CL91 Nursing
Question:
Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.
1.Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2.Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
3.What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Answer:
Introduction:
The committee by Robert Wood Johnson drafted the IOM report to suggest modifications and recommendations that can improve the nursing profession. The team of experts proposed improvements in nursing education among other areas of skills improvement. Various states in the USA have drafted action plans for future nursing practices. Both the state’s action plans and the IOM report intend to improve the quality of care towards the American citizens. This paper will explore the IOM report and its importance to nursing practice, education, and staff development. It will also focus on Texas when discussing the role of state-based action coalitions.
Future of Nursing: Leading Change, Advancing Health
Robert Wood Johnson Foundation collaborated with the Institute of Medicine to establish the future of the nursing profession (IOM, 2011). The two bodies endeavored to conduct research and set goals for improving the nursing profession. The team analyzed the education levels, roles, and responsibilities of nurses. The report then suggested various modifications in nurses’ roles to meet the diverse and complex health needs of American patients. Nurses make the most extensive section of health care workers in the USA. Additionally, nurses must most time with patients more than any other health specialists. The IOM report requires other health specialists to fully engage nurses in daily decision making at the health facilities.
Nurses should also assume leadership positions in health care settings to improve the quality of medical attention towards patients. The nursing profession should organize various training to sharpen the skills of nurses. The nursing board should also ensure that more nurses obtain bachelor’s degrees by 2020 (Sochalski, & Weiner, 2011). The number of nurses pursuing doctorates should also double by 2020. The health care department should also remove institutional and regulatory obstacles that hamper nurses from delivering quality patient care. Eliminating the barriers will improve the nursing profession.
Importance of IOM
Nursing Practice
The IOM report requires nurses to take advantage of their training and education in providing care to the patients (Puetz, 2013). The unique needs of American patients deserve specialized medical attention from the nurses. However, the nursing board and the health department must remove the barriers limiting nurses from applying their skills in care delivery. The barriers to nursing practice that require immediate suspension include difficulty in moving from school to the healthcare field among others.
Nursing Education
Nurses should receive advanced training and education to improve their competence when dealing with complex ailments (Puetz, 2013). Nursing education should enhance the knowledge and experience of nurses in quality improvement methods and care management. Higher education levels should train on nurses’ roles in the reformed system of healthcare. Advanced education should also expose nurses to various opportunities in healthcare settings.
Nursing Workforce Development
An improved infrastructure of information and proper collection of data are necessary for making policies and planning an effective workforce (Fitzpatrick, 2010). The healthcare department requires data on all health professionals before making changes in the system of healthcare. The available information on workforce contains significant gaps. The relevant healthcare boards should fill the gaps to facilitate the development of the nursing workforce.
Role of State-Based Action Coalitions
The coalitions are advocating for the implementation of the recommendations by the IOM report. The state-based action coalitions are calling for improvement in nurses’ education and interpersonal collaborations (Gorski, Farmer, Sroczynski, Close, & Wortock, 2015). Additionally, the coalitions require nurses to offer quality medical care to patients regardless of their diversity. Collection of workforce data for workforce development is also a key element in the coalitions’ agenda. The coalitions are advancing the goals for future nursing by encouraging nurses to acquired degrees. The state-based action coalitions also require nurses to assume leadership roles at health facilities.
Healthcare is a multidisciplinary sector that requires professional collaboration to ensure success in the delivery of medical attention. Other health professionals should work with nurses to improve patient outcomes. The coalitions are also calling for the transformation of the nursing education system. Advancing the education levels of nurses enable them to attend to patients with complex health needs (Reid, Tart, Tietze, Joseph, & Easley, 2017). The coalitions have noticed that a majority of nurses have the associate degree (ADN) but lack the bachelor’s degree in nursing. A section of elderly individuals prefer home care to the treatment at health facilities; such changes required the attention of highly educated nurses.
Texas Action Coalition
The Texas team is advocating for lower costs of healthcare, better health, and better care for all Texans. The group intends to achieve the three goals mentioned above. Members of the Texas team endeavors to transform healthcare and nursing in the state (Hassmiller, & Reinhard, 2015). An example of an initiative by the Texas team requires the healthcare department to grant nurses full authority of caring for patients. The Texas law restricts some patients from accessing the services of nurses. Therefore, amending the laws can enable the nurses to exercise their mandate fully. Regulations also require an amendment to allow Texas to patients in accessing primary care.
Experts at the Texas team are advocating for RNs to obtain BSN. RNs should consider an associate degree as an initial phase on their educational journey. Members of the group believe that advancement in nurses’ education improves the healthcare and health of Texans (Spetz, Cimiotti, & Brunell, 2016). Therefore, building a nursing force that is highly educated is a necessity for Texas and other states. The Texas team has provided strategies to facilitate nursing education. Accelerating RN-to-BSN programs is one of the approaches to ensuring nurses attain degrees. High costs of education can bar nurses from furthering their education. Therefore, subsidizing the education costs will enable nurses to pursue BSN.
Conclusion:
The IOM report and Robert Wood Jonson Foundation recommended various strategies to improve the nursing profession. The IOM report discusses the importance of higher education in the nursing profession and the roles of nursing among other issues. The report advocates for the removal of barriers to ensure proper nursing practice. Additionally, the report advocates for nursing workforce development through valuable data collection. The state-based action coalitions are fighting for the implementation of the IOM report. The Texas team requires the healthcare boards to lift any barriers preventing nurses from conducting their mandates.
References:
Fitzpatrick, J. J. (2010). The future of nursing: Leading change, advancing health. Nursing Education Perspectives, 31(6), 347-348.
Gorski, M. S., Farmer, P. D., Sroczynski, M., Close, L., & Wortock, J. M. (2015). Nursing education transformation: Promising practices in academic progression. Journal of Nursing Education, 54(9), 509-515.
Hassmiller, S. B., & Reinhard, S. C. (2015). A bold new vision for America’s health care system: The Future of Nursing report becomes a catalyst for change. Nursing Outlook, 63(1), 41-47.
Institute of Medicine (US). Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. (2011). The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press.
Puetz, B. E. (2013). The future of nursing: leading change, advancing health pp 51-51
Reid, H., Tart, K., Tietze, M., Joseph, N. M., & Easley, C. (2017). Texas Team: Academic Progression and IOM Toolkit. Nursing education perspectives, 38(5), 255-258.
Sochalski, J., & Weiner, J. (2011). Health care system reform and the nursing workforce: matching nursing practice and skills to future needs, not past demands. The future of nursing: Leading change, advancing health, 375-398.
Spetz, J., Cimiotti, J. P., & Brunell, M. L. (2016). Improving collection and use of interprofessional health workforce data: Progress and peril. Nursing Outlook, 64(4), 377-384.
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