NUR 513 Topic 1 DQ 2 Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving?

NUR 513 Topic 1 DQ 2 Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving
NUR 513 Topic 1 DQ 2
Access The Future of Nursing: Leading Change, Advancing Health. Identify the two recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Provide rationale based on your experience in practice. Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving? Why or why not?
The Institute of Medicine (IOM) recommends that, in order for the healthcare industry to meet the rising demand for quality and affordable care, there is need to redefine and redesign the nurse training framework to march with the emerging trends in healthcare. Among the recommendations for nursing education to promote effectiveness include expanding the nursing faculty and improve the capacity of the available nursing schools. Additionally, there is need to reframe the nurse training program to expand the scope of training and ensure that the nurses graduating with the BSN are well trained on incorporation of technology, research methods, basic statistical data analysis and interpretation and above all they are well equipped to provide education to the patients and emphasize the current role of nursing profession. According to the ACA, the nurses are not only supposed to offer intervention measures in terms of treatment and taking care of the sick but they should also put the preventive measures on the forefront of their care services. It is imperative that the nurse training institutions help the student nurses sharped their communication skills and instill some pedagogical skills to help them deliver the message of health promotion measures as a way of improving healthcare and promoting quality life (Cleveland et al., 2019). I do agree with the IOM on about the evolving role of the advanced nursing practice. The recommendations remove the restrictions on the scope of practice of the APRN and allows them to practice to the full extend of their education and training (Salmond & Echevarria, 2017).
Cleveland, K., Motter, T., & Smith, Y. (2019, May). Affordable Care: Harnessing the Power of Nurses.
Salmond, S. W., & Echevarria, M. (2017). Healthcare Transformation and Changing Roles for Nursing. Orthopaedic Nursing, 36(1), 12–25.
Who regulates APRN scope of practice?
The regulatory mandate for the APRN practice is regulated by the state’s boards of nursing. Each state has its own regulatory laws that govern the scope of practice of the APRNs (Staff Writers, 2019). In some states the full practice is allowed while some they have the limited practice regulation. The full practice regulation also has three other categories. There are those states that allow full practice without the transition period, some allow collaboration between the NP and the APRN, while some allow collaboration with physicians only. Likewise, the restrictive practice regulation has two folds, those that restrict only the authority to prescribe while other states have more than the prescriptive restrictions (STATE LAW FACT SHEET: A SUMMARY OF NURSE PRACTITIONER SCOPE OF PRACTICE LAWS, IN EFFECT APRIL 2016, n.d.) Apart from having the boards of nursing regulating the scope of practice other laws and policies from the federal government regulatory boards may play part in the regulatory aspects.
Staff Writers. (2019, November 15). How Does NP Practice Authority Vary By State?;
This assignment focuses on the two recommendations for nursing education you believe will be most effective or radical in creating
NUR 513 Topic 1 DQ 2 Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving
change within the industry. Use clinical examples, discuss whether you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving.
Explore this CAT : Explore the six aims of IOM.
Re: Topic 1 DQ 2
In the Institute of Medicine (IOM) report title “The Future of Nursing: Leading Change, Advancing Health” (2011), the IOM recommended changes to the nursing profession in order to improve patient outcomes. One of those recommendations is to “ensure that nurses can practice to the full extent of their education and training” (Institute of Medicine, 2011). These is probably the most important aspect of the IOM report because although we are facing a shortage of primary care providers in the country, many regulatory bodies still put boundaries in place for nurses trying live up to this recommendation. There are currently only 20 states in America that allow Nurse Practitioners to practice without a supervising physician (Full Beaker, Inc., 2021).
Another recommendation from the IOM report is that nurses should achieve higher levels of education (IOM, 2011). While I agree wholeheartedly with this recommendation on the surface, I believe that it may help and hurt the profession. Nurses should be expected to achieve higher levels of education and continue their education throughout their career because its just the right thing to do. Health care is changing constantly and nurses should keep up with those changes in order to keep patients safe. However, if the minimum educational level for entry into the nursing profession were to be changed to a baccalaureate degree it would prevent many people from entering the profession in the first place. The time and cost involved may be a deal breaker for many. In addition, with the nursing shortage getting worse every year we should not increase the time it takes nurses to obtain licensure. I know that for me, if I had to go straight through for a bachelor’s of science in nursing, rather than obtaining my associates degree, I would probably have chosen a different profession.
Full Beaker, Inc. (2021). Career Guide Series: Nurse Practitioner. Retrieved from,on%20certain%20patient%20care%20decisions.
Institute of Medicine (IOM) (2011). The Future of Nursing: Leading Change, Advancing Health. Retrieved from
Hello Kelly,
I do agree with you that one of the best recommendations by IOM about the role of the advanced registered nurse practice is to allow the nurses practice to the full extend according to their level of training and education. This has a direct impact on the effect of shortage of primary care providers in the sense that it will relieve the pressure on the already outstretched and overwhelmed primary healthcare providers. Additionally, the same concept was emphasized by the Center for Medicare and Medicaid Services (CMS) which broadened the concept of “medica staff” (Altman et al., 2016). This is meant to ensure that all healthcare facilities allow other healthcare practitioners like the APRNs to perform a number of roles that is within their area of training, practice and experience. Healthcare organizations that apply these recommendations are bound to be effective in terms of offering timely primary care for the patients and ease the pressure on the physicians. Additionally, this will encourage multidisciplinary health collaborations that are likely to result to high quality services and improved patient outcomes (Leach et al., 2017).
Altman, S. H., Adrienne Stith Butler, Shern, L., Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health, Institute of Medicine, & National Academies of Sciences, Engineering, and Medicine. (2016, February 22). Removing Barriers to Practice and Care.; National Academies Press (US).
Leach, B., Morgan, P., Strand de Oliveira, J., Hull, S., Østbye, T., & Everett, C. (2017). Primary care multidisciplinary teams in practice: a qualitative study. BMC Family Practice, 18(1).
Re: Topic 1 DQ 2
The text The Future of Nursing: Leading Change, Advancing Health has a couple of recommendations for nursing education which is believed will bring about positive change in the nursing field. One of the recommendations I believe will be radical in bringing about change within the industry is increasing the number of nurses with a baccalaureate degree by 80% by 2020. Although it is past 2020, there is an ever-growing need for nurses who are skilled and knowledgeable enough to take up the continuously growing challenges of the health care system. This recommendation requires public, private, and organizational structures to come together and offer scholarships, funding, and loan forgiveness for nursing education. Employees should encourage workers with associate degrees to go back to school and get their baccalaureate degrees in return for paying their tuition and offering promotions or salary increments at work. I have gained from this arrangement. My workplace has a degree of scholarship they offer for further education. Worthy of note is the need for diversity in race/ethnicity, gender, and geographical distribution. This is one of the solutions to the problem of health inequity in the US. Mistrust of white health personnel, for example, hinders Black folks from seeking medical attention and instead self-medicate. Availability of diversity would make health care more accessible to diverse populations.
The second recommendation I most agree with is ensuring that nurses engage in lifelong learning. If the faculty collaborates with health systems and updates their curriculum and competencies, they will be a better fit to teach the upcoming generation in the ever-upgrading health care system. In the same way, student nurses graduate from colleges better equipped for real-life challenges. This saves a lot of cost and time for health care systems in orientations. When I started working at first as a nurse, there were things I believe would have been better equipped for if it was taught in school. Although I learned on the job, learning from school would have prepared me better.
I agree with IOM’s description of the evolving role of Advanced Practice Registered Nurse. It described the evolving challenges of health care, for example, chronic conditions, an aging population, a more diverse population, health disparities, and limited proficiency in English Language and how APRN has been trained to meet these evolving needs with seamlessly coordinated care, coaching, and innovation.
Institute of Medicine (US) Committee on the Robert Wood Johnson Foundation Initiative (2011). The Future of Nursing: Leading Change, Advancing Health. Washington (DC): .
Hello ,
I do agree with you that one of the recommendations to bring about a radical change in the field of nursing is to all public and private partners to collectively help the practicing nurse to continue with their education and training and at least have a minimum qualification of a baccalaureate degree. This can be achieved by healthcare organizations to have programs of tuition fee reimbursement for its staff. Even though healthcare organizations could be facing serious financial crisis, it is imperative for this organization to work on cost effective means promote continuous staff development and advancement as an investment to help improve on quality of care and hence attract more customers (Stadhouders et al., 2019). I do agree with you that the process of continuous and lifelong education is important to help the nurses adapt to the rapidly changing healthcare landscape and be able to adopt the emerging technologies and skills needed to offer quality care to the patients. It is also clear that organizations that favor continuous education for their staff are better placed ti increase the nurse retention rates and promote career progression and advancement (Chaghari et al., 2017).
Stadhouders, N., Kruse, F., Tanke, M., Koolman, X., & Jeurissen, P. (2019). Effective healthcare cost-containment policies: A systematic review. Health Policy, 123(1), 71–79.
Chaghari, M., Saffari, M., Ebadi, A., & Ameryoun, A. (2017). Empowering Education: A New Model for In-service Training of Nursing Staff. Journal of Advances in Medical Education & Professionalism, 5(1), 26–32.
Re: Topic 1 DQ 2
The two recommendation for nursing education that will be most effective in creating change within the industry are:
Advanced education: Changes that occur in health care has caused changes in nurses’ roles. The involvement of nurses in advanced education allows the use of evidence-based practice to enhance positive patient outcomes (IOM, 2010). Nurses need advanced education because of emerging diseases including advanced cancers which needs intense treatment to achieve good patient outcome. Advanced nursing education also allows advanced practice nurses to practice to the fullest of their training and help to decrease physician shortages and brings cost effectiveness to healthcare (IOM, 2010). My participation in this class is an evidence that I am advancing my education to perform at my fullest capacity as a nurse and catch up with the changes that occur in healthcare today.
Accelerating personal competence: It is very important for nurses to improve their personal competence because new equipment, technology and nursing processes are becoming more available (Weberge, Mangold, Porter-O”Grady, Malloch, 2019). The more a nurse can learn about new approaches the more informed the nurse becomes and the better the nurse can evaluate the effectiveness of the new approach for organization and if it is good. This approach reinforces evidence-based principles as the supportive rationale for change (Masters, 2015). My experience as nurse verifies this required change in nursing. I have benefitted from improving my personal competence by updating my knowledge on new nursing or medical equipment, new technology and changes in nursing practice or approaches. I take some online competency tests and continuous education on courses that can help develop my competency as a nurse.
I agree with the description of Advanced practical registered nurses’(APRNs) role as evolving by IOM because APRN’s are needed to fill the available healthcare providers positions and reduce the shortage of physicians both in rural and urban areas (IOM, 2010). The existence of APRN’s has given many people the opportunity to have access to health prevention and maintenance as well as easy access to health care without waiting for too long to see a healthcare provider (IOM, 2010).
Institute of Medicine (2010) The Future of Nursing Focus on Scope of Practice. Retrieved from:
Masters, K. (2015). Role development in professional nursing practice. United States: Jones & Bartlett Publishers.
Weberge, D., Mangold, K., Porter-O”Grady, T., Malloch, K. (2019). Change and Innovation. In Leadership in Nursing Practice: Changing the Lanscape of Heath Care, Third Edition. (pp. 5-45). Jones & Bartlett Learning, LLC Publisher. Retrieved from
Hello ,
I do agree with you statement that the concept of continuous education among the registered nurse practitioners and the APRNs has increased the capacity and the applicability of the EBP projects utilization in the healthcare industries. Nurses who have a higher level of education have the relevant training and expertise to carry out successful EBP and generate new knowledge and findings on how best to improve on the practice and promote primary care. Apart from being initiators of the EBP projects, such nurses are able to utilize other research findings and easily translate the information into practice hence help bridge the translational gap between EBP results and the nurse practice (Mathieson et al., 2018). I alos agree wit you that the evolving role of the APRNs as recommended by the IOM is the appropriate step to move towards enhancing accessibility to primary care and removing the barriers in the nurse practice can go along way in boosting their morale and helping in the nurse retention rate hence alleviate to some extent the shortage of primary care providers (Altman et al., 2016).
Mathieson, A., Grande, G., & Luker, K. (2018). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20.
Altman, S. H., Adrienne Stith Butler, Shern, L., Committee for Assessing Progress on Implementing the Recommendations of the Institute of Medicine Report The Future of Nursing: Leading Change, Advancing Health, Institute of Medicine, & National Academies of Sciences, Engineering, and Medicine. (2016, February 22). Removing Barriers to Practice and Care.; National Academies Press (US).

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NUR 513 Topic 1 DQ 2 Do you agree or disagree with how the Institute of Medicine (IOM) describes the advanced practice registered nurse role evolving?
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