Although the current U.S. health care delivery system offers undeniable benefits, according to many, the negatives are becoming increasingly unacceptable to greater numbers of people. Rising costs, consumer activism, and a changing model of health care delivery are driving health care reform. The movement to reform health care has stimulated great political and social interest, promoting debate and action at local, state, and federal levels. Those in the nursing profession can play a pivotal role in the reform movement.

** consider the role of nurses as leaders in health care reform as you examine the Institute of Medicine’s recommendations for areas in which nursing education and training need to be strengthened to better prepare nurses to be effective leaders

**valuate the current state of research efforts on the Institute of Medicine’s priorities for transforming nursing leadership
**What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?
**focus on the research recommendations presented by the committee concerning the role of nurses as leaders. The committee members believe that answers to these research questions are needed to advance the profession of nursing and to further expand their role in health care reform and improvement

** identify two to three current articles that address your selected research priority. Consider the current state of research efforts on this priority

~~Costs Associated with the Recommendations
The current state of the U.S. economy and its effects on federal, state, and local budgets pose significant challenges to transforming the health care system. These fiscal challenges also will heavily influence the implementation of the committee’s recommendations. While providing cost estimates for each recommendation was beyond the scope of this study, the committee does not deny that there will be costs—in some cases sizable—associated with implementing its recommendations. These costs must be carefully weighed against the potential for long-term benefit. Expanding the roles and capacity of the nursing profession will require significant up-front financial resources, but this investment, in the committee’s view, will help secure a strong foundation for a future health care system that can provide high-quality, accessible, patient-centered care. Based on its expert opinion and the available evidence, the committee believes that, despite the fiscal challenges, implementation of its recommendations is necessary

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