The Health and Medicine Division (HMD) is a private non-profit organization that advises the private and public sector on issues related to public health. On October 5, 2010, The HMD released a research paper entitled “The Future of Nursing: Leading Change, Advancing Health.” At the time this report was published HMD was known as the Institute of Medicience. This report recommended that nurses take on a more important role in the American health care system. More specifically the report recommended that “nurses should practice to the full extent of their training”, that nurses should receive more education, and that nurses should have a greater leadership role in healthcare (Health and Medicine Division, 2010). The report was well received
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Advanced practice nurses are registered nurses who have at least a master’s degree and have been trained to preform care that that goes beyond the scope of a registered nurse. An example of this includes nurse practitioners who are trained to prescribe medications, diagnosis diseases and treat diseases. Another example of an advance practice nurse would be certified registered nurse anesthetists (CRNA), who administer anesthetics during surgery. Currently twenty-four states allow advanced practice nurses to practice independently without the supervision of physicians (American association of nurse practioners,2017). However, in the remaining states advance practice nurses must sign a collaboration agreement with a physician to be able to legally practice. These legal barriers should be removed because they interfere the APRNs ability to provide safe quality care. For example, if a APRN is in a collaborative agreement with a physician and that physician moves, retires or dies the APRN will not be able practice until he or she can enter a collaborative agreement with another physician (Ungar, 2014). This could take a great deal of time, particularly in rural areas because there is currently a shortage of physicians in the united states. As Americans continue to age the need for primary healthcare providers will rise. APRNs …show more content…
Recommendation four states that the proportion of nurses with baccalaureate degrees should increase to 80 percent by 2020 (HMD, 2010). To accomplish this the HMD recommends that nursing schools should be required to offer seamless pathways to baccalaureate programs. Additionally, HMD recommends that hospitals and other healthcare organizations should encourage registered nurses without four year degrees to attain them “within 5 years of graduation”. The reason why registered nurses should be required to get a bachelor’s degree is because healthcare is becoming much more complex. Because of this nurses need a four-year education to become competent in areas such as system improvement, health policy and evidenced based practice. According to the HMD report higher levels of education leads to higher quality care. One study found that increasing the number of nurses with four year degrees was linked to lowering patient mortality by 10.9% in hospital units (Yakusheva, 2014). In addition, the baccalaureate requirement will help to legitimize the field of nursing as a profession. Most respected professions such as engineering, education and accounting require that you attain a baccalaureate degree before you are licensed. The fact registered nurses can be licensed without a baccalaureate is an embarrassment to the profession. Furthermore, the four-year degree requirement will
Advanced practice nurses are registered nurses who have at least a master’s degree and have been trained to preform care that that goes beyond the scope of a registered nurse. An example of this includes nurse practitioners who are trained to prescribe medications, diagnosis diseases and treat diseases. Another example of an advance practice nurse would be certified registered nurse anesthetists (CRNA), who administer anesthetics during surgery. Currently twenty-four states allow advanced practice nurses to practice independently without the supervision of physicians (American association of nurse practioners,2017). However, in the remaining states advance practice nurses must sign a collaboration agreement with a physician to be able to legally practice. These legal barriers should be removed because they interfere the APRNs ability to provide safe quality care. For example, if a APRN is in a collaborative agreement with a physician and that physician moves, retires or dies the APRN will not be able practice until he or she can enter a collaborative agreement with another physician (Ungar, 2014). This could take a great deal of time, particularly in rural areas because there is currently a shortage of physicians in the united states. As Americans continue to age the need for primary healthcare providers will rise. APRNs …show more content…
Recommendation four states that the proportion of nurses with baccalaureate degrees should increase to 80 percent by 2020 (HMD, 2010). To accomplish this the HMD recommends that nursing schools should be required to offer seamless pathways to baccalaureate programs. Additionally, HMD recommends that hospitals and other healthcare organizations should encourage registered nurses without four year degrees to attain them “within 5 years of graduation”. The reason why registered nurses should be required to get a bachelor’s degree is because healthcare is becoming much more complex. Because of this nurses need a four-year education to become competent in areas such as system improvement, health policy and evidenced based practice. According to the HMD report higher levels of education leads to higher quality care. One study found that increasing the number of nurses with four year degrees was linked to lowering patient mortality by 10.9% in hospital units (Yakusheva, 2014). In addition, the baccalaureate requirement will help to legitimize the field of nursing as a profession. Most respected professions such as engineering, education and accounting require that you attain a baccalaureate degree before you are licensed. The fact registered nurses can be licensed without a baccalaureate is an embarrassment to the profession. Furthermore, the four-year degree requirement will