The Impact of Nursing as a Result of the 2010 IOM Report
Marie Emily M. Garcia
Grand Canyon University: Professional Dynamics
February 15, 2015
Presented to Kelly A. Davis
The Institute of Medicine (IOM) and The Robert Wood Johnson Foundation (RWJF) collaborated in 2008 to respond and evaluate changes that were needed in the nursing profession. This initiative was a two year project that resulted “in producing a report that would make recommendations for an action-oriented blueprint for the future of nursing” (Institute of Medicine, 2011). The premise that the report is attempting to answer is this, “What roles can nursing assume to address the increasing demand for safe, ...view middle of the document...
In addition, the amount of nurses with baccalaureate degrees needs to increase from 50% to 80% by the year 2020 (Institute of Medicine, 2011). Although the IOM report, urges hospitals to move in the direction of hiring more baccalaureate trained nurses, others have disagreed. A nurse who puts a wrinkle in the IOM’s report is Aline Holmes and her article, Transforming Education, “No one degree will provide nurses with everything they need to know over the course of their professional career” (2011). However, Holmes does agree that, “Healthcare organizations should explore opportunities to partner with academia to develop and prioritize new competencies and to offer innovative continuing education and competency programs” (2011).
The Affordable Care Act of 2010 (ACA) has placed a variety of demands of healthcare professionals today and in turn has offered opportunities to create a system that is further centered around patient care. One topic that is becoming a leading trend is primary care, the demands are being placed on nurses to take on primary roles that assist with care coordination and transitional care; prevention and wellness; and the prevention of adverse events, such as hospital-acquired infections (Institute of Medicine, 2011). The IOM has proposed that licensed advanced practice registered nurses (APRN): clinical nurse specialists, nurse anesthetists, nurse midwives and nurse practitioners be allowed to perform to their education, training and competencies. This collaborative shift between APRNs and physicians will allow the patient to receive stellar healthcare service via “providing higher-quality care, reduced errors, and increased safety” (Institute of Medicine, 2011).
Although the IOM spoke about the impact regarding APRNs, how does this affect non-advanced practice registered nurses? One suggested venue is to prevent the high turnover rates among new graduate registered nurses. In order to combat this trend, hospitals and communities should stress the importance of new grad residency programs. Newly graduated registered nurses need assistance in “transitioning from nursing school to practice and help new graduates further develop the skills needed to deliver safe, quality care” (Institute of Medicine, 2011).
The IOM made recommendations for APRNs and new graduates, but what about the registered nurses who are not advanced practice? According to Hershaw Davis, Jr.’s article, A Staff Nurse Perspective on the IOM Future of Nursing Report, evidence-based practice needs to be the foundation of inter-disciplinary healthcare. One way that a staff nurse can implement evidence-based practice into their practice is by utilizing...