Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” 750‐1,000 words, discussing the influence of the IOM report on nursing practice. Include the following:
Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN‐prepared nurses.
Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health‐illness continuum.
Discuss how nurses can assist in effectively managing patient care within an evolving health care system.
Institute of Medicine`s 2010 report “The Future of Nursing”
In 2008, the Robert Wood Johnson Foundation (RWJF) approached the Institute of Medicine (IOM) to propose a partnership to assess and respond to the need to transform the nursing profession. In 2010, the RWJF and IOM hosted a national conference to begin a dialogue on how the report`s recommendations can be translated into action. During the course of this study, the committee formulated four key messages it believes must guide that transformation: (1) nurses should practice to the full extent of their education and training; (2) nurses should achieve higher levels of education and training through improved education system that promotes seamless academic progression; (3) nurses should be full partners, with physicians and other health professionals, in redesigning health care in the U.S.; and (4) effective workforce planning and policy making require better data collection and an improved information infrastructure.
tocratic demands, with both styles producing similar results in the short term. Shortly after getting on the ambulance, both MERIT and the OM arrived on scene to assist, with the OM taking a laissez-faire leadership style. Marriner Tomey (2009) states that a person can allow the experience of the members of staff around them can be left to perform their duties whilst still receiving feedback from the team, which worked well for the OM as the MERIT team has a doctor who has a higher clinical skill set. Bass and Riggio (2006) do suggest that a laissez-faire approach can lead to ineffective decision making, whereas Lewin (1939) goes further to state that a group without leadership can become non-productive over time. Einarsen (1999) states that a lassa-faire leadership can create friction within the groups due to the lack of leadership. Although this maybe the case, due to the small group of the crew. The MERIT team used a very autocratic leaderships due to the possible seriousness of the wounds, as this method provided clear instructions on what needed to be done without having to worry about why (Stanley, 2016). A democratic leadership style may have worked well due to it allowing the delegation of the work to varying crew members to do the tasks required (Gastil, 1994) However due to the nature of injuries to the patient, they would not have benefitted from a democratic leadership style, as Frandsen (2014) states this style takes time to collect on the information and is slow. Frandsen (2014) states a more relaxed style, such as democratic, would have been good to put the patient at ease and be able gather the opinions of everyone who was there, which can lead to better staff satisfaction as their opinions are seen as of value. Frandsen (2014) does go on to explain that this process takes a long time to process the opinions and can lead to anxiety in experienced staff. This style of leadership would not have been effective as the situation required a rapid decision process.
After the patient had been transferred to the major trauma centre for further assessment, I was able to reflect on the job with the senior paramedic and the MERIT team doctor about how the incident went. Pegg (2003) described the 5C’s of the mentoring model that works Discussing the challenges that we faced when dealing with the patient, the choices that we had, the consequences of our actions, what solutions that we could create and finally what was the conclusion of all our efforts. The author goes on to name this theory as the “pulling and pushing” methods between the mentor and the mentee. This type of method is a long term ongoing development style and was helpful after the situation to be able to look at how I had performed in my first trauma situation.
Conclusion
Zenger, Folkman & Stinnett (2010) suggest that the best leaders are often those who are able to inspire people to do the best work are leaders who are able to connect on an emotional level. Goleman (2011) states that the best leaders, no matter what style they use or what skills they have, are able to connect on an emotional level with those around them by having “emotional intelligence”. I initially chose the authoritative role as stated by Feldman et al (2011) for this situation as I felt it would give me the best chance at connecting with the patient and being better able to assess the sit