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Trend and issues of nursing and role of nurse

  1. Current Trends & Issue in Nursing From- Mr.R.RAMACHANDRAN, Student Tutor, RNPC.
  2. Professional Nursing Today Legal Implications for Nursing Practice Healthcare Delivery System Entry into Professional Nursing NRS 101
  3. What is a Nurse?
  4. Definition of Nursing :  Nursing is a unique function of nurse, that is to assist the individual sick or well in the performance of those activities contributing to health on its recovery or peaceful death, that he would perform unaided if he had the necessary strength, will or knowledge. - ICN
  5. How are nurse’s portrayed in the media?
  6. What makes a nurse a professional?
  7.  Extended education  Theoretical body of knowledge  Provides a specific service  Autonomy in decision making and practice  Code of ethics Nursing as a Profession
  8. Scope & Standards of Practice  Standards of Practice  Standards of Professional Performance  Code of Ethics
  9. ANA Standards of Professional Performance  Quality of practice  Professional Practice Evaluation  Education  Collegiality  Ethics  Collaboration  Research  Resource Utilization  Leadership
  10. Professional Nursing Practice  Nurse Practice Acts  Licensure and Certification  Science and Art of Nursing practice
  11. Historical Perspective  Florence Nightingale  Dorothea Dix  Clara Barton  Isabel Hampton Robb  Dr Mildred Montag
  12. Nursing Today  Registered Nurse  Licensed Practical Nurse  Nurse Practitioner  Clinical Nurse Specialist  Nurse Midwife  CRNA
  13. Introduction:-  Trends:-It denote general direction & tendencies specially of events, of opinion.  Nursing trends:-refers to direction towards which the different nursing events have moved or are moving as well as the opinion in & around nursing that are found in & about nursing profession.  Trends in nursing that is changes currently taking place in any area of nursing which the profession as a whole.  These do not occur independently but each one has a basis of related changes in other fields.
  14. These are:-  Social change  Change in other profession  Change in nursing profession itself in the country  Change taking place in other countries in nursing world.
  15. Social change:-  Nursing profession serves to meet the need of the society particularly the needs related to health & well being.  The changes in society will influence to bring about changes in nursing profession. 1. At present, efforts are made by government of India to deliver the health care to the community especially in rural area. 2. Overall improvement in the education of people with ever growing awareness about health & health need.
  16. Cont…  Now women are more educated & take up jobs out of home to serve & earn.  Advancement of technology eg. Automatization, Industrialization, Urbanization  After independence, government began to make serious efforts to meet health need of nation by implementing recommendation of bhore committee.
  17. Change in other profession:- Trends in nursing profession are closely related to those in medical profession.  Medical profession is fastly changing profession & The era of specialization & super specialization has come.  Morden health care facility like ICU, ICCU, Renal unit, Organ transplant unit etc  Biomedical science have far advanced resulting in newer diagnostic equipment such as scanner, New drugs, monitoring system in field of health care all over the world.
  18. Change in nursing profession itself in the country:- There is trends in nursing profession towards meeting the criteria of profession. It is fast moving in some areas & slower in other areas. – Trends to take up education leading to bachelor’s degree in nursing ,master degree as well as doctoral degree. – Trends related to tuition fee eg. Paid stipends, free hiring, accommodation , food & uniform but service is expected from the nurse. – Trends related to changes in working condition for nurses.
  19. Change taking place in other countries in nursing world:- International influence is brought about by many ways- – Fast growing trends to post basic dgree programmes. – INC promote sharing of ideas & common interest between member of national organization. – Exchange of professional literature like international review, Professional journals, articles etc
  20. Issue related to nursing profession:-  Various issue in nursing profession may be related to the profession , education ,Practice,& nurses themselves.  Status in nursing in society in Health care delivery system.  Value reflect in our nursing profession  Quality in nursing hand in hand education & practiced in hand b/w nursing  Unique function of nursing
  21. Cont….  Different level of nursing required in country  Evidenced base nursing research.  Expanded & extended role of nurse  Globalisation in the profession  Nursing leadership bringing change in health scenario according to community demand.
  22. Current Trends & Issues in Healthcare  Nursing Shortage  Patient Satisfaction  Managed Care  Transcultural Nursing  National Patient Safety Initiatives  Evidence-Based Practice  Information Age  Genetics  Globalization of Health  Aging Population  Legal & Ethical Issues  Terrorism/Bioterrorism/Disaster Nursing
  23. Nursing Shortage  National problem which is growing  Critical shortage in specialty areas  Avg age of nurse is 45  Resurgence of enticements for recruitment
  24. Reasons for Shortage  Work environment  Recruitment  Retention  Aging workforce  Compensation  Aging Baby Boomers  Shortage of nursing faculty
  25. Patient Satisfaction  Press ganey surveys  Good customer service  Patient Bill of Rights  Treat patients like family  Healthcare is a business
  26. Managed Care  Goal is to keep length of stay (LOS) down  Capitation  Patients are discharged sooner  Patient acuity higher  Health Care Plans  Case manager work closely with physicians and insurance companies
  27. Transcultural nursing  Nursing has become a melting pot  Nurses are challenged to be more culturally aware  Cultural sensitivity
  28. National Patient Safety Initiatives  Joint Commission National Patient Safety Goals  Institute for Healthcare Improvement “5 Million Lives” Campaign  The Leapfrog Group
  29. Joint Commission National Patient Safety Goals  Improve the accuracy of patient identification  Improve the effectiveness of communication among caregivers  Improve the safety of using medications  Reduce the risk of health care-associated infections  Accurately and completely reconcile medications  Reduce the risk of patient harm from falls  Encourage patients’ active involvement in their own care as a patient safety strategy  The organization identifies safety risks inherent in its population  Improve recognition and responses to changes in a patient’s condition
  30. The Leapfrog Group  Reduce preventable medical mistakes and improve the quality and affordability of health care  Encourage health providers to publicly report their quality outcomes so consumers can make informed choices
  31. IHI “5 Million” Lives Campaign”  Deploy rapid response teams  Deliver reliable evidence-based care for acute MI  Prevent adverse drug events  Prevent central line infections  Prevent surgical-site infections  Prevent ventilator-associated pneumonia
  32. Evidence Based Practice  Goal is to achieve cost-effective, high quality patient care based on scientific inquiry  Nurses need to understand research process involved  Nursing care should not be based on opinions, past practices, but on the results of scientific research  Clinical journals  Practice guidelines  Nursing research
  33. Information Age  Consumers today are more computer savvy regarding healthcare  More info on internet  Consumers could possibly be more informed than health care worker  Joint Commission 2014 all medical records have to be EMR
  34. Genetics  Many major developments in the field of genetic research  Stem Cell  Human Genome Project  Cloning  Legal & Ethical issues
  35. Globalization of Health  Healthcare has become a global issue  People are mobile, diseases can travel  Nurses need to have an understanding of the issues pertaining to global health
  36. Legal Limits of Nursing Sources of Law  Statutory law: Nurse Practice Acts  Regulatory law/Administrative law  Common law  Criminal law: felony & misdemeanor  Civil law: negligence & malpractice :
  37. Legal Issues in Nursing  Nurse Practice Act  Standards of Professional Practice  EMTALA  Advanced Directives  HIPAA  Licensure  Good Samaritan Laws  Public Health Laws  Physician-Assisted Suicide  Americans With Disabilities Act
  38. Civil & Common Law Issues in Nursing Practice  Intentional Tort  Unintentional Tort  Negligence  Malpractice  Consent  Informed Consent  Malpractice Insurance  Abandonment & Assignment Issues
  39. Aging Population  Population is aging  Growing concerns regarding the unique needs of the elderly  Gerontological nursing
  40. Terrorism/Bioterrorism/Disaster Nursing  The 9-11 terrorist attacks have heightened attention to the growing threats of terrorism  Nurses need to be aware to the health consequences of terrorism and use of biological agents
  41. Common problems of nursing administration are:  Poor involvement of nursing administrators in planning and decision making  No specific power has been assigned to nursing In charges but she has been made In charges of all inventories and linen of hospital  Lack of knowledge of management of nursing administration  No clear cut written nursing policies and manuals  Poor job description for various nursing cadres
  42. Common problems of nursing administration are:  Poor organized staff development programmed Inefficiency of nursing councils to maintain standards, and inadequate efforts at higher level for implementation of separate directorate of nursing  Less educational preparation  Refuse to accept new role  Adhere to tradition  Failure to unity among nurses
  43. Practice Settings for Nurses  Hospital  Community Based Practice Settings
  44. Hospital Based Nursing  Acute care is where largest group of nurses practice  Different Staffing Patterns  Skill Mix Changing  Increase in skilled nursing facilities due to aging population and increase in chronic disease
  45. Community Based Nursing  Focus on health promotion, maintenance, education  Community Health Centers, Clinics  School Nursing  Occupational Health  Home Health  Physicians Office  Managed Care Organizations  Forensics Nursing
  46. Nursing Education  Diploma  ADN  BSN  Master’s  Doctorate  Continuing education  In-service education
  47. Nursing Roles  Caregiver  Clinical Decision Maker  Client Advocate  Rehabilitator  Comforter  Communicator  Collaborator  Teacher
  48. Professional Roles & Responsibilities  Autonomy & Accountability  Caregiver  Client Advocate  Educator  Manager/Clinical Decision Maker  Communicator  Collaborator  Career Development
  49. Autonomy & Accountability  Autonomy is the essential element of professional nursing  Person is reasonably independent and self- governing in decision making & practice  Increased autonomy=Increased responsibility  Accountability- nurse is responsible professionally & legally for type & quality of care provided  Regulated through Standards of Practice and Nurse Practice Act
  50. Clinical Decision Maker  Utilizes critical thinking skills and the nursing process  Nursing Process: Assessment, Diagnosis, Planning, Implementation, Evaluation
  51. Client Advocate  Nurse protects the clients human and legal rights  Providing information to assist in decision making  Patient Bill of Rights
  52. Rehabilitator Role  Assist client to return to optimal level of functioning  Nurse helps client to adapt physically and emotionally to changes in lifestyle, body image
  53. Comforter Role  Caring for client as a human being  Role is traditional to nursing  Care is directed to whole person, not just a body part  Demonstration of care and concern
  54. Communicator Role  Role is central to all other roles  Involves communication with client, family, healthcare team members, resource people, and the community  Without clear, concise communication it will be difficult to give effective care
  55. Teacher/Educator Role  Explains concepts and facts about health, demonstrates procedures, reinforces learning, determines understanding, and evaluates progress of learning  Unplanned or informal education  Planned or formal education
  56. Nursing Career Roles  Clinician  Nurse Educator  Advanced Practice Nurse  Nurse Administrator  Nurse Researcher  Military Nurse  Forensic Nursing
  57. Healthcare Team Members  Nurses  Physicians  Physician Assistant  Therapists and Technicians  Pharmacist  Nutritionist/Dietitian  Case Manager/Social Worker  Pastoral Care  Nursing Assistant  Unit Secretary  Ancillary Staff
  58. Professional Nursing Organizations  Created to deal with issues of concern within profession  American Nurses Association  National League of Nursing  State Nurses Association  National Student Nurse Association  Organizations specific to specialty
  59. Health Care Delivery System  Prospective Payment System  Diagnosis-related Groups  Capitation  Utilization Review
  60. Health Care Plans  Managed care organization (MCO)  Medicare  Preferred provider organization (PPO)  Medicaid  Private insurance  Long term care insurance
  61. Health Care Services  Primary Care  Preventive Care  Secondary Acute Care  Tertiary Care  Restorative care  Continuing Care
  62. Transitions taking place: in health care  • Curative Preventive approach  • Specialized care Primary health care  • Medical diagnosis Patient emphasis  • Professional identity Team identity  • Trial and error Evidence based practice  • Self – regulation Questioning of professions  • Focus on quality Focus on costs
  63. Transitions taking place: In the workplace  • High tech Humanistic  • Competition Cooperation  • Need to supervise Coaching, mentoring  • Hierarchies Decentralized approach
  64. Transitions taking place: In nursing  • Continued competencies Competencies a condition  • Hospital environment Community environment  • Quality as excellence Quality as safe  • Clear role Blurring roles

Notas del editor

  1. Trends:-It denote general direction & tendencies specially of events, of opinion. Nursing trends:-refers to direction towards which the different nursing events have moved or are moving as well as the opinion in & around nursing that are found in & about nursing profession. Trends in nursing that is changes currently taking place in any area of nursing which the profession as a whole. These do not occur independently but each one has a basis of related changes in other fields.
  2. Trends:-It denote general direction & tendencies specially of events, of opinion. Nursing trends:-refers to direction towards which the different nursing events have moved or are moving as well as the opinion in & around nursing that are found in & about nursing profession. Trends in nursing that is changes currently taking place in any area of nursing which the profession as a whole. These do not occur independently but each one has a basis of related changes in other fields.