Grand Canyon University: NRS 430V
Professional Development of Nursing Professionals
Nursing as a profession is the largest component of the healthcare workforce in America. There are 3 million Registered Nurses in the country, and the Healthcare settings have been changing since the “2010 Affordable Care Act” (ACA). Nurses are the most influential in this fundamental transformation. However, a number of obstacles prevent nurses from being up to the professional code in their responsibilities and practices in the changing Healthcare environment, and these hurdles need to be jumped to lead change and advance health (IOM Report, 1) The Institute of Medicine is an independent organization that gives reports and advice to the government about improving health. The opinions of IOM are highly regarded, and can make or break legislative decision. The I.O.M report released in October 2010 outlines major categories of change needed in the nursing profession to address healthcare needs of the Nation.(NRS430V Lecture 4) I.O.M produced this report, and made recommendations for an action-oriented focus in the future of nursing. The IOM report has great impact on nurses’ role in reforming the healthcare system. 1. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.(IOM Report, 1) Major changes in the nation’s healthcare system and workplace environment will require some improvements and education reform for nurses before and after they get their license. Improvement in education system is the keystone to ensure safe, high quality, patient-focused care in all areas especially primary care and in community health. Medical and nursing care has become very complex in hospitals and public settings. Nurses are coordinating care with social workers, physicians, pharmacists, physical and occupational therapists. A majority of them have masters or doctoral degrees. To work effectively with highly educated workforce, nurses should also have higher education. Importance is given to increase the diversity to ensure nurses are able to provide care for a culturally diverse patient population. IOM report recommended increasing the proportion of nurses with baccalaureate degree to eighty percent by 2020 (IOM Report, 12). It recommended that healthcare organizations should encourage nurses with associates and diploma degrees to enter baccalaureate nursing programs within 5 years of graduation by offering tuition reimbursement, and providing a salary differential and promotions (IOM Report, 12). IOM also recommended to double the number of nurses with a doctorate by 2020 with attention to increasing diversity (IOM Report, 12). IOM recommended nurse residency programs after they completed a pre licensure or an advanced practice degree program or when they are transitioning into a new clinical practice area. This improves retention of nurses, expands competencies, and improves patient outcomes .IOM Report, 12) 2. Provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts. IOM strongly recommends the need for nurse leaders to act as full partners with physicians, and other health care professionals (IOMReport,4) The need of leaders from various levels in nursing is emphasized.. Nurse leaders are expected to shape policies, and engage in implementation of new policies related to health care reform. IOM made it clear that leadership is important to advance the profession. It stressed the importance of embedding leadership related competencies throughout nursing education, and to develop a culture that promotes and values leadership.(IOM Report,8) Nursing education programs should combine leadership and business practices across the curriculum, including clinical practice. Public, private and...