1 NURSING Introduction ThefollowingreportsaimstowardsanalyzingtheRobertWoodFoundation Committee Initiative and IOM report with a special focus on the state level performance of Virginia. The report will aim of emphasize the role of IOM in improving the quality of the nursing practice and patients’ health-related outcome. Robert Wood Foundation Committee Initiative and IOM report In order to identify optimized solution for nursing care that will address numerous issues faced in the nursing profession while transforming the manner in which the Americans receivethehealthcare,theInstituteofMedicine(IOM)andRobertWoodJohnson Foundation (RWJF) have launched new Initiatives in the domain of Future Trends of Nursing. As the part of this novel initiative, IOM has convened a committee of experts in order to identify the potential for increasing the access, improving the quality while reducing the costs of care through proper involvement of the nurse leaders along with gamut use of the nurse care solutions. IOM is a transformational report helping to improve the overall quality of patients’ care by reducing the cost of care and length of stay at the hospital (Robert Wood Johnson Foundation 2009). Four key messages that have been identified in the IOM report and its link to nursing practice (i) re-conceptualization of the role of the nursing professionals under professional settings while promoting technical advancement: this goal have paved the way towards redefining of the professional nursing standards. For example, as per the nursing professional code of conduct, a nursing professional must work in a culturally competitive manner. These professional codes of practice have helped to improve the concept of trans-cultural nursing
2 NURSING practice and at the same time, it helped to increase the retention of the international nursing (Prosen, 2015). In technological advancement, the training of the nurses in the information and communication technology will paved the way for triage nursing (Ebrahimi et al., 2016). (ii) Increasing the overall strength of the nursing professionals and re-designing the approach of the nursing education for meeting the future healthcare demands: The increase in the strength of the nurses have helped to reduce the chances of encountering medication errors thus helping to improve patients’ outcome and overall cost of care (Sears et al., 2016). Educationofthenursingaboutfuturehealthcaredemandshaspavedthewayfor improvement in the critical thinking approach among the nurses. (iii) Examining innovative solutions associated with the care delivery process and nursing professionals’ education: One of the innovative solutions for the care delivery of the nurses include application of the electronic health records (EHRs). This has helped to reduce the chances of documentation error and remote access of the patients’ data (Hurkens et al., 2017). (iv) Attracting the retaining the skilled nurses under multi-care settings: Several hospitals in the US are now following transformational leadership styles along with giving rewards and recognition in order motivate the nurses and to increase their job satisfaction. This approach ishelpingtoincreasetheretentionofthenurses(Vaismoradietal.,2016).The multidisciplinary team support for the nurses is creating provision for critical thinking for the nursing professionals. State-based action coalitions The state-based coalitions for the development of the nursing professional code of practice are applicable in every state of US. Washington D.C carries out the work of the Campaign at the local, state and regional levels. Advocates from communities like the
3 NURSING healthcare organizations, business, and academic bodies work in collaboration in order to facilitate nursing practice. The main issues that are taken under considerations include improved access of care, promotion of inter-professional collaboration among the healthcare professionals, effective promotion of nursing leadership, increasing diversity in the nursing practice, collection of the workforce data, transformation in the nursing education and development of the healthier communities (Campaign for Action 2019). Based on the state based collation it is possible to increase the diversity of the nursing workforce and thus helping to increase the provision of the inter-professional collaboration. The diversity on the nursing workforce also helps in the transformation of the nursing education while facilitating community level practice (Snavely, 2016). Research initiatives in Virginia AARP, National Black Nurses Association towards promotion of Brain Health This research initiative is based on education of the healthcare service users about maintenance of brain health. This health awareness about brain health is aimed towards reducing the vulnerability among the African Americans in the Virginia in developing severe dementia. It is not a mandate that the brain educators need to be healthcare professionals mainly the volunteers of AARP Virginia and NBNA take part in such educational health awareness program (Campaign for Action 2018). This initiative is advancing the nursing practice by raising the healthcare awareness among the mass. Khalsa et al. (2018) are of the opinion that the increases in the healthcare awareness among the patients helps in active participationinthetherapyplansandhelpingtoimprovethepatients’outcomeand developing family based interventions.
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4 NURSING SYNC: An international Leadership Program The Virginia Action Coalition in association with the Medical Society of Virginia and VirginiaHospitalandHealthcareAssociationisaimingtodevelopinter-professional leadership programs in order to improve the effective leadership skills of the prospective nurse leaders (Campaign for Action, 2016). Regan, Laschinger and Wong (2016) stated that theinter-professionalsleadershipprogramshelpinginimprovingtheeffective communication skills among the nursing professionals. Effective communication skills like the verbal or the non-verbal communication skills helps to improve the leadership qualities of the nurses and help in effective development of the therapeutic relationships with the patients. According to the Virginia Nurses Association (VNA) (2019), Virginia experiences a pressing healthcare challenges like shortages of providers, increases aging population and increased outbreak of the chronic healthcare problems. In order to address such complication, it is the duty of the state government to come forward with proper funding in order to increase the nurse recruitment in the healthcare sectors while promoting community level healthcare awareness among the mass. Community level healthcare awareness help to reduce the chances of the chronic outbreak of diseases (Virginia Nurses Association (VNA) 2019). Conclusion Thus from the above discussion, it can be conclude that theIOM report, "Future of Nursing:LeadingChange,AdvancingHealthhelpsinimprovingtheoverallnursing professionals standards in order to improve the overall outcome of care of the patients. The future nursing change also promotes improvement in the leadership qualities of the nursing professionals. However, in Virginia, additional efforts must be undertaken in order to improve the outcome of care among the older adult health management and outbreak of the chronic diseases.
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6 NURSING References Campaign for Action. (2016).SYNC—An Interprofessional Leadership Program.Access date:24thAugust2019.Retrievedfrom:https://campaignforaction.org/sync- interprofessional-leadership-program/ Campaign for Action. (2018).AARP, National Black Nurses Association Team Up to PromoteBrainHealth.Accessdate:24thAugust2019.Retrievedfrom: https://campaignforaction.org/aarp-national-black-nurses-association-team-up-to- promote-brain-health/ Campaign for Action. (2019).Our Roadmap: Read the Report. Access date: 24thAugust 2019. Retrieved from:https://campaignforaction.org/issues/ Ebrahimi, M., Mirhaghi, A., Mazlom, R., Heydari, A., Nassehi, A., & Jafari, M. (2016). The roledescriptionsoftriagenurseinemergencydepartment:aDelphi study.Scientifica,2016. Huber, C. R., & Kuncel, N. R. (2016). Does college teach critical thinking? A meta- analysis.Review of Educational Research,86(2), 431-468. Hurkens, K. P., Mestres-Gonzalvo, C., De Wit, H. A., Janknegt, R., Verhey, F., Schols, J. M., ... & Van Der Kuy, P. H. M. (2017). Assessing the strengths and weaknesses of a computer assisted medication review in hospitalized patients.International Journal of Hospital Pharmacy,2(6), 1-12. Khalsa, S. S., Adolphs, R., Cameron, O. G., Critchley, H. D., Davenport, P. W., Feinstein, J. S., ... & Meuret, A. E. (2018). Interoception and mental health: a roadmap.Biological Psychiatry: Cognitive Neuroscience and Neuroimaging,3(6), 501-513.
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7 NURSING Prosen,M.(2015).Introducingtransculturalnursingeducation:Implementationof transcultural nursing in the postgraduate nursing curriculum.Procedia-Social and Behavioral Sciences,174, 149-155. Regan, S., Laschinger, H. K., & Wong, C. A. (2016). The influence of empowerment, authentic leadership, and professional practice environments on nurses’ perceived interprofessional collaboration.Journal of nursing management,24(1), E54-E61. Robert Wood Johnson Foundation. 2009.Unprecedented Initiative on the Future of Nursing Launched.Accessdate:24thAugust2019.Retrievedfrom: https://www.rwjf.org/en/library/articles-and-news/2009/07/robert-wood-johnson- foundation-institute-of-medicine-launch-unpr.html Sears, K., O'Brien-Pallas, L., Stevens, B., & Murphy, G. T. (2016). The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors.Journal of pediatric nursing,31(4), e283-e290. Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United States.Nursing Economics,34(2), 98-101. Vaismoradi, M., Griffiths, P., Turunen, H., & Jordan, S. (2016). Transformational leadership in nursing and medication safety education: a discussion paper.Journal of nursing management,24(7), 970-980. Virginia Nurses Association (VNA) (2019).Virginia Action Coalition. Access date: 24th August2019.Retrievedfrom: https://virginianurses.com/page/VirginiaActionCoalition