Finally, in the news this week, we look at progress since the groundbreaking Institute of Medicine (IOM) report on the future of nursing back in 2010. For those of you that don’t know about this report the “Future of Nursing: Leading Change, Advancing Health” report was released in October 2010 by the IOM along with support from the Robert Wood Johnson Foundation (RWJF). The report recommended that nurses be allowed to practice to the full scope of their training and education, improve opportunities for nurses to act in healthcare leadership roles, and increase the numbers of nurses with BSN degrees.

More States Increased APRN Autonomy

Nurse_group_young_oldThe IOM looked back at the past three years to see what had changed and acknowledge that some change has occurred but not nearly enough. More states have enacted improved advanced practice guidelines for nurse practitioners including the states of Iowa Kentucky Maryland Nevada North Dakota Oregon and Rhode Island. Fifteen additional states have recently introduced bills to remove the physician oversight requirements for APRNs to practice.

More nurses are also enrolling in RN to BSN programs, with a minor increase in the numbers of BSN or higher trained nurses showing up in studies. Other initiatives include state nurse practice acts changing to enable seamless academic progression in nursing. I urge you to follow the additional links in this news item which take you to the original “Future of Nursing” report, as well as the full commentary on progress to date.

You’ll find all those links in the article that I have linked to in the show notes for this episode. I urge you to get involved in improvements to nursing practice in your communities and states. Find out what you can do at the state and local level to improve your local nurse practice ask so that you can care for the patients to the fullest extent of your education as a nurse.


Make sure you follow-up on the links for this news item and all of the other news and additional resource links from this week’s episode – Occam’s Razor Diagnostics Card Game and Episode 268.


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