Consequently, the Committee on The Robert Wood Johnson Foundation (RWJF) Initiative on the long run of Nursing, at the Institute of drugs (IOM), developed a vision for a transformed health care system to handle these issues.

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The Future of Nursing explores how nurses’ roles, responsibilities, and education should change significantly to satisfy the increased demand for care that may be created by health care reform and to advance improvements in America’s increasingly complex health system.

As the current debate surrounding the Affordable Care Act (ACA) continues in Congress, variety of strengths and weaknesses of the legislation are being emphasized. One specific issue is how the American health care system will treat a further 32 million Americans.

In order to form quality care accessible to the varied populations of the U.S., many stakeholders within the health care industry believe it’s necessary to expand the role of health care providers including medical aid physicians, pharmacists, and particularly nurses. Consequently, the Committee on The Robert Wood Johnson Foundation (RWJF) Initiative on the long run of Nursing, at the Institute of drugs (IOM), developed a vision for a transformed health care system to handle these issues.

In their report entitled “The way forward for Nursing: Leading Change, Advancing Health,” IOM envisions a future where “primary care and prevention are central drivers of the health care system, inter professional collaboration and coordination are the norm, and payment for health care services rewards value, not volume of services, and quality care is provided at a price that’s affordable for both individuals and society.” To realize these goals, IOM recognized that several of the aspects of the health care system must be changed, including the nursing profession, which, with over 3 million members, represents the most important segment of the health care workforce.











The U.S healthcare system is characterized by a high degree of fragmentation across many sectors which has been barriers to provide accessible, quality care at an affordable price. The year 2010 has been monumental in healthcare. Not only The Affordable Care Act signed into law, but the institute of medicine (IOM) issued its landmark report, The Future of Nursing: Leading Change, Advancing Health. This report has brought significant changes in nurses’ role, responsibilities and education to meet the increased demand for care and to make improvements to the healthcare systems.

One example of the impact of Future of Nursing report by the IOM (2011) has on the role of an Advance Practiced Nurse is the need for full partnership with the physicians and other healthcare professionals to improve cost effective treatment (IOM, 2011).  This professional partnership will provide high quality healthcare that improves the cost effectiveness of healthcare system. Nurse Practitioners that are utilized as primary care providers demonstrate beneficial solution to the increasing access to medical care (Liu et al., 2020). The backbone and strength of the nursing profession is patient education, health promotion, assessment and intervention which are all essential to the primary care. Nurse practitioner provide high quality care and the partnership will help to identify the problems, tracking progress, identify waste and provide adjustments needed for obtaining goals. As we know, the demand for primary care providers is continually growing as the access to coverage, more care settings and increase in services under the Affordable care Act. The role of primary care is extended across all spectrums of the health care setting. The full partnership will increase healthcare access, increase quality of care that is patient centered. Evidence suggests that access to quality care can be greatly expanded by increasing the use of APRNs in primary, chronic and transitional care. Nurses serving in special roles contribute to increase access to care, such as care coordinators and primary care clinicians, have led to significant reductions in hospitalization and rehospitalization rates. It stands to reason that one way to improve access to patient centered care would be to allow nurses to make more care decisions at the point of care. Nurses make significant contribution to access by delivering care where people live, work and play. Nurses also work in migrant health clinics and nurse managed health centers, additional, nurses are often at the front lines serving as primary providers for individuals and families affected. Patient outcomes with chronic illness have achieved similar clinical outcomes with both the nurse practitioner and the physician (Liu et al., 2020). The large shortage of primary care providers nationally will be alleviated with the use of nurse practitioners.

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