The Impact on Nursing of the 2010 IOM Report on the Future of Nursing In 2010, the Institute of Medicine (IOM) issued special report titled “The Future of Nursing: Leading Change, Advancing Health.” It is a thorough report at what a nurse role in a changing healthcare system. The report says that nursing education should progress to a higher level of education in order to serve in the ever changing profession of nursing and nurses should complete a higher levels of education and training, through a good education system that promotes continuous academic progression. (Institute of Medicine, 2010). According to The Institute of Medicine, in order to meet the demands of a changing healthcare system nurses must complete advanced level of education.
Although the first years of a baccalaureate program are similar to that of an associate degree program, additional in-depth coursework such as social sciences, nursing research, public and community health, nursing management, leadership and critical thinking are required, thus enhancing a BSN’s professional development, knowledge base and scope of practice. A BSN program focuses on treating patients as individuals by incorporating the metaparadigm theories of nursing, allowing for a higher level of preparation to care for more complex patients. A BSN is trained and prepared to treat each patient holistically; assessing, evaluating and analyzing all needs (physical, emotional, environmental) of the patient. Although an associate-level degree nurse has some limited knowledge of theory and conceptual models, their training primarily focuses on technical skill and task orientation. The ADN has a disadvantage when it comes to the concepts of health, environment, person and nursing as well as evidenced based practice.
Vision for the future of nursing NUR 391 September 3, 2012 Vision for the future of nursing Today’s nurses focus on care for patients based on evidence based practice, which requires nurses to base their care on research based knowledge. It involves using the most credible and up to date research to guide the nurse through patient care. Evidence based practice (EBP) also stresses the use of known policies and protocols that are based on research rather than based on ‘that is how it has always been done attitudes.’ Evidence based practice also has many potential advantages including greater confidence in decision making and better patient outcomes. EBP has also helped with the nursing process which gears specific patient care to the individual based on that specific patients individual needs (Black, 2011). According to Black (2011), “nursing research enhances the status of nursing as a profession by expanding nursing’s scientific knowledge base.” (pg.
My role as a student in higher education and my role as a future healthcare practitioner. Modern day nursing centres on research-based practice and evidence-based health care. According to Naidoo and Wills (2005) the competence of health care personnel is based on their education and knowledge and skills it provides. Contemporary clinical guidelines and practices provide a significant change from the apprenticeship styled learning system of the Florence Nightingale 18th century era. Nursing education has been radically reformed; both in theory and practice to meet up-to-date demands which comprises of rapid technological advancement, cutting edge research and knowledgeable patients who according to Mark, W., and Stanton, M.A.
Components of good documentation are the same as Watson’s theory and nursing process; assessment, plan of action, intervention, and evaluation. A caring nurse will want to be able to improve and become more efficient with documentation so that they are able to provide more direct nursing care to their patients. Carative factor number seven in Watson’s theory call for the promotion of interpersonal teaching-learning. This describes “the caring nurses as one that must focus on the learning process as much as the teaching process” (Current Nursing, 2012, para. 3).
They also possess stronger leadership qualities. Critical thinking in nursing is an essential component of professional accountability and quality nursing care. Baccalaureate nurse’s leadership qualities enable them to work as a team with other health care professionals to improve quality of patient care and outcome. Due to this noticeable difference in competencies Chief nurse officers (CNO) in university hospitals prefer to hire BSN graduates. In a 2001 survey published in Journal of Nursing Administration support this statement.
The BSN education offers a more in depth study in the knowledge of nursing diagnosis and implementation of the nursing process. The BSN is also more research driven. They look for more evidenced based practice to steer in the decision making process. The BSN furthers the studies learned in the AND program. It expands on community health, management, and critical thinking skills.
The viable way to increase the volume of BSN graduate is to promote state wide and mandated articulation agreements and create an environment where academic progression is facilitated. The first step in the process of implementing articulation agreements is to bring together nursing educators at the BSN and ADN level to assess prerequisites, transfer credit and evaluate the overall curriculum. This article was taken from the Journal of Continuing Education in nursing July 2008; Vol. 39, No 7. (Spencer, 2008).
According to the Nursing and Midwifery Council (2008) research is essential to nursing field to enhance evidence based practice. Melnyk and Fineout-Overholt (2005,p339) define evidence based practice as a problem solving approach that integrates a systematic search for and critical appraisal of the most relevant evidence to answer burning clinical questions while maximizing quality care and limiting cost. However, evidence based practice in nursing is more challenging than its use in the medical profession because of the multiple sources of nursing knowledge (Carrier andBrassey2006,p40). For this reason, it is important for researchers to understand how to figure out research techniques appropriate for them coming up with the best evidence on various issues being handled. Clearly-holdforth( 2008, p43) advocates the use of PICO question framing format while researching for it is a standardized criteria for determining a research question for all methodologies although different methodologies tackle the research
Influence of Evidence-Based Practice Evidence-based practice developed to facilitate a higher quality of care and the best patient outcomes. The nursing practice no longer relies on traditions of the past, or trial and error methods, but based on direct responses to the individual needs of the patient (Black, 2011). An evidence- based practice relies on using the best available research discoveries to guide the decision- making process to specific clinical situations. Applying an evidence-based practice for some nurses will be a challenge; it is a new way of thinking and practicing nursing. As the health care system struggles to provide access to care for all people in a cost-effective manner, calls for a much needed change.