Fitting in IOM future of nursing recommendations

Sample Question

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

  1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
  2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
  3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

  1. How will increasing your level of education affect how you compete in the current job market?
  2. How will increasing your level of education affect your role in the future of nursing?

Sample Answer

The Institute of Medicine Report on future of Nursing made several recommendations, which are anticipated to transform healthcare and make it more responsive to the increasing demand of providing quality healthcare services at an affordable cost to all people across the United States in 21st century. Some of these recommendations included encouraging nurses to participate in lifelong learning, and increasing the proportion of nurses with baccalaureate and doctorate level of education by 2020 (IOM, 2011). These recommendations are in recognition of the critical role that advanced nurse education plays in promoting nurses’ skills and competence, which ultimately result to improved quality of services offered to the clients.

I have taken pragmatic measures by enrolling for my BSN degree to ensure that I fit in the IOM recommendation that requires an increase in the proportion of nurses with a baccalaureate degree to 80 % by 2020 (IOM, 2011). I am still undertaking my BSN studies, which have played a critical role in enhancing my skills and knowledge to work as peri operative and post anesthesia nurse.  Doubling the number of nurses with a doctorate by 2020 is another prominent recommendation set out in the IOM report (IOM, 2011). To ensure that I attain doctorate qualifications, I intend to enroll for master’s studies in nursing, which will set the foundation for undertaking Doctor of Nursing Practice (DNP) within the next 3 years. This is in preparation for enhancing my competence as a future nurse leader in nursing practice, where I will be required apply research capabilities into actual practice in various areas, such  as formulation of health  polices to advance nursing practice.

Nurses should engage in lifelong learning to ensure that they perfect their clinical and interpersonal skills. Lifelong long learning has been found to enhance nurse productivity, patient outcomes and in promoting job satisfaction of the healthcare providers. To ensure that I engage in lifelong learning, I have joined various nursing professional bodies which keep me updated on the current trends and developments occurring in the healthcare sector.  In addition, I take opportunities which involve working in collaborative teams involving physicians, patients, families, nurses and other health professionals.

Increasing my level of education as a nurse does not only enhance my skills and knowledge in nursing practice, but it also prepares me to take up more challenging roles in the healthcare sector. These roles includes hospital administration, managing  and leading other nurses, formulation of policies related to healthcare and nursing practice among others.  In the current job market, there is an established shortage of nurses in healthcare system, especially those with BSN and doctorate qualifications (American Association of Colleges for Nursing, n.d). Experiential studies have established that nurses with BSN qualifications report improved patient outcomes compared to those with associate degree. Moreover, BSN nurses are versatile to work in various setting and departments compared to those with associate degree (Johnson, 1988). In this regard, increasing my level of education will greatly enhance my competitiveness in the job market.

I desire to complete Doctor of Nursing Practice (DNP) in future, which will ultimately change my nursing roles. Currently, I am mainly involved in providing primary care. Undertaking DPN program will equip me with a wide variety of skills, including in-depth evidence based practice in different areas of patient care, research skills, and ability to formulate policies in healthcare sector.  This implies that advancing my education will ultimately increase my responsibilities in nursing practice to include formulation and interpretation of policies in addition to transforming research into practice.


American Association of Colleges for Nursing.(n.d). The impact of education on nursing   practice. Available from

IOM (Institute of Medicine). (2011). The Future of Nursing: Leading Change, Advancing    Health. Washington, DC: The National Academies Press.

Johnson, J. (1988). Differences in the performance of baccalaureate, associate degree and  diploma nurses: A meta-analysis. Research in Nursing and Health, 11, 183-197.