Institute of Medicine Report

This article discusses the Institute of Medicine (IOM) Report and its impact on the healthcare system in the United States of America. It covers the role of nurses as leaders, transforming nursing practice, and the impact on nursing education.

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Institute of Medicine Report
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Institute of Medicine report
Introduction
Nursing career is one of the fastest growing professional areas in the healthcare industry
not only in the United States of America but also in the nations of the globe. Nursing practice has
gradually changed in the last ten years consequently the need for transformations in the field of
nursing is becoming more vital (Engel, 2018). The Institute of Medicine reports discusses
numerous factors and elements of nursing practice, but in this paper, it will discuss impacts of
nursing on nursing education, the role of nurses as leaders and transforming the nursing practice
in the United States of America.
Summary of the Institute of Medicine (IOM) Report as well as the impact of the Report on the
healthcare system in the united states of America
As the present debate concerning the Affordable Care Act (ACA) continues in the
country, a host of weakness, as well as strengths of the legislation, are given more emphasis. One
of the specific issues is how the healthcare system in the united states of America will treat the
extra 33 million people in the country (Engel, 2018). To make quality and safe care accessible to
all the people in the country, numerous stakeholders in the healthcare systems believe that it is
vital and necessary to increase the roles and responsibilities of the healthcare providers entailing
the basic care pharmacists, physicians and more importantly the nurses (Shaffer, Davis, To
Dutka & Richardson, 2014). Subsequently, the Robert Wood Johnson Foundation Committee
initiative on the future of nursing located in the Institute of medicine came up with a mission and
objective of transforming the healthcare system in the country to bring viable and sustainable
changes in these areas. In the report of the committee ‘the future of nursing; leading change,

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advancing health’ institute of medicine envisions a future in which the prevention and primary
care are vital drivers of the healthcare industry, coordination and interprofessional collaboration
of the healthcare practice, as well as the payment of the services of the healthcare rewards value
and worth, not quantity of services, and safe and quality is offered at a price which is affordable
for the society and individual.
To realize these objectives, the Institute of medicine recognized that numerous of the
aspects of the healthcare system must be transformed entailing nursing profession which has one
of the largest members in the united states of America. The task of the committee was to
reconceptualize the responsibilities and roles of nurses within the setting of the whole workforce,
societal issues, the nursing shortage as well as the future technological advancement (McNeal,
2012). It is increasing the capacity of the nursing institutions, expanding the faculty of nursing as
well as redesigning of the nursing education to ensure that it produces an adequate number of
skilled and qualified nurses to meet the present and future demands in the healthcare sector.I am
evaluating innovative solutions linked to healthcare delivery and professional education by
emphasizing on the services offered by the nurses.
The committee recognized that the education system for nurses is changing. For instance,
how nurses were educated in the 19th or 20th century is no longer adequate for the country.
Dealing with the healthcare systems in the 21st century is more intricate with the changes on the
needs of the patients along with the care settings (Pittman, Bass, Hargraves, Herrera &
Thompson, 2015). Capacities and competencies for nursing leadership, system improvement,
collaboration. Health policy, as well as evidence-based practice, are vital. Being competent in
certain areas like geriatric and public health is gradually increasing. The Institute of Medicine
suggests that higher education for all the nurses realign them meet the new intricate increasing

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patient needs as well as the needs of the communities. The nursing schools were required by the
report to reorientate their curriculum to meet the ever-increasing needs of the patients and
communities (Smith, Chi, Cashin, OECD iLibrary & Organisation for Economic Co-operation
and Development, 2014). The impact of the Institute of medicine on the leadership of the nurses
viewing a nurse as a leader is vital for quality improvement and critical thinking. I am being seen
as a leader increases the outcomes of the patients. Since healthcare nurses act as advocates for
the patients, the report wants them to partner with other healthcare professionals like physicians
to redesign the healthcare system in the country.
Thus, all leaders are needed to help in evaluation, implementation, and designing of the
health and care (Bleich, 2012). The Institute of Medicine arrived at these recommendations by
identifying the special and unique role and responsibilities that nurses play in the realization of
the healthcare needs in the country. Since nurses have close as well as regular contact with the
patients, they have a special and unique ability and capacity to act as partners with other
healthcare professionals as well as the lead in enhancing and redesigning of the healthcare
system. Moreover, the recommendations of the IOM report reflect nurse’s ability to aid bridge
the gap between the access and coverage, to coordinate the intricate rising care for a broad range
of individuals (Brown, 2017).
Due to the IOM report, nurses are trained in skills that are relevant to the dynamic needs
of the patients and communities. Currently, more nurses are enrolled in the bachelor’s degree
program to gain more knowledge concerning the needs of the healthcare system in the country
(Knowlton & Whichello, 2018). More nurses are continuing with their education to become
better leaders in the nursing profession as well as collaborate with other professionals to improve
the health outcomes of patients.

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Two strategies of spearheaded by California action coalition
Actions coalitions carry out the campaign work at the local state and regional levels.
Healthcare advocates in the community entail representatives from the business, health
organizations, education and concerned with creating s healthier communities via nursing. The
California action coalition acts as a driving force in the healthcare transformation via nursing.
acknowledging the vital work already done in California as well as with the objective of a long-
term sustainable transformation, the coalition is leading the way in enhancing the health of the
people. The coalition was launched in 2011 and has partnered with the health impact to raise
sustainability and common of the people. The first strategy of the coalition is to partner with the
Health impact to increase the potential of the Californians to be able to access high quality care
offered by the nurses. Nurses have been given the opportunity to increase their education level.
The coalition also have a strategy to expand and increase opportunities for nurses to diffuse and
lead collaborative enhancement efforts. They are to organize a statewide meeting or symposium
to explore opportunities to change healthcare delivery in the state, share present innovative
models as well evaluate gaps in the present models of delivery of healthcare.
Conclusion
The IOM report recommendations have focused on the vital intersection of the health
needs of the patients across the lifespan as well as the actions of the nursing staff. Due to the
recommendations of the IOM report nurses are currently cognizant of the dynamic needs of
people. State coalitions actions have come up to improve healthcare services in the country.

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References
Bleich, M. R. (2012). Guest Editorial. Leadership Responses to The Future of Nursing: Leading
Change, Advancing Health IOM Report. Journal of Nursing Administration, 42(4), 183–
184. Retrieved from https://doi.org/10.1097/NNA.0b013e31824ccc6b
Brown, C. L. (2017). Linking public health nursing competencies and service-learning in a
global setting. Public Health Nursing, 34(5), 485–492. Retrieved from
https://doi.org/10.1111/phn.12330
Knowlton, M., & Whichello, R. (2018). Attention Health Care Leaders: Literature Review
Deems Baccalaureate Nurses Improve Patient Outcomes. Nursing Education
Perspectives (Wolters Kluwer Health), 39(4), E2–E6. Retrieved from
https://doi.org/10.1097/01.NEP.0000000000000303
McNeal, G. J. (2012). The IOM Report on the Future of Nursing: One Year Later. ABNF
Journal, 23(1), 3. Retrieved from http://search.ebscohost.com/login.aspx?
direct=true&db=aph&AN=71340472&site=ehost-live
Pittman, P., Bass, E., Hargraves, J., Herrera, C., & Thompson, P. (2015). The Future of
Nursing. Journal of Nursing Administration, 45(2), 93–99. Retrieved from
https://doi.org/10.1097/NNA.0000000000000167
Shaffer, F. A., Davis, C. R., To Dutka, J., & Richardson, D. R. (2014). The Future of Nursing:
Domestic Agenda, Global Implications. Journal of Transcultural Nursing, 25(4), 388–
394. Retrieved from https://doi.org/10.1177/1043659614523474

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Smith, P., Chi, Y.-L., Cashin, C., OECD iLibrary, & Organisation for Economic Co-operation
and Development. (2014). Paying for Performance in Health Care: Implications for
Health Systems Performance and Accountability. New York: McGraw-Hill Education.
Retrieved from http://search.ebscohost.com/login.aspx?
direct=true&db=nlebk&AN=937932&site=ehost-live
Engel, J. (2018). Unaffordable: American Healthcare from Johnson to Trump. Madison,
Wisconsin: University of Wisconsin Press. Retrieved from
http://search.ebscohost.com/login.aspx?
direct=true&db=nlebk&AN=1682436&site=ehost-live
https://calfutureworkforce.files.wordpress.com/2017/08/caac-nursing-and-the-future-of-health-
care-california-action-coalition-report.pdf