Implementation Of The IOM Future Of Nursing Report

In a formal paper of 1,000-1,250 words you will 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.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

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.

In a paper of 1,000-1,250 words:

  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?

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

RUBRICS

Provided an original summary of the key messages of the IOM report, Future of Nursing: Leading Change, Advancing Health. Any specific references should be cited. 

Identify the role of the Robert Wood Johnson Foundation Initiative and the American Association of Retired Persons on the Future of Nursing Campaign for Action and the State Based Action Coalitions 

3. Identify the importance of the IOM FON report related to the nursing workforce 

Discuss the intent of the Future of Nursing Campaign for Action 

Identify the rationale of state-based action coalitions 

Discuss one state-based action coalition and two initiatives

Running head: IMPLEMENTATION OF THE IOM FUTURE OF NURSING REPORT 1

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IMPLEMENTATION OF THE IOM FUTURE OF NURSING REPORT

Implementation of the IOM Future of Nursing Report

“The Future of Nursing Leading Change, Advancing Health”

In 2008 The Institute of Medicine (IOM) and Robert Wood Johnson Foundation (RWJF) joined forces to develop a report to address the important issues facing nursing and healthcare in the future. “The Future of Nursing Leading Change, Advancing Health” was the product of this partnership and made several recommendations intended to shape the future of nursing to meet the current and future health care needs of the United States The report made several recommendations which include: nurses beginning to practice at the level of their education background, nurses should seek higher levels of education, and nurses should be partners in healthcare working together with physicians and health care providers to redesign healthcare to meet the needs of the future.

The IOM Report and the Nursing Shortage

The United states is currently facing significant nursing shortage in the several years and with this ongoing and expected shortage the effects of healthcare are far reaching. From 2008- 2020 Over 50% the nursing workforce are expected to leave the profession at time when healthcare demands increase with the aging population of the baby boomers (US Nursing Workforce, 2013).

With so many of the nursing workforce expected to retire and many new nurses leaving the workforce prematurely the IOM report is recommending ways to better prepare these nurses for to function in the role and possible decrease burn out and possible early exit from the nursing workforce. One of these recommendations includes a nurse residency programs. Not unlike physicians that complete residency programs to prepare them for practice and nurse residence program could better prepare and nurse to transition from school life to actual practice, better preparing highly skilled nurses to meet the more intensive demands in health care (Institute of Medicine 2011).

Nursing functioning at the Level of their Education

With the aging population and more people having access to healthcare largely due to the Affordable Health Care Act and a focus on prevention and wellness more and more people are seeking care and nursing must respond to that need. Nursing practice must change to help meet future demands. The IOM report in alignment with the recommendation that the entry level of RN increases to BSN level but also that all nurse must continue their education beyond the BSN and that nurses must be able to function at the level of their education. At this time many state legislatures do not allow for Advanced Practice Nurses and Certified Nurse Midwifes to function at their level of education. Adjusting legislature and the nursing scope of practice in these states will increase the number of primary care providers available to care for this increased population needs (IOM,2010).

To this end several suggestions were made to state governments to make these recommendations a reality. Nursing boards should adjust scope of practice to allow nurses to practice at a level of their education, this would be especially important for Advanced Practice Nurses in allowing them to take an active part in the primary care of the state’s population. The IOM report also suggest that the entry level of education should be of Baccalaureate trained nurse. The report recommends that at least 80% of the American nurse’s workforce should be made up of bachelor’s degree or higher nurses by 2020. (Creating a More Qualified, 2015).

Nurses as Leaders

The IOM report states “Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States” (IOM 2010). Throughout history nurses have played key roles in advocating for patients and carrying out the orders of physicians. With the ever increasing complexity and demands of health care nurses need to work as a full partner with other multidisciplinary teams to create policies and programs to continue to provide safe healthcare in this increasingly demanding healthcare environment.

State Based Efforts to Support Future of Nursing: Campaign for Action

Many states are striving to make changes to do their part in advancing nursing goals. These coalitions are critical to make changes in nursing practice and meet the needs of future healthcare. New Mexico not unlike many states in the United States face critical nursing shortages now and increasing in the future. The New Mexico Center for Nursing Excellence (NMCNE) was established in 2002. Their main goal is to advocate for nursing profession to better meet the healthcare needs of New Mexico Residents and achieve the recommendations of the IOM report.

One of the projects to help support the implementation of IOM recommendations in the states is working with the University of New Mexico to better understand the effects of nursing shortage on the State of New Mexico. The NMCNE has initiated a study to examine the current and future projected needs of the nursing workforce in the state as more and more of the workforce plans to retire and needs of healthcare increases. Current Studies reveal that the increase in entrants to nursing profession trend should cover the number of nurses retiring and will help to maintain an even number of registered nurses. While the number of nurses remain stable the current number of nurses still will not meet the future needs of an aging population. Problems are noted with not having enough qualified nursing instructors to continue to train new nurses. As nursing wages have increased it was noted that the pay of nursing instructors has not. This imbalance leads to not having enough qualified nursing instructors therefore limiting the number of new nurses allowed into the programs throughout the state.

In 2010 the New Mexico Board of Nursing and the New Mexico Center for Nursing Excellence sponsored a report to the House that prescribed a statewide plans for nursing education. This plan identified the need for more instructors to teach and nursing schools in response to the shortage of qualified instructors. This plan also included the need to increase the number of Baccalaureate trained nurses in the state which support the IOM recommendations of having at least 80% of Nurses with BSN or higher in the workforce. The New Mexico Center for Nursing Excellence (NMCNE) has worked to developed partnerships with community colleges and four year universities to develop a curriculum that supports the BSN trained Registered Nurse.

New Mexico Nursing Education Consortium (NMNEC) has worked to develop a curriculum which has 2 tracks. One track starts with an Associate Degree program and the other is in 4 year universities. Unlike many where many nurses complete a 2 year ADN program then end with licensing as a registered nurse at which time the nurse has the option to go back for higher learning at a later date. The NMNEC curriculum provides a continued progression toward the BSN without leaving the community college and community they reside in. Unlike many 2 year plus 2 year programs the student works simultaneously for their ADN and BSN program but attends school at the 2 years college in their home area. This is accomplished by attending bachelor level courses that are taught in the community college. This has far reaching goals of offering BSN programs where no 4-year university exist, allowing more students to study and graduate that do not reside in big metropolitan cities. Currently the programs are available in the Santa Fe Community College, New Mexico Junior College, San Juan College. The Goal is that by fall of 2017 this curriculum will be available in all public institutions. These programs aims to increase the number of BSN trained Registered nurses in the state which is one of the IOM report recommendations (Evans-Prior, Morton, & Brady, 2014).

Conclusion

Overall the IOM report recommendations have the ability to completely change the landscape of nursing in the United States. These changes are needed for the nursing community to keep up with allow healthcare in the united states to thrive. Increasing the level of education and training while allowing nurses to work at their educational potential will only help healthcare in a time when healthcare and the lives of Americans is at stake. Nurses play a key role as leaders in making these changes a reality.

References

Department of Health and Human Services: The US Nursing Workforce: Trend is Supply and

Education (2013). Retrieved from http://bhpr.hrsa.gov/healthworkforce/supplydemand/ nursing/nursingworkforce/nursingworkforcefullreport.pdf

Evans-Prior, D., Morton, N., & Brady, D. (2014).

New Mexico nursing education consortium (NMNEC ). New Mexico Nurse, 59(2), 6-10. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=ccm&AN=104056254&site=eds-live&scope=site

Institute of Medicine (2010). The Future of Nursing: Leading Change,

Advancing Health. Washington DC: Author.

Institute of Medicine (2011). About the IOM. Retrieved from

http://www.iom.edu/About-IOM.aspx

Robert Wood Johnson Foundation (2011). About RWJF.

Retrieved from: http://www.rwjf.org/about/

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IMPLEMENTATION OF THE IOM FUTURE OF NURSING REPORT

Implementation of the IOM Future of Nursing Report

IOM Report: Future of Nursing Report

The paper discusses about the IOM report, role of the Robert Wood Johnson Foundation (RWJF) and American Association of Retired Persons (AARP) and the State Based Action Coalitions, the nursing workforce, the purpose of the campaign for action and Indiana State action coalition with its two initiatives.

Nursing is a broad field, which includes a widespread of different aspects like prevention of diseases, management of treatment; marketing healthy lives and the ability to provide analgesic care to patients as needed. As the front line caregiver in health care setting, nurses are given a fundamental role, thus aware of the best quality and patient safety. However, the challenges need to be tackled to ensure that nurses can take on leadership in creating innovative renovations in health care. Therefore, the Robert Wood Johnson Foundation (RWJF) and the Institute of Medicine (IOM) started a two-year program in 2008 to generate a report which would assessed and make recommendations for the betterment of future nursing profession. The key messages of the IOM report are divided into three significant aspects- repetition, training, and leadership; another significant aspect is also to collect extensive data on the health care industry in order to analyze the data and create essential changes to the health care industry, and to the health care personals career.

The Role of the RWJF, AARP, and the State Based Action Coalitions

The Future of Nursing: Campaign for Action, synchronized through the Center to Champion Nursing in America (CCNA), an initiative of AARP, the AARP Foundation and the Robert Wood Johnson Foundation (RWJF) are working together for the transformation of health care system through nursing and endorse implementation of recommendations in the IOM report, ‘The Future of Nursing: Leading Change, Advancing Health’. Moreover, they assemble alliances embodying nurses, health care providers, consumers, educators, business, and government persons to ensure the fulfillment of the recommendations and thus, all Americans will receive the high quality medical treatments. Action Coalitions are the dynamic strength of the operation, which includes set guidelines for research, follow lessons learned and recognize replicable model (Nursezone.com, 2015). Actions coalitions has been appointed to a widespread of twenty-one state based associations, among them, The Connecticut Nursing Collaborative-Action Coalition (CNC-AC) is working to develop a healthier community in Connecticut with the coalition of nursing workforce and group of individuals. CNC-AC is working to form a widely diverse nursing workforce and leadership aptitude, encourage the nursing education and collection of data to ensure the fulfillment of healthcare needs in the state (CNC-AC, 2016).

The IOM Report Related to the Nursing Workforce

Nursing workforce has always been the backbone and largest part of the health care system. The IOM report on the nursing workforce was focused on multiple concerns and emphasizes the comprehensive, widespread prospects for nurses to mold and adapt their current careers to their future and for them to lead the health care force. “The IOM report’s recommendations and key messages have the potential to create even more change in a health care environment that is constantly evolving and integrating new practices and technology into patient care based on best evidence”(Institute of Medicine. Report Brief, 2010). Nurses are only limited to follow the directions and decisions which are already being made however; they have the potential to lead the health care system. If given the opportunities they will come up with the innovative ways to lead the change and advance the health care system. Thus, the IOM report has made some recommendations for workplace development, education, and the actual practice within nursing. Specific recommendations include removal of barriers for practice, enlargement and growth for a pervasive array of leadership position for nurses, the creation of a nursing residency programs, increasing the quantity of higher educated nurses (baccalaureate degree), increasing the overall quantity of nurses to result in a 2:1 nurses to physicians ratio, lifelong learning and enabling nurses to take on leadership and advocate for changes in innovative medicine, collection and analysis of inter professional health care (Institute of Medicine. Report Brief, 2010)

The purpose of Campaign for Action

The key goal of the Future of Nursing Campaign for Action is to “to promote implementation of recommendations in the Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health” (Future of Nursing | Campaign for Action, n.d.). And this campaign believe in a health care system in which nurses are essential partners in providing and supporting health care to all the Americans to lead a healthier life. Campaign for Action aims to revolutionize the health care system of America using nursing as a tool through practice, education and leadership. In order to meet their purpose and progress, the Campaign takes following approaches:

· Enriching and advocating for innovative changes within education

· Bolstering leadership in nursing

· Removal of all impediments towards treatment and care

· Supporting and advocating for teamwork and collaborations within inter- professional settings

· Fostering cultural diversity

· Strengthening workforce data (Future of Nursing | Campaign for Action, n.d).

The Rationale of State-based Action Coalitions

“Action Coalitions”, an incentive at the local and state levels, is the name assigned by the Future of Nursing: Campaign for Action which includes the different state-based collaborators to ensure that nurses can practice utilizing all capabilities and input the highest quality health care. State-based action coalitions form a strong network of individuals from states and national organizations and work to make and maintain the advancement in health care (Theamericannurse.org, n.d.).  “State-based Action Coalitions consisting of panel of leaders, co-leaders and members will discuss the structure and process that various states have developed to collaborate on implementing IOM recommendations based on unique state needs and these action coalitions are built to effect long-term sustainable change at the local, state and regional level” (Newcareersinnursing.org, n.d.).

Indiana Action Coalition and its two Initiatives

Indiana Action Coalition (IAC) was established in March 2011 through a joint venture between the Indiana Center for Nursing (ICN) and the Indiana Area Health Education Centers with the rationale of implementing IOM’s recommendations across Indiana, concentrating specifically on education for nurses, nursing practices, safety concerning patients and inter professional education (Ic4n.org, n.d.). IAC is supported through the RWJF and AARP. Its two initiatives are:

1. Access to care: By collaborating and communicating with over 30 healthcare organizations across Indiana for the first time, on October 31, 2013, the Access to Care Discussion was able to generate ideas and on improving the utilization of resources so that all people can get easy access to healthcare.

2. Scholarship programs: To support the future nurses, IAC has raised over 1 million dollars which will be awarded as scholarships to train and educate nurses at both undergraduate and graduate level so that they can be better prepared for the complex and diverse settings (Ic4n.org, n.d.).

To conclude, RWJF and IOM initiation and recommendations for the advancement and the renovation of nation’s health care industry through the nursing program plays a crucial role as nursing profession has the potential to affect many aspects in the health care system and also possesses many challenges. Moreover, Future of Nursing Campaign for Action and its key part state-based action coalition is a collaborative effort to implement the recommendations made by IOM and to improve and shape nurse-based advances to expand the quality and method from which Americans currently receive health care.

References

CNC-AC,. (2016). About-CNC-AC. Retrieved 18 February 2016, from http://www.cnc-ac.org/about.html

Future of Nursing | Campaign for Action,. (n.d.). Campaign Progress. Retrieved 20 February 2016, from http://campaignforaction.org/campaign-progress

Future of Nursing | Campaign for Action,.(n.d). About Us. Retrieved 20 February 2016, from http://campaignforaction.org/about-us

Ic4n.org,. (n.d.). Indiana Action Coalition. Retrieved 20 February 2016, from http://www.ic4n.org/statewide-initiatives/indiana-action-coalition/

Institute of Medicine. Report Brief (October, 2010). The Future of Nursing: Leading Change, Advancing Health. Retrieved from http://www.newcareersinnursing.org/sites/default/files/file-attachments/Future%20of%20Nursing%202010%20Report%20Brief%20v2.pdf

Institute of Medicine. Report Brief (October, 2010). The Future of Nursing: Leading Change, Advancing Health. Retrieved from http://www.newcareersinnursing.org/sites/default/files/file-attachments/Future%20of%20Nursing%202010%20Report%20Brief%20v2.pdf

Newcareersinnursing.org,. (n.d.). State Action Coalitions: Investing in the Future of Nursing | New Careers in Nursing. Retrieved 20 February 2016, from http://www.newcareersinnursing.org/node/3548

Nursezone.com (2015) Campaign for Action Names 21 New State Action Coalitions Retrieved from http://www.nursezone.com/nursing-news-events/more-news/Campaign-for-Action-Names-21-New-State-Action-Coalitions_37952.aspx

Theamericannurse.org,. (n.d.). Twelve new state action coalitions| The American Nurse. Retrieved 20 February 2016, from http://www.theamericannurse.org/index.php/2012/04/02/twelve-new-state-action-coalitions/