The Institute of Medicine has stated the following in one of their reports, “The
Future of Nursing: Leading Change, Advancing Health, emphasizes that strong nursing leadership is necessary to improve patient safety outcomes and that the nursing profession must enhance its leadership role in health care redesign” (Fardellone, Musil, Smith, & Click, 2014, p. 506). As described by the Institute of Medicine, leaders in nursing have a vital role throughout the health care system (Fardellone et al., 2014). Nursing is moving in a new direction with help from the health care reform provided by the healthcare system in the United States (Reinhard, 2016). In the paper the following will discussed, regarding the future of nursing: health care reform, leadership, and different types of followers.
Health Care Reform
Health care reform is referring to the changes in health care policies. This reform is driven by the high cost of health care and the right to health care. Health care is focused on exploring and applying the Affordable Care Act. The Affordable Care Act addresses delivery issues within the current health care system and is working to improve them. Research is important in the Affordable Care Act in order to help individuals make informed health care decisions.
The health care reform will affect bedside nursing practices, influence advanced primary care nurses and their billing of service, and even move nursing towards a new direction with the new health care system in the
The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing
The Affordable Care Act was into law March 2010. The law has planned to make wide-range of changes to healthcare in the United States. The Affordable Care Act efforts to offer universal right to use to healthcare for Americans, control the rising costs of healthcare, adjust the private insurance industry complete things like state-based private exchanges and online marketplace that brings together state-approved insurance plans from multiple companies so consumers can shop for individual insurance plans, improve the quality of healthcare and make healthcare choices more consumer friendly and easier to understand (Medical Mutual,2017). Healthcare reform involves nearly all Americans from old or young,
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine; Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. [The National Academies Press]. Retrieved from http://books.nap.edu/openbook.php?record_id=12956&page=R1
The IOM particularly points out the need for strong and capable leadership of nurses. The report says that the professional nurses must produce leaders at every level of the system and accept primary leadership positions in politics and organizations. The implementation of health care reformation expects that the nurses must exhibit leadership capacity and high-level collaborative skills in formulation of policies as well as in nursing practices. The nurses should prove their potentialities for contemporary, advancing high-quality patient care at every stage. IOM says that acquiring leadership qualities from the beginning to the end of the nursing profession is very crucial to achieve the affordable health care to everyone in the challenging socio economic situation. The report clearly calls each nurse to take responsibility to attain leadership qualities to plan, implement and be a mentor of the society. Nurses should see themselves as critical leaders in decision making and adopting new policies to meet the prevailing
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
Nurses are increasingly becoming the strong leadership in developing all aspects of health care policy and decisions. Unfortunately the shared consensus is that most nurses do not possess leadership skills adequate enough to keep up with the ever-evolving field. The IOM reports on this by stating: “Nurses at all levels need strong leadership skills to contribute to patient safety and quality of care.” (IOM, 2010 pp.223) It is felt that nurses are depicted as people who carry out
Healthcare reform continues to be a topic of discussion among politicians, medical professionals, and many Americans who are struggling to pay for care in a system where costs are skyrocketing out of control. Consequently these costs are forcing many Americans to file bankruptcy due to the massive amount of medical debt that they owe, slowing our economy and reducing reimbursements for medical facilities (Khazan) The debate on how to fix health care continues, even after the Affordable Care Act was passed in 2010 to help begin our national journey to fix health care in America.
"In 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) began a two-year study initiative to respond, the need to assess and transform the nursing profession."("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010).An interdisciplinary committee was put together to report the nations issues impacting health care. Recommendations were set forth by the IOM in a way to improve and restructure the nursing profession to fit the future of the medical field. ("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010) The recommendation from the committee starts with an action-oriented blueprint for the future of nursing also to identify matters of medical care, research, education. (AJN, American Journal of Nursing: 2010). The Affordable Healthcare ACT (ACA) of 2010 introduced new changes to United States healthcare system. These changes were the improvement of research and evidence-based practice, health awareness, prevention screenings, and community-based wellness promotion and applied. (Affordable Care Act, 2010) Before the IOM’s action-oriented blueprint nurses came up against barriers that prevented them from being able to the start to make those transformations. Today nurses have the potential to overcome obstacles by leading innovative strategies to transform nursing education, practice, and leadership. ("The-Future-of-Nursing-Leading-Change-Advancing-Health," 2010)
A health care reform provides more people with health insurance coverage, set up ways consumers can shop for insurance, and provide legal protection for consumers. Health reform builds upon our current health insurance system. Currently, most Americans are required to have health insurance. Other steps include the expansion of Medicaid which allows more people at lowest incomes to qualify and Americans with moderate income who do not qualify for Medicaid gets provided with credits to purchase health insurance coverage. The health reform also, encourages employers that don’t provide health insurance to now provide it. Also, the health reform imposes protections to guard against unreasonable rate increase. If states want to provide protection
The third barrier discussed in the IOM’s Future of Nursing report was that nurses need to be full partners, with all other health care professionals, in order to redesign health care in the United States (IOM, 2010). To do this nursing education must add leadership aspects to the education programs. In doing this it will ensure that nurse are ready to actively participate and lead in decisions regarding healthcare
The third key message of IOM report says “Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States”. A well-built leadership is important to make the dream of a transformed health care system successful. Most of the nurses do not begin
Nursing career is one of the few fastest growing fields in the health care industry not only in the United States but also in the world. Nurse practice has drastically changed in the last decade and as a result the need for changes in nursing practice is becoming more and more important. The Institute of Medicine report discusses so many aspects in nursing but this paper requires detailing the impacts on Nursing Practice (Transforming Practice), Nursing Education (Transforming Education), and the Nurse’s role as a Leader (Transforming Leadership). These three key aspects are discussed in the following pages.
This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to
The aging population and increased client demand for new services, technologies, and drugs contribute to the increase in health care resulting in the nurse having to take on the role as a leader. As reported in the IOM report, the role of nurse leadership designs, implements, and evaluates client care by coordinating, delegating and supervising the care provided by the health care team, including licensed nurses, technicians, and other health professionals. Nurse leadership will focus on prevention and focusing on populations as a whole rather than individual
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.