The Institute of Medicine has thoroughly analyzed the Future of Nursing and submitted report. The Institute of Medicine (IOM) is a nonprofit organization that works independently, provides unbiased and authoritative advice to general public as well as government. In this essay we would discuss about the significance of report and recommendations of IOM. In 2010 the IOM has advised the Government and the public by submitting an action -oriented blueprint and a detail report about the future of nursing in the country. The report has insisted the suitable changes needed for implementations.
The IOM’s report on ‘Future of Nursing’ has intensified the dream of many professional nurses who have been practicing nursing for many years. This dominant report was submitted by IOM based on a great analytical study and the research conducted by Robert Wood Johnson Foundation (RWJF). This report clearly indicates that the nursing professionals would be utilized more to redesign the America’s health care needs. The skills of a professional nurse will comply with the needs of prevailing dynamic and diverse population. The report reiterates that nurses have to practice to the full extent to utilize their education and training. It also justifies nurses as leaders and fully fledged valued team members of the health care system. Nurses have been an enabling force and can be recognized to bring remarkable change in health care in many dimensions (Aiken et al., 2009).
The Change in Nursing Education:
The report of IOM mainly focuses on the basic education of nurses. It advises to reexamine the nursing curriculum and update the system. Instead of being focusing only on acute care to community settings, it is also suggesting to consider various aspects of primary care, public health and long term care. This will enable nurses with great foundation for care management knowledge and decision making skills under a variety of clinical situations and care settings. The report mentions that the more the nurses obtain education in various aspects of health care, more they become effective planners and patient educators.
The report insists on lifelong and seamless education through an improved educational system. It recommends that Baccalaureate or beyond should be the entry point for nursing practice. The study has proved an enhanced result of improved clinical care on patients attended by Registered nurses with baccalaureate level education. The goal is to increase the proportion of quality nurses with a baccalaureate degree to 80% by 2020. IOM also encourages the implementation of Nurse Residencies Programs for newer generation graduates to begin their new career in nursing. This would avoid the huge turnover of new nurses with adequate education and inadequate training in health care. The report also insists the need to increase the number of faculties and facilities for preparation of research scholars in nursing to attain their Doctorate levels. IOM advises to double the number of nurses with doctorate level of education by 2020. It encourages nurses to be engaged in lifelong learning by continuing education and demonstrate a comprehensive set of clinical performance.
Change in Nursing Practice:
The IOM’s main recommendation is that the nurses should be permitted to practice to their full extent of their education and training. This enables the nurses to be part of the medical force to meet the changing needs of health care system. The involvement of qualitative nursing would change the health care to be affordable to everyone in every situation. The report analyses in detail the numerous “historical, regulatory, and policy barriers” that have limited nurses’ abilities to contribute to health care. Some of these barriers are – regulatory restriction to expand the scope of practice, professional resistance to expand roles, fragmentation of the health care system and outdated insurance policy regulations.
There are more than one fourth million of Advanced Practice Nurses in the nation who has masters or doctoral degrees. Since the practicing rules vary from state to state they are unable to practice to their full extent, which limit them to discharge complete nursing practices. The IOM report suggests the legislators to make necessary amendments for Medicare & Medicaid Services and to enable the nurses to extend their practices.
Change in leadership:
The IOM particularly points out the need for strong and capable leadership of nurses. The report says that the professional nurses must produce leaders at every level of the system and accept primary leadership positions in politics and organizations. The implementation of health care reformation expects that the nurses must exhibit leadership capacity and high-level collaborative skills in formulation of policies as well as in nursing practices. The nurses should prove their potentialities for contemporary, advancing high-quality patient care at every stage. IOM says that acquiring leadership qualities from the beginning to the end of the nursing profession is very crucial to achieve the affordable health care to everyone in the challenging socio economic situation. The report clearly calls each nurse to take responsibility to attain leadership qualities to plan, implement and be a mentor of the society. Nurses should see themselves as critical leaders in decision making and adopting new policies to meet the prevailing scenario.
Being a bedside nurse, after going through the IOM’s report on the study of Future of Nursing, I am refreshed and rejuvenated with renewed strength. The implementation of the suggestions quoted in the IOM’s report will make my dream come true with better recognition on my greater dedication towards my profession as a Dignified Nursing Professional. It will be a great honor and a pleasure to see nurses as leaders in the congress and especially when it comes to decision making towards health care. As we nurses think everything for the well-being of the patient and the society, I am sure these changes will make the health care affordable and accessible to everyone.
Institute of Medicine 2010-future of Nursing: leading change, advancing health, Washington Dc – the academic press.
Friberg, Creasia and. Conceptual Foundations: The Bridge to Professional Nursing Practice, 5th Edition. Mosby, 2011.