Posted: January 9th, 2023

IOM Future of Nursing Report and Nursing GCU

The IOM Future of Nursing Report and Nursing


The Institute of Medicine (IOM) report “The Future of Nursing: Leading Change, Advancing Health” is a thorough assessment of the nursing workforce. The report explores how the education, responsibilities and the roles of nurses should significantly be changed to meet the high demand for care that will occur as a result of a reformed health system and to promote improvements in the United States health system that is becoming more complex. The IOM Future of Nursing Report and Nursing GCU paper discusses how the IOM report has influenced nursing education and training, practice, and role development  and the role of  state-based action coalitions in promoting implementations contained in the report.

The work of the Robert Wood Foundation Committee Initiative that led to the IOM report

In 2008, the IOM was approached by the RWJF to suggest collaboration between the two entities to perform an assessment and act in response to the need to change the profession to meet the challenges facing the profession.  According to Altman et al (2016), the two organizations initiated a two year Future of Nursing initiative.  The RWJF committee was requested to examine whether the nursing workforce was capable of meeting the demands of the reformed health care system. The committed was also tasked with developing recommendations for transformations at the national, state, and local levels. In particular, the committee was requested to recognize the fundamental responsibilities of the nursing workforce in the planning and execution of a health care system that is more efficient and effective IOM Future of Nursing Report and Nursing GCU. The committee was to produce recommendations on how the nursing education capacity could be expanded to produce a sufficient amount of nurses who are adequately prepared to net future and current demand; reconceptualize nurses’ role within the framework whole health care system, and create innovative remedies connected to health care delivery and professional education by concentrating on the provision of nursing service.


The four Key Messages that structure the IOM Report recommendations

Key Message 1

The initial key message is that nurses should practice to the full level of their education and training. The committee noted that policy and regulatory obstacles have prevented nurses from undertaking the variety of tasks for which their training and education have prepared them.  The committee produced recommendations on actions that state legislatures, Congress, and several federal agencies could take to assist eradicate these barriers (Altman et al., 2016).

Since the report was released, state actions have worked on the recommendations to eliminate barriers to APRN practice. According to Hansen-Turton et al (2015), in 2013, fifteen states introduced legislation to make sure that nurses are able to fully practice to their level of training and education. Numerous editorial boards, including Bloomberg and The New York Times, have called for the elimination of these barriers, and there is a shift in public opinion in favor of the elimination of nurses’ barriers to practice.

Key Message 2

The second key message is that nurses should attain higher training and education that an education system that is improved to promote seamless progression. The committee noted that key transformations in the United States health care system to occur, it will be essential to transform the nurses’ education to get them ready to deal with technology and synthesize multi-faceted information, work in partnership with other health professionals, and engage in critical decision making.  The committee recommended that to meet these needs, more nurses attain higher degrees so that by the year 2020, eighty percent of nurses would possess a baccalaureate degree and with the number of nurses having a doctorate doubling by 2020. Additionally, the committee proposed that nurses participate in continuous education and the diversity of the workforce to be increased (Altman et al., 2016) IOM Future of Nursing Report and Nursing GCU.

This key message has led to a rise in the number of nurses with higher and baccalaureate degrees. The number of baccalaureate nursing programs, the number of enrollees, and the number of nurses graduating from these programs have steadily increased.  According to Altman et al (2016), entry-level baccalaureate programs had increased to 704 in 2014 from 642 in 2010 with accelerated baccalaureate programs increasing to 299 from 133 in the same period.

Residences in a diverse setting and various levels have been expanded or developed in the years since the IOM report was published.   There have been development and financing by institutions employing nurses, to improve on the job training as well as retention of newly hired nurses.  For example, over 130 health systems and hospitals across the United States are taking part in the AACN/UHC programs for postbaccalaureate residencies and yearly participation had increased from  3, 579 nurses in 2010 to over 9,000 nurses in 2014 (Altman et al., 2016).

Key message 3

The third key message is that nurses should fully partner with physicians and other health professionals in redesigning the United States health care. The committees established that for nurses to fully take part in transforming the system, they are supposed to become leaders and collaboratively work with other leaders.  The committee proposed that for nurses to develop leadership capacity, education programs, funders, and health care organizations offer, finance, and expand opportunities for nurses to be able to build up skills on leadership and take on leadership positions. (Altman et al, 2016).

Since the report was released, there has been an establishment and expansion of leadership development opportunities by private organizations, nursing associations, and education programs.  IOM Future of Nursing Report and Nursing GCU According to Altman et al (2016), nursing associations actively sponsors programs intended to develop nurses leaders’ entrepreneurial and leadership skills in a wide range of positions. For example, the American Organization of Nurse Executives provides a wide range of leadership opportunities and education, entailing the nurse manager fellowship and the emerging nurse leader institute.

Key Message 4

The fourth and last key message is that effective policymaking and workforce planning need bet collection of data along with a superior information infrastructure.  The committee established that to get ready for important health care system transformations, it is essential to have concrete and reliable information on the nursing workforce. This data includes the types and number of nurses practicing, their roles, and their places of work, and the tasks they undertake.  The committee made the recommendation that the  National health care workforce commission should work in collaboration with the human resources and services administration to improve the gathering and analysis of data on the healthcare workforce.

The role of state-based Action Coalitions

To implement the four key messages and the eight recommendations of the IOM report, RWJF leveraged preexisting groundwork and formed collaborations known as action coalitions to engage national organizations in directing implementation. State-based action coalitions move recommendations forward at the community and state levels. They are the driving force of the entire initiative to make advancement at the national, state, and local levels and to develop sustainable schemes to attain the IOM report goals. They also inform policymakers on the way the IOM recommendations can be implemented   (Huston, 2016) IOM Future of Nursing Report and Nursing GCU.

Initiatives that the North Carolina action coalition is working on

The Regionally Increasing Baccalaureate Nurses (RIBN) initiative is one initiative that the North Carolina action coalition is working on.  The RIBN initiative offers a cost-effective educational pathway amid universities and community colleges so that more nursing students in North Carolina can attain a baccalaureate degree at the start of their careers.  This initiative is advancing the nursing profession by providing more educational opportunities. Increasing the diversity of the nursing workforce is the other initiative by the North Carolina Action Coalition.  Numerous university and community college nursing education programs across the state are diligently working to increase the diversity of nursing students through recruitment and retention initiatives. The two initiatives are advancing the nursing profession by enabling nurses to attain higher levels of training and education and attainment of a more diverse nursing workforce.

Barriers to advancement that currently exist in North Carolina

Restrictive scope of practice laws are barriers to advancement that currently exist in North Carolina.  State laws make it mandatory for nurse practitioners to have a collaborative practice agreement (CPA) with a  licensed medical doctor.   The CPA delineates patient management and describes the way the physician and the APRN interact.  The CPA also describes medical treatments, tests, and procedures that may be performed by the nurse practitioner and the devices and drugs that may be ordered, or prescribed by the APRN and also a plan for emergency services (Phillips, 2020).  With these requirements, nurses are unable to practice independently and advance their practice in the absence of a collaborating physician. Additionally, the CPA is costly, which makes it hard for nurses to advance their own clinics. Nursing advocates overcome these barriers by calling for the removal of government-imposed restrictions on NPs which lessens access to care in North Caroline and increases costs of health care. They are also involved in crafting bills that would address old-fashioned regulations on nurse practitioners.



Altman, S., Butler, A., & Shern, L. (2016). Assessing Progress on the Institute of Medicine Report the Future of Nursing.  The National Academies Press.

Hansen-Turton, T.,  Sherman, S., & King, E. S. (2015). Nurse-Led Health Clinics: Operations, Policy, and Opportunities. Springer Publishing Company IOM Future of Nursing Report and Nursing GCU.

Huston, C. J. (2016). Professional Issues in Nursing: Challenges and Opportunities. Wolters Kluwer Health.

Phillips, S. J. (2020). 32nd Annual APRN Legislative Update: Improving access to high-quality, safe, and effective healthcare.  The Nurse Practitioner, 45(1), 28-55. doi: 10.1097/01.NPR.0000615560.11798.5f


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.” IOM Future of Nursing Report and Nursing GCU

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 to 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 IOM Future of Nursing Report and Nursing GCU assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This IOM Future of Nursing Report and Nursing GCU assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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