The Institute of Medicine’s (IOM) reports on the, in detail, the changes that are needed to occur within the nursing profession in regards to education, nursing practice, and nursing leadership roles in order to support the healthcare changes needing to occur in order to provide patient’s with the utmost safest care (2010). The passing of The Affordable Health Care Act of 2010 has changed the many aspects of what the nursing profession is now and what it will need to be in order to accommodate the growing needs of care for the American people. The nursing profession is not only the largest but has grown to be one of the fastest developing professions in the healthcare industry (IOM, 2010). This paper will examine the report produced by the Institute of Medicine and the impact the report and IOM has on the profession of nursing. Nursing Education
There is a variety of ways of become a nurse and entering the profession requires one of several variations of degrees. There is an Associate’s Degree of Nursing (ADN) which requires a maximum of three years but no less than two years to complete at a community college. A Diploma of Nursing is another degree that requires three years training in a hospital based program. Finally, there is a Bachelor’s in Science Degree of Nursing (BSN) from which is obtain from attending a university or state college for a minimum of four years. Patient care is increasingly getting more complex and the skills that are needed to provide safe quality care the IOM’s report states the “nurses should achieve higher levels of education and training through an improved education system that promotes academic progression” (IOM, 2010). The IOM has a goal which is to increase the amount of nurses with a BSN to eighty percent by the year 2020 (IOM, 2010). In an article in the Journal Of Professional Nursing by Melanie Dreher, PhD, RN, FAAN, Patricia Clinton, PhD, RN, ARNP, FAANP, and Arlene Sperhac, PhD, RN, CPNP, FAAN, they state that “We are obliged to create not just curricula for advanced practice but learning environments in which nurse scientists and clinicians, working collaboratively, are joined by experts from other professions and disciplines to offer learning opportunities and experiences that will serve our students well—not just in 2020, but in 2030 and 2040 and 2050” (Dreher, Clinton, & Sperhac, 2014, p.109). Many health care facilities do offer reimbursement to nurses for continuing their education for a higher level of degree and some require a contract to work for a specified period of time in return for full compensation. With facilities offering monetarily support for nurses returning to school for higher education it appears that those facilities only want what is best for the patients and reputation of having nurses with the highest level of education. A number of solutions have been produced to help facilitate the growing need of the higher education requirements for the registered nursing (RN) profession within the education institutions across the United States. These solutions consist of ADN to BSN program, ADN to Masters of Science in Nursing (MSN) program, and for those who are not RN’s but Licensed Vocational Nurses (LVN) there are bridge programs such as LVN to ADN programs as well as LVN to BSN programs. The aging population has put a strain on the nursing profession as a workforce with its ever increasing number of elderly patients and the shortage of nurses and nursing educators. As stated by Dreher, Clinton, and Sperhac (2014) “As educators, embarking on the mandate of leading change through education, we have a responsibility to pause, look deeply and intentionally into our present and carefully examine our own dominant logic that impedes our progress in creating a preferred future for health care”(Dreher, et al., 2014 p. 109). Loan repayments and scholarships for qualified nurses who complete an advanced nursing degree and work as a full-time member of a faculty of an...
References: American Nursing Association. (2014). Retrieved from http://www.theamericannurse.org/index.php/2010/11/30/iom-report-calls-for-more-nurse-leaders-throughout-health-care/
Dreher, M.C., Clinton, P., & Sperhac, A. *2014). CAN THE INSTITUTE OF MEDICINE TRUMP THE DOMINANT LOGIC OF NURSING? LEADING CHANGE IN ADVANCED PRACTICE EDUCATION. Journal Of Professional Nursing, 30(2), 104-109. Doi: 10.1016/j.profnurs.2013.09.004
George Washington University. (2013, December 5). Studies assess impact of IOM report on nursing reforms. ScienceDaily. Retrieved July 20, 2014 from www.sciencedaily.com/releases/2013/12/131205102200.htm
Institute of Medicine. (2010). The Future of Nursing: Leading change, advancing health. Washington, DC: The National Academies Press. Retrieved from http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health/Report-Brief-Education.aspx?page=1
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