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health care delivery in the United States continues to evolve, either through mandates, improved technologies and training

s health care delivery in the United States continues to evolve, either through mandates, improved technologies and training, or other drivers, nurses remain at the forefront in facilitating the success of new initiatives. In 2010, the Institute of Medicine formed a committee of experts to address the following question: “What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?” In the final report of the committee, The Future of Nursing: Leading Change, Advancing Health, the authors stated:

This report offers recommendations that collectively serve as a blueprint to (1) ensure that nurses can practice to the full extent of their education and training, (2) improve nursing education, (3) provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and (4) improve data collection for workforce planning and policy making. (p. 10)

For this Discussion, you will focus on the research recommendations presented by the committee concerning the role of nurses as leaders. The committee members believe that answers to these research questions are needed to advance the profession of nursing and to further expand their role in health care reform and improvement.

To prepare:
•Review Chapter 7 in The Future of Nursing: Leading Change, Advancing Health report provided in the Learning Resources. Focus on the information in Box 7.3, “Research Priorities for Transforming Nursing Leadership.”
•Select one of the research priorities listed in Box 7.3 that is of particular interest to you and applicable to your career interests. Consider the benefits and challenges of researching and addressing this priority in nursing.
•Using the Walden library, identify two to three current articles that address your selected research priority. Consider the current state of research efforts on this priority.
•Reflect on how the research findings for your area of priority impact nurses as leaders in organizations and health care reform. Why is research on this priority important?
Required Resources

Readings
•Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (Laureate Education, Inc., custom ed.). New York, NY: Springer Publishing. ◦Chapter 6, “Public Health: Policy, Practice, and Perceptions” (pp. 110–121)

This section of Chapter 6 outlines the roles of various government health agencies, as well as the powers and responsibilities of state versus federal institutions.
◦Chapter 8, “Access to Care” (pp. 169–174)

This section of Chapter 8 relates the recent history of health care reform in the United States, beginning with the federal health reform struggles in the 1990s and leading up to the passage of President Obama’s Affordable Care Act.
◦Chapter 17, “The Future of Health Care Delivery in the United States” (pp. 353–364)

This chapter forecasts the possible future of health care trends.

•National Academy of Sciences. (2011). The future of nursing: Leading change, advancing health.
Institute of Medicine of the National Academies (2011). The Future of Nursing: Leading Change, Advancing Health. Copyright 2011 by the National Academies Press. Reprinted by permission. ◦Chapter 4, “Transforming Education”
◦Chapter 7, “Recommendations and Research Priorities”

Read Chapters 4 and 7, as they will inform the Week 2 Discussion. Chapter 4 addresses the “key message” that nurses should obtain high levels of education and training through a better education system that encourages continuous academic progression, and it reviews various levels of nursing education, from undergraduate and graduate programs to the professional setting. Chapter 7 supplies context surrounding the recommendations of the Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing. The chapter specifies the committee’s scope and focus, the evidence that supports its recommendations, the costs associated with the recommendations, and methods of implementing recommendations.
•Responsible Reform for the Middle Class. (n.d.) The Patient Protection and Affordable Care Act. Retrieved from http://dpc.senate.gov/healthreformbill/healthbill04.pdf

This website provides a full summary and updates on the state of the Senate’s health bill.
http://kalmedia.laureate.net/p/112/sp/11200/thumbnail/entry_id/0_cr42uggz/version/100000/width/520/height/393

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