1. 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
2. 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.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
3. 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
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
4. 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
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
5. 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
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
6. 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
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
7. 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.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
8. 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.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
9. 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.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
10. 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.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
11. 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
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
12. 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.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
13. 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
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
14. Role blurring and shared competencies
• Nowadays the role of nurses is not clearly defined
• The work of nurses are shared with other departments
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
15. Nursing –cost effective approach
The nursing procedures we are doing are evidenced based and cost effective whwn
compare to medical treatment and procedures.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
16. 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…..
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
17. Robotic nursing
Robots are used in nursing for monitoring elderly
patient via video ,helps in positioning,feeding,shifting
etc…..
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
18. Community based nursing
The health care delivery concept is now changing
from hospital centered to community based
nursing
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
19. Issues in medical surgical nursing
Staff shortage
Meeting patients expectations
Long work hours
Workplace violence
Workplace hazards
Scope of practice
Personal health
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
20. 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
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
21. Meeting the patients expectations
Due to advanced technology and awareness, the patients
expectation are not met.
This causes job dissatisfaction among nurses.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
22. Long work hours
Shortage of nurses forces the nurses to work for long hours
which causes physical and mental disturbances
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
23. Workplace hazards
Needle stick injuries,sharp tools, and heavy equipments
may risk the nurses health and life.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
24. 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.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021
25. Personal health
Working in a stressfull health care system causes
physical and mental disequilibrium.
EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021