IOM Future of Nursing Report and Nursing Paper

IOM Future of Nursing Report and Nursing Paper

IOM Future of Nursing Report and Nursing Paper

Over the past years, the climate of the health care practice and policy has been changing. This has sharpened the national government’s focus on the impediments of providing affordable and high-quality care to the increasingly aging and diverse population. The assessment and management of the population health needs require the collaboration of different health professionals to ensure the provision of coordinated, specialty, community-based, and patient-centered health services. Nurses comprise the majority of the health care providers. The Institute of Medicine (IOM) report: The Future of Nursing: Leading Change, Advancing Health, was released to improve the health experiences in the United States. The purpose of this paper is to explore the IOM report and how it has continually advanced the goals of the nursing profession as well as to discuss the roles of state-based coalitions, the initiatives the coalitions spearhead, barriers to advancement, and how the California state tries to overcome these barriers.


The Work of the Robert Wood Foundation Committee Initiative

The Future of Nursing report explores how nurses’ various roles, education, and responsibilities should be changed to meet the demands of the increasingly complex America’s health care system (Institute of Medicine, 2011). Altman et al. (2017) assert that the report was published at an auspicious moment when it was necessary to lower costs, improve public health, and better patient experiences in the United States. The Robert Wood Johnson Foundation (RWJF) launched a campaign (The Future of Nursing: Campaign for Action) to assist in implementing the report’s recommendations.

The RWJF initiative came into place when the Robert Wood Johnson Foundation approached the Institute of Medicine (IOM) to prepare a report of the challenges facing nurses and the solutions to counter them. The committee held public gatherings and meetings to gather the information presented as topics in their work. The foundation also undertook extensive studies on various factors affecting nursing, studying, reviewing, and analyzing collected data to assess conditions prevalent in nursing education and profession. They later came up with recommendations on improving and creating an efficient health care system. IOM and the RWJF concentrated on the relationship between health professionals and their services.

The Four Key Messages that Structure the IOM Report

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The IOM report has four key messages. These are the need to transform practice, transforming education, the need to transform leadership, and the need for better data on the health care workforce. The key message in the first recommendation is that nurses should practice to the full extent of their training and education (Sullivan, 2018). The report recognizes that maximizing the unique contributions made by nurses to the health care team can ensure that all people access quality health services. The message recommends removing financial, policy, and regulatory barriers that limit nurses, including Advanced Practice Registered Nurses (APRNs), to working in acute care settings. Nurses must disseminate their roles and bridge gaps between coverage and access to care. The report recommends more nurses become primary care providers, care coordinators, health coaches, health team leaders, and informaticians in various settings. As Salmond and Echevarria (2017) observe, nursing roles have transformed over the years, with nurses acquiring more competencies in skills, attitudes, and knowledge that enable them to lead and ensure system wide success. They have also bridged the gaps in access to care by providing more community-based health services.

The key message in the second recommendation is that nurses progress academically to improve their levels of education and training. The report encourages nurses to seek higher training and education to equip them with knowledge and skills to meet future challenges, novel and diverse health needs. Higher education also equips nurses with a deeper understanding and greater competencies. Nurses have continued to advance their training, with many nurses trained at the master and doctorate levels. Sánchez-Gómez et al. (2019) note that nurses with advanced training possess advanced health assessment skills, more professional autonomy, decision-making, and diagnostic reasoning skills. They fill several needs within the health care system. The proportion of nurses who hold degrees at the baccalaureate level and above is 56% (American Association of Colleges of Nursing, 2019). This reflects a significant increment since the IOM report was released when the national average of registered nurses with BSN or higher degrees was 49%.

The third message encourages nurses to partner with physicians and other health care professionals. Partnering tends to improve coordination and communication, which improve the safety and quality of patient care. Nurses are also encouraged to take active roles in different leadership roles. This has been reflected by nurses taking forefront positions in healthcare settings and issues even globally.

Lastly, the report recommends the necessity of an improved information infrastructure. Strong data support assists in making decisions for effective policy changes. There has been increased growth in nursing informatics and the use of electronic medical records, which have improved efficiency, hastened the decision-making process, and enabled more coordinated patient care, improving the quality and safety of health services. These have improved patient outcomes and satisfaction levels with great margins.

Roles of State-Based Coalitions

A mosaic of partners makes up State-based action coalitions. They bring different stakeholders together, including providers, consumers, businesses, and policymakers, being led mutually by nursing and non-nursing staff. These coalitions form strong networks that make and maintain health care advancements. The action units have leveraged local community power, enabling nursing to create healthier communities. The action coalitions develop strategic plans depending on the geographical and local needs to implement the IOM’s report recommendations and realize the campaign’s objectives. The coalitions have assisted in realizing the goals outlined in the IOM report identifying desirable changes to be achieved, coming up with the best practices, and sharing the laid down strategies. Additionally, they conduct research to identify effective models to deliver safe and quality health care services.

Initiatives in California

The California Action Coalition (CA AC) offers a unified statewide voice for nurses. It was launched in late 2011, following the release of the IOM report. CA AC has placed much focus on partnerships, with their relationship with HealthImpact increasing the potential to see citizens in California high-quality access care offered by nurses. The coalition also focuses on initiatives related to the report recommendations on practice, education, and leadership (California Action Coalition [CA AC], 2021). The California Action Coalition has made considerable progression in academic progression. This has developed nurse leaders to fill positions and solve problems now and in the future. Nurses can also fully practice to the extent of their training and education. As CA AC develops and implements new strategies to meet the report’s recommendations, they have continually improved the health of California’s residents.

Barriers to Advancement

Despite the crucial roles fulfilled by coalitions, their progress is hampered by several drawbacks. Inadequate finances are one of the greatest barriers to progress in my state. Coalitions require adequate finances to fully promote and advance their agenda and ensure continuous improvement of activities. Low funds can also lead to underpaying nurses, demotivating them and causing a high turnover rate, leading to a nursing shortage. This would lead to increased burnout and compromised quality and safety of services offered to the citizens. Nursing advocates reach out to more stakeholders to mobilize more funding to mitigate this challenge.


Nurses are committed to responding to the challenges experienced in health care, improving the safety and quality of health services. The IOM report is an essential rule which empowers nurses to deliver better and quality care that is sustainable and accessible. Other health professionals should collaborate with nurses in the pursuit to transform the health care system. The California state-based coalition supports the IOM report’s recommendations and places conscious efforts to overcome barriers that hinder advancement.


Altman, S. H., Butler, A. S., Shern, L., Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health, Institute of Medicine, & National Academies of Sciences, Engineering, and Medicine. (2017). Introduction.; National Academies Press (US).

American Association of Colleges of Nursing. (2019). AACN Fact Sheet – Impact of Education on Nursing Practice.

California Action Coalition (CA AC). (2021). California Action Coalition (CA AC). HealthImpact | Optimizing Health through Nursing.

Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. National Academies Press.

Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). Key Messages of the Report. In National Academies Press (US).

Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopaedic Nursing, 36(1), 12–25.

Sánchez-Gómez, M., Ramos-Santana, S., Gómez-Salgado, J., Sánchez-Nicolás, F., Moreno-Garriga, C., & Duarte-Clíments, G. (2019). Benefits of Advanced Practice Nursing for Its Expansion in the Spanish Context. International Journal of Environmental Research and Public Health, 16(5), 680.

Sullivan, T. (2018, May 5). Institute of Medicine Report – The Future of Nursing: Leading Change, Advancing Health. Policy & Medicine.


IOM Future of Nursing Report and Nursing
Assessment Description
Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. My state is California

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