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BOX Research Priorities for Transforming Nursing Leadership Identification of the personal and professional characteristics most critical to leadership of health care organizations, such as accountable care organizations, health care homes, medical homes, and clinics.
Identification of the skills and knowledge most critical to leaders of health care organizations, such as accountable care organizations, health care homes, medical homes, and clinics. Identification of the personal and professional characteristics most important to leaders of quality improvement initiatives in hospitals and other settings.
Identification of the characteristics of mentors that have been or could be most successful in recruiting and training diverse nurses and nurse faculty.
Identification of the influence of nursing on important health care decisions at all levels.
Identification of the unique contributions of nurses to health care committees or boards. Learning from barriers to diffuse evidence-based health care interventions within health systems, Naylor and colleagues identified several ingredients crucial to successful diffusion.
First, the model or innovation should be a good fit in response to a critical need, either within an organization or nationwide. Second, without strong champions, especially those with decision-making power, there is very little chance of widespread adoption.
The researchers learned the hard way the cost of failure to engage all stakeholders in a project—early, continually, and throughout.
Engagement with the media is especially important. An understanding of the landscape is necessary as well and should guide efforts to market the innovation to others.
Milestones and measures of success are important to all team members and throughout the entire diffusion process.
Finally, flexibility, or the willingness to adapt the model or innovation to meet environmental or organizational demands, increases the probability of success Naylor et al.
However, the committee urges A recommendation for future nursing practice nursing essay care providers, organizations, and policy makers to carry out the eight recommendations presented below to enable nurses to lead in the transformation of the health care system and advance the health of patients and communities throughout the nation.
The Future of Nursing: Leading Change, Advancing Health. The National Academies Press. The committee sees its recommendations as the building blocks required to expand innovative models of care, as well as to improve the quality, accessibility, and value of care, through nursing.
Advanced practice registered nurses should be able to practice to the full extent of their education and training. To achieve this goal, the committee recommends the following actions. Expand the Medicare program to include coverage of advanced practice registered nurse services that are within the scope of practice under applicable state law, just as physician services are now covered.
Amend the Medicare program to authorize advanced practice registered nurses to perform admission assessments, as well as certification of patients for home health care services and for admission to hospice and skilled nursing facilities. Extend the increase in Medicaid reimbursement rates for primary care physicians included in the ACA to advanced practice registered nurses providing similar primary care services.
Require third-party payers that participate in fee-for-service payment arrangements to provide direct reimbursement to advanced practice registered nurses who are practicing within their scope of practice under state law.
Page Share Cite Suggested Citation: Amend or clarify the requirements for hospital participation in the Medicare program to ensure that advanced practice registered nurses are eligible for clinical privileges, admitting privileges, and membership on medical staff. For the Office of Personnel Management: Require insurers participating in the Federal Employees Health Benefits Program to include coverage of those services of advanced practice registered nurses that are within their scope of practice under applicable state law.
Review existing and proposed state regulations concerning advanced practice registered nurses to identify those that have anticompetitive effects without contributing to the health and safety of the public. States with unduly restrictive regulations should be urged to amend them to allow advanced practice registered nurses to provide care to patients in all circumstances in which they are qualified to do so.
Expand opportunities for nurses to lead and diffuse collaborative improvement efforts. Private and public funders, health care organizations, nursing education programs, and nursing associations should expand opportunities for nurses to lead and manage collaborative efforts with physicians and other members of the health care team to conduct research and to redesign and improve practice environments and health systems.
These entities should also provide opportunities for nurses to diffuse successful practices. The Center for Medicare and Medicaid Innovation should support the development and evaluation of models of payment and care delivery that use nurses in an expanded and leadership capacity to improve health outcomes and reduce costs.
Performance measures should be developed and implemented expeditiously where best practices are evident to reflect the contributions of nurses and ensure better-quality care. Private and public funders should collaborate, and when possible pool funds, to advance research on models of care and innovative solutions, Page Share Cite Suggested Citation: Health care organizations should support and help nurses in taking the lead in developing and adopting innovative, patient-centered care models.
Health care organizations should engage nurses and other front-line staff to work with developers and manufacturers in the design, development, purchase, implementation, and evaluation of medical and health devices and health information technology products.
Nursing education programs and nursing associations should provide entrepreneurial professional development that will enable nurses to initiate programs and businesses that will contribute to improved health and health care.Name one recommendation from the IOM Future of Nursing Report.
What is its importance relative to Advanced Practice Nursing? Support your answer. As a member, you'll also get unlimited access to over 75, lessons in math, English, science, history, and more. Plus, get practice tests, quizzes, and personalized coaching to help you succeed.
IOM Future Nursing recommendations in a reflection of words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations: attheheels.comendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by The Future of Nursing Being a registered nurse affords one the option of working in many diverse healthcare settings.
In any practice setting the climate of health care change is evident. According to the Institute of Medicine’s (IOM) report The Future of Nursing: Leading Change, Advancing Health, changes in the education, practice, and leadership of nurses will be required to make available accessible, high quality, high value care for patients in the health care system (Institute of .
One recommendation for future nursing practice is for all dementia training/ education to be implicated universally; this training should not be limited to solely mental health nurses as dementia is becoming more prevalent in the western world.