February 28, 2011
United States is transforming its health care sector in order to give affordable and quality healthcare to its people. This system is envisioned to be accessible to every patient centered and evidence based care facility that will improve the health care. In order to realize this dream, the system requires drastic remodeling in various aspects (Domino, 2005). One of the major aspects that shall be considered is the nursing profession that represents the largest part of the system. By looking into various aspects of the nursing profession, nursing organizations as well as the state bodies can develop measures that will see futures developments within this sector. Of importance are the major issues in nursing like evidence based practice, education and training, staffing, research and leadership. This vision aims at addressing these aspects in the hope of recommending the best approaches to the development of nurses. It is envisioned that not only will they impact todays’ nurse but provide a platform on which future policy makers and leaders can direct nursing. The Vision of Nursing
Following the signing into law the healthcare reform, United States took on the responsibility of transforming its healthcare system. The vision of this nation is to have affordable, quality, safe, and more accessible healthcare. This represents the largest transformation in the healthcare sector since 1965 during the creation of the Medicare and Medicaid program. Such changes not only affect the patient but also the healthcare provider. According to Domino (2005) nurses are the primary sources of primary healthcare, transformations of the healthcare system cannot ignore this organ. Furthermore improved healthcare system, accessibility and affordability, translate to an increase to an increase in the number of patients in the healthcare system. The realization is that already the nursing profession faces various challenges. These are seen in the provision of reformed healthcare and the meeting of the increased health needs. Nursing staffing is not only a present issue but that has been a center of discussion over the years especially in the last decade. As we try to grapple with the health care reforms, we cannot ignore the ongoing staffing in the nursing sector. Nursing has continually faced increased differences in demand and supply that the system has showed sign of insufficient number of nurses. According to Kany (2004) this is due to the problems that exist between the value and image associated with nursing. In addition to this, this deficiency has been associated to the limited role nurses have had in the identification of the priorities in the delivery of healthcare. Therefore as we make steps towards a future marked by improved healthcare, there is a need to address this issue. It is important that we realize that efforts to increase the number of nurses are not emerging but an ongoing process (Cicatiello, 2000).
Key holders within the healthcare system have realized the need for nurses to play an important role in the advancement of the future agenda of nurses. This advancement is seen as a means of changing policies that affect healthcare delivery, work environment and the diversity of the profession. Hence, as we embark on a new era of improved healthcare delivery, we should involve the participation of the nursing sector.
The major reason that was identified for the deteriorating number of nursing enrolment and the increase nursing shortage was image and value. Back in 2000 the American Nursing Association realized that the image of nurses and nursing was skewed (Kany, 2001). The association revealed that at that time there was lack of awareness and value for the nursing profession. Therefore this translated to reduced enrolment into nursing education and training programs. This then led to the creation of nursing organization that...