Analyze the progression and continuity between the 2010 and 2020-2030 Institute of Medicine (IOM) nursing reports and their implications for future nursing practice.
Review the key recommendations and goals outlined in the 2020-2030 Future of Nursing report, "The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity."
Identify areas of overlap, expansion, or departure from the recommendations set forth in the 2010 IOM report, "The Future of Nursing: Leading Change, Advancing Health."
Create a PowerPoint presentation that compares and contrasts specific recommendations from each report.
Provide context for the evolution of nursing practice by considering factors such as changes in healthcare policy, advancements in technology, shifts in demographics, and emerging healthcare challenges.
Analyze how the new recommendations in the 2020-2030 report build upon or respond to the challenges and priorities identified in the 2010 report.
Discuss the potential impact of the 2020-2030 report on nursing education, practice, leadership, and workforce development.
Sample Answer
The progression between the 2010 and 2020-2030 Future of Nursing reports shows a clear continuity in core objectives (e.g., advancing education and removing practice barriers) but a significant expansion and refinement of focus toward health equity and addressing the social determinants of health (SDOH).
Here is an analysis of the progression and continuity, followed by the presentation content outline.
🔬 Evolution of Nursing Practice: 2010 to 2020-2030
The evolution of these reports is driven by contextual changes in healthcare policy, technology, and demographics:
Policy Changes: The passage of the Affordable Care Act (ACA) in 2010 expanded access, highlighting the need for primary care providers (APNs) and value-based care models, a focus heavily promoted by the 2010 report.
Demographic Shifts: Increased population diversity, an aging populace, and widening socioeconomic disparities necessitated a direct focus on equity and the upstream factors affecting health.
Emerging Challenges: The opioid crisis, the COVID-19 pandemic (which occurred during the development of the 2020-2030 report), and growing evidence of structural racism in healthcare pushed the emphasis from simply access to equitable access and outcomes.
The 2010 report focused on structural reforms necessary to prepare the workforce. The 2020-2030 report assumes those reforms are underway and pivots to applying that highly educated, empowered workforce to solve the nation's most pressing problem: health equity.
📈 Analysis of Progression and Continuity
I. Continuity (Areas of Overlap)
Both reports share the foundational goal of maximizing nursing's contribution to health, primarily by addressing structural limitations:
Removing Practice Barriers: Both strongly advocate for full practice authority (FPA) for Advanced Practice Registered Nurses (APRNs) to practice to the full extent of their education and training, recognizing this as essential to improving access to care.
Advancing Education: Both stress the need for a more highly educated nursing workforce, continuing the call for 80% of RNs to hold a BSN by 2020 (2010 report) and expanding the emphasis on doctoral degrees (DNP/PhD) to prepare leaders and researchers.
Workforce Data: Both emphasize the critical need for robust, consistent national data collection to understand the workforce's supply, demand, and diversity.
Leadership: Both call for nurses to take leadership roles at all levels, from the bedside to the boardroom, to influence health policy.