1. Trends and Issues in Nursing
Ram Sharan Mehta
Medical-Surgical Nursing Department

2. What do you mean by trends?

3. What do you mean by Issues ?

4. What are the Areas of
Trends and Issues, Nurses
Need to study ?

5. Why study of Trends and
Issues is Important?

6. Contents/Areas: Trends & Issues
• Issues & Trends: global, regional, national
• Trends and issues & their effects on:
- Nursing Education
- Nursing Research
- Nursing Management
- Nursing Service
• Ethics
• Legal aspects of Nursing

7. Contents/Areas: Trends & Issues
(continue):
• Health care advocacy
• Use of computer technology/
communication technology
• Recent roles: nurse practionars, nurse
specialist, clinical nurse, primary care etc
• Future direction and factors affecting in:
- Health care in Nepal/health care system
- Nursing education system

8. Contents/Areas: Trends & Issues
(continue):
• Recording and reporting system
• Professional organizations: ICN, NAN, NNC
• Profession
• Cultural influences
• International nursing
• Image of nursing
• Future challenges of Nursing.

9. ISSUES AND TRENDS IN NURSING
• Historical Overview
• Evolution of nursing science and practice
• Economics of health care
• Social policy and health care delivery
• Cultural influence on nursing
• Legal aspects of nursing
• Ethical aspects on nursing
• Nursing education
• Licensure and related issues in nursing

10. ISSUES AND TRENDS IN NURSING (Continue):
• Continuing education for relicensure
• Rural nursing
• Urban nursing
• International nursing
• Image of nursing
• The future challenges for nurses and
nursing

11. Introduction:
Nursing has been called the oldest of the art,
and the youngest of the profession. As such, it
has gone through many stages and has been an
integral part of social movements. Nursing has
been involved in the existing culture, shaped by
it and yet beeping to develop it. The trend
analysis and future scenarios provide a basis for
sound decision making through mapping of
possible futures and aiming to create preferred
futures.

12. The Future: A challenge for Nurses and Nursing
• Expanding Technology
• Computer assistance
• New threats to health
• Nurses enter private practice
• Collegiality among health profession
(Multidisciplinary Team Approach)
• Educational preparation: building toward unity
• Changing in Role Image
• Unification of practice and education
• Self-governance
• Recruitment of the best candidates in to nursing
• Lateral mobility for nurses

13. Trend analysis in Nursing: -
1. Knowledge and Information being major
source
2. Technology more widely used: rapid
changes
3. Greater, faster, access to information
4. Declining philanthropy (love of mankind)
5. A more highly educated public
6. Continued focus on evidence and value
for money
7. Access to care a key issues

14. 8. More ethical dilemmas for the health
system
9. Human rights an ongoing concerns
10. Better educated and more mobile health
work force
11. Greater use of information of
communication technology
12. Greater investment in research and
development
13. Increasing networking and working
together
14. Rising skill requirements

15. Trend analysis in Nursing: -
10. Continuing misdistribution of providers
11. Push to freer movement of professionals
in pasting standards and regulation
12. Role blurring and more shared
competencies
13. New areas of nursing specialization
14. Growth of entrepreneurs, more to
community and push for more autonomy
in practice

16. 15. Nursing shortage and graying
workforce as key issues in many
countries
16. Nursing seen as a cost – effective
approach to health
17. Nursing positioned to lead health
care and influential in health policy
18. A new opportunities for nursing

17. The world health organization (WHO) has
been considering the future and predicts
that by 2000 the world experiences:
1. Major growth in the elderly population
2. Decline in birthrate, especially in western
countries.
3. Increases in chronic illness
4. Continuing social unrest
5. AIDS a major problem
6. Many infectious diseases under control
7. Mental health a key issue
8. Poverty continuing to plague mach of the
world.

18. Emerging trends in Nursing:
• Professional judgment
• Defining "Care"
• Information system / effective communication
• Electronic network / computer link
• Problem based learning
• Marketing privatization
• Nursing standard
• Nursing audit
• Nursing research

19. Emerging trends in Nursing (continue):
• Multidisciplinary health team
• Independent area of practice
• Community based nursing
• Holistic care approach
• Specialized services (dialysis, Psychiatric etc.)
• Problem based learning
• Distance learning (open university system)
• Self – directed learning
• Continuing education
• Use of advanced technology
• Consumer protection act on action

20. Emerging trends in Nursing (continue):
• Change in uniform and dress code
• Utilization of married nurses
• Specialization
• Leadership of nursing in 21st century
• Human relation in nursing
• Disaster management
• Marketing strategies for nursing
• Computer application in nursing
• Space nursing
• Nurse patient relationship
• Provision for nursing consultant / specialist.

21. TRANSITIONS TAKING PLACE:
IN HEALTH CARE.
• Curative – Preventive approaches
• Specialized care – Primary health care
• Medical diagnosis – Patient emphasis
• Discipline stovepipes – Programme stovepipes
• Professional identity – Team identity
• Trial and error – Evidence based practice
• Self – regulation – Questioning of professions
• Focus on quality – Focus on costs

22. IN THE WORKPLACE
• High tech – Humanistic
• Competition – Cooperation
• Need to supervise – Coaching, mentoring
• Hierarchies – Decentralized approach

23. IN NURSING
• Continued competencies – Competencies a condition
• Hospital environment – Community environment
• Quality as excellence – Quality as safe
• Clear role – Blurring roles

24. Thank You