IOM Future of Nursing Report


1. The Work of Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine Research leading to the IOM Report, ‘Future of Nursing: Leading Change, Advancing Health’?

2. Importance of the IOM ‘Future of Nursing’ related to nursing practice, nursing education and nursing workforce development?

3. Role of State based action coalitions?

4. Summarizing the initiatives spearheaded by the state’s Action Coalition?

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1. The Work of Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine Research leading to the IOM Report, ‘Future of Nursing: Leading Change, Advancing Health’

In 2010, the Congress along with the President signed into a law comprehensive health care legislation. This focused on enactment of several laws, which was referred as Affordable Care Act (ACA). The United States of America had the complete opportunity to transform the health care system and thereby provide a safer, higher quality, affordable and accessible care system. During this period, the committee associated to The Robert Wood Johnson Foundation Initiative on the Future of Nursing the Institute of Medicine effective developed an innovative vision. The vision mainly aimed at developing a transformed health care system (Ross, 2013). The main focus of this system was to provide quality care, which is mainly accessible to the huge diversified population of the country. It also promotes for disease prevention along with measures of wellness of an individual. Apart from this, the system highlights towards the approaches of various reliabilities, which improves the health outcomes and thereby provides compassionate care for all across the life. The system tends to focus towards the mechanisms of primary care along with formulating preventive measures. These measures include the central drivers associated with the health care system. The factors of inter-professional collaboration along with coordination are effectively followed in this system. According to this latest standard, the payment of medication mainly involved for quality services and not for value services.

2. Importance of the IOM ‘Future of Nursing’ related to nursing practice, nursing education and nursing workforce development

Nursing Practice: Nurses need to practice their educational and training approaches to full extent. Moreover, the nurses associated to the system need to practice with MDs, along with other medical professionals. This would help in redesigning the health care within the country.

Nursing Education: High level of nurse education and training is mandatory. Thus, an elevated education system would effectively help the nurse to promote seamless academic progression (Orr, 2014).

Nursing Workforce Development: An effective workforce planning and policy making is required in order obtain better data collection. This helps to improve the information infrastructure to a huge scale (Young et al., 2013).

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3. Role of State based action coalitions

The state, which is highlighted in this context, is Indiana. The various roles of the state based action coalitions. This includes the following:

a) Setting clearly and well defined goals in alignment with the IOM report recommendations

b) Forming and thereby mobilizing the key stakeholders which are representing the variety of sectors targets in building the blueprint for action

c) Educating the policy-makers and the subordinate decision makers

d) Reaching out to the philanthropies or funders and thereby seeking the financial support for Action Coalition efforts

e) Gaining effective visibility for the work and thereby initiating ‘Campaign for Action’ through various outlets and media

f) Working in order to advance the recommendations of the IOM

Each Action Coalition possesses the goal to become the part of the overall outcome associated with the Campaign. This is mainly associated with the Campaign leadership, which targets in developing a dashboard along with a strategic framework. This would help to support all the facets associated  with Campaign for Action, including the factors of Action Coalition.

4. Summarizing the initiatives spearheaded by the state’s Action Coalition

4.1. Effectively of these initiatives

Focusing on the Indiana Nursing Action Coalition it can be analysed that the organization focuses of several developmental strategies in order to develop the future nursing concept within the state (Jones, 2012). The main factors, which are highlighted by INAC (Indiana Nursing Action Coalition), are as follows:

a) Strengthening America’s educational pathways in order to prepare the nursing workforce of the future

b) Increasing the number along with diversity of nursing who are entering and thereby remaining in the profession. This also includes removal of several barriers which limits the ability of the nurses to perform efficiently and thereby provide an effective health care system for the patients.

4.2. Barriers to advancement currently existing in the state

One of the most effective barriers associated with the practice involves the involvement of legal scopes of practice associated to the clinicians (Chard, 2015).

The second barrier associated with the context is the lack of employment. It has been observed gar most of the nurses qualifying their graduation level do not get effective employment.

4.3. Overcoming the barriers

Removing the scope of practice barriers remains the main factor associated with the context. This is mainly done by conducting gap analyzing and thereby comparing the future of IOM nursing practices. This helps to recommend towards the laws and the statues of Indiana. Comparing and thereby analyzing the fact that, ‘which protocol is feasible for future practice’ (Apold, S., & Pohl, 2014).

Apart from this, implementing the nurse residency program is considered as an effective practice to overcome the barrier. Developing a transition to practice program, which is recently followed in Indiana, focuses on developing employment platforms for the unemployed nurses. This helps to bridge the gap between academics and practice, and thereby magnifying the nursing department of the state to a huge scale.

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Apold, S., & Pohl, J. M. (2014). No Turning Back. The Journal for Nurse Practitioners, 10(2), 94-99.

Chard, R. (2015). IOM Report: The Future of Nursing and Implications for Perioperative Nursing.

Jones, D. (2012). Realizing the IOM future of nursing research within clinical practice. Nursing research, 61(5), 315.

Orr, S. (2014, November). Creating a Culture of Health: Opportunities for Public Health Nursing Leadership in Implementing the Institute of Medicine Future of Nursing Report Recommendations. In 142nd APHA Annual Meeting and Exposition (November 15-November 19, 2014). APHA.

Purvis, S., Brown, E., Chan, G. K., Dresser, S., Fulton, J. S., Koyama, K., … & Tracy, M. F. (2012). The National Association of Clinical Nurse Specialists Response to the Institute of Medicine’s The Future of Nursing Report. Clinical Nurse Specialist, 26(4), 222-224.

Ross, E. J. (2013). The IOM Future of Nursing report update. ORL-head and neck nursing: official journal of the Society of Otorhinolaryngology and Head-Neck Nurses, 31(3), 16.

Young, H. M., Shillam, C. R., & Reinhard, S. C. (2013). IOM Future of Nursing Report: implications for gerontological nursing science. Research in gerontological nursing, 7(2), 54-55