IOM Future of Nursing

IOM Future of Nursing

IOM Future of Nursing Nurses are in an ideal position to propagate changing within the health care workforce, with three millions nurses to effectuate change, and the objectives within the Affordable Care Act (ACA) providing the largest overhaul within medical care since the inception of Centers for Medicare and Medicaid (CMS) in 1965 (Institute of Medicine [IOM], 2010).

The intent of this paper is to discuss the Institute of Medicine (IOM) report regarding the future of nursing as it pertains to nursing practice, nursing education and nursing workforce development. Next, a review of Nevadas state-based action coalitions and how Nevada advances the goals of the IOM report. Lastly, two Nevada coalition initiatives will be outlined, discussing the advancements and barriers that need to be overcome.

Future of Nursing In 2008, the Robert Wood Johnson Foundation (RWJF) committee was formed to conduct a two-year research project that commenced with the formation of the IOM Future of Nursing report discussing a number of key objectives. Several barriers were identified preventing nurses from practicing to the full extent of their licensure and education, largely due to the overhaul of the health care system with the introduction of the ACA (IOM, 2010).

In addition, the rapidly evolving health care system to include adoption of electronic health records (EHRs), computerized provider order entry (CPOE), electronic medication administration (eMAR), and bar code medication administration (BCMA), to name a few. This paper will focus specifically on the nursing practice, nursing education, and nursing workforce development as a whole, specifically within the state of Nevada.Nursing Practice Licensure and nursing practice rules vary state by state, specifically when it comes to the nurse practice act, which defines the actions and interventions a nurse may perform within the scope of their practice. Therefore, these variations allow opportunity for patient care to vary state-to-state (IOM, 2010).

For example, one state may allow advanced practice registered nurses (APRNs) to independently treat patients without a supervising physician, while others do not. Recent changes in Nevada legislation allows new APRNs, to prescribe Schedule II medication independently without collaborative agreement once the APRN has completed two years or 2000 hours of practice; however a facilities by-laws may contradict the independent practice of an APNs, requiring them to be supervised by a physician (Robert Wood Johnson Foundation [RWJF], 2014).

All the more reason that policy changes need to be made based on the IOM report recommendations, which state, nurses should practice to the full extent of education and training. For this to be fully accomplished, the federal government is well positioned to promote reform within this area to ensure nursing practice is similar across the country while ensuring best practices are followed (IOM, 2010).Nursing Education Technology changes specifically with the adoption of Meaningful Use requires nurses to be more educated than 20 years ago when documentation was done in a simplistic way with the use of pen and paper.

Currently, nurses need to know more than ever how medicine and technology meet, as well as the nurse bridging the technology gap in knowledge. EHR technology, for most nurses, wasnt something learned or even taught within nursing school, but is a growing specialized field of nurse informatics. The gap in medical technology must be improved for nurses to continue to deliver safe, competent, patient-centered, high-quality care with positive patient outcomes.

Nurse competencies today include leadership, health policy, system improvement, research evidence-based practice, and teamwork and collaboration (IOM, 2010, p. 2). In order for this to become reality, nurses must achieve increased training and education to meet the demands. The IOMs philosophy of nurses to…


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