Implementation of the IOM future of Nursing Report

Implementation of the IOM future of Nursing Report

Implementationof the IOM future of Nursing Report

Nameof Institute

Implementationof the IOM future of Nursing Report


TheRobert Wood Johnson Foundation (RWJF) approached the Institute ofMedicine (IOM) to propose a partnership to assess and respond to theneed to transform the nursing profession. RWJF noted that the nursingprofession faced several challenges in satisfying and fulfilling thepromise of a reformed health care system and meeting the country’shealth needs. Both the IOM and RWJF formed a 2 year initiative on thefuture trends in nursing(Committeeon the Robert Wood Johnson Foundation Initiative on the Future ofNursing, at the Institute of Medicine., Robert Wood JohnsonFoundation., &amp Institute of Medicine (U.S.) 2011).The foundation of the initiative was based on the formation of acommittee tasked with the responsibility of producing a report thatanalyzed the action-oriented blue-print. This blue print containedinformation and data on changes in public and institutional policiesat the national, state and local levels.

Thecommittee decided to analyze, examine and formulate recommendationsthat would help other medical professionals understand the importanceof improving the nursing profession for the future. Theserecommendations were to serve as the cornerstone for theidentification of the crucial roles nurses play when it comes toenforcing and actualizing an effective health care system intoAmerica’s national medical grid. The committee also readjusted theroles of the nurses within the labor force which meant that societalconcerns, current and future technology would be the solution neededto change the course of medicine in the US. Moreover, the expansionof various nursing centers by the committee prompted the enrolment ofhigh school graduates to undertake nursing courses while joiningcollege and the university. Also, the curriculum and learningmaterials in the nursing program were improved due to advancedtechnology that saw medical professionals become technology savvy.The committee examined the various innovative solutions related tohealth care services and medical education by analyzing the conductsand practices utilized by nurses while on the field. This approachallowed the committee to retain and re-adjust nursing care techniquesto incorporate other services such as public, long-term, acute andambulatory care. The report titled, ‘TheFuture of Nursing Leading Change, Advancing Health’wascompiled by the committee after the members identified the connectionbetween the rising need for high quality health care services and theprofessional expertise of the nurses. The legislation of newhealthcare bills meant that challenges experienced in terminal andchronic illness would be resolved as well as improvement in patientmedical care services.


Inrelation to the nursing practice, education and workforce developmentthe report stated that nurses should be fully aware of their medicalduties through constant practice as per their education and training.In the United States, most nurses are Registered Nurses (RN) while afew are Advanced Practice Registered Nurses (APRNs) which means veryfew nurses are able to undertake highly sensitive healthcareresponsibilities in times of emergencies (Instituteof Medicine (U.S.)., Robert Wood Johnson Foundation., &amp NationalAcademies Press (U.S.). (2011).Due to the variation of regulations and licensing rules withinAmerican states, it is difficult to understand which duties aqualified nurse performs. For instance, some state allow nursepractitioners to attend, consult and prescribe medications topatients without the supervision or approval of a medical doctor orphysician.

Thereport identified the need for nurses to attain higher academicqualifications through an improved and integrated education systemthat promoted continuous academic advancements.The widespreadcomplexity of diseases and illness among patients, nurses areexpected to exercise certain competencies such as team andcollaboration, leadership, geriatrics and health policy to deliverhigh quality care. In the 21stcentury, advanced technology is taking the center stage in medicinehence, nurses are expected to understand the operations and dynamicsof advanced medical equipment, systems and tools. The increaseddemand for nurses means that the market expects all practicing nursesto attain a minimum qualification of a bachelor’s degree. Thereport noted that nurses should combine efforts with physicians andother medical professionals tore-calibrate the healthcare system inthe United States. Partnering with other qualified health expertswill prompt nurses to be accountable, responsible and objective whendevising ways of improving the healthcare system in thecountry(Instituteof Medicine (U.S.), Robert Wood Johnson Foundation., &amp NationalAcademies Press (U.S.). (2011).Thecombined effort from all factions within the healthcare sector willignite innovation and improvement in service delivery of medicalneeds to patients. For instance, nurses will be able to activelyparticipate in board meetings giving their suggestions, opinions andideas when it comes to drafting healthcare policies. Lastly, thereport identified that there was need for an effective and improvedinformation system that would frame the workforce appropriately(Committeeon the Robert Wood Johnson Foundation Initiative on the Future ofNursing, at the Institute of Medicine., Robert Wood JohnsonFoundation., &amp Institute of Medicine (U.S.) 2011).For decades, nurses have been sidelined from the healthcarefraternity but changes in the workforce planning will mean thatnurses will have to acquire high qualification as doctors andphysicians. This improved data system will categorize professionalsbased on their skill sets, academic qualifications, professionalexperience and area of expertise(InGoudreau, &amp In Smolenski, 2014).


ActionCoalitions are established to enforce long term change at local,state and national levels in the healthcare sector. These coalitionsare considered to be motivation factors for the Futureof Nursing Campaign for Action becausethey attract advanced practices, research requirements and identifyexquisite models that will change the course of medical services inthe country. The Florida Action Coalition initiated a formalprofessional relationship with the Jonas Center for NursingExcellence in Florida(InGoudreau, &amp In Smolenski, 2014).This relationship saw the Action Coalition receive volunteers fromacross the state to serve in the education, leadership andcommunication departments. This initiative helped the ActionCoalition reach out to millions of medical professionals throughoutthe entire state at no extra costs or expenses since all the workersworking at the Coalition were volunteers(InGoudreau, &amp In Smolenski, 2014).Hence, operation costs remained constant despite the increasedmanpower. The second initiative was the commencement of themini-grant program through the Blue Cross and Blue Shield of FloridaFoundation (BCBSF) through a partnership investment that wouldpromote the use of simulation technology among nurses in the state ofFlorida (InGoudreau, &amp In Smolenski, 2014).The foundation invested $18 million in nursing scholarships and otherrelated projects like the Generation RN program which would motivatedyoung Floridians with poor financial background to study nursing atthe university level. Lack of sponsors and NGOs to support theFlorida Action Coalition in its endeavors to promote nursing programsis the major barrier to advancements in this particular profession(InGoudreau, &amp In Smolenski, 2014).Plus, poor marketing and advertising campaigns of nursing programs bytertiary institutions like the Florida State University is anotherset-back for the Action Coalition to sensitize young people of theimportance of enrolling for nursing courses. Nursing advocates canovercome these barriers by actively encouraging young people inelementary and high schools of how important nursing is as aprofessional career in today’s society.


Committeeon the Robert Wood Johnson Foundation Initiative on the Future ofNursing, at the Institute of Medicine., Robert Wood JohnsonFoundation., &amp Institute of Medicine (U.S.). (2011).&nbspThefuture of nursing: Leading change, advancing health.Washington, D.C: National Academies Press.

InGoudreau, K. A., &amp In Smolenski, M. C. (2014).&nbspHealthPolicy and Advanced Practice Nursing: Impact and Implications.

Instituteof Medicine (U.S.)., Robert Wood Johnson Foundation., &amp NationalAcademies Press (U.S.). (2011).&nbspThefuture of nursing: Leading change, advancing health.Washington, D.C: National Academies Press.