NURSING IN THE EVER-EVOLVINGJOFRED M. MARTINEZ, RN
At the end of this presentation, we will be able to:1. Define what is health care delivery system.2. Discuss how current trends will affect yourfuture nursing practice.3. Identify social changes and their impact onnursing.4. Integrate knowledge of current trends andissues in society into a more holistic perceptionof their influence on the nursing profession.
By identifying the forces pushing the future,rather than those that have contained thepast, you possess the power toengage with your reality.
• A health care system is the organization ofpeople, institutions, and resources todeliver health care services to meetthe health needs of target populations.• The goals for health systems, according tothe World Health Organization, are good health,responsiveness to the expectations of thepopulation, and fair financial contribution.
• Other dimensions for the evaluation of healthcare systems include quality, efficiency,acceptability, and equity.• Health care providers are institutions orindividuals providing health care services.
There are generally five primary methods offunding health care systems:• General taxation to the state, county ormunicipality• Social health insurance• Voluntary or private health insurance• Out-of-pocket payments• Donations
• In 2000 the Philippines had about95,000 physicians, or about 1 PER 800 PEOPLE.• In 2001 there were about 1,700 hospitals, ofwhich about 40 percent were government runand 60 percent private, with a total of about85,000 beds, or about ONE BED PER 900PEOPLE.
The future holds many new social, political,and technological changes that will affectnursing directly and help shape our alreadystrong profession.
• Nursing will assume an undisputed dominant rolein the health care delivery system, resulting inpositions of high self-esteem with better salaries,incentives, responsibilities, and authority.
• Care of the geriatric population will become anincreasingly more prominent nursing specialty.
• Nurses will play a major leadership role indetermining and implementing health carepolicies.
• Nurses will provide the expertise to integrate themultiple facets of health care, pharmacology,nutrition, preventive medicine, rehabilitation, andso forth – and thus provide a holistic care for anindividual client.
• Technological advances will assist the nurse inproviding high quality care that is cost effective.
• Specific outcome criteria will be important indetermining the quality of care and will becomehealth care facilities’ overriding concern in thefuture.
• Emphasis on managed care, as a replacementfor traditional sick care approach, a prevention isthe key in reducing health care costs.
• Increasing numbers of nurses will be makingpolicies and governmental decisions affectinghealth care.
• Education will become more user friendly as thetrend moves to a service economy in whichknowledge is used.
• Nursing professionals will begin sharing healthcare beliefs, cultural practices, resources, andthe expanding body of nursing knowledge on aninternational level as globalization occurs.
With the development of nanotechnology, theexpanding science of technology that examinesor measures information at the molecular level,nursing will be faced with new ethical concerns.
• New nursing care delivery systems must bedeveloped to incorporate the demands ofadvanced technology.
• A shift must be made toward lower technology,higher touch therapeutic interventions to offsetthe technological boom.
• Therapies must be developed that combinemedical treatments with alternative careapproaches to deal with stress.
WHAT IS GLOBALIZATIONAND HOW DOES ITAFFECT NURSING?
• Globalization is the spread of common culturearound the world, with a universal sharing ofattitudes, products, industry, and stocks.• Nurses will begin to service the world as oneglobal economy. Nurses will need to learn about the health carebeliefs and practices of other cultures andother nations and at home.
International nursing forums will be required tomeet the need for the sharing of nursingpractices. Nursing and health care products,publications, and methods, and the expandingbody of nursing knowledge will find newpossibilities in a global economy.
~ Nursing is an art: and if it is to be made anart, it requires an exclusive devotion as hard apreparation, as any painters or sculptorswork; for what is the having to do with deadcanvas or dead marble, compared with havingto do with the living body, the temple of Godsspirit? It is one of the Fine Arts: I had almostsaid, the finest of Fine Arts. ~