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National Academies Press


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The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system.

At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year.

Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles — including limits on nurses' scope of practice — should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care.

In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Product Details

ISBN-13: 9780309158237
Publisher: National Academies Press
Publication date: 03/08/2011
Pages: 700
Sales rank: 941,382
Product dimensions: 6.20(w) x 9.10(h) x 1.30(d)

Table of Contents

Acronyms and Abbreviations xxv

Summary 1

Overview of the Report 17

Part I Key Messages and Study Context

1 Key Messages of the Report 21

2 Study Context 47

Part II A Fundamental Transformation of the Nursing Profession

3 Transforming Practice 85

4 Transforming Education 163

5 Transforming Leadership 221

6 Meeting the Need for Better Data on the Health Care Workforce 255

Part III A Blueprint for Action

7 Recommendations and Research Priorities 269


A Methods and Information Sources 285

B Committee Biographical Sketches 307

C Highlights from the Forums on the Future of Nursing 315

D APRN Consensus Model 323

E Undergraduate Nursing Education 369

F Health Care System Reform and the Nursing Workforce: Matching Nursing Practice and Skills to Future Needs, Not Past Demands 375

G Transformational Models of Nursing Across Different Care Settings 401

H Federal Options for Maximizing the Value of Advanced Practice Nurses in Providing Quality, Cost-Effective Health Care 443

I The Future of Nursing Education 477

J International Models of Nursing 565

Index 643

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