The four “Key Messages” that structure the IOM Report recommendations
First key message
The first key message is that nurses should practice at the top of their training and education. The committee performing the study established that policy, regulatory and historical barriers have hindered nurses from performing a wide range of tasks for which their training and education have prepared them. Kimuyu (2018) indicates that the committee devised recommendations for state legislatures, Congress as well as several federal entities on actions that could be carried out to eliminate barriers to practice. Also, the committee established that new nurse graduates could gain from further help in transitioning to practice, and proposed the creation of residency programs to assist newly graduated nurses to further refine their skills NRS-440VN – IOM Future of Nursing Report and Nursing
This message has influenced nursing practice by enhancing the removal of practice barriers to enable nurses to practice at the top of their training and education. In 2013, fifteen had made changes in their laws to grant NPs full authority to practice and prescribe (Hansen-Turton, 2015).
Second key message
The second key message is that nurses should attain higher levels of training and education via an improved education system that supports flawless academic progression. According to Altman et al. (2026), the committee proposed that a high number of nurses advance their education so that by the year 2020, 80% of the nursing workforce nurses would possess a baccalaureate degree, with the with a doctoral degree doubling. Additionally, the committee proposed that nurses embark on lifelong learning all through their careers, and the diversity of the workforce be increased.
The message has led to a rise in baccalaureate degree programs and the number of students enrolling in and graduating with baccalaureate degrees. Additionally, there has been development or expansion of residency programs in different levels and settings. For instance, over 130 health systems and hospital s across the United States are presently participating in the AACN/UHC program, with yearly participation having risen to 9,000 in 2014 from 3,579 in 2010. In 2002, AACN and the university healthsystem consortium (UHC) have created a residency program for nurses who have completed their baccalaureate degree programs (Altman et al., 2016).
Third key message
The third key message is that nurses should fully partner with physicians and other health professionals in revamping health care in the US. According to Altman et al. (2016), the study committee established that for nurses be capable of fully take part in reforming the health care system, it will be essential for them to take leadership roles and work in collaboration with other health professions’ leaders. The committee proposed that education programs, financiers, along with health care organizations offer, fund, and expand opportunities for the nursing workforce to build up leadership skills and take on leadership roles, and that people who make health care decisions make sure that nurses leaders in both in management teams and boards.
There has been development and expansion of opportunities for leadership development by nursing associations, education programs, and private organizations. As indicated by Altman et al. (2016), nursing associations vigorously support programs designed to enable nurses to skills in leadership and entrepreneurship. For instance, the American Organization for Nurses executives offers a variety of nursing leadership education along with leadership development programs, for example, the nurse manager fellowship.
Fourth key message
The last key message is that effective planning of the workforce and making of policy needs an improved collection of data along with enhanced information technology. The committed found that planning and preparation of essential transformations in the system, necessitates granular and reliable data on the health care labor force. The committee suggested that the National Health Care Workforce Commission work together with the Health Resources and Services Administrations in improving data collection and analysis on the health care labor force (Altman et al., 2016).
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