A key recommendation for transforming nursing practice from the IOM is improving quality of care. There is an ample amount of research that associates midwifery care as being of comparable or higher quality to obstetrician/gynecologists with increased patient satisfaction and lower cost (American College of Nurse Midwives, 2012). Midwives work to improve care outcomes through providing holistic, patient-centered care. Another key recommendation for transforming nursing practice from the IOM is improving access to primary care. Within the increasing need for primary care, nurse midwives have taken on roles in primary care with respect to newborn care and women’s health across the lifespan. The primary care certified nurse midwives provide
This report will evaluate the roles and responsibilities of a midwife. “Midwifery encompasses care of women during pregnancy, labour, and the postpartum period, as well as care of the new-born.”(WHO, 2015) This is a recent definition and clearly points out that a midwife has many roles and responsibilities. The NMC Codes of Conduct will be evaluated with specific emphasis on recent changes within healthcare. These changes took place as a result of the tragedies at Mid-Staffordshire Hospital in 2005-2009 and are the outcome of the Francis report in order to improve care given to patients.
A pivotal IOM recommendation was the expansion of opportunities for nurses to lead and diffuse collaborative improvement efforts with physicians and other healthcare members (The Future of Nursing Leading Change, Advancing
The aim of this research assignment is to demonstrate the ability to critically appraise two pieces of research evidence which relates to midwifery and use the evidence to make recommendations for change to improve the quality of care.
This process paper will evaluate the complex relationship between disease pathophysiology and how it has progressed to the patient’s current state of health. It will include a comprehensive discussion of chronic and acute problems leading to the patient’s hospital admission, a complete description of interrelationships and pathophysiology for all medical diagnoses, a comprehensive discussion of the client’s signs and symptoms and results of all diagnostic studies to the underlying pathophysiology, and a comprehensive listing of all medications ordered at the time of admission with explanations of why each was ordered and identification of the most common side effects which may
The international Confederation of Midwives (ICM) defines the midwife as a person who has successfully completed a nationally recognized midwifery education program, is qualified for registration, and competent to practice in midwifery. As a midwifery student, I will explore the philosophies of this profession whilst working with my first continuity of care experience woman and her family. In this essay, I will examine the roles of the midwife, the scope of the practice for midwives and midwifery students, and search the value of the midwifery partnership and the importance of the woman centered care. I will also clarify the legal, professional and ethical responsibilities of the midwife in accordance with national standards and code. Analyzing
The impact of report on practice particularly in primary care is very huge. Over the past decades, we have realized, with every passing decade, nursing has become an increasingly integral part of the healthcare services, so that a future without large numbers of nurses is highly impossible to envision. We have also witnessed the drastic changes and advancement that have happened in the field of nursing over the past decades. Nurses have to change their current health care practice in order to meet the growth and also the goals of the IOM report.
According to the IOM report, the nursing profession is undergoing fundamental changes within the underlying operations of the field. A new regulatory environment coupled with increased scrutiny of the profession will dramatically impact the nursing profession. As the report indicates nurses, in the near future, will have job requirements that are business oriented. Nurses will need to have a better understanding of quality management methods in addition to overall concepts of management. As the health care system continues its rapid reform nurses must also be cognizant of the effects these changes will have on their overall roles and responsibilities. This involves a transformation of the roles and responsibilities of nurses as they enter the profession. As the health care landscape continues to change, so too must the nurses of the future. A dedication to continual learning is therefore needed to help diminish the influence of antiquated and obsolete knowledge regarding the profession.
2.The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.
The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.
Nursing practice is also one of the key messages addressed in the IOM report. The report suggests that “nurses should practice to full extent of their education and training”. Furthermore, “nurses should be full partners with physicians and other health professionals, in redesigning health care in the United States. This report has a great impact on nursing practice. The IOM report suggests that greater focus on managing the transition from nursing to practice. It recommends that regulatory reforms must be made to allow nurses to expand their scope of practice (IOM report, 2010).
Being a midwife does not only defined by assisting women in childbirth. The general dictionary definition are the misconception of how people view midwives. Being a midwife means to be ‘with women’ and this leads the construction of the midwifery philosophy, Page (2006) 5 steps and Nursing and Midwifery Board of Australia (NMBA) competency standards, in order to provide the best women centred care (Australia Collage of Midwives, 2017). This essay will cover a constructive overview of what Page (2006) 5 steps of being a midwife means, it will also defined what women centred care is and emphasis on the importance it has for the woman. Understanding Page (2006) 5 steps and women centred care helped build the pathway for midwifery philosophy to correlate with NMBA competency standard in order to support midwifery practice. For
The nursing profession has been around for a very long time. Through many changes and reforms, it has drastically evolved into the nursing profession we have today. Nurses have an important role within the healthcare industry in the treatment and medical care of the sick. These trusted healthcare professionals continue to make up the largest majority of the healthcare field, as well as the fastest growing occupation. Nursing is a job that allows people to not only care for the sick but also to experience, learn and further their interest in the human body. This course has definitely provided me an insight to the roots of the profession I would like to pursue. I think it is important to know the history of nursing to understand fully on the problems that are affecting the profession. I believe that we cannot effectively address important issues without a foundation of historical knowledge. In other words, by examining the nursing history, I will be able to appreciate my important role as a nurse in the healthcare system. The topics I will be including in my reflection are the works of Florence Nightingale, the affects of World War II, the challenges of Filipinos aspiring to be nurses, and excerpts in Chapter 10 of “A History of American Nursing.”
Ongoing development and changes in healthcare delivery enable nurses to maintain standards of nursing and develop their competence and performance. Through this the patients well-being is maintained, respecting them through accessing up to date knowledge and skills that are essential in an ever changing environment.
The American Nurses Association (ANA) is an advocate of the IOM’s report. The report is consistent with ANA’s recommendations and goals and highlights the importance to nursing to continually advance the profession. Furthermore, the ANA agrees with the emphasis and significance placed on the need for nurses to be owners of leadership roles within the health care setting (American Nurses Association, n.d.). The report is relevant for all people and never loses sight of the patient as the center of care and most importantly is based on evidence (Robert Wood Johnson Foundation, n.d.b). The Campaign for Action was derived with the intent to continue the efforts and to further the advancement of the objectives of the
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