FUTURISTIC NURSING.pptx

7/29/2019 FUTURISTIC NURSING.pptx

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FUTURISTIC NURSING

Presented by

Lt Col Geetha RI Year MSc Trainee Officer


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The only thing that is

constant is change

- Lord krishna


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Introduction

This is a time of confusion within health caresystems all around the world.

New diseases such as AIDS, Cancer and the

threat of bio-terrorism have entered our lives. New technologies and treatments occur

rapidly, but are often expensive.

Patients are moved out of hospital rapidly, andthose that remain are more acutely ill thanthey have been in the past.


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Those discharged patients often need more

assistance at home and in the community

than in previous years, and those services canalso be expensive.

Nurses are a vital part of the health care

system, but nursing shortages have appearedin many areas.

The nursing profession needs to begin to

recognize new trends and patterns in thecoming years.


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Nursings future challenges

Societal challenges

Societal influences are expected to have majorimpact on the future of the nursing profession

Demographic challenges

Environmental challenges

Lifestyle challenges

Cost control challenges

Regulation challenges


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Demographic challengesRising number of elderly

The world future society predicts that by the end of 21st century,the average life span will approach 100 years(Hendrick,1995)

Many elderly people are healthy, but the likelihood of illnessbecome greater as people age.

By the age of 90, one out of two people will develop Alzheimersdisease(Herbert et al, 1995)

Ethical issues such as euthanasia and assisted suicide will becomeincreasingly important as

technology enables patients to sustain

life far beyond the point of useful,

meaningful existence.


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Continuing poverty

The gap between haves and have-nots is everwidening, creating discontent and disillusionment.

When basic needs for food, clothing and shelter areunmet or uncertain, health care becomes a luxury.

Childrens immunization , prenatal care for pregnant

women, nutritional meals are neglected. Poor people tend to put off seeking care until illness is

advanced and thus harder to treat.

Preventable conditions are not preventable because of

lack of education, lack of sanitation, crowdedliving conditions, improper shelter,

homelessness, and a host of other factors.


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Increasing cultural diversity

Cultural diversity refers to the array of people fromdifferent racial, ethnic, religious, social and geographic

backgrounds who make up a particular entity.

Some countries are homogenous in culture and someare heterogeneous cultural mix.

Each group has its own nutritional practices, healthbeliefs, folk remedies and conventional wisdom abouthealth and sickness.

Nurses need to take these beliefs in to considerationwhen planning and implementing nursing care for

individuals of diverse cultural background.

Culturally sensitive care will be most

important in the future than ever before.


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Continuing urbanization

People moving from rural, farming areas to cities,

has increased since the time of the industrialrevolution.

Cities with large population of poor people createmajor social problems such as homelessness,

drugs, gangs, single parent households, mentalillness, violence and crime.

Despite programs designed to deal effectivelywith social problems, they continue to grow.

Nurses of the future will be increasinglyconfronted with health problems

created by these social phenomena.


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Environmental challenges Every newspaper, news magazine, the television news

program brings disturbing reports of the deterioration of

our environment. There is gradual decline in the quality of the worlds air,

water, plant and animal life.

Acute and chronic respiratory diseases, allergic reactionsand cancer of all types are increasing.

Overpopulation contributes to the deterioration of theworlds environment.

The related problems of environmental deterioration andoverpopulation are health care issues that future nurseswill undoubtedly have to face, and there are no easyanswers.


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Lifestyle challenges Obesity is known to predispose people to a number of illness.

Tobacco use and smoking are another lifestyle issue- which leads tolung cancer, emphysema, chronic lung disease, oral cancer.

Lack of exercise and stress are another lifestyle issue.

AIDS and drug abuse are spreading like an epidemic, nurses of thefuture will be called to provide intensive nursing care to thesepatients.

Nurses will be involved in the development ofsound public policies concerning these issues.

Nurses will play an increasingly important role

in educating people about wellness and self care in

the years ahead.


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Cost-control challenges At federal, state, and local levels government

spent more money than was generated throughtaxes, and the pressure for health care for theelderly and the poor created a significant part ofthose budgetary problems.

In many states, Medicaid is the largest and fastestgrowing state expense.

One cost effective method of providing basichealth care to children is through school nurses.

Nurses has expanded roles in prevention andcommunity based nursing which will reducehospital admission and cost of hospital basedtreatment will reduce


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Regulation challenges

Nursing through its professional associations, willcontinue to be a powerful player in the healthcare politics.

Nurses will form coalitions with consumer groupsto influence consumer friendly legislation atstate and national levels.

Nurses will become increasingly active in

developing health policies that improve access,quality and value in the delivery of healthservices.


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Challenges in nursing practice

Nurses in the next decade will face an everwidening array of practice opportunities inhospital and community based health caresettings, each of which will bring its own set ofchallenges.


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Challenges in nursing practice

Challenges in cost containment

Challenges of autonomy &

accountability Challenges of technology

Challenges of practice in expanded

settings Challenges of differentiated practice


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Nursing Practice

The Practice in a cost containment environment (cost-effective and high quality care).

The mission of health care is being redefined.

Environment for bed side care are changing.

Care is shifting from hospital based to community based care.

Hospital nursing will continue to become more selective and specialized.

Collaborative, interdisciplinary practice models will come into vogue in all setting.

Communication, computers and information networks will erase boundaries created bydistance and inaccessibility to physical facilities.

Greater emphasis will be placed on the ethical component of care.


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Challenges in nursing education As the profession of nursing matures, more

nurses will recognize the value of bachelorsdegree for beginning professional practice andmasters degree for advanced practice.

More nurses will pursue doctoral degrees toprepare for leadership roles in research and

theory development. In response, college of nursing will expand

flexible educational programs to improve access.


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Challenges in nursing education

Challenges in outcome- based education

Challenges in diversity

Challenges of technology & the knowledge

explosion

Challenges of collaboration

Challenges in health care and educational

reforms

Challenges in nursing research


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Nursing Education Major curriculum changes for graduate nursing

education will be necessary.

Educational pathway for advance practice nurses

in clinical practice will become more distinct.

Distance education will assist nurses in lifelong

learning.


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Nursing Research Research priority will be outcome measurement

studies that demonstrate cost effective care.

Emphasis will be on collaborative, multi-disciplinary and multicenter research studies.

Development of stronger Evidence base throughrigorous methods and multiple, confirmatory

strategies.


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Flow of resources

Where is the money going and where is it likely to

go?

Money flowing into health care in the community

will be a driving force for changes in the area, buta blocked flow will be a straining force to

preventive health care services.

Nursing input and political power can impactthat flow to provide effective health care program

and services.


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Supply of man power and competition Manpower shortages or surpluses in health care

professions impact the utilization of nurses andadvanced practice nurses.

Who are our competitors for delivery of servicesand resources?

This is a particularly important area in times ofnursing shortage to be sure that less qualifiedhealth care workers are not used to substitute forthe sake of expenditure and reduced costs.

How can we develop competitive and marketing

strategies? How can we form coalitions to reducecompetition?

Collaborative rather than competitive strategiescan strengthen quality of care by better utilizing

the expertise of each participant.


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Role delineation & role confusion Are the jobs keeping up with the expectations

of nurses and with advanced practice nursing?How are supports worker jobs defined? How

do professional standards interact with

reality? How many people are required to dothe job? Can one person realistically do the

job? How can job satisfaction be increased in

this era of high stress in the workplace?

P bli i i


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Public opinion

Nurses need to be aware of the public

perception of their role. Development of coalitions and supporters

within communities and media can be a

driving force for advanced nursing practice.

Consumer or professional opposition can

provide barriers to practice, and be a

restraining force.


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Global trends We are a global economy and health care services face

similar problems Internationally.

We can learn and benefit from contacts inother countries, and we can offer our services whenappropriate to improve overall healthcare in bothdeveloping and industrial countries.

Global terrorism needs to be addressed, and nursesneed to be well prepared to deal with the aftermathand to document its effects on those we care for.

Nurse educators need to incorporate disaster trainingand stress counseling into the curriculum and to

provide workshops in this area for nurses already inpractice


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Nursing practice and theory Nursing research and theory development need to be supported and

findings disseminated to continue to build our nursing science andincorporate the results into practice.

We need to increase our core of nurses who have met high academicstandards for carrying out research and provide resources for theiractivities.

Nursing research and theory also have the potential to contribute to thebody of knowledge of other disciplines in the same way that we haveborrowed from other theorists to use in our practice.

The role of advanced practice nursing has been growing and hasdemonstrated effectiveness in the health care system.

These nurses are now able to provide medical expertise in diagnosing andtreating specific conditions, but are not mini-doctors.

The medical portion of their practice is only one tool within their wholetool box of nursing competencies for use in providing holistic nursing careand health education.


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Leadership within the profession

Leadership within the profession also

influences the trends in nursing.

Nursing is moving towards professionalism

due to the untiring efforts of nurses who have

been dedicated to achieve the aim.


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Working conditions

Working conditions for nurses are also

changing.

There is a gradual change towards shorter and

more convenient hours of duty,

better accommodations and higher salaries


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Patients Bill of Rights

After the development of the Patients Bill

of Rights, the nurses are also accountable for

patients care and have legal responsibilities

for the patient.


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Future of nursing career Predictions are that in 10 or 20 years, it will look nothing like it does today.

With new technologies and drugs, changes in insurance and healthcarepolicies, and the shortage in nurses, the profession will have to reinvestitself.

Many nursing functions will be automated. For example, documentationand updating patient records, smart beds to monitor vital signs, bar codes,and automatic medicine carts could reduce the time and errors indispensing medications, and voice-activated technology would eliminatethe need to constantly write things down.

Other nursing task such as serving meals will be taken over by aides. Thiswould give nurses more time to provide a human touch to their patients.As a result of nursing shortages, healthcare facilities will be forced to usetheir nurses judiciously.

Nurses will spend more time at the bedside as educators and carecoordinators to refocus on the patient.

With the lengths of patient stays shortening, nurses will have to make thebest use of a shrinking amount of time and hospital stays. Nurses will alsospend more time in administration and supervision positions.

They will need to know how to access knowledge and transfer it to thepatient and their loved ones.

Nurses future challenge


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Nurses future challenge The change in health care delivery systems has

also afforded nurses a wider range offunctionality.

Although independence have been cultivatedthrough expanded roles.

Trends towards downsizing and the current

nursing shortage have increased the use of non-licensed personnel in many healthcare arenas.

This will continue to force the nursing professionto identify, clarify, and communicate its scope ofpractice.


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Advances in Technology

The explosive growth of technology will continue to have an impact

on healthcare delivery. The growth of this technology will change the way nurses function,

and lead to the development of new nursing roles.

Electronic medical records are expected to replace conventionalmodes of documentation.

The promotion of advanced directives, organ donation, andcomfort measures for the terminally ill will lead to elevation inhospice care providers.

Care modalities which include pain management, spiritualityassessment and bereavement counseling will be incorporated intohealth care organizations and nursing education curriculums.

Nursing research will greatly contribute indeveloping and implementing these therapy options.


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Work Environments

Nursing's dissatisfaction with the workplace environmentis another issue that must be faced when considering theprofession's future.

This dissatisfaction was multifaceted and included issuessuch as workplace violence, inability to attend continuingeducation programs due to heavy workloads, exhaustion,and inability to provide safe patient care.

Mee and Robinson (2003) state that "nurses need workenvironments with strong professional practice models thatvalue their work and recognize their impact on patientoutcomes.


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Globalization Factors contributing to globalization include advances

in information technology and communications,international travel and commerce, the growthof multinational corporations.

Future nurses will face the challenge of maintaining

holistic approach to client care in an environment ofgrowing specialization.

Focus on health promotion, maintenance, andrevitalization will continue to grow.

The advent of


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The advent of

Evidence based practice One of the strongest and most far-reaching current trends

in health care is the application of evidence - basedpractice through the development of research andinformation technology/informatics.

This trend is visible across all sectors of nursing, includingpractice, education, research, and administration.

The rationale behind this trend is to improve client care byselecting best practice options grounded in viable research,and to expand the theoretical foundations of all healthprofessions.

The ultimate goal is to shift health care decisions, choices,

and actions to a higher, more scientific, research andtheoretically-based level.


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This approach to knowledge development, anddecision-making within practice is not a new one.

The seeds of evidence-based practice were first

sown in Newtonian times and further developedthrough the rise of positivism and scientism.

Early statisticians in turn developed aninformatics model consisting of three essential

parts arranged hierarchically, with data at thebottom, an intermediary layer of information,and topped by a knowledge layer (Georgiou,2002, p. 128).

Maintaining the organizational


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Maintaining the organizationalmachine

Since practicing nurses have little time to actuallyengage in the process of applying research, statistics,and other data to their practice, the EBP movement isoften put into motion under the command of nurseleaders (Nurse Informatics)

The current trends in health care motivate nursingleaders and hospital administration to align strategicobjectives with technological adoption with the endgoal of remaining financially competitive (Mazzella

Ebstein, 2004).

h f h


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Shifting the system For EBP to realistically manifest in nursing

practice, a major shift in health care organizationand focus must occur.

Practicing nurses often lack the knowledge andskill to access the literature and other digital

research findings to apply these to practice. As aforementioned, time, rituals and routine

expectations are other factors that prevent theproper engagement necessary to genuinely apply

EBP to routine nursing care.


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The nursing profession needs to

begin to recognize new trendsand patterns in21st century that

are emerging in health care.


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CONCLUSION Clearly, nursing's future does indeed include

manifold opportunities and challenges. Theprofession must not be complacent but it mustbecome proactive in shaping its future, otherwisesomeone else will do it for us. We can say that

The time is short, resources are scarce, andissues are critical". Nursing must act now in anunified voice with a resolved spirit to determineits own destiny.


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Bibliography

Hood Lucy J, Leddy and Peppers Conceptual bases of professionalnursing, Lippincott Williams & Wilkins, Philadelphia, 7th edition,2010.

Catalano Joseph T, Nursing now, todays issue, tomorrows trend, FA

Davis company, Philadelphia, 4th

edition, 2007.

Kathleen KB, Janice SH, Barbara K, Glenora E. Professional nursingpractice: concepts and perspectives , Upper saddle river, NewJersey 5th edition, 2006.

Carol J Huston, Professional Issues in Nursing Challenges &Opportunities . Philadelphia, Lippincott, 2006.


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Chitty Kay Kittrell, Professional Nursing concepts and challenges, WB Saunders company, Philadelphia, 2nd edition,1997.

Zerneeeke Joann, Nursing Today-Transition and Trends, W BSaunders company, Philadelphia, 2nded, 1997.

www.contemporarynurse.com

www.google.com

www.wikipedia.org
http://www.contemporarynurse.com/http://www.google.com/http://www.google.com/http://www.contemporarynurse.com/


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FUTURISTIC NURSING.pptx