Peer 1 The Institute of Medicine (IOM) nursing reports from 2010 to 2016 are the summarized findings of the IOM committee that examined changes in the field of nursing since the publishing of “The Future of Nursing: Leading Change, Advancing Health” (Shalala et al., 2011). The summarized findings found in our class reading assignments outline recommendations and provide an essential path for the individuals involved to implement the changes outlined in these works. Some of the direct “take away” from the IOM nursing reports align with the nursing scope of practice. They identify that nurses should practice to the full extent of their education and training, achieve higher levels of education through an improved educational system, gain rights as full partners with physicians and other health care professionals and require effective workforce planning and policy making through better data collection and an improved information infrastructure. Throughout my career, I will directly be addressing these main points as I work to achieve and work with full practice autonomy. I recently moved from Maryland, which is one of 28 states that allow nurse practitioners full practice authority to treat and prescribe without formal oversight (Weiland, 2015). This report calls all advanced practice nurses to practice to their full extent, meaning we should implement all necessary and appropriate interventions within our scope of practice as defined by the American Nurses Association. In Maryland, this is an expected outcome in my daily practice where I use my full power to treat patients for the optimal health outcomes. Another area I will strongly indulge in is the necessity for continuing education. As a health care professional, we take on the role of a lifetime learner as we continue to learn best practices and evidence-based practice updates that form as time goes on. Health care is an everchanging field and staying up to date on your education and health understandings can be the difference between patient outcomes. We have a professional duty to our patients to learn everything we possibly can to make the best decisions when developing a plan of care for our patients who expect nothing but competent care. Overall, these nursing reports do a phenomenal job of outlining how nurses in advanced roles can best prepare themselves to provide optimal patient care and how to protect the health of the community through policies and best practices. References: Shalala, D., Bolton, L. B., Bleich, M. R., Brennan, T. A., Campbell, R. E., & Devlin, L. (2011). The future of nursing: Leading change, advancing health . Washington DC: The National Academy Press. doi: 10.2956. Weiland, S. A. (2015). Understanding nurse practitioner autonomy. Journal of the American Association of Nurse Practitioners, 27 (2), 95-104. Peer 2 Describe how you will utilize and implement the IOM Nursing Reports from 2010 and 2016 in your role as an Advanced Practice Nurse. In 2008, .

1. Peer 1
The Institute of Medicine (IOM) nursing reports from 2010 to
2016 are the summarized findings of the IOM committee that
examined changes in the field of nursing since the publishing of
“The Future of Nursing: Leading Change, Advancing Health”
(Shalala et al., 2011). The summarized findings found in our
class reading assignments outline recommendations and provide
an essential path for the individuals involved to implement the
changes outlined in these works. Some of the direct “take away”
from the IOM nursing reports align with the nursing scope of
practice. They identify that nurses should practice to the full
extent of their education and training, achieve higher levels of
education through an improved educational system, gain rights
as full partners with physicians and other health care
professionals and require effective workforce planning and
policy making through better data collection and an improved
information infrastructure.
Throughout my career, I will directly be addressing these main
points as I work to achieve and work with full practice
autonomy. I recently moved from Maryland, which is one of 28
states that allow nurse practitioners full practice authority to
treat and prescribe without formal oversight (Weiland, 2015).
This report calls all advanced practice nurses to practice to their
full extent, meaning we should implement all necessary and
appropriate interventions within our scope of practice as
defined by the American Nurses Association. In Maryland, this
is an expected outcome in my daily practice where I use my full
power to treat patients for the optimal health outcomes. Another
area I will strongly indulge in is the necessity for continuing
education. As a health care professional, we take on the role of
a lifetime learner as we continue to learn best practices and
evidence-based practice updates that form as time goes on.
Health care is an everchanging field and staying up to date on

2. your education and health understandings can be the difference
between patient outcomes. We have a professional duty to our
patients to learn everything we possibly can to make the best
decisions when developing a plan of care for our patients who
expect nothing but competent care. Overall, these nursing
reports do a phenomenal job of outlining how nurses in
advanced roles can best prepare themselves to provide optimal
patient care and how to protect the health of the community
through policies and best practices.
References:
Shalala, D., Bolton, L. B., Bleich, M. R., Brennan, T. A.,
Campbell, R. E., & Devlin, L. (2011).
The future of nursing: Leading change, advancing health
. Washington DC: The National Academy Press. doi: 10.2956.
Weiland, S. A. (2015). Understanding nurse practitioner
autonomy.
Journal of the American Association of Nurse Practitioners, 27
(2), 95-104.
Peer 2
Describe how you will utilize and implement the IOM Nursing
Reports from 2010 and 2016 in your role as an Advanced
Practice Nurse.
In 2008, The Institute of Medicine (IOM) along with The Robert
Wood Johnson Foundation (RWJF) comprised a report that
would made recommendations for an action-oriented blueprint
for the future of nursing. This was in response to a need to
assess and transform the nursing profession. Nurses have an
important role in transforming our current health care system
(IOM, 2010). The IOM nursing reports have several

3. recommendations that will propel us into the future of nursing.
There are eight total recommendations and it is important for all
advanced practice nurses to focus on the recommendations to
provide better practices. There is a lot of focus on education for
nurses. IOM states that nurses should have lifelong continuing
education, the number of nurses with a DNP should double by
2020, and the number of nurses with a baccalaureate degree
should be increased to 80% by 2020 (IOM, 2010). I will have
my master’s degree as an advanced practice nurse and
depending on the setting of my practice, I will encourage other
registered nurses to complete continuing education courses as
well as pursue a higher degree in nursing. I, myself, plan to
obtain a doctorate of nursing in 2020 if not before that time.
Continuing education will help prepare nurses to lead change in
advancing health and providing positive patient outcomes,
another recommendation of IOM. It is my plan to participate in
any continuing education course that is pertinent to my patients
and specialty.
According to the IOM (2010), implementing nurse
residency programs will be extremely helpful to nursing. This
not only applies to new graduate nurses but nurses going from
one position to another. As a nurse practitioner, I will make
myself available to participate in these residency programs. If
there is a nurse advancing from a staff nurse position to nurse
practitioner, I will volunteer to be a mentor or preceptor to them
just as I have with nursing students. I currently work at a
teaching facility and recently a nursing residency program was
implemented. Many advanced practice nurses function in
helping this program succeed by teaching and mentoring. Nurse
residency programs improve nurses’ work experiences, increase
retention of new nurses, and show financial return for
organizations investing in nurses as resources. Residency
evaluations show increases in leadership and communication
skills and decreases in stress and turnover (Kosman, 2011).

4. Collaborating with an interdisciplinary team is also a
recommendation of the IOM. As a nurse practitioner it will be
my duty to collaborate with others so that my patient receives
adequate care. The patient should be treated holistically so if
there is a service that I can not provide, it would be wise of me
to collaborate with other people so that the patient gets the best
care possible. Collaboration could include working with other
physicians, physical therapists, occupational therapists, case
managers, or social workers.
As a nurse practitioner, with my knowledge and
experience, I should be able to practice to the full extent of my
education. Working in Georgia, I will be aware of what my
scope of practice allows me to do in this state. If there is
something outside of my scope of practice, I will be sure to
refer my patient to someone more appropriate. Along with my
contributions, congress and legislative members should be
diligent in allocating funds to research and appropriate
technology as well as making sure that nurse practitioners get
proper insurance reimbursements.
With recommendations from the IOM, nurses should be able to
provide effective and efficient care. Patients will receive the
best care because the nurses will be up to date on current
evidence based practices.
References
Institute of Medicine of the National Academies. (2010). The
Future of Nursing Leading Change, Advancing Health, Report
Recommendations. Retrieved from
https://myclasses.southuniversity.edu/content/enforced/16337-
2360697/media/transcripts/Future%20of%20Nursing%202010%
20Recommendations.pdf?_&d2lSessionVal=Zo3eS3GHNjkvUM
YMbPaQtri9Y

5. Kosman, S. (2011). Nurse Residencies: Building a Better Future
for Patients and Nurses.
Robert Wood Johnson Foundation.
Retrieved from https://www.rwjf.org/en/culture-of-
health/2011/10/nurse-residencies-building-a-better-future-for-
patients-and-nurses.html