future of Nursing

Future of Nursing
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Nurses should practice to the full extent of their education and training
There are several barriers that tend to limit nurses from responding quickly to a given change and also developing health care system. The report by IOM suggests that there is need for removal of these barriers to ensure that nurses are in a position to lead change and also properly-positioned to progress health. Most of the nurses are registered, and several millions of these nurses have doctorate or master’s degrees and are therefore considered as Advanced Practice Registered Nurses (APRNS) since they have passed the national certification exams. The licensing and practice rules differ across the various states in the US. These regulations tend to define the activities that can be carried it by a professional nurse. Therefore, these regulation affects how nurse practitioners perform their jobs. Some states restrict nurses from seeing patients and therefore they are not allowed also to prescribe medications without the supervision from a physician. On the other hand, some states allow nurses to see patients as well as prescribe medications without the need for supervision from a physician. It is true to say that nurse practitioners perform tasks that they are allowed to do depending on the state laws that they work under and not based on their education and training.
The IOM offers recommendations to ensure that this situation is changed.

The partners that are included in this segment incorporate administrators of the Centers for Medicare and Medicaid services, the current Congress and others. Recommendations that have been made to these stakeholders are that they should serve to make sure that nurses are left to practice to the full scope of their education and training (In Goudreau, 2013).
The federal government has a great responsibility and is also in a better position to address the scope-of-practice issue so that the states can reform their scope of practice laws. The federal government can, therefore, offer incentives to these different states so that they can adopt best practices. It is impossible for the federal government to apply force these states and urging them to change the scope of practice that has been legislated. The federal government has the ability to lead by counting APNs in the Centers for Medicare & Medicaid service reimbursement panels (Ganz, 2016). This step will, definitely, ensure that the APNs practice is according to education and training rather than by statute. This report raises the proposal that there be a move to practice residency programs which must be created and assessed in group settings. This move will, hence, help new graduate medical attendants to build up the required abilities.
Nurses have a prominent role to play in improving the quality, access and value of health care. If the nurses have to achieve this, then there is need to ensure that all constraints that are brought about by outdated policies, regulations, as well as cultural barriers including those that are linked to the scope of practice, are removed. Change of the healthcare services framework requires genuine reexamining of the parts of healthcare experts, for example, the nurses. (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, 2011).
According to this message is that nurses have a great potential of transforming the health care system. Nurses have the capability of coming up with innovative strategies that can assist in making the healthcare system better than it is at the moment. The healthcare industry has not been maximizing the potential of nurses and therefore they have not been practicing to the full extent that they need to be. This situation is caused by various factors such as regulatory and policy barriers, a division of healthcare system, high rates of turnover, hardships in transforming from nursing to practice, aging workforce and many other challenges (Williams, 2016).
Regulatory barriers that exists in the practice are considered as the biggest challenge. According to this message is that the scope of nursing practice is controlled by various laws that vary from one state to another. Most states do not allow nurses to do their work independently and this affects how they serve patients. The IOM considers this challenge to be a political decision rather than being related to patient safety and a nurse’s capability and training (In Roussel, 2016).
The IOM, therefore, considers the restrictions on nursing practice to be anti-competitive in the health care market. The IOM has suggested that the federal trade commission(FTC) implement some reforms to ensure that the most competitive and cost effective health care providers are maintained in the health care system.
According to the IOM is that if nurses are allowed to expand their scope of practice, Medicare, and private insurers need to allow nurse practitioners to provide patient care as well as make clinical decisions and they are to be paid directly for the services that they offer.
This message also talks about high turnover rates among nurses. According to IOM is that the turnover rates, especially for the newly graduated nurses, are too high. Many talents are lost before they become fully developed. The IOM has recommended the need to focus on the transition of nurses from nursing school to practice (Blair, 2015).
According to this report is that insurers, nursing schools as well as healthcare organizations should develop opportunities for nurses to do research and also lead practice enhancement efforts. The objective of this step is to create models of payment as well as care distribution that employs nurses in a prolonged and leadership dimensions to help improve health outcomes and decrease costs. Nurses being the largest segment of the healthcare workforce should have the ability to contribute to health care reforms.
Several studies have uncovered that exceptional practice enrolled medical nurses are known to give safe, and quality care and in this way the government and state laws should be balanced to permit APRNs to practice to the full degree of their level of education and training. There is a projected primary care provider insufficiency, and there are increased demands for the healthcare reforms to be implemented to ensure that there is upright evidence-based practice. According to IOM is that eliminating barriers will help in serving patients at the time when it is desperately required (Alexander, 2016).
In conclusion, the report recommends that APRNs be permitted to practice to the full degree of their training and education. This recommendation comes because, in some states, nurses cannot provide the care that the patients need if a physician is not supervising them. This situation has therefore made it difficult for patients to get the kind of care that they require. These states have various laws and regulations that stipulate the scope of practice, and therefore they tend to limit what nurse can do. The IOM, therefore, recommends that clinicians be left to do what they were trained to do regardless of the state that they operate.
References
Alexander, M. (2016). It’s Good for Patients, Nurses, and Health Care.
Blair, K. A. (2015). Advanced practice nursing: Core concepts for professional role development.
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, a. t. (2011). The future of nursing: Leading change, advancing health. Washington, D.C: National Academies Press.
Ganz, F. D. (2016). Factors Associated With Full Implementation of Scope of Practice. Journal of Nursing Scholarship, 48(3), 285-293.
In Goudreau, K. A. (2013). Health policy and advanced practice nursing: Impact and implications.
In Roussel, L. I. (2016). Management and leadership for nurse administrators.
Williams, T. E. (2016). Registered Nurses as Professionals, Advocates, Innovators, and Collaborative Leaders: Executive Summary . Online Journal of Issues in Nursing, 21(3).