A hospital director of nursing (DON) establishes a hospital-wide committee to process the Institute of Medicine (IOM) report "The Future of Nursing:
Leading Change, Advancing Health" and to create unit-based activities that support its recommendations. A unit manager asks about the importance of the endeavor. What response by the DON is best?
a. If nursing doesn't change with the times, the future of the discipline is threatened.
b. Nursing has to remodel itself according to the mandates of the report.
c. Operationalizing the report allows nurses to drive health care reform.
d. Patient safety will be adversely affected if nursing doesn't transform itself.
C
The IOM has identified nurses as key leaders in driving the reform and work to be done to reshape health care delivery in the United States. It is important that all nurses become educated and knowledgeable about this report, understand its implications for the future of the discipline, identify ways that individual nurses can get involved in implementing the recommendations, and educate others on what needs to be done. The other options all have elements of truth to them, but the broad implication is that nursing must lead the reform of health care.
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