Post on 04-Apr-2018
7/29/2019 FUTURISTIC NURSING.pptx
1/43
FUTURISTIC NURSING
Presented by
Lt Col Geetha RI Year MSc Trainee Officer
7/29/2019 FUTURISTIC NURSING.pptx
2/43
The only thing that is
constant is change
- Lord krishna
7/29/2019 FUTURISTIC NURSING.pptx
3/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
4/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
5/43
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
7/29/2019 FUTURISTIC NURSING.pptx
6/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
7/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
8/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
9/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
10/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
11/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
12/43
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
7/29/2019 FUTURISTIC NURSING.pptx
13/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
14/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
15/43
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
7/29/2019 FUTURISTIC NURSING.pptx
16/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
17/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
18/43
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
7/29/2019 FUTURISTIC NURSING.pptx
19/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
20/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
21/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
22/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
23/43
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
7/29/2019 FUTURISTIC NURSING.pptx
24/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
25/43
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
7/29/2019 FUTURISTIC NURSING.pptx
26/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
27/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
28/43
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
7/29/2019 FUTURISTIC NURSING.pptx
29/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
30/43
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
7/29/2019 FUTURISTIC NURSING.pptx
31/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
32/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
33/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
34/43
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
7/29/2019 FUTURISTIC NURSING.pptx
35/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
36/43
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
7/29/2019 FUTURISTIC NURSING.pptx
37/43
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
7/29/2019 FUTURISTIC NURSING.pptx
38/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
39/43
The nursing profession needs to
begin to recognize new trendsand patterns in21st century that
are emerging in health care.
7/29/2019 FUTURISTIC NURSING.pptx
40/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
41/43
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.
7/29/2019 FUTURISTIC NURSING.pptx
42/43
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/7/29/2019 FUTURISTIC NURSING.pptx
43/43