Nursing Transformation

“Nurses are more than caregivers in today’s healthcare settings. They are teachers, advocates and pioneers in improving healthcare. They are stepping out of the old model and taking ownership for changes in healthcare. Nurses are developing their own scientific research programs to improve patient care. They are playing a pivotal role in healthcare reform. Nurses are becoming leaders, not followers in healthcare reform.”

“Nursing is informed caring for the well-being of others” (Swanson, 1993, p. 352). Kristen Swanson’s relationship-based caring theory encompasses maintaining belief, knowing, being with, doing for, and enabling. Nursing is a profession with vast opportunities for growth and development. Each nurse has his or her individual passions; mine reside within obstetrics, women’s health, and nursing leadership. Nurse leaders play an integral role in the success of healthcare organizations. Nurse leaders shape the roles of nurses within their organizations. Nurse leaders seek methods to improve patient care. They also use innovation to gain efficiencies in care delivery and decrease healthcare cost. Many nurse leaders have an ultimate goal to aspire to be a chief nursing officer in a healthcare

Nurse leaders play a vital role in establishing standards and leading organizational change. The effects of the Affordable care Act (ACA) on the healthcare industry is characterized by change (Delmatoff & Lazarus, 2014). Given this ACA paradigm transformation, I believe today’s nursing leaders must adapt quickly and assist new leaders to develop the skills necessary to envision and evaluate new healthcare delivery systems. According to Chism (2009), the roles of the doctor of nursing practice (DNP) prepared nurse graduates may be incorporated to meet the transformation of today’s contemporary healthcare. After reading the assigned material, I gained confidence that the DNP program will prepare me for eligible leadership roles within the healthcare industry.

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 landmark report of the Institute of Medicine is thorough examination of roles of nurses, responsibilities and education should be attuned to meet the created by the complex and evolving healthcare system due to the needs of the aging population, and demands of the increasingly diverse population. The major purpose of the report was to provide assessment and transformation of the nursing profession. The recommendations were to serve as the blueprint to improving health care for all people by enhancing the contribution of nurses to the delivery of care. The outcomes of this report raise thought-provoking questions that include, what remodeling is the health care system requires to be seamless, affordable and accessible to all? What mechanism

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.

Additionally, the health care system will see a new kind of leadership that does not involve people in power ordering others around; rather it involves collaboration and mutual respect, which may only be achieved by making nurses “full

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

In 2008, The Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) launched an initiative to assess and reform the nursing profession to address the complex unique nursing needs for the current world. The IOM report published in 2010 calls on nurses to take greater role in the healthcare system by taking leadership roles and obtaining high level education. The report envisions nurses to use their full potential and attain academic progression to redesign the healthcare profession in United States.

Healthcare is moving swiftly into uncharted territory. New regulations, changes in Medicare and Medicaid, and even reimbursement issues are all on the forefront of the twenty-first century healthcare. Heated battles are ongoing in the political arena, however it is the American patient that will feel its effects, changes, and unfortunately undergo its transition. With the ever increasing needs related to patient care, such as living longer, more complex diseases, and rapid advancement in technology, a shift in education is a must. There is a profound difference it the handling of the healthcare system. Different viewpoints has caused a poor delivery system in patient care. As nurse leaders, leading the way will be instrumental in

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).

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

Nurses have a significant impact on health care development. Multiple factors could affect the nurse’s abilities and intuitive to be involved in larger scale of leadership within the health policy. I agree with some point was mentioned by Khoury et al. (2011). I believe that Lacking of leadership opportunities is one of the biggest concerns secondly after the stereotype views that Anthony discussed. Comparing nurses educational background to physician, nurse’s shortage and the misguided perception by the media or other health care providers play a significant role in that reduced opportunities. Although, nurses educational background is different form physicians, they both have the essential courses, training, skills and experiences to obtain

Nursing is a dynamic profession engaged in various healthcare roles related to clinical practice, education, administration and research. The American Association of Colleges of Nursing (AACN) released a new report on March 28, 2016 regarding the role of Academic Nursing partnership with the Academic Health Centers in future health and healthcare transformation (2017). The report emphasized the need for nursing leadership and collaboration with other healthcare partners to try to solve and meet the demands of today's health and healthcare dilemmas. The Chamberlain College of Nursing (CCN) mission, vision, philosophy, Master's of Science in Nursing (MSN) Program Outcomes, and the AACN Essentials of Master’s Education in Nursing (2011) are all comparable in trying to meet this need. It focuses on building

Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011}