Importance Of IOM Future of Nursing
In this report, we will be a highly acclaimed initiative on the Future of Nursing, and hereby, will focus on the significance on nursing activities and the future associated with it. Apart from this, the same will be complemented with issues like state-based coalitions that may work on to improve nursing practice.
Importance Of IOM Future of Nursing
Work of Robert Wood Johnson Foundation Committee
In the year 2010 a report was passed by the Congress, called the ‘Affordable Care Act’, which got sanctioned by the president to be implemented for a better and transformed health care system in United Stated of America. The motive behind this is to make it more affordable to all the people irrespective of where they live and their standard of living. The Robert Wood Johnson Foundation Committee came into association with the Institute of Medicine (IOM) to envision a transformation required in the nursing field, keeping in mind the importance of this profession so that they can react positively to the medical urgency of common people and for the people to employ the privileges provided by the ‘Affordable Care Act’. The Future of Nursing: Leading Change, Advancing Health is the report prepared by the Institute of Medicine scrutinizing the nursing workforce thoroughly and presented recommendations that would focus on the actions that must be taken to improve the nursing workforce and how it can be utilised in order to meet the needs of the patients. Currently, nurses hold different types of degrees in accordance to which they work in different settings. On one hand, some of them are scientists who contribute to the on-going research on how to care for a patient more effectively, whereas on the other some are licensed nurses working in nursing homes and hospitals and hence are more closely related and more responsible for the health care of a patient. The four main issues that were raised in the recommendation report offered by the Institute of Medicine are:
- The nurses should be able to apply learnt skills into practicality
- There should be academic processes that help the nurses to be highly skilled
- They should be second hand, or to say, collaborative associations to the doctors
- Data gathering procedures, as well infrastructural elements should be good (Centers for Medicare & Medicaid Services, Office of the Actuary, 2010).
This report is to be considered as a blueprints focusing on implementing diversity in the nursing profession and the necessary actions that must be adopted by nursing staffs to take into consideration the health and safety needs of a large US population.. Like discussed earlier nurses hold different degree of qualifications, the data states that there are about one fourth of a million staffs who are advanced practice registered nurses (APRN) , while some are simply registered nurses, who have passed national certification exams holding master’s and doctoral degrees. Now, the rules and regulation of practicing and licensing are different in each state. Hence if one state allows the nurses to prescribe medicines to the patients without the supervision of any doctor, the other on the contrary do not exercise any such rule which limits the actions that can be taken by a nurse for the benefit of a patient. We can see that it’s not the education of the nurse but the state laws that determine the actions of a nurse. According to this report the nurses should have the liberty to implement their education to the full extent. The federal government has the authority to amend a law practiced in a state in order put it in better practice for the advantage of the population of that state. The report also suggests for a better residency programme for nurses, which would increase the chances of new graduates to practice and improve their practice and skills.
For providing better and higher quality of health care and medical attention it must be necessary for the nurses to expand their boundaries of knowledge and attain higher levels of education. This would require the licensed practical as well as vocational nurses with diplomas to further educate themselves in attaining degrees in nursing that are to be considered of higher quality. In addition to that they should be continuously trained and educated along with doctors and other healthcare professionals. Nurses should be competent in areas like leadership, health care policy, teamwork etc. and should also be well aware about community and public health and geriatrics. Promoting diversity of race ethnicity and gender in the nursing workforce is also a major factor in a better health care system.
It is extremely important to encourage leadership among nurses so that they can collaborate with doctors and other health care professionals. They must be prepared to advance in their profession from all aspects like high quality care, improve and reform plans in order to achieve the required goals, taking responsibility of the patient and take actions in accordance to the need of the patient. In order to promote these qualities among nurses the education programmes must implement tasks that will help them to achieve leadership competencies. These areas of training must also be made available to nurses at all levels. Nurses must imbibe these qualities to elevate their personal and professional growth (Institute of Medicine, 2010a).
Role of State-Based Coalitions
In order to implement these changes a primary planning is required to evaluate the current healthcare infrastructure and the types and numbers of professionals related to heath care including the nurses. As soon as the improved infrastructure comes into action a planned systematic assessment, based on demographics, skill mix, region, role etc, will apply the changes that must be enforced according to the workforce requirement for a better nursing education and practice. Both National Health Care Workforce and National Centre for Workforce Analysis were set up as authorised by the ‘Affordable Care Act’ 2010. These programmes will put emphasis on evaluating data and supervise the supply of health care workers across profession. These will further predict the workforce requirements, based on their evaluation, and coordinate with the regional and state health care workforce and units to bring about the necessary changes. All of these data will be publicly accessible (Institute of Medicine, 2010b).
Improvements in the profession of nursing play a fundamental role if the natives of U.S.A. are to enjoy the privileges of the ‘Affordable Care Act’. However, in the smooth working of a business and organisations government, health care organisation, insurance industry, professional associations, also play an important role.
From the above stated material, we can easily state that the improvements are of high regards, plus the future of nursing is heading toward an advancing stage. Moreover, State action coalition is working like a driving force in order to implement the recommendations report by the Institute of Medicine in every state. It has formed a network promoting of Nursing: Campaign for Action.
- Centers for Medicare & Medicaid Services, Office of the Actuary. (2010). Estimated financial effects of the “Patient Protection and Affordable Care Act,” as amended. [Online]. Available from: www.cms.gov/ActuarialStudies/downloads/PPACA_2010-04-22.pdf.
- Institute of Medicine. (2010a). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press.
- Institute of Medicine. (2010b). Redesigning continuing education in the healthcare professions. Washington, DC: The National Academies Press.