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Recognizing The Changing Health Care System

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Introduction of Issue Recognizing the changing health care system, the Institute of Medicine (IOM) in partnership with the Robert Wood Johnson Foundation (RWJF), launched a two-year initiative to assess and transform the nursing profession. The report produced by the IOM & RWJF, The Future of Nursing: Leading Change, Advancing Health, called out four key messages to guide the changes needed to heighten the future of nursing. One of these messages, nurses achieving higher levels of education- increasing baccalaureate prepared nurses to 80% by 2020, enforces the need for nurses to obtain higher degrees and changes the requirements for entry-level nurses. Improving education levels in the nursing workforce is beneficial to both the nurse receiving the education and the patient receiving care, however with expensive degree programs and an older workforce not willing to go back to school, turmoil has erupted within the profession. This paper uses evidence to review both sides of the argument and its significance to both nursing and patient care outcomes. Background In 2010, President Barack Obama signed into law the Patient Protection and the Affordable Care Act (PPACA) which aimed to increase the quality and affordability of health insurance. This act began a radical transformation of healthcare in the United States, and has created a new landscape for health professionals to navigate. The blueprint (The Future of Nursing: Leading Change, Advancing Health) created by the IOM
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