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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