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IOM Recommendations

IOM Future of Nursing Report Recommendations
Each of a the eight report recommendations are listed below with a brief description. Recommendation titles link to more detailed information on the Future of Nursing website. Below each recommendation is the Missouri Action Coalition actions.

Recommendation 1: Remove scope-of-practice barriers.
Advanced practice registered nurses should be able to practice to the full extent of their education and training.

Missouri Action Coalition
  • Assist other organizations with the promotion and education of the public of APRN contributions and advantages of full practice authority.

Recommendation 2: Expand opportunities for nurses to lead and diffuse collaborative improvement efforts.
Private and public funders, health care organizations, nursing education programs, and nursing associations should expand opportunities for nurses to lead and manage collaborative efforts with physicians and other members of the health care team to conduct research and to redesign and improve practice environments and health systems. These entities should also provide opportunities for nurses to diffuse successful practices.

Missouri Action Coalition
  • Convene a statewide Summit in June of each year to explore opportunities to transform health care delivery in Missouri, share current innovative models, and assess gaps in current models of care delivery.

Recommendation 3: Implement nurse residency programs.
State boards of nursing, accrediting bodies, the federal government, and health care organizations should take actions to support nurses’ completion of a transition-to-practice program (nurse residency) after they have completed a pre-licensure or advanced practice degree program or when they are transitioning into new clinical practice areas.

Missouri Action Coalition
  • Expand programs for new graduates seeking employment in Critical Access Hospitals.

Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020.
Academic nurse leaders across all schools of nursing should work together to increase the proportion of nurses with a baccalaureate degree from 50 to 80 percent by 2020. These leaders should partner with education accrediting bodies, private and public funders, and employers to ensure funding, monitor progress, and increase the diversity of students to create a workforce prepared to meet the demands of diverse populations across the lifespan.

Missouri Action Coalition
  • Inventory and analyze data from existing Missouri ADN-to-BSN projects to establish best practices and define technical assistance needs.

Recommendation 5: Double the number of nurses with a doctorate by 2020.
Schools of nursing, with support from private and public funders, academic administrators and university trustees, and accrediting bodies, should double the number of nurses with a doctorate by 2020 to add to the cadre of nurse faculty and researchers, with attention to increasing diversity.

Missouri Action Coalition
  • Work with Recommendation #8 co-leads to establish baseline number of nurses with a doctorate.

Recommendation 6: Ensure that nurses engage in lifelong learning.
Accrediting bodies, schools of nursing, health care organizations, and continuing competency educators from multiple health professions should collaborate to ensure that nurses and nursing students and faculty continue their education and engage in lifelong learning to gain the competencies needed to provide care for diverse populations across the lifespan.

Missouri Action Coalition
  • Work closely with Recommendations #4 and #5 workgroups to establish priorities and communications plans for messaging to multiple audiences (such as nurses, hospitals, community health) regarding the need for culture change to expectations of life-long learning in the profession of nursing.

Recommendation 7: Prepare and enable nurses to lead change to advance health.
Nurses, nursing education programs, and nursing associations should prepare the nursing workforce to assume leadership positions across all levels, while public, private, and governmental health care decision makers should ensure that leadership positions are available to and filled by nurses.

Missouri Action Coalition
  • Develop, deliver, and replicate a Leadership Academy for Direct Care Nurses to encourage the identification of leadership skills already possessed and foster development of necessary skills.
  • Expand nursing leadership opportunities by providing training opportunities for participation in boardrooms, policy discussions and management teams.
  • Develop a systematic plan for involving students in the coalition work.

Recommendation 8: Build an infrastructure for the collection and analysis of interprofessional health care workforce data.
The National Health Care Workforce Commission, with oversight from the Government Accountability Office and the Health Resources and Services Administration, should lead a collaborative effort to improve research and the collection and analysis of data on health care workforce requirements. The Workforce Commission and the Health Resources and Services Administration should collaborate with state licensing boards, state nursing workforce centers, and the Department of Labor in this effort to ensure that the data are timely and publicly accessible.

Missouri Action Coalition
  • Upload all public-access web links and resources for data to the Missouri Action Coalition website.
  • Work closely with other workgroups to assess what data needs would help implement their strategies and create a means to disseminate data.