IOM report and future of NursingIOM (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 and executives comprised of nurses and others, and individual policy makers.
These changes are also directed to educational organizations, licensing departments, and charitable and legal institutions who advocate for customers (“Institute of Medicine,” 2010). Committee of IOM created key messages that constitute its suggestion for this change, which focus on education, leadership, and practice in nursing. The need to transform practice is addressed in first key message of Institute of Medicine, “Nurses should practice to the full extent of their education and training”. United States is proud to have more than three million nurses today. Nurses in each state have scope of nursing practice developed by the state board of nursing. The scope of nursing practice in each state has variations and it affects all registered nurses especially Advance Practice Nurses.
According to Institute of Medicine report scope of nursing practice should be uniform and customized in all the states to permit them to practice to the full extent of their clinical preparation and education. Similarly after graduation before obtaining a clinical staff position, nurses should be given chances to expand their clinical proficiency. Practice residency programs are suggested to help the new graduates to improve the ability and knowledge required to be successful in their selected practice settings. According to the report there are residency programs available in acute care hospitals and academic settings. The idea of residency should be considered in community based settings too (“ISNA Bulletin,” 2011, p. 11). Transforming education is included in the second key message of IOM report. Nurses require top levels of education and training to function in ever more multifaceted health care structure.
So it is vital for the nurses to advance the education and training without difficulties. Chances to improve education from Licensed Practice Nursing or Associate Degree in Nursing to Baccalaureate science in Nursing and then to advanced degrees must be accessible and available. Besides clinical skills, health policy, evidence based practice and research, quality improvement teamwork and leadership should be added in the competencies while developing educational programs.Program of study should be modified to make sure that the nurses are prepared their best to perform their tasks.
In addition to that there should be opportunities available for cross training to improve teamwork and collaboration, to ensure patient safety (“ISNA Bulletin,” 2011, p. 11). 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 their profession as leaders. The nursing career must produce leaders all over the health care structure, from the bedside to the boardroom.
Nurses are obligated to be leaders in designing, implementing, evaluating and advocating for, the continuing transformation of the system as needed. Competencies and leadership skills will help the nurses to function as full partners with other health care professionals and physicians to reform and redesign the work throughout the health care organization. Leaders should decode new research results to the performance settings and into education of nurses and from education of nurses to policy and practice (“Institute of Medicine,” 2011, p. 221-222). Besides leadership nurses are responsible for recognizing the problem, searching the solutions and dedicated to promoting health for the community.The execution of evidence-based practice is very important in current nursing environment for a better practice and introduction of new technologies. The use of technology, partnership and collaboration will help the bedside nurse to keep their practice current as well as to deliver superior nursing care to patients, family and community.
Nurses should develop a culture of analysis and changes in practice based on research and apply latest principles that are based on most recent evidence. This will guarantee the future of nurses and also help to achieve a better education level for nurses practicing at the bedside. The IOM report provides the data required to carry out adjustments in nursing education and practice.
Having reports in books, on website and on paper does no good if the data from those reports helps in the nursing transformation. All the nurses should make use of this opportunity and be responsible and energetically play a part in shaping the future of the nursing profession.ReferencesThe Future of Nursing: Leading Change, Advancing Health. (2010).
Retrieved from http://www.rwjf.org/en/research-publications/find-rwjf-research/2010/10/the-future-of-nursing.html The Future of Nursing: leading Change, Advancing Health. (2011).
Retrieved from http://books.nap.edu/openbook.php?record_id=12956&page=R2 Visioning the Future of Nursing: Analysis of the IOM/RWJ Foundation Report.
(2011). Retrieved from http://ehis.ebscohost.com.library.gcu.edu:2048/eds/pdfviewer/pdfviewer?sid=c9d3fdee-4c6b-4d5b-b859-c8092f94f580%40sessionmgr10&vid=4&hid=8