Implementation Of The IOM Report In Nursing

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In 2012, the Institute of Medicine (IOM) released its Future of Nursing Report, which had been prompted by the anticipated nursing shortages, decreased access to care, inconsistent limitations in nursing scopes of practice, and the overall need for nurses to fill more diverse roles. Implementation of recommendations made within the report show great promise for transforming and expanding nursing roles and advancing health systems reform. The impact of the Future of Nursing report is far reaching as the need for specific areas of nursing reform have been identified and initiatives developed, such as the Campaign for Action and State-based Action Coalitions, to assist in the implementation of report recommendations.
Key Points of IOM Report The
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One of the most significant is the pursuit of higher education. With more health systems requiring baccalaureate prepared nurses, the push to advance one’s education is ever-present. Another implication is that of changing scopes of practice, as nursing roles are projected to expand and diversify. Furthermore, recommendations aimed at doubling the nursing workforce by 2020 aim to decrease care demands. However, a nursing shortage is anticipated to peak in coming years. Therefore, additional recommendations call for the creation of policies and planning to improve workforce efficiency, but this is highly dependent on the number of qualified nurses seeking to advance their education to fill these roles and thereby affecting necessary health systems changes. Report recommendations also support the need for accelerated educational programs to assist nurses currently practicing with an avenue for professional development. Educational initiatives also serve to increase the number of nurse educators, which will foster new growth into the …show more content…
The purpose of the Campaign is to focus on issues such as improved access to care, interpersonal collaboration between health professionals, the promotion of nursing leadership, transforming nursing education, improved diversity in nursing, workforce data collection, and the promotion of healthy communities (Campaign for Action, n.d.). Based on the IOM’s recommendations, a framework was created by which the nursing profession would be transformed and access to health care would be improved. This basis would serve to provide continuity between the States when developing and implementing State-based Action Coalitions.
State-Based Action Coalitions State-based Action Coalitions were developed following the release of the IOM report. Action Coalitions are the mainspring behind the Campaign for Action (AZAC, n.d.). They support health care systems in which nurses fully practice to the extent of their education and training (AZAC, n.d.). The purpose of these coalitions is to guide the implementation of sustainable reform of the nursing profession that is consistent with the recommendations made in the report (AZAC, n.d.). Action Coalitions strive to enact reform in key areas such as education, leadership, practice, workforce, diversity, and nursing legislation.
Arizona Action