Access . Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Provide rationale based on your experience in practice. Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving. Why or why not? 300 words
Ever since the release of the landmark report “The Future of Nursing: Leading Change, Advancing Health” by the Institute of Medicine (IOM) in 2010, the nursing industry has been undergoing significant transformations. In the report, the IOM made several key recommendations aimed at improving nursing education, practice, and overall healthcare delivery. Among these recommendations, two stand out as the most effective and potentially radical in creating change within the industry: increasing the proportion of nurses with a baccalaureate degree in nursing (BSN) to 80% by 2020, and implementing residency programs for new nurses.
Firstly, increasing the proportion of nurses with a BSN to 80% by 2020 is an essential step toward improving the quality of nursing education and patient outcomes. Research has consistently shown that nurses prepared at the baccalaureate level are better equipped to provide safe and high-quality care, as they possess the critical thinking, leadership, and communication skills necessary for complex healthcare environments (AACN, 2019). By mandating the attainment of a BSN for a larger portion of the nursing workforce, the industry can ensure that nurses are adequately prepared to meet the demands of an ever-evolving healthcare system.
Furthermore, this recommendation also aligns with the growing emphasis on evidence-based practice and the integration of research into nursing care. BSN programs typically have a stronger research and evidence-based practice component, enabling nurses to critically analyze and incorporate the latest evidence into their decision-making processes. This, in turn, leads to improved patient outcomes, as decisions are based on the best available evidence.
Another recommendation with the potential to bring about radical change in the nursing industry is the implementation of residency programs for new nurses. This recommendation recognizes the need for structured support and mentorship during the transition from novice to competent practitioner. Residency programs, which typically last for about one year, provide an intensive and supportive learning environment where new nurses can gain confidence, refine their skills, and develop professional judgment under the guidance of experienced mentors (AACN, 2019).
The rationale for this recommendation is grounded in the evidence that supports the positive impact of residency programs on nurse retention and patient outcomes. Research suggests that nurses who complete residency programs are more likely to stay in their positions and experience greater job satisfaction, as they feel adequately supported and prepared for the challenges of their new roles (Ulrich et al., 2010). Moreover, residency programs have been associated with reduced turnover rates, which result in cost savings for healthcare organizations.
In conclusion, the recommendations to increase the proportion of nurses with a BSN to 80% by 2020 and implement residency programs for new nurses are two of the most effective and potentially radical strategies for creating change within the nursing industry. These recommendations are based on solid evidence and are aligned with the evolving demands of healthcare. By expanding access to higher education and providing structured support for new nurses, the industry can enhance the quality of care and improve patient outcomes. As a practicing nurse, I wholeheartedly agree with these recommendations and believe that their implementation will contribute to a stronger and more competent nursing workforce, ultimately benefiting both healthcare professionals and the patients they serve.