Professional Accountability, Standards of Practice, and Professional Development Essay

Professional Accountability, Standards of Practice, and Professional Development Essay

Professional Accountability, Standards of Practice, and Professional Development Essay

The Institute of Medicine (IOM) in its 2010 on nursing and the healthcare industry asserts that nurses are critical part of the changes in health care delivery and should strategically position themselves as primary care providers (Tierney et al., 2020). The report envisions the expanding role and duties of nurses in the industry and need for change in education, practice, and leadership to align with the transformation. The implication is that the IOM report impacts several aspects of nursing practice which forms the basis of this paper.

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Four Messages Outlined in the IOM Report

The IOM report in 2010 acknowledges the role that nurses continue to play as essential care providers and the expanded duties and responsibilities as primary care practitioners. The report outlines four messages that with recommendations on enhancing changes for the nurses and the whole healthcare sector (Kovner et al., 2018). The first one is that nurses need to practice to full level of education and training. The second advances that nurses need to attain advanced levels of education and training through the establishment of a better education system which focuses on lifelong seamless academic advancement. Thirdly, the report is emphatic that nurses need to be recognized as full partners with the physicians and health professionals in the industry as they reshape health care provision in the country (Goldsberry, 2018). The fourth message is that data collection and an enhanced information system are essential for effective planning and policy development for the nursing workforce to tackle issues like nursing shortage and high turnover rates.

These four critical messages are significant to nursing practice as they speak of the need to transformation the profession in several ways to meet the rising health care demands brought by an aging population, emerging and reemerging infectious diseases leading to pandemics, and the opioid crisis. As full partners with physicians and other professionals, nurses attain increased experience and can help meet the growing demand for care services. The need for seamless and lifelong education means that nurses can attain better skills and offer specialized care to patients and health populations in different settings. Through higher education and training, nurses will expand their scope of practice and learn new approaches to disease and patient management like the use of evidence-based practice and increased application of research (Hallock, 2019). With increased education, nurses can address the current issue of nurse shortage due to possession of innovative skills and better knowledge. The fourth message is categorical that having better data and system can help in workforce planning as there will be a balance of skills and perspective among nurses, physicians and other health providers.

Impact of IOM Report on Nursing Education and Leadership

The IOM report has direct impact on nursing education and leadership as it implores nurses to get lifelong education to enhance their skills, expertise and knowledge. The report cites need for more competencies in different areas that include public health leadership abilities, geriatrics, development of health policies, and utilization of evidence-based practice (EBP) interventions as key to attaining better patient outcomes. Further, as clinical practice leaders and care providers, nurses must make critical decisions linked to care for sicker, and frailer patients, and the need to work with modern technology to enhance care delivery (Goldsberry, 2018). Education is essential as nurses are being called upon as primary care providers due to an aging population and increased prevalence of chronic diseases that require long-term management. Nurses need leadership skills that can only be attained through better information sharing through the complex information management structures (Hallock, 2019).  As leaders, nurses will be in charge of multidisciplinary teams imploring them to horn necessary skills and competencies for effective management and execution of their roles and duties.

The IOM report provides Bachelor of Science in Nursing (BSN) prepared nurses a host of benefits and opportunities. The report’s recommendations for lifelong learning means that BSN-prepared nurses will meet the criteria for knowledge and skills required by hospitals. The implication is that BSN-prepared nurses will get better chances to lead others in healthcare transformation and change. Studies have consistently shown that more facilities now want BSN-prepared nurses implying the need for nurses to have degrees. As such, BSN nurses have more opportunities for employment and career development. Facilities continue to offer tuition reimbursement to encourage their nurses to enroll for and complete their BSN.

Significance of the Evolution of Nurse’s Role and Education

The enactment of legal frameworks like the Patient Protection and Affordable Care Act (PPACA) in 2010 and the increased changes to expand scope of practice for nurses by state boards of nursing implies that nurses’ role will expand to meet the needs of an aging and diverse health population (O’Brien et al., 2018). The evolution in education is important as it means that nurse practitioners will gain more skills, understand new trends and research evidence, and integrate them into practice to enhance patient care outcomes. The expansion of nurses’ roles as primary care providers due to the ability to practice to full authority means that they must possess cultural competence skills to deal with patients from different socioeconomic backgrounds in care provision (Goldsberry, 2018). The evolution of both their role and education means that they are positioned better as primary care providers to offer preventive care, especially at a time when the country is dealing with emerging and infectious diseases like the Coronavirus disease of 2019 (COVID-19) pandemic.

Significance of Professional Development, Lifelong Learning and Relevance

Professional development for nurses allows them to acquire new skills in care provision, especially as they navigate the complex yet unpredictable nature of health today. Through professional development, nurses interact with new technologies and their applications to enhance care delivery for diverse populations across the life span and health-illness continuum (Kovner et al., 2018). New approaches like EBP and cultural competence implore nurses to acquire better skills and align their training with health populations’ unique needs. Lifelong learning is relevant as it implies that nurses can acquire new approaches by leveraging technologies to enhance care delivery, especially for an aging population that requires EBP interventions to enhance quality of care across health-illness continuum (Hallock, 2019). Nurses must acquire new approaches through models like patient-centered care and EBP for effective interactions with patients from diverse racial and ethnic backgrounds.

Managing Care within an Evolving Health Care System

Nurses are critical care providers and interact with patients more than any other health care providers and professional. Through expanded roles and evolving education and training systems, nurses can effectively help manage patient care through application of cultural competent approaches, utilization of EBP interventions, and by leading healthcareteams, especially inter-professional and multidisciplinary teams (Goldsberry, 2018). Nurses are also critical as they advocate for their patients and colleagues for better care and practice environment through models like Quadruple Aim framework (Duffey, 2017). Nurses develop patient-centric interventions to improve care provision and remain focused on better outcomes.

Conclusion

The IOM report in 2010 was categorical that nurses are key players in health care reforms and changes to enhance care delivery and better outcomes. The four messages of the report indicate the need for nurses to enhance their education, practice to full level of their training, be primary care providers, and the need for effective workplace planning to address challenges like nurse shortage. The implication is that the IOM report implores nurses to be at the forefront of care provision to meet the increasing health care demands from diverse health populations.

References

Duffey, P. (2017). Implementing the clinical nurse leader role in a large hospital network. Nurse

            Leader, 15(4), 276-280. https://doi.org/10.1016/j.mnl.2017.03.014

Goldsberry, J. W. (2018). Advanced practice nurses leading the way: Inter-professional

collaboration. Nurse education today, 65, 1-3. https://doi.org/10.1016/j.nedt.2018.02.024.

Hallock, A. B. (2019). A case for leadership development in nursing practice. Nephrology

            Nursing Journal, 46(3), 325-329.

Kovner, C. T., Djukic, M., Jun, J., Fletcher, J., Fatehi, F. K., & Brewer, C. S. (2018). Diversity

and education of the nursing workforce 2006–2016. Nursing outlook, 66(2), 160-167. https://doi.org/10.1016/j.outlook.2017.09.002.

O’Brien, D., Knowlton, M., & Whichello, R. (2018). Attention health care leaders: Literature

review deems baccalaureate nurses improve patient outcomes. Nursing education perspectives, 39(4), E2-E6. https://doi.org/10.1097/01.NEP.0000000000000303.

Tierney, M., Finnell, D. S., Naegle, M., Mitchell, A. M., & Pace, E. M. (2020). The Future of

Nursing: Accelerating gains made to address the continuum of substance use. Archives of psychiatric nursing, 34(5), 297-303. https://doi.org/10.1016/j.apnu.2020.07.010.

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Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750‐1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN‐prepared nurses.
Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health‐illness continuum.
Discuss how nurses can assist in effectively managing patient care within an evolving health care system.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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