Highlights and Recommendations of the Institute of Medicine.

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Highlights and Recommendations of the Institute of Medicine.

 

The paper should include the following : -Identify major highlights of the 2010 Institute of Medicine Report : Future of Nursing: Leading change, Advancing Health, Discuss the primary recommendations posed by the report. – Discuss strategies to implement the recommendations to advance the profession of Nursing . – Share your own perspective on the recommendation. The paper should be on APA format, 3 pages excluding the title, abstract, and references page. For references : 3 current scholarly journal articles or primary legal sources ( statutes, court opinion) within the work . Thanks in Advance . Give me a good work and we\’ll become partner.Highlights and Recommendations of the Institute of Medicine.

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Abstract

One of the most revolutionary healthcare publications in the 21st century was the Institute of Medicine (IOM) report titled Future of Nursing: Leading Change, Advancing Health and released in the year 2010. It heralded a paradigm shift in the way the nursing profession is seen by other players in the healthcare sector. The objective of the report was to empower nurses so that they may be able to use their large numbers to facilitate primary healthcare provision and healthcare innovation. To achieve this goal, the report carried several far-reaching recommendations, an example of which was the suggestion that barriers to practice be removed for APRNs across all the states. Another one was to have nurses get the highest level of education possible without having to surmount barriers. This would enable them to acquire the education and competencies necessary for the healthcare challenges of the 21st century.Highlights and Recommendations of the Institute of Medicine.

Keywords: change, health, scope-of-practice, barriers

Highlights and Recommendations of the Institute of Medicine (IOM) Report Titled Future of Nursing: Leading Change, Advancing Health Published in 2010

The Future of Nursing: Leading Change, Advancing Health report was the brainchild and work of the Institute of medicine (IOM) and the Robert Wood Johnson Foundation or RWJF which took two years to produce and publish. It was an effort to assess the status of nursing at that time and make recommendations on how to transform the discipline for the better going into the future. The report – containing the roadmap to a makeover of the nursing profession – came out in the year 2010 (Hooper, 2016; ANA, n.d.). The highlights of the report were a raft of recommendations. These were meant to empower nurses and make them important partners in the advancement of health and the provision of primary health care, as envisioned in the Alma Ata Declaration of 1978 (Topp & Abimbola, 2018). This paper discusses these primary recommendations of the report, some strategies on how to implement them, and the author’s own perspective on the recommendations.Highlights and Recommendations of the Institute of Medicine.

The Primary Recommendations of the IOM Report

The original primary recommendations of the Future of Nursing: Leading Change, Advancing Health report by the IOM and the RWJF are as follows (Hooper, 2016; IOM, 2011):

  1. Removing barriers to practice for nurses

This recommendation took into consideration that many states were still having Nurse Practice Acts in their statutes that limited advanced practice registered nurses or APRNs in their scope of practice. These are states that require APRNs to have a mandatory collaborative agreement with a practicing physician who then acts as their supervisor and countersigns all their prescriptions and orders (Duncan & Sheppard, 2015). This recommendation is meant to discourage this reduced and restricted practice in favor of full practice authority. Implementation of this will allow APRNs to practice autonomously to the fullest extent of their education, training, and knowledge (Hooper, 2016; IOM, 2011). Highlights and Recommendations of the Institute of Medicine.

  1. Increasing opportunities for nurses in leadership and diffusion of collaborative efforts

This recommendation required that nurses be empowered and given opportunities to lead healthcare innovation and research in an environment in which they collaborate with physicians as equal partners. To achieve this goal; organizations, governmental and nongovernmental agencies, educational institutions, as well as professional nursing organizations were to give nurses a chance to lead research and teams that included physicians and other healthcare professionals in a collaborative manner (Hooper, 2016; IOM, 2011).     Highlights and Recommendations of the Institute of Medicine.

  1. Implementation of residency programs for nurses

This recommendation was aimed at assisting APRNs in the difficult time of role transition from expert/ proficient RN to novice APRN. To achieve this, it suggested that the federal government, accreditation agencies, state boards of nursing, as well as healthcare organizations assist nurses to have residency or transition-to-practice programs (Hooper, 2016; IOM, 2011).   Highlights and Recommendations of the Institute of Medicine.

  1. Having the number of nurses with a baccalaureate degree increase to 80% by the year 2020

Nurse educators, nursing schools, and financiers were required by this recommendation to come up with empowerment strategies that would enable nurses to achieve higher education without barriers. The target objective was to achieve a rate of transition to baccalaureate degree of 30% by the year 2020 (Hooper, 2016; IOM, 2011).

  1. Increasing the number of nurses with a doctorate degree by 100% by the year 2020

Just like the previous recommendation, this one targeted to have a nursing workforce that is highly educated to face the challenges of the 21st century. For nurses to lead change and advance health, they needed to be highly educated and knowledgeable. As APRNs, a doctorate would also be the most preferable entry point into practice. The target was to double the number of nurses with a doctorate degree (DNP or PhD) by the year 2020 (Hooper, 2016; IOM, 2011).     Highlights and Recommendations of the Institute of Medicine.

  1. Ensuring lifelong learning for nurses

This recommendation required accreditation bodies, healthcare organizations, and schools of nursing amongst others to put mechanisms in place that would allow nurses to continue their professional development throughout their career (Hooper, 2016; IOM, 2011).

  1. Empowering nurses to lead change and advance health

The main substance of this recommendation was that nurses at all levels needed to be given equal opportunity with their peers in other healthcare disciplines (including physicians), to lead healthcare efforts at all levels (Hooper, 2016; IOM, 2011).    Highlights and Recommendations of the Institute of Medicine.

  1. Building a framework for collecting and analyzing interprofessional healthcare workforce data

The collection of interprofessional healthcare workforce data was the aim of this recommendation. This would allow for comparisons to be made and any skewed distribution of power addressed (Hooper, 2016; IOM, 2011).   Highlights and Recommendations of the Institute of Medicine.

Strategies to Advance Nursing by Implementing the Recommendations and the Author’s Perspective

In order to advance the profession of nursing as recommended in the above IOM report, all players in the healthcare sector must come to the realization that nurses are the backbone of the healthcare system. Therefore, legislation at the state and federal level should focus at establishing universal autonomous practice or full practice authority in all 50 states and the District of Columbia (Duncan & Sheppard, 2015). Another strategy is to open up many avenues (including online learning) through which registered nurses can get higher education (BSN, MSN, DNP, PhD). The author’s perspective on the above recommendations is that they were long overdue. They acknowledge the vital role that nurses play in serving as the glue that holds the healthcare system together.  Highlights and Recommendations of the Institute of Medicine.