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The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health , which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals.

Objective: To investigate the effects of a cognitive load theory (CLT)-based WeChat training platform on reducing the barriers to reporting adverse events among clinical nurses. Methods: In total, 400 clinical nurses from a tertiary general hospital were randomized into experimental and control groups (200 each). The experimental group used the CLT-based WeChat training platform, whereas the control group received conventional training for nursing adverse events. Both interventions lasted 12 weeks. Barriers to reporting, reporting awareness, intention, and habit scores were compared between the groups. Results: After the dropouts, 197 experimental and 196 control participants completed the study. In the experimental group, the total scores for barriers to reporting adverse events and in the dimensions of punitive culture, reporting process, and reporting significance scores were 93.87 [+ or -] 6.85, 48.88 [+ or -] 4.68, 21.53 [+ or -] 4.15, and 23.40 [+ or -] 2.11, respectively, whereas the control group corresponding scores were 72.07 [+ or -] 6.67, 34.20 [+ or -] 6.02, 20.06 [+ or -] 3.25, and 17.36 [+ or -] 2.92, respectively. The experimental group demonstrated significantly higher scores and reporting significance (P all < 0.01). Additionally, the experimental group had significantly higher scores for safety event reporting awareness, intention, and habits than those in the control group (P < 0.01). When responding to nursing adverse events of various severity, the only exception to statistically significant differences between the groups was in \"reporting to the head nurse\" for medium-severity incidents (P = 0.302). However, the experimental group demonstrated significantly higher rates of \"submitting an adverse event report\", \"reporting to the head nurse\", and \"discussing with colleagues\" than those in the control group regardless of the severity of the adverse event (P < 0.01). Conclusion: This study confirmed that the CLT-based WeChat training platform model can effectively reduce the level of barriers to adverse event reporting by nurses, enhance nurses' adverse event reporting awareness, intention, and promote improvement in nurses' adverse event reporting behaviors, thereby improving the quality of nursing care and patient safety. Keywords: cognitive load theory, WeChat training platform, nurse, adverse event reporting barriers, patient safety

The group added another about-1000 signatures to the petition over a weekend of non-stop engagement with visitors - only a single person having a bad word to say about nurses. When it came to the state of the health system, \"everyone's had a gutsful\", Rickertsen said. | te makete, Киа whakarite nga тета i tetahi tirohanga tauanga tuihono e toia ana te tautoko a te 97% o nga kaiurupare 36 i te porotú. Rickertsen said he was a symbol of the health system, and something of an eye catcher and conversation-starter for curious passers-by.