The Impact of the 2010 Institute of Medicine (Iom) Report on the Future of Nursing in Education, Practice and Leadership

This organization was designed to secure the services of prominent members of appropriate professions in the examination of policy matters relating to the health of the public. “The Institute acts to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education” (Institute of Medicine [IOM], 2010, p. 5) In October 2010, The IOM (Institute of Medicine) released the report, The Future of Nursing: Leading Change, Advancing Health. This report examines the changing roles of nursing in healthcare, changes in nursing education and

Throughout the process of composing this report, the Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing devised and enacted what is known as the Future of Nursing: Campaign for Action. The engendering of the "Future of Nursing: Leading Change, Advancing Health" was a major component of that initiative. The aforementioned organization was not only responsible for conducting the research that this report was based on, but actually provided four essential recommendations that it believed the data supported and that have a direct correlation to the data collection necessary for future workforce policy making and planning, as

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}

“According to the IOM report, the nursing profession is the largest segment of the nation’s healthcare workforce. Nursing represents the largest sector of the health professions, with more than 3 million registered nurses in the United States.”

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.

The passing of the Affordable Care Act by congress in 2010 will require the health care system to transform the future of nursing in order to keep up with the changes in health care in the United States. This paper will discuss the 2010 Institute of Medicine’s report on the impact of nursing education, nursing practice with a focus on primary care, how it will change current nursing practice and the nurse’s role as a leader.

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.

Nurses are the largest staff amongst healthcare professionals therefore; they play crucial roles in rendering affected person care this is exclusively primarily based on person patient desires. As a way to fulfill the expectancy of healthcare reform, modern models of care have redesigned the function of nurses consisting of “medical nurse chief, crew chief, unit base care managers, nurse practitioners serving as primary care providers in clinics; and nurse coaches supporting patients make a hit transitions across settings gives nurses an authority and responsibility for reaching a success and nice effects” (Joynt & Kimball,

Nursing is one of the most popular professions in healthcare. To become a professional nurse, one must acquire certain level of education, whether it is at associate or baccalaureate degree level. Once becoming a nurse a number of professional standards must be maintained to stay abreast with the profession. In that respect, the Institute of Medicine (IOM) in its 2010 report had suggested many recommendations focusing on the future of nursing. The aim of the report is to put forth recommendations that allow nurses to “(1) ensure that nurses can practice to the full extent of their education and training (2) improve nursing education, (3) provide opportunities for nurses to assume leadership positions and to serve as full

In order for changes to occur in the future of nursing requires interdisciplinary collaboration across the health care sector. While there is need for cooperation from all health-related disciplines, nurses can act as change agents. The ability of nurses to act as change agents is based on the fact that the nursing practice is the basic foundation of primary health care. Through the effective collaboration of other disciplines and integration of the primary health care into the existing health care system, an upstream dimension in nursing roles will be developed and established. Consequently, nurses will

Nurses have a central role on transforming healthcare system, which focuses on patient-centered care and deliver primary care in community setting rather than acute care setting. Nurses must have scientific knowledge and skills to provide higher quality care, minimize medical errors and promote the patient safety. Nurses have a crucial role in minimizing the rate of infection, facilitating the transition of a patient from hospital to home, prevention of diseases and promotion of health status (The national academic press, 2011). This paper summarizes the feedback shared by three nurse colleagues regarding how the practice of nursing is expected to grow and change due to the restricting of the U. S health care delivery system.

The Robert Wood Johnson Foundation’s (RWJF) Initiative on The Future of Nursing, at the Institute of Medicine (IOM) (Committee) was formed to identify the ways how to transform the profession of nursing, so it will meet the goals, objectives and upcoming challenges with the health care system, so patients and their families will continue to receive quality of care. The report on their findings was released 2010. According to this report committee made several changes regarding the education and training of both pre licensure and established nursed throughout the career. Their main focus was on preparing a student’s career in nursing at associate, undergraduate and graduate levels. This was very important for the committee to recognize that how to well-prepared nurses across the health care continuum to arrange opportunities for nurses to improve their

The Robert Wood Johnson Foundation (RWJF) and the IOM started a 2-year program in 2008 to respond to the requirement to analyze and advance the nursing profession. The IOM selected the Committee on the RWJF Initiative on the Future of Nursing, at the IOM, with the motivation behind delivering a report that would make proposals for an activity oriented plan for the future of nursing. Through its considerations, the board of trustees created four vital messages which are, nurses should be able to work to the full degree of their training and education. Nurses must accomplish advanced degree of education and practice via an enhanced education scheme that advances consistent

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

Nursing education has undergone a wide range of changes in the past decade. The foundation for these changes are some of the major events such as; radical transformation – a report released by Carnegie Foundation, the Affordable Care Act, a report released by the Institute of Medicine regarding the innovation in nurse education, and an initiative called as the Future of Nursing: Campaign for Action (Robert Wood Johnson Foundation [RWJF], 2012). Some of the major changes in nursing education are; technological expansion, the integration of evidence-based practice in the health care delivery system, emphasis on life-long learning, and focus towards student-centered learning (Billings & Halstead, 2012).