse’s roles as leaders. The IOM report promotes nursing education in the United States by recommending nurses to obtain higher education and urging education systems to provide education that is easily attainable. The recommended goals outlined in...
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...Future of Nursing-Impact of the 2010 IOM Report When the Affordable Care Act became law in 2010, it required a change in the way we think about the healthcare system. This comprehensive healthcare legislation is meant to improve and expand quality, access, and value of healthcare in the United States and will create new roles and opportunities for nurses. The IOM, with the Robert Wood Johnson Foundation (RWJF), produced a consensus report called The Future of Nursing: Leading Change, Advancing Health that proposes a conceptual framework for changes that will affect the future of nursing (Institute of Medicine [IOM], 2010). This report sends a message and makes recommendations that will have an impact on nursing education, nursing leadership, and overall nursing practice. Nursing education is an integral part of advancing nursing’s role in America’s future healthcare arena. The IOM report recognizes the need for more highly educated nurses with increased focus and depth on fundamental concepts that are applicable to many situations and communities. By 2020, they would like to see 80% of nurses earning their BSN degree and twice as many nurses with a doctorate degree. They also advocate putting nurse residency programs in place that would assist nurses with transitioning to their professional vocations. In addition, nurses need to continue learning throughout their careers and lives to maintain comprehensive skills and knowledge. To achieve these goals, the IOM recommends...
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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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...conduct in depth studies in an unbiased, influential way; called the Institute of Medicine (IOM). This organization ran for about 38 years when the Robert Wood Johnson Foundation (RWJF) offered their assistance in evaluating the need transform the nursing workforce. The IOM and RWJF then published a report, two years later, called The Future of Nursing: Leading Change, Advancing Health; hoping to aid the already changing health care system. The study found that the need for health care professionals will rise while the number of patients, with broad spectrums of needs, will also rapidly increase. It also discovered that the number of medical students is declining. The Future of Nursing highlights ideas on why increasing the number of nurses with baccalaureate degrees is important to the changing system, how to balance out the ratio of patients to providers and the essentials of nurses embracing their leadership skills; to utilize those qualities to become leaders. The IOM believes that more Bachelors of Science and Nursing (BSN) prepared nurses are needed, even though some studies argue that clinical experience, qualifications before entering a nursing program (e.g., SAT scores), and the number of BSN-prepared nurses that received an earlier degree confound the value added through the 4-year educational program (The Future of Nursing, 2010). In contrast to that argument, a survey of 100 physicians found that 76 percent of physicians strongly or somewhat agreed that nurses...
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...Professional Development of Nursing ProfessionalsThe Institute of Medicine report was done by acommittee on the Robert Wood Johnson Foundation and released on October 5, 2010. After twoyears of research to better understand the consequences for nursing and the expected changes inhealthcare, the report outlines the future of healthcare in the United States. It points out that nursesare going to have a critical role in that future by producing safe, quality care and coverage for allpatients in our health care system. The Institute of Medicine report discussed proposals regarding”The Future of Nursing, Leading Change and Advanced Health in the United States. ("The Forum ofState Nursing Workforce Centers," 2010) The Institute of Medicine report will have a significantimpact nursing education, the nursing practice and the nurse’s leadership role.In the Institute of Medicine report four vital messages were established by the committee. (1) Nursesare obligated to perform their nursing skills to the fullest extent of their education and training. (2)Nurses should pursue furthering there education and skills to advanced levels. (3) Nurses should bepart of the medical team alongside the physician and other health care professionals. . (4) Nursesshould be a part of an operative workforce in planning, policy making, and assist with data collectionand information organization. ("Advising the nation/ Improving health," 2010)The impact of the IOMreport on nursing education consists of the requirements...
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...changing and with it, comes the need for health professionals, including nurses, who will address the specific demands of patients in every health care setting. Nurse Practitioners respond to this demand. Master’s degree in nursing programs focuses on theoretical as well as extensive practicum hours under the supervision of physicians, physician assistants or nurse practitioners, to accomplish the prerequisites of going out into the varied health care settings as an Advanced Practice Registered Nurse or ARNP. The Family Nurse Practitioner (FNP) Track alone requires 625 clinical hours according to Chamberlain College of Nursing (2016). Graduate level coursework in physiology/pathophysiology, health assessment and pharmacology, are requisites to all master’s degree programs. Master’s level nursing have deeper understanding of assessment, identification of problems, plan of interventions, anticipation of comprehensive outcomes than baccalaureate-prepared nurses (American Association of College of Nursing [AACN], 2011). To be able to approach patients with confidence, advance knowledge and skills are necessary. Cotterill-Walker (2011) conducted a literature review to determine if master’s level nursing affects patient care. In one...
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...Nurse Burnout and Its Impact on Patient Safety Georgetown University Foundations of Health Systems and Policy NURO-624 September 12, 2013 Nurse Burnout and Its Impact on Patient Safety Patient safety encompasses the application of best practices that are geared towards achieving positive outcomes and promoting safety, and can serve as an indicator of quality in healthcare institutions; sustainable nursing workloads improve the quality of health care by reducing unsafe conditions, as well as reducing mortality and morbidity. Several literature reviews have clearly identified the consequences for patients when nurses are overtaxed or over utilized to bridge the gap of nursing shortages. According to Mckee et al, each patient added to nurses’ workloads (beyond four patients) is associated with a seven percent increase in mortality following common surgical procedures (McKee, M. 1999). Recent health reform legislation has further stimulated increased awareness and focuses on patient centered care, and emphasizes on the importance of the patients’ experience. Moreover, patients’ expectations of their caregivers to be positively engaged in their work and performing efficiently and effectively in a supportive environment are prudent. However, several challenges are being encountered by nurses, as they strive to meet the mandates of the aforementioned health care reform. Challenges resulting from unfavorable working conditions that are not conducive to the provision of patient...
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...................................................................................................1 Introduction......................................................................................................................3 IOM Recommendation Seven...............................................................................................................................3 Content of Recommendation.............................................................................................................3 Leadership and Management....................................................................................................................4 Recognition of Leadership.......................................................................................................................6 Characteristics of Leadership.......................................................................................................................7 Education and Preparation for Leadership......................................................................7 Vision and Goals.............................................................................................................9 Future of Nursing............................................................................................................10 Final Thoughts...............................................................................................................10 ...
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...continuous patient care. According to Bae (2012a), a 2004 research study found that “43% of U.S. RNs worked more than 40 hours per week and about 9% worked more than 60 hours per week” (p. 205). In most instances RNs work overtime to alleviate staff shortages in their units. According to Bae (2012b), staff shortage in hospitals is not a new phenomenon and many researchers in health care system contend that such chronic shortage of nurses has a direct and negative impact on patient care (Bae, 2010; Bae, 2012b, Bae, Brewer, & Faan, 2012). For example, in several of her research articles, Bae (2010, 2012a, & 2012b) cited several research articles where researchers have found that the long hours worked by RNs are at the root of many adverse patient outcomes. Anecdotal evidence should suggest that anyone working long hours over an extended period of time will experience fatigue and decreased working performance. However, the health care system, as a whole, has not adopted the recommended standards from the Institute of Medicine (IOM) of “no more than 12 hours in a 24-hour period and no more than 60 hours in a 7-day period to avoid error-producing fatigue” (Bae, 2012a, p.60). The logical question is why not? Additionally, it...
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...Cultural, Spiritual and Psychosocial Wilfredo Mamaril Sternberg College The holistic assessment is an essential component of quality care that allows a psychiatric nurse to identify, diagnose and treat their patients based on every individual’s specific needs. A comprehensive assessment of a client’s health across multiple dimensions, such as their physiological, psychological, spiritual, cultural and psychosocial domains, are important “prerequisites for formulating an appropriate nursing diagnosis and plan of care” (Carniaux-Moran) particular to each patient. This assessment is achieved through interviews and assessments between the nurse and the client that “[varies] according to the state of the participants and the context in which the interview takes place” (Carniaux-Moran). It assists a nurse towards a more proficient and thorough diagnoses. For one, it is vital to consider a client’s past and present physical condition in order to determine if any of these medical disorders have an impact on their mental health. For example, patients who present symptoms for some common psychiatric illness such as nervousness, irritability and insomnia, can actually be suffering from underlying medical condition such as hypothyroidism or low lithium levels. In order to overcome the shortcomings of the visual observation of symptoms, nurses often perform a medical workup to rule out organic illnesses and ensure that the client is well enough to undergo psychopharmacologic and psychiatric...
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