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Soumya Ranjan Parida
Education is not preparation for life, education is
life itself
-John Dewey
The millenium has become the metaphor for
extraordinary challenges and opportunities available
to the nursing profession and to those academic
institutions responsible for preparing the next
generation of nurses.
Signal change is all around us, defining not only
what we teach but also how we teach our students.
•Changing Demographic profile
• increasing population
•Increasing life expectancy
•Increasing psychiatric problems
•Chronic illness
•Urbanization
Student Evaluations of Teachers and Courses: Time to Wake
Up and Shake Up
Socio-demographic ,
cultural, economic,
and political influences
on health care,
education, community.
Increasing professional and
personal responsibility and
accountability and required
continuing competency
Diversity, flexibility in delivering
Education
changing methods of learning and
assessment of competence of practice
Cost of health care & challenges of
managed care
•Emerging diseases
•Growing Education for need of
interdisciplinary collaborative practice
•Necessity for documentary practice
•evidence based practice
Trends In Nursing Education
•Mushrooming of nursing colleges
•Change in entry level
•Use of modern teaching technology
•Pitfall in infrastructure
•Clinical facilities
•Lab facilities
•Teaching facilities
•Students from rising family entered nursing
•Teaching-learning activities changed from
teacher centered to student centered
•Expectation of student increased
•cost of education increased
•Increased no of enrollment
•Heightened interest in post graduated studies
& Phd program
•Increased demand for more advanced
education preparation
•More flexible education systems
•Allow easily diploma to degree
•Have different entry points-
Full time, part time
•Competency based curriculum-
Environmental Studies, Research, Spoken
English , Personality Development, BMW,
Disaster Management, Management of
emerging diseases & community based care
Perspectives in nursing education
Promoting self directed/active
learning
•More creative and interactive model
of care
• problem/case based care
•Project work
•Role play
•Changed Clinical portfolios
•Integration of educational
Technology and use of distance
Learning-email, electronic
Presentation ,online conferencing,
CAI, Simulation
•Life long learning-Higher learn-
Ing, in service education, FDP
STUDENT RETENTION PROGRAMME
 LOAN FACILITY
 Internship with stipend
 placement
proctorial/Mentoring system
STRONG FEEDBACK SYSTEM FOR FACULTY
Students feed back
Peer group evaluation
Research work & publication
Faculty Shortage as per nos of institutions
Lack of qualified, experienced & skilled faculty
Lack of job satisfaction
Salary issue
Job security
•Increased competition for clinical utilisation
Many institution affiliated to one hospital
•Migration to foreign countries
•Expansion in job opportunity
-IT company,Biotech,insurance company,
BPO call center
•Young Nurses in leadership role/in administration
•Educational opportunity in own place
•Meeting the demand of students in class room & clinical
•Good infrastructure,labs,library,
•modern teaching technology,E-learning,Virtual class
room teaching
•Issue of skilled &experienced faculty, equipped
hospital,the Supervised experience
•Issues of existence
In the competetive world institutions have to struggle to
survive on basis of quality education
•Promote critical thinking and clinical decision making among
students
•New graduates do not meet their expectation for clinical
judgement as identified by employment
•Accreditation agencies challenges educators to promote critical
Thinking(Long,2004)
• Teaching practices need to be evidence based
• Required partnership and collaboration with other Health Care &
Research Agencies
•Faculty need change in skill set as per EBP& newer
technology.
•Challenges in preparing nurses to work in
Remote areas, medically under served area,school
health and tele health.
•Preparing students for future practice for complex
specialised care technology.
Providing the students a broad & integrated knowledge
base
•Nursing schools require faculty who is expert in
nursing education and posses the knowledge to
prepare students to practice in advanced care setting.
•Faculty student ratio to increase
•Payment is lower than counterpart of same level of
education
•Accomodation for faculty & students-less as per
enrollment
•Call for reform
Re-examination of curricular structures & processes
New Pedagogies
preparing tomorrows leader
Caring curriculum
Outcome based curriculum
students competencies & evidence based
education required for accreditation
Diversity in education
Education about chronic diseases, gerontology
Learning foreign language
•Preparing new kind of nurse
Expotential growth of knowledge
explosion of technology
Fueled by changes in the nursing practice
environment
Meeting need of aging population with chronic
illness
Decrease length of stay
Increasing complexity & acuity
Encourage to practice with evidence
MEETING THE CHALLENGES & OPTION FOR
ACTION
•Student centered learning
•Technology savvy education
•Innovative& creative learning
•Providing real world experience & example
•Student exchange program
•Include strategies for critical thinking & clinical judgement skill
•Learning more of hospice care
•Inter professional team & collaborative care
•Orient curriculum to national priority health problems
Changing Faculty profile
•Upgrade quality of faculty
-academic qualification
-clinical competencies
-enhance research skill
•Filling faculty position & increasing nos of instructors
•Faculty Development program,Faculty exchange program
•Faculty mentorship
•Improve incentives and awards
Emerging perspectives:
.Skill test based registration
.Virtual class room learning
•E learning
•Attendance
•Students funded project
•Students to meet the global issues:disaster,global
warming, waste management,psychosocial health,
•Preparing students to meet emerging global health
threats
Bioterrorism
SARS epidemic
• Swine flu,Dengu,Ebolla,Nepa
For faculty
•eligibility
•NRTS
•Salary disparity
•Performance appraisal
•Accreditation
•Student mentoring
• Research publication in index journal and
plagiarism
•Qualitative research
•Emphasizes student, s values development,
socialization to the new role, commitment to
life long learning, & creativity

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Trends &challenges in nursing

  • 2. Education is not preparation for life, education is life itself -John Dewey The millenium has become the metaphor for extraordinary challenges and opportunities available to the nursing profession and to those academic institutions responsible for preparing the next generation of nurses. Signal change is all around us, defining not only what we teach but also how we teach our students.
  • 3. •Changing Demographic profile • increasing population •Increasing life expectancy •Increasing psychiatric problems •Chronic illness •Urbanization
  • 4. Student Evaluations of Teachers and Courses: Time to Wake Up and Shake Up
  • 5.
  • 6.
  • 7.
  • 8. Socio-demographic , cultural, economic, and political influences on health care, education, community.
  • 9. Increasing professional and personal responsibility and accountability and required continuing competency
  • 10. Diversity, flexibility in delivering Education changing methods of learning and assessment of competence of practice Cost of health care & challenges of managed care
  • 11. •Emerging diseases •Growing Education for need of interdisciplinary collaborative practice
  • 12. •Necessity for documentary practice •evidence based practice
  • 13. Trends In Nursing Education •Mushrooming of nursing colleges •Change in entry level •Use of modern teaching technology •Pitfall in infrastructure •Clinical facilities •Lab facilities •Teaching facilities
  • 14. •Students from rising family entered nursing •Teaching-learning activities changed from teacher centered to student centered •Expectation of student increased •cost of education increased •Increased no of enrollment •Heightened interest in post graduated studies & Phd program •Increased demand for more advanced education preparation
  • 15. •More flexible education systems •Allow easily diploma to degree •Have different entry points- Full time, part time •Competency based curriculum- Environmental Studies, Research, Spoken English , Personality Development, BMW, Disaster Management, Management of emerging diseases & community based care
  • 16. Perspectives in nursing education Promoting self directed/active learning •More creative and interactive model of care • problem/case based care •Project work •Role play •Changed Clinical portfolios
  • 17. •Integration of educational Technology and use of distance Learning-email, electronic Presentation ,online conferencing, CAI, Simulation •Life long learning-Higher learn- Ing, in service education, FDP
  • 18. STUDENT RETENTION PROGRAMME  LOAN FACILITY  Internship with stipend  placement proctorial/Mentoring system
  • 19. STRONG FEEDBACK SYSTEM FOR FACULTY Students feed back Peer group evaluation Research work & publication
  • 20. Faculty Shortage as per nos of institutions Lack of qualified, experienced & skilled faculty Lack of job satisfaction Salary issue Job security
  • 21. •Increased competition for clinical utilisation Many institution affiliated to one hospital •Migration to foreign countries
  • 22. •Expansion in job opportunity -IT company,Biotech,insurance company, BPO call center •Young Nurses in leadership role/in administration •Educational opportunity in own place •Meeting the demand of students in class room & clinical •Good infrastructure,labs,library, •modern teaching technology,E-learning,Virtual class room teaching •Issue of skilled &experienced faculty, equipped hospital,the Supervised experience •Issues of existence In the competetive world institutions have to struggle to survive on basis of quality education
  • 23. •Promote critical thinking and clinical decision making among students •New graduates do not meet their expectation for clinical judgement as identified by employment •Accreditation agencies challenges educators to promote critical Thinking(Long,2004) • Teaching practices need to be evidence based • Required partnership and collaboration with other Health Care & Research Agencies
  • 24. •Faculty need change in skill set as per EBP& newer technology. •Challenges in preparing nurses to work in Remote areas, medically under served area,school health and tele health. •Preparing students for future practice for complex specialised care technology.
  • 25. Providing the students a broad & integrated knowledge base
  • 26. •Nursing schools require faculty who is expert in nursing education and posses the knowledge to prepare students to practice in advanced care setting. •Faculty student ratio to increase •Payment is lower than counterpart of same level of education •Accomodation for faculty & students-less as per enrollment
  • 27. •Call for reform Re-examination of curricular structures & processes New Pedagogies preparing tomorrows leader Caring curriculum Outcome based curriculum students competencies & evidence based education required for accreditation Diversity in education Education about chronic diseases, gerontology Learning foreign language
  • 28. •Preparing new kind of nurse Expotential growth of knowledge explosion of technology Fueled by changes in the nursing practice environment Meeting need of aging population with chronic illness Decrease length of stay Increasing complexity & acuity Encourage to practice with evidence
  • 29. MEETING THE CHALLENGES & OPTION FOR ACTION •Student centered learning •Technology savvy education •Innovative& creative learning •Providing real world experience & example •Student exchange program •Include strategies for critical thinking & clinical judgement skill •Learning more of hospice care •Inter professional team & collaborative care •Orient curriculum to national priority health problems
  • 30. Changing Faculty profile •Upgrade quality of faculty -academic qualification -clinical competencies -enhance research skill •Filling faculty position & increasing nos of instructors •Faculty Development program,Faculty exchange program •Faculty mentorship •Improve incentives and awards
  • 31. Emerging perspectives: .Skill test based registration .Virtual class room learning •E learning •Attendance •Students funded project •Students to meet the global issues:disaster,global warming, waste management,psychosocial health, •Preparing students to meet emerging global health threats Bioterrorism SARS epidemic • Swine flu,Dengu,Ebolla,Nepa
  • 32. For faculty •eligibility •NRTS •Salary disparity •Performance appraisal •Accreditation •Student mentoring • Research publication in index journal and plagiarism •Qualitative research •Emphasizes student, s values development, socialization to the new role, commitment to life long learning, & creativity