Introduction
The work and the committee initiative regarding the Robert Wood Johnson Foundation on the nursing future at the medicine institute (IOM) developed an aim of transforming the health care systems. Moreover, the organization envisions a method for the future which creates quality care to be easily accessible to various diverse populations of America, intentional preventing diseases and promoting wellness, improving the outcomes of health reliably and providing compassionate across the lifespan. According to the initiative of the Robert Wood Foundation, the main aim was mainly to care provision and prevention of illnesses from the health care system (Campbell, McBride, Etcher, & Deming, 2017). Moreover, due to the foundation, the committee might produce and examine various recommendations which relate to varying concerns, to identify nurses' vital roles in implementing and designing a more efficient and effective health care system.
Thus, the foundation was aimed at reconceptualizing nurses' roles in the context of the whole energy and human resources, future and current technology, societal issues, and the shortage (Campbell et al. 2017). Also, increasing the faculty for nursing, expanding the capacity and size of the nursing institutions, and nursing education redesign to ascertain that the institutions might produce enough nurses who are well prepared and can meet the future and the current demands for health care. There is also the examination of innovative solutions which might be related to the health professional educations and care delivery by the participants focusing on nursing as well as delivering quality nursing services. Moreover, retaining and attracting many nurses who are well-prepared in various care settings such as primary care, public health, community, long-term care, ambulatory and acute (Campbell, Ladden, McBride, Cimino, Kostas-Polston, & Deming, 2017).
In many occasions, there is always proximity to different patients as well as the scientific understanding of the processes of care across the care continuum, which gives the patients a specific acting ability as partners with colleagues and other health professionals leading to the redesign and enhancement of the health care system. Therefore, these nurses are poised to assist in bridging the gap between access and coverage for them to coordinate complex care for many patients, fulfilling their potentials as the primary care providers beyond their training and education, and enabling the entire economic contributions value across their practice to be noticed. Moreover, with the Robert Wood Johnson Foundation Committee, most nurses are crucial in reducing infection rates, preventing errors in medications and facilitating the transition of a patient from the health centre to their homes (Campbell et al. 2017).
Importance of IOM
Ensuring Proper Practice of Nurses to the Full Extent of their Training and Education
Nurses have a vast potential in leading various innovative strategies to enhance the health care system. However, numerous policy, regulatory, and historical barriers have limited their ability to generate new and widespread data. Other barriers might include health care system fragmentations, high turnover rates among the trained nurses, hardships and challenges faced by the nurses transitioning from school to their practice, ageing workforce, to mention but a few (Reinhard, & Hassmiller, 2012). Thus, most of the barriers developed due to the structural flaws in the American health care system.
Making Nurses to be Full Partners with all Health Professionals in Health Care Redesign in the United States
Becoming a full partner always transcends all the professions of nursing levels, and it requires comprehensive leadership skills as well as competencies, which should be applied during work and when agreeing with other health professionals. In most care environments, when a person becomes a full partner, he or she should take the responsibility for identifying areas and problems of waste, implementing and devising an improvement plan, tracking the areas of improvement over a certain period, and making the required adjustments to recognize the created goals (Brody, Farley, Gillespie, Hickman, Hodges, Lyder, & Pesut, 2017).
Becoming a full partner in the health care institutions broadly translates to the arena of health policy. Therefore, for the nurses to be competent in the reconceptualized roles, they must have a voice in most of the health policy decision making as well as becoming engaged in efforts of implementation which are related to the health care reform. Also, they should always actively serve on the advisory committees, boards, and commissions where the health policy decisions take place for them to improve patient care and advance the health systems (Brody et al. 2017).
Ensuring that Nurses Receive and Achieve Higher Education and Training Levels through an Advanced Education System which Enhances Seamless Academic Progression.
Among the health professions in America, nursing is unique in that it has various educational pathways that lead to an entry-level practice to license. The introduced competencies via the IOM report has placed too much pressure on the available education system and its curricula (Reinhard, & Hassmiller, 2012).
Role of State-based Action Coalitions
Action coalition in Washington, DC, and every state in America often takes the role of the campaign at the state, regional, and local levels. The battles that are always being undertaken seek full and active participation from the national and states' organizations as well as people from the government, educations, business, health care, and the philanthropic centres to ascertain that the recommendations of the IOM are well translated into actions which lead to improved patient-centred care. Moreover, the state-based action coalition often aims at strengthening nurse training and education, enabling the practice of nurses to the full extent of their training and education (Brody et al. 2017). Also, increasing the interprofessional agreements among all the health care professionals to ascertain that patient care is coordinated and improved. There is also the expansion of leadership ranks to determine that the qualified nurses have a voice on the health care policy decision making, in the management teams, and boardrooms. The other role of the state-based action coalition is to improve the workforce of health care in data collection for them to assess and project better workforce requirements (Brody et al. 2017).
Initiatives Spearheaded by the State's Action Coalition
The two initiatives spearheaded by the state's action coalition are first, The New York state action coalition that consists of a broad array of stakeholders. The involved stakeholders are often charged with leveraging the trained nurses in transforming the health care in New York through the enaction of the recommendations of the IOM report. Second, there is the Texas action coalition, which often believes that every citizen deserves lower health care costs, better health, and better care (Reinhard, & Hassmiller, 2012). The two initiatives can be advanced through the access improvement, value, and quality of the health care in the functions of the trained and educated nurses. Moreover, the stakeholders' involvement of the different health care organizations leads to advance treatment for the action coalition initiative.
However, the existing advancement barrier hindering action coalitions' progress is often inadequate or lack of potential professional workforce. Most of the health care centres have a smaller number of professional and honest nurses who can provide enhanced and quality services to the service users (Campbell et al. 2017). Also, there are insufficient better partnerships between many health care centres as a barrier. Therefore, the nursing advocates might overcome the obstacles through increasing the most significant opportunities for the professional nurses that might make them emphasize on their practical skills and knowledge for them to provide better services to the patients (Campbell et al. 2017).
References
Brody, A. A., Farley, J. E., Gillespie, G. L., Hickman, R., Hodges, E. A., Lyder, C., ... & Pesut, D. J. (2017). Diversity dynamics: The experience of male Robert Wood Johnson Foundation nurse faculty scholars. Nursing Outlook, 65(3), 278-288. Doi: 10.1016/j.outlook.2017.02.004
Campbell, J. C., McBride, A. B., Etcher, L., & Deming, K. (2017). Robert Wood Johnson Foundation Nurse Faculty Scholars program leadership training. Nursing Outlook, 65(3), 290-302. Doi: 10.1016/j.outlook.2017.02.003
Campbell, J., Ladden, M. D., McBride, A. B., Cimino, A., Kostas-Polston, E., & Deming, K. (2017). Overview of the Robert Wood Johnson Foundation Nurse Faculty Scholars program. Nursing Outlook, 65(3), 254-264. Doi: 10.1016/j.outlook.2016.12.008
Reinhard, S., & Hassmiller, S. (2012). The future of nursing: transforming health care. The Journal AARP International. Retrieved from http://journal-archive.aarpinternational.org/a/b/2012/02/The-Future-of-Nursing-Transforming-Health-Care
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