The Institute of Medicine Future of Nursing Report

IOM Foundation

Robert Wood “General” Johnson founded the Robert Wood Johnson Foundation during the great depression to mitigate the economic frustration that greatly affected the delivery of health care. The fundamental function of the foundation was to build a reliable blueprint that will shape and guide future nursing practices through reforming the health care system. In 2010, The Institute of Medicine (IOM) report was released as a strategic effort to examine the nursing workforce and develop possible measures that reduce the turnover rates (The Future of Nursing: Leading Change, Advancing Health, 2014).

The IOM report evolved into the National Academy of Medicine to establish its expansion and complexity since it advocated counseling the government and undertaking independent research on health milestones. Therefore, the future of nursing through the IOM report is anticipated to advance the health paradigms into better and quality health care delivery.

IOM Crucial Messages

Fundamentally, the IOM report has four clear messages that monitor nurses’ quantity and quality of health provisions. First and foremost, the nurses are encouraged to fully exploit their education and training skills to offer personalized care to the patients. Through compassion, dedication, effectiveness through performance, and customization, nurses can efficiently expand their limits on nursing practices (Perez et al., 2018). An example is when a nurse observes and monitors the patient, recording vital information important in decision making. Crucial circumstances such as whether to undertake an operation or not depend on nurses’ training and education capacity.

Secondly, through the improved education systems, nurses are pressured to achieve a high degree of professionalism. The purpose of this is to ensure proper diagnosis and delivery of quality health services in due time (The Future of Nursing: Leading Change, Advancing Health, 2014). Despite the advanced number of nursing graduates, only the differentiated can become recognized and recommended as viable and competent practitioners. To attain this distinguishable honor, the nurses need to complete the NCLEX-RN examination to bloom into a certified, recognized nurse (RN) or an associate degree in nursing (ADN). This message affects nursing leadership as this acts as a manual to reaching great heights in the nursing profession.

Thirdly, nurses should willingly partner with other health professionals in restructuring the healthcare system in the US. This joint venture creates awareness of skills, proper usage of limited resources, and delivery of desired Health due to the peaceful co-existence present. Effective communication improves the diagnosis stage since the nurse offers additional information that the doctor needs for a treatment plan. An example of this is when a patient is about to induce blood transfusion; the nurse needs to countercheck the rhesus factor to prevent any hemolytic reaction that may lead to death.

Lastly, the report argues the need for effective workforce planning and policy formulation through improved technological utilities. Data collection is essential in communication between doctors and patients with nurses as the interpretation tool to resolve any underlying barrier in quality health delivery. Information on the patient’s fitness is recorded through observation, interviewing, and close examination, thus giving the doctors an upper hand in treatment delivery (The Future of Nursing: Leading Change, Advancing Health, 2014). The inclusion of nurses in enacting health policies increases the chances of sustainable delivery and accessibility of health services affecting nursing practice positively. An example is that a nurse may know the appropriate time for a doctor and a patient to converse without facing inconvenience.

State-Based Action Coalition Initiatives

Consequently, state-based action coalitions are a renowned and phenomenal network of individuals from specified states who work collectively to influence health care perception and direction positively. The critical role is the aided transformation of health care services through the pooling of nursing resources to develop locally healthier communities. The execution of these coalitions acts as campaigns that compel and motivate change toward the total transformation of the nursing profession (Nelson-Brantley et al., 2019).

The state-based coalitions are in line with the directives of the IOM report in redesigning the nursing determinants to ensure a sustainable community with standard health delivery. The IOM and action coalitions focus on improving the quality, access, and value of health treatment through reinforcing the nursing skills with a specialized and enhanced medical environment. With the aging of the baby boomers, the state-based coalitions tend to redirect the attention and praise to the upcoming generation that is meant to forge the nursing world and ensure accessible Health globally.

Spearheaded Initiatives

The state-based action coalition in Georgia has spearheaded some advanced initiatives that have heavily impacted health delivery and accessibility standards. The first initiative is diversity depicts the coordination of nurses across the state with evidence of doctrines and thus participate in medical symposiums. The vital significance of converging mental capabilities in nursing is to relate the common disparities in each nurse’s capacity. Data from the samples initiated have provided proof of possible networking and support, which is the planned method of re-shaping the nursing summit (The Future of Nursing: Leading Change, Advancing Health, 2014). This initiative aids in the advancement of professional qualifications as a nurse.

Additionally, Georgia has integrated the workforce data initiative through the board of nurses and hospital associations for more accessible communication and service delivery. The usefulness of registered nursing workforce data is a milestone in the public policy specialty since it caters to future data foundations and anticipated trends in the nursing workforce. The report on staffing alternatively proved the essence of racial equity since records have proven that more African-Americans have advanced as practicing nurses. This initiative promotes the technological aspect of nursing through policy depiction and information technology.

Barriers to Nursing Advancements

The nurses in the state of Georgia have recorded that they face substantial welfare barriers due to challenges such as workplace hazards, violence, staffing problem, and unsuitable working hours. The nurse advocates are empowered to mitigate these problems and ensure the joint Health and safety of nurses and patients. The advocates argue for the increased supply of protective clothing to protect the patients and ensure their safety from infectious diseases.

The nurse advocates protect the patients from violation of their rights, such as through ignorance of duty by nurses that may result in depletion of their Health (The Future of Nursing: Leading Change, Advancing Health, 2014). The nurse advocates ensure adequate staff to cater to the patient’s needs through more nurse employment and training. The nurse advocate provides a realistic working conditions to cater to the needs and welfare of the patients.


Undoubtedly, nurses are a critical aspect of the community in the provision of quality health services. However, they face impending challenges that inhibit them from service delivery. Therefore, the primary element of the IOM report is to redesign the current nursing activities and cater to future changes and sustainability. The state-based action coalition initiatives are agents that deliver the agenda of the IOM report by ensuring there is a relative clause among nursing, quality, access, and time. The future is at stake if we do not ultimately ensure the efficiency and effectiveness of nursing delivery both at regional, national, and international levels.


Nelson-Brantley, H. V., Bailey, K. D., Batcheller, J., Bernard, N., Caramanica, L., & Snow, F. (2019). Grassroots to global: The future of nursing leadership. JONA: The Journal of Nursing Administration, 49(3), 118-120.

Perez, A., Nichols, B., & Quinn, W. V. (2018). Growing diverse nurse leaders: The current progress of the future of nursing campaign for action. Nurse Leader, 16(1), 38-42.

The Future of Nursing: Leading Change, Advancing Health. (2014). National Academies Press.

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