...Nursing Practice Situation: Recognizing drug seeking behaviors in the emergency department (ED). Since The Joint Commission aggregated pain as the fifth vital sign, it has been the motivation of many ED’s to provide swift and sufficient pain management in a timely fashion (Pentin, 2013). Pain is among the leading reasons for ED visits (Thomas, 2013). Data: Information was collected on patients complaining of or exhibiting the following drug-seeking behavior (DSB): headache, back pain, dental pain, demanding specific medication, requesting a refill on narcotic medication, reporting medications or prescriptions as being lost or stolen or having run out, reporting 10/10 pain or greater, report of breakthrough pain with requests for additional doses, and requesting medication parenterally (Grover, Elder, Close, & Curry, 2012; Weiner et al., 2013). In addition, DSB was further defined to include patients that had received four or more opioid prescriptions by at least four providers within the last year prior to presenting to an ED (Weiner et al., 2013). Information: Independently, the data collected simply represents a thorough pain assessment. However, a well-documented comprehensive record in the electronic medical record (EMR) improves communication between health care professionals and allows for proper interpretation of a patients clinical presentation. However difficult, nurses must not only feel permitted but obligated to use descriptors such as “addiction,” “substance...
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...PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS Grand Canyon University NRS-430V. April 27, 2014 PROFESSIONAL DEVELOPMENT OF NURSING PROFESSIONALS In 1970, The National Academy of Sciences established the Institute of Medicine (IOM), a non-governmental, non-profit organization, developed to provide advice on the national level that addresses issues of medical care, education, and research. Through research, collected data, and nurse-led solutions, the IOM created an informative report in 2010 called The Future of Nursing: Leading Change, Advancing Health, which provides specific recommendations on the improvement of the nursing workforce and the healthcare delivery system. The report is directed towards various entities; individual policy makers, national state and government leaders, licensing bodies, educational institutions and consumer advocates, are just to name a few. Three particular recommendations, transforming education, transforming practice and transforming leadership, will be further discussed to display how each transformation will impact changes in the nursing profession and the health care delivery system. Transforming Education The first recommendation to be discussed that will impact change in the nursing profession and the health care delivery system is the transformation of education. The IOM report states that “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression”...
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...Future of Nursing in Healthcare In the United States, the healthcare system is being overhauled and transformed to provide quality healthcare at affordable prices. This transformation is going to effect the nursing profession even more so. In 2010, The Affordable Care Act (ACA) was signed into law to provide more accessible and more affordable care. The committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine (IOM) developed a vision for a transformed health care system (National Research Council, 2011). This committee conceives a future system that makes quality care accessible to the diverse populations of the United States. In this conceived future, primary care and prevention are central to the health care system (National Research Council, 2011). Examining the importance of the future of nursing on nursing practice, nursing education, and the nurse’s role as a leader in the transformation of the healthcare system according to the IOM will be discussed. Nursing Practice The practice of nursing is crucial to the future of the healthcare system. The number of Nurse Practitioners (NP’s) and physician assistants are increasing, while the number of residents and medical students entering primary care has declined (National Research Council, 2011, p.88). Nurses have the opportunity to lead innovative strategies to improve our health care system, but there are barriers to transforming nursing practice. There are...
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...The 2010 IOM Report: The Future of Nursing Michelle Kennedy Grand Canyon University NRS-430V April 5, 2015 The 2010 IOM Report: The Future of Nursing The Institute of Medicine (IOM) released its 2010 report called The Future of Nursing: Leading Change, Advancing Health and it calls for an increase in nurses working in the profession to be “80 percent BSN-prepared” by the year 2020. (An 80% BSN workforce by 2020?, n.d.). The four key messages that the committee developed included ideas such as: * Nurses using their complete education and training during practice * Nurses should have access to a better education system that lets them further their education successfully * Nurses should work with physicians as partners in changing the healthcare system in the United States * Policies and Procedures should effectively use data collection EDUCATION Along with the education portion of “BSN in Ten”, The Institute of Medicine focused on facts that nurse’s education from the 20th century were not adequate for the 21st century anymore. The patients’ needs and care environments have changed and become more complex. There have been arguments that it is not possible to teach nursing students in 2 years for an Associate’s Degree what the Bachelor’s Degree nurses learn in 4 years. There is not enough emphasis spent on the evidence based practice in a 2-year degree, therefore, making the Bachelor’s Degree a better choice. The nurses need to be educated to deliver...
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...The Future of Nursing KEMEL ISHMMAEL NRS 430V PROFESSIONAL DYNAMICS GRAND CANYON UNIVERSITY PROFESSOR CELESTE OTTNEY O3/12/12 The Future of Nursing The IOM report ‘The Future of Nursing: Leading Change, Advancing Health’ provides comprehensive recommendations regarding how the profession of nursing can be improved in the future. The following paper will consider the impact of the IOM report on nursing education, nursing practice and the nurse’s role as a leader. Nursing Education According to the IOM report, the education system should be improved so that the nurses may be able to achieve higher levels of education and training. The report also suggests that the education system should be such that the academic progression of the nurses remains unhindered. The nursing education should provide a better understanding of care management, systems-level change management, quality improvement methods and the reconceptualized roles of nurses in a reformed health care system. From the report, it can be inferred that education system should add a managerial aspect to the education and training of the nurses. In order to understand the management of change in an organization and the methods to improve quality of the services provided by an organization, nurses should acquire a higher level understanding of the organizational structure and organizational management. The report recommends that the nursing education should not hinder the acquisition of higher...
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... This will require transforming the healthcare system. This transformation requires reconsidering of many roles, including nurses. This transformation in nursing particularly focuses on three aspects; practice, education and leadership. By changing this, nurses are more focused on primary as opposed to specialty care. The healthcare system is advancing every day and this requires nurses to advance in their education too. Particular focus should be given to how to improve quality in healthcare, organization level management and nurses should be educated with the physicians and other healthcare professionals. Strong leadership is critical in transforming healthcare system as well and this should begin from bedside and to boardroom. By transforming these, we will be able to provide high quality, more reasonable and safer care to our patients. . Impact of the IOM report on practice Nursing is one of the most adaptable profession in the healthcare industry and because of this versatility new career pathways have opened for nurses. Nurses have been an enabling force for change in health care along many dimensions (Aiken et al., 2009).Nursing has become increasingly integral part of the healthcare services, so in the future without having large number of nurses healthcare industry is impossible to function. The transformation particularly focuses on primary care, and today nurse practitioners...
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...Transforming the Nursing Profession The transformation of the nursing profession is dependent upon formal education, evidence based nursing practice, and providing strong leadership roles at all levels of the health care system. The nursing education encourages lifelong learning that includes seamless academic progression (Robert Wood Foundation, 2010). The nursing practice incorporates both standards of practice and professional accountability. Strong leadership focuses on safety and quality of care to realize the vision of transformed health care. (Robert Wood Foundation, 2010). All of these are equally important to produce a highly qualified nursing workforce that provides value based quality care and takes the leadership role in transforming the nursing profession. Transforming Education – The Impact of the IOM Report on Nursing Education: The current nursing workforce involves different levels of education and training like licensed vocational nurse (LVN), associate degree, diploma, and bachelor’s degree. This leads to confusion and inconsistency in care. “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (Robert Wood Foundation, 2010). The purpose of the nursing education is to meet diverse cultural patient’s needs, take the leadership role in the health care system, and use evidence based knowledge to provide cost effective quality care. The nursing profession is dynamic in...
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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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...Professional Development of Nursing Professionals A committee on Robert Wood Johnson foundation collaborated with the Institute of Medicine (IOM) to develop a project on the future of nursing back in 2008. In 2010 the IOM released a report on the initiative named The Future of Nursing: Leading Change, Advancing Health. Part II of the report describes the needed changes of the nursing profession in order to advance the whole health care system. The IOM “envisions a future where primary care and prevention are central drivers of the health care system, inter-professional collaboration and coordination are the norm, and payment for health care services rewards value, not volume of services, and quality care is provided at a price that is affordable for both individuals and society” (IOM, 2010). This report was supported by evidence-based practice which contributed for the high endorsement of the report from the American Nursing Association (ANA). In this paper I would like to focus on three major sections of the project, namely transforming of nursing education, nursing practice and nursing leadership. The report underlines the deep changes in nursing education that need to be implemented in the following years. Even though the main goal of the nursing education remains to prepare the future nurses and nursing specialist to provide quality and safe care to a diverse population, the education needs to evolve in ways that encourage working in teams with other health professionals...
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...Institute of Medicine 2010 Report Guiding the Future of Nursing Susi Rubendall Grand Canyon University: NRS-430V-0506 February 22, 2015 Nurses are critical to the future health and healthcare of America. The enactment of the Affordable Care Act (ACA) calls for a transformation of healthcare to provide a safer, more affordable, more accessible and higher quality of healthcare. Central to these goals is high quality nursing care and practice. In 2008 the Robert Wood Johnson Foundation (RWJF) asked the Institute of Medicine (IOM) to become a partner to examine and consider what it would take to radically change and address the biggest issues of healthcare, cost and improved care. This ground breaking and far reaching collaborative effort resulted in the presentation in 2010 of a cohesive document “The Future of Nursing: Leading Change, Advancing Health”. The report focused on recommendations for improvements which include nursing’s important role in improving healthcare in America. This paper will look at the impact of the IOM 2010 report on nursing practice, nursing education and nursing leadership. Impact on Nursing Practice Nurses as the largest part of the healthcare workforce are poised to have an important role in transforming healthcare to provide quality care and improve health outcomes in America. An important message of the IOM report is the Key Message #1: Nurses should practice to the full extent of their education and training...
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...Education Today’s health care environment is undergoing significant changes due to complex patient’s needs, chronic health conditions, and technological innovations. Educating nurses within the 21st century requires a creative integration of knowledge, skill set, and caring within an increasingly complex healthcare system (Institute of Medicine [IOM], 2010). Nursing education is heavily laden with continuous content increases to be covered within the curriculum (Devereaux-Melillo, Dowling, Abdallah, Findeisen, & Knight, 2013). The need to examine curricular transformation is imperative in order to manage content saturation, and abate the separation of the classroom and clinical teaching. This paper will outline the following processes: (a) the development of a concept-based curricular plan for a baccalaureate program, (b) the impact of a concept-cased curriculum (CBC) on the faculty, students, finances, community of interests, accreditation, and (c) examples of the integration of competencies. Development of Concept-Based Curricular Plan Nursing faculty are challenged with curriculum, for they are presenting an astronomical amount of material to “cover the content”. According to Duncan and Schulz (2015) nurses practice conceptually on a daily basis by focusing on the patient needs, regardless of the medical diagnoses assigned. In order to practice conceptually, nurses must think conceptually by grouping important facts into concepts that can then be transferred from one...
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...Impact of IOM Report on Future of Nursing According to Institution of Medicine report on Future of Nursing, it is crucial to have advanced education in order to improve the critical thinking skills and to create efficient, improved and quality care to patient. The Institution of medicine is a nonprofit and unaffiliated organization, to provide advice to the government on health decision. The Institution of medicine was established in 1970 .Certain barriers may prevent nurses from being able to respond effectively to rapidly changing health care system. The barriers include age limits, poor competency level, communication skills or family and social factors. Robert Wood Johnson Foundation focuses on “attention and resources on health care challenges both broad and specific in order to make a difference on widest scale” (www.rwjf.org). A consensus report was developed on future of nursing to assess and guide the transformation of the nursing profession. According to Mar Crane , “ America’s health system is tangled , highly fragmented web that often waste resources by providing unnecessary services and duplicating efforts , leaving unaccountable gaps in care”(Crane, 2001, p. 1). The report recognizes that the nurses have central role in health care system transformation. There are barriers and resistance on transforming health care profession. The institute of medicine (IOM) report offers recommendations and key messages to make sure that each one treated respectively...
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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 transformation of nursing Julien Augustin Grand Canyon University Professional Dynamic NRS-430v Mrs. Hathcock May 03, 2014 The transformation of nursing The institute of medicine has major impact on nursing profession today, because the world is changing the characteristic of everything for modern technology to healthcare system. In 2011, the United States has reformed the health system to improve the health outcome of all individuals. This reformation may affect especially nursing profession, the biggest portion of the health care workforce ( ̎ IOM REPORT, ̎ 2011). As a result of the healthcare reform, that was released in October 5th, 2010. Recommended that “ nurses should practice to the full extent of their education and training to improve higher education and reassure wide opportunities for nursing to grow and assuming leadership collaborative in full partnership with others in health care professionals to improve the quality of care” ( IOM REPORT 2011, Pag. 1). According to the IOM, “nursing is the largest section of the nation’s health care workforce”, nurses play very important role by being front lines of the patient care and helping identifying vital objectives point in the 2010 health care law (IOM REPORT, October 5th , 2010). In 1965, since the birth of the nation’s health care which are Medicare and Medicaid program, the major change that has been in placed was the affordable Care Act (ACA) that was introduced in 2010. This program was designed to provide...
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...Introduction Nurses are one of the most important members in the society. Due to their invaluable services, transformation of the nursing practice is important. The Institute of Medicine creates a platform where nurses can exploit opportunities to build a healthcare system that meets demand for safe, accessible, quality, patient-centered and affordable care. The Institute of Medicine describes a vision where the health care system can undergo a transformation that will be effective in the delivery of medical services. Nurses are required by the Institute of Medicine to assume roles that will benefit them by improving their skills in the medical practice. The committee is looking for diverse ways to make quality care accessible to majority of the population. The impact of the IOM report on nursing education The IOM report recommends that nurses should be adequately trained in order to effectively render their services to patients. This ensures that nurses undertake their nursing practice with utmost professionalism. The report also states that nurses should use their education and training to the full extent. This is crucial as it determines if a patient will be able to recover from the ailment that they are suffering from. According to the Institute of Medicine (2010), an improved education system for nurses is crucial as they will acquire knowledge of the nursing practice. An improved education system promotes academic progression and sets a platform for upcoming nurses...
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