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The Institute of Medicine's (IOM, 2011) report, The Future of Nursing: Leading Change, Advancing Health, was released October 5, 2010. The report represents a significant milestone for health care, demonstrating the depth, breadth, and sophistication of nursing science.
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The report represents a significant milestone for health care, demonstrating the depth, breadth, and sophistication of nursing science. Nursing's collective body of work withstood the rigors of independent IOM reviewers.
Initially, the IOM defined quality as the “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.”4This led to a definition of quality that appeared to be listings of quality indicators, which are expressions of the standards.
Chapter 7 of the IOM report, “Recommendations and Research Priorities,” merits the attention of the nursing scientific community. Many nurse scientists and researchers have a dedicated focus on clinical research, which is still much needed in light of concerns for quality, safety, aging, chronicity, and other clinical concerns.
Existing measures address some domains more extensively than others. The vast majority of measures address effectiveness and safety, a smaller number examine timeliness and patient-centeredness, and very few assess the efficiency or equity of care. [2]
During the course of this study, the committee formulated four key messages it believes must guide that transformation: (1) nurses should practice to the full extent of their education and training; (2) nurses should achieve higher levels of education and training through an improved education system that promotes ...
What information was provided by the Institute of Medicine report? The IOM report (2011) addresses the evolving complexities of the current health care system and a need for 80% of the nursing workforce to be baccalaureate prepared by 2020.
The Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, is a thorough examination of how nurses' roles, responsibilities and education should change to meet the needs of an aging, increasingly diverse population and to respond to a complex, evolving health care system.
The report emphasizes development of leadership programs that harness nurses' capacity to lead change, and advance health and health care by creating innovative opportunities for education and professional growth.
A strategy for successful care coordination includes an understanding and implementation of the core competencies for all healthcare professionals as described by the Institute of Medicine (IOM, 2003) to include: 1) patient-centered care, 2) teamwork and collaboration, 3) evidence-based practice, 4) quality improvement ...
One of the most commonly used frameworks comes from the Institute of Medicine (IOM), which has articulated six aims of health care that many consider to be domains of quality, broadly defined. The IOM says health care should be safe, effective, timely, patient-centered, efficient and equitable.
Its follow-up report, Crossing the Quality Chasm: A New Health System for the 21st Century (2001), introduced the IOM Six Aims for Improvement: care that is safe, timely, effective, efficient, equitable and patient-centered (STEEEP).
The IOM recommended building an infrastructure for collection and analysis of interprofessional workforce data to help nurse leaders make decisions for hiring and to address shortages. Twenty-five states collect data on nurse education programs, supply of nurses, and demand for nurses.
As a result, IOM asserts the need to transform the work environment, scope of practice, education, and numbers of America's nurses by creating a health care system that delivers the right care—quality care that is patient centered, accessible, evidence based, and sustainable—at the right time.
The goal of the IOM Future of Nursing report, titled “The Future of Nursing: Leading Change, Advancing Health,” was to provide a prescription for nurses to facilitate the nation's shift from hospital-based services to a system focused on prevention and wellness in the community.
The first three deal directly with nursing practice, and these are as follows: Nurses should practice to the full extent of their education and training. Nurses should achieve higher levels of education and training, through an improved education system that promotes seamless academic progression.
The Institute of Medicine's (IOM, 2011) report, The Future of Nursing: Leading Change, Advancing Health, was released October 5, 2010. The report represents a significant milestone for health care, demonstrating the depth, breadth, and sophistication of nursing science. Nursing's collective body of work withstood the rigors ...
Simply put, the pool of nurses with the capacity to conduct inquiry and research will be insufficient unless a pipeline of nurses advance to an academic level where they can pursue advanced studies. Not only will research suffer, academe and service also need highly educated nurses to teach and lead.
Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States.
This study was supported by Contract/Grant No. 72309 from the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
Conclusion. Patient safety is the cornerstone of high-quality health care. Much of the work defining patient safety and practices that prevent harm have focused on negative outcomes of care, such as mortality and morbidity. Nurses are critical to the surveillance and coordination that reduce such adverse outcomes.
Practices considered to have sufficient evidence to include in the category of patient safety practices are as follows:12. Appropriate use of prophylaxis to prevent venous thromboembolism in patients at risk. Use of perioperative beta-blockers in appropriate patients to prevent perioperative morbidity and mortality.
The most critical contribution of nursing to patient safety, in any setting, is the ability to coordinate and integrate the multiple aspects of quality within the care directly provided by nursing, and across the care delivered by others in the setting.
Frameworks like the IOM domains also make it easier for consumers to grasp the meaning and relevance of quality measures. Studies have shown that providing consumers with a framework for understanding quality helps them value a broader range of quality indicators. For example, when consumers are given a brief, understandable explanation of safe, ...
[1] Safe: Avoiding harm to patients from the care that is intended to help them. Effective: Providing services based on scientific knowledge to all who could benefit ...
In 2014, U.S. health care reached $3.0 trillion, or $9,523 per person (Centers for Medicare & Medicaid Services [CMS], 2014). This is almost 20% of the gross domestic product (GDP), meaning that for every $5 spent in the federal budget, about $1 will go to healthcare.
Factors driving healthcare transformation include fragmentation, access problems, unsustainable costs, suboptimal outcomes, and disparities. Cost and quality concerns along with changing social and disease-type demographics created the greatest urgency for the need for change. Caring for and paying for medical treatments for patients suffering ...