The Impact of the IOM report on nursing education will be and has been tremendous. The report recommends that 80 percent of the nursing workforce should be BSN nurses by the year 2020 (IOM,2010 page 4-9). This report should help nurses realize that they will have to have their BSN in order to continue working at the hospital/acute-care setting, in the near future. This also should give notice to the Licensed practical nurses that they need to go back to school to receive their Registered Nurse degree, because if ADN nurses who decide not to go back to school can no longer work in the acute-care setting, they will have to work in the extended care, home health, or hospice settings.
Most nurses will decide when push comes to shove to return to school to better themselves. The biggest reason nurses with their associate’s degree do not go back to school now, is the fact that their BSN counterparts are only making a couple of dollars more on the hour. With the price tag for the BSN degree being so high, the price to reward just is not there. Opportunities for educational advancement and clinical practice sites be available for nurses wishing to pursue advanced practice, and a legislative environment that supports both clinical and educational advancement (T, Goodman, page 1)
The impact of the IOM report on primary care should be significant. This report clearly shows that there will be a shortage of physicians soon and that nurse practitioners (NP) will be needed to fill the gap. The report also shows that NP’s are completely capable of stepping up and taking control in the care of all patients, And that if the NP feels that the patient is too complicated She/he will send the patient to a Physician who practices within the field in which the patient needs to be seen by. The patient satisfaction reports show that patients that have received care from NP’s the majority have been very satisfied, and the rest were at least somewhat satisfied with the care they have received
(IOM the future of nursing). The biggest obstacle for nurse practitioners appears to be physicians. According to the report, the majority of physicians feel that replacing physicians or filling voids where there are not enough physicians with nurse practitioners will decrease the quality of care that patients receive. Another obstacle for Nurse practitioner is getting reimbursement from insurance companies. Nurse practitioners receive approximately 80 percent reimbursement when compared to a physician, and some insurance companies do not recognize nurse practitioners, so they have to have a physician to work with them. These NP’s receive an hourly wage rather than a direct payment from insurance providers.
The IOM report will change my practice by allowing me to feel as if I have a little more power in helping guide my patients care; it also empowers nurses to make more suggestions concerning care to physicians and will hopefully make physicians value the advice of the Nurses and help them realize what valuable resource nurses are. Fundamental to any patient safety culture is the work environment in which the nurse practices (Creasia, page 412). With the IOM report increasing moral of the nursing workforce turnover rates should decline, thus increasing patient safety.
The impact of the IOM on the nurse’s role as a leader has already had an impact. Although the public is not used to viewing nurses as leaders, and not all nurses begin their career with thoughts of becoming a leader, all nurses must be leaders in the design, implementation, and evaluation of, as well as advocacy for, the ongoing reforms to the system that will be needed (IOM report). Nurse’s today schedule patient’s appointments for procedures such as x-ray, lab collection, making sure that physician referrals are placed and that the correct physician comes to see the patients on a timely basis. Nurses also make sure the medications are ordered, that the pharmacy sends the medications to the floor, and that they are the proper medications. The impact of the IOM report is that other members of the healthcare team will see the nurses as the leaders of the healthcare team.
The report will give the nurses more confidence in the fact that they are the leaders of patient care. And that without nurses, the health care system would not function. The report also should help nurses sit on hospital boards and committees that produce the policies and procedures. The IOM report will give nurses credibility when dealing with physicians, allowing nurses to sit at national levels to help create laws regarding patient care, and the scope of practice of nurses and nurse practitioners, Eventually allowing nurse practitioners to practice independently from physicians, and eventually working side by side as partners where patient health comes first, no matter what letters are after your name.
Creasia, J. (2011). Conceptual foundations: The bridge to professional nursing practice (5th ed.). St. Louis, Mo.: Elsevier Mosby.
The Future of Nursing: Leading Change, Advancing Health – Institute of Medicine. ((2010, January 1). Retrieved January 26, 2015, from http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx
Goodman, T. (2014, June 1). The Future of Nursing: An Opportunity for Advocacy. Retrieved January 26, 2015, from http://dx.doi.org/10.1016/j.aorn.2014.03.004
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