This lack of agreement has added cost and complications for those seeking higher degrees. The ‘Future of Nursing’ report states that nurses should achieve higher levels of education as well as training through an improved education system that promotes academic progression, improving the education system and achieving a more educated workforce, specifically increasing the number of RN to Baccalaureate and that this will enhance quality patient care. Many healthcare organizations are encouraging nurses to continue their education. Some are offering tuition reimbursement, including student loan forgiveness, expanding clinical partnerships and scholarship some are promising greater opportunities for career advancement. The IOM report impacted nursing education in such a way that, the way nurses were educated during the 20th century are no longer adequate for dealing with the complexity of healthcare in the 21st century. Nurses now need to attain competencies to deliver high-quality care. The competencies needed include leadership, health policy, system improvement, research, evidence-based practice, teamwork, collaboration, community, public health and