14-Trends and Issues in Nursing

8/13/2019 14-Trends and Issues in Nursing

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Current Trends & Issues in Healthcare

• Nursing Shortage

• Patient Satisfaction

• Managed Care• Transcultural Nursing

• National Patient SafetyInitiatives

• Evidence-Based Practice

• Information Age

• Advanced Practice Nursing

•Globalization of Health

• Hazing Issues



NURSING SHORT GE

• National problem which is

growing• Critical shortage in specialty

areas

• Average age of nurse is 45

• Resurgence of enticements for

recruitment



REASONS FOR SHORTAGE

• Work environment

• Recruitment

•

Retention• Aging workforce

• Compensation

• Aging Baby Boomers• Shortage of nursing faculty



P TIENT S TISF CTION

• Press ganey surveys

•

Good customer service• Patient Bill of Rights

• Treat patients like family

• Healthcare is a business



Excellence is doing

ordinary thingsextraordinary well.



M N GED C RE

• Goal is to keep length of stay (LOS) down

• Capitation

• Patients are discharged sooner

• Patient acuity higher

• Health Care Plans



• It is better to sound like a complete idiot and take

a tongue lashing than to harm a patient.• It only takes a minute to save a lifetime of regret.

• There is reason we are taught the details aboutthe medications we give.

• You are never alone.

• There is a huge difference between 5 rights andactual thought. The 5 rights only work if you use

your critical thinking to assess them.



YOU are the onlyvoice of your

patients, pay

attention and focus.



TR NSCULTUR L

NURSING

• Nursing has become a melting pot

• Nurses are challenged to be more culturally aware

• Cultural sensitivity



N TION L P TIENT S FETY INITI TIVES

• Joint Commission National

Patient Safety Goals

• Institute for HealthcareImprovement

“5 Million Lives” Campaign

•The Leapfrog Group



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



IHI “5 Million” Lives Campaign”

• Deploy rapid responseteams

• Deliver reliable evidence-based care for acute MI

• Prevent adverse drugevents

• Prevent central lineinfections

•

Prevent surgical-siteinfections

• Prevent ventilator-associated pneumonia



The Leapfrog Group

• Reduce preventable medical mistakes and improvethe quality and affordability of health care.

• Encourage health providers to publicly report theirquality and outcomes so that consumers andpurchasing organizations can make informed healthcare choices.

• Reward doctors and hospitals for improving thequality, safety and affordability of health care.

• Help consumers reap the benefits of making smart

health care decisions.



EVIDENCE B SED

NURSING PR CTICE

• 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



Effort only fully releases its

reward after a person

refuses to quit.



INFORM TION GE

• 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



Tips for Digital

Documentation

Keep the electronic documentation quickreference guide handy.

Ask for assistance from the superuser staff.Set up the digital personal patient list.

Set the goals for the day.

Place your patient information timely.

Review entry notes for accuracy.

Safeguard password and logout if moving awayfrom the computer to see patient.



“Do not wait, the time will never be just right.

Start where you stand, and work withwhatever tools you may have at your

command, and better tools will be found as

you go along.”



DV NCED PR CTICE NURSING

Clinical Nurse Leader

Nurse midwives and nurse anesthetists

Clinical Nurse Specialists

Nurse Practitioners



GLOB LIZ TION OF HE LTH

• Healthcare has become aglobal issue

•People are mobile, diseasescan travel

• Nurses need to have anunderstanding of the issues

pertaining to global health



H ZING ISSUES

• Take a course on mentoring.

This will help you learn about

and deal with the issues facing

new grads.

• Volunteer to be a resourceperson to new grads on your

floor or unit.

• Offer to create and teach a

course especially for new

nurses.

• Start and lead a support group

where you work with new

grads.

• Encourage new grads to journalregularly about theirexperiences.

• Writing is one of the best waysto process difficult emotions.

• Plan a Welcome Party for thenew nurses on your floor.

• Notify new grads on your shiftwhen you are performingnursing skills that may bechallenging for them.

• Be patient and helpful. Above allelse, new grads need to feel theycan ask for help without beingbelittled or embarrassed.



DON’T EAT

YOUR YOUNG!

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14-Trends and Issues in Nursing