In 4 Brief Paragraphs Please Respond to Four Discussion Posts.

Give Insight and Respond With

Some Thought.
Discussion 1
The COVID-19 pandemic was a time of uncertainty and many didn't know how to react or what
precautions they could do to protect the community around them. I think AACN covered a lot of
points to protect their staff members and students as much as they can. I remember just starting
to work in the beginning of 2020 when there were students still on the floors in their clinical
courses, then all of a sudden they weren’t there for months because of the spike in cases in NYC.
I’m sure this was when their plan had to really be implemented to ensure the protection of
everyone. I work with a lot PCAs that are currently in school to be nurses and I hear them
complain about the online classes and how they didn't get any hands on experience and they
thought that the online classes were harder than learning in person. Another complaint was that
the communication between the professors weren’t good because it would take days for a
response. One of the points that the AACN pointed out that I thought was important was the
three C’s , for emotional, mental health and well-being support, they wanted to implement the
fact of “working together,” to help with well-being. The pandemic took a mental toll on a lot of
people and I think being each other’s support person with communication and expressing any
struggle got a lot of nurses, nurses students and teachers through the current pandemic.
Discussion 2
I believe that the AACN position paper covered the most relevant points about Schools of
Nursing being currently unprepared to handle the COVID-19 pandemic in New York City.
During the height of the pandemic, the city pretty much went into panic mode and suddenly
locked down. It left little to no time for schools to prepare for what was to come. Students and
faculty had to scramble to figure out what was going to happen with lectures and clinicals. Due
to this, I feel as if this issue compromised the learning experience for the students. When
clinicals were canceled and had to be online, students lost the hands-on experience. However, it
was also a good idea to have students out of the hospitals once the lockdown began. Working on
a COVID unit, I saw first hand how much we lacked PPE. We were having to use and store our
N95 masks in brown paper bags for up to 10 days at a time. Having students on the floor
would've made the access to PPE a little more difficult. I also believe it made it difficult for the
students who graduated during the pandemic. They began their careers as new grads who barely
had any clinicals which I'm sure made it even more difficult to adjust to patient care. Up until
now, we barely have students in the hospitals for clinical so I believe the schools of nursing need
to come up with a better plan to help their students gain the experiences they need.
Discussion 3
The aim of the Institute of Medicine’s future of nursing (2011) is to have nurses practice to their
full extent, getting higher level of education and training, being a partner with physicians, and
being good with collecting data to improve the infrastructure of nursing. The National Academy
of Medicine’s Future of nursing wants nurses to focus on addressing community’s social
determinants of health and the accessibility of care. They also mention having a workforce that is
diverse across all levels of nursing. Another goal mentioned is to have research done to help fill
the gaps and disparities in health care. There were two goals mentioned that I thought went hand
in hand; it was to have nurse knowing their role in emergencies with natural and manmade
disasters and to know the importance of nurses well-being to improve the care of others. I think
the IOMs goal in 2011 focused a lot on the nurse’s role with physicians and the healthcare teams
working together for better health care outcomes. With the National Academy of Medicine, I
think they focused a lot more on how nurses can help the community with disparities that occur
in health care. I think there is a difference between the two reports and the goals shifted because
awareness of the need to focus diversity in many different areas besides race and gender like the
workforce are and communities.
Continuing Medical Education. (n.d.). Institute of Medicine Report – the future of nursing:
Leading change, advancing health. Policy & Medicine. Retrieved February 13, 2022, from
https://www.policymed.com/2011/02/institute-of-medicine-report-the-future-of-nursing-leading-
change-advancing-health.html
The Future of Nursing 2020-2030 SHARE. Nationalacademies.org. (n.d.). Retrieved February
13, 2022, from https://www.nationalacademies.org/our-work/the-future-of-nursing-2020-2030
Discussion 4
Between both the Institute of Medicine's Future of Nursing (2011) and the National Academy of
Medicine's Future of Nursing (2020), there are many similiarities but also many differences. To
begin, in the Institute of Medicine's Future of Nursing, social determinants of health is not
included in the book. However, in the National Academy of Medicine's Future of Nursing, the
social determinants of health is one of the chapters focused on in the book. The social
determinants of health are described as "nonmedical factors influencing health-related
knowledge, attitudes, beliefs, or behaviors. These include education, employment, health systems
and services, housing, income and wealth, physical environment, public safety, social
environment, and transportation," (National Academy of Medicine, 2021). It's interesting to see
that the 2011 book didn't focus on the SDOH compared to the 2020 book since looking at today's
world, there are so many determinants that play a role in the everyday lives of people and the
way it affects their health. Both books have focused on the role of the nurse. In the 2020 book, it
describes a nurse's role as "delivering high-quality care by providing care that is safe, effective,
person-centered, timely, efficient, and equitable," (IOM, 2001). The 2011 book similarly
describes the nurse as having many different roles as well. It states "nurses play important roles
in the promotion of changes in chronic conditions and lifestyles, coaching and counseling, self-
monitoring and goal setting, depression screening, and the nuse of advanced technology such as
interactive voice recognition for patient outreach," (IOM, 2011). I believe the biggest reason as
to why the goals in each book have shifted is because of the advancements we are making in
science every day. As nurses and future advanced practice nurses, we are learning new things to
benefit our practice constantly. Whether it's through technological advances or simply a new
study recently released, these things help improve applying our knowledge to help the quality of
care we deliver through our patients. Surely, we will look back at the 2020 book when the 2030
is released and see some new changes as well.
References:
Institute of Medicine. 2011. The Future of Nursing: Leading Change, Advancing Health.
Washington, DC: The National Academies Press. https://doi.org.10.17226/12956.
National Academies of Sciences, Engineering, and Medicine. 2021. The Future of Nursing 2020-
2030: Charting a Path to Achieve Health Equity. Washington, DC: The National Academies
Press. https://doi.org/10.17226/25982.