Transforming education

Abstract

This five-part editorial series examines the Institute of Medicine's (IOM) most recent report, "The Future of Nursing: Leading Change, Advancing Health." Each issue through July targets one of the four IOM global recommendations for expanding nursing practice and positively impacting healthcare systems of the future.

From Toyota to the Bedside

“…[61][62][63][64][65] Many leaders hope that our profession will rise to the occasion, heed the call to action, and take its rightful place in the leadership of the health care reform movement.…”

“…This new knowledge and new skills go far beyond the traditional nursing curricula because they span a variety of disciplines such as organization development, Lean principles, quality improvement, inventory management, process consulting, value chain management, queuing analysis, diffusion of innovation, complexity science, and negotiation. 63,66,67 Beyond changing the actual nursing school curricula and preparing new nurses for Lean work, our profession must also embrace a proactive stance that helps us overcome the burdens of the past perceptions and biases that associated nurses with lesser, serviceoriented roles that carried out the instructions of others 62 and that predicted that nurses were unlikely to have significant impact on redesigning the health care system. 68 At RWJUH, our nurse leaders have led large, interdisciplinary project teams in 2 collective, complicated, energetic enterprises that have changed attitudes, values, structures, processes, behaviors, and our hospital's bottom line.…”

Partnering to Lead Change: Nurses' Role in the Redesign of Health Care

“…Achieving higher numbers of nurses with baccalaureate degrees also paves the way for increasing the number of nurses with doctorate degrees by 2020. Currently, fewer than 1% of nurses have a doctorate degree in nursing or a health‐related field 7 . Nurses with doctorate degrees provide the profession with a valuable leadership skill set to conduct research and analyses that promote the practice of nursing and the understanding of nursing's effect on patient care outcomes and the health care system overall.…”

Perioperative Nursing and Education: What the IOM Future of Nursing Report Tells Us

“…The majority of nursing schools still educate students primarily for acute‐care settings rather than community settings, and the curricula are organized around traditional medical specialties (eg, medical‐surgical, obstetrics). As health care reform shifts the focus to prevention and the site of care shifts more to ambulatory settings, there needs to be a greater emphasis on care coordination, negotiation with a health care team, prevention, and wellness 17 . The huge growth in knowledge and evidence is rapidly changing how health professionals access and use information; therefore, the skills needed to stay current have changed (eg, textbooks and rote memorization no longer are adequate), and information management and evidence assessment have become essential 1 .…”