The Impact of the Institute of Medicine:
The Future of Nursing
The Institute of Medicine (IOM) has many impacts on the future of nursing. After reading the article, I have focused on the impact of nursing education, primary care in nursing practice, and the nurse’s role as a leader.
Nurses should achieve a higher level of education and training through an improved education system that promotes flawless academic progress. (The Future of Nursing, p.163) Major changes are always taking place in the health care system, therefore educating nurses will need to take place as well either in school or after they have achieved their licenses to keep up with the many changes that occur in health care. The primary goal of nursing education has always remained the same: nurse’s must be prepared to meet patient needs, be a leader, and advance education, which benefits the patients, so we as nurses can deliver safe, quality of care. Entrance level nurses need to be able to transition smoothly from being a student, to a practicing nurse. (The Future of Nursing, pg. 164) I have seen where this is often not a smooth transition even after many weeks of orientation. For the past 40 years nursing students have had several options to pursue their degree to become a registered nurse. The BSN or bachelor’s degree, ADN or associate’s degree or the diploma program. (The Future of Nursing, pg. 165) I am not familiar with the diploma program. The area where I live only offers the BSN or ADN, or even a transition program from an LVN to RN. Regardless of the path of education that is chosen, the student working towards the same common goal, a registered nurse, all have to take the exact same test, NCLEX-RN, an entry-level state mandated exam, which differs from state-to-state. You either pass or fail.
There are many concerns about the shortage of primary care nurses. Nurse practitioners together with physicians and physician assistants provide most of the primary care in the US....