The Future of Nursing-edited

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Running head: THE FUTURE OF NURSING 1 The Future of Nursing Sheryl Stevens Grand Canyon University

THE FUTURE OF NURSING 2 The Future of Nursing A 2010 report of the Institute Of Medicine expounds on issues that impact advances in nursing health education, leading change, leadership, practice and the future of nursing. Evidently, there are progressive changes in the healthcare industry that have been necessitated by the need to attain patient centered care in the primary, public and community care environment in contrast to previous paradigms. Nurses are a critical human resource whose role in the healthcare system is vital; as a consequence, the necessity for continuous change to enhance the implementation of reforms. After reviewing the Institute of Medicine’s 2010 report concerning the future of nursing, advancing healthcare and leading change, it is evident that various factors are instrumental in the realization of these goals (Institute of Medicine, 2010). The integration of education and research into nursing practice are critical in the development of comprehensive nursing settings that are designed to be patient-centric. Consequently, the well-being of patients through the development of qualitative procedures and practices that are incorporated into healthcare systems. These are attained through empowering nurses in their respective fields of expertise; therefore, instituting relevant changes in nursing practice, education and leadership through reform and innovations. According to the report various factors have contributed to the current healthcare settings and offer possible solutions to presenting issues accordingly. Nursing Education: The advent of the 21st century has brought with it varied challenges and development of new healthcare trends; this is more so as a result of observed and expected increases in the number of the elderly population (Institute of Medicine, 2010). Consequently,

THE FUTURE OF NURSING 3 diseases associated with old age are expected to increase accordingly such as arthritis, diabetes, coronary diseases, hypertensions or dementia among others. Though these health conditions illustrate the current needs in healthcare, nurses do not possess adequate education to deal with such issues. This is because the current nurses lack adequate education; therefore, the development of comprehensive education is essential for increased competencies in evidence based practice, research, teamwork among nurses, system development and collaboration with other healthcare professionals. This also includes adoption of increased leadership roles and development of health policies in order to facilitate the delivery of qualitative care in complex settings that can be in public or private health or the community. Due to innovations in technological tools and information management systems while collaborating and coordinating care with other health professionals, nurses have been called upon by the IOM committee to acquire higher levels of education to help them meet the needs of the population (Institute of Medicine, 2010). The educational systems to prepare nurses for the workforce today needs to be geared towards community settings such as primary care, public/private health, and long-term care. It is evident that nursing education in schools should be subjected to review, updates and integrated with research, technology and fundamental precepts that enhance decision making abilities. This will involve dynamic clinical situations in all settings to meet the ever changing needs in health care according to the IOM committee (Institute of Medicine, 2010). Care within the hospital has become very complex and challenging as nurses continue to face making critical decisions associated with care of seriously ill patients, needing sophisticated lifesaving equipment that require more skills. There is a recommendation that the entry level qualification for nurses to practice should be upgraded to, possession of a baccalaureate degree

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THE FUTURE OF NURSING 4 instead of just a diploma or associate degree in nursing. This will aid in equipping them with relevant competencies that enable them take part in the development of policies, healthcare leadership, quality development and financing decisions. The upsurge in the number of nurses with professional and academic education in the work force is also likely to produce more nurses with higher education and technical experiences. These will serve as primary care providers, researchers, and occupy faculty positions that are already in great demand across the profession (Sherman & Pross, 2010). Among the issues presented, in the report is the prevalent shortage of nurses with the adequate skills, due to high turnover rates, most common among new graduates, which continue to destabilize the workforce in the United States. This is as a result of difficulties new graduates encounter when transferring skills into practice. Consequently, nursing residency programs are recommended for the provision of comprehensive skills and knowledge in the safe delivery of qualitative care as stipulated the standards of nursing practice (Institute of Medicine, 2011). Nursing practice: while education plays a critical role in the development of best practices in healthcare environments; there are other factors that must be considered. These include historical and cultural factors, legal barriers and inconsistencies in state regulations that hinder nursing functions at all stages, from operations to the entire scope of nursing practice. The Institute of Medicine committee concluded that such constraints must be removed in order to enable nurses assume their respective duties and responsibilities. A significant number of Nurses are entering the workforce with more qualified education. Also, they encounter many problems from physicians in different states across the nation, challenging their scope of practice and under the impression, that the autonomy of the nurse in practice will threaten their professional roles (Institute of Medicine, 2011). Not taking into

THE FUTURE OF NURSING 5 consideration how useful these nurses and their knowledge will be, in contributing to an innovative healthcare system that is moving towards community, public, and primary care (Sherman & Pross, 2010). In this respect, as a nurse serving the mental health population, will use my knowledge acquired from continuous education to gain a leadership position. Hence, I can collaborate with other nursing professionals to influence legislation and the federal government, who through the congress, federal trade commission, office of personnel management, and the center of Medicaid and Medicare services can effect changes, urgently needed to remove the scope of practice barriers (Sherman & Pross, 2010). Nursing Leadership: According to the Institute of Medicine, nurse leadership is mandated with the design, implementation and evaluation of healthcare services through coordination, delegation and supervision of care. Leadership in nursing will concentrate its efforts on populaces instead of concentrating on individual care. In addition, nurse leadership will have the responsibility of acquiring all the requirements that a client may need in order to communicate with the healthcare institutions once they have been discharged. Among the included responsibilities are the planning and coordination of healthcare activities. Participation in effective leadership is very important in the transformation of the healthcare system. Currently, nurses continue to lack in leadership skills; therefore, the need for the development and enhancement of nursing leadership skills. Nursing leadership competencies will aid nurses to function as full partners with health professionals such as physicians in the evaluation and implementation including advocacy for the progressive reforms in healthcare. There will be an adequate translation of research findings to improve practice environments, nursing education, and formulation of policy if nurses serve as leaders. Conclusion

THE FUTURE OF NURSING 6 Given the awareness on the impacts of all the need for reforms, I intend to take education as a lifelong learning tool, to attain desired positions in practice. The attainment of higher levels of professional and academic education will enhance critical thinking in nursing; hence aid in the attainment of increased knowledge on nursing. It is evident that nurses need the partnership of other medical professionals such as physicians in the reconstruction of health environments.

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THE FUTURE OF NURSING 7 References Institute of Medicine (2010). The future of nursing: Leading change, advancing health . Retrieved from http://www.iom.edu/Reports/2010/The-future-of-nursing-leading-change- advancing-health.aspx Institute of Medicine (2011). The future of nursing: Focus on scope of practice . Retrieved from http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing- Health/Report-Brief-Scope-of-Practice.aspx Sherman, R., & Pross, E. (2010). Growing future nurse leaders to build and sustain healthy work environments at the unit level. The Online Journal of Issues in Nursing , 15(1), Manuscript 1. Retrieved from http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/T ableofContents/Vol152010/No1Jan2010/Growing-Nurse-Leaders.html

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