Institute of Medicine (IOM) or the National Academy of Medicine, as currently called, is
a non-profit organization established in 1972 under Tribhuvan University. IOM was established
to provide evidence-based approaches and recommendations for public health facilities. IOM is
also responsible for training health care workers in all categories as needed in the United States.
Since it was established, the organization has developed 12 campuses spread across the country,
with three of them in Kathmandu valley and nine outside the Kathmandu valley. This paper aims
to review a report released by the Institute of medicine in 2010.

Four messages are outlined in the IOM report and explain why these are significant to
nursing practice.
The firs key message highlighted in the report is that nurses should be allowed to practice
in their areas of education and training (Shalala et al., 2011). Nurses' ability to practice fully in
their profession is limited by regulations, policy, and historical barriers. Additionally, the system
of health care in the United States' is fragmented. This means that American residents face
barriers accessing quality and affordable health care. The second key message in the report is
that nurses should ensure that they achieve higher education and training levels (Shalala et al.,
2011). To accomplish this, nurses need to train in institutions that employ improved systems of
education. The IOM 2010 report provides that an improved education system would be help
impact the current and future nurses. This is because it would help ensure that nurses provide
safe, quality, and patient-specific care services (Shalala et al., 2011). Further, an improved health
system encourages the use tools that greatly improve the quality of care, including information
management systems.

The third key message featured in the IOM 2010 report is that nurses should collaborate
with other health care professionals, such as physicians, to deliver high-quality care (Shalala et
al., 2011) . This is often referred to as a multidisciplinary approach to health care. The different
healthcare professionals in a team approach are encouraged to practice in their training and
specialization areas. This results in increased access to quality and patient-centered care. The
fourth and last key message in the report is that data collection and information management are
crucial elements for effective planning of human resources and policy development (Shalala et
al., 2011). In other words, health care organizations should analyze factual information before
making major care decisions.

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