Analyzing the Future of Nursing: IOM Initiatives, State Actions, Texas

This essay explores the future of nursing in the United States, focusing on the Robert Wood Johnson Foundation and the Institute of Medicine (IOM) report. It discusses the importance of the IOM in transforming healthcare, state-based action coalitions aimed at improving nursing leadership, and initiatives advancing nursing in Texas. The essay also addresses barriers to nursing advancement, such as long working hours and inadequate training, and suggests strategies to overcome these challenges, emphasizing the need for nurses to practice to the full extent of their education and training. The ultimate goal is to ensure accessible, affordable, and high-quality healthcare for all.

Running Head: FUTURE OF NURSING 1
FUTURE OF NURSING
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Student Name
Course Name
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Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the
Institute of Medicine research that led to the IOM report, "Future of Nursing."
Introduction

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The United States of America focuses on providing quality care which is patient-centered and an
affordable healthcare system that anyone can have access. Whoever, there are various factors
which affect transformations in the healthcare sector. According to the report on “The Future of
Nursing” in a collaboration between Robert Wood Johnson and Institute of Medicine (IOM).
This was one of the health visions which were passed in 2010 by the Congress and enacted into
law under health care legislation. This paper aims to discuss the importance of Institute of
Medicine (IOM), explain state-based actions of collaboration and finally, discuss initiatives that
spearheaded state action including barriers experienced in the nursing profession.
Importance of Institute Of Medicine
Robert Johnson Foundation focused on improving quality healthcare through fostering
healthy communities, transforming healthcare and health, ample workforce and enabling children
to grow with healthy weights. It also aimed at conducting extensive research about healthcare
sector and come up with recommendations about the future of nursing including the variations
institutional frameworks at both state and the federal levels (Battié, 2013).
IOM initiative aimed at improving the future of nursing through developing a vision for a
health care system that can be transformed. The plan was to make the health care system
accessible to everybody in the United States since it enhances a healthy population.
IOM also helped to provide Americans with better access to the health care system they
needed. This helped to strengthen nursing as well as healthcare delivery approach to the public
(Spetz et al., 2013).
State-Based Action

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The state Action Coalitions contains the recent update by Robert Wood Johnson
Foundation of the twenty-one new collaborations that will aid in the advancement of the
recommendations of the report. The states collaborated on working with the Future of Nursing
with the aim of improving healthcare services provided to Americans through enhancing the
leadership of the nursing workforce in general.
State action coalitions were also essential to the future of the nursing profession
advancement. This was achieved through state educational institutions such as universities that
introduced a new program to help the successful applicants graduate with a degree of Bachelor
of Nursing. These programs are relatively cost effective, and allowed student to acquire its
degree alongside other degrees. This is to the advantage of the students who had a passion for
pursuing nursing and never got the chance to study (Smeltzer et al., 2015).
How Initiatives Have Advanced Nursing
In Texas, nursing students are given support to make sure they finish their nursing career
when they start at Universities. This helps the state to have an adequate and skilled workforce
who can provide quality healthcare to the public. It helps to fulfill the collaboration vision of
ensuring access to affordable healthcare to all people including those in our communities (Skiba,
2013).
Another initiative includes data collection within the state to show the progress of
collaboration within the healthcare system. This initiative focuses on assessing efforts put in
nursing in ensuring the public benefit from services at healthcare settings. It helps to maintain a
culture of health which is acceptable within nursing and outside nursing through a diversity of
efforts in the healthcare system (Iacobucci, Daly, Lindell & Griffin, 2013).

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Barriers To Advancement
Nurses who are not practicing their best limit medical services framework of providing
quality care to patients. Long working hours, back to back shifts and over the assignment of
patients are among challenges affecting nurses ability to provide quality care to their patients.
This leads to increased burnout and fatigue that limits their ability to handle a large number of
patients as well as providing them with quality care that meets their needs (Stevens, 2013).
Quality of training provided to nurses may also have an impact on the quality of care
provided to patients. A good training framework is essential to guarantee the quality of training
provided to nurses. Learning institutions should ensure graduating nurses have a high level of
skills and can produce quality care to patients who need their services.
The solid administration is a basis for the vision of medical services framework. There
should be an appropriate administrative framework that ensure all services are well cordinated
across healthcare system. Nurses should have a good working relationship in the healthcare
delivery setting to ensure patients receive the best services that match their needs. Young
healthcare providers should also be supported until they acquire relevant experience which
ensures the best quality of care provided to patients assigned to them (Hart & Mareno, 2014).
How Nurses in Texas Overcome Barriers
The IOM report observed various ways of tackling the barriers and the following
emerged to be the best first action recommendations.
● Registered medical attendants ought to have the capacity to practice to the full
degree of their instruction and preparing.
● Private and open funders, human services associations, nursing instruction
projects, and nursing affiliations ought to extend open doors for medical attendants to lead and

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oversee shared endeavors with the doctors. Observation of these elements should give chances to
medical attendants to practice effectively.
Training institutions, certifying bodies, the government, and social insurance associations should
introduce activities to improve healthcare providers experience on issues affecting patients. This
can be implemented during training period or when they are transitioning into new clinical
practice settings to help them acquire practical knowledge on patient care (Hickey et al., 2014).
Conclusion
In conclusion, medical practitioners are required to convey high-quality care under their
current business, administrative and authoritative conditions. The state also needs to update and
spearhead appropriate strategies that focus on improving healthcare within the communities. The
state should address barriers and challenges affecting the nursing profession to ensure consistent
provision of quality care from healthcare practitioners and ensuring healthcare services are
affordable and accessible to the public.
References
Battié, R. N. (2013). The IOM report on the future of nursing: what perioperative nurses need to
know. AORN Journal, 98(3), 227-234.

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Hart, P. L., & Mareno, N. (2014). Cultural challenges and barriers through the voices of nurses.
Journal of clinical nursing, 23(15-16), 2223-2233.
Hickey, K. T., Hodges, E. A., Thomas, T. L., Coffman, M. J., Taylor-Piliae, R. E., Johnson-
Mallard, V. M., & Gates, M. G. (2014). Initial evaluation of the Robert Wood Johnson
Foundation nurse faculty scholars program. Nursing Outlook, 62(6), 394-401.
Iacobucci, T. A., Daly, B. J., Lindell, D., & Griffin, M. Q. (2013). Professional values, self-
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Smeltzer, S. C., Sharts‐Hopko, N. C., Cantrell, M. A., Heverly, M. A., Nthenge, S., & Jenkinson,
A. (2015). A profile of US nursing faculty in research‐and practice‐focused doctoral
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Skiba, D. J. (2013). MOOCs and the Future of Nurs ing. Nursing Education Perspectives, 34(3),
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