Future of Nursing The Future of Nursing The Institute of Medicine (IOM) shows that the nursing profession constitutes the largest portion of the health care workforce in the country. Its membership exceeds three million individuals. Consequently, nurses are primarily involved in transforming the nation’s health care environment that lately proves to be rapidly changing. The IOM sought to achieve this by considering various crucial recommendation as a guide to the direction that the future of nursing will follow (IOM, 2010). This paper examines the three areas that the IOM views as barriers to the nursing profession in tackling the challenges posed by the changing health care system and the manner it will influence the future of nursing. The …show more content…
The opposition was partly because of the nursing shortage. Over the years, the Associate Degree nurses have managed to cope up with the rising health care needs as well as the shortage of nurses. Nevertheless, the rising population together with the changes witnessed in the socio-economic environment mean that the nation has a more-complex patient population. The shift in patient needs as well as the care environment prompt the need for the health care team to develop additional competencies that will guarantee high quality care. At the moment, nurses undertake the roles involved beyond bedside. The continued rise in chronic conditions such as hypertension, obesity and diabetes has shifted attention from acute care. One Nursing Forum article observes that nurses continue to adapt to the changing health care even though their education levels remain at minimum as the low number of nurses who pursue higher education levels indicates (Lane & Kohlenberg, 2010). According to the IOM committee, it is necessary to have a higher education level rather than the minimum entry level that one current needs to practice nursing for better management of the needs of the new patient population. One way to meet this need would be to raise the number of nurses having a Bachelor's Degree in Nursing (IOM, …show more content…
Normally, this takes place in non-acute settings. The prevailing shift in attention from acute conditions to the rising chronic conditions among patient populations, the role that nurses play in the primary and community care is becoming more significant. In primary care roles, nurses normally assume the role of nurse educators, advanced nurse practitioners, public and community health nurses. With the expansion of the health care environment coupled with the nurses’ pursuit of higher education levels, the scope of practice in case of advanced practice nurses has significantly broadened to meet the needs of the patient population and the general community. Nevertheless, legal barriers and legislations pose the majority of challenges that hinder nurses from practicing their entire education and training scopes, particularly among advanced practice nurses. With each State Board of Nursing tasked with regulating the scope of nursing practice, wide variances in the role that nurses take are notable across states. According to the IOM, the scope of practice hindrances ought to be removed to enable nurses to exploit their full potential as per their education and training (IOM, 2010). Such would be crucial for advanced practice nurses working with physicians in offering primary care in the community. Advancing legislation to straighten out the scope of practice will significantly influence the nursing
The nursing profession plays a vital role at the policy table in implementing full practice autonomy for Nurse Practitioners. Nurse Practitioners are contributing experts of the health care system. They have the education and skills needed to be a resource and partake in the policy process and political implementation. This particular policy development will require not just one nursing representative, but many, to push for and symbolize the dire need of full practice autonomy for Nurse Practitioners. In fact, the National Council of State Boards of Nursing [NCSBN] (2017) has formed the Advanced Practice Registered Nurse (APRN) Consensus Model, which streamlines the education, regulation, licensure, accreditation, and certification across the nation.
The role of Nurse Practitioner came into inception in the mid 60s. This was in response to a shortage of physicians across the nation. With the demand for primary care services for all ages, one option to close the demand gap and increase the number of providers is the option for states to revisit the laws governing how Nurse Practitioners practice and provide care to patients in different settings like hospitals, outpatient clinics and others. Whether they work autonomously or under a physicians' supervision, their scope of practice involves but is not limited to assessment and planning with a goal to provide the the best care for optimal patient health and outcomes.
The IOM Future of Nursing report provides a blueprint for transforming the nursing profession to improve the quality of health care and recommendation that nurses with BSN degree approach to 80 % by 2020. In this essay, the student will discuss a proposal, through the legislative process, suggest that Permit accredited community college offering RN to BSN program into law to make the IOM recommendation become reality. The proposal "Allowing accredited community college offering RN to BSN program" that can accelerate the associate degree RN to get BSN to meet the IOM recommendations goal that “nurses with BSN degree approach to 80 % by 2020.” According to the statistic from the Forum of State Nursing Workforce Centers in 2013, the
Healthcare is highly regulated at the federal and state levels. Laws are written to address different principles. These laws reflect societal expectations and are designed to guide us. As advanced practice nurses, we have a responsibility to fully understand the law and play our part in shaping health care policies that affect our patients and practice.
Retrieved from: https://www.aanp.org/legislation-regulation/state-legislation/state-practice-environment. Villegas, W.J. & Allen, P.E. (2012). Barriers to advanced practice registered nurse scope of practice: Issue analysis. The Journal of Continuing Education in Nursing, 43(9), 403-9. DOI:
The nursing shortage is one major issue that was presented in chapter 60. According to Mason, researchers predicted the nursing shortage will reach between 300,000 to nearly 1 million nurses by 2030. This issue still persist in today’s workforce due to the high population of the baby boomers retiring and the sudden increase in longevity of geriatric population. As a result, this causes the demand for nursing care to exceed the supply of nurses. In addition to increased demand created by an aging U.S. population, many patients are living with chronic conditions (Mason, Leavitt, & Chaffee, 2016) which further add to the demands.
Due to hospital care reaching an all-time high in America, we need nurses now more than ever before. Currently in America, we have an issue with nurses having too many paperwork to fill out. In the article “We Need More Nurses” by Alexandra Robbins argues we need more nurses in the hospital. Nursing shortage has been a common issue throughout the world. Because of this issue others are being affected in many different ways.
Advanced Practice Registered Nurses (APRN) play a vital role in the future of health care irrespective of their specialty .APRNs are often primary care providers and are at the forefront of providing preventative care to the public (Nursing World, n.d.). Advanced practice nursing roles are developing globally, and opportunities for advanced practice nursing are expanding worldwide due to the need for expert nursing care at an advanced level of practice. . The role of the Nurse Practitioner (NP) is shaping the health care and the professional practice environment. Since the emerging of Affordable care Act the vale and the contributions of APRN to improve access to health care services has increased.
It states that the scope of an advanced practice nurses will differ between nurses. The advanced practice nurse has the responsibility of practicing within their individual and professional scope of practice. When adding new procedures to their scope of practice there are considerations they should take. Firstly, they must identify why the new practice is needed and how it will benefit the patient. Furthermore, they must be knowledgeable of any regulations preventing the practice of being put into play.
Everything is changing so as nurse leaders we must change with this new era of health to live up to the expectation for the good of
As there continues to be an initiative to improve quality healthcare while simultaneously reducing costs, the importance of the nurse with advanced education in transforming healthcare delivery and healthcare policy will continue to grow. Opportunities for nurse managed health clinics, quality nursing research to improve evidence based practice, leadership of multidisciplinary health management teams and change agents in health policy and improved patient outcomes make the nurse with advanced education the “escape fire” in health care now and in the
Therefore, nurses need to led innovations so they can develop models to prove how to access care and improve quality of care. Also, manage nursing clinics. All possible education acquired with basic competency to meet the demands of an aging and diverse society, with an emphasizes on clinical training done in a healthcare facility to go across the life span. Nurse need to expand their scope of practice, with full extent of their knowledge and licensure work with physicians to provide cost effectiveness and the shortage of primary care. Also, with embracing technology by learning the newest medical techniques, this includes schools using a stimulation lab and online courses.
In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others. Scope of Practice The nursing scope of practice gives a precise definition of the strict duties of a registered nurse practitioner. It is obligatory for these professionals not to engage in medical activities that go beyond their scope of practice.
As mentioned before, an increase of technology use is a major influence on nursing, the introduction of evidence-based practice in the professional field and in the educational environment plays a role in a nurse’s everyday life. Also, there are the changes in society itself that benefit the nursing profession. For example, the breaking of stereotypical gender roles in society results in male nurses
The development of advanced practice nursing roles has become a global trend as healthcare providers explore more options for providing healthcare services. Initially there was no formal education caring for the sick the earliest nurses learned their skills through oral traditions passed from generation to generation. In contrast the comparatively long evolution of specialist nurses, Ford and Silver (1967) initiated the nurse practitioner concept role at a slower pace. Per Shepher (2012) the introduction primary health care pediatric role in the United States (U.S) occurred in 1965. Roles were founded on the morality of the expanded role of specialist nurses, which openly incorporated traditional medical diagnostic skills.