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Implementation of the IOM Future of Nursing Report

Implementationof the IOM Future of Nursing Report

Implementationof the IOM Future of Nursing Report

Thefuture of nursing practice as envisioned by the Institute of Medicine(IOM) needs to be fully integrated into the different systems it issupposed to serve. There have been countless efforts made by manyorganizations in the field of medicine to improve nursing education,nursing practice and develop the nursing workforce (Hayhurst,Saylor, &amp Stuenkel, 2015).The aim of this report is to assess the improvement of the area ofmedicine through the Robert Wood Johnson Foundation. Also, theimportance of the Institute of Medicine is highlighted in this reportrelating to nursing practices and the state of Washington basedaction coalition in the advancement of the future of nursing.

TheInitiative of Robert Wood Johnson Foundation on the Future of Nursing

RobertWood Johnson Foundation (RJWF) is known in America as the region’sbiggest foundation based on philanthropy initiatives, and it issolely committed to healthcare and health as well. With its core goalbeing the enhancement of health, the health care system, health care,and the citizens, the foundation gives an estimate of $401 millionwhich constitutes to annual grants that handle the region’s mostcomplex issues regarding heath care and health as well (Gibson,2012). More specifically, the foundation aims at enhancing and whollychanging the healthcare system of Washington State, because its stateis deteriorating.

Pechura(2011) assert that in 2008, RJWF partnered with the Institute ofMedicine (IOM) to handle the health care concerns of the Washingtonstate and others. The medical issues revolved around high quality andsafety of patients, access and coverage, health services, and theworkforce in the health care sector. Notably, RJWF and IOM partneredfor two years in administering a research study which dealt with theimprovement of nursing. Being part of the health care team, thenurses should follow the national standards of nursing practiceregarding the stipulations and guidelines laid out. From the study,some findings were found, which handle the capacity of the system ofeducation in nursing, as well as the rising inadequacy of the nursesin the nursing practice. After this, the team which was appointedgave several recommendations which tackle most of the concernspresent in the nursing practice. The recommendations include

a.Pointing out and maintaining the positions of the most effectiveand efficient nurses in the multiple care settings.

b.The nurses’ responsibilities in the nursing sector have to gothrough a change to handle the issues in Washington, the shortage ofnurses, and the potency of technology.

c.Inventive solutions have to emphasize on issues regarding nursing,as well as how the services of nursing will be delivered.

d.Strengthening the nursing school’s capacity and their particularfaculties, and reshaping the current system of nursing education tohandle the future and present demands in the health care practice.

IOM’sThe Future of Nursing

Nursesconstitute to the biggest division of Washington’s labor force inhealth care. In America, they have an immense role in achieving theobjectives poised in the Affordable Care Act of 2010. Nonetheless,several issues render them incapable of wholly maximizing theirresponsibilities and efficiently responding to the potency of thehealth care system and health care settings (Pechura, 2011).Theobstructions which avert nurses from instituting change and leadingthe force came about in the study conducted by IOM and RWJF in 2008(Gibson, 2012). It resulted in the RWJS Initiative on the Future ofNursing`s committee to come up with several recommendations, whichwill lead to the improvement of the future of the nursing education,practice and profession. In essence, the recommendations comprised ofthe following components

a.Nurses are supposed to practice in a workplace environment whereeffective policy making and planning are broadly executed.

b.Nurses should have the ability to conduct their profession totheir full ability.

c.Nurses have to act in partnership with other professionals in thehealthcare system, in a bid to foster advancement in the health caresystem in Washington.

d.Nurses should acquire high education levels and broader trainingthrough an advanced system of education.

Campaignfor Action Future of Nursing

Thehealthcare of the United States needs to be transformed, and acampaign for action through nursing needs to be in place startingwith the state of Washington. Each and every American citizen in thestate of Washington should be able to access high-quality care thatis patient centered with nurses working to their maximum capabilitiesand full potential. The action taken in this campaign is supported bythe CCNA which is the Center to Champion Nursing in America, RobertWood Johnson Foundation (RJWF), health care professionals, AmericanAssociation of Retired Person (AARP), 49 state action union,policymakers all across the nation (Pechura, 2011). The Center toChampion Nursing in America (CCNA) can effect the recommendedproposals that are evidence based because of the participation ofnational organizations and other sectors from the Institute ofMedicine (IOM). The aim of this campaign is to ensure that a healthcare system is set where the focus of care is the patient. Alsohighlighted in the report is the easy access to care. Nurses in thestate of Washington will undergo a skills training and an educationenhancement program to be able to provide an efficient and a moreholistic care in any setting to patients.

State-basedAction Coalition

Asproposed by the Institute of Medicine (IMO) the implementation of thecountry’s nursing recommendation was joined by the state ofWashington. The coalition was led by the Washington Health Foundation(WHF), the Washington Center for Nursing (WCN), and the WashingtonNursing Action Coalition focuses on the reunion of several groups ofstakeholders from various sectors all around the state. The planfocuses on critical work that needs to be completed in the state.

Oneof the Washington Center for Nursing (WCN) projects, as depicted bythe Washington Center for Nursing, is the Master Plan for NursingEducation. The project’s goal is to ensure the nursing faculty innursing school deficiency is lessened, formulate instructionalapproaches and pioneering curriculum models (Fairman et al., 2011).Also, boost ethnic diversities by employing strategies among nursingstudies in the state of Washington and uphold practice programs shiftfor the newly employed nurses. The Washington Center for NursingProject’s purpose is to strengthen the leadership potential througha series of workshops among staff nurses, rising nurse leaders, anddirect care nurses. An avenue for present nurses needs to be providedso that they can be trained for future head positions. The leadershipworkshop steers nurses in Washington in such a way that they cancommunicate effectively with their coworkers identifying their stylesof learning and be able to use it to their advantage.


Becauseall the main points are established and prioritized, the leaders inthe nursing profession can focus on the components mentioned above,and execute the transformation in the present rules to achieve theaspired results. The components should also be used to guide thechanges in the education system of nursing, and this will also fosterthe development of the sector. Nonetheless, the power to enhance andchange the heath care settings, system, and general healthcare doesnot only lie on the nurses but rather, on the collaboration ofefforts of several sectors which include businesses, health careorganizations, government, professional associations, and theinsurance industry.


Fairman,J. A., Rowe, J. W., Hassmiller, S., &amp Shalala, D. E. (2011).Broadening the scope of nursing practice.&nbspNewEngland Journal of Medicine,&nbsp364(3),193-196.

Gibson,R. (2012). Palliative care for the poor and disenfranchised: a viewfrom the Robert Wood Johnson Foundation. Journalof the Royal Society of Medicine,94(9), 486-489.

Hayhurst,A., Saylor, C., &amp Stuenkel, D. (2015). Work environmental factorsand retention of nurses.&nbspJournalof Nursing Care Quality,&nbsp20(3),283-288.

Pechura,C. M. (2011). Programs of the Robert Wood Johnson Foundation todevelop minority medical careers.&nbspTheAmerican journal of the medical sciences,&nbsp322(5),259-261.