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Primary Care

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In 1970, the National Academy of Science decided organize a nonprofit committee, that would conduct in depth studies in an unbiased, influential way; called the Institute of Medicine (IOM). This organization ran for about 38 years when the Robert Wood Johnson Foundation (RWJF) offered their assistance in evaluating the need transform the nursing workforce. The IOM and RWJF then published a report, two years later, called The Future of Nursing: Leading Change, Advancing Health; hoping to aid the already changing health care system. The study found that the need for health care professionals will rise while the number of patients, with broad spectrums of needs, will also rapidly increase. It also discovered that the number of medical students is declining. The Future of Nursing highlights ideas on why increasing the number of nurses with baccalaureate degrees is important to the changing system, how to balance out the ratio of patients to providers and the essentials of nurses embracing their leadership skills; to utilize those qualities to become leaders. The IOM believes that more Bachelors of Science and Nursing (BSN) prepared nurses are needed, even though some studies argue that clinical experience, qualifications before entering a nursing program (e.g., SAT scores), and the number of BSN-prepared nurses that received an earlier degree confound the value added through the 4-year educational program (The Future of Nursing, 2010). In contrast to that argument, a survey of 100 physicians found that 76 percent of physicians strongly or somewhat agreed that nurses with a BSN are more competent…...

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