The Impact of the 2010 Institute of Medicine (IOM) Report on the Future of Nursing Education, Practice and Leadership
Grand Canyon University
Profession Dynamics NRS-430V
April 14, 2013
The Institute of Medicine’s (IOM) 2010 report on The Future of Nursing is a vision for ways to evolve nursing to better impact the changes in the world. The IOM was established in 1970 by the National Academy of Sciences. The IOM consists of a group of experts that discuss, debate, and examine future solutions in regards to the many concerns that the nation faces in regards to healthcare. This group’s primary goal is to improving high quality care, reduce medical errors and increase ...view middle of the document...
The committee realizes that there are changes that need to be made within the healthcare system to accommodate to the ACA.
Education change According to the IOM
The first change that needs to happen is within the education portion of the nursing sector. It is stated by the IOM “the primary goals of nursing education remain the same: nurses must be prepared to meet diverse patients’ needs; function as leaders; and advance science that benefits patients and the capacity of health professionals to deliver safe, quality patient care”(IOM report 2010, page 164). The current nursing school curriculum focuses primarily on the acute setting lacking an emphasis on community health and long term care settings.
This is also true in regards to the National Council Licensure Examination (NCLEX) “that is skewed towards acute care setting” (IOM report 2010, page 168). The exam is designed to tests the minimum competency level of a new nurse needed to practice safely; it is graded on a pass/fail basis. “To keep up with the changes that are taking place within the healthcare system the IOM recommends an increased emphasis on competency related to community health, public health, primary care, geriatrics, disease prevention, health promotion, and other topics” (IOM report 2010, page 168).
Nursing education is said to be a life-long process, and should establish, maintain, and expand one's competency level. With that in mind the committee strongly recommends that more nurses obtain their nursing education at a baccalaureate level so that nurses “will master more than just basic knowledge of patient care” (IOM report 2010, Page 172). Even after a nurse obtains their licensure they are encouraged to increase their competency through simulation and web-based training which intern helps with interprofessional education.
As nursing education continue to move away from hospital based practice, the problem arises that there is a lack of clinical based practice. The amount of clinical hours required varies from state to state and there is no set amount required. This brings about the challenge that “nursing students develop the competencies required to enter the workforce and function effectively in health care settings” (Cronenwett and Redman, 2003; Fagin, 1986). The committee proposes University and Colleges to use “Dedicated education unit (DEU) as a viable alternative for expanding clinical education capacity (Moscato et al., 2007) page 90). The DEU has a prepared staff nurse serve as a clinical instructor for nursing students for a 6 week rotation in a clinical setting. This is considered to be a win, win situation for both the University and the hospital.
Nursing Practice changes According to the IOM
The focus on nursing practice is discussed in the IOM report, so that nurses can practice to their full extent of education and training. With this change nursing will concentrate more on patient centered care. The committee’s goal is to move away...