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ISSUES IN NURSING

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PATIENT CARE ISSUE, EMPLOYMENT ISSUE, MANAGEMENT ISSUE , MEDICO-LEGAL ISSUE

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ISSUES IN NURSING

  1. 1. A study conducted in 1991 in 119 countries including India identified following major problem:-  Lack of nurses prepares to work in nursing administration.  Acute storage of nurses.  Less relationship between nursing service and nursing education.
  2. 2.  Lack of authority in administrative structure.  Strange relationship between nurses and other auxiliaries and also with physicians.  Lack of teamwork spirit.  Lack of resources, both material and financial.
  3. 3.  Restructuring.  Managed care system  Quality indicators and accountability for outcomes.  New demands/ technology advancement.  High tech and high touch dilemma.  Community/ global perspective.
  4. 4.  Identity Crisis  Explain Everything  Language Barrier  Constant Interruptions  Patient Concerns
  5. 5.  Volume Control  Hospital Nurse Staffing and Nursing-Sensitive Outcomes  Nurse Workload and Job Dissatisfaction
  6. 6.  MATERNAL AND INFANT NURSING.  PEDIATRIC NURSING.  MEDICAL SURGICAL NUSING.  PSYCHIATRIC NURSING.
  7. 7.  Employment issues are defined as any issue which may have an impact on wages, terms and other conditions of employment.
  8. 8.  Delays in registration  Employment discrimination issues  Employment harassment issues  Mandatory Overtime  Job dissatisfaction
  9. 9.  Employment occupational health and safety issues.  Employment retention & turnover issues  Employment performance appraisal issues  Employment recruitment & selection issues
  10. 10.  Issue related to staffing  Staff retention  Nursing Shortages  Demand for nurses
  11. 11.  Turn over  Work load  Issues regarding malpractice in nursing management  Collaboration issues
  12. 12.  Controlled substances  Caring patients with AIDS  Pregnancy Termination  Sex determination
  13. 13.  Abscond of the patient  Deaths and dying  Autopsy and organ donation  Surrogate mother
  14. 14.  Advance directives.  Do not resuscitate (DNR) order.  Patient’s property.  Reporting.
  15. 15.  Documentation of all unusual incidences.  Report all unusual incidences.  Know your job description.  Follow policies and procedures as established by your employing agency.  Keep your registration updated.  Perform procedures that you have been taught and that are within the standard scope of your practice.
  16. 16.  Protect patients from injuring themselves.  Remain alert and focused.  Establish and maintain rapport with patients and family.  Seek and clarify orders when the patient‘s medical condition changes.  Practice safety with physician‘s verbal orders.
  17. 17.  Remove side rails from patient‘s bed unless there is an order or hospital policy to do so.  Allow patients to leave the hospital or nursing home unless there is an order or a signed release.  Accept money or gifts from patients.  Give advice that is contrary to physician orders or the nursing care plan.
  18. 18.  Give medical advice to friends and neighbors.  Attempt to practice medicine.  Witness a patient‘s will.  Take medications that belong to patients.  Worked as a licensed practical/vocational nurse in a state in which you are not licensed.
  19. 19. Bibliography: •Vati Jogindra. Principles and Practice of Nursing Management and Admistration. 1st edition: Jaypee Brothers Medical Publishers (P) Ltd. New Delhi; 2013. Pp 85-91. •Basavanthappa BT. Nursing Education. 2nd edition: Jaypee Broers Medical Publishers. New Delhi; 2009.pp 809-836. •Fraser M. Diane. Margaret A. Cooper. Myles Textbook for Midwives. 14th ed: Churchill Livingstone New York Oxford Philadelphia Publishers.Toronto; 2003. pp 59- 69. •http://www.nursingworld.org •www.ncbi.nlm.nih.gov •http://allnurses.com •http://nursinglink.monster.com •http://www.nursingcenter.com

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