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NURS310 Role Transition: Baccalaureate Role Development

Week 6: Analysis of Institute of Medicine’s Future of Nursing Recommendations

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Content:

 Identify major highlights of the 2010 Institute of
Medicine Report: Future of Nursing: Leading
Change, Advancing Health

 Discuss the primary recommendations posed by
the report.

 Discuss strategies to implement the
recommendations to advance the profession of
nursing.

 Utilize a minimum of 3 professional sources to
support ideas

 Share own perspective on the recommendations.

85

Format:

 Paper followed APA format including citation of
references.

 Paper was logically organized and free of
grammatical and spelling errors.

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Total: 100

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In 2008, The Robert Wood Johnson Foundation (RWJF)
and the Institute of Medicine (IOM) launched a two-year study
to assess the current state and provide recommendations for
transforming the nursing profession. The following key mes-
sages and recommendations provide a synopsis of the report
from the Committee on the RWJF Initiative on the Future of
Nursing at the IOM. These recommendations provide an
action-oriented blueprint for the future of nursing.

IOM KEY MESSAGES
As a result of its deliberations, the IOM committee formu-

lated four key messages that structure the discussion and recom-
mendations presented in this report:

1. Nurses should practice to the full extent of their educa-
tion and training.

2. Nurses should achieve higher levels of education and
training through an improved education system that pro-
motes seamless academic progression.

3. Nurses should be full partners, with physicians and other
health professionals, in redesigning health care in the
United States.

4. Effective workforce planning and policy-making require
better data collection and an improved information infra-
structure.

IOM RECOMMENDATIONS
Recommendation 1: Remove scope-of-practice barriers.
Advanced practice registered nurses should be able to practice
to the full extent of their education and training.
Recommendation 2: Expand opportunities for nurses
to lead and diffuse collaborative improvement
efforts. Private and public funders, health care organizations,
nursing education programs, and nursing associations should
expand opportunities for nurses to lead and manage collabora-
tive efforts with physicians and other members of the health
care team to conduct research and to redesign and improve
practice environments and health systems. These entities should
also provide opportunities for nurses to diffuse successful prac-
tices.
Recommendation 3: Implement nurse residency
programs. State boards of nursing, accrediting bodies, the
federal government, and health care organizations should take
actions to support nurses’ completion of a transition-to-practice
program (nurse residency) after they have completed a preli-
censure or advanced practice degree program or when they
are transitioning into new clinical practice areas.

Recommendation 4: Increase the proportion of
nurses with a baccalaureate degree to 80 percent
by 2020. Academic nurse leaders across all schools of nurs-
ing should work together to increase the proportion of nurses
with a baccalaureate degree from 50 to 80 percent by 2020.
These leaders should partner with education accrediting bod-
ies, private and public funders, and employers to ensure fund-
ing, monitor progress, and increase the diversity of students to
create a workforce prepared to meet the demands of diverse
populations across the lifespan.
Recommendation 5: Double the number of nurses
with a doctorate by 2020. Schools of nursing, with sup-
port from private and public funders, academic administrators
and university trustees, and accrediting bodies, should double
the number of nurses with a doctorate by 2020 to add to the
cadre of nurse faculty and researchers, with attention to increas-
ing diversity.
Recommendation 6: Ensure that nurses engage in
lifelong learning. Accrediting bodies, schools of nursing,
health care organizations, and continuing competency educa-
tors from multiple health professions should collaborate to
ensure that nurses and nursing students and faculty continue
their education and engage in lifelong learning to gain the
competencies needed to provide care for diverse populations
across the lifespan.
Recommendation 7: Prepare and enable nurses to
lead change to advance health. Nurses, nursing educa-
tion programs, and nursing associations should prepare the
nursing workforce to assume leadership positions across all lev-
els, while public, private, and governmental health care deci-
sion makers should ensure that leadership positions are avail-
able to and filled by nurses.
Recommendation 8: Build an infrastructure for the
collection and analysis of interprofessional health
care workforce data. The National Health Care Workforce
Commission, with oversight from the Government Accountabil-
ity Office and the Health Resources and Services Administra-
tion, should lead a collaborative effort to improve research and
the collection and analysis of data on health care workforce
requirements. The Workforce Commission and the Health
Resources and Services Administration should collaborate with
state licensing boards, state nursing workforce centers, and the
Department of Labor in this effort to ensure that the data are
timely and publicly accessible.

IOM Report on the Future of Nursing:
Leading Change, Advancing Health

Committee on the Robert Wood Johnson Foundation
Initiative on the Future of Nursing, at the Institute of Medicine

Reprinted with permission from The Future of Nursing: Leading Change, Advancing Health (2010),
by the National Academy of Sciences, courtesy of the National Academies Press, Washington, DC.

http://www.thefutureofnursing.org • http://www.nap.edu/catalog/12956.html

Matters_Jan11_Layout 1 2/1/11 5:02 PM Page 3

Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.

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