NRS 440 IOM Future of Nursing Report and Nursing

NRS 440 IOM Future of Nursing Report and Nursing

NRS 440 IOM Future of Nursing Report and Nursing

Nurses are the healthcare professionals who tend to spend most of their time with patients, which makes them develop close relationship with them. As such, nurses play an essential role in enhancing patient care and health care system risk facing negative impacts without nurses’ contribution. The adoption of the IOM report on the future of nursing is a critical move towards empowering nurses to provide superior health care by improving the health care delivery system, improving the capacity of nurses to undertake scientific research, and equip nurses to take leadership positions. Eventually, these factors ensure enhancement in patient outcomes and also reduction in health care costs. Consequently, the purpose of this paper is to delve into the IOM Future of Nursing Report and Nursing by providing a description of the work of the Robert Wood Foundation Committee Initiative that led to this report, detail the key messages in the report, highlight the role of state -based action coalitions in advancing the report, provide some initiatives by state action coalition, barriers experienced by state action coalitions, and how to overcome the barriers.

Description of the Work of the Robert Wood Foundation Committee Initiative that Led to the IOM Report

The work of the Robert Wood Johnson Foundation (RWJF) committee initiative that led to IOM report was necessitated by widespread challenges that nurses encountered in their practice. The issues were attributed to the ever evolving and complex nature of health care system that nurses had problems in handling, thus, interfering with their practice. Therefore, it was imperative to reform nursing practice by addressing the challenges that nurses encountered and prepare nurses to actively participate in health care improvement and remain updated in the face of changing health care system and technological development.

Informed by these nursing challenges, the RWJF committee initiative opted to determine the nursing practice in various health care settings across the US. After conducting the assessment, the RWJF established that there was huge disparity in the nursing competencies and academic credentials. Moreover, the committee noted that there is need to create mechanisms that could motivate nurses to work to the full extent of their competency and deliver quality care in the future. To realize these objectives, the RWJF committee initiative reported that nurses need to be given superior training and education that are supported by the quality education system (National Academies of Sciences, Engineering, and Medicine, 2016). Overall, the work of the RWFJ committee initiative was to conduct the assessment and make recommendations on what could be done to change the future of nursing profession and the action that could be taken to be successful in changing the future of nursing practice.

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The culmination of the RWJF work was the formulation of the IOM report dubbed, “The Future of Nursing: Leading Change, Advancing Health.” This report entailed detailed evidence-based plans on how to improve nursing practice and to better the future of nursing. Among the major proposals in the report included ensuring capacity building of nursing training institutions, ensuring nurse residency programs, striving for 80% of nurses with baccalaureate degrees’ qualification and having more nurses with doctorate degrees. The report also called for the creation of flexible nursing programs that are future oriented to facilitate continuous nursing education.

Key Messages in the IOM Report Recommendations

The IOM report recommendations on the future of nursing contained four key messages. The first message in the recommendations entails the idea that nurses need to practice to the full extent of their training and qualifications. In this message, the federal and state governments are tasked with the responsibility of ensuring that the rules relating to the nursing practice to the full extent of the training are regulated and updated to ensure that patients receive quality health care services delivery. The second message in the IOM report recommendations entails calling upon nurses to seek advanced education and training through enhanced education system that facilitates flawless academic advancement. The intent of this message is to have sophisticated structuring of nursing education to foster direct and seamless advancement to higher nursing education levels. Improving nursing education system is also essential in equipping the existing and future generation of nurses with competency to provide safe, quality, and patient-oriented care in different health care organizations (Arzouman, 2016).

The third message on the IOM report recommendations is that nurses ought to work as full partners with

NRS 440 IOM Future of Nursing Report and Nursing
NRS 440 IOM Future of Nursing Report and Nursing

other health care professionals including physicians in an effort to restructure health care system in the country. Full partnership implies that nurses should be fully accountable and take active roles in the identification of the issues and factors that contribute to wastes in health care, tracking health care improvements, designing and implementing improvement measures, and taking actions to achieve desired goals. As such, it is imperative for nurses to acquire core competency in leadership at all levels of nursing profession to realize the objectives of this message. Nurses are also advised to actively engage in policy areas to help in influencing nursing profession by joining commissions, boards, and committees to advocate for the nurses.

Finally, the message in the report calls for sophisticated management of data and information infrastructure to ensure effective workforce planning and policy development (Arzouman, 2016). The report proposed that the health care system needs to have universal methods of determining the number and type of nursing professionals, where they are employed, their tasks, responsibilities, and activities.  The data will play a significant role of recognizing critical areas that require improvement and used to make future nursing workforce needs and influence changes in the nursing profession.

Role of State-Based Action Coalitions

The health care system in the US is organized in a way that every state has its unique health care regulations, laws, and programs. State-based action coalitions were developed to facilitate more participation and possession of the IOM report by the nursing practitioners, public health organization, private health organizations, and state governments. The coalitions get directives from the RWJF and the Center to Champion Nursing in America (CCNA) to enable them deliver universal health care programs in all states. The RWJF and the CCNA partner with state-based coalitions to equip them with information and campaign resources, inter-state knowledge sharing, foster communication, and provide planning tools including technical support in utilization of the tools (Gimbel et al., 2017).

Initiatives by Pennsylvania State Coalitions

The initiatives by state coalitions in Pennsylvania include endeavor to define the responsibilities of nurses in health care delivery and to create ground for full nursing practice. The coalitions also consult widely with coalitions from other states to create a standard structure of nursing course for various nursing education levels in the respective state. However, the effort to attain these objectives is compromised by various barriers including disparity in educational qualification and competency levels among nurses drawn from distinct specialties. This barrier can be addressed by encouraging and helping nurses to acquire higher education and continuous training.


Based on the IOM report on future of nursing, it is clear that the intention of the report is the focus on the vital relationship between nursing practice actions and the diverse population health requirements. From the recommendations of this report, nurses should strive to advance their education and engage in more training to meet the diverse needs and cover many specialty areas in nursing practice, which is crucial in delivery of superior patient-oriented health care.  Ultimately, the success of the IOM report on future of nursing will ensure reduction of health care costs and improve health care delivery.




Arzouman, J. (2016). The future of nursing 5 years later–where are we now?. MedSurg Nursing, 25(1), 5-7.

Gimbel, S., Kohler, P., Mitchell, P., & Emami, A. (2017). Creating academic structures to promote nursing’s role in global health policy. International Nursing Review, 64(1), 117-125.

National Academies of Sciences, Engineering, and Medicine. (2016). Assessing progress on the Institute of Medicine report The Future of Nursing. National Academies Press.