"The Future of Nursing" explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to ...advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles--including limits on nurses' scope of practice--should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. The following are appended: (1) Methods and Information Sources; (2) Committee Biographical Sketches; (3) Highlights from the Forums on the Future of Nursing; (4) APRN Consensus Model; (5) Undergraduate Nursing Education; (6) Health Care System Reform and the Nursing Workforce: Matching Nursing Practice and Skills to Future Needs, Not Past Demands; (7) Transformational Models of Nursing Across Different Care Settings; (8) Federal Options for Maximizing the Value of Advanced Practice Nurses in Providing Quality, Cost-Effective Health Care; (9) The Future of Nursing Education; and (10) International Models of Nursing. An index is also included. (Individual chapters contain references.) The content of this document was prepared by the Committee on the Robert Wood Johnson Foundation, Initiative on the Future of Nursing at the Institute of Medicine.
Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health ...centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care.
In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health , which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.
Talking Therapy traces the rise of modern psychiatric nursing in the United States from the 1930s to the 1970s. Through an analysis of the relationship between nurses and other mental health ...professions, with an emphasis on nursing scholarship, this book demonstrates the inherently social construction of 'mental health', and highlights the role of nurses in challenging, and complying with, modern approaches to psychiatry. After WWII, heightened cultural and political emphasis on mental health for social stability enabled the development of psychiatric nursing as a distinct knowledge project through which nurses aimed to transform institutional approaches to patient care, and to contribute to health and social science beyond the bedside. Nurses now take for granted the ideas that underpin their relationships with patients, but this book demonstrates that these were ideas not easily won, and that nurses in the past fought hard to make mental health nursing what it is today.
In this column, Barbara Glickstein, a public health nurse, health reporter, and media strategist, shares insights about nurses' involvement and engagement in the media. She founded "Barbara ...Glickstein Strategies," a company that trains healthcare leaders to become media competent to advance population health and public policy.
Executive nurse leaders may rely on interim nurse managers (INMs) to fill vacated nurse manager positions open for an extended time. To optimize the INM role for future leadership succession ...planning, ongoing professional development for this role is critical. The authors describe the use of evidence in the creation of onboarding leadership resources to support the role transition of INMs within a healthcare environment over a 100-day period.
Aim
To investigate the strategies used by nurse leaders to facilitate fundamental care delivery in their clinical area.
Design
An interpretative qualitative design study reported in line with the ...Consolidated Criteria for Reporting Qualitative Research (COREQ).
Methods
Twenty‐four self‐identified nurse leaders from across Australia were interviewed between November 2020 and April 2021 to discuss their strategies for facilitating fundamental care. Data was analysed using inductive thematic analysis.
Results
Nurse leaders' experience of facilitating fundamental care produced two major themes, delivery of fundamental care (comprising three sub‐themes: valuing fundamental care, understanding and developing staff capacity and supportive relationships), and monitoring of fundamental care (including three sub‐themes: visibility in the clinical area, embedding fundamental care in the practice setting and specific direct actions).
Conclusion
Facilitating fundamental care delivery is complex. This study highlighted the importance of nurse leaders' individual characteristics, and nurse leaders' ability to establish and maintain relationships alongside the role of informal and formal monitoring of fundamental care delivery.
Impact
Findings from this study build on existing research into fundamental care and contribute to our understanding of the role, characteristics and actions of nurse leaders to facilitate fundamental care. The results demonstrate the complexity and intricacy of nursing leadership to facilitate fundamental care, and that a dynamic ‘thinking and linking’ approach is required. The results show individualized practice which may create challenges for new nurse leaders seeking guidance, and for monitoring nurse leader activity. Further research is advocated to explore insights and tools to optimize nurse leaders' endeavours in facilitating fundamental care.
Patient or Public Contribution
This study was designed using insights generated from patient and public involvement in nursing leadership and fundamental care.
