NRS-440V IOM Future of Nursing Report and Nursing Solved
In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
IOM Future of Nursing Report
Over the past years, the climate of the health care practice and policy has been changing. This has sharpened the national government’s focus on the impediments of providing affordable and high-quality care to the increasingly aging and diverse population. The assessment and management of the population health needs require the collaboration of different health professionals to ensure the provision of coordinated, specialty, community-based, and patient-centered health services. Nurses comprise the majority of the health care providers. The Institute of Medicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health, was released to improve the health experiences in the United States. The purpose of this paper is to explore the IOM report and how it has continually advanced the goals of the nursing profession as well as to discuss the roles of state-based coalitions, the initiatives the coalitions spearhead, barriers to advancement, and how the California state tries to overcome these barriers.
The Work of the Robert Wood Foundation Committee Initiative
The Future of Nursing report explores how nurses’ various roles, education, and responsibilities should be changed to meet the demands of the increasingly complex America’s health care system (Institute of Medicine, 2011). Altman et al. (2017) assert that the report was published at an auspicious moment when it was necessary to lower costs, improve public health, and better patient experiences in the United States. The Robert Wood Johnson Foundation (RWJF) launched a campaign (The Future of Nursing: Campaign for Action) to assist in implementing the report’s recommendations.
The RWJF initiative came into place when the Robert Wood Johnson Foundation approached the Institute of Medicine (IOM) to prepare a report of the challenges facing nurses and the solutions to counter them. The committee held public gatherings and meetings to gather the information presented as topics in their work. The foundation also undertook extensive studies on various factors affecting nursing, studying, reviewing, and analyzing collected data to assess conditions prevalent in nursing education and profession. They later came up with recommendations on improving and creating an efficient health care system. IOM and the RWJF concentrated on the relationship between health professionals and their services.
The Four Key Messages that Structure the IOM Report
The IOM report has four key messages. These are the need to transform practice, transforming education, the need to transform leadership, and the need for better data on the health care workforce. The key message in the first recommendation is that nurses should practice to the full extent of their training and education (Sullivan, 2018). The report recognizes that maximizing the unique contributions made by nurses to the health care team can ensure that all people access quality health services. The message recommends removing financial, policy, and regulatory barriers that limit nurses, including Advanced Practice Registered Nurses (APRNs), to working in acute care settings. Nurses must disseminate their roles and bridge gaps between coverage and access to care. The report recommends more nurses become primary care providers, care coordinators, health coaches, health team leaders, and informaticians in various settings. As Salmond and Echevarria (2017) observe, nursing roles have transformed over the years, with nurses acquiring more competencies in skills, attitudes, and knowledge that enable them to lead and ensure system wide success. They have also bridged the gaps in access to care by providing more community-based health services.
The key message in the second recommendation is that nurses progress academically to improve their levels of education and training. The report encourages nurses to seek higher training and education to equip them with knowledge and skills to meet future challenges, novel and diverse health needs. Higher education also equips nurses with a deeper understanding and greater competencies. Nurses have continued to advance their training, with many nurses trained at the master and doctorate levels. Sánchez-Gómez et al. (2019) note that nurses with advanced training possess advanced health assessment skills, more professional autonomy, decision-making, and diagnostic reasoning skills. They fill several needs within the health care system. The proportion of nurses who hold degrees at the baccalaureate level and above is 56% (American Association of Colleges of Nursing, 2019). This reflects a significant increment since the IOM report was released when the national average of registered nurses with BSN or higher degrees was 49%.
The third message encourages nurses to partner with physicians and other health care professionals. Partnering tends to improve coordination and communication, which improve the safety and quality of patient care. Nurses are also encouraged to take active roles in different leadership roles. This has been reflected by nurses taking forefront positions in healthcare settings and issues even globally.
Lastly, the report recommends the necessity of an improved information infrastructure. Strong data support assists in making decisions for effective policy changes. There has been increased growth in nursing informatics and the use of electronic medical records, which have improved efficiency, hastened the decision-making process, and enabled more coordinated patient care, improving the quality and safety of health services. These have improved patient outcomes and satisfaction levels with great margins.
Roles of State-Based Coalitions
A mosaic of partners makes up State-based action coalitions. They bring different stakeholders together, including providers, consumers, businesses, and policymakers, being led mutually by nursing and non-nursing staff. These coalitions form strong networks that make and maintain health care advancements. The action units have leveraged local community power, enabling nursing to create healthier communities. The action coalitions develop strategic plans depending on the geographical and local needs to implement the IOM’s report recommendations and realize the campaign’s objectives. The coalitions have assisted in realizing the goals outlined in the IOM report identifying desirable changes to be achieved, coming up with the best practices, and sharing the laid down strategies. Additionally, they conduct research to identify effective models to deliver safe and quality health care services.
Initiatives in California
The California Action Coalition (CA AC) offers a unified statewide voice for nurses. It was launched in late 2011, following the release of the IOM report. CA AC has placed much focus on partnerships, with their relationship with HealthImpact increasing the potential to see citizens in California high-quality access care offered by nurses. The coalition also focuses on initiatives related to the report recommendations on practice, education, and leadership (California Action Coalition [CA AC], 2021). The California Action Coalition has made considerable progression in academic progression. This has developed nurse leaders to fill positions and solve problems now and in the future. Nurses can also fully practice to the extent of their training and education. As CA AC develops and implements new strategies to meet the report’s recommendations, they have continually improved the health of California’s residents.
Barriers to Advancement
Despite the crucial roles fulfilled by coalitions, their progress is hampered by several drawbacks. Inadequate finances are one of the greatest barriers to progress in my state. Coalitions require adequate finances to fully promote and advance their agenda and ensure continuous improvement of activities. Low funds can also lead to underpaying nurses, demotivating them and causing a high turnover rate, leading to a nursing shortage. This would lead to increased burnout and compromised quality and safety of services offered to the citizens. Nursing advocates reach out to more stakeholders to mobilize more funding to mitigate this challenge.
Conclusion
Nurses are committed to responding to the challenges experienced in health care, improving the safety and quality of health services. The IOM report is an essential rule which empowers nurses to deliver better and quality care that is sustainable and accessible. Other health professionals should collaborate with nurses in the pursuit to transform the health care system. The California state-based coalition supports the IOM report’s recommendations and places conscious efforts to overcome barriers that hinder advancement.
References
Altman, S. H., Butler, A. S., 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. (2017). Introduction. Nih.gov; National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK350168/
American Association of Colleges of Nursing. (2019). AACN Fact Sheet – Impact of Education on Nursing Practice. Www.aacnnursing.org. https://www.aacnnursing.org/news-information/fact-sheets/impact-of-education#:~:text=Currently%2C%20only%2056%20percent%20of
California Action Coalition (CA AC). (2021). California Action Coalition (CA AC). HealthImpact | Optimizing Health through Nursing. https://healthimpact.org/programs/california-action-coalition/
Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. National Academies Press. https://doi.org/10.17226/12956
Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). Key Messages of the Report. In www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK209881/#:~:text=During%20the%20course%20of%20this
Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopaedic Nursing, 36(1), 12–25. https://doi.org/10.1097/nor.0000000000000308
Sánchez-Gómez, M., Ramos-Santana, S., Gómez-Salgado, J., Sánchez-Nicolás, F., Moreno-Garriga, C., & Duarte-Clíments, G. (2019). Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context. International Journal of Environmental Research and Public Health, 16(5), 680. https://doi.org/10.3390/ijerph16050680
Sullivan, T. (2018, May 5). Institute of Medicine Report – The Future of Nursing: Leading Change, Advancing Health. Policy & Medicine. https://www.policymed.com/2011/02/institute-of-medicine-report-the-future-of-nursing-leading-change-advancing-health.html
Nurses are the healthcare professionals who tend to spend most of their time with patients, which makes them develop close relationship with them. As such, nurses play an essential role in enhancing patient care and health care system risk facing negative impacts without nurses’ contribution. The adoption of the IOM report on the future of nursing is a critical move towards empowering nurses to provide superior health care by improving the health care delivery system, improving the capacity of nurses to undertake scientific research, and equip nurses to take leadership positions. Eventually, these factors ensure enhancement in patient outcomes and also reduction in health care costs. Consequently, the purpose of this paper is to delve into the IOM Future of Nursing Report and Nursing by providing a description of the work of the Robert Wood Foundation Committee Initiative that led to this report, detail the key messages in the report, highlight the role of state -based action coalitions in advancing the report, provide some initiatives by state action coalition, barriers experienced by state action coalitions, and how to overcome the barriers.
Description of the Work of the Robert Wood Foundation Committee Initiative that Led to the IOM Report
The work of the Robert Wood Johnson Foundation (RWJF) committee initiative that led to IOM report was necessitated by widespread challenges that nurses encountered in their practice. The issues were attributed to the ever evolving and complex nature of health care system that nurses had problems in handling, thus, interfering with their practice. Therefore, it was imperative to reform nursing practice by addressing the challenges that nurses encountered and prepare nurses to actively participate in health care improvement and remain updated in the face of changing health care system and technological development.
Informed by these nursing challenges, the RWJF committee initiative opted to determine the nursing practice in various health care settings across the US. After conducting the assessment, the RWJF established that there was huge disparity in the nursing competencies and academic credentials. Moreover, the committee noted that there is need to create mechanisms that could motivate nurses to work to the full extent of their competency and deliver quality care in the future. To realize these objectives, the RWJF committee initiative reported that nurses need to be given superior training and education that are supported by the quality education system (National Academies of Sciences, Engineering, and Medicine, 2016). Overall, the work of the RWFJ committee initiative was to conduct the assessment and make recommendations on what could be done to change the future of nursing profession and the action that could be taken to be successful in changing the future of nursing practice.
The culmination of the RWJF work was the formulation of the IOM report dubbed, “The Future of Nursing: Leading Change, Advancing Health.” This report entailed detailed evidence-based plans on how to improve nursing practice and to better the future of nursing. Among the major proposals in the report included ensuring capacity building of nursing training institutions, ensuring nurse residency programs, striving for 80% of nurses with baccalaureate degrees’ qualification and having more nurses with doctorate degrees. The report also called for the creation of flexible nursing programs that are future oriented to facilitate continuous nursing education.
Key Messages in the IOM Report Recommendations
The IOM report recommendations on the future of nursing contained four key messages. The first message in the recommendations entails the idea that nurses need to practice to the full extent of their training and qualifications. In this message, the federal and state governments are tasked with the responsibility of ensuring that the rules relating to the nursing practice to the full extent of the training are regulated and updated to ensure that patients receive quality health care services delivery. The second message in the IOM report recommendations entails calling upon nurses to seek advanced education and training through enhanced education system that facilitates flawless academic advancement. The intent of this message is to have sophisticated structuring of nursing education to foster direct and seamless advancement to higher nursing education levels. Improving nursing education system is also essential in equipping the existing and future generation of nurses with competency to provide safe, quality, and patient-oriented care in different health care organizations (Arzouman, 2016).
The third message on the IOM report recommendations is that nurses ought to work as full partners with other health care professionals including physicians in an effort to restructure health care system in the country. Full partnership implies that nurses should be fully accountable and take active roles in the identification of the issues and factors that contribute to wastes in health care, tracking health care improvements, designing and implementing improvement measures, and taking actions to achieve desired goals. As such, it is imperative for nurses to acquire core competency in leadership at all levels of nursing profession to realize the objectives of this message. Nurses are also advised to actively engage in policy areas to help in influencing nursing profession by joining commissions, boards, and committees to advocate for the nurses.
Finally, the message in the report calls for sophisticated management of data and information infrastructure to ensure effective workforce planning and policy development (Arzouman, 2016). The report proposed that the health care system needs to have universal methods of determining the number and type of nursing professionals, where they are employed, their tasks, responsibilities, and activities. The data will play a significant role of recognizing critical areas that require improvement and used to make future nursing workforce needs and influence changes in the nursing profession.
Role of State-Based Action Coalitions
The health care system in the US is organized in a way that every state has its unique health care regulations, laws, and programs. State-based action coalitions were developed to facilitate more participation and possession of the IOM report by the nursing practitioners, public health organization, private health organizations, and state governments. The coalitions get directives from the RWJF and the Center to Champion Nursing in America (CCNA) to enable them deliver universal health care programs in all states. The RWJF and the CCNA partner with state-based coalitions to equip them with information and campaign resources, inter-state knowledge sharing, foster communication, and provide planning tools including technical support in utilization of the tools (Gimbel et al., 2017).
Initiatives by Pennsylvania State Coalitions
The initiatives by state coalitions in Pennsylvania include endeavor to define the responsibilities of nurses in health care delivery and to create ground for full nursing practice. The coalitions also consult widely with coalitions from other states to create a standard structure of nursing course for various nursing education levels in the respective state. However, the effort to attain these objectives is compromised by various barriers including disparity in educational qualification and competency levels among nurses drawn from distinct specialties. This barrier can be addressed by encouraging and helping nurses to acquire higher education and continuous training.
Conclusion
Based on the IOM report on future of nursing, it is clear that the intention of the report is the focus on the vital relationship between nursing practice actions and the diverse population health requirements. From the recommendations of this report, nurses should strive to advance their education and engage in more training to meet the diverse needs and cover many specialty areas in nursing practice, which is crucial in delivery of superior patient-oriented health care. Ultimately, the success of the IOM report on future of nursing will ensure reduction of health care costs and improve health care delivery.
References
Arzouman, J. (2016). The future of nursing 5 years later–where are we now?. MedSurg Nursing, 25(1), 5-7. https://go.gale.com/ps/anonymous?id=GALE%7CA444912931&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=10920811&p=AONE&sw=w
Gimbel, S., Kohler, P., Mitchell, P., & Emami, A. (2017). Creating academic structures to promote nursing’s role in global health policy. International Nursing Review, 64(1), 117-125. https://doi.org/10.1111/inr.12338
National Academies of Sciences, Engineering, and Medicine. (2016). Assessing progress on the Institute of Medicine report The Future of Nursing. National Academies Press.
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The IOM future of nursing report and nursing underscored the crucial need for developing a leadership plan of action that harness nurses’ potential to spur change and advance health and health care by coming up with innovative educational opportunities and professional growth opportunities (Tierney et al., 2020). The purpose of the essay seeks to discuss the impact of the IOM report and state-based action coalitions on nursing practice, nursing education, and nursing workforce growth, and how they continue to advance the goals for the nursing profession.
The Obligation of the Robert Wood Foundation Committee Initiative
The Committee was responsible for producing a report having proposals for an action-oriented roadmap for nursing, including changes in public and institutional regulations at the national, state, and local levels. The report emphasized four main areas as far as advancing the nursing profession is concerned. The four segment recommendations include: nurses should practice to the full potential of their education and training; nurses should achieve higher levels of instruction and training through an enhanced education system that encourages seamless academic progression (Hassmiller & Reinhard, 2019). Further, the report proposed nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States. Moreover, they emphasized effective workforce planning and policy-making that called for better data collection and an improved information framework.
The influence of four key recommendations on nursing practice.
The recommendations emphasized that nurses use their education, training, and competencies and collaborate with other medical staff to avail higher quality care, decrease errors, and increase safety. The four key messages have underscored the need for the inclusion of evidence-based practice in nursing practice, which has provided nurses with scientific research and real-time, data-driven insight to make well-founded decisions (Tierney et al., 2020).
Through EBP, nurses are updated about new medical protocols for patient care. Additionally, the recommendations have encouraged and enhanced strong leadership that has transformed the health care system in the United States. In addition, nurse leaders have become designers, implementers, and evaluators, as well as playing the role of advocacy for reforms to the relevant systems. Furthermore, nursing research and practice have developed evidence-based improvements to care, leading to policy changes across the health care systems (Tierney et al., 2020). In sum, the recommendations have influenced and enhanced the population health needs assessment and management and collaboration of health professionals enabling the provision of patient-centered, coordinated, and community-based primary and specialty care services.
The role of state-based action coalitions.
State Action Coalitions work to advance the proposals of the IOM report. Additionally, the coalitions help increase the goals specified in the IOM report and are led by nurses and business partners; they aid spur change locally by working to transform health care through nursing and build healthier communities (Wakefield et al., 2021).
The Initiatives On Which New York State Action Coalition is Working
In sum, the initiatives spearheaded by the New York action coalition comprise improving health equity, building healthier New York communities, improving access to care in the states, and promoting nursing leadership. In addition, they work to increase diversity in nursing, transforming nursing education, collecting workforce data, and enhancing Interprofessional collaboration (Dorritie et al., 2020).
The barriers include a lack of understanding of the role of the coalition. Similarly, a lack of professional recognition, poor physician relations, and poor administrator relations pose limitations to the advancement of the work. Further, other challenges include the nursing shortage and the issue of aging of the nursing workforce, and a lag in nursing salaries;
Despite the barriers, nurse, through their membership with health organizations and associations, has continued to advocate for better health care access and education of their members and addressing salient healthcare policy decisions in an atmosphere of problem-solving and responsibility.
Conclusion
The IOM future of nursing report emphasized the need for developing a leadership plan of action that harness nurses’ potential to spur change and advance health and health care by coming up with innovative educational opportunities and professional growth development opportunities. The four segment proposals have enhanced access to healthcare and improved the nurse profession through the work of state-based action coalition. However, the recommendations have faced barriers. Despite the obstacles, nurses in New York have continued to address the critical healthcare policies through responsibility and training.
References
Dorritie, R., Fiore-Lopez, N., & Sonenberg, A. (2020). Leading for change: Nurses on boards. Nursing Management, 51(3), 14-20. https://doi.org/10.1097/01.NUMA.0000654844.72394.8f
Hassmiller, S. B., & Reinhard, S. (2019). The Robert Wood Johnson Foundation and AARP Story:: How Our Partnership Advanced the Future of Nursing. Nurse Leader, 17(5), 399-403. https://doi.org/10.1016/j.mnl.2019.07.005
Michael, R. D., Webster, C. A., Egan, C. A., Nilges, L., Brian, A., Johnson, R., & Carson, R. L. (2019). Facilitators and barriers to movement integration in elementary classrooms: a systematic review. Research Quarterly for Exercise and Sport, 90(2), 151-162. https://doi.org/10.1080/02701367.2019.1571675
Tierney, M., Finnell, D. S., Naegle, M., Mitchell, A. M., & Pace, E. M. (2020). The Future of Nursing: Accelerating gains made to address the continuum of substance use. Archives of Psychiatric Nursing, 34(5), 297-303. https://doi.org/10.1016/j.apnu.2020.07.010
Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. National Academy of Sciences. https://doi.org /10.17226/25982
Assignment 1: The Future of Nursing 2020-2030 Report
Nursing remains a core component of healthcare delivery with nurses numbering to over 4 million in the country. Nurses are leading change and advancing health in different roles and specialties. As the frontline care providers, nurses must be prepared at different levels to overcome the challenges and demands of health care delivery (Wakefield et al., 2021). The National Academies of Sciences, Engineering, and Medicine produced the latest report on nursing which provides recommendations over the next ten years on what nurses and other stakeholders should do to have a stronger and more responsive nursing profession. The purpose of this paper is to discuss the influence of the report titled “The Future of Nursing: Leading Change and Advancing Health” and state-based action coalitions on nursing practice, nursing education and the development of the nursing workforce. The paper also ascertains how these entities advance the goals of the nursing profession.
Work of the National Academies of Sciences, Engineering, and Medicine
The National Academies of Sciences, Engineering and Medicine are three entities that worked together to produce the report on the future of nursing 2020-2030. The report is based on the Institute of Medicine (IOM) and Robert Wood Johnson Foundation (RWJF) who partnered in 2009 and through their works produced “The Future of Nursing: Leading Change, Advancing Health,” that set a vision for nursing in 2020. The Work of the three academies consisting of the National Academy of Science, the National Academy of Engineering, and the National Academy of Medicine. The three worked collaboratively to offer independent, objective analysis and advice to the country and carry out other activities to address complex problems and inform decisions on public policy (National Library of Medicine, 2021). In this regard, the Academies worked with critical stakeholders and State Action Coalitions to develop the report as a response to the previous one and if the key messages were attained.
The work that led to the current report entailed analysis of present issues affecting the nursing profession, and the need to have a stronger nursing workforce to tackle these challenges. The report explores the role of nurses in reducing health disparities and promote equity. The report demonstrates how nurses cab keep costs at bay, use technology and maintain patient and family-focused care in the next eight years to 2030 (NCSBN, 2022). The working of the National Academies is explicit that it built on the foundation established by the previous report on the nursing profession by the Institute of Medicine and RWJF.
Trends in Nursing Workforce and Nursing Education to Meet the Needs of the Profession
The report notes that different trends will influence the over 4 million nurses in the country. The trends include the intersection of nursing and health, education and communities. Secondly, nurses will work in a wide range of setting and practice based on their professional levels and specialties. Thirdly, the report notes that nurses will continue to be the first and most frequent line of contact between the healthcare system and people from diverse backgrounds and experiences who want care (Wakefield et al., 2021). Fourthly, nurses represent the largest component of health care professions and must live up to this distinction to offer.
The report observes that the nursing workforce has a critical role to ensure that all people live healthy lives and thrice. Nurses have a key role of attaining the goal of health equity and ensuring that communities and individuals can access quality care at all times (Nicholas et al., 2021). However, nurses need a strong educational background and a supportive work environment as well as increased independence or autonomy in their work settings to attain these goals.
Nursing education is adopting to meet the evolving needs of the profession in different ways. Firstly, nursing education continues to expand to ensure that nurses can learn to the fullest desire and academic goals that one wishes attain. Professional nursing education focuses on improving nurse competencies and skills to deliver quality care in different settings (National Library of Medicine, 2021). The nursing education emphasizes acquisition of skills and competencies essential in offering care to diverse populations as the nation experiences increased care demand due to an aging population.
Nurse plays a critical role in leading change in healthcare as patient advocates and healthcare professionals. Nurses are the first contact between the healthcare system and patients and health population, irrespective of their practice settings. Therefore, as advocates, they lead change through implementation of innovative and evidence-based practice (EBP) interventions to improve care provision (Wakefield et al., 2021). Nurses lead change by focusing on primary care delivery as opposed to curative care. They lead change by health promotion initiatives in their practice settings, through research and joining policy formulation activities.
Role of State-Based Action Coalitions
As posited, nurses play a critical role in care delivery right from local to state and federal levels as leaders and patient advocate. In its development of the nursing report in 2009, the Institute of Medicine (National Academy of Medicine) recognized that critical role of state-based action coalitions in attainment of its four recommended messages on improving the nursing profession. The implication is that state-based coalitions work at state levels to encourage and advocate for the implementation of these recommendations (Hassmiller, 2021). Nurses and business partners lead these coalitions with the aim of driving change at the local level by working to transform health care. Nurses in these coalition focus on the building of healthier communities and ensuring increased health equity with reduced disparities. According to the Campaign for Action, state have collectively raised over $110 million by 2021 in creating healthier communities through nursing.
These coalitions are advancing the goals specified in the National Academy of Sciences’ report by developing local interventions by nurses to improve care and promote healthier communities. The ultimate goal of the report is to the attainment of health equity in the country built on robust nursing capacity, experience and expertise (Wakefield et al., 2021). These coalitions are led by nurses with diverse skills and expertise to enhance overall level of care in communities.
Initiatives of Florida Action Coalition
The Florida Action Coalition focuses on providing leadership to advance the nursing profession to increase access to safe, and high quality care for Floridians. The coalition’s two main initiatives include lobbying for changes to increases access to healthcare for Floridians. The initiative led to passage of bills that will allow the state to provide health care access for over 21 million residents from advanced practice registered nurses (Campaign for Action, 2022). The law establishes a pathway for nurses to attain full practice authority for both nurse practitioners and certified nurse midwives (CNMs). The law means that nurse practitioners will no longer need to be under physician supervision to offer care.
The second initiative is the reorganization of the Acton Coalition in 2021 with the aim of making it responsive to issues affecting care delivery and the role of nurses. The mission of the reorganized coalition is to foster health equity and improving outcomes through nursing and interdisciplinary collaboration (NCSBN, 2022). The initiative advances the nursing profession as it allows nurses to have a better approach to health care provision for the benefit of the majority in Florida.
Barriers to Advancement in Florida
The primary barrier to practice for nurses in Florida is the lack of full practice authority where nurses must work under the supervision of physician. Studies show that expanding the scope of nurses lead to increased access to primary care services and assists in reducing costs. Nurse practitioners offer safe, high quality and cost-effective healthcare. The state laws in Florida do not recognize nurses as primary care providers and this limits their practice. However, nursing advocates through the Action Coalition in the state continue to advocate for passage of bills as pathway to full practice (Campaign for Action, 2022). These efforts have led to enactment of laws to ensure that nurses practice to full authority to help combat emerging conditions like the COVID-19 pandemic.
Conclusion
Nurses continue to be a core component of healthcare sector because of the role that they play as first contact between the health system and patients. The report by the National Academies of Sciences, Engineering, and Medicine on the future of nursing shows that the profession plays an important role and requires a robust foundation to deliver quality care by navigating the different issues affecting access to care and quality. State-based Action Coalitions help nurses to lead changes at the state level as illustrated by the Florida Action Coalition.
References
Campaign for Action (2022). Florida Action Coalition.
https://campaignforaction.org/state/florida/
Hassmiller, S. B. (2021). The future of nursing 2020-2030. AJN The American Journal of
Nursing, 121(5), 7. DOI: 10.1097/01.NAJ.0000751020.95176.0c
National Library of Medicine (2021). The Future of Nursing 2020-2030: Charting a Path to
Achieve Health Equity. https://www.ncbi.nlm.nih.gov/books/NBK573919/
National Council of State Boards of Nursing (NCSBN) (2022). Policy Briefing:
The Future of Nursing Report, 2020-2030: Charting a Path to Achieve Health Equity. https://www.ncsbn.org/15924.htm
Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030:
Charting a path to achieve health equity. National Academy of Sciences.
Nicholas, P., Gona, C., Evans, L., & Reid, E. P. (2021). The Intersection of Climate Change and
Health: An Explication of the Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity: Future of Nursing, Health Equity, and Climate Change. Witness: The Canadian Journal of Critical Nursing Discourse, 3(2), 10-17.