Introduction
The 2010 Institute of Medicine (IOM) report, "The Future of Nursing: Leading Change, Advancing Health," outlined ambitious goals for transforming the nursing profession. This report emphasized the importance of nurses in an evolving healthcare system and recommended key areas for improvement. Assessing the progress on these recommendations is crucial for continuing to advance the nursing profession.1. Increasing the proportion of nurses with a baccalaureate degree to 80% by 2020.
2. Doubling the number of nurses with a doctorate.
3. Ensuring that nurses engage in lifelong learning.
4. Enabling nurses to practice to the full extent of their education and training.
5. Implementing nurse residency programs.
6. Preparing and enabling nurses to lead change to advance health.
7. Building an infrastructure for the collection and analysis of interprofessional healthcare workforce data.
How has the nursing education landscape changed?
There has been significant progress in nursing education since the IOM report. The number of nurses obtaining a baccalaureate degree has increased, largely due to the expansion of
RN-to-BSN programs. More
academic partnerships and
online education platforms have made it easier for working nurses to advance their education. Furthermore, the number of nurses pursuing doctoral degrees has also risen, contributing to a more educated workforce capable of taking on leadership roles.
Have nurses been able to practice to the full extent of their education and training?
While there has been progress, challenges remain in this area.
Scope of practice regulations vary widely by state, affecting how nurses can utilize their skills. Some states have expanded the role of nurse practitioners, allowing them to practice independently, while others still impose restrictive regulations. Efforts by professional organizations and advocacy groups continue to push for uniformity in practice regulations to fully utilize the capabilities of nurses.
What advancements have been made in lifelong learning and nurse residency programs?
Lifelong learning has been increasingly emphasized, with many institutions integrating
continuing education and professional development into their practice. The establishment of
nurse residency programs has also gained traction, providing new graduates with the support and training needed to transition smoothly into clinical practice. These programs help reduce turnover rates and improve job satisfaction among new nurses.
Are nurses prepared to lead change and advance health?
The leadership capacity of nurses has grown, with more nurses taking on roles in
healthcare administration,
policy-making, and
education. Leadership training and development programs have been established to equip nurses with the necessary skills. However, ongoing efforts are needed to ensure that leadership opportunities are accessible and that nurses are continuously encouraged to pursue these roles.
How has the collection and analysis of interprofessional healthcare workforce data improved?
There has been progress in building an infrastructure for data collection and analysis. Organizations such as the
National Council of State Boards of Nursing (NCSBN) and the
Health Resources and Services Administration (HRSA) have been instrumental in gathering workforce data. This data helps in making informed decisions about workforce planning, policy development, and educational needs.
Conclusion
The IOM report has been a catalyst for significant advancements in the nursing profession. While substantial progress has been made, continuous efforts are necessary to fully realize the goals set forth in the report. By addressing the remaining challenges and building on current achievements, the nursing profession can continue to evolve and meet the demands of an ever-changing healthcare landscape.
