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International trends in nursing

Health needs of society
Awareness of health needs
Economic condition
New development

New knowledge & procedures through research
Specialization
Opportunities & education abroad
Increase Industrialization

Expansion of community health services
Government support to health programs
Increased private nursing homes
Necessary military services & activity

Development of nursing research
1) CARE

GIVER : Care giving role
 The
 Set

art & science of nursing

the goals & meet them…
Co-ordinate
activities
with other
health team

Manage their
own time &
resources
Use critical
thinking
skills
Make
decisions &
consult to
professionals
Maintain a safe environment

Prevent injury

Protect from adverse effects of treatment
measures
Protect clients human & legal rights

Be a supporter

Be a source of information
Explore
feelings &
attitude about
wellness

Teach
desired
behavior

Emotional,
intellectual,
psychological
support

Therapeutic
communicatio
n skills

Encourage
towards
alternative
behavior

Recognize
choices &
sense of
control
 Explain

the concepts & factors of health
 Demonstrates the procedures
 Use 4 components of teaching:- assessment
- planning
- implementation
- evaluation
A very crucial role….

Quality of communication is a critical factor
in meeting needs of client, family &
community…..
Many professions make up the team involved
in the care of the clients….

Nurse collaborates with other team members
when providing care to the clients.
A nurse can be a good collaborator when: knowledgeable
 good planner ( care)
 good communicator ( assessment)
o

o

Facilitates the well being , academic
success & life long achievements of
students.
School nurse develops programs that
fosters:
- Growth
- Positive skills for successful coping
- Knowledge & skills for self care
- Positive attitude
 Its a

specialty
practice that
provides for &
delivers health &
safety programs
and services to
workers, worker
population,&
community groups.
Also known as
 Congregational health minister
 Emergency Nurse
 Faith Community Nurse
Responds to health & wellness needs within
the population of faith communities
Are partners with the church in fulfilling
mission of health ministry
Health
advocate

Health
educator

Liaison to
communty
resources &
referral
agent
 Is

a registered nurse
specially trained in
community health.
 Works in specific
geographic areas.
 Has Knowledge
about resources in
her community.
Care
manager

Referral
resource

Disaster
preparedness

Direct
primary
care giver

Controller of
communicabl
disease
Private duty nurse
is a registered
nurse or a licensed
practical nurse
who provide
nursing services to
patient at home or
any other setting
in accordance
with physicians
order.
•
•
•

Not widely practiced because of very
high cost
Restricted to wealthy patients
Common for retired nurses & valuable
for their broad knowledge & experience
She is the one
who provides a
family centered
care and allows
client to live and
remain at home
with comfort,
independence &
dignity.
Pain &
symptom
control

Spiritual
care

Family
confernc

Bereavement
care
 Nurse

who specializes in assisting persons
with disabilities and chronic illness to
attain optimal function, health & adapt to
an altered life style.
Move towards
independence

Patient
education &
counseling

Work as part
of multi
disciplinary
team

Prevent
complicatns

Co-ordinate
patients
care

Maintain
function


Also called as an “ INFECTION CONTROL
NURSE” , monitors standards & procedure
for control & prevention of infectious
diseases or nosocomial infections.
Survey for outbreak of
diseases
Education on control of
communicable diseases
Provide ongoing inservice training on
infection control

Consultation to staff on
various incidents
Conduct research to
determine risk factors
leading to infections
 Also

called army nurse / armed services
nurse
 Provides care to military personnel
 Attractive salaries
 Security benefits
 Experience

is vast
 Professional opportunities for:- Personal development
- Continuing education
- Promotion
CARE OF
PATIENT WITH
TRAUMA IN
FLIGHT

INITIATES EMERGENCY
CARE IN FLIGHT IN
ABSENCE OF
PHYSICIANS

EVALUATES &
REQUESTS
APPROPRIATE
MEDICATION &
EQUIPMENT
 Carries

out telephonic
communication with
patient , thus providing
response to medical
care / treatment.
 Offers telephonic:- Assessment
- Evaluation
- Referral / advise
 Provides

access to health care for underserviced urban population & remote areas.

 Facilitates

home care of chronically ill.
 It

is the adaptation of professional
nursing skills in recognizing & meeting
the nursing, physical, emotional, social,
needs resulting from DISASTER.
Is

the one who is expected to
be acquainted with the basics
of forensic medicine so as to
handle & preserve the
evidentiary materials.
 Forensic

nursing process
 Violence & victimology
 Injury identification,
interpretation & documentation
 Criminalities & forensic science
 Nursing & law / legal interface
Major impact of the development of fields
of forensic nursing is its emphasizing on
proper treatment of the victims of
violence.
•

•

Is a registered nurse
who works in a
prison.
Employed directly
by prison services
or can spend part of
their working week
in prison health
care.
Deliver high quality care within
custodial settings

Maintain safe & secure
environment
Improve mental health &
behavior or prisoners
Aims at helping
others from
neutral
standpoint.
Teaching home
nursing to lay
people.

Relief to needy
& suffering,
during disaster
Teaching nonprofessionals
in hospitals

Giving direct
care to sick &
wounded.
They keep the athletes & sports
enthusiasts in optimum physical shape,
and treat injuries if they occur.
1)ADVANCED PRACTICE NURSING:



Has a master’s degree in
nursing
Certification & expertise in
specialized area of practice
Works in primary, acute &
restorative care settings.
SPECIALIZES IN AREAS SUCH AS:-

Medical-surgical nursing
Psychiatry and mental health nursing

Pediatric nursing
Community health nursing

Gerontogic nursing
CAN SPECIALISE IN SPECIFIC DISEASES:-

Diabetes mellitus

Cancer

Cardiac problem
CAN FUNCTION AS : Expert

clinician
 Direct care giver
 Educator
 Case manager
 Consultant
 Researcher
Advanced training in
anesthesiology
 Provides anesthesia under
supervision of
anesthesiologist in various
settings.

PROVIDES INDEPENDENT CARE FOR WOMEN
DURING:-

Pregnancy
Labor
Delivery

Care of Newborn
Gynaecological services:PAP smears
Family planning
Treat minor vaginal infections
General nursing
practice

Medical surgical
nursing

Gerontologic
nursing

Pediatric nursing

Perinatal nursing

School of nursing

Community health
nursing

Psychiatric nursing
Mental health
nursing

Continuing
education

Staff development

Home health nursing
Provides care for clients in:
 Outpatient

department
 Ambulatory care
 Community based setting
 Complex problems
 Holistic approach
 Comprehensive care
 Functions

in collaboration with
health team members in hospital /
specialty clinics

 Management

of selected patients
with acute & specialized health
care needs
•

Provides primary care to adults
with chronic illness, also some
times tertiary care.
 Provides

Primary ambulatory care for
families in collaboration with family
physician.
 Guides family & provides counseling

Provides care to infants & children
in hospital settings.
Provides care to women seeking
obstetrical / gynaecological conditions.
HELPS IN:
 Health

promotion
 Prevention of illness
 Counseling
 Education on STD’s
 Family planning
 Trained

to meet needs of aging adults
usually over 65 yrs.

 EMPHASISES

ON :-

-Health promotion
-Health maintenance
-Functional status
-Promote independence
-Self care
Manages client care & specific
nursing services in the agency.
Begins with
positions
like:-

In-charge

Asst-nurse
manager

Nursing
manager
(specific area)

Asst-director
nursing

Director of
nursing
 Requires

a doctorate degree or a
master’s degree in nursing.
 Investigates problems to improve
nursing care.
 Evaluates the effectiveness of nursing
tools, methods, & procedures.

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