Implementation of the IOM Future of Nursing Report
Summary of the key messages of the IOM report
Following a comprehensive assessment of the major challenges facing the nursing profession, the Robert Wood Johnson Foundation (RWJF) came up with some recommendations that would help to make the nursing profession relevant and efficient in future. Furthermore, it identified four key messages that acted as the cornerstone for recommendations.
The key messages that were designed by the RWJF and that the recommendations were to focus on include; nurses should fully apply the knowledge and skills acquired through training and education as well as nurses should work in collaboration with other healthcare professionals to bring meaningful changes to the health care system of the United States.
Other recommendations were that nurses should seek to obtain higher levels of education that enhance academic progress by attending new academic institutions; and those nursing institutions can formulate the right policies and plan their workforce effectively through the use of improved technology to collect data (Altman, Butler and Shern, 2015).
Discussion of the work of the Robert Wood Johnson Foundation Committee Initiative
The Robert Wood Johnson Foundation (RWJF), in collaboration with the Institute of Medicine, held a meeting in 2008 to examine and take appropriate actions to address some of the pertinent issues facing the nursing profession. This meeting led to the documentation of the IOM report on “Future of Nursing: Leading Change, Advancing Health” that acts a foundation for today’s nursing practice.
According to the Committee, nurses in the United States are faced with several challenges that prevent them from meeting the health care needs of the nation, and which make them face difficulties as they attempt to fulfill the goals of health care reforms in the country (Altman, Butler and Shern, 2015).
The particular role of the RWJF committee initiative was to produce a report that details key recommendations for improving the nursing profession to make it fit the future needs of the United States citizens. The committee was also charged with the responsibility of highlighting policy changes that should be made by public and private institutions to foster an improvement in the nursing profession.
As a sign of its commitment towards improving the nursing profession in the United States, the RWJF Committee provides recommendations related to eight different areas namely and removal of practice barrier. Other indicators were; expansion of opportunities for nurses, implementation of residency programs for nurses, increasing the percentage of nurses with baccalaureate degrees, doubling the percentage of nurses with doctorate degrees, promoting lifelong learning for nurses, preparing nurses to become change leaders, and in improving nurses’ abilities to collect relevant health care related data (The Institute of Medicine, 2010).
The importance of the IOM “Future of Nursing: Leading Change, Advancing Health.”
The IOM report entitled, “Future of Nursing: Leading Change, Advancing Health” is extremely crucial to the field of nursing because it contains information that is relevant to improving nursing practice, nursing education, as well as in the development of the nursing workforce. Firstly, the report is important to nursing practice in the sense that, it defines transformed roles of nurses in the whole workforce in a manner that effectively addresses shortage of nurses, the need to integrate cultural and societal issues into practice, as well as the need to provide care using tools that match the ongoing technological trends.
Additionally, the report examines the innovative solutions that can help to improve care delivery in future (Altman, Butler and Shern, 2015).
Second, the IOM report is critical to nursing education in the sense that, it acts as a guide to the nursing industry by providing information on how the industry can expand nursing faculty in order increase the number of institutions of higher learning. The institute of medicine believes that qualified academic institutions will produce graduate nurses with nursing knowledge and skills that can enable them to meet the health care needs and demands of today’s population (The Institute of Medicine, 2002).
Third, the IOM report is essential to workforce development in the sense that, it details how nursing organizations should attract, train, and retain competent nurses who can provide various levels of care to meet public demand (The Institute of Medicine, 2010).
The intent of the Future of Nursing Campaign for Action
The Future of Nursing Campaign for Action was devised with an intention to help influence States to make health care reforms that are aimed at improving the nursing profession in the United States (AARP, 2011). For instance, the Campaign for Action is intended to push the Congress to push for expansion of programs that will enable nurses to practice to their full potentials as per the education and training that they possess.
Also, the intent of the Campaign for Action is influence both private and public funders to facilitate accomplishment of projects that will increase both training and learning opportunities for nurses (Campaign for Action, 2013).
Moreover, the Nursing Campaign for Action intends to put pressure on the federal government, accrediting bodies as well as state boards of nursing to support the implementation of curricula that allow nurses to complete transition-to-practice or residency programs (AARP, 2011).
Again, the campaign intended to encourage health care organizations, academic nurse leaders, as well as accrediting bodies to develop additional institutions of higher learning for nurses to increase the number of nurses who enroll for baccalaureate degrees. In this manner, the institute of medicine believes that the number of nurses with baccalaureate degrees will increase to 80 percent in the next three years (AnneMarie, 2016; & The Institute of Medicine, 2010).
Additional intentions of the Future of Nursing Campaign for Action include; influencing stakeholders in the nursing education sector to create additional academic institutions that provide doctorate degrees for nurses as this will help to double the number of nurses who graduate with doctoral degrees in the next three years.
Other intentions include; implement nursing education programs that will promote lifelong learning for the nurse, and to take responsibility of training nurses to become change leaders who can successfully implement reforms in the ever-changing health care environment (The Institute of Medicine, 2002).
Most importantly, by creating the campaign for action, the institute of medicine believes that the campaign would influence the National Health Care Workforce Commission to build infrastructure and provide necessary technology that future nurses can use to collect and analyze health care data (Campaign for Action, 2013; & The Institute of Medicine, 2010).
The rationale of state-based action coalitions
The main role of the state-based action coalitions is to ensure that various states in the United States enact laws that will facilitate the realization of the recommendations documented in the IOM report entitled, “Future of Nursing: Leading Change, Advancing Health”(AARP, 2011). Additionally, these state-based coalitions work hard to ensure that the IOM recommendations are being implemented at regional and local level.
First, these coalitions work hard to make sure that possible barriers to nursing practice are removed in both educational and healthcare organizations (AARP, 2011). Second, action coalitions based in various states of the United States ensure that relevant programs that expand learning and training opportunities for nurses are implemented. Third, state-based action coalitions ensure that various states have programs in place to support nurse residency (Goode and Williams, 2004).
The fourth role of state-based action coalitions is to make sure that their respective states have enough academic institutions that offer baccalaureate and doctorate degrees for nurses. Additional functions of the state-based action coalitions are to ensure that states of the United States implement; programs that promote lifelong learning for nurses, programs that prepare nurses to become change leaders, and infrastructure that allow nurses to collect and analyze health care related data that can be used to improve nursing practice in future (Campaign for Action, 2013; & The Institute of Medicine, 2010).
Action Coalition Initiatives
An example of a state-based action coalition is the Alaska Action Coalition. This coalition comprises of individuals and organizations with a common goal of transforming the health care system of Alaska State. In Alaska, quite some nurse champion organizations work together in the Alaska Action Coalition to place the state forward as one of those regions that are committed to implementing the Future of Nursing recommendations (Alaska Action Coalition).
One of the initiatives spearheaded by Alaska Action Coalition is supporting the full realignment of the Advanced Practice Registered Nurse courses with recommendation documented by the Institute of Medicine. This initiative significantly contributed to the advancement of the nursing profession in the sense that it promotes the production of nurse graduates who are competent enough to deliver care that meets the need of the current population.
The other initiative that is being spearheaded by Alaska Action Coalition is the implementation of programs that educate nurses to lead change in their organizations. This initiative greatly contributes to the advancement of the nursing profession in the sense that it contributed to the preparation of nurses who can effectively lead change (Campaign for Action, 2013).
The main barrier to advancement that is commonly faced by action coalitions in Alaska is limited finances to facilitate all the procedures required to ensure full compliance with existing regulations. Nursing advocates in Alaska can overcome this barrier by asking the state to review and try to reduce the financial expenses incurred by coalitions that are committed to implementing the Future of Nursing recommendations (Alaska Action Coalition).
AARP. (2011). Future of Nursing: Campaign for Action. Washington, DC: AARP Public Policy Institute
Alaska Action Coalition. Retrieved from https;//campaignforction.org/state/Alaska/
Altman, S., Butler, A. & Shern, L. (2015). Assessing progress on the Institute of Medicine report “The future of nursing.” Washington, DC: The National Academies for Sciences.
AnneMarie, P. (2016). The future of nursing: Leading change, advancing health…how are we doing? Nursing Critical Care, 11(3):4.
Campaign for Action. (2013). The future of nursing IOM report. Retrieved from https://www,campaignforaction.org
Goode, C. J. & Williams, C. A. (2004). Post-baccalaureate nurse residency program. Journal of Nursing Administration, 34(2): 71-77.
The Institute of Medicine. (2002). The future of the public’s health in the 21st century. Washington, DC: The National Academies Press
The Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press.
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