Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers. IOM Future of Nursing Report and Nursing

The role of state-based action coalitions

The Center for Champion Nursing in America and the Association of Retired people launched state-based organizations referred to as Action coalitions in all states as well as the District of Columbia as the foundation for the implementations of the IOM recommendations. State-based action coalitions play the role of advancing the recommendations contained in the IOM report at local and state levels (Friberg, 2019).  Action coalitions are regarded as the driving force for the Future of Nursing (FON) campaign since they are capable of working as a network to enhance transformation at the local level. NRS-440VN – IOM Future of Nursing Report and Nursing.

The initiatives on which the California action coalition is working

The California Action Coalition is the impetus for the execution of recommendations of the IOM report. The Action Coalition has partnered with HealthImpact to increase the sustainability of both groups and perform the universal goal of positively influencing health care is delivered in California. The coalition has also engaged in working to promote leadership opportunities for nurses.  There is an active mentoring program in the state, which is administered by the Association of California nurse leaders.  These initiatives advance the nursing profession by advancing public health and recognizing the role of nurses as leaders in the transformation of health care.

Barriers to advancement that currently exist in California

Lack of full prescriptive and practice authority are barriers to advancement in California. NRS-440VN – IOM Future of Nursing Report and Nursing. According to Phillips (2020), nurse practitioners in California must adhere to standardized protocols when carrying out medical functions or when ordering or prescribing devices and drugs.  The protocols are created and consented by the physician, nurse practitioner, and the management of a health care organization in which the practitioner is employed. Opposition from physicians and lack of awareness by the patients and the general population on nurses’ competencies are other barriers to nursing advancement

Nursing advocates overcome thing barriers by lobbying policymakers to amend the current laws to allow nurse practitioners to practice and prescribe medications without being supervised by physicians. The advocates are also taking the lead in informing and educating physicians about the scope of nurse practitioners and their levels of education and educating patients and the general public about the responsibilities and roles of nurse practitioners.

Conclusion

The IOM report explores how the education, responsibilities, and the roles of nurses should significantly be changed to meet the high demand for care that will occur as a result of a reformed health system and to promote improvements in the United States health system. The report contains key messages related to nursing practice, nursing education, partnerships for progression, and date on health care labor force. . State action coalitions play the role of advancing the IOM recommendations at local and state levels.  The report has greatly influenced nursing education and practice. NRS-440VN – IOM Future of Nursing Report and Nursing.

References

Altman, S., Butler, A., & Shern, L. (2016). Assessing Progress on the Institute of Medicine Report The Future of Nursing.  The National Academies Press.

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