Reforming Nursing Sector

Posted: August 27th, 2021

Reforming Nursing Sector

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Reforming Nursing Sector

IOM Summary of Four Messages and Significance to Nursing Practice

Nurses are active participants of the reforms in the healthcare sector, which requires their contribution to facilitate changes. Four messages have been outlined in the IOM report: 1) nurses should fully apply their skills acquired during education and training, 2) nurses should achieve higher educational levels and training based on the academic progression education system, 3) nurses should become full partners alongside the physicians and other medical practitioners in remodeling the health care sector in the United States, and 4) information structure in healthcare system should be improved to enhance workforce planning and policy making (Institute of Medicine, 2011). The goal of delivering safe, quality, and patient-centered care will be possible through the training of nurses using the improved education system as it assures the academic progression (Miles & Scott, 2019). The increasing demand for health care education has led to flooding within the health care system, hence aligning education with quality skills delivery, competency, and professional development. The nurses’ role in partnership with physicians and other medical practitioners is rooted in a well-grounded knowledge base, experience, and perspective demanded when they should be able to take conceptualized roles in new settings. Miles and Scott (2019) attest that the health care system has some existing gaps in the available workforce data, which has dramatically hampered the identification and implementation of the necessary changes to the nursing preparation and practice in the health care system. The demand for better data on health care workforce and more profound collection of information will empower nurses to participate in the reforms more actively.

IOM Influence on Education, Leadership, Benefits, and Opportunities for BSN-Prepared Nurses

The IOM influences the nursing education system since nurses should be provided with tools demanded for evaluation and improvement of the standards for the patient care and quality service provision. The IOM has further influenced the adoption of continuous education, which includes primary education, residency programs, and ongoing competence development (Institute of Medicine, 2011). The report has  outlined the mandated skills, competencies, and professional development among nurses. Interprofessional training among nurses, physicians, and other professionals has also been adopted to develop the interaction among professionals early before their careers (Miles & Scott, 2019). As argued in the IOM report, the nurses have demonstrated a strong partnership in dealing with the patients, their families on the medications and care plans hence the influence on full collaboration in the health policy arena (Institute of Medicine, 2011). The report has further influenced the collaborative and cooperative nature of the health care teams within the health sector.

The BSN offers a wide variety of benefits within the health care sector. The stimulus salary package is exceptionally high for the various individuals who have pursued their higher education to the degree level (Fuster, 2018). The multiple nurses with a BSN have a higher level of job security and professional advancement, opening various career paths, such as the health care administration. The higher level of education provides nurses with competency in delivering health care in both hospitals and corporate clinics.

Nurses Role and Education: Meeting the Needs of an Aging and Diverse Population

Nurses play a critical role in the provision of health care among the general population. The health care demands are rising with the vital cases that need qualified, skilled, and trained nursing staff, who will offer quality health care hence improving the quality outcomes. Society is experiencing a steady increase in the number of the aging population vulnerable to various health conditions, hence the demand for experienced nurses to provide such health care services (Miles & Scott, 2019). The modern society becomes culturally diversified with different communities from different cultural settings residing in new localities, such as the United States. These diversified communities are daily seeking health care services hence positive results of their health care services relying upon a qualified nurse with experience and knowledge in handling the diverse populations (Fuster, 2018). The nurse has a better understanding of genetics, heredity, and lifestyle and custom beliefs of the diverse population hence positive health care service satisfaction for the patient.

The modern society comprises the youth as the majority population, which translates to the future organization consisting of the majority of the aging population. The aging population is associated with various health conditions whereby chronic diseases manifest from 65 years (Fuster, 2018). Hence, the care for these diseases calls for an expert in treating elderly patients and their management, which is possibly among the lifelong learned nurses. Lifelong learning among nurses offers critical thinking and problem-solving skills essential for any issues they encounter in managing the patients (Rosen et al., 2018). Nurses who have undergone lifelong learning acquire techniques critical for improving patient outcomes, reducing errors, decreasing mortality rates, and quickly building rapport with patients and coworkers.

Patient Care Management

As the world is changing, the nurses’ roles are shifting to ensure quality health care among the patients. Care coordination among the various service providers, intense care service management, and the hospital/home and work transition forms the basis of the nurses’ new roles (Rosen et al., 2018). The nurses are involved in providing health guidance, counseling, “wellness coaching” on the prevention, monitoring, and promotion of wellness. They are engaged in various fields, such as telehealth and genomics, acting as scientists and leaders in society.


Fuster, V. (2018). The (r)evolution of the CICU. Journal of the American College of Cardiology, 72(18), 2269-2271.

Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. National Academies Press.

Miles, J., & Scott, E. (2019). A new leadership development model for nursing education. Journal of Professional Nursing, 35(1), 5-11.

Rosen, M., DiazGranados, D., Dietz, A., Benishek, L., Thompson, D., Pronovost, P., & Weaver, S. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433-450.

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