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Update on Future of Nursing report - Are We There Yet?

Created Feb 13 2018, 03:26 PM by Lippincott Solutions
  • Institute of Medicine
  • nursing leadership
  • IOM
  • nursing education

Formerly known as The Institute of Medicine (IOM), The National Academies of Sciences, Engineering, and Medicine (the National Academies) have called on nurses to take a bigger role in America’s health care system to help meet its increasingly complex and changing demands. The National Academies are private, nonprofit institutions that provide independent, objective analysis and inform public policy decisions related to science, technology, and medicine.

Back in 2008, The Robert Wood Johnson Foundation (RWJF) and the National Academies launched a two-year initiative to respond to the need to assess and transform the nursing profession. They developed a landmark report called The Future of Nursing, with the purpose of making recommendations for an action-oriented blueprint for the future of nursing.

Key points in the report

The committee considered nurses across roles, settings, and education levels in its effort to envision the future of the profession. Through its deliberations, the committee developed four key messages:

  1. Nurses should practice to the full extent of their education and training.
  2. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.
  3. Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States.
  4. Effective workforce planning and policy making require better data collection and information infrastructure.

Nurses practice in many settings, including hospitals, schools, homes, retail health clinics, long-term care facilities, battlefields, and community and public health centers. They have varying levels of education and competencies—from licensed practical nurses, who greatly contribute to direct patient care in nursing homes, to nurse scientists, who research and evaluate more effective ways of caring for patients and promoting health.

With regards to higher levels of education, one of the key objectives from the original 2010 Future of Nursing report was for 80% of nurses to have a baccalaureate degree (BSN) by the year 2020 - or "80 by 20" as it has since been referred to.  

Many of the elements and recommendations of the report on the Future of Nursing are reflected in American Nurses Association's ongoing work to advance the nursing profession recommendations for an action-oriented blueprint for the future of nursing.

Where are we now?

The Future of Nursing's Dashboard highlights national progress made in implementing the National Academy's Future of Nursing report recommendations that were released in 2010. The Dashboard is updated twice a year and tracks changes in seven areas, including nursing education, scope of practice, leadership, and diversity.

As of 2016, 54 percent of employed registered nurses held bachelor’s of science degrees in nursing—up from 49 percent in 2010. That’s no small feat when you consider that there are over 3.3 million nurses in the United States.

The goal is to increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020. This is just one of many noteworthy progress points seen in the latest round of updates to the Future of Nursing report.

Other noteworthy statistics and trends have been revealed in the Dashboard.

  • Target growth in the number of employed nurses with a doctoral degree has been achieved, up to 22,454 in 2016 from 8,267 in 2010.
  • State progress is being made in removing policy barriers to care provided by nurse practitioners.
  • More nurses are reporting that they serve on boards or other governing bodies (3,776), but the task force is still working towards the goal of 10,000 nurses serving on boards, as evidenced by the work of the Nurses On Boards Coalition (NOBC). 
  • Diversity in the nursing workforce is also a priority for the Future of Nursing, and the statistics show growing racial and ethnic diversity in the RN workforce.

We'll see in two more years if all of the Future of Nursing's goals are met, but it looks like nurses are well on their way to advancing their roles in health care.

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