Discussion
on Robert Wood Johnson Foundation Committee Initiative and Institute of
Medicine (IOM) that led to "Future of Nursing: Leading Change, Advancing
Health."
The work of the Robert Wood Johnson Foundation Committee
Initiative in collaboration with the Institute of Medicine (IOM) was inspired
by the possibility of empowering the nursing fraternity to be leaders and
partners in the healthcare goals aimed at enhancing the care delivery and the
system as a whole. Nurses are considered as the largest component and vital
part of the healthcare workforce. By 2011 the nurses' figure stood at a
whopping 3 million making up the single largest workforce segment in
healthcare. Additionally, nurses are considered as the group that spends the
most time in the delivery of patient care. It was in that breadth that the work
of the committee was targeted at the special segment considering the fact that
they possess valuable insights and special capabilities that when integrated
with other health professionals can improve the standards of healthcare in
terms of quality and safety. The committee formed following the collaboration
of RWJF and IOM was tasked with carrying out a major study and come up with a
report that would inform the nurses' service delivery ([G1] Institute of Medicine, 2011).
The committee focused on
examining the capacity of the nursing workforce in meeting the demands of
healthcare and the public health systems following reforms. It was tasked with
developing a number of national recommendations which includes the delivery of
nursing services in the current environment which faces shortages in terms of
capacity when it comes to the education system of the nurses (Institute of Medicine, 2011). The committee was tasked
with developing an agenda for action which covers changes in the institutional
and public policies across all levels of national, state and local areas. It
would then develop recommendations that [G2] [G3] would meet a number of
system changes which may include innovative ways of meeting the nursing
shortages in the country (Institute
of Medicine, 2011).[G4]
Some of primary areas of
focus that the committees were tasked with, included the identification of
critical nurses roles in the design and implementation of efficient healthcare
system in recreating the role of nurses in the context of the whole workforce,
shortage, issues within the community and the present and future technology ([G5] NAS, 2018). Another focus area is in
the expansion of the nursing facility, raising the capacity of the nursing
training schools, and redesigning the nurses training to ensure that it was
able to produce the right number of well-trained nurses to meet the present and
future healthcare needs. It was also to check innovative solutions associated
with the delivery of care and training. Lastly, the focus was also on the
attraction and retention of well-trained nurses in a host of care setting and
areas ([G6] [G7] [G8] [G9] [G10] NAS,
2018).[G11] [G12] [G13]
Importance of the IOM
“Future of Nursing†Report in Relation to Nursing Practice, Education, and
Workforce Development[G14]
The IOM
report which was developed in collaboration with RWJF brought out a number of
critical points, it highlighted some of the main areas of intervention and the
pinpointed on areas that needed intervention in the healthcare system in regard
to the nursing issues. They included issue such as nurses should be able to
practice to the full extent of their training and education (Institute of Medicine, 2011). The report was able to
highlight the challenges that limit nurses from achieving their full potential,
such policy-related barriers, the regulatory frameworks that end up inhibiting
their activities. Another critical issue that came out of the report is that
nurses should be able to get the chance of gaining higher levels of education
and training through changes made in the education system that gives opportunity
and promotes advancement in [G15] education
(Institute of Medicine, 2011). To meet this goal, major
changes will be required in the US healthcare and other related practice
environments. Such improvement will lead to sustainable training solutions that
would also meet the needs of the future nurses.
[G16]
The
other primary point that came out of the report was that nurses needed to be
integrated into the healthcare system as full partners working alongside the
physicians, allied health personnel, and a host of other professionals in the
field (Institute of Medicine, 2011). A critical area of
nurses' intervention is in working alongside the other professionals in
redesigning the healthcare system in the country. The report pointed to more
involvement of the nurses in decision-making processes, they need to take up
leadership positions and be a part of the policymakers. The final area of focus
of the report was in ensuring that there were effective workforce planning and
policy-making which will call for better data collection and information
strategies ([G17] [G18] [G19] Institute
of Medicine, 2011). To
achieve the transformation needed in the healthcare setting and the practice
environment will call for finding a balance in skills and perspectives among
the healthcare personnel. The report was able to pinpoint the challenges that
made it hard for the goal to be achieved, it pointed to issues such as the lack
of data on the number of the currently employed professionals, roles and
activities performed and others.[G20]
Role of State-Based
Action Coalitions in Advancing Goals of the Future of Nursing: Campaign for
Action
The
primary roles of the States based action coalition across various states is in
campaigning across all levels, that includes the local, regional, and state
level. The campaigns help advocate for the development of healthier communities
through the help of nurses, and it [G21] achieves
that goal in the states by involving various stakeholder groups various sectors
in education, business, and health organizations (Campaign for Action, n.d).
Some of
the strategies that have been spearheaded in the State of Arizona include the
development of an inter-profession workforce that will help in the collection
of data, creation of a task force that will guide the development of a
sustainable model of healthcare, together with its dissemination, and
subsequent management (Campaign for Action, n.d b). The second strategy is
the development of the Healthcare Workforce Center which will be launched
through a test by carrying out a pilot survey for the primary care providers.
Overall, the project will boost the development of the nursing workforce
through mentorship programs for the nurses and also the nursing students drawn
from various backgrounds (Campaign for Action, n.d b). Lack of leadership skills
and lack of proper training with little exposure to the work environment is a
concern in Arizona. However, nursing advocates can intervene through providing
assistance with the help of other stakeholders. For example, one approach has
been suggested and that can be applied by the State of Arizona will be to pair
the students with some mentors while carrying out community health rotations,
the mentors, in turn, are able to nurture leadership skills.[G22] [G23] [G24]
Additional articles
Unveiling the Depths of C.S. Lewis's Narrative Techniques in The Chronicles of Narnia: Supposals, Allegories, and SymbolismThe supposition is associated with the use of a hypothesis. It involves the use of a claim which creates the need for furth...Exploring-C.S.-Lewis's-Literary-Landscape:-Supposals,-Allegories,-and-Symbolism-in-The-Chronicles-of-Narnia …
Read ArticleWithin the chemical industry, Victoria Chemicals has established itself as one of the leaders with regards to the production of polypropylene. Polypropylene is one of the most extensively produced polymers within the region and its utilization ran...Victoria-Chemicals …
Read ArticlePRESENT CHALLENGES What intercultural challenges are you currently facing? One of the main challenges is language barrier which is one of the main experience. Cultural intelligence needs some language understanding because langua...Self-Assessment---Cultural-intelligence …
Read Article