The document discusses several trends in the future of nursing, including new roles for nurses and changes in healthcare delivery. Some of the key points discussed are:
1) Nursing roles will continue to expand beyond traditional hospital settings, with nurses working in clinics, homes, and other community settings. Specialized nursing roles like nurse practitioners and clinical nurse specialists will take on more responsibilities usually reserved for physicians.
2) Technological advances will change how healthcare is delivered. Patients will be discharged from hospitals more quickly and require increased support and monitoring at home. Nurses will need to master new technologies.
3) Globalization and diversity will shape the future of nursing. Societies will become more interconnected and clients will seek alternative and
Nursing Education programs can include one or two practicum courses in nursing education and leadership. In a typical practicum, you might be expected to work with a nurse educator or administrator in an educational setting and help design, implement, and evaluate nursing education programs. Ed.D. practicums are built to accommodate working nurses.
Nursing Education programs can include one or two practicum courses in nursing education and leadership. In a typical practicum, you might be expected to work with a nurse educator or administrator in an educational setting and help design, implement, and evaluate nursing education programs. Ed.D. practicums are built to accommodate working nurses.
Patterns of nursing care delivery in indiaRaksha Yadav
This presentation provides information about the various patterns or systems of nursing care delivery these methods includes case method, functional nursing, team nursing, modular nursing, primary nursing and case management.
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
Patterns of nursing care delivery in indiaRaksha Yadav
This presentation provides information about the various patterns or systems of nursing care delivery these methods includes case method, functional nursing, team nursing, modular nursing, primary nursing and case management.
The health care system and the nursing profession is expanding globally , there fore it is important for nurses to know the trends, issues and challenges in new millennium.
THE EXPENSE OF QUALITY IS AN INTERACTIVE PROCESS BETWEEN CUSTOMER & PROVIDER. QUALITY ASSURANCE USUALLY FOCUSES ON MATERIAL, GOOD WORK & SERVICE PROVIDED EFFECTIVELY. ANY LACK IN SERVICE PROVIDED CAUSES DECREASE IN QUALITY
This document explains how does technology affected in Nursing, Extended role of Nursing , Strategies to be adopted by the nurses in order to improve their competencies as the changing roles in Modern Era
Impact of Intervention Program on Quality of End of Life Care Provided by Ped...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
- List the goals of good antenatal care.
- Diagnose pregnancy.
- Know what history should be taken and examination done at the first visit.
- Determine the duration of pregnancy.
- List and assess the results of the side-room and screening tests needed at the first visit.
- Identify low-, intermediate- and high-risk pregnancies.
- Plan and provide antenatal care that is problem orientated.
- List what specific complications to look for at 28, 34 and 41 weeks.
- Provide health information during antenatal visits.
- Manage pregnant women with HIV infection.
THE ROLE OF NURSE IS CHANGING AND EXPANDING AS THE SCOPE OF MODERN NURSING IS DEVELOPING DAY BY DAY HENCE ONE SHOULD KNOW THE VARIETY OF ROLES THAT A NURSE COULD PLAY IN A PATIENTS LIFE. THIS SLIDE WILL GUIDE YOU THROUGH SOME OF THE LATEST TRENDS AND ROLES OF NURSE.
Vibha Chaudhary ,career opportunities in nursing , Indira Gandhi college of nursing munshigonj amethi . Topic content , Introduction , definition , components of career opportunities manager role of career opportunities essential qualities of career opportunities
Chinmaya Institute of Nursing is one of the pioneering Nursing Institutions in Bangalore, with an attached hospital i.e. Chinmaya Mission Hospital, seeking to provide quality education and training to those interested in pursuing a Nursing Career.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
2. INTRODUCTION
Nursing is a profession with good career
opportunities that changes and reflect the
society in which nurse live.
3. DEFINITION
We are in a new place, we are not on the
edge of old place we are not pushing the
envelope, we are in totally a new envelope.
So the rules have changed . Ever
fundamental premise of the old way of
thinking is no longer applies.
Sister Elizabeth
Davis.
4. VISION OF THE FUTURE OF
NURSING
1. Addition new diseases and the threat of bio-
terrorism.
2. New treatment and technologies.
3. Patients are moved out of hospital rapidly those
that remain are more acutely ill.
4. Those discharged patients need more
assistance at home.
5. NURSING IN THE 21ST CENTURY
:-
For the nursing graduate, the future holds numerous
social, political and technological changes.
During the 21st century, societies will continue to move
towards globalization. with an increased sharing of
products, attitudes and financial investments.
The clients may be more likely to combine conventional
therapies with complementary healing techniques, such
as homeopathy, neuropathy, therapeutic touch,
reflexology, acupressure, aromatherapy, and nutritional
therapy.Sibbold and other experts on nursing and health
care also predict the following:-
Neighborhood will employ nurses who will work in 24
hour nurse managed clinics.
6. CONT…
Nurse Practitioners will cross medical
threshold to provide services usually provided
by physicians.
Nurse therapists will provide numerous
services to the clients and their families.
Hospital stays will be exceedingly short and
early discharge will become more important.
Nurses will be strong and autonomous
practitioners whose practice and care delivery
focuses much more on health than illness.
7. FUTURE TRENDS IN NURSING
Service(practice) education
Practice (nursing care) Research Administration
Clinical nurse specialist {C.N.S}
Nurse practitioner {N.P} academic administration
Adult nurse practitioner
Family nurse practitioner Master’s education
Acute care nurse practitioner
Doctoral programs in nursing
Geriatric nurse practitioner
8. FUTURE TRENDS IN NURSING
Bachelor of Science in management/ Pediatric
nurse practitioner health care.
Women’s health nurse practitioner Certificate
in Forensic Nursing
Certificate in legal nurse consulting
Certified nurse midwife (C.N.M.)
Certified registered nurse anesthetist
(C.R.N.A.) administration
9. CONT…
Other areas for practice in service :
1. Mobile nursing / Health care Education
2. Space nursing Certified nurse practitioner
3. Licensed practical nurse
4. Arrow nursing
5. Master’s of science in nursing/ Master’s of
health administration.
10. 1.SERVICE EDUCATION
SERVICE {PRACTICE} EDUCATION
Because of increasing educational opportunities
for nurses, the growth of nursing as a profession,
and a greater concern for job enrichment.
It includes three broader areas:-
Practice (nursing care)
Research
Administration
11. 2. PRACTICE (NURSING CARE)
Graduate education prepares nurses for advanced
practice in a variety of specialized roles in primary,
secondary and tertiary settings.
This covers four principle types of APN’s.
1) Clinical Nurse Specialist:-
The C.N.S is an Advanced Practice Nurse with
nursing expertise in a specialized area of practice
and may work in any practice setting. The C.N.S.
may also assume administrative and management
roles. The C.N.S. functions as an expert clinician,
educator, case manager, consultant and
researcher to plan and improve quality of care
provided to the client and family
12. CONT…
The C.N.S. should have following eight
characteristics:-
Clinical judgment
Clinical enquiry
Facilitator of learning
Collaboration
Systems thinking
Advocacy or moral agency
Caring practices
Response to diversity
13. 3. NURSE PRACTITIONER
Nurse Practitioner provides health care to clients
usually in an outpatient, ambulatory care, or
community based setting.
Nurse Practitioner Nurse provides care to the
clients with complex problems and provide a
more holistic approach, attending to symptoms of
non-pathologic conditions, comfort and
comprehensiveness of care.
Nurse Practitioner have legal authority to
implement patient management by ordering
diagnostic tests and treatments and prescribing
medications.
14. CONT…
a) Adult nurse practitioner (A.N.P.):- provides
primary, ambulatory care to adults with a non
emergent acute or chronic illness and in some
settings tertiary care. The role includes case
management, consultation, leadership, education,
research and health policy development.
b) Family Nurse Practitioner (F.N.P):- provides
primary ambulatory care for families, usually in
collaboration with a family care physician. The F.N.P.
meets the families health care needs, manages some
illness by providing direct care, and guides or
counsels the family as needed.
15. CONT…
c) Acute Care Nurse Practitioner (A.C.N.P):- is a
registered nurse with a graduate degree in nursing
who is prepared for advanced practice using a
collaborative model to provide direct services to
adult patients who are acutely or critically ill in a
variety of setting such as hospital or specialty
clinic. The A.C.N.P. is a generalist, usually based
in internal medicine, focusing on the care of the
hospitalized patient.
16. CONT…
d) Geriatric Nurse Practitioner(G.N.P.):- G.N.P’s
are trained in the specialized needs of the ageing
adults, with emphasis on health promotion, health
maintenance and functional status. Age of the
client is usually 65 and older.
e) Pediatric Nurse Practitioner(P.N.P.):- P.N.P.
provides specialty care for children from birth to
21 years of age. P.N.P’s practice in hospital
ambulatory care, emergency care and physicians
offices.
f) Women’s Health Nurse Practitioner
(W.H.N.P.):- provides ambulatory care to womb
17. 4.CERTIFIED NURSE MIDWIFE
C.N.M. is a registered nurse who has advanced
educational preparation in midwifery which includes
theory and extensive supervised clinical experiences
in prenatal care, management of labor and delivery,
postpartum care of the mother and the infant, family
planning, pap smears and treatment for vaginal
infections.
C.N.M. practices with a health care agency that
provides medical consultation, collaborative
management and referral.
C.N.M. practices in all 50 states in the United States,
Great Britain, Canada in hospitals and in birthing
centers and in the home, but it has not yet started in
India.
18. 5.CERTIFIED REGISTERED NURSE
ANESTHETIST (C.R.N.A) :-
C.R.N.A. is a registered nurse who has advanced
educational preparation, including classroom and
Laboratory instruction and supervised clinical practice in
the delivery of anesthesia to client in a variety of
practice settings, including hospitals, ambulatory
surgical centers, birthing centers and clinics.
C.R.N.A. takes care of patient’s anesthesia needs
before, during and after surgery.
The role includes:-
• Performing physical assessment
• Participating in pre-operative teaching
• Preparing for anesthetic management
19. CONT…
• Maintaining anesthesia intra operatively
• Overseeing recovery from anesthesia
• Following the patient’s post-operative course
from recovery room to patient care unit.
OTHER AREAS FOR PRACTICE IN SERVICE
MOBILE NURSING
1. Mobile nursing :- is a service agency that
provides home teaching and care for patients with
varied needs and health problems.
20. CONT…
BENEFICIARIES OF MOBILE NURSING:-
Patients discharged early from hospitals.
Patients suffering from chronic and acute medical
problems.
Surgical patients.
Patients requiring I.V. therapy.
The elderly Respiratory patients.
The seriously ill. Patients in need of medication
management
Hospice concept o Ventilator dependent
Assistance with bathing, dressing, meals,
transportation, light housekeeping
21. 6.SPACE NURSING
Space Nursing Society (SNS) Founded in 1991,
over 400 members from around the world.
Space Nursing provides a forum for the
discussion and exploration of issues related to
nursing in space and its impact upon the
understanding of earth bound nursing through
conference participation.
Cardiac monitors originated with space program.
Ultrasound studies assessing bone loss in
astronauts abroad the space station could help
nurse’s better care for patients with osteoporosis.
22. CONT…
FUNCTIONS OF SPACE NURSING:-
Evaluate emergency plans.
Use of medications in space.
Telemedicine opportunities.
Performing surgery in space.
Developing a condition database to
evaluate the risk of certain accidents or
illness during a flight.
23. 7. FORENSIC NURSING
Nurse should be Specialized training in forensic
evidence collection, criminal procedures, legal
testimony expertise.
Liaison between the medical profession and that
of the criminal justice system.
Came about in 1992 during the first ever
national convention of sexual assault nurses.
24. 8. ARROW NURSING
Services provided by arrow nursing are :-
Administration and stoppage of blood services.
Clinical laboratory services.
Activities services
Dental services
House keeping services
Mental health services
Nursing services
Occupational therapy services
Pharmacy services
25. CONT…
Physical therapy
Physician services
Social work services
Speech/ language pathology services
Diagnostic X-ray services DISASTER NURSING
Readiness and preparedness in responding to
immediate community needs during and after a
catastrophic event.
Medical history and physical assessment,
psychosocial assessment and referral to mental
health services
26. 9. HOSPICE NURSING
Observing, assessing, and recording
symptoms for terminally ill patients.
social worker, home-care aide and physical,
occupational, or speech therapist.
27. RESEARCH
Research is directed towards building a body of
nursing knowledge about “human responses to
actual or potential health problems”.
The vision for nursing in the 21st century is the
development of scientific knowledge base that
enables nurses to implement on evidence based
practice.
Evidence Based Practice incorporates critical
thinking and research utilization competencies.
It stresses the use of research findings, and as
appropriate, quality improvement data and
affirmed experiences to support a specific
28. CONT…
AIM OF RESEARCH IN FUTURE:-
To create a research culture.
Provide high quality educational programme to
prepare a workforce of nurse scientist.
Develop a sound research infrastructure.
Obtain sufficient funding for essential research
29. EVIDENCE BASED PRACTICE
Goal is to achieve cost-effective, high quality
patient care based on scientific inquiry.
Nurses need to understand research process
involved
Nursing care should not be based on opinions,
past practices, but on the results of scientific
research
30. FUTURE OF NURSING CAREER
Many nursing functions will be automated.
Result of nursing shortages, healthcare facilities
will be forced to use their nurses judiciously.
Changes in technology will possibly attract more
men and minorities into the profession.
The number of outpatient care will increase, as
will the need for Home health care nurses.
Community health care.
Focus more on preventing the illnesses rather
than treatment.
32. CONT…
Client advocate :-
Nurse protects the clients human and legal
rights.
Providing information to assist in decision
making
Patient Bill of Rights.
Comforter Role :-
Caring for client as a human being
Role is traditional to nursing
Care is directed to whole person, not just a
body part
33. CONT…
Rehabilitator Role :-
Assist client to return to optimal level of
functioning
Nurse helps client to adapt physically and
emotionally to changes in lifestyle, body image.
Communicator Role :-
Role is central to all other roles
Involves communication with client, family,
healthcare team members, resource people, and
the community Without clear, concise
communication it will be difficult to give effective
34. CONT…
Teacher/Educator Role :-
Explains concepts and facts about health,
demonstrates procedures, reinforces learning,
determines understanding, and evaluates
progress of learning
Unplanned or informal education
Planned or formal education.
35. ROBOTIC NURSING
The reliance on robotic technology in surgical
fields has been a reality for decades, but recent
trends and developments indicate that the
emergence of technology and even robotic
technology in the delivery of primary healthcare
is a growing phenomenon.
Lifting Robot – is intended to assist nurses
particularly in the aged care setting to lift or
move patients. The obvious benefit being that
there is no need for nurses to compromise
their own back-health in the process of
assisting their patients
36. CONT…
The use of a robot, as opposed to a mini-lifting
machine is intended to make the process a bit
less intimidating for the patient.
‘Stan the Man’ – which is used to train nurses
and health professionals. The robot is designed
to respond to various treatments applied by the
trainee nurse.