Professional Dynamics

The Impact on the Future of Nursing from the 2010 IOM Report The impact of the 2010 Institute of Medicine (IOM) report on nursing education has outlined the need for nurses with higher degrees due to the changes required in caring for a more diversified population. In the 21st century, health care challenges have shifted dramatically. The population of America is older and by the year 2030 an estimated 20 percent of the population will be 65 and older. The change in cultures and socioeconomic factors has become more diverse and the need for new approaches in care is needed.

The complexity of health care environments requires a higher quality of care as most health care professionals are dealing with more chronic illnesses nationwide (Institute of Medicine, October 5, 2010). The competencies required to perform higher levels of care include leadership roles, evidence-based practice and research, health policies and system improvement. These are often obtained through teamwork and collaboration. Higher education needs are required to fill management positions and expanding roles in nursing.

The IOM is calling for nurses to obtain higher levels of education and utilize new ways of teaching so they are better prepared to care for the changing needs of the population (Institute of Medicine, October 5, 2010). Education has not taken into account the need for community care settings as much as it has focused on the acute care of nursing. Many schools across the nation have compressed the information into curriculum and added content that requires more instruction.

“Greater emphasis must be placed on competencies related to community health, public health, primary care, geriatrics, disease prevention, health promotion, and other topics beyond the provision of nursing care in acute care settings to ensure that nurses are ready to practice in an evolving health care system”(Institute of Medicine, October 5, 2010, p. 168). These competencies must provide a higher-level of education that provide a foundation for care management knowledge and team leadership skills to become part of every

nurse’s professional formation. “The formal education associated with obtaining the BSN is desirable for a variety of reasons, including ensuring that the next generation of nurses will master more than basic knowledge of patient care, providing a stronger foundation for the expansion of nursing science, and imparting the tools nurses need to be effective change agents and to adapt to evolving models of care” (Institute of Medicine, p. 172).

“Nurses need to continue to provide holistic, patient-centered care that goes beyond physical health needs to recognize and respond to the social, mental, and spiritual needs of patients and their families” (Institute of Medicine, October 5, 2010, p. 172). The most versatile occupation in the health care field is nursing. As each decade passes the need for more nurses increases. “Today nurse practitioners (NPs), together with physicians and physician assistants, provide most of the primary care in the United States” (Institute of Medicine, p.88).

As health care is redesigned, nurses should be full partners with physicians and other health care providers to promote the safest and highest quality of care that lead to improved health care outcome (Institute of Medicine, October 5, 2010). Nurses at all levels need strong leadership capabilities. Primary care nurses need to be able to create innovative care models at the bedside and within the community structure. Nurses need to understand the constant changes in the nursing profession.

The shift is in patient care that transforms from specialty care to primary care and to deliver the care in the community rather than in the acute care area. Nurses would be enabled to practice within the full extent of their education, training, and competency levels creating better care in the health care community (Institute of Medicine, October 5, 2010). As an RN in surgery our department is constantly implementing more defined models of patient care through the use of teamwork, professional collaboration, and education of staff and patients.

The nurses in our department demonstrate strong leadership capabilities that ensure the completion of assigned tasks. Nurses as leaders have long been overlooked by the communities. “To be effective leaders and full partners, nurses need to possess two critical sets of competencies: a common set that can serve as the foundation for any leadership opportunity and a more specific set tailored to a particular context, time, and place”(Institute of Medicine, October 5, 2010, p. 224).

Nurses who are thinking about pursuing business development and entrepreneurial opportunities need to be proficient in areas such as economics and market forces, regulatory frameworks, and financing policy (Institute of Medicine, October 5, 2010). The future of nursing will always change and be subject to improvement. “Examining innovative solutions related to care delivery and health professional education by focusing on nursing and the delivery of nursing services” (Institute of Medicine of the National Academies, 2011, ¶ 3).

The impact of the IOM report will help to ensure that health care standards are met with the highest standards and safety measures throughout the health care profession. References Institute of Medicine. (October 5, 2010). The Future of Nursing: Leading Change, Advancing Health. Washington, D. C. : The National Academic Press. Institute of Medicine of the National Academies. (2011). Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine. Washington, D. C. : The National Academic Press.