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.
Nursing audit assists in:
1. Evaluating Nursing care given,
2. Achieving deserved and feasible quality of nursing care,
3. Stimulating better nursing records maintenance,
4. Focuses on patient care provided and not on care provider,
5. Contributes to research in nursing.
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
Nursing audit assists in:
1. Evaluating Nursing care given,
2. Achieving deserved and feasible quality of nursing care,
3. Stimulating better nursing records maintenance,
4. Focuses on patient care provided and not on care provider,
5. Contributes to research in nursing.
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
With the objective of understanding more about the challenges that NPs face, we, at Godrej Interio, tried to understand the current work environment and work pattern of the nurses in India. To learn more, download our full paper by Godrej Interio.
With the objective of understanding more about the challenges that NPs face, we, at Godrej Interio, tried to understand the current work environment and work pattern of the nurses in India. To learn more, download our full paper by Godrej Interio.
Nurses form the single largest group of health professionals. In all care delivery settings, they have a critical role to improve care, advance health, and provide value. To get more idea, read this PDF.
Challenges before Nursing Educators An OverviewYogeshIJTSRD
Trends in health care suggest changes in nursing practice and implications for nursing education. Changing demographics, emphasis on health promotion, health care costs, movement toward community based care, and expanding technology are factors that shape the health care system of the future and educational preparation of nurses. This article examines these trends and implications for nursing education. Faculty are faced with preparing students for future practice that will be more complex and specialized than it now is will be provided in multiple settings and will require extensive knowledge, critical thinking and other cognitive skills, technologic and psychomotor skills, and a valve system for making ethical decisions. Other outcomes of nursing education program include learning to learn, handling ambiguity, thinking like a professional, and accepting responsibility for decisions made in practice. For nursing to assume a central role in the health care system of tomorrow, reform in nursing education is needed today. Mr. Manu Chacko "Challenges before Nursing Educators: An Overview" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4 , June 2021, URL: https://www.ijtsrd.compapers/ijtsrd41234.pdf Paper URL: https://www.ijtsrd.commedicine/nursing/41234/challenges-before-nursing-educators-an-overview/mr-manu-chacko
Contagious, infectious and waterborne diseases such as diarrhoea, amoebiasis, typhoid, infectious hepatitis, worm infestations, measles, malaria, tuberculosis, whooping cough, respiratory infections, pneumonia and reproductive tract infections dominate the morbidity pattern, especially in rural areas of India. India launched various health project to provide the health services.
“Critical appraisal is a systematic process used to identify the strengths and weakness of a research article in order to assess the usefulness and validity of research findings”
Once upon a time India's health care system was dominated by Ayurveda- the holistic health approach to keep person disease free by adopting healthy life style.
This presentation explained the importance of AYUSH in community settings
Questionnaires is one of the most popular tool of collecting data
They provide a convenient way to gathering information from a target population. A questionnaire is a planned self-reported form designed to elicit information though written or verbal responses of the subjects.
A Research critique is a systematic way of objectively reviewing a piece of research to highlight both its strengths and weaknesses, and its applicability to practice. Professionals often need to be able to identify best current practice, and the ability to evaluate and use published research is critical in achieving the EBP.
Declining sex ratio is a great concern as it create the imbalance in the society which might be irreversible for many more decades. This PPT Presentation highlighted the issue of declined sex ratio and its impact .
Evidence Based Neonatal Care is the practical approach to provide Neonatal care. Neonatal Mortality is the significant indicator to prevent the under Five Mortality.
This presentation is on "healthy India" towards FIT INDIA MOVEMENT . It explain the various aspects for being healthy. This short presentation can be use for the education and awareness purpose.
DR NILIMA SONAWANE
INE, MUMBAI , MAHARASHTRA INDIA
CODE OF ETHICS: The guiding principle in nursing
code are the direction of conduct , understanding of what is right and wrong while providing care in the hospital and community settings.The ICN code of ethics are the milestone to establish nursing as a profession.
NURSES: A FORCE FOR CHANGE: IMPROVING HEALTH SYSTEMS' RESILIENCE
The nurses plays a key role in health system to achieve the national health goals.They identify the health needs and provide need based care.Community need assessment approach is essential to provide the health services.Community Health Nurses are not only the back bone of health sysytem but they are the heart and hands of health care delivery system.
This presentation is the analysis of current newborn care in India. It focuses on the Hospital birth scenario and Factors contributing to newborn death. It further highlights , how the Midwives can make a difference.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
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
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
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.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
3. HISTORY …..
Pre Historic Period
God, evil ,Sin Cause Disease
Making Holes In Body To Ward Off
Disease
Middle Age
-Care was provided primarily by religious
orders , mainly by Nun Sisters
7. NURSING AS A PROFESSION
Emerged in late 19th century
Credit is given to Florence Nightingale
8. NURSING AS A PROFESSION
Profession is an occupation based
on specialized intellectual study
and training, the purpose of
which is to supply skilled service
with ethical components to
others, for definite fee or salary
9. KELLY’S CRITERIA OF
PROFESSION
The services provided are vital to humanity and the
welfare of the society.
There is a special body of knowledge which is
continually enlarged through research.
The services involve intellectual activities,
individual responsibility (accountability) is a strong
feature.
Practitioners are educated in institutions of higher
learning.
Practitioners are relatively independent and control
their own policies and activities (autonomy).
10. KELLY’S CRITERIA OF
PROFESSION
Practitioners are motivated by service and
consider that work on important component of
their lives.
There is a “code of ethics” to guide the
decisions and conduct of practitioners.
Thee is an organization (association) which
encourages and supports high standards of
practice.
11. TRENDS
Trends:-It denote changes taken place
Nursing trends:-refers to direction towards
which the different nursing events have moved
or are moving.
These do not occur independently but each one
has a basis of related changes in other fields.
Trends in nursing that is changes currently
taking place in any area of nursing
12. TRENDS
Nursing profession serves to meet the need of
the society particularly the needs related to
health
The changes in society will influence to bring
about changes in nursing profession.
At present, efforts are made by government of
India to deliver the health care to the
community especially in rural area.
Overall improvement in the education of
people with ever growing awareness about
health, well being and health need.
13. TRENDS
After independence, government began to
make serious efforts to meet health need of
nation by implementing recommendation of
Bhore Committee.
Advancement of technology e.g.
Automatization, Industrialization,
Urbanization etc.
14. TRENDS
Medical profession is fastly changing profession.
Trends in nursing profession are closely related
to those in medical profession.
The era of specialization & Biomedical science
have far advanced resulting in newer diagnostic
equipment such as scanner, New drugs,
monitoring system in field of health care all over
the world.
Modern health care facility like ICU, ICCU,
renal unit, organ transplant unit etc super
specialization has come.
15. TYPES OF TRENDS IN NURSING
Nursing practice
Nursing education
Nursing service
Nursing administration
Ethical views
Legal views
Health care delivery system
16. TRENDS IN NURSING PRACTICE
Comprehensive nursing care in hospital setting
Primary health care
Progressive patient care
Team nursing
Palliative nursing care
Self care concept
Domiciliary care
Specialized care
Quality care
Public Awareness
17. TRENDS IN NURSING PRACTICE
Accreditation
Trauma care
Medical technology
Staff development and creation of new post
Nursing Audit
Image building
PRO ( Personal Relation Officer) Concept
Implication of Laws
Political influence
Social media
18. TRENDS IN NURSING PRACTICE
Biomedical waste management
Disaster management
“Clean India” concept
Implementation of new National Health
Program and the services
Paper less hospital and Records and reports
HMIS
Patients Bill of Rights
Multidisciplinary approach
Emergency care
19. TRENDS IN NURSING PRACTICE
Health Personnel
Staff nurse
Ward sister
Supervisor
Assistant Nursing Superintendent
Nursing superintendent
Director nursing
In service Education Director
Clinical Nurse Specialist (Pediatric, Oncologist etc. )
Nurse Anesthetist
Nurse Research
20. TRENDS IN NURSING SERVICES
Private Duty Nurse
Community Health Nurse
Nurse educator
Nursing professor /clinical instructor
Clinician
Advanced Practice Nurse
Nurse Administrator
Nurse Researcher
Military Nurse
Forensic Nurse
21. TELE-MEDICINE CLUSTER
FOR VILLAGES
Healthcare can reach every village with Tele-medicine
SERVER
at Central
Location
Healthcare
Provider
(Consultation-
Pri/Sec; Delivery of
Medicines,)
Connectivity
Connectivity
Internet
Kiosk
Village A
Connectivity
Internet
Kiosk
Connectivity
Internet
Kiosk
Village B
Connectivity
Internet
Kiosk
Village C
Telemed
Solution
Teleme
d
Solutio
n
Teleme
d
Solutio
n
Teleme
d
Solutio
n
22. ETHICAL TRENDS IN
NURSING
Ethics compromises distinction attitudes,
cultural outlook of professional group.
Ethics are distinction between right and
wrong based on a body of knowledge, not
just opinion.
Tran cultural nursing
23. TECHNOLOGY - TRENDS
Robotics in OTs
Robotics in Path-labs / Research.
Laser Technology in surgery
Instrumentation in medical and surgical
practices.
Biotechnology, Genomics, Molecular Biology and
Stem cell research.
24. TRENDS IN NURSING
EDUCATION
Auxiliary Nurse Midwife (ANM)
General Nursing and Midwifery (GNM)
Post Basic B.Sc Nursing
M.Sc.
M. Phill
PhD in Nursing
Specialty care
Nurse practioner
Expanded and extended education
26. TRENDS IN NURSING
ADMINISTRATION
Participative administration
Delegation of responsibilities
Departmentalized administration
Separate nursing directorate
Right to information Act
Consumer protection act
27. ISSUES IN NURSING PRACTICE
Status of nursing profession in society
Nurse patient ratio
Diploma Vs degree in
Nursing care standards
Values reflected in our nursing performances.
Attitude, human approach
Quality in nursing v/s education and practice.
Legal implication
Media
29. ISSUES IN NURSING PRACTICE
Separate Directorate
Higher education for senior positions in
nursing
Different levels of nurses that we need in our
country.
Non involvement of nurses in nursing matters.
No political involvement
Poor pay structures.
30. ISSUES IN NURSING PRACTICE
Many hospitals in India had no nurses at all.
Lack of security and safety.
Less promotional opportunities
Harassment by other personnel
Influence by the medical fraternity
Inadequate health supplies
Internal conflict and influence by others
Disorganization
31. ISSUES IN NURSING
EDUCATION
Nursing Training schools multiplied.
Lack of independent building for schools and
colleges
Lack of independent principal for schools and
colleges
Inadequate hostel facilities for students
Shortage of qualified teachers in nursing
Inadequate library facilities
No UGC pay scales for college teachers in
nursing
32. ISSUES IN NURSING
EDUCATION
Very less or no stipend for nursing students
Less supply of A.V. aids
Less promotional opportunities for teachers of
both schools and colleges
Insufficient efforts to prepare nurses for the job
they are accepted to perform in their work field
in terms of appropriate skills, knowledge and
right attitude and the desired behavior patterns
reflecting the values for caring.
Non attending education
33. ISSUES IN NURSING
ADMINISTRATION
Non involvement of nursing administrators in
planning and decision making in hospital
administration
Lack of knowledge in management among
nursing administrators
Interference of non nursing personnel in
nursing administration
No written nursing policies or manuals
No separate budget
34. ISSUES IN NURSING
ADMINISTRATION
No proper job description for various nursing
cadres.
No organized staff development programs for
nurses like orientation, in-service education,
continuing education etc.
No special incentives
Inefficiency of nursing councils of state and
union to maintain standards in nursing
35. LEGAL ISSUES IN NURSING
Nurse Practice Act
Standards of Professional Practice
Licensure
Good Samaritan Laws
Public Health Laws
Physician-Assisted Suicide
36. OTHER ISSUES IN NURSING
Nursing Shortage
Patient Satisfaction
National Patient Safety Initiatives
Evidence-Based Practice
Information Age
Genetics
Globalization of Health
Aging Population
Global burden of infectious diseases
Global burden of non infectious diseases
Political will
37. PATIENTS SATISFACTION
Good customer service
Patient Bill of Rights
Treat patients like
family
Healthcare is a business
38. TRANSCULTURAL NURSING
Nursing has become a
melting pot
Nurses are challenged
to be more culturally
aware
Cultural sensitivity
40. ACREDITATION
Improve the accuracy of patient identification
Improve the effectiveness of communication
among caregivers
Improve the safety of using medications
Reduce the risk of health care-associated
infections
Accurately and completely reconcile
medications
41. 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
Clinical journals
Practice guidelines
Nursing research
42. INFORMATION AGE
Consumers today are
more computer savvy
regarding healthcare
More info on internet
Consumers could
possibly be more
informed than health
care worker
43. GLOBALIZATION OF HEALTH
Healthcare has
become a global issue
People are mobile,
diseases can travel
Nurses need to have
an understanding of
the issues pertaining
to global health
44. AGING POPULATION
Population is aging
Growing concerns
regarding the unique
needs of the elderly
Gerontological nursing
46. PROFESSIONAL ROLES &
RESPONSIBILITIES
Autonomy & Accountability
Caregiver
Client Advocate
Educator
Manager/Clinical Decision Maker
Communicator
Collaborator
Career Development
47. AUTONOMY &
ACCOUNTABILITY
Autonomy is the essential element of
professional nursing
Person is reasonably independent and self-
governing in decision making & practice
Increased autonomy=Increased responsibility
Accountability- nurse is responsible
professionally & legally for type & quality of
care provided
Regulated through Standards of Practice and
Nurse Practice Act
48. CLINICAL DECISION MAKER
Utilizes critical thinking skills
and the nursing process
Nursing Process: Assessment,
Diagnosis, Planning,
Implementation, Evaluation
49. CLIENT ADVOCATE
Nurse protects the clients human and legal
rights
Providing information to assist in decision
making
Patient Bill of Rights
50. 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
51. 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
Demonstration of care and
concern
52. 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 care
53. 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
54. “
By demonstrating their knowledge in
nursing practice , education and
administration nurses can demonstrate
their expert power. This knowledge may
increase the amount of respect that they
are given by physicians and the society as
such along with personal professional
satisfaction.
“Today’s issues are tomorrow’s trends”