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Development of Nursing ProfessionalsInstitution DateDevelopment of Nursing ProfessionalsA few years ago, the Institute of Medicine presented an in-depth report that was titled “The Future of Nursing: Leading Change, Advancing Health.” The report comprised studies about the nursing profession and the roles that nurses play in a changing healthcare system, these are new legislative reforms that are phased over the next decade. The report definitely dreams big in augmenting a scope of the nursing profession by stating that several factors are responsible for preventing nurses from being able to respond precisely to the rapid healthcare settings and a fast evolving healthcare system (McGuire& Kennerly, 2006). These barriers are to be overcome so as to improve the nurses’ posture and mechanism in leading change and advancing health. Nursing leadershipThe committee that oversaw the developing of the report developed four messages that are to form the basis of the discussion and the recommendation that are presented in the report. The first three of the messages are directly related to nursing practice and are as follows:A full partnership should be developed between nurses and other members of the health profession like physicians in efforts geared towards redesigning health care in the United States. Nurses should practice the full extent of their training and education. A seamless academic system for nurses should be used to promote academic progress for nurses.In that respect, the IOM report affects the future of all practicing nurses whether they are managers or even students or just practicing nurses. Summary of the issueThe report states that nurses are integral to the changes that will happen in the system and have great potential in leading innovative strategies that will improve the healthcare system. There are several issue that may lead to nurses not fully practicing to the full extent of their knowledge or the industry not fully tapping into the potential that is found in them (Finkelman & Kenner, 2009). These may include any of the following: presence of regulatory barrier; demographic challenges like an ageing population; a high rate of turnover among nurses; fragmentation in the healthcare system; and transitional problems for nurses from training to practice. Impact on education There has been gradual degradation in the nursing practice over the last decades and therefore nursing is now more important than it had ever been before. The IOM report has repercussions in its recommendations that impact the nurses’ role as a leader and in transforming nursing education. In provision of better and more advanced care, the nurses is expected to expand their role and participation in higher education. This is important in meeting diverse needs and bettering healthcare delivery. Improving the education system and attaining a more educated workforce will mean more baccalaureate degrees for nurses. Nurses lower than this level will require to get a traditional degree in nursing that takes four years or any other nursing program that allows a seamless transition from an associate diploma in nursing to a bachelor’s degree in nursing. Impact on practiceThe impact of the report and the recommendations therein on practice and especially in primary care is very profound. In the passing decades we have come to the realization that nursing is a very integral component of healthcare delivery. As a result, a future without a very large number of nurses will be very hard to envision. We have also witnessed the drastic changes that have taken part in the field of nursing over the last decades. Nurses are required to change current healthcare practice so that they can meet growth and the goals of the IOM report. Nursing will continue to be the business of care and the report intends to transform the delivery of care by transforming nurses initially to be more learned and skilled. Education is the key which will transform delivery of care. Nurses are supposed to become more scientific and more managerial oriented to transform care delivery. In line with adopting the recommendations of the report nurses will therefore provide evidence based methods of care to improve outcomes in interventions. Nurses will also become better managers of the resources and the healthcare process. Better utilization and efficient methods in public healthcare centers will be the direct result of this paradigm shift. Patient care will also be highly tailored as nurses offer specialized treatment and understand each patient as a different case. The practice will adopt and prefer differentiated care approaches to each patient that is evidence based instead of generic approaches towards cases. The scope of practice for APRN’s will also be broadened as a change in the practice and profession so that these nurses can practice to the full extent of their training and education. This is despite the various restrictive legislations in some states. In that way a physician’s responsibility would be reduced in a load balancing act and enable them to be more productive and efficient in heightened quality care to the patients they are serving. Making education more accessible to nurses will make the morale of nurses’ increase and they will become more competent. This require a decreased ration of nurses’ patient ratio. The profession will therefore in coming phases see an increase of nurses as compared to patients and lesser and lesser physicians doing jobs that nurses can effectively handle. The changing role of nursing leadership with the IOM reportThe report outlines goals in empowering the nurse. The report also sees the empowerment as a way to achieve the objectives as set out in the recent healthcare reform and legislations. This is seen in its message of turning nurses as full partners with health partners and physicians in the redesign of United States healthcare. According to the report, the public may not be used to the idea that nurses are leaders but nurses do need to transform in their role for design, evaluation and implementations of the ongoing reforms and be at the forefront in advocating for these changes (Laschinger & Leiter, 2006). The report states that healthcare providers are playing an increasingly inter-dependent role in delivery of care today. As a result problem do not have the clear cut delimitations as it used to be in the past. The old style of leadership that has characterized the system will therefore not do in this environment and this will call for more participation and inclusiveness on the side of nurses.ConclusionThe United States has what it takes to transform its healthcare system and the nurses and nurses’ organization will play a pivotal role in modernizing it. Nurses are still the largest individuals in healthcare groups with a membership of over three million. Unfortunately the power to change the current regulatory, organizational and business conditions to bring about this change does not entirely lie with the nurses. All stakeholders that include insurance companies, healthcare organizations, professional associations and government must play a role towards making this a challenge scalable. The recommendations of the IOM are directed towards individual policy makers and various industry stakeholders. When the synergy of these diverse industry players is tapped healthcare will become more affordable, more seamless and accessible leading to improved health. ReferencesFinkelman, A. W., & Kenner, C. (2009). Teaching IOM: Implications of the Institute of Medicine reports for nursing education. Nursesbooks. org.Laschinger, H. K. S., & Leiter, M. P. (2006). The impact of nursing work environments on patient safety outcomes: The mediating role of burnout engagement. Journal of Nursing Administration, 36(5), 259-267.McGuire, E., & Kennerly, S. M. (2006). Nurse managers as transformational and transactional leaders. Nursing Economics, 24(4), 179. ................
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