Nursing profession is the largest segment with more than 3 million members, working for the nation’s health care. Nurses play a vital role in the patient care. Due to number of barriers the nurses are not able to work effectively in the changing health care system (Bleich, 2011). It should be ensured that barriers are overcome and nurses work properly to lead change in health care system.
A two year initiative in year 2008 was launched by The Robert Wood Johnson Foundation (RWJF) and the IOM (Institute of Medicine) in which it was told how to transform and access the nursing profession (Bleich, 2012). On the initiative of RWJF on future nursing a committee was appointed by IOM. The purpose of the initiative was to produce a report that make recommendation for an action oriented blue print of future nursing. These recommendations support the efforts of nurses to improve health of US population by delivery of care through nurses. The four key messages developed by the committee are:
Practice to be done by the nurses at the full extent of their training and education.
Higher level of education and training are achieved through an improved education system which also promotes seamless academic progression.
For redesigning health care in US, nurses act as a full partner with the physicians and other health professionals.
A better information infrastructure and data collection is required for planning and policy making of effective workforce.
The complete health care system of United States is transformed and role played by the nurses in this transformation is vital. The complete health system not only depend on the nurses but also the government, insurance industry, businesses and heath care organisation all work together for improved health care outcomes(Kershaw, 2011). The RWJF foundation focuses on pressing the health and health care issues faced by the country and works with a group of organisation and individuals that helps in finding the solutions and achieving the changes in health system. This foundation provide a balanced approach to all health related problems, a complete care and healthier lives is the difference made by foundation in peoples lifetime.
The IOM report is about the future health care system in the country. According to the report nurses in future will play a major role in safe and quality health care and coverage of all patients in our health care system ('NURSING RESEARCH', 1982). Few recommendations are discussed in the report such as:
The nurses registered for advance practice should complete their complete training and education in this regard.
An expanded opportunity is to be provided to the nurses in collaboration with the physicians or other health care team members, to conduct research and to improve and redesign practice environment and health care system. The health care organisation also provides opportunities to the nurses to diffuse successful practices.
After completion of the advanced degree programme, nurses should be supported for completion of their nurse residency programme and action to be taken by state board of nursing, health care organisation and federal government.
Academic nurse leaders of all the nursing school works together to increase the proportion of nurses with a baccalaureate degree from 50 to 80 percent by 2020.
With the increasing diversity number of nurses with doctorate is also to be doubled by 2020.The programmes for nursing to be funded by the public and private health resources, including service administration, so that these programmes of degree should be accelerated and more doctoral and graduate nurses to be produced and in turn increase in the diversity of nurse faculty and researchers.
Health care organisation should ensure that the nurses should be engaged in lifelong learning’s complete skills and knowledge is needed to become competent to provide care to the population across lifespan.
Nursing educations and Nursing programmes prepares the nursing workforce for the leadership positions across all levels and to ensure these leadership positions to be available and be filled by the nurses.
Infrastructure to be build for collection and analysis of workforce data. Its workforce commission in collaboration with state nursing workforce and department of labour to ensure that data to be timely and publicly accessible. Appropriate plans and targets to be made by the workforce commission for increasing supply of the health professionals and also includes adequate nursing expertise.
Action collations act as a driving force for the future of nursing. It’s a broad, national effort, where nurses act as an essential partner in a health care system which focuses on patient centred care (Smith, 2013). This coalition comprises of a diverse group of stake holders from different sectors and mission to issue a strategy plan based on collation implementation efforts. Capturing best practices, tracking learned lessons and identifying replicable models are the further initiatives of action coalition.
The future nursing report in Georgia, 400 nursing leaders has joined the GNA (Georgia Nurses Association) for the implementation of future of nursing, as part of nationwide campaign.GNA actively act as leader in fundraising and finalising the grant of RWJ state implementation. ('The Future of Nursing: Leading Change, Advancing Health', 2011) These efforts made Georgia to be the first state to be an action coalition.
Nursing profession in Georgia is transforming at a great pace, to improve the health and health care in the state. Passing of the bills helps in removing the barriers for nurses to order the radiological images and also support in nursing workforce data collection. The coalition also receives the funding from RWJF for advance nurse education in the state. Top priorities of the coalition are to remove practice barriers and to increase the number of nurses with doctoral degrees.
The future of nursing, leading change, advancing health is through examination for nurses role, education and responsibilities are changed to meet the needs of increasing diverse population and to respond to the evolving and complex health care system (Goeschel, 2011). Hence the future nurses should be completely educated and be trained with the complete skills and training at intervals to be given so that be competent future health care system. Leadership skills are often developed to nursing and health care ('NURSING RESEARCH AND THE FUTURE', 1970).
Bleich, M. (2011). IOM report, The Future Of Nursing: Leading Change, Advancing Health: Milestones and challenges in expanding nursing science. Res. Nurs. Health, 34(3), 169-170.
Bleich, M. (2012). Leadership Responses to The Future of Nursing. JONA: The Journal Of Nursing Administration, 42(4), 183-184.
Goeschel, C. (2011). The future of nursing: leading change, advancing health stories to ignite the transformation. Nursing In Critical Care, 16(5), 217-219. Kershaw, B. (2011). The Future of Nursing – Leading Change, Advancing HealthThe Future of Nursing – Leading Change, Advancing Health. Nursing Standard, 26(7), 31-31.
NURSING RESEARCH. (1982). Cancer Nursing, 5(3), 238.
NURSING RESEARCH AND THE FUTURE. (1970). Nursing Research, 19(2), 99.
Smith, D. (2013). Coalition Government and Party Mandate: How Coalition Agreements Constrain Ministerial Action. West European Politics, 36(4), 885-886.
The Future of Nursing: Leading Change, Advancing Health. (2011). Choice Reviews Online, 48(10), 48-5720-48-5720.
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