According to IOM, transformation of the healthcare system depends on the fundamental rethink of the roles of nurses as a member of health care professional among other factors as this will help meet the demand for safe, quality, and affordable care. In the report provided by the IOM, challenges faced by nurses in response to adopting new roles towards the transformation of the health care in the US were considered. Though, nurses face many challenges at all levels of practice, the focus was more on limitations faced by advance practice registered nurses (APRNs) as a result of some state’s laws inhibiting them from practicing to the full level of education and training received. For nurses to attain the level of responsibility expected during this period, such limitations have to be removed. Also, there has been recent discovery in the health care system which reveals the trend of change from the previously specialty care to patient-centered care through primary care, reaching out into the community more as compared to the acute settings. The goals of the IOM can be met by eliminating regulations, organizational also cultural hindrances that serves as barriers to practicing to the full extent of the competence, training and …show more content…
S.(2010) stated according to Gonzalez-Guarda that “Nurses have a unique understanding of the health care process because they are on the front lines. And this knowledge translates into health care quality and cost-savings. This report is aimed at ensuring that the capacity of nurses is optimized so as to improve the health care of the American people.” Nursing is not limited to performing procedures and carrying out orders anymore, the ANA has validated the involvement of nurses in leadership role not limited to the work setting but also at the state and national levels. Also, Trossman, S. (2010) stated that “the new Institute of Medicine’s (IOM) report on the future of the nursing profession reaffirms ANA’s work on many issues and reinforces the wide-ranging opportunities for nurses to both lead in health care and thoughtfully shape their careers into the