Identify the recommendations made in the IOM Future of Nursing report. Discuss strategies needed to implement the recommendations. Your paper should include the following: – Identify major highlights of the 2010 Institute of Medicine Report: Future of Nursing: Leading Change, Advancing Health. Discuss the primary recommendations posed by the report. – Discuss strategies to implement the recommendations to advance the profession of nursing. – Share your own perspective on the recommendations Your assignment will be graded according to the grading rubric.


The 2010 Institute of Medicine (IOM) Report titled “The Future of Nursing: Leading Change, Advancing Health” is a groundbreaking document that presents a comprehensive vision for the future of the nursing profession. This report provides a set of recommendations aimed at transforming the healthcare system by leveraging the unique skills and expertise of nurses. In this paper, we will identify the major highlights of the report and discuss strategies that are needed to implement these recommendations effectively. Furthermore, we will share our own perspective on these recommendations.

Major Highlights of the IOM Report

The IOM Report emphasizes the vital role that nurses play in the delivery of healthcare services and recognizes the need for a transformed nursing profession to meet the evolving healthcare needs of the population. The report identifies four key messages that outline the major highlights of the report:

1. Nurses should practice to the full extent of their education and training: The IOM report emphasizes the importance of expanding the scope of practice for nurses, enabling them to practice to the full extent of their education and training. This involves removing any existing barriers and restrictions on nurse practitioners, certified nurse-midwives, certified registered nurse anesthetists, and clinical nurse specialists. By doing so, nurses would be able to provide a wider range of services, improving access to care and promoting cost-effective healthcare delivery.

2. Nurses should achieve higher levels of education and training: The report calls for an increase in the percentage of nurses with a baccalaureate degree to 80% by 2020 and a doubling of the number of nurses with doctoral degrees. It emphasizes that education is a critical factor in improving patient outcomes and suggests that higher levels of education would enhance nurses’ ability to navigate complex healthcare systems, conduct research, and engage in evidence-based practice.

3. Nurses should be full partners with physicians and other healthcare professionals: The IOM report underscores the importance of collaborative partnerships between nurses and other healthcare professionals. It advocates for the need to break down hierarchical barriers and foster a culture of collaboration and respect among healthcare providers. By working as full partners, nurses can contribute their unique perspectives and insights to healthcare decision-making, resulting in improved patient outcomes and better team-based care.

4. Effective workforce planning and policy-making require better data collection and information infrastructure: The report highlights the need for better data collection and information infrastructure to inform workforce planning and policy-making. It calls for the development of a robust data infrastructure that captures accurate and timely information on the healthcare workforce, including the number, demographics, and distribution of nurses. This data can then be used to effectively plan and allocate resources, address geographic shortages, and inform policy decisions to ensure a well-prepared and diverse nursing workforce.

Primary Recommendations

Building upon these key messages, the IOM report presents a series of recommendations that are aimed at transforming the nursing profession. Some of the primary recommendations include:

1. Remove scope-of-practice barriers: The IOM recommends removing regulatory barriers that limit the ability of advanced practice registered nurses (APRNs) to practice to the full extent of their education and training. By expanding their scope of practice, APRNs can provide a wider range of services, improve access to care, and contribute to the delivery of high-quality, cost-effective healthcare.

2. Expand opportunities for nurses to lead and diffuse collaborative improvement efforts: The report emphasizes the need for nurses to take on leadership roles and actively participate in decision-making bodies at all levels. Nurses should be involved in policy discussions, quality improvement initiatives, and efforts to redesign healthcare systems. By actively engaging in these activities, nurses can influence healthcare delivery and contribute to the improvement of patient outcomes.

3. Increase the proportion of nurses with a baccalaureate degree to 80% by 2020: The IOM report calls for increasing the percentage of nurses with a baccalaureate degree to 80% by 2020. This recommendation aims to enhance the education level of the nursing workforce and equip nurses with the knowledge and skills needed to deliver quality care in complex healthcare environments. Increasing the number of nurses with a baccalaureate degree would also contribute to the development of a more highly educated nursing workforce.

4. Double the number of nurses with a doctorate by 2020: The report recommends doubling the number of nurses with doctoral degrees by 2020. This recommendation recognizes the important role of nurse scientists and researchers in advancing nursing knowledge and improving patient outcomes. Increasing the number of nurses with doctoral degrees would enhance the capacity for research, evidence-based practice, and leadership within the nursing profession.

Strategies to Implement the Recommendations

Implementing the recommendations of the IOM Report requires a multifaceted approach that incorporates various strategies. Some strategies that can be employed to advance the profession of nursing include:

1. Advocate for legislative changes: One strategy to implement the recommendations is to advocate for legislative changes that remove scope-of-practice barriers for advanced practice registered nurses. This may involve engaging in lobbying efforts, collaborating with professional nursing organizations, and working with policymakers to enact legislation that supports expanded practice capabilities for nurses.

2. Enhance nursing education programs: Another strategy is to enhance nursing education programs to increase the proportion of nurses with a baccalaureate degree and doctoral degrees. This could involve revising curricula to align with the competencies outlined in the IOM report, offering incentives for nurses to pursue advanced degrees, and expanding access to educational opportunities through scholarships and loan forgiveness programs.

3. Foster interdisciplinary collaboration: To promote collaborative practice, strategies should be implemented to foster interdisciplinary collaboration among healthcare professionals. This could involve creating opportunities for interprofessional education and training, establishing shared decision-making frameworks, and promoting a culture of respect and collaboration across healthcare settings.

4. Develop a robust data infrastructure: Implementing the recommendation to develop a robust data infrastructure requires investment in information technology systems and data collection processes. This could involve partnering with healthcare organizations and stakeholders to develop standardized data collection protocols, establishing data registries, and leveraging technology to facilitate the collection, analysis, and dissemination of workforce data.

Perspective on the Recommendations

In our perspective, the recommendations posed by the IOM report are crucial for advancing the nursing profession and transforming the healthcare system. By removing scope-of-practice barriers and enabling nurses to practice to the full extent of their education and training, we can enhance access to care, improve healthcare quality, and achieve better patient outcomes. Moreover, increasing the proportion of nurses with higher levels of education and training is essential to ensure a well-prepared workforce capable of navigating complex healthcare systems and engaging in evidence-based practice.

We believe that implementing the recommendations requires collaboration and commitment from various stakeholders, including nurses themselves, nursing organizations, policymakers, healthcare organizations, and the public. It is through collective efforts that we can create an environment that promotes the full potential of nurses and maximizes their contributions to healthcare delivery.


The IOM Future of Nursing report provides a roadmap for transforming the nursing profession and improving the delivery of healthcare. The major highlights of the report emphasize the need to remove scope-of-practice barriers, increase nurses’ education and training, foster collaborative partnerships, and enhance data collection and information infrastructure. Implementing these recommendations requires a multifaceted approach that includes advocating for legislative changes, enhancing educational programs, fostering interdisciplinary collaboration, and developing a robust data infrastructure. By embracing these strategies, we can advance the profession of nursing and contribute to the transformation of the healthcare system.