According to Burnes Bolton, nurses
are not only n...
According to Burnes Bolton, nurses
are not only needed at the decision-making
table but also in leadership positions. When nurses are in leadership positions, they will be in a position to come up with more innovative ways of
bringing health care up as well as making
the world a better place for all of us. The paper thus discusses the role of RJF in the future of nursing about leadership and change.
Discuss the work of
Robert Wood Johnson Foundation Committee Initiative on the future of nursing
and the institute of medicine research that led to the IOM report.
Due to the increasing challenges
facing nurses in the United States which
threatened to limit the nurse led solutions, Robert Wood Foundation Committee
(RWFC) in collaboration with Institute of
Medicine (IOM) came up with ways in which
the problems of nursing care will be solved together with other issues that
faced the nursing profession. These were aimed
at transforming the way Americans received health care. The main purpose of the
committee was to reduce costs, increase quality through involving nurses in
leadership positions. The committee was also expected to make a review of the
education model in the nursing sector and submit a report on the same. The committee was aimed at demonstrating the nurses’ role in the whole workforce,
shortage, issues with society as well as current and future technology. It was also aimed at making an examination on
nursing faculty which involved redesigning the nursing education, examination
of innovative solutions which involved care solutions and making an attraction
and retaining the well-prepared nurses
importance of IOM report related to nursing practice, nursing education, and
nursing workforce development.
The importance of the report on
nursing practice, education and workforce development is the identification of barriers in the nursing
profession that used to prevent nurses from responding effectively to the
changing healthcare settings as well as evolving health care systems. From the
committee that was formed, it developed
three key points that would form the basis of their discussion. To begin with,
to enhance quality leadership in the nursing
sector, nurses should practice fully in their education and their training. Nursing sector is
faced with some challenges which should be overcome first for the nurses to achieve a high level of
education. According to the report, the barriers are mainly regulation, nurses’
turnover, aging workforce and other demographic challenges. Once these barriers
are dealt with nurses will now be able to
progress and even able to relate with other professionals (Finkelman and Kenner,
Since changes are occurring day by
day, the level of education in the nursing sector has to be improved to enhance
nurses to fit the system. According to the IOM, it’s important for nurses to achieve a high level of education because of the
expansion of the competencies needed to practice nursing. From the report, nurses should now have knowledge on
sectors as, public health, geriatrics, leadership skills, and health policy
among others. With increasing complexity in hospital care, nurses should now be
in a position to make more critical decisions as well as working with more
complicated life-saving technology.
Consequently, the population is increasing and nurses will be asked by patients
to help them in chronic illnesses so as to prevent acute care as well as
disease progression. Due to the complexity of the current information system,
nurses should now be in a position to advance their studies through
collaboration with different health professionals with higher academic
qualifications. Creation of infrastructure in the nursing
sector is recommended to enhance workforce data collection and
analysis easier which is recommended by the IOM report. According to health
system reforms, there is importance in having a solid nursing workforce to
enhance the success of a reformed system
of health (Buerhaus, 2008).
What is the role of
state-based action coalitions and how do
they advance goals of the Future of
Nursing: Campaign for Action?
In every state and Washington D.C, the action coalition plays
the role of the campaign at local,
regional, and also at state levels. The advocates from various communities such
as health organizations, businesses, education and much more are now building communities that are healthier through
nursing. It is an initiative that ensured that all Americans are access to high-quality healthcare through nurses
contributing fully to their capabilities. The coalition works closely with the
campaign to enhance implementation of the IOM report. Therefore, participation
by states and other national organizations will be of help for the coalition to
operate effectively since nurses are seen as essential partners for the coalition to
achieve its goals (Fairman et al., 2011).
There are 21 organizations which are
working jointly to have 10,000 nurses from various organizations on board whose
goal is to support nurses in their leadership roles. The coalition is using
various strategies for it to achieve its goals. To
begin with, the campaign is aiming at collaborating with a broad array of stakeholders to achieve the set goals. Secondly, it’s aiming at activating on local,
state and national levels, communicate the call to action and finally to make
sure it is monitoring results to ensure that there is accountability. During
the first 13 months of the initiative, it
involved information gathering, preparing of the consensus report as well as
summaries of the regional reports.
Florida state action coalitions
The Florida Action coalition and campaign can produce a
community-based network that comprises various stakeholders in the nursing
profession that work in harmony aiming at transforming the healthcare sector
through nursing. For
example, The Florida Action Coalition aims at spearheading
the goals of the IOM report
recommendations and changing the entire health care at the state level by
nurse-focused inventive solutions. Every state identifies and comes up with
initiatives that progress the Institute
of Medicine (IOM) objectives.
According to (Center to Champion, 2010), Florida has formed and
developed the “Florida AC Toolkit Address Leadership Barriers” for nurses that
provide solutions to problems experienced by nurses by guiding and resourcing Florida’s
nurse leaders. This step is aimed at motivating them so they can progress their
various roles within the nursing profession. The coalition has also merged with
the Florida Blue Foundation. The foundation generously awarded mini-grants to
one community foundation as well as three Florida universities. Their work
supports the Florida Action Coalition that promotes the RWJF and IOM goals for
workforce development as well as nursing. The Florida Blue Foundation is mainly
improving the quality and patient care safety as well as forming a staff will transform
the Florida’s complex health care system and meet the needs of the people. Florida
toolkit provides nurses valuable resource which is geared to identify various
nursing obstacles that may hinder their progress. The toolkit is able to
present solutions to the problems by providing resources and support systems such
as awareness and education (OPPAGA, 2007).
The nursing community should work
together for it to achieve the future goals set. It's through working together that the strategies set will be
followed appropriately and be implemented effectively.
Also, nurses play a significant role in terms of hastening change in the health
care system. Nurses are the pillar of the healthcare system; therefore, they
are mandated to dynamically support the IOM objectives. Hence, they should
advance their education, inspire change, and be active in nursing leadership.
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