Due: Sunday, 5/1/22 @ 11:59 p.m. (Initial Post) and Monday, 5/2/22 @ 11:59 p.m.

Due: Sunday, 5/1/22 @ 11:59 p.m. (Initial Post) and Monday, 5/2/22 @ 11:59 p.m. (Response)
Review the IOM’s report, The Future of Nursing IOM -The Future of Nursing- Leading Change, Advancing Health .pdf Download IOM -The Future of Nursing- Leading Change, Advancing Health .pdf(see the Link to Practice 1-1). Do you think the recommendations will be widely adopted? How will even partial implementation affect nursing as a profession?
Link to Practice 1-1
The Future of Nursing
The Institute of Medicine (IOM, 2011) issued a series of sweeping recommendations directed to the nursing profession. The IOM explained their “vision” is to make quality, patient-centered care accessible for all Americans. Recommendations included a three-pronged approach to meeting the goal.
The first “message” was directed toward transformation of practice and precipitated the notion that nurses should be able to practice to the full extent of their education. Indeed, the IOM advocated for removal of regulatory, policy, and financial barriers to practice to ensure that “current and future generations of nurses can deliver safe, quality, patient-centered care across all settings, especially in such areas as primary care and community and public health” (p. 30).
A second key message related to the transformation of nursing education. In this regard, the IOM promotes “seamless academic progression” (p. 30), which includes a goal to increase the number and percentage of nurses who enter the workforce with a baccalaureate degree or who progress to the degree early in their career. Specifically, they recommend that 80% of registered nurses (RNs) be bachelor of science in nursing (BSN) prepared by 2020. Last, the IOM advocated that nurses be full partners with physicians and other health professionals in the attempt to redesign health care in the United States.
These “messages” are critical to the future of nursing as a profession. Indeed, standardization of entry level into practice at the BSN level, coupled with promotion of advanced education and independent practice, and inclusion as “leaders” in the health care transformation process will help solidify nursing as a true profession.
An update (IOM, 2016) indicated that there has been “significant progress” (p. 50) toward reducing APRN scope of practices issues from a national perspective, as more states now allow nurse practitioners (NPs) full practice authority. Furthermore, although there has been some progress with expansion of the percentage of RNs with a BSN (from 49% to 51%), there is still much to do to meet the goal of 80%. Finally, the IOM concluded that data are lacking on efforts to develop the skills and competencies nurses need for leadership. The report reinforced the goal for nurses to seek “leadership positions in order to contribute their unique perspective and expertise on such issues as health care delivery, quality, and safety” (p. 149).

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