Nursing: Health Care and Nurses Essay

The imp present of institute of medicine (IOM) delineate on Transforming treat Education, Practice, and Leadership.Nursing vocation is an indispensible part of the health financial aid body and the opportunities for a treat life story are limitless, one may choose from a chip of premeditationer paths, including clinical design, facts of life, seek, management, administration and lead. In the midst of all these superintender paths, clients are the center of practice and they have wide pattern of healthcare packs, experiences, vulnerabilities, and expectations. This is what makes nursing both challenging and rewarding. In other to respond and oblige to changes evolving in the health care governance, there must be a transformation in nursing education, practice and leadership. Based on these changes and transformation, the demonstrate of Medicine (IOM), released the motif The Future of Nursing Leading variety, Advancing health.This all-inclusive report explores t he need of the profession to adapt to changes and prepare to meet challenges that provide occur as a result of the health care reform. With the new passage of the Afford equal Care Act (ACA), millions of Americans who were antecedently uninsured straight off find themselves with the probability to have access to medical care that was previously denied to them. With large number of individuals who are presently able to receive primary feather care, there is concern as to whether or non there leave be enough providers available to handle the massive increase in patient load. The reformed health care system now brings on new challenges and these challenges offer nurses the opportunity to practice with more freedom in localize help shoemakers last the gaps within our health care slant system.The IOM committee formulated key messages that structure its recommendation for this transformation, focusing on the delicate ground of nursing practice, nursing education, and nursing l eadership. The report has it that nurses should be able to practice their copious potential and extent establish on the training and the education (Transforming Practice) the nurses should be able to strive excellence in improved system of education and as well training (Transforming Education) and nurses should accessory in full with doctors and professionals in health care in the re calculating of practices (Transforming Leadership). The report based on the need to transform practice states that Nurses should practice to the full extent of their education and training. (Institute of Medicine, 2010)There is the need to admit nurses who have generateed the appropriate education, such as a overtops or doctorate degree, also referred to as advanced practice registered nurses (APRNs) to provide primary care and not be restricted by state laws and regulations. Guidelines should be set based on their experience and competency. Transforming the practice of nursing go away be pro ficient in future. It will enhance tonicity, easy access to care, reduce postponement lines, promote health, prevent illness, and care for mass of all ages and ethnicities. The ability for people to seek quality, affordable health care means nurses will be taking on new roles. The center of the health care system will be changed to primary care and prevention and will allow more advanced practice registered nurses (APRN) to take on the primary care role.Nurses will expand their area of practice and increase their responsibilities through commandment and counseling patients about their health care problems. They will coordinate care, act as patients advocate and be able to refer patients to physicians especially those that need specialist care. One concept involved in this transformation, is providing patient-centered care in all aspects. The IOM report refers to this as nurse channelize care. The nurse providing guided care offers eight services assessment planning care obser ve coaching chronic disease self-management educating and supporting caregivers coordinating transitions between providers and sites of care and facilitating access to community services, such as Meals-on-Wheels, transportation services, and senior centers. (IOM, 2010, p.95) This holistic approach enables the nurse to provide a level of continuity of care throughout the entire process.On the impact on education, the report express that the current health care system was molded around affectionateness for individuals in acute care illness and injury situations, but as time evolves and the population ages, we have begun to notice that care has shifted to a heavier and wider variety of chronic illnesses (National League for Nursing, 2010). It is for this reason that the IOMs report suggest that nurses should achieve higher levels of education and training, through an improved education system that promotes circular-knit academic progression (Institute of Medicine, 2010). The first s uggestion to transform nursing education involves an effort being made to encourage associate degree nurses to obtain BSN degrees by the year 2020. The report recommends five competent categories to be incorporate in the nursing education. They are, patient centered care, working with other interdisciplinary teams, emphasize practice based on evidence, seeking improvement in quality, and informatics.Computer skills and information management are required for nurses in order to keep up with the technological advancement in the medical field. high nursing degrees provide nurses with more critical thinking skills this will cause efficiency and improved quality of care for the patient. In order to increase nursing competence, it is paramount that there is an improved education system that promotes sustained academic progression as opposed to the current disjointed system that is both archaic and ineffective. As well as increasing the lot of nurses who attain a bachelors degree in t he Science of Nursing (BSN) to 80% by 2020, having at least 10% of BSN nurses to enter a master or doctoral program, and doubling the number of nurses who pursue doctoral degrees, the profession should institute residency training in addition to currently instrumented internship programs for father nurses. Well trained nurses with seasoned knowledge will be able to handle the massive increase in patient load.The reformed health care system now brings on new challenges and these challenges offer nurses the opportunity to practice with more freedom in order help close the gaps within our health care delivery system. On the leadership front, the report calls on nurses in different levels ranging from student nurses, frontline nurses, community nurses, chief nursing officers, Nurse researchers, to the nursing organizations to acquire leadership skills and competencies to work in connective with doctors and other health care professionals in reform effort crosswise the healthcare setti ngs. Nurses are called to be actively involved in leadership at all levels, to be involved in decision qualification and also effect policy changes in the country.This leadership skill will start as early as in school to the practice settings. Finally, this transformation on the healthcare delivery system began with the issue of change. Change threatens many, but also opens up opportunities for improvement. The ultimate issue in designing and delivering healthcare is ensuring the health of the population by widening and improving the scope of nursing practice through the use of APRN in delivering primary care. legion(predicate) clients do not receive continuity of care, many clients are now able to access care since the passage of the Affordable care act, so nurses in all levels and settings should be better prepared to deal with the challenges in healthcare. Many healthcare organizations are changing how they provide their services, reduce redundant cost, improve access to care a nd try to provide high quality client care. Professional nursing is an important player in effecting these changes listed above through transformation in their education, practice and active participation in leadership as advocated in the report.ReferencesAmerican Association of Colleges of Nursing (2011). Essentials of Baccalaureate Education for Professional Nursing Practice. Washington, DC Author Cresaia, J., & Friberg, E. (2010) Conceptual Foundations The bridge circuit to professional Nursing Practice. (5th ed). St Louis, MO Elsevier. Institute Of Medicine. (2004). In the nations compelling interest Ensuring diversity in the health care workforce. Washington, DC The National Academies Press. Institute Of Medicine. (2010) The Future of Nursing Leading Change, Advancing Health (2010). Retrieved November 8, 2012 from http//iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx National League for Nursing. (2010) Nursing education research Graduations fro m RN programs. Accessed November 8, 2012 from http//www.nln.org/research/slides/topic_graduations_rn.htm