CURRENT ISSUES

EMPLOYMENT

• The current nursing shortage is related to an aging workforce, problems with retaining licensed personnel, and difficulty recruiting young people into the nursing workforce.

• Many nurses left nursing for higher paying jobs.

• Brain drain

RESTRUCTURING OF NURSING EDUCATION

Changing Education

• Nursing education must make curriculum changes in order to prepare the nurses who meet today’s and tomorrow’s health care needs

• Leads to growth of knowledge

• Before: knowledge on comfort measures, hygiene and diet was important

• Present : need specialization and advanced knowledge . Hence specialization in nursing as nurses can specialize in everything.

POLITICAL AWARENESS & PROFESSIONAL ASSERTIVENESS

• To control nurses future

• Include nurses in future planning

• Assertive in claiming there right

• Decision making along with political system of country

• Control over own profession

• Health care delivery has become more business oriented and knowing its effect on nursing practice is also important.

CHANGING PRACTICE• Health care delivery has become more business

oriented and knowing its effect on nursing practice is also important.

• Nurses perform many non-nursing functions

• But nurses should direct themselves towards developing the standards and improving nursing.

LACK OF EFFECTIVE LEADER & MANAGER

• Inadequate number of nurses and midwives as leaders in national and state levels.

• Nurse leaders and managers can help in improving the nursing practice, nursing research, nursing education, administration and making policies.

• Nurses responsibility increased, she has to act as a team leader who direct and supervise

• Help in advancement of nursing profession

LACK OF NURSING AUTONOMY

• Nurses have many roles and responsibilities

• There are number of care activities that nurse can undertake according to their educational background.

• But doctors do not delegate responsibility to them

• So nurses should be allowed to work independently

Control of practice

• Who shall control nursing practice ?

• Nursing should continue towards independence and autonomy to maintain professionalization.

• Hence Nursing should control its own practices.

POOR WORKING CONDITIONS

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• Nurses' working conditions are risk factors for healthcare-associated infections as well as occupational injuries and infections

• Poor infrastructures

• NURSE BURN OUT

-Over worked-Stress-No breaks

Improper Incentives & Pay scales

• Emigration of nurses were for financial needs.

• The payment scale is still low compared to other professions

• Transportation and safe housing• Recognition for good workers

• Less human resources• Less Job in govt• Brain drain• Poor living conditions• Lack of autonomy• Non uniformity in pay

structure• Limited career

development• Less opportunity

OTHER ISSUES

Miscellaneous issues • Inadequate recognition of nurse’s status in health

care system• Limited involvement of professional organizations.• Low level competency of nurses• Inadequate in-service education• Less utilization of EBP• Poor standards and guidelines• Shortage of staffs at professional organizations• Active participation of INC limited.

Mr. Livson ThomasLecturerM.I.B.E Graduate School for Nurses of NL/ CMAIIndore