Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

• IOM Future of Nursing Report
• Introduction
• Nurses comprise the biggest fragment of the health care profession, with around three million registered nurses in the US.  They offer a range of services involving health promotion, direct patient care, coordination of care, and patient education.  They are researchers, serve in leadership roles, and work towards the improvement of health policy. As the health care delivery system goes through reformation, partly as a result of the ACA, the profession of nursing is having a widespread impact by offering accessible and patient-centered at an affordable price. The IOM report offers recommendations for nursing the reformed health care system. The paper discusses the IOM report has influenced nursing education and training, practice, and role development and the role of state-based action coalitions in promoting implementations contained in the report.

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• The work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report

In 2008,  the RWJF entered into a partnership with the IOM to institute a two-year study to assess the profession of nursing, recognizing that redesign of the health care system would require nurses to be active, and visibly due to their numbers.   According to Altman et al. (2019), The RWJF committee was given the task of examining if the nursing workforce was in a position to fulfill the demands or patients of a transformed health care system.  It was to develop a series of recommendations, entailing recommendations that address the provision of nursing care a transformed health care system, and the education system to adequately prepare nurses.