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Issues and Challenges       in Nursing         Prof Ed B Rillon 2012
Objectives1. Analyze the priority issues in  nursing today.2. Discuss possible options for  said issues confronting the  p...
What is NursingS Nursing is a therapeutic interpersonal process, a scientific discipline. Its thru its caring aspect that ...
Watson’s ‘Caritas’ CaringScience1. Humanistic- altruistic values- practice of loving   kindness and equality with self and...
Watson’s Caritas---6.Creative problem solving process;7.Relational teaching-learning /inner  subjective meaning’8. Creatin...
Watson’s ProposalS Nurses must reclaim Nursing Arts  which have scientific basis.  Modalities are:  S Intentional touch (T...
Donna Cardillo -A Daybreakfor Beginning Nurses Nursing care comes in many forms.         Sometimes it is the ability     t...
Caring is   the most abstract of all concepts in nursing.
ISSUES
1. Lack of health workers to include nurses in poor remote rural areas.AnalysisRoot Causes:    A. Personal- orientation o...
S B. a working environment that  allows exploitation of  nurses,oppression and violation  of fundamental rights. E.g. The ...
2. Low wages and poorworking conditionsSRoot causes:         a. RA 9173 (Nursing Act of    2002) and RA 7305 (Magna Carta ...
S Magna Carta benefits given in  piece meal partially not entirely.  Hazard pay, SA, overtime pay,  night shift differenti...
3. Heavy Workload  SNCMH- Nurse patient ratio=  1:200      Others 1:30  SUnderstaff= overtime or 16 hrs  straight  S Over ...
Workload S Public Health Setting   S 1:40,00 (standard= 1:15,000     popuation)   S (tev hard to reach areas)
4. Unfair labor practice-Volunteerism  SRoot causes:  SA. unfair demand for hospital  experience for hiring.  SB. Too many...
5. Health a vital socialservice but not a statepriority S2011 Health Budget     Php 33 billion= 2.5% of total          nat...
OPTIONS
P’noy Nurses Agenda ( in supportfor universal access to health forthe Filipino )S P- Positioning nurses as frontline  lead...
Additional Root Causes  Fast growing population= 2.2 %    70% poor (61 M)Option = obvious
POVERTY ( Poverty Trap)  S The environment of the nurse is   also creating poverty in the   profession.
ConclusionS The core value of nursing is  CARING.S The NURSE as a patient advocate  has to share the responsibility for  t...
STHANK YOU
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Issues options nursing (3)

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Transcript of "Issues options nursing (3)"

  1. 1. Issues and Challenges in Nursing Prof Ed B Rillon 2012
  2. 2. Objectives1. Analyze the priority issues in nursing today.2. Discuss possible options for said issues confronting the profession.
  3. 3. What is NursingS Nursing is a therapeutic interpersonal process, a scientific discipline. Its thru its caring aspect that the dazzling array of technologies is countered (Watson 2007).
  4. 4. Watson’s ‘Caritas’ CaringScience1. Humanistic- altruistic values- practice of loving kindness and equality with self and others;2. Enabling faith and hope-being present authentically3. Sensitivity to self-others- on going spiritual development;4. Developing authentic trusting caring relations5. Allowing expression of positive -negative feelings, listening to Another’s story
  5. 5. Watson’s Caritas---6.Creative problem solving process;7.Relational teaching-learning /inner subjective meaning’8. Creating healing environments9. Assistance with basic needs-sacred acts; and10 Openness to existential-spiritual unknowns- allowing for MYSTERY AND MIRACLES.
  6. 6. Watson’s ProposalS Nurses must reclaim Nursing Arts which have scientific basis. Modalities are: S Intentional touch (TLC therapeutic healing) S Visualization or imagery S Music therapy S Massage S Pet therapy and S Other biological interventions
  7. 7. Donna Cardillo -A Daybreakfor Beginning Nurses Nursing care comes in many forms. Sometimes it is the ability to make someone feel physically comfortable by various means, Other times it is the ability to improve the body’s ability to achieve or maintain health. But often It is an uncanny yet well honed knack to see beyond the obvious and address in some way, the deeper needs of the human soul.
  8. 8. Caring is the most abstract of all concepts in nursing.
  9. 9. ISSUES
  10. 10. 1. Lack of health workers to include nurses in poor remote rural areas.AnalysisRoot Causes:  A. Personal- orientation of nurses too focused in hospitals not public health. Desire of parents for children to go abroad andnurse herself. 48% in hospitals 28% in academic institutions 17% public health
  11. 11. S B. a working environment that allows exploitation of nurses,oppression and violation of fundamental rights. E.g. The rape of “Florence”S C. no plantilla positions for nurses at BHU.
  12. 12. 2. Low wages and poorworking conditionsSRoot causes: a. RA 9173 (Nursing Act of 2002) and RA 7305 (Magna Carta of Public Health Workers not fully implemented. Min. for PHN = SG 15 (P25,000/mo) Reality= SG 11 after 10 yrs. Private sector= P6-8,000mo w/in range of min. wage.
  13. 13. S Magna Carta benefits given in piece meal partially not entirely. Hazard pay, SA, overtime pay, night shift differential, holiday pay,laundry allowance. (Diminished under “cost saving” measures to augment hospital operations. LGUs= funds not available.
  14. 14. 3. Heavy Workload SNCMH- Nurse patient ratio= 1:200 Others 1:30 SUnderstaff= overtime or 16 hrs straight S Over and above these= lack of equipment and basic medical supplies. If there are,patients pay under users scheme. SConflict in patient service interest vis a vie income generation policy.
  15. 15. Workload S Public Health Setting S 1:40,00 (standard= 1:15,000 popuation) S (tev hard to reach areas)
  16. 16. 4. Unfair labor practice-Volunteerism SRoot causes: SA. unfair demand for hospital experience for hiring. SB. Too many nurses- 200,000 available nurse manpower
  17. 17. 5. Health a vital socialservice but not a statepriority S2011 Health Budget Php 33 billion= 2.5% of total national budget. Less than one peso a day allocation per Filipino. Ibon Primer Series(2008)
  18. 18. OPTIONS
  19. 19. P’noy Nurses Agenda ( in supportfor universal access to health forthe Filipino )S P- Positioning nurses as frontline leaders in Primary Health CareS N- Nursing Law and MAGNA CARTAS full implementationS O- Operationalization of government programs and projects for nursesS Y- Yearning for Phil complimentary laws and policy on Health Budget allocation of 5% from GDP.
  20. 20. Additional Root Causes Fast growing population= 2.2 % 70% poor (61 M)Option = obvious
  21. 21. POVERTY ( Poverty Trap) S The environment of the nurse is also creating poverty in the profession.
  22. 22. ConclusionS The core value of nursing is CARING.S The NURSE as a patient advocate has to share the responsibility for the creation and promotion of an environment necessary for good health esp. to the underserved and poor communities.
  23. 23. STHANK YOU
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