Abstract
The health care system in the United States is at a crossroads. Can we meet the needs of the aging baby boomers, 10,000 of whom are turning 65 every day? Will health care reform result in changes that improve both the quality and efficiency of care delivery? How does assisted living fit into the picture? Many questions are yet unanswered, but one fact is clear: nurses have an opportunity to be part of the solution. Nurses make up the largest component of the health care workforce and therefore play a critical role in shaping our health care system as it attempts to accommodate the demands of our rapidly aging population in the face of economic realities that require controlling the cost of care. In 2011, the Institute of Medicine (IOM) published a landmark report titled The Future of Nursing: Leading Change, Advancing Health; this publication attempts to identify the roles “nursing can assume to address the increasing demand for safe, high-quality, and effective health care services.” The report provides recommendations organized around 4 key messages:
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