Future of Nursing Report Discussion Paper

Future of Nursing Report Discussion Paper

Future of Nursing Report Discussion Paper

The changing trends and healthcare demands implore nurses to prepare and position themselves strategically to offer quality care as frontline care providers. The National Academies of Sciences, Engineering, and Medicine in their report “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” highlight the critical role that nurses play and will continue to play to help the nation attain better health for its population, including reducing costs and emphasizing primary care (Hassmiller, 2021). The report presents eight practical strategies that the nursing profession can employ to advance health equity. The purpose of this paper is to discuss the work of the academies, the role of state-based coalitions, especially in Florida, to help nurses attain health equity.

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Work of National Academies of Sciences, Engineering, and Medicine

In this work and report, the National Academies of Sciences, Engineering, and Medicine worked with different stakeholders to examine the current trends in care provision and the need for stakeholders to develop strategies to help the nation attain health equity. The work of the Committee on the Future of Nursing 2020-2030 considered the critical role of nurses, especially in the backdrop of the unimaginable situations of the Coronavirus disease (COVID-19) pandemic, and trends that will inform care delivery over the decade ahead. The committee developed the report after the Institute of Medicine’s 2010 report that demonstrated the critical need for nurses to prepare to meet the rising care demand among the diverse population (Hassmiller, 2021). The report develops eight strategies that will help prepare and train a nursing workforce to offer care, promote health and wellness among nurses, individuals, and communities as well as address the systemic inequities which continue to fuel wide and persistent disparities in health.

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The report notes that building on strengthened nursing capacity and expertise will help nurses create and contribute effectively to equitable health and health care systems which can work for all people. The work of the committee emphasizes the critical role of the nursing profession in addressing the complex work of attaining alignment in public health, health care, and social services as well as public policies aimed at elimination of health disparities and attainment of health equity.

Trends in Nursing Workforce Influencing Nursing Education to Meet Professional Needs

In its report of 2010, the Institute of Medicine (IOM) highlighted the need to nurses to attain higher levels of education and training by having an education system and practice environment which support seamless academic progression. The implication is that trends in nursing workforce are changing nursing education curriculum to equip nurses with the relevant skills, attributes and knowledge to offer quality care to diverse patient populations. The primary goals of nursing education entail preparing nurses to meet diverse needs of patients, function as leaders, and advance science that offers benefits to patients and their ability to deliver safe, quality care (Kleinpell et al., 2022).  Further, nursing education should transform in various ways to prepares nurses who have qualities of working collaboratively and effectively in multidisciplinary and inter-professional teams in complex and evolving health care system in different settings.

One core trend in the nursing workforce is increasing diversity with nurses of varying ages and social backgrounds working in same settings to offer care to also a diverse patient population. The increased diversity in nursing is also leading to different opportunities for specialty practice as nurses specialize to meet the needs of different populations (Stephens et al., 2021). The aging nursing workforce of baby boomers’ generation must work together with younger generations to deliver quality care. Further, nurses from diverse backgrounds have diverse perspectives and skills as well as cultural competencies that are important for teamwork.

The second trend in nursing workforce is the increased responsibilities and assumption of leadership roles. Nurses, especially those in different specialty and with managerial roles, must acquire more skills and attributes to help them deliver care to patients (Hassmiller, 2021). Leadership roles and being primary care providers mean that nurses have moved away from just the care and bedside roles and are now decision makers and policy implementers. Further, the increased need for technology-savvy nurses implies that nurses should be prepared to use different equipment and devices to help them improve care delivery to meet diverse needs, particularly the use of telehealth to reach patients in remote locations like rural areas and increase accessibility.

Nursing education should adapt to meet the evolving needs of the nursing profession in various ways. As stated, nurses need lifelong learning through an education system that recognizes and appreciates seamless learning to prepare them effectively to meet changes in patient care management (Zaccagnini & Pechacek, 2019). The nursing education is adapting to meet these needs by leveraging increased use of technology to offer more access to nursing students, especially those pursuing advanced education. Nurses can pursue advanced courses online while they offer services to patients (Jeffries, 2022). Secondly, redesigning of a curriculum that integrates new trends and practices is critical to preparing nurses to meet these needs. The education system is also leveraging new trends like integration of evidence-based practice to prepare nurses as well as offering leadership courses.

Role of Nurses in Leading Change

Nurses are patient and nursing professional advocates whose main role is to ensure quality care delivery. As change agents, nurses play a critical role in formulating and implementing health care policies aimed at improving care delivery. They also offer patient education and collaborate with other providers to offer quality and patient-centered care (Kleinpell et al., 2022). They also promote primary care in different populations to ensure that health care transformation attains health equity.

Role of State-Based Action Coalitions

The transformation of health care as depicted by the National Academies’ report requires effective implementation at state levels spearheaded by the action coalitions. These coalitions are led by nurses who partner with other stakeholders to drive local changes by working to transform health care using nursing and building healthier communities. These coalitions mobilize nurses, health care providers, consumers, and educators as well as businesses to improve nursing on different areas or fronts. These coalitions envision a healthcare system that allows nurses to contribute to full extent of their abilities and expertise.

The Florida Action Coalition focuses on provision of leadership to advance the nursing profession to improve access to safe, and high quality healthcare. One initiative by the state action coalition is the enactment of new law to increase access to better health care option. Through the coalition’s advocacy, over 21 million residents of the state can now access care from advanced practice registered nurse (Florida Action Coalition, 2022). The second initiative is the recognition of innovative nurses where the action coalition awards organizations up to $25,000 for progressive work that focuses on improving the role of nurses in building a culture of health and promotion of health equity.

These initiatives advance the nursing profession by demonstrating the need for nurses to prepare effectively to meet the diverse patient needs in different settings through specialty training and education. Secondly, the initiative on health promotion illustrates the critical role that nurses play in health promotion and the need to recognize them as primary care providers (Florida Action Coalition, 2022). The initiative to reward organizations advances the nursing professional by showing the core role of nurses in shaping and building an organizational culture that is important in care provision.

Barriers to Nursing Practice in Florida

A core barrier to nursing practice in Florida is the lack of recognition of nurses as primary care providers. While nurses have full practice authority and can practice independently in the state, they are still not recognized as primary health providers. Advanced practice registered nurses cannot practice independently in Florida until they accumulate at least 3,000 hours of experience while under the supervision of a physician (Florida Action Coalition, 2022). This requirement is a barrier to nursing practice.

The state action coalition continues to advocate for a reduction in the requirements for full practice authority for nurses. The coalition and nurses’ associations within the state advocate for a reduction in these provisions to ensure that more nurses can practice to alleviate the current physician shortage. The nursing advocates continue to lobby and develop action plans to reverse the current laws to allow increased practice.  


The future of nursing is bright as nurses become primary care providers in different areas because of reforms and trends. The report by the National Academies of Sciences, Engineering, and Medicine show that nurses will play a critical role between now and 2030 to address health equity across the country by reducing the current disparities. State action coalitions like the one in Florida will play a critical role in helping nurses and stakeholders develop right interventions to meet the healthcare goals and attainment of health equity.


Florida Action Coalition (2022). News Posts by: Florida Action Coalition.


Jeffries, P. (2022). Clinical simulations in nursing education: Advanced concepts, trends, and

            opportunities. Lippincott Williams & Wilkins.

Hassmiller, S. B. (2021). The future of nursing 2020-2030. AJN The American Journal of

            Nursing, 121(5), 7. DOI: 10.1097/01.NAJ.0000751020.95176.0c.

Kleinpell, R., Myers, C. R., Likes, W., & Schorn, M. N. (2022). Breaking Down Institutional

Barriers to Advanced Practice Registered Nurse Practice. Nursing Administration Quarterly, 46(2), 137-143. DOI: 10.1097/NAQ.0000000000000518

Stephens, M., Vasilica, C. M., Davis, D., Darvill, A., Leigh, J. A., & Priestley, C. (2021).

Contemporary issues and trends in nursing. Transition to Nursing Practice: From Student to Registered Nurse, 194.

Zaccagnini, M., & Pechacek, J. M. (2019). The doctor of nursing practice essentials: A new

            model for advanced practice nursing. Jones & Bartlett Learning.

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Review “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” and explore the “Campaign for Action: State Action Coalition” website, both located in the topic Resources. In a 1,000-1,250-word paper, discuss the influence “The Future of Nursing: Leading Change, Advancing Health” and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

Describe the work of the National Academies of Sciences, Engineering, and Medicine that led to the report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”
Explain the trend occurring in the nursing workforce and how nursing education is adapting to meet the evolving needs of the profession. What is the role of the nurse in leading change?
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the National Academy of Sciences report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Rubric Criteria

National Academies of Sciences, Engineering, and Medicine and Future of Nursing Report
16.5 points

Current Trends and Education
16.5 points

State-Based Action Coalitions and Their Help in Advancing Goals form National Academy of Sciences re
16.5 points

State Action Coalition Initiatives Advancing Nursing Profession
33 points

Barriers to Advancement
33 points

Thesis, Position, or Purpose
11.55 points

Development, Structure, and Conclusion
11.55 points

9.9 points

Mechanics of Writing
9.9 points

6.6 points

165 points



State Action Coalitions


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