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IOM Future of Nursing Report and Nursing

Review The IOM Report The Future of Nursing

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 Johnson 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 and 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. Refer to the LopesWrite Technical Support articles for assistance.


Sample Solution

IOM Future of Nursing Report and Nursing


The transformation of the healthcare system enables the provision of affordable, continuous, and quality care, which is accessible to all populations. The transformation can also improve patient-centered and evidence-based practice and subsequently improve health outcomes (Altman et al., 2016). The paper discusses the transformation of the healthcare system in the US as it happened through an initiative that led to the led to IOM report, “Future of Nursing: Leading Change, Advancing Health.” The author also describes the report’s key messages, the role of state-based action coalitions, initiatives on which the state’s action coalition is working, and its existing barriers to advancement.

Work of Robert Wood John Foundation Committee Initiative

The committee on Robert Wood John Foundation Committee Initiative, which devised the Future of Nursing, developed a vision that described the transformation of the healthcare system. The Robert Wood John Foundation requested the Institute of Medicine (IOM) to enter into a partnership to investigate for need the nursing profession transformation. The two institutions established an initiative the Future of Nursing. Robert Wood John Foundation and the IOM recognized the challenges faced by the nursing profession in meeting the reformed healthcare delivery and the nation’s health needs (Altman et al., 2016). The committee worked from the IOM and envisioned a future healthcare system, which would enable the accessibility of quality care to the whole population of the US.

The committee worked on providing a report describing recommendations for actions regarding the future of nursing. The report would include changes in institutional and public policies at local, state, and national levels. The committee came up with the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Upon the report’s release after the 2-year initiative, the committee hosted a national conference in 2010 to deliberate on translating the report’s recommendation into action. Eight recommendations made by the committee in its IOM report would transform nursing practice by removing barriers to practice, and increasing physician-nurse collaboration among other recommendations (Altman et al., 2016). The committee proposed the implementation of residency programs for enabling nurses to transition into full practice.  Generally, the committee envisioned intentionally promoting wellness and illness prevention, providing compassionate patient care for all ages, and improving health outcomes. Therefore, this envisioned future had core drivers of the system being primary healthcare and prevention.

Four Key Messages

The IOM report offers recommendations, which are the four key messages that structure it. Firstly, the recommendation serves as an outline to ensure that nurses practice to the full scope of their education and training. The Future of Nursing report emphasizes the significance of building the advanced practice registered nursing (APRN) workforce. The nurses’ workforce would cater to the growing demand for primary health care (Altman et al., 2016). The second key message is the improvement of nursing practice through the continuous improvement of nurses’ skills. With that said, nurses should pursue higher levels of training and education. The third is providing nurses with opportunities to take up leadership positions and serve in the capacities of full partners in improvement efforts and healthcare design. Nurses should be full partners with clinicians and physicians in healthcare management to enhance care collaboration. The report’s fourth key message is the improvement of data collection in healthcare for policymaking and workforce planning. The information framework would promote efficiency in the nurse workforce and policy formulation in the nursing profession.

The key messages have transformed and influenced the nursing practice in significant ways. The landmark report has influenced nursing education and training, policy, funding, nursing leadership, reimbursement issues regarding nursing care, and nursing workforce development. There is significant progress toward removing scope-of-practice limits in the United States (Change, 2020). As the healthcare system evolves, the demand for more value-based care is increasing. The contribution of advanced practice nurses and other ranks of nursing is vital. Due to the expanding healthcare reformation, states with barriers for nurse practitioners are now allowing APRNs to fully practice as primary healthcare providers. The APRNs include clinical nurse specialists, nurse practitioners, certified nurse-midwives, and registered nurse anesthetists. 

The IOM report offers recommendations that have also influenced nursing practice by enabling healthcare to move towards interdisciplinary and interdependent teams that can deliver services that are more comprehensive. The practice and policy context has changed since the report was released. The transformation recommendation has influenced nursing education and training in that nurses are now developing new competencies to coordinate more complex care and fulfill their responsibility as primary healthcare providers. The nurses’ potential depends on the extent of their training and education to respond to the evolving healthcare system. Nursing schools across the nation have responded to increased interest in nursing education they now accommodate more applicants that are qualified (Change, 2020). Examples of innovative strategies used in nursing education since the report’s release include the use of technology and simulation in training. The approaches help enhance nurses’ skills and competencies.

Nurses have heard the call for effective workforce planning and better data collection. The nurses are now cultivating new allies in government, business, and partnerships with other care providers to transform the healthcare system. The contribution of other professionals or the healthcare workforce is significant in the pursuit of transformation. According to Altman et al. (2016), there are gaps in the available workforce data, which hinder the ability to implement changes to the healthcare system. Workforce development is essential in mitigating nurse turner and shortage.

Role of State-Based Action Coalitions

The states in the US have the mandate to implement recommendations described in the IOM report, which aim at improving healthcare and the nursing future. The California Action Coalition is one of the coalitions and acts as a driving force in the transformation of healthcare in the state. The coalition helps advance the goals described in the IOM report in several ways. One of the initiatives, which the California Action Coalition is working on is to advance nursing practice by increasing the education and training of BSN in areas of the state’s jurisdiction. The state-based coalition aimed at attaining 80% accredited BSNs by 2020 (California Action Coalition, n.d). The initiative bore fruits after two years of the coalition’s effort to increase the number of BSNs hence advancing the nursing profession. Positive results yielded by the efforts indicate an 8.3% improvement in nursing education. Besides, 61.5% of nurses in California have achieved BSN qualifications (California Action Coalition, n.d). The BSN qualification means that the healthcare system achieves better patient outcomes since better skills and decision-making abilities of nurses improve the quality of care.

            The second initiative by the California Action Coalition is to reduce the nursing scope of practice restrictions. The coalition has a commitment to ensuring that nurses remain empowered to practice fully according to the scope of their training and education. With the removal of practice barriers as advocated in this initiative, the nurses will put their broad skills into practice (California Action Coalition, n.d). Subsequently, the state will realize improved access to quality healthcare for the whole population.

Barriers to Advancement that Currently Exist in your State

There are physicians’ organizations that oppose the expansion of nurses’ scope of practice and this poses a significant barrier. Nursing advocates are making efforts to work with a larger coalition of stakeholders and healthcare providers to pass legislation that provides advanced practice nurses with full practice authority. The coalition will also converge on the scope of practice restrictions. Another barrier to advancement that also exists in California is the lack of funding for qualified applicants who wish to study the BSN program and advanced levels of nursing (California Action Coalition, n.d).  Nursing training colleges and universities are collaborating with public and private partners to relieve students of the funding challenge by providing them with affordable loans.  


Altman, S. H., Butler, A. S., & Shern, L. (Eds.). (2016). Assessing Progress on the Institute of Medicine report The Future of Nursing.

California Action Coalition, (n.d) California Action Coalition: Campaign for Action  (Accessed on March 5 2021)

Change, L. (2020). The Future of Nursing.