DQ: Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry

The future of nursing education will need to be focused on preparing future nurses differently than how they were trained in the past.  Diversity and health equity is a big concern for this nation and as such, recruiting diverse students to tend to the needs of the diverse population.  Nurses need to be prepared to meet the challenges of Social determinants of health (SDOH) most notably healthcare access and quality as well as healthcare equity-this will need to be started in their education to be integrated in their practice.

I agree that integrating SDOH, health equity and population health is needed moving forward in nursing education.  Analyzing social determinants of health is needed to be able to understand the health concerns in diverse populations.  In the area that I live in we have a large population of Marshallese who view health care as a spiritual practice.  And due to lower incomes as well as multiple family members who all live in close quarters together, health care can be a challenge.  Understanding social determinants of this population and perhaps recognizing any social biases will be needed to be able to care for this population.

I agree with reports of the evolution of APRN’s as I have seen an increase in my work life as well.  It was noted in the report that advanced degree nurses has been growing-we are acting as scientists for research and executives which is newer accomplishment for the nursing profession and advancement as a whole for the advanced practice nurse ( NAM,2021).  Higher education of ARN’s is what is needed to make effective change in years to come.


National Academies of Sciences, Engineering, and Medicine. (2021). The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity

DQ Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry

NUR 513 Topic 1 Discussion 2

You will find important health information regarding minority groups by exploring the following Centers for Disease Control and Prevention (CDC) links:

  1. Minority Health:
  2. Racial and Ethnic Minority Populations:

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This article focuses on specializing nursing professionals, exploring opportunities, advancements, and pristine outlooks toward the future. Nurses are defined yet underrepresented as they serve important roles in serving, caring and helping people.

As new ideas and technologies are introduced, nurses should be trained, and exposed to more inventories that make them even more skilled to withstand the pressures of new diseases, new illnesses, and treatment plans. Moreover, the policies and regulations fall on various departments below that reinforce “policymakers…leaders and educators” (National Academies of Sciences, Engineering, and Medicine, 2021). In the coming ten years, the nursing workforce will need to be stronger and more diverse to deliver care, promote health and well-being among nurses, persons, and communities, and address the systemic injustices that have driven widespread and persistent health inequalities. Besides a solid notion comes from within being healthy and how people appreciate living in a positive way, this is generated from one’s individual’s assessment of oneself. Experiencing a pandemic like COVID-19 enabled people to witness the significance of nurses and how their presence, work, and service are precious. Adding on, factors like diversity contribute towards the overall thoughts of acceptance, and open-mindedness, and also promote a safer, rich and learning environment for prospective and current nurses. Having a balanced number of men and women also denotes the uphill trend of nursing as “NCSBN survey noted men … account for 9.4% of RN workforce” indicating a “0.3% rise from 2017” (Robert, 2023). Lastly, I agree with how nurses should be recognized more, they should be appreciated more, taught, and given more exposure to every latest possibility.



National Academies of Sciences, Engineering, and Medicine. 2021. The Future of    Nursing 2020-2030: Charting a Path to Achieve Health Equity. Washington, DC: The National Academies Press.


Home. American Association of Colleges of Nursing. (n.d.).


The Institute of Medicine (IOM) recommends that, in order for the healthcare industry to meet the rising demand for quality and affordable care, there is need to redefine and redesign the nurse training framework to march with the emerging trends in healthcare. Among the recommendations for nursing education to promote effectiveness include expanding the nursing faculty and improve the capacity of the available nursing schools. Additionally, there is need to reframe the nurse training program to expand the scope of training and ensure that the nurses graduating with the BSN are well trained on incorporation of technology, research methods, basic statistical data analysis and interpretation and above all they are well equipped to provide education to the patients and emphasize the current role of nursing profession. According to the ACA, the nurses are not only supposed to offer intervention measures in terms of treatment and taking care of the sick but they should also put the preventive measures on the forefront of their care services. It is imperative that the nurse training institutions help the student nurses sharped their communication skills and instill some pedagogical skills to help them deliver the message of health promotion measures as a way of improving healthcare and promoting quality life (Cleveland et al., 2019). I do agree with the IOM on about the evolving role of the advanced nursing practice. The recommendations remove the restrictions on the scope of practice of the APRN and allows them to practice to the full extend of their education and training (Salmond & Echevarria, 2017).



Cleveland, K., Motter, T., & Smith, Y. (2019, May). Affordable Care: Harnessing the Power of Nurses.

Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopaedic Nursing, 36(1), 12–25.



Who regulates APRN scope of practice?


The regulatory mandate for the APRN practice is regulated by the state’s boards of nursing. Each state has its own regulatory laws that govern the scope of practice of the APRNs (Staff Writers, 2019). In some states the full practice is allowed while some they have the limited practice regulation. The full practice regulation also has three other categories. There are those states that allow full practice without the transition period, some allow collaboration between the NP and the APRN, while some allow collaboration with physicians only. Likewise, the restrictive practice regulation has two folds, those that restrict only the authority to prescribe while other states have more than the prescriptive restrictions (STATE LAW FACT SHEET: A SUMMARY OF NURSE PRACTITIONER SCOPE OF PRACTICE LAWS, IN EFFECT APRIL 2016, n.d.) Apart from having the boards of nursing regulating the scope of practice other laws and policies from the federal government regulatory boards may play part in the regulatory aspects.

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Staff Writers. (2019, November 15). How Does NP Practice Authority Vary By State?;



This assignment focuses on the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Use clinical examples, discuss whether you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving.

Explore this CAT : Explore the six aims of IOM.

Re: Topic 1 DQ 2

In the Institute of Medicine (IOM) report title “The Future of Nursing: Leading Change, Advancing Health” (2011), the IOM recommended changes to the nursing profession in order to improve patient outcomes. One of those recommendations is to “ensure that nurses can practice to the full extent of their education and training” (Institute of Medicine, 2011). These is probably the most important aspect of the IOM report because although we are facing a shortage of primary care providers in the country, many regulatory bodies still put boundaries in place for nurses trying live up to this recommendation. There are currently only 20 states in America that allow Nurse Practitioners to practice without a supervising physician (Full Beaker, Inc., 2021).

Another recommendation from the IOM report is that nurses should achieve higher levels of education (IOM, 2011). While I agree wholeheartedly with this recommendation on the surface, I believe that it may help and hurt the profession. Nurses should be expected to achieve higher levels of education and continue their education throughout their career because its just the right thing to do. Health care is changing constantly and nurses should keep up with those changes in order to keep patients safe. However, if the minimum educational level for entry into the nursing profession were to be changed to a baccalaureate degree it would prevent many people from entering the profession in the first place. The time and cost involved may be a deal breaker for many. In addition, with the nursing shortage getting worse every year we should not increase the time it takes nurses to obtain licensure. I know that for me, if I had to go straight through for a bachelor’s of science in nursing, rather than obtaining my associates degree, I would probably have chosen a different profession.


Full Beaker, Inc. (2021). Career Guide Series: Nurse Practitioner. Retrieved from,on%20certain%20patient%20care%20decisions.

Institute of Medicine (IOM) (2011). The Future of Nursing: Leading Change, Advancing Health. Retrieved from


I do agree with you that one of the best recommendations by IOM about the role of the advanced registered nurse practice is to allow the nurses practice to the full extend according to their level of training and education. This has a direct impact on the effect of shortage of primary care providers in the sense that it will relieve the pressure on the already outstretched and overwhelmed primary healthcare providers. Additionally, the same concept was emphasized by the Center for Medicare and Medicaid Services (CMS) which broadened the concept of “medica staff” (Altman et al., 2016). This is meant to ensure that all healthcare facilities allow other healthcare practitioners like the APRNs to perform a number of roles that is within their area of training, practice and experience. Healthcare organizations that apply these recommendations are bound to be effective in terms of offering timely primary care for the patients and ease the pressure on the physicians. Additionally, this will encourage multidisciplinary health collaborations that are likely to result to high quality services and improved patient outcomes (Leach et al., 2017).


Altman, S. H., Adrienne Stith Butler, Shern, L., Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health, Institute of Medicine, & National Academies of Sciences, Engineering, and Medicine. (2016, February 22). Removing Barriers to Practice and Care.; National Academies Press (US).

Leach, B., Morgan, P., Strand de Oliveira, J., Hull, S., Østbye, T., & Everett, C. (2017). Primary care multidisciplinary teams in practice: a qualitative study. BMC Family Practice, 18(1).

Re: Topic 1 DQ 2

The text The Future of Nursing: Leading Change, Advancing Health has a couple of recommendations for nursing education which is believed will bring about positive change in the nursing field. One of the recommendations I believe will be radical in bringing about change within the industry is increasing the number of nurses with a baccalaureate degree by 80% by 2020. Although it is past 2020, there is an ever-growing need for nurses who are skilled and knowledgeable enough to take up the continuously growing challenges of the health care system. This recommendation requires public, private, and organizational structures to come together and offer scholarships, funding, and loan forgiveness for nursing education. Employees should encourage workers with associate degrees to go back to school and get their baccalaureate degrees in return for paying their tuition and offering promotions or salary increments at work. I have gained from this arrangement. My workplace has a degree of scholarship they offer for further education. Worthy of note is the need for diversity in race/ethnicity, gender, and geographical distribution. This is one of the solutions to the problem of health inequity in the US. Mistrust of white health personnel, for example, hinders Black folks from seeking medical attention and instead self-medicate. Availability of diversity would make health care more accessible to diverse populations.

The second recommendation I most agree with is ensuring that nurses engage in lifelong learning. If the faculty collaborates with health systems and updates their curriculum and competencies, they will be a better fit to teach the upcoming generation in the ever-upgrading health care system. In the same way, student nurses graduate from colleges better equipped for real-life challenges. This saves a lot of cost and time for health care systems in orientations. When I started working at first as a nurse, there were things I believe would have been better equipped for if it was taught in school. Although I learned on the job, learning from school would have prepared me better.

I agree with IOM’s description of the evolving role of Advanced Practice Registered Nurse. It described the evolving challenges of health care, for example, chronic conditions, an aging population, a more diverse population, health disparities, and limited proficiency in English Language and how APRN has been trained to meet these evolving needs with seamlessly coordinated care, coaching, and innovation.

The report that the Institute of Medicine (IOM) published in 2001 was information that was attempting to depict how the health system should have planned for its improvement. One of the six subjects that was inadvertently pushed aside was equity. There is inequity in health care. “Social determinants of health (SDOH) as defined by the US Centers for Disease Control and Prevention (Centers for Disease Control) are the conditions in which people live, learn, work, and play that are determined by the distribution of money, power, and resources and that affect a wide range of health and quality of-life risks and outcomes” (Macias-Konstantopoulos et al., 2023, p. 907). The health care field is not a level playing field. Insurance has a major influence unfortunately. There is a great push from the administrative staff to make sure that all the paperwork is correctly filled out to get the hospital its money. So yes, the hospital is a business, but it becomes overshadowed by the politics of reassuring that some form of payment is also filed in the patient’s profile as well.

When the healthcare professional has direct patient contact, then they should not have to think about any sort of money exchange. Their focus is improving the patient’s current health care status. Providing health equity should be a given. Having worked in a county hospital, I was able to see how patients were obviously in the hospital because they were unfortunately the ones without insurance and also more so the ones who did not receive preventative care. Therefor they are now in worse shape than they would have been if they had received preventative care to begin with. The evolution of the advanced practice registered nurse will greatly benefit those who require preventative care but are just out of reach of the physician’s care. Having the option to seek care prior to desperately needing care would be extremely beneficial to the patient and extremely cost effective to the health care system.

Macias-Konstantopoulos, W. L., Collins, K. A., Diaz, R., Duber, H. C., Edwards, C. D., Hsu, A. P., Ranney, M. L., Riviello, R. J., Wettstein, Z. S., & Sachs, C. J. (2023). Race, Healthcare, and Health Disparities: A Critical Review and Recommendations for Advancing Health Equity. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(5), 906–918.