Transforming US Healthcare: 4 Areas of Nursing Practice - Research Paper

Introduction

Affordable and quality of healthcare is of fundamental importance in a country. The Institute of Medicine report of 2010 is among the promoters who regard the transformation of the healthcare system of the United States and improving the nursing practice. The report calls for an entire system to be restructured. Therefore, the paper uses the IOM report to highlighted four areas of importance in nursing practice for effective policymaking and work planning.

Is your time best spent reading someone else’s essay? Get a 100% original essay FROM A CERTIFIED WRITER!

Save 25%

The Robert Wood Foundation Committee Initiative

The Robert Wood Committee Initiative Came up with an activity blueprint that would make recommendations for the future of the nursing practice. Following the congressional debate on the Affordable Healthcare Act (ACA), there was a need to have been an ideal health care system. The Committee rendered accessibility of health care across the United States. Being a stakeholder in the health industry, the Committee saw it necessary to improve the role of nurses. Consequently, the report envisioned the provision of primary health care where nurses and pharmacists are the core drivers of health care delivery. Therefore, there was a need to improve health care as a whole, and the Committee acknowledged the aspects to be transformed.

The primary aim of the Committee was to create a report with a suggestion for an activity-based plan for nursing in the future by providing changes for the institutional and open arrangements at the local, state, and national levels. In delivering the report, the Committee prescribed certain activities after the assessment. The suggestion included the objective of pointing the crucial jobs of medical attendants in planning and executing a proficient and viable medicinal services framework.

The Key Messages Leading to Change In the IOM Report

The deliberations of the Committee established four key messages. The first was educating nurses. The Committee points out that nurses ought to practice their full extent of education and nurse training. The second one points out that nurses should acquire higher levels of education and training through an enhanced training framework and consistent scholarly advancement. Thirdly, the report points out that there ought to be full partnerships between nurses and health care stakeholders in reforming health care in the United States. Lastly, there needs to be a better data collection, which will enhance proper workforce planning and arrangement.

The United States can change the human service framework by granting medical attendants a critical role in the change process. However, the function should cut across all stakeholders. The cooperation will guarantee that health care services are consistent, moderate, and open to all. The Affordable Care Act brought a significant change in the healthcare industry. The technological Changes, shorter lengths of remain at the clinic, and a move from acute condition to grounded care have made it a requirement for nurses to become critical thinkers in providing clinical care. A well-educated nurse can give the best human services quality following ACA

The Role of State-Based Action Coalitions

State-based Coalitions advocates for better social insurance at the local level. The state-based activity helps with the execution of the IOM report recommendation in their states.

Similarly, the state coalition guarantees that they advance the objectives of the IOM report by one, advancing initiative for medical caretakers. Secondly, state alliances advocate for instant nursing scholarships for medical students. Lastly, the coalitions help expand access to health services

Initiatives Which State-Based Coalition Works

In Georgia, state- coalitions have been the flag bearers for the nursing campaign. They have been categorized according to leadership and funding. The nursing initiative establishment has extended nurse's leadership skills to improve the status of the nurses as pioneers and has separated the attendants with practicing leaders. The leadership matters include proficient training, self-appraisal, mentorship, and individual talks with mentors. The program has helped nurses practicians improve their skills as they improved other abilities in their profession. Similarly, the health services at the state of have improved.

Besides, state coalitions have provided funding opportunities. The state allocated scholarships to nurses who further pursue the degrees. With such a possibility, nurture can advance their training. With such a chance, nurture can look for higher situations in the clinical society, and this motivator spurs them to come to work. Aside from that, with a more top position, the medical caretakers can speak to their partners during meetings. Accordingly, there has been an incredible improvement in the medicinal services of Georgia State. Even though Georgia is progressing in the direction of accomplishing the objectives of the alliance, there are still a few obstructions that their medical caretakers confronted.

Barriers to Advance Care in Georgia State

Several barriers keep nurses from having the ability to respond feasible to rapidly advancing medical services settings and creating a social insurance framework. These barriers ought to be defeated to ensure that medical attendants are all around situated to lead, change, and advance wellbeing. While most medical caretakers are enlisted nurses (RNs), nearly a quarter-million specialists are selected enrolled attendants (APRNs), who are graduates or have doctoral degrees and finish national accreditation tests (Meleis, 2016). Clinical specialists, anesthetists, and clinical birthing assistants are all approved as APRNs.

The federal government is suitable to drive change of states' extent of-practice laws by sharing and giving inspiring powers to the choice of best practices. One suggestion is facilitated by the Federal Trade Commission, which has since a long time prior concentrated on anticompetitive conduct in the human administrations advertise and remembering controls for the strategic approaches of social protection provider. Also, furthermore moves toward that could go about as prevention to the section for new opponents in the market.

Another barrier that nurses invest a great deal of energy working and thus they can neither afford to further their education nor keep relationships with their families. They likewise need financial support to propel their education as their salaries are not sufficient (Salmond & Echevarria, 2017). This demotivates the nurses as they remain dormant in one situation for a long time. One of the ways by which medical attendant stakeholders can defeat these hindrances is by permitting the attendants to work to the full limit of their education. Besides, this will improve the social insurance as the patients will have the option to use the capability of the attendant.

Conclusion

The IOM report provides recommendations and guidelines which the ACA accords. Nurses ought to achieve higher education, practice their entire studies, and take up leadership roles. In adherence to the report, nurses would bring a change management aspect in the medical field in the United States. Besides, government institutions and healthcare facilities should work for hand in hand such that the nursing practice could deliver a better, safe, and primarily the affordable health care system.

References

Gillespie, G. L., Gakumo, C. A., Von Ah, D., Pesut, D. J., Gonzalez-Guarda, R. M., & Thomas, T. (2018). A summative evaluation of productivity and accomplishments of Robert Wood Johnson Foundation Nurse Faculty Scholars Program participants. Journal of Professional Nursing, 34(4), 289-295. https://doi.org/10.1016/j.profnurs.2017.11.001

Meleis, A. I. (2016). Interprofessional education: a summary of reports and barriers to recommendations. Journal of Nursing Scholarship, 48(1), 106-112.

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopedic nursing, 36(1), 12.

Altman, S. H., Butler, A. S., & Shern, L. (Eds.). (2016). Assessing progress on the Institute of Medicine report The Future of Nursing. Washington, DC: National Academies Press.

Tang, C., Tian, B., Zhang, X., Zhang, K., Xiao, X., Simoni, J. M., & Wang, H. (2019). The influence of cultural competence of nurses on patient satisfaction and the mediating effect of patient trust. Journal of advanced nursing, 75(4), 749-759.