KEY MESSAGES
from IOM Report on the Future of Nursing
As a result of its deliberations, the IOM committee formulated four key messages that structure the discussion and recommendations presented in this report:
1. Nurses should practice to the full extent of their education and training.
2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
3. Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States.
4. Effective workforce planning and policy making require better data collection and an improved information infrastructure.
1. Nurses should practice to the full extent of their education and training.
2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
3. Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States.
4. Effective workforce planning and policy making require better data collection and an improved information infrastructure.
RECOMMENDATIONS
From IOM Report on the Future of Nursing
IOM Recommendation 1: Remove scope-of-practice barriers.
Advanced practice registered nurses should be able to practice to the full extent of their education and training.
Advanced practice registered nurses should be able to practice to the full extent of their education and training.
NDNA fully supports removal of need for physician signature on a collaborative agreement for prescriptive privileges requirement for APRNs in ND. Legislation will be brought forth in 2011 to change the nurse practices act.
IOM Recommendation 2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts.
Private and public funders, health care organizations, nursing education programs, and nursing associations should expand opportunities for nurses to lead and manage collaborative efforts with physicians and other members of the health care team to conduct research and to redesign and improve practice environments and health systems. These entities should also provide opportunities for nurses to diffuse successful practices.
Private and public funders, health care organizations, nursing education programs, and nursing associations should expand opportunities for nurses to lead and manage collaborative efforts with physicians and other members of the health care team to conduct research and to redesign and improve practice environments and health systems. These entities should also provide opportunities for nurses to diffuse successful practices.
IOM Recommendation 3: Implement nurse residency programs.
State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses’ completion of a transition-to-practice program (nurse residency) after they have completed a prelicensure or advanced practice degree program or when they are transitioning into new clinical practice areas.
State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses’ completion of a transition-to-practice program (nurse residency) after they have completed a prelicensure or advanced practice degree program or when they are transitioning into new clinical practice areas.
IOM Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020.
Academic nurse leaders across all schools of nursing should work together to increase the proportion of nurses with a baccalaureate degree from 50 to 80 percent by 2020.
Academic nurse leaders across all schools of nursing should work together to increase the proportion of nurses with a baccalaureate degree from 50 to 80 percent by 2020.
These leaders should partner with education accrediting bodies, private and public funders, and employers to ensure funding, monitor progress, and increase the diversity of students to create a workforce prepared to meet the demands of diverse populations across the lifespan.
IOM Recommendation 5: Double the number of nurses with a doctorate by 2020.
Schools of nursing, with support from private and public funders, academic administrators and university trustees, and accrediting bodies, should double the number of nurses with a doctorate by 2020 to add to the cadre of nurse faculty and researchers, with attention to increasing diversity.
Schools of nursing, with support from private and public funders, academic administrators and university trustees, and accrediting bodies, should double the number of nurses with a doctorate by 2020 to add to the cadre of nurse faculty and researchers, with attention to increasing diversity.
IOM Recommendation 6: Ensure that nurses engage in lifelong learning.
Accrediting bodies, schools of nursing, health care organizations, and continuing competency educators from multiple health professions should collaborate to ensure that nurses and nursing students and faculty continue their education and engage in lifelong learning to gain the competencies needed to provide care for diverse populations across the lifespan.
Accrediting bodies, schools of nursing, health care organizations, and continuing competency educators from multiple health professions should collaborate to ensure that nurses and nursing students and faculty continue their education and engage in lifelong learning to gain the competencies needed to provide care for diverse populations across the lifespan.
NDNA is committed to continuing profession development. The Mission of the North Dakota Nurses Association is to promote the professional development of nurses and enhance health care for all through practice, education, research and development of public policy. Every activity NDNA engages in is based on the Mission statement, with attention to type and quality of content before development and during dissemination.
IOM Recommendation 7: Prepare and enable nurses to lead change to advance health.
Nurses, nursing education programs, and nursing associations should prepare the nursing workforce to assume leadership positions across all levels, while public, private, and governmental health care decision makers should ensure that leadership positions are available to and filled by nurses.
Nurses, nursing education programs, and nursing associations should prepare the nursing workforce to assume leadership positions across all levels, while public, private, and governmental health care decision makers should ensure that leadership positions are available to and filled by nurses.
IOM Recommendation 8: Build an infrastructure for the collection and analysis of
interprofessional health care workforce data.
The National Health Care Workforce
The National Health Care Workforce
Commission, with oversight from the Government Accountability Office and the Health
Resources and Services Administration, should lead a collaborative effort to improve research and the collection and analysis of data on health care workforce requirements. The Workforce
Commission and the Health Resources and Services Administration should collaborate with state licensing boards, state nursing workforce centers, and the Department of Labor in this effort to ensure that the data are timely and publicly accessible.
Nurses in ND need to engage in a robust discussion regarding embracing and implementing these Key messages and recommendations.
The Future of Nursing recommendations are being taken seriously at all levels of health care ... this is your chance to help craft what they will look like and how our professional will be changed when full implementation occurs.
Food for thought: after watching the summit on the Future of Nursing, one concept to consider is academic PROGRESSION. By engaging in life long learning (something nurses should be doing anyway) we can not only keep current but progress. Another idea that would add to the education of nurses is the residency program. Not employer residency rather education/practice based residency. Who pays? How about a blend of student/facility/grant/stipend? How about a new salary range for the resident nurse...?
ReplyDeleteContent and expectations/goals would need to be developed. It may be a way to help nurses learn their specialty/ practice area. It may help relieve staffing issues. It may help grow a new relationship among new and seasoned nurses...