Form medical surgical nursing 1unit

1. Trends & Issues
in Medical
Surgical Nursing
Gaje Singh
MSc (N) Previous
Govt. College of Nursing Jodhpur

2. • The entire field of health care is changing Rapidly.
• 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 specialty of nursing that
requires a specific skills such as analytical, technical,
administrative and organizational skills.
• This presentation outlines the new trends in medical
surgical nursing in practice, research, and education.
Introduction

3. • Medical Surgical Nursing : Medical-surgical nursing is a Branch
of nursing specialty area concerned with the care of adult patients
in a broad range of settings ( Medical or Surgical ).
• Trend:
• A general direction in which a situation is changing or
developing.
- Oxford Advanced Learners Dictionary
• Issue :
• An important topic that people are discussing.
• A problem or worry that somebody has with some thing
Definition

4. New Trends in Medical Surgical Nursing

5. Nano Science Robotics
Clinical
pathway
Tele Nursing
Mobile health
applications
Gene therapy
Advance
Nursing Skill
Infection
Control
New Trends in Practice

6. New Courses
Simulation
Learning
Advance Skill
Training
Current Nursing
SIU Norms
Innovation in
care Plan
Therapeutic
Communication
Nurses
Empowerment
Use of
Technology/
Virtual
New Trends in Education

7. Current trends in Medical Nursing research
Pandemic
nursing
management
Oncology nursing Bariatric nursing
Entrepreneurs
in medical
surgical nursing
Genetic nursing AI in Nursing
Peri-Operative
Nursing Care Forensic Nursing
New Trends in Research

8. Covid-19
Updates
The COVID-19 pandemic was not in sight when the World Health
Organization (WHO) declared 2020 as the Year of the Nurse and Midwife,
with a goal to raise awareness of the need for “nine million more nurses
and midwives to achieve universal health coverage by 2030”
The multiple roles and functions played by nurses are particularly
important during this COVID-19 pandemic. These important roles
and functions cover five domains

9. Nano
Science

10. What is
Nanoscience?
• Nanoscience: is the study of structures and
materials on an ultra-small scale, and the
unique and interesting properties these
materials demonstrate.
• Nanoscience is cross disciplinary, meaning
scientists from a range of fields including
chemistry, physics, biology, medicine,
computing, materials science and
engineering are studying it and using it to
better understand our world.

11. Nano Science in Oncology
• In cancer chemotherapy, cytostatic drugs damage both malignant and normal
cells alike. Thus, a drug delivery strategy that selectively targets the malignant
tumor is very much needed
• Cancer diagnosis and therapy remains the most significant and has led to the
development of a new discipline
Nano Science in Oncology

12. Robotics

13. Robotics
“Shams” is the first robotic
nurse in Egypt
Ain-Shams University
• Robotic systems are used to
alleviate the burden on nursing
staff, adjust reduction in
workforce, while improving patient
outcome and quality of life
• The contributions of robots in the
health field are wide-ranging, such
as in lifting and patient mobility,
patient monitoring, surgery,
laboratory , tele-consultation, and
rehabilitation

14. •“A single inhaled
Nanorobot reaches,
deeply inspired into
the lungs and
attaches to the tissue
surface”
www.iub.edu.pk

15. Advantages Of Robotics in Patient Care
• Rapid elimination of disease.
• robots might also produce copies of themselves to replace worn-
out units, a process called self-replication
• The major advantage of robots is thought to be their durability, in
theory, they can remain operational for years, decades or centuries.

16. Care Pathway
• Clinical pathways (CPWs) are tools used to guide evidence-based
healthcare. Their aim is to translate clinical practice guideline
recommendations into clinical processes of care within the unique
culture and environment of a healthcare institution.
Care Pathway

17. Care Pathway Care Pathway

18. Tele Health
Medical Chat Bots is
useful tools that
patients can use to
receive advice,
education, and
personalized health
recommendations, as
well as remind them
to take their pills, it
can overcome nurses
shortage.
Tele Health
(Nursing)

19. Electronic Health Records
-Is a digital version of a
patient’s paper chart. EHRs are
patient-centered records that
make information available
instantly and securely to
authorized users. “It is applied
in the 57357 hospital.”

20. New Technology for Patient Assessment
Pain-Free Blood Testing
Technology

21. Mobile
health
applications

22. Application of Artificial Intelligence in Patient Care

23. Application of Artificial Intelligence in Patient Care

24. • These types of vaccine technologies have been developed over more
than 20 years using translational research for use against cancer or
diseases caused by genetic disorders but the COVID-19 vaccines are
the first licensed drugs to prevent infectious diseases using RNA
vaccine technology.
Gene Therapy

25. Advance Nursing Practice
• Advance Nursing Practice in Medical Unit – Cardiac care
• High Quality CPR Skill , Defibrillation Skill
• Palliative Nursing Care
• Neurological Care
• Trauma Care
Advance Nursing Practice

26. Infection Control Practice
• Its Trends to provide Care As per latest CDC Guideline
• All Invasive /Non Invasive line care
• CARE BUNDLE ( CAUTI,CLABSI,VAP ,SSI)
• Proper use of PPE
Infection Control Practice

27. New Trends in education

28. New Courses
• M.Sc. in Oncology
• M.Sc. in Forensic Science
• Nurse Practitioner Course
Advance Skill Training
ACLS, PALS,NALS , ATCN
New Courses

29. Virtual nursing education
• Virtual reality simulations show nursing students what it is like to be in a real-world clinical setting
and what problems and risks

30. •they may encounter there, and thus, helps
them develop skills, build confidence, and
prepare for clinical practice.
Virtual Nursing Education

31. •Simulation is the “process of
designing a model of a real system
and conducting experiments with
this model for the purpose of either
understanding the behavior of the
system and/or evaluating various
strategies for the operation of the
system
Simulation in Nursing Education

32. Advance Skill
• BLS
• ACLS
• ATCN
• PALS
• ICN
• Critical Care
• Diploma in Oncology
Advance Skill

33. Current Nursing SIU
Current Nursing SIU

34. Innovative
Technologies
Technology

35. Therapeutic Communication
• Therapeutic communication is a type of professional
communication defined as the purposeful, interpersonal,
information-transmitting process that leads to client
understanding and participation.
• Allow time to communicate with the client. Use therapeutic
communication techniques to provide client support. Encourage
the client to verbalize feelings (e.g., fear, discomfort) Evaluate
the effectiveness of communications with the client.
Therapeutic Communication

36. • Empowerment is defined as the ability to get things done and
includes a capacity to mobilize resources and to provide
support, opportunity, and information.
• Example : Oxygen Therapy , CPR ,Cold Sponging
Nursing Empowerment

37. New
trends in
Nursing
Research

38. Current Trends in
Nursing Research
Across Five Locations:
The United States,
South Korea, Taiwan,
Japan, and Hong Kong
First published: 03
2020
https://doi.org/10.11
592
Six themes reflecting the current trends in
nursing research were extracted:
(a) demographic alterations;
(b) increasing diversities and
globalization;
(c) technology innovation;
(d) individualized or personal care and
population health initiatives;
(e) health policies and regulations;
(f) nursing workforce changes.
New Trends in MSN Nursing Research

39. Current trends in Medical Nursing research
Pandemic
nursing
management
Oncology nursing Bariatric nursing
Entrepreneurs
in medical
surgical nursing
Genetic nursing AI in Nursing
Peri-Operative
Nursing Care Forensic Nursing
New Trends in Research

40. Issuesinmedicalsurgicalnursing
 STAFF SHORTAGE
 MEETING PATIENTS EXPECTATIONS
 LONG WORK HOURS
 WORKPLACE VIOLENCE
 WORKPLACE HAZARDS
 SCOPE OF PRACTICE
 LACK OF FUND AND APPROVAL ISSUES FOR RESEARCH
 PERSONAL HEALTH

41. Staff shortages
THE WORLD HEALTH ORGANIZATION ESTIMATES THAT
THERE WILL BE SHORTAGE OF 6 MILLION NURSES
THROUGH OUT THE WORLD.
THIS MAY CAUSE DISTURBANCES IN HEALTH CARE SYSTEM
IN INDIA YET 1167929 NURSES REGISTERED ON NRTS THROUGH ALL
STATE COUNCILS.
 INDIA NEED AT LEAST 4.3 MILLION MORE NURSES BY 2024 TO
MEET THE WHO NORMS.

42. Meetingthe patientsexpectations
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

43. Workplace hazards
• NEEDLE STICK INJURIES,
• SHARP TOOLS, AND HEAVY EQUIPMENT'S MAY
RISK THE NURSES HEALTH AND LIFE.
• EXPOSURE TO RADIATION
• RISK OF INFECTION
• PERSONAL TRAUMA WHILE CARE

44. 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 / JD OF
PRACTICE FOR NURSES IN INDIA.

45. Personal health
WORKING IN A STRESS FULL HEALTH CARE SYSTEM
CAUSES PHYSICAL AND MENTAL DISEQUILIBRIUM.

46. Summery – MSN Trends &
Issues
Trends in Nursing Practice , Education and Research
Issues in Medical Surgical Nursing