The influence of four key recommendations on nursing practice.

 
The recommendations emphasized that nurses use their education, training, and competencies and collaborate with other medical staff to avail higher quality care, decrease errors, and increase safety. The four key messages have underscored the need for the inclusion of evidence-based practice in nursing practice, which has provided nurses with scientific research and real-time, data-driven insight to make well-founded decisions (Tierney et al., 2020).

Through EBP, nurses are updated about new medical protocols for patient care. Additionally, the recommendations have encouraged and enhanced strong leadership that has transformed the health care system in the United States. In addition, nurse leaders have become designers, implementers, and evaluators, as well as playing the role of advocacy for reforms to the relevant systems. Furthermore, nursing research and practice have developed evidence-based improvements to care, leading to policy changes across the health care systems (Tierney et al., 2020). In sum, the recommendations have influenced and enhanced the population health needs assessment and management and collaboration of health professionals enabling the provision of patient-centered, coordinated, and community-based primary and specialty care services.

The role of state-based action coalitions.
State Action Coalitions work to advance the proposals of the IOM report. Additionally, the coalitions help increase the goals specified in the IOM report and are led by nurses and business partners; they aid spur change locally by working to transform health care through nursing and build healthier communities (Wakefield et al., 2021).