This document discusses the paradigm shift in the nursing profession due to COVID-19. It outlines nurses' key contributions during the pandemic, such as providing health education and screening, preventing infections, and caring for COVID-19 patients. The document also describes the challenges nurses faced, including shortages of PPE and concerns for safety. Post-COVID, the document predicts a paradigm shift for clinical nursing, including more telehealth, home care, expanded nursing skills, and a focus on community and public health over individual care.

1. Paradigm Shift in Nursing Profession
BY
Dharmesh Chaturvedi
Senior Nursing Superintendent
Sub Divisional Railway Hospital
Ranapratap Nagar, Udaipur (NWR)

3. What is Paradigm
• Derived from Latin word ‘paradigma’ used to
refer to ‘a model or pattern’.
• It is a set of ideas that are used for
understanding or explaining something,
especially in a particular subject.

5. • A paradigm shift is a major change in the concepts
and practices of how something works or is
accomplished.
• Old data re-examined that led to a newer
understanding of issues and subsequent actions
causing a paradigm shift.

6. • Thomas Kuhn said that a series of small,
successful changes to conventional wisdom
may ultimately progress to a considerable
change.
• It changes the rule of the game and the
roadmap directing emerging possibilities.

7. Nurses' Contribution in Anti-COVID-19
1. Providing health education, screening services,
and support for the general public in high-risk
categories.
2. Prevent nosocomial infection and surveillance.
3. Implementing appropriate preparations and
precautions in health care settings.
4. Protection of patients with immune deficits or
underlying diseases .
5. Providing over all health care to patients with
COVID-19

8. Key Challenges Faced by Nursing Professionals

9. Key Challenges Faced by
Nursing Professionals During COVID-19
Shortage of PPE
Concerned regarding safety
Unavailability of transport and accommodation.
Inadequate quarantine facilities & support
services.

10. Communication gap
Physical exhaustion and Mental stress
Ethical dilemma
Financial crisis
Lack of equipments & supply
Lack of training and skill updation

11. Post COVID-19
Paradigm Shift in Clinical Nursing
‘Telehealth’
Home-based elderly care, rehabilitation and
palliative care.
Flexibility to work in different health care
settings.
Expand nursing skills. Nurse led health clinics
Autonomy to nurses at bedside.

12. More connect with patient.
Focus on community and public nursing care Vs
individual care.
Resurrect (return) to public health nursing.

13. Infection prevention policies, Quarantine
centres.
BMW management and advanced cleaning,
spraying and disinfecting.
More focus on health care workers (asset)
Digital technology in surveillance, health
education.
Continuing nursing education

14. Image of nurses
Public health framework in ethical perspective
Importance on requirements of vulnerable
groups.

15. Social determinants of health are similarly
important to fight COVID 19

16. • Inequality, gap in accessibility, and
marginalization in providing health care is a
real threat.
• Research to Enhance Knowledge on
COVID-19 Prevention and Management.

17. Back to basics
• Hand washing and physical distancing.
• Importance of communication.

18. • Use of data in COVID 19.
• Nurse as a Social reformer.

19. PARADIGM SHIFT
THANK
YOU