“The Future of Nursing: Leading Change, Advancing Health” from the Institute of Medicine (IOM, 2010) has created a long-overdue national discussion about nursing's role in the healthcare delivery system and what it will take for nurses to address these possibilities. For home healthcare nurses in particular, the next 10 years are going to result in drastic changes in practice and operations in home healthcare nursing practice. Most of these changes are going to be positive from the home healthcare nurse's perspective. However, I am concerned that home healthcare nurses are not ready for the extent of these drastic changes, and I present several scenarios that could occur, based on the IOM report and existing research.
Elizabeth A. Madigan, PhD, RN, FAAN, is a Professor of Nursing at Frances Payne Bolton School of Nursing, Cleveland, Ohio.
The author declares no conflicts of interest.
Address for correspondence: Elizabeth A. Madigan, PhD, RN, FAAN, Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Ave., Cleveland, OH 44106–4904 (firstname.lastname@example.org).