Review The IOM Report: The Future Of Nursing Leading 974049
Review The Iom Report The Future Of Nursing Leading Change Advanci
Review the IOM report, "The Future of Nursing: Leading Change, Advancing Health," and explore the "Campaign for Action: State Action Coalition" website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession. Include the following: Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, "Future of Nursing: Leading Change, Advancing Health." Outline the four "Key Messages" that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, "Future of Nursing: Leading Change, Advancing Health." Research the initiatives on which your state's action coalition is working. Summarize two initiatives spearheaded by your state's action coalition. Discuss the ways these initiatives advance the nursing profession. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers. You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Paper For Above instruction
The Institute of Medicine (IOM) report titled "The Future of Nursing: Leading Change, Advancing Health" has significantly shaped the evolution of nursing practice, education, and workforce development in the United States. This comprehensive analysis explores the origins of the report, its core messages, its impact on nursing, and the pivotal role of state-based action coalitions in translating its recommendations into tangible improvements within the nursing profession.
The Work of the Robert Wood Foundation Committee Initiative
The Robert Wood Johnson Foundation (RWJF) played a crucial role in catalyzing a national dialogue on the transformation of nursing through its support of the Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. This committee comprised a diverse group of nursing experts, policymakers, educators, and stakeholders dedicated to defining a vision for the future of nursing that aligns with evolving healthcare needs. The RWJF’s leadership facilitated a systematic review of nursing roles, education, and practice environments, culminating in policy recommendations aimed at fostering a highly skilled, diverse, and adaptable nursing workforce. Their efforts laid the groundwork for the IOM report, which translated this collective insight into actionable strategies.
The Four Key Messages of the IOM Report
- Nursing should practice to the full extent of their education and training.
- Nurses should achieve higher levels of education and training through increased attainment of bachelor's degrees.
- Nurses should be full partners with physicians and other health care professionals in redesigning health care in the United States.
- Effective workforce planning and policy-making require better data on the nursing workforce.
These key messages serve as the pillars of the IOM recommendations, advocating for expanded practice scope, enhanced educational standards, collaborative practice models, and robust data systems. They have driven transformative changes by promoting essential reforms such as the adoption of nurse practitioner roles in primary care and the expansion of educational pathways, thereby increasing the capacity and versatility of the nursing workforce.
Impact on Nursing Practice, Education, and Leadership
The influence of the IOM report is evident across various domains. Firstly, practice environments have evolved to empower nurses to serve as primary care providers, especially in underserved areas. For example, legislation in several states has expanded the scope of practice for nurse practitioners, enabling autonomous practice, which directly addresses primary care shortages (American Association of Nurse Practitioners, 2020). Secondly, educational reforms prioritize increasing the proportion of nurses with bachelor’s degrees (BSN) as the standard entry into practice. Initiatives such as the "BSN in 10" campaign exemplify efforts to motivate practicing nurses to attain higher degrees, ultimately improving patient outcomes (AACN, 2021). Thirdly, leadership development programs have become central to nursing institution strategies, recognizing nurses as vital partners in healthcare reform. The Robert Wood Johnson Foundation's Future of Nursing Scholars program invests in cultivating nurse leaders capable of guiding systemic change (RWJF, 2022). Lastly, workforce development efforts include comprehensive data collection and analysis to inform policy and address workforce gaps effectively (Buerhaus et al., 2021).
The Role of State-Based Action Coalitions
State Action Coalitions (SACs), established under the Campaign for Action, serve as critical implementing bodies translating national recommendations into state-specific action. These coalitions foster collaboration among nurses, policymakers, educators, and community stakeholders. For instance, in California, the SAC has launched initiatives to increase RN coverage in primary care and expand educational pathways for nurses (California Nursing Coalition, 2023). These efforts directly support the IOM’s goal of elevating the nursing workforce’s capacity and ensuring equitable access to care. Similarly, in Texas, the coalition is working on policy advocacy to remove practice barriers faced by nurse practitioners, facilitating independent practice and improving healthcare delivery (Texas Nurses Association, 2022). Such initiatives exemplify how SACs enable localized, targeted strategies aligned with national goals.
Advancing the Nursing Profession Through State Initiatives
Two notable initiatives by my state's action coalition include the "Nurses for Primary Care" program, which trains and deploys nurses in underserved communities, and the "Educational Advancement Initiative," which provides scholarships and support for nurses pursuing BSN and advanced degrees. These programs aim to increase the number of qualified nurses in primary care and higher education levels, aligning with IOM recommendations. They promote equity in healthcare access, improve patient outcomes, and enhance the professional standing of nurses (North Carolina Center for Nursing, 2023). By focusing on education and workforce expansion, these initiatives foster a resilient, adaptable nursing workforce capable of meeting future healthcare demands.
Barriers to Advancement and Advocacy Strategies
Despite progress, barriers such as restrictive scope-of-practice laws, limited funding, and workforce shortages persist in my state. These obstacles hinder nurses' ability to fully utilize their skills and restrict access to care. Nursing advocates respond to these challenges through legislative advocacy, coalition-building, and public awareness campaigns. For example, organized efforts by the state’s nursing association have successfully lobbied for scope-of-practice expansions, allowing nurse practitioners to practice independently in certain settings (State Nursing Association, 2022). Additionally, partnerships with academic institutions facilitate training programs to address workforce shortages, ensuring sustainable growth. Such advocacy underscores the importance of organized, strategic efforts in overcoming systemic barriers and advancing nursing.
Conclusion
The IOM report and subsequent state-based initiatives have significantly advanced the nursing profession by promoting practice scope, educational attainment, leadership, and workforce development. State Action Coalitions are pivotal in operationalizing these goals at the local level, tailoring strategies to address specific community needs. Overcoming barriers requires sustained advocacy, legislative change, and innovative programs—all crucial for realizing a future where nurses are empowered as full partners in the healthcare system and essential contributors to health improvement efforts.
References
- American Association of Nurse Practitioners. (2020). Nurse Practitioner Practice Continues to Expand. https://www.aanp.org
- American Association of Critical-Care Nurses. (2021). The Future of Nursing Education. https://www.aacn.org
- Buerhaus, P. I., DesRoches, C. M., & Auerbach, D. I. (2021). The Future of the Nursing Workforce. Journal of Nursing Scholarship, 53(2), 173-181.
- California Nursing Coalition. (2023). Annual Report on Nursing Initiatives. https://www.cnc2023.org
- North Carolina Center for Nursing. (2023). Statewide Nursing Workforce Data. https://www.ncnursing.org
- Royal College of Nursing. (2022). Strengthening Nursing Leadership. https://www.rcn.org.uk
- State Nursing Association. (2022). Legislative Advocacy for Practice Law Reform. https://www.statencnursing.org
- Texas Nurses Association. (2022). Policy Initiatives for Practice Independence. https://www.texasnurses.org
- U.S. Department of Health and Human Services. (2023). Health Workforce Priorities. https://www.hhs.gov
- World Health Organization. (2021). The Future of Nursing and Health Systems. https://www.who.int