Trends and issues in medical surgical nursing

College Of Nursing
Madras Medical College
Chennai-03
TRENDS AND ISSUES IN MEDICAL-
SURGICAL NURSING
PRESENTED BY
EDWIN JOSE.L
MSc(nursing) I YEAR
College of nursing
Madras medical college
Chennai-03
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021

INTRODUCTION
 The entire field of health care is changing day by day.
 These changes occurs at rapid rate.
 The focus of medical –surgical nursing is not limited to a
disease or a body system but focus on holistic in nature.
 Medical –surgical nursing is a speciality of nursing that
requires a specific skills such as analytical,
technical,administrative and organizational skills.
 According to academy of medical –surgical nurses, it is
evolving as a speciality and is the largest group of practicing
professional.

DEFINITIONS
Trend:
A general direction in which a situation is changing or
developing.
- Oxford Advanced Learners Dictionary
Issues:
An important topic that people are discussing.
A problem or worry that somebody has with some thing

TRENDS IN MEDICAL SURGICAL NURSING
Quantification of nursing care costs
Reduced length of stay
Increasing Reliance On High Technology
Requirement of advanced nursing knowledge
Need for collaboration and communication
Innovation in care planning through computerization
Unification of practice and education

TRENDS IN MEDICAL SURGICAL NURSING
 Greater investment in research and development
 Role blurring and shared competencies
 New areas of nursing specialization
 Nursing seen as a cost effective approach to health
 Telenursing
 Robotic nursing
 Aerospace nursing
 Community based nursing

Quantification of nursing costs
• Quantification of nursing contribution to patient care can
be used to determine the cost of providing care to specific
patients
• Quantifying nursing time requires the identification of the
level of nursing care necessary for each patient.
• The patient care plan is an integral part of the justification
of nursing care costs

Reduced length of stay
The provision of personalized care must be planned and
provided with continuity as the quality of care time
decreases.
Many patients who leave the hospital earlier are still need
of health care.
Aggressive discharge planning must begin on admission.
An effective coordinated plan of care can help ensure
continuity of care.

Increase reliance on high technology
The evolving technological advances
in nursing are the wave of the future in
healthcare. Emerging new technologies in EHRs,
AI, apps and software development are
becoming increasingly popular as more hospitals
and facilities integrate them into their health
system.

Requirement of advanced nursing knowledge
• The medical –surgical nurse needs greater clinical
expertise, maturity, clinical thinking ability, assertiveness
and patient management skills to handle patients.
• Certification acknowledges the nurses attaintment of
predetermined standards established by the certifying
groups.

NEED FOR COLLABORATION AND COMMUNICATION
• The health care delivery becomes more complex and
economically centered that need communication and
collaboration among health care professionals.
• Only through collaboration between departments,
services, and facilities the nursing care can be delivered
effectively.

Innovation in planning care through
computerisation
 Nurses believe that their better time can be spend at the bedside giving patient care
rather than filling out paperwork
 Studies shows that institutions using computers reports increases number of plan of
care being generated

Unification of practice and education
The Unification Model directs nursing education,
research, and practice. Unification is not only a
philosophical approach but also an organizational structure
that operationalizes the interdependence among
education, research and practice.

Greater investments and developments
In the recent years the budget allocation for
nursing research has been increased in the view of
increasing the quality of nursing care

Role blurring and shared competencies
• Nowadays the role of nurses is not clearly defined
• The work of nurses are shared with other departments

Nursing –cost effective approach
 The nursing procedures we are doing are evidenced based and cost effective whwn
compare to medical treatment and procedures.

telenursing
Tele nursing or telehealth nursing uses technologies to
provide nursing services through computers and mobile
devices
It allows patients to connect with their nurses through
mobiles devices,computers,applications etc…..

Robotic nursing
Robots are used in nursing for monitoring elderly
patient via video ,helps in positioning,feeding,shifting
etc…..

Community based nursing
The health care delivery concept is now changing
from hospital centered to community based
nursing

Issues in medical surgical nursing
 Staff shortage
 Meeting patients expectations
 Long work hours
 Workplace violence
 Workplace hazards
 Scope of practice
 Personal health

Staff shortages
The world health organization estimates that there will
be shortage of 1.1 million nurses throught out the
world.
This may cause disturbances in health care system

Meeting the patients expectations
Due to advanced technology and awareness, the patients
expectation are not met.
This causes job dissatisfaction among nurses.

Long work hours
Shortage of nurses forces the nurses to work for long hours
which causes physical and mental disturbances

Workplace hazards
Needle stick injuries,sharp tools, and heavy equipments
may risk the nurses health and life.

Scope of practice
 The scope of practice for nurses makes nurses to work in
a defined area of practice.
 Till now there is no prescribed scope of practice for
nurses in India.

Personal health
Working in a stressfull health care system causes
physical and mental disequilibrium.

THANKYOU

Trends and issues in medical surgical nursing

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