Changing Role of Nursing in Modern Health Care


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Changing Role of Nursing in Modern Health Care

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Changing Role of Nursing in Modern Health Care

  1. 1. Changing Role of Nursing in ModernHealth Care Dr.T.V.Rao MD A Nurse is a health care professional who is engaged in the practice of nursing. Nurses are men and women who are responsible (along with other health care professionals) for the treatment, safety and recovery of acutely or chronically ill or injured people, health maintenance of the healthy, and treatment of life-threatening emergencies in a wide range of health care settings. Throughout the 21st century, the role of nurse has evolved significantly. With improved health literacy people are living longer than ever before. Currently, the average Indian life expectancy rate has increased; and with greater longevity comes more complex health concerns. This makes providing the best care more challenging and means it is even more important to be well educated. Nurses work in a variety of settings, including the hospital, the classroom, the community health department, the business sector, home health care, and the laboratory. Although each nursing role carries different responsibilities, the primary goal of a professional nurse remains the same: to be the client's advocate, interpreter of social issues and provide optimal care on the basis of evidence obtained through constant clinical care and research. India has made great improvements in health care with development of Modern Hospitals with multispecialty care. The major part of the care is imparted by qualified nurses, and technical staff under guidance of ever busy Doctors who face complex problems including raise in expectations of reducing the morbidity and mortality. As the nation’s hospitals face increasing demands to participate in a wide range of quality improvement activities, the role and influence of nurses in these efforts is also increasing, Yet hospitals confront challenges with regard to nursing involvement, including: scarcity of nursing resources; and in view of social and economic demands they migrate frequently and makes difficulty engaging nurses at all levels—from
  2. 2. bedside to management; growing demands to participate in more, often duplicative, quality improvement activities; the burdensome nature of data collection, medical documentation and reporting; and shortcomings of traditional nursing education in preparing nurses for their evolving role in today’s contemporary hospital setting. In the last two decades India has produced many Nurses from public and private sector, and lack of skilled teaching staff many times, compromised with shortage of teaching staff as rapid expansion has created many teaching without any modern skills. However with production of newer generation of nursing professionals. We should not forget because nurses are the key caregivers in hospitals, they can significantly influence the quality of care provided and, ultimately, treatment and patient outcomes. In the Indian system of Medicine, nursing continues to be subordinate to doctors unlike US where they play a Major role in patient care, many times equals Doctor in responsibility and skills. I wish to share my experience in a British hospital in Africa when I was in a hurry to enter to operating table and scrubbed my hands in hurry, the British nurse told me to wash my hand once again before operating, I felt bad as it is not possible in India to face such a situation, as nursing commanding Doctors. However I felt bad for the moment and realised the most important aspect in sepsis reduction continues to be hand washing in spite of the best skills we have, I have seen many competent nurses in today’s Hospitals in India and abroad. And Indian Nurses are credited as best, never underestimate the power of Malayali Nurses changed the definition of nursing reaching to great heights and given great helping hand in all critical care of the patients both rich and poor alike. With the transformation of the healthcare system well underway, care coordination is now being highlighted by hospitals, health systems, and insurers as a key tool in improving patient health and satisfaction and controlling healthcare costs. Nurses’ response is “what took you so long?!” “Without nurses, much of the public health interventions essential to improving the health of individuals,
  3. 3. families, and populations would not be possible on a large scale” (Savage and Kub 2009, p.2847). Today community nursing is gaining importance with increasing longevity and raise of economic costs many patients wish to be nursed with a trained nursing staff at their residences. The scarcity of nurses is a major challenge for hospitals and community because it impacts not only their ability to provide nursing coverage for patient care, but also to provide adequate nursing resources for other key activities, such as quality improvement. With proliferation of Medical and Nursing colleges, we have started producing volume of students and young professionals however what is important to the society and every patient remain is how skilled are our nursing professionals, what has to be improved for making for better reputation of Nursing as many are employed not only in least equipped hospitals but in High tech hospitals, and most advanced centres in Developed Nations. We should remember we need to improve the quality of nursing education. As nursing students are the future members of the nursing profession, and for the profession to continue to advance, nursing research must be part of the foundation of comprehensive, evidence-based clinical practice. This may only occur with increased exposure to nursing research. Therefore, it is critical that the future members of the nursing profession be exposed to, develop an appreciation for, and become more involved in nursing research, and thus incorporate its outcomes into the delivery of optimal professional nursing practice. I wish India needs to work on many fronts for the growing demand for skilled nurses, Baccalaureate programs in the United States prepare students for entry-level nursing positions. The focus is to care for individuals throughout the human life span. Knowledge is acquired from textbooks, classroom and Web-based instruction, simulation, and clinical experiences. The goal of all programs is for students to graduate as safe, entry-level professionals, having received a well-rounded exposure to the nursing field. All upcoming
  4. 4. Nursing institution in particular, mushrooming private sector, can survive only if the quality care is increases as Poor education and a lack of sufficient knowledge can lead to mistakes that are costly for people's health, burden of Medico legal litigations improved knowledge is an essential tool for prevention of errors and providing higher quality care. As todays employment need in Medical profession is of improvement of quality. We all should strive to be better skilled in discharging with effective skills, another key component of a hospital culture conducive to quality improvement is encouraging individual ownership and accountability for patient safety and quality, according to respondents. I am one of strong supporter for introducing the Nursing Informatics to all our Nursing students to make them the most competent and as par with many Nurses qualified in Developed countries or even better. All is possible with determination and dedication, sincerity. It is the real expectation of all our patients. In time of crisis just remember the Lady with a LAMP – Dr.T.V.Rao MD Professor andHOD of Microbiology, Travancore medical College, KollamKerala