The IOM and the Robert Wood Johnson Foundation realized the need to merge in terms of staff and resources to better the nursing career in 2010. Accessible and high qualities of care were the centers of interest. This could not be achieved without exceptional nursing care and leadership, hence the coalition. This paper discusses the role of the IOM and the RWJF in pioneering healthcare in the USA. Furthermore, their key messages are discussed together with the state coalitions, and the implementation methods have done so far. Finally, the sates coalitions in California, alongside the barriers faced, are clearly outlined.
In 2008 the RWJF approached the IOM to propose a partnership. The resulting partnership geared towards the IOM’s initiative as well as the RWJF one, which was to meet the public’s needs. The committee formed was tasked with formations of the necessary blueprint to forge the future in nursing. Funds additionally came from the RWJF. This committee then sought to involve third parties, including non-nurses, for data collection and research. This is because the goal was multifactorial. In the end, these were the key messages: nurses should practice to their full education; they should be involved in redesigning the healthcare system alongside physicians; there should be more efficient data collection techniques and finally increased nursing education.
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The first key message pointed out was that nurses should be allowed to practice alongside physicians. Nurses have a lot of potentials to improve the healthcare system. However, barriers from historical, regulatory, and policies prevent this However, since the report, some states have accepted statutory laws governing nurses, allowing them to practice such as Colorado ( Altman, Butler & Shern, 2016). The second key message was the promotion of higher education training via the improved educational systems that encourage seamless academic excellence for nurses. Technology is introduced on a daily basis ( Campaign for Action, 2020) . Nurses have been oriented with workshops so as to embrace the digital life in healthcare Workshops on diversity or workforce, and cultural training should have been done. The third key message was that nurses should be fulltime partners alongside physicians and other health advocates in redesigning the health system policies in the USA ( Campaign for Action, 2020) . Currently, leadership has been adopted, and is taught in the educational programs at all levels to ensure the nursing leadership skills are values are well fostered. The final key message was to enhance workforce plans and policy-making so as enhance the data collection. Since then, granular data has been collected and stored by state officials for programs such as education roll-out programs and budget allocation in healthcare.
The state coalition action has enhanced the work that was started by the RWJF and IOM. Currently, they have aimed at improving healthcare, which is the main aim of nurses. Since legislation is the central act that barred nurses from to practice, they have pushed state laws to allow nurses to practice in 9 states fully. This has ensured healthcare for all. Furthermore, they have fostered inter-professional collaborations with doctors, nurses, pharmacists, and even social health workers. Two such, Virginia and Colorado states have fully approved the inter-professional partnerships via their heath resource and service administration. More states are also in the process of approval of this model. In nursing education, they have increased the current ration of RN-BSCN by 180 percent since 2017. The organization aims to increase numbers via its five models. This will also increase the number of Ph.D. nurses. Another role undertaken by this organization is to increase diversity in nursing. They currently have double the number of intakes to accommodate different national, cultural, ethical, and religious backgrounds.
Additionally, the number of men working in the profession has increased by 30%. Finally, in coalition with data collection, the state coalition action has ensured the National Forum of State Nursing Workforce Centers is in synchrony with them. At the moment, more than 70% are in partnership with the state coaction. This ensures that data collection is well documented and stored.
The state action has a branch in California that has focused on two main aims; Leadership and the implementation of nursing residency. In leadership, the state of California has enabled nurses to lead and advocate for health. One of their research program, the Lifemoxie, in partnership with the association of California nurse leaders ACNL) as well as KAISER, has enabled around 220 members to undertake their robust program ( Campain for Action, 2020) . The ACNL vision is to create a nurse leader and influence the youth of the health of the future based on integrity, diversity, inclusivity, and innovation. In support of the IOM and the RWJF, the ACNL provides long-life opportunities to meet the changing needs of nursing Leaders ( Campain for Action, 2020) . The body also strengthens and optimizes resources in both human and revenue forms. The mentees work on their coaching and support strategies. The ACNL also has reward programs through scholarships to recognize the contribution of outstanding nurses in the improvement of healthcare, the creation of innovative approaches, and advancing education. The CA-AC volunteers have effortlessly worked to ensure three objectives are met: definitions documents, the standards and guidelines, and the program tracking across all California.
In the promotion of nursing residency programs, new graduate nurses transition to practice have been enabled, through programs such as the US-San-Diego Health. These offer three intakes in over one year to increase the numbers. The USSDH provides education, mentorship, and peer support (US San Diego Health., 2020) . It is also based on the latest curriculum and magnet resolutions. The CA-AC has also worked tirelessly to create and implement three objectives: the standard and guidelines, the defining document, and the progress tracking. These enable the graduating group to prosper, as well as find jobs, especially in non- traditional cultures.
Some of the challenges faced by leadership nurses in leadership include a lack of role models in leadership ( Campain for Action, 2020) . This is the first time nurses are venturing into leadership, especially in decision making. The various leadership styles, leadership ethics, and ethical decision making could prove to be a challenge leading to dilemmas ( Byers, 2017). Evidence-based co-coaching and group; clinical supervision have also proved to be a hurdle too. However, despite the few mentors available, the ACNL has tried its best to cover these loopholes. The rear programs offered also initiate more leaders into the system to prevent this n the future.
In nursing residency funds, a significant issue, most programs are expensive. Nurses might lack the financial strain to sponsor themselves in such activities ( Smith et al., 2016) . Seeking work-life balance has also proved to prevent nurses from entry to these institutions. Residency is often tiring, debt-filled, and this could prove discouraging to potential seekers. The state coalition of California, through its programs such as the US San Diego health, seeks to sponsor candidates through scholarships. The deployment of more nurses’ also aims to reduce work-related stress.
In summary, the RJWF and IOM merged in 2008, for the benefits of the health sector. Revisions on statutory laws, policies, as well as education, have revolutionized the nursing industry. This can be witnessed via implementation programs in California, such as the USSDH. Despite this, fewer challenges on finances and work-related stress often downgrade the efforts. In the future, proper documentation of data, education, and implementation could prove vital in the realization of the four keys messages, and counter-heading the challenges.
References
Altman, S. H., Butler, A. S., & Shern, L. (Eds.). (2016). Assessing progress on the Institute of Medicine report The Future of Nursing . Washington, DC: National Academies Press.
Byers, V. (2017). The challenges of leading change in health‐care delivery from the front‐line. Journal of nursing management , 25 (6), 449-456.
Campain for Action. (2020). About Campaign for Action | Future of Nursing. Retrieved 21 January 2020, from https://campaignforaction.org/about/
Smith, J. B., Rubinson, D., Echtenkamp, D., Brostoff, M., & McCarthy, A. M. (2016). Exploring the structure and content of hospital-based pediatric nurse residency programs. Journal of pediatric nursing , 31 (2), 187-195.
US SAN DIEGO HEALTH. (2020). New Graduate Nurse Transition to Practice Program | UC San Diego Health. Retrieved 21 January 2020, from https://health.ucsd.edu/medinfo/nursing/professional-development/Pages/residency-program.aspx
