OM Future of Nursing Report and Nursing
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Christelle Pierre-louis
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Summary
1478 Words
Running head: IOM REPORT 1
IOM REPORT 2
Introduction
Nursing is a dynamic field that is experiencing advancements with time. The multi-stakeholder
field calls for collaboration between governmental and non-governmental stakeholders to ensure
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The IOM Report
Christelle Pierre-Louis
Grand Canyon University- NRS-440VN
February 13, 2021
that collective success is attained. The IOM report, the future of nursing that was massively the
work of the Robert Wood Foundation Committee, is an example of the efforts being carried out
as far as nursing's future is concerned. This paper expounds on the works of the committee
through the IOM report.
The Work of Robert Wood Foundation Committee Initiative
To initiate ways through which the many challenges facing the profession of nursing are
solved and hence transforming how the U.S. citizens get access to healthcare services, there is a
need for all the stakeholders to take part in the process. The Institute of Medicine (IOM), in
collaboration with the Robert Wood Johnson Foundation (RWJF), are examples of such
stakeholders in the field of health that have been in the frontline to champion for enhancing
nursing in the United States. The two stakeholders have partnered in an attempt to better the
“Future of Nursing” through actions such as increasing the number of nurses in the U.S. research
shows that if such a challenge is not solved, there will be a significant nurse shortage by the year
2025 (Altman et al., 2016).
The collaboration between IOM and RWJF through the committee formed was given a
duty to closely examine the nursing field's current challenges and how these challenges can be
addressed to better the profession. As a result, the committee was required to come up with bold
recommendations through which the nursing profession will depend on the quest to attain a high-
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quality health service delivery, reliable healthcare, and one that meets the patients' different
needs.
Key Messages that Structure the IOM Report Recommendations
The messages are 4 in total, and they are aimed at the complete transformation of the
profession of nursing. They are;
1. The nurse should practice fully to the maximum extent of their training and education.
2. A nurse should strive to attain the highest level of training and education by going
through an enhanced education system that makes it possible for achieving a seamless
progression of education.
3. A nurse should be a full partner with other health professionals, including the physicians
in the process of health redesigning in the United States.
4. Effective policymaking and planning of the workforce need efficient data collection to be
undertaken and improved information infrastructure.
How the above Messages have been Impactful
The above key messages have been crucial in transforming the nursing profession in the
three critical areas of practice, training and education, leadership, and the nursing workforce's
development.
Transforming Nursing Practice
Message 1: A nurse should practice fully to the maximum extent of their training and education.
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To ensure that every American citizen accesses better quality healthcare services and that
nurses' unique contributions are maximized, the state and federal actions are essential in updating
and standardizing regulations of scope-of-practice to get the maximum benefit from the
education and full capacity of APRNs. Insurance companies and states must give patients a
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chance to choose their desired healthcare services from a pool of providers that meet their
different needs.
Transforming Nursing Education
Message 2: A nurse should strive to attain the highest level of training and education by going
through an enhanced education system that makes it possible for achieving a seamless
progression of education.
The changes in the healthcare system in the U.S. depend on changing the practice
environment that makes it possible to better the quality of education for nurses before and after
they have been licensed. Improving the quality of teaching ensures that today's and tomorrow's
nurses' groups can deliver better quality, safe, and patient-centered care in all settings, including
primary care settings and public and community health, among others.
Transforming Nurse Leadership
Message 3: A nurse should be a full partner with other health professionals, including the
physicians in the process of health redesigning in the United States.
Strong leadership skills from the nurses is highly required in the strengthening of the
United States healthcare. A transformed system of health ensures that nurses get a chance to
adapt to new settings later during their role of leading those under them. Nurses' role as leaders is
crucial in the service delivery to the patients since they are in close contact with the patients most
of the time (Promoting Nursing Leadership, 2019).
Bettering Data Regarding Healthcare Workforce
Message 4: Effective policy-making and planning of the workforce need efficient data collection
to be undertaken and improved infrastructure of information.
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Messages 1, 2, and 3 above talks about the transformation of the nursing profession. A set
of data needs to be collected, analyzed, and conclusions be made to do this transformation. These
conclusions can only be made by applying high quality and reliable data that correctly outlines
the different needs of the healthcare workforce at the moment and in the future.
Role of Action Coalition
Action coalitions in the United States government come from the three levels: local, state,
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at the present time, at...: at the moment now
and federal-based coalitions. State-based coalitions are assigned the roles of advancing the IOM
report goals at the state level. Each state must make sure that they attain this role in ensuring the
healthcare sector as a whole is offered about the IOM report's goals in leading change and
advancing health.
State-based coalitions are bodies of different collaborators that act as watchdogs to ensure
that nursing practice utilizes all their capabilities to maximize the quality of health at the state
level. They form a solid framework of individuals coming from the national organizations and
states who work together to ensure that maintenance and advancement of health are attained.
State-based Action Coalitions having panel leaders, co-leaders, and members hold discussions of
how various states are collaborating to make sure that IOM recommendations are implemented
to serve these individual states' unique needs.
Progress Report of Florida State on Promoting Nursing Leadership
Florida believes that for America to be healthy, nurses have a crucial role of leadership to
play and hence the need for them to fill up the leadership positions.
State’s Progress
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The Florida Action Coalition (FL-AC) has been working on a number of initiatives to
advance the future of nursing as outlined in the IOM report. The two major ones are lobbying for
laws to better healthcare and carrying out reward systems for the members and stakeholders that
show exemplary work in advancing the future of nursing.
Legislative Efforts
After years of deliberation, the FL-AC has had the House and Senate of the state pass a
healthcare bill that significantly improves the quality of health among 21.5 million residents with
enhanced access to care. This is just one of the many initiatives that the state is carrying out to
ensure that the future of nursing is advanced in Florida.
Employee Reward System
The FL-AC carries out a reward system to ensure that stakeholders that show exemplary
work ethics and performance are appreciated for their efforts. The program advances nurse
leadership by identifying the individual nurses that are giving their best and enjoying them.
The two initiatives by the state of Florida advance the goals specified in the IOM report
in that they are all intended to enhance nursing profession. In terms of legislation, the initiative
ensures that the goals are advanced by creating a favorable environment through which nurses
can deliver their services to the beneficiaries. The stakeholders' reward system encourages them
to work harder to attain the goals of quality healthcare services provision to the patients.
Barriers to advancement in Florida
Despite the progress at the state level, Florida currently faces a major barrier to the
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advancement of healthcare as a result of incoordination of the multi-stakeholder team that are
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tasked with advancing the future of nursing based on the IOM report provisions. If these teams
of stakeholders could be coordinated well, good progress would be achieved a far as nursing’s
future is concerned. Some of the time, financial challenges can result in half-completed
initiatives in bettering the future of nursing.
Conclusion
In summary, the future of nursing depends on the effort being elicited by the concerned
stakeholders at the present time. Aggressive efforts such as the IOM report by the RWJF
committee shape the future of nursing to the right direction by outlining the needed efforts by the
necessary stakeholders in nursing and healthcare as a whole.
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References
Promoting Nursing Leadership, (2019). Retrieved from
https://campaignforaction.org/issue/promoting-nursing-leadership/
The American Nurse: Official Publication of the American Nurse Association. Retrieved from
http://www.theamericannurse.org/2012/04/02/twelve-new-state-action-coalitions/
Altman, S. H., Butler, A. S., & Shern, L. (Eds.). (2016). Assessing Progress on the Institute of
Medicine report The Future of Nursing. National Academies Press.
DeSalvo, K. B., Wang, Y. C., Harris, A., Auerbach, J., Koo, D., & O'Carroll, P. (2017). Peer-
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Reviewed: Public Health 3.0: A Call to Action for Public Health to Meet the Challenges
of the 21st Century. Preventing chronic disease, 14.
