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IOM And Nursing Practice

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In today’s fast-paced world, the only constant is change. The ever changing landscape of our health care delivery system and nursing practice have become more complex. The (Institute of Medicine [IOM], 2010) report offers guidelines for redefining what it means to be in the nursing profession with emphasis on improving the quality of health care delivery to our diverse patient population. This essay will bring to light the effect of the (IOM, 2010) report on our current system of educating our nurses, the advances in nursing practice and the emphasis on the leadership aspect of nurses.
The IOM study recommends that nurses must be encouraged to further their knowledge base by seeking advanced degrees in order to be equipped to tackle all of
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(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.

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The Institute of Medicine (IOM) has a strong stance on nurses and leadership. They believe that nurses are a vital component to health care system and nurses in leadership roles can have a positive impact on such. Nurses are in all sorts of roles within the health care systems ranging from a staff nurse, nurse managers, to advance practice, all the way to congress (Finkelman & Kenner, 2013). In addition, they even serve in the boardroom within some health care organizations. Leadership doesn’t necessarily mean a nurse in a manager position, but a nurse who has an influence on staff.

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The evolution of the United States healthcare delivery system has significantly influenced many areas of nursing practice, education, and leadership. The evolving healthcare delivery system impacts nursing practice because nurses have assumed expanded roles and responsibilities, including care coordination, patient education, and advocacy, and are adopting evidence-based practice and quality improvement initiatives to enhance patient outcomes. Another way the healthcare delivery system enhances nursing practice is by emphasizing cultural competence and addressing disparities in healthcare access and outcomes to create optimal outcomes for all patients, regardless of population. The evolution of our healthcare delivery system impacts nursing education by adapting to meet the demands of a changing healthcare workforce.

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Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).

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Both American Association of Colleges of Nursing and Quality and Safety Education developed nursing competencies for Nurses. In The Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, this report requesting advanced education for nursing, and improvement in nursing education process. Nurses today are being asked to participate in quality, to further education, and to develop skills and abilities to lead.

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As there continues to be an initiative to improve quality healthcare while simultaneously reducing costs, the importance of the nurse with advanced education in transforming healthcare delivery and healthcare policy will continue to grow. Opportunities for nurse managed health clinics, quality nursing research to improve evidence based practice, leadership of multidisciplinary health management teams and change agents in health policy and improved patient outcomes make the nurse with advanced education the “escape fire” in health care now and in the

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By completing the CCN’s, MSN degree program the nurses will become competent in the nine Essentials core areas to provide diverse care in any healthcare

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Leaders have an ability to empathise with their colleagues, an effective leader will be followed by staff that feel supported by them. Nurses are now working with more accountability and autonomy, this means there is an increased need for leadership skill among all nursing staff. It is not only required by those in a position of management but also by staff nurses on the ward who have a responsibility to demonstrate leadership skills when dealing with nursing students and healthcare assistant staff (Harris et al, 2006). Leaders create a shared vision among staff and empower them to make their own decisions. Leaders empower other staff converting dutiful sub ordinates into the leaders of the future (Cutis, E et al., 2011).

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(Nursing Times). Nursing is gaining influence in all aspect of healthcare practice, therefore it is important for nurses to develop good leadership skills at the early stage of their practice which is the key to all nursing career and nurse managers can become good leaders with effective training and enhancement of their skills in leadership. Most nursing managers are tossed around by their leaders when they themselves are leaders in their capacities. A nursing manager aspiring to become a leader must be committed to excellence and passion for patient’s advocacy, employee’s protection and be a role model, living by example.

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They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or

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