The Impact on Nursing of the 2010 Iom Report on the Future of Nursing.

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Perhaps the biggest impact that the Impact on Nursing (IOM) report had on the nursing profession in general was creating an awareness of what is needed. Some changes in the right direction have been made, but most of the literature seems state, or at least suggest, that not enough has been done, or, given the widespread shortage of nurses, or can be done. For this reason, even more change is needed in the areas of nursing education, nursing practice, and nursing leadership. One of the areas of greatest concern when it comes to the future of nursing is education. There is a shortage of nurses, and not enough seats in nursing education programs to allow for everybody who applies to nursing school to be able to pursue a degree in nursing. Also, the cost of a four-year degree in nursing is quite high, which leads many people to opt for the less expensive two-year associate’s degree in nursing (ADN). An associate’s degree education provides the basics of nursing without the time to develop theory or adequate research skills to be able to perform at the same level as registered nurses (RNs) with a bachelor’s degree in nursing science (BSN). For this reason, many advocate for the emphasis of the four-year degree over the two-year degree. A George Washington University study published in Science Daily says, “If health care employers are serious about wanting a more highly educated workforce, they will need to go beyond the current ‘soft policies’ and adopt more forceful measures, such as requirements for degree completion and wages that reward nurses who have worked to get a BSN or advanced degrees” (George Washington University, 2013). The problem is that there is such a shortage of nurses that employers hire whomever they can get regardless of the type of degree. As long as the person is a licensed RN, s/he is right for the job. One reason that so many people support a

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