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Nursing Management

March 2011, Volume 42 Number 3 , p 34 - 38


  • Richard Hader PhD, NE-BC, RN, CHE, CPHQ, FAAN


Despite the sagging economy and escalating public and legislative scrutiny of care delivery in the United States, there remains a significant opportunity for nurses to shape the future of our healthcare delivery system. A recently published collaborative report by the IOM and the Robert Wood Johnson Foundation (RWJF) illustrates that our profession is over 3 million strong and well positioned to be significant players in the transformation to improve the country's care quality and efficiency. As nurse leaders, we'll need to stay well informed regarding necessary changes to both practice and academic settings. Doing so will help position nursing as the primary infrastructure to facilitate acceptance and implementation of evidence-based care. Over the next several months, Nursing Management will explore and analyze each of the key messages and major recommendations proposed by the IOM.Donna E. Shalala, president, University of Miami, and Linda Burnes Bolton, vice president and chief nursing officer, Cedars-Sinai Health System and Research Institute, charged a committee of 18 distinguished leaders representing practice, academia, business, and health policy to describe the current state of nursing and to make recommendations to ensure that nursing is well positioned to meet long-term challenges in all environments in which nursing is practiced. By design, the committee primarily comprised individuals who are non-nurses to minimize bias and reach beyond the profession. This group met for over 2 years and sought input from countless constituencies to ensure that recommendations were strategic yet targeted and comprehensive enough to meet the diverse health needs of the community and the numerous venues in which nursing is practiced. The group doesn't contend that it has all the answers, but proposes a blueprint that leaders can use to formulate implementation strategies.Presented recommendations provide managers with guidance to:-reconceptualize the role of nurses within

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