Feb 23, 2024 NRS 430 Professional Development of Nursing Professionals
NRS 430 Professional Development of Nursing Professionals
NRS 430 Professional Development of Nursing Professionals
Professional Development of Nursing Professionals
Nursing is a dynamic profession as it entails art and science components in practice for the healthcare providers. In its 2010 report titled “The Future of Nursing: Leading Change and Advancing Health,” the Institute of Medicine (IOM) was categorical that nurses should be prepared to take new roles because of the evolving and transforming healthcare sector. The IOM report is essential in preparing nurses for future roles, especially with an aging and diverse population (Feller, 2018). The essence of this paper is to demonstrate the influence of the IOM report on nurse practitioners and the profession, especially on education and leadership as well as the evolving healthcare sector.
Four Messages of the Report & Significance
The IOM report was based on findings made in partnership with the Robert Wood Johnson Foundation (RWJF) about a vision for a transformed health care system where nurses play a critical role in its realization. The IOM’s four key message include nurses being allowed to practice to full level of their training and education. The message is essential to nursing as it ensures that they have full scope of practice, especially as primary care providers (Kovner et al., 2018). Secondly, the IOM report was categorical that nurses need to have seamless and lifelong learning to get higher degrees based on an improved education model. The message is important as it implores nurses to ensure that they attain lifelong learning and progression to offer quality care.
The report’s third message is that nurse practitioners should be equal partners alongside doctors and other health providers to reshape healthcare in the country. The message is important for nurses as it means that they should be recognized as primary care providers and partners based on well-grounded knowledge, experience and perspectives. The fourth message is the need to have workforce planning and policymaking based on data collection and improved health information system or infrastructure (Feller, 2018). The message is essential to nurses as it means that they should be positioned better to leverage new trends in healthcare technology and information to deliver quality results.
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Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.
Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:
The impact of the IOM report on nursing education.
The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.
The impact of the IOM report on the nurse’s role as a leader.
Cite a minimum of three references.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Refer to the American Association of Colleges of Nursing (AACN) Fact Sheet: Creating a More Highly Qualified Nursing Workforce as a resource.
Refer to the assigned readings for concepts that help support your main points.
Refer to “Grand Canyon University College of Nursing Philosophy.” This is an informational resource to assist in completing the assignment.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Students should review the rubric prior to beginning the assignment to become familiar with the criteria and expectations for successful completion.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Scope of practice denotes services that a qualified health professional considered competence to execute, and allowed to undertake based on the terms of their professional license. The nursing standards of practice differ in each state across the United States due to the differences in scope of practice authority legislations (Huynh & Haddad, 2021). As defined by the American Nurses’ Association (ANA), (n.d.) standards of nursing practice comprise of three critical components that include professional standards of care, professional performance standards, and specialty practice guidelines as protocols of care for certain populations.
In Illinois, the Illinois State Board of Nursing is responsible for setting standards of practice for all cadres of nurses. The board uses laws formulated by the state assembly and the Nursing Practice Act (NPA). The nursing board interprets the NPA into regulations based on the state’s authority to practice as a nurse. The implication is that the state board of nursing assists state legislators in developing rules and regulations to make the laws specific and clear for nurses (Illinois Nursing Workforce Center, n.d). The board of nursing in Illinois recognizes nurses as an integral part of healthcare delivery and categorizes them into three groups; licensed practice nurse (LPN), registered nurse (RN), and advanced practice registered nurse (APRN). For instance, an APRN is licensed as both a registered professional nurses and as an APRN and should possess a graduate degree and certification before licensure as an advanced registered nurse. The practice standards of an APRN include caring for patients through deployment of advanced diagnostic skills, and can order for diagnostic tests and procedures. APRN can also practice as a physician assistant, a podiatrist, and physician while making professional judgment to initiate and coordinate patient care (IHHA, 2017). An APRN can also prescribe medications and drugs and also administer them by following state regulations on scope of practice authority.
The standards of practice influence specialty of all nurses, from licensed practice nurse (LPN) to APRN as one cannot practice without following the set regulations. As mentioned, to practice as an APRN requires one to have the right qualifications and training as stated by the Illinois nursing board. Practicing in the specialty requires one to ensure that they follow the practice standards in care provision.
NRS 430 Professional Development of Nursing Professionals References
American Nurses Association (ANA) (n.d.). Scope of Practice.
https://www.nursingworld.org/practice-policy/scope-of-practice/
Huynh, A. P. & Haddad, L. M. (2021). Nursing Practice Act. StatPearls [Internet].
https://www.ncbi.nlm.nih.gov/books/NBK559012/
Illinois Nursing Workforce Center (n.d.). Nursing in Illinois.
http://nursing.illinois.gov/nursinginillinois.asp
Illinois Health and Hospital Association (IHHA) (2017). HB 313 – Nurse Practice Act (225 ILCS
65/) Public Act 100-0513. https://www.team-iha.org/files/non-gated/quality/hb313.aspx
Nursing practice is regulated by rules in every state and territory in the United States. The Nursing Practice Act defines these laws (NPA). Each state and territorial nursing board with the jurisdiction to govern the practice of nursing care and the power to implement the laws interprets the NPA into regulations. Fifty states, the District of Columbia, and four US regions have state boards of nursing (BONs) in charge of regulating their respective NPAs. The boards are responsible for implementing the laws enacted by their respective state or territorial legislatures. The board of nursing has the authority to sanction nurses who break nursing laws and regulations, according to the legislative body. Only the BON has the authority to punish a person who might be a threat to the public.
The NPA was established to regulate and protect the public from practitioners who pose a threat to the people’ health, safety, or welfare within the state board’s jurisdiction. This principle of protection is enforced by evaluating competence at the point of first license and throughout the nurse’s career. License standards are established both at the time of initial licensure and at the time of renewal. The National Park Service defines and preserves licenses and titles for public use. After graduating from authorized nursing training programs, passing professional board examinations, passing background checks, and paying necessary fees, they are privileged and given by the BON.
The nursing practice act in the commonwealth of Virginia helps to develop the following regulations;
Laws governing nursing
Regulations governing nursing
Proposed regulations
Emergency regulations
Laws governing all health professionals
Using the language in the NPA, the BON of Virginia has the jurisdiction and capacity to regulate nursing practice. The BON is also responsible for protecting the health, safety, and welfare of US citizens against inadequate nursing care. The governor or senators usually nominate members to the BON based on proposals from various professional organizations in the state or territory. Nurses, physicians, attorneys, and members of the general public may all be members of the BON. Nurses, attorneys, and administrative personnel who are not members of the BON may work in the BON office and have investigative obligations. The BON’s tasks are as follows:
-Create, amend and enforce guidelines
-Developing nursing education standards
-Establishing fees for licensure
-Ensure that a criminal history check is performed before licensure.
-Providing applicants with a license
-Keeping nurses up to date with continuous education
-Data about the nursing workforce is being collected and analyzed.
-Executing disciplinary procedures
Furthermore, the purpose of establishing set standards of practice is to ensure that the profession is consistent in all specialties. If a nurse has specialized knowledge or skills, the criterion is to judge her against a nurse with equivalent ability and knowledge in similar conditions.
National Library of Medicine(2021). Nursing Practice Act by Annie P. Huynh; Lisa M. Haddad.
Retrieved from;
https://www.ncbi.nlm.nih.gov/books/NBK559012/#:~:text=The%20NPA%20exists%20to%20regulate,within%20its%20state%20board%20jurisdiction.
Virginia department of health professions Board of Nursing. Laws and Regulations 2021
Retrieved from
http://www.dhp.virginia.gov/Boards/Nursing/PractitionerResources/LawsRegulations/
The nursing profession and the development of nurses are critical to the attainment of health equity as advanced by the report “The Future of Nursing Report, 2020-2030: Charting a Path to Achieve Health Equity,” of the National Academies of Sciences, Engineering and Medicine. The report outlines the significance of nurses and their critical role in meeting the society needs within a robust focus on social determinants of health. The purpose of this paper is to discuss the influence of this report on nursing practice.
Recommendations of the Report and Significance Health Equity
The report’s offers nine recommendations to implement changes at both individual and system levels, and a call for action to the largest health care workforce. The first recommendation is that nursing organizations need to initiate work aimed at development of a shared agenda to address social determinants of health and attaining health equity. Secondly, government agencies and all stakeholders at state and federal levels should initiate actions to allow the nursing workforce address social determinant of health and health equity (Maughan & Bergren, 2021). Thirdly, the report recommends the initiation and implementation of structure, systems, and evidence-based interventions to enhance nurses’ health and wellbeing, especially in new roles to advance equity. The fourth recommendation entails allowing nurses to practice to full level of their education and training by removing and reducing practice barriers while the fifth recommendation calls on establishment of sustainable and flexible payment models to support nurses in all areas of practice.
The sixth recommendation of the report is that health care systems should integrate nursing expertise in designing, generating and analyzing as well as using data to support initiatives on social determinants of health and health equity through diverse digital platforms, artificial intelligence and other innovative technologies (Wakefield et al., 2021). The seventh recommendation calls on having nursing programs to prepare nurses sufficiently to address social determinants of health and health equity. Recommendation eight calls on agencies to strengthen and protect the nursing workforce when responding to public health emergencies while the ninth recommendation implores all stakeholders and organizations to develop and support nursing research and use of evidence-based practice to influence nursing interventions.
The attainment of health equity is essential in this report to address the systemic and persistent health disparities that exist and affect millions of individuals and families across the health continuum in the country. health inequities are systematic differences in opportunities that exist and limit groups abilities to attain optimal health. These situations lead to unfair and inevitable differences in health outcomes among these groups (Maughan & Bergren, 2021). Therefore, addressing these inequities is important and nurses are strategically positioned to help tackle the disparities and lead to quality care. Health inequities disproportionately impact minority and marginalized groups like the LGBQT community, people of color, people living with disabilities and those in rural areas as well as those with low income.
Social Determinants of Health & Impact on Health Equity
Social determinants of health (SDOH) are environmental conditions where one lives, work, learns, plays and worships and ages that affect a host of health, functioning, and quality of life. These conditions also affect health outcomes and risk of getting diseases. SDOH entail both positive and negative aspects. They include education, employment, health systems and services, housing and income and wealth, physical environment, public safety and security and the social environment. The health system and services provided to individuals affect health equity and social needs (Wakefield et al., 2021). Health equity means equal access and opportunities to health care services. As such, limited access to health system and services affect individuals and leads to health disparities, especially among the minority groups and communities like the LGBTQ.
Role of Nurses in Improving Health Equity and Impacting Social Needs
The report by the National Academies of Sciences, Engineering, and Medicine on future of nursing asserts that health is essential to all aspects of life, especially the interaction between social determinants of health (SDOH), health equity, and patient health outcomes. The report advances that the coming ten years will require a stronger, more diversified nursing workforce prepared to meet care needs, promote health and wellbeing among the practitioners, individuals and communities while addressing the systemic inequities that have led to wide and persistent health disparities. The report asserts that the country’s health system can attain health equity by building on strengthened nursing capacity and expertise aimed at delivery of quality care.
The report observes that the nation requires nurses to help people live healthier life as they work to address the root causes of poor health. Nurses have an obligation to integrate social justice principles into nursing and health policy to meet social needs of patients and communities (Wakefield et al., 2021). The implication is that as leading healthcare providers, they are the first contact with people from diverse backgrounds seeking care interventions as a social need. They manage team and link clinical care to public health and social services of patients and health populations.
Significance of Self-Care to Decrease Nursing Burnout
Nursing burnout is a serious issue that impacts nurses and leads to increased rates of turnover, poor patient outcomes, and adverse events like medication errors. Nurses need self-care interventions to help them deal with burnout and associated fatigue. Studies show that close to 80% of nurses at increased risk for stress in the workplace and require self-care. Nurses encounter stressful days, long hours as well as unpredictable schedules (Chipu & Downing, 2020). Therefore, they need self-care which entails acts of caring for one’s self in a holistic, intentional and important way. This means that nurses should meet their needs intellectually, emotionally, physically, spiritually, and through their interactions.
Self-care reduces nursing burnout as nurses develop interventions to improve their sustenance and ability to meet patient needs. Nurses can maintain personal and spiritual health using physical activities like yoga and meditation. Squellati and Zangaro (2022) assert that nurses can use different ways to manage burnouts and have a support environment to meet patient needs. These include a strong work-life balance, health lifestyle away from work, and decreasing stress. The study notes that brain chemicals can assist nurses to relax and attain wellness. Mindfulness-based interventions are also effective in reducing burnout and levels of stress among nurses. The implication is that self-care is essential for nurses to be prepared to offer health interventions, address health inequities and reduce the current disparities.
Conclusion
The need to prepare nurses in the next decade requires implementation of the recommendations by the National Academies report on nursing of 2021. Nurses will continue to play a significant role in care provision and should be supported through strengthening their abilities. Through a strong workforce in nursing, the nation can attain health equity and improve the wellness of its people.
NRS 430 Professional Development of Nursing Professionals References
Chipu, M., & Downing, C. (2020). Professional nurses’ facilitation of self-care in intensive care
units: A concept analysis. International journal of nursing sciences, 7(4), 446-452. DOI: 10.1016/j.ijnss.2020.08.002
Maughan, E. D., & Bergren, M. D. (2021). Future of nursing 2030: The future is bright for
school nursing. NASN School Nurse, 36(5), 248-251. https://doi.org/10.1177/1942602X21103491
National Academies of Sciences, Engineering, and Medicine. 2021. The future of nursing 2020–
2030: Charting a path to achieve health equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982
Squellati, R., & Zangaro, G. A. (2022). Eight Ways Nurses Can Manage a Burnt-Out Leader.
Nursing Clinics, 57(1), 67-78. DOI: 10.1016/j.cnur.2021.11.005
Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030:
Charting a path to achieve health equity. National Academy of Sciences.
Nwamaka, Rosemary Mander distinguishes nursing from midwifery and reckons that midwifery could learn a great deal from the nursing literature about accountability because it is not covered to any great extent in the midwifery literature. Perhaps this is because midwives take a certain degree of autonomy, and therefore accountability, for granted. Whatever the answer, both nurses and midwives will have a great deal to learn from Mander’s chapter.
Mander considers some definitions of accountability and examines how these apply to midwifery. Accountability to the employer, the woman and the profession are all considered. However, Mander reckons that personal accountability is the highest form of accountability. The historical development of accountability in midwifery is traced briefly and this complements the historical account of accountability in nursing presented by McGann.
The issue of autonomy, one which is important in midwifery, is examined in some detail by Mander in terms of its relationship to accountability. Where accountability may appear to constrain the midwife, autonomy is a ‘ liberating phenomenon’ and is regarded more positively. She mentions the interesting issue of ‘ attitudinal autonomy’ , which is really about the self-confidence to practice and to be accountable. Mander concludes by bringing clinical governance into the equation and her assessment is none too positive. She also describes clinical governance as reductionist and likely to downgrade practice and this echoes many issues as the a raised.
NRS 430 Professional Development of Nursing Professionals Rubric Criteria
Total250 points
Criterion
1. Unsatisfactory
2. Less than Satisfactory
3. Satisfactory
4. Good
5. Excellent
Education and Role of the Nurse to Meet the Needs of an Aging and Diverse Population
Importance of the Evolution of the Education and Role of the Nurse to Meet the Needs of an Aging and Diverse Population
0 points
The importance of the evolution of the education and role of the nurse to meet the needs of an aging and diverse population is not presented.
30 points
A partial explanation the importance of the evolution of the education and role of the nurse to meet the needs of an aging and diverse population is presented. There major are inaccuracies.
31.6 points
A summary of the importance of the evolution of the education and role of the nurse to meet the needs of an aging and diverse population is presented. Some information is needed to fully support explanation.
35.6 points
An explanation of the importance of the evolution of the education and role of the nurse to meet the needs of an aging and diverse population is presented. Some detail is needed for clarity.
40 points
A thorough explanation the importance of the evolution of the education and role of the nurse to meet the needs of an aging and diverse population is presented. The explanation demonstrates a clear understanding of the role of the nurse in meeting the needs of an aging and diverse population.
IOM Summary of Four Messages and Significance to Nursing Practice
IOM Summary of Four Messages and Significance to Nursing Practice
0 points
Summary of the four messages outlined in the IOM report and explanation of why these are significant to nursing practice is omitted.
30 points
Summary of the four messages outlined in the IOM report is partially presented. Explanation of why these are significant to nursing practice is incomplete. There are significant inaccuracies.
31.6 points
Summary of the four messages outlined in the IOM report is presented. Explanation of why these are significant to nursing practice is generally presented. There are some inaccuracies. Some information or rationale is needed to fully support summary.
35.6 points
Summary of the four messages outlined in the IOM report is presented. Explanation of why these are significant to nursing practice is presented. Minor detail is needed for clarity.
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