The Future of Nursing
With the current trends and changes that are eminent in the healthcare delivery system in the United States of America and due to the additional needs required for the implementation of the Affordable Care Act (ACA) many alterations in nursing will be required in order to meet the needs of the patients. According to the Institute of Medicine’s (IOM) report The Future of Nursing: Leading Change, Advancing Health, changes in the education, practice, and leadership of nurses will be required to make available accessible, high quality, high value care for patients in the health care system (Institute of Medicine [IOM], 2011, p. 85). Although these changes will affect all registered nurses the greatest volume of these modifications will be in the policies, restrictions, and regulations regarding scope of practice for advanced practice registered nurses (APRN). With the diploma, ADN, and BSN avenues to becoming a registered nurse there are many different options for those desiring to enter the nursing field. However, there are many barriers as well including cost, availability and location of nursing schools (IOM, 2011, p. 166). With the recommendations for nursing detailed in the IOM report many changes will need to be implemented in the education of nurses and also to ease the transition of the graduate nurse into practice (IOM, 2011). In order for nurses to fulfill the full scope of their capabilities in will be essential for them to achieve higher levels of education both before and after licensure. The need for baccalaureate educated nurses will rise significantly as a result of the increasing demand placed on nurses due to the implementation of the ACA. With an increased number of patients entering a health care system that is already exhibiting a shortage of nurses and physicians in many areas of the country it will be necessary for nurses to expand their practice and encompass more tasks and skills to provide the needed high...
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