IOM Future of Nursing Report and Nursing

IOM Future of Nursing Report and Nursing


The Robert Wood Johnson Foundation (RWJF) proposed a strategy targeted at changing nurses’ work. It received further support from the Institute of Medicine (IOM), resulting in the publication of the “Future of Nursing: Leading Change, Advancing Health” report (Hulse, 2022). This paper aims to go over the different components of this report, how it improves the nursing profession, and what function the Florida action coalition plays.

Robert Wood Foundation Committee (RWJFC) Initiative

The RWJF Committee worked to enhance the nursing profession. Their study suggested modifying the nursing practice to promote enhanced, patient-centered care in a changing healthcare system. The first advice was to remove obstacles that prevent nurses from using their knowledge and abilities to provide care (IOM, 2010). This applied to advanced registered nurses and called out the government to make suitable adjustments so nurses could practice without limitations as per their training.

The second concept was to increase nurses’ opportunities to work with physicians and other medical professionals. The committee recommended that private and public financiers, nursing education institutions, healthcare institutions, and relevant professional organizations work together to increase collaborative projects in the medical sector (IOM, 2010).

In research and other areas of developing health system practice settings, the cooperation includes nurses, physicians, and other healthcare employees. These agreements were meant to help nurses create and adopt best practices (IOM, 2010).

The committee advised nursing residency programs to aid the transition to full practice. Another proposal was to raise the number of registered nurses with a bachelor’s degree by four-fifths and the number of nurses with a doctorate by twice by 2020 to improve research and quality of care offered by nurses in the healthcare system (IOM, 2010; O’Brien et al., 2018).

Making sure that nurses participate in continuing education to enhance their skills and develop competencies to offer great care in varied settings is another committee idea (Bakerjian, 2022). In addition, they advised encouraging nurses to become leaders at all levels to promote their interests across platforms better (Hulse, 2022). Finally, the group recommended developing comprehensive information and data gathering infrastructure for nurses to assist in speedy decision-making on nursing concerns (IOM, 2010).

The Four IOM Report Recommendations

The Committee established a vision for a reformed healthcare system while understanding its needs and constraints. The group envisions a future system that improves health outcomes, increases health and disease prevention, and provides compassionate care throughout a person’s life (Torgerson et al., 2022).

Primary care and prevention lead health care, and collaboration and cooperation are standard in this imagined future. Healthcare payment emphasizes value, not volume, and great treatment is affordable for people and society (Torgerson et al., 2022). In all these areas, the healthcare system delivers patient-centered care.

  • Nurses should use all their training and knowledge.
  • Nurses should have better education and training via a streamlined framework.
  • Nurses, doctors, and other health professionals should rethink U.S. health care.
  • Effective workforce planning and policymaking need enhanced data gathering and information infrastructure.

The Role of State-Based Action Coalitions

Action coalitions organized by providers and corporate leaders drive development and improve healthcare services worldwide. State action coalitions promote regional well-being. Wellness organizations, companies, schools, and people champion healthy neighborhoods. These alliances pledge states and regions to improve healthcare (Rekha, 2020). As nurse and hospital rules change, residents will have greater access to high-quality caregivers and treatment alternatives.

Action Coalitions, which incorporate research criteria, lessons gained, and a repeatable model, diversify the mission’s power. Twenty-one state-based groups have activist alliances. Action Coalition aims to build a healthy culture in Connecticut via nursing staff and citizen groups. The action coalition aims to combine nursing staff and professional skills, boost nurse preparation and data collecting, and meet community healthcare requirements.

The Future of Nursing described “action coalitions” as a local and state-level effort that involves community-based partners to help nurses train with limited resources and offer the greatest health care. State-based policy coalitions represent states and national organizations and strive to enhance health care. State-led action coalitions will cover the structure and mechanism formed by various states to work together to adopt IOM recommendations depending on their own state rules, as well as these actions.

Florida State’s Action Coalition Initiatives

In the state of Florida, it is the responsibility of the Florida Action Coalition to implement the recommendations made by the IOM as smoothly as possible. The state has unique challenges in terms of healthcare. As a result, it works with various service providers to create innovative solutions, ensuring that nurses are included in the process (“Florida Action Coalition,” 2020). As a consequence of this, it has accomplished a great deal with the Action Coalition. Education and embracing diversity are its two primary focuses.

To be qualified to provide high-quality treatment in intricate healthcare environments, registered nurses in the state of Florida must have completed an adequate education program. Registered nurses in Florida must have a Bachelor of Science in Nursing or a higher degree (“Florida Action Coalition,” 2020).

The Florida Action Coalition ensures that nurses have access to greater education and training (Scott et al., 2020). It has emphasized providing nurses with more comprehensive and consistent education, removing educational obstacles, and encouraging universities to implement nursing degree programs.

Based on a study from the IOM, Florida has devised an educational paradigm for the rest of the area. Nurses in this state recognize that the state’s varied population has a variety of healthcare requirements, and they work hard to accommodate these specific requirements. As a result, the state of Florida’s nursing staff reflects the diversity of the state’s population, and the state works with input from diverse stakeholders to guarantee inclusion (“Florida Action Coalition,” 2020).

Barriers To Advancement Existing in Florida

The effective accomplishment of the objectives that have been established in Florida State is hampered by several obstacles. In particular, the unwillingness to work on the part of stakeholders has been a challenge for the alliance (“Florida Action Coalition,” 2020). For the coalition to successfully overcome this obstacle, they will need to emphasize the significance of equitable involvement in accomplishing the shared objective.

In addition, one of the challenges associated with the effort is that it does not have sufficient finance (“Florida Action Coalition,” 2020). To solve the problem, the advocates are requesting help and involvement from other groups and agencies, as well as from volunteers.


Evidently, the report is an essential endeavor that enables the healthcare industry’s issues to be addressed via its reformation. Successful implementation of the recommendations outlined in the report will require close collaboration with nursing professionals and providing an environment in which they can use their education and experience. These are two of the most critical factors that will determine the level of success achieved. The importance of state-based action coalitions cannot be overstated when it comes to ensuring that the rules are adhered to at the regional and local levels.


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Homes. Nursing Clinics Of North America57(2), 245-258.

Florida Action Coalition. (2020). Retrieved 17th June 2022, from

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Nursing31(7), 364-370.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health.

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O’Brien, D., Knowlton, M., & Whichello, R. (2018). Attention Health Care Leaders: Literature

Review Deems Baccalaureate Nurses Improve Patient Outcomes. Nursing Education Perspectives39(4), E2-E6.

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Pediatrics and Nursing Science3(3), 60-63.

Scott, P., Lefler, L., Jeffs, D., Davis, A., Lear, T., & Haushalter, A. (2020). A Tristate Education

Model to Prepare Nurses to Serve on Health-Promoting Boards. The Journal Of Continuing Education In Nursing51(11), 528-532.

Torgerson, T., Wayant, C., Cosgrove, L., Akl, E. A., Checketts, J., Dal Re, R., Gill, J., Grover, S.

C., Khan, N., Khan, R., Marušić, A., McCoy, M. S., Mitchell, A., Prasad, V., & Vassar, M. (2022). Ten years later: A review of the US 2009 institute of medicine report on conflicts of interest and solutions for further reform. BMJ Evidence-Based Medicine27(1), 46-54.

IOM Future of Nursing Report and Nursing Instructions

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:

  1. Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. 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.
  3. 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.”
  4. 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.
  5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

State of Florida.