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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 profession.
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).
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
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.
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
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.
Caring is the most abstract of all concepts in nursing.
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
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.
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.
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.
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.
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 nurses- 200,000 available nurse manpower
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)
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.
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 the creation and promotion of an environment necessary for good health esp. to the underserved and poor communities.