Core Competency 1.2 Essay

The need for continuing education in nursing has been accentuated in response to rapidly changing health care environment. Expanding knowledge by pursuing higher education allows nurses to enlarge one’s practice. Furthermore, higher education in nursing has been shown that a nurse’s level of education can become a critical factor to the patient-centered quality of care. This essay describes increased demand for higher education in nursing and emphasizes the necessity of continuing education to provide optimum patient care in various setting.

In November of 2010, the Institute of Medicine (IOM) released “The Future of Nursing: Leading Change, Advancing Health”. This special report examined the current state of nursing and changing landscape of the American healthcare system and offered recommendations for the future role nurses should play. The committee that released the report, Committee on the Robert Wood Johnson Foundation, divided it into three parts. Part II of the study, focused on transforming the nursing profession in order to improve America’s healthcare system. In order to achieve this transformation, the committee recommended that nurses attain higher levels of education and training, practice to the full extent of that education and training, and assume more

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Health challenges of the twenty-first century requires highly educated nurses trained not just in acute care hospital settings but a variety of clinical setting; this broadening in clinical education allows the nurses to self-understand and identify resulting in a transformation from lay person to professional nurse (Benner, Sutphen, Leonard, & Day, 2010; Institute of Medicine, 2010). Nurse administrators are not worried about the education-practice gap but concerns are now practice-education gap due to the inability of nursing education to keep up with the ever-increasing health care demands, such as rapid pace changes driven by modern technologies and research (Benner et al, 2010).

The fourth recommendation suggests the increment of the proportion of nurses with a baccalaureate degree to 80% by 2020. In this way, it is fundamental to note that such an increase is likely to impact extensively on the performance of nurses and the general efficiency of the nursing profession. An increase of such nurses to 80% would certainly mean that the care and duty normally provided by the nurses will certainly improve. Considering that most nurses only hold diploma certificates as the basis for their service, an increase in degrees will mean that more nurses will have learnt more about the nursing profession. In this regard, their performance would be expected to increase drastically.

The nursing profession is heading toward major changes that will have an impact to all practicing nurses and new students entering into nursing schools. The future of the nursing profession today is being influenced by four key messages given by the IOM committees to help reform the health care system. Nurses are to put into practice the full degree of their education and training; aim to achieve higher education and continue training promoting a seamless academic progression; become partners with physicians and health professionals within their work field in modernizing health care in the United States; and create an effective workforce in both policy making and planning in order to improve data collection and information infrastructure. (ANA, 2011, p 1).

Nursing has dynamic role in Patient care. Nurses educate, advocate, care and comfort patient. Moreover, nurses do 24 hour bedside care; they assess, plan, implement and evaluate the care and comfort of the patient. Furthermore, they communicate and collaborate patient care with other care team members. Nurses are eyes and ears of patient. Institute of medicine (IOM) understand the relation of nursing care and patient outcome. IOM perceives nurses going above and beyond to improve increasingly complex health care industry. IOM wants nurses to get higher education and function leadership role to improve patient outcome. Nevertheless, IOM calls on nurses to take greater role in growing health care system. This paper will illustrate the impact of IOM report on nursing education, nursing practice, nurse’s role as a leader, and the ways nurses can change their practice to meet the IOM’s report goal.

Nurses have been described as “lacking professional commitment and motivation, low in risk taking and change-making, having a ‘blue-collar mentality,’ being cautious and conservative, and suffering from lack of cohesiveness and collegiality” (Cohen, 1981; Eisenstein, 1982; Hughs, 1982; Hull, 1982; Kalisch & Kalisch, 1977; Kerr, 1982; Lowery-Palmer, 1982; Muff, 1982; Weiss & Remen, 1983 as cited in Chandler, 1986, p.1). With this definition of what a nurse has been professed as, there is a fundamental responsibility to redefine and understand the purpose and characterization of today’s nurse. Without a true clarity, respect and cohesiveness of peers and community cannot be stipulated. Gastmans (1998) states, “For nurses (both as

Planning skills are any skills that allow someone to look ahead and accomplish goals or avoid emotional, financial, physical or social hardship (Thibodeaux, 2017). Especially for the leaders, planning skills let them make and implement right decisions. Planning skills relate to seven areas of core competencies. The first is to set goals. To do this, someone must have a concept of what they want to do or a holistic vision. The next areas of competence are organization, analysis and data collection. Other capacities include diagnosing problems and causes; Predictions and projections; Communication; Evaluation and comparison; And implement and monitor actions. (Power, 2017). Competency is defined as a “manifest constellation

After reading The Future of Nursing: Leading Change, Advancing Health article by the Institute of Medicine, I gained a clearer view of the overall goal for nursing. Although there are many diverse parties that need to be associated in perfecting the continuously changing health care system, nurses vital to the contribution. Nurses provide direct patient care, deal with the health care system and health care policies, as well as interact with the interdisciplinary team. So the Institute of Medicine has a great nursing blueprint for help nurses make a different for not only the future of the health care system

The report also recommended that nurses ought to be highly educated and well trained. This would require the improvement of the education system that they have to go through (Donelan, Buerhaus, DesRoches & Burke, 2010). In order to ensure high quality healthcare, the education system should be improved to enable nurses to acquire more competencies such as leadership, collaboration, teamwork, evidence based practice, system improvement, health policy and research among others. There should be opportunities for smooth progression from diplomas through degrees, masters to PhD in congruence with the principle of lifelong learning.

According to The Institue of Medicine (IOM) in their report The Future of Nursing: Focus on Education, the 21st centry brings on many health challenges including the majority of the population being older adults (65 years and older), and the population is more diverse. The IOM reports that most health care today relates to more chronic conditions, such as diabetes, hypertension, and cardiovascular disease due to the aging population and increasing obesity levels. Patient needs are more complex, and nurses need higher competencies in leadership, health policy, teamwork and collaboration to deliver the care. To respond to the increasing demands of the more complex patients, the IOM calls for nurses to achieve higher levels of education. A BSN education provides nurses with a wider range of competencies to care for patients. The IOM recommends that 80% of

Lets look at how as a manager we would take steps to establish a competency model for our business. First what is a competency model? A competency model is a combination of several competencies deemed necessary for a particular job or position ( HENEMAN). Now that we described what a competency model is we have to understand what type of competencies are there. There are three key strategic HR reasons for doing competency modeling are to (1) create awareness and understanding of the need for change in business, (2) enhance the skill levels in the workforce, and (3) improve teamwork and coordination (HENEMAN).

Nursing has become the fastest growing profession within the health care field. Nursing has increased not only in demand but also in standards of patient care and expectations. The Institute of Medicine (IOM) discusses various changes within the scope of nursing as well as how nursing has and impact on the future for advancing health. Furthermore, IOM has significantly impacted the nursing education, nursing practice, as well as nurses roles as leaders.

I hold a Bachelors degree BSc in Psychology conferred by Kasetsart University TH, a Masters degree MA in Criminology and Justice Administration conferred by Mahidol University TH. This report has been prepared in my competency as a MSc student in Investigative and Forensic Psychology.