The second part of the report was “transforming practice”. Key message #1 from the IOM states, “Nurses should practice to the full extent of their education and training.” In this section particular emphasis is placed on (APRNs), including their roles in chronic disease management and primary care, also the barriers preventing them from taking on these roles. Evidence does not support the conclusion that APRNs are less …show more content…
This style of leadership has been shown to improve patient outcomes, reduce staff turnover, and reduce medical errors. (Gardener, 2005; Joint Commission, 2008; Pearson, 2007) For the needed changes in the U.S. healthcare system to take place all nurses from nursing students through Chief Nursing Officers must develop competencies in leadership and become partners with physicians and others to improve our healthcare system and delivery of