Trends & Issues in Medical Surgical Nursing Gaje Singh MSc (N) Previous Govt. College of Nursing Jodhpur
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
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
New Trends in Medical Surgical Nursing
New Trends in Practice
New Trends in Education
Current trends in Medical Nursing research New Trends in Research
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
Nano Science
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.
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
Robotics
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
“A single inhaled Nanorobot reaches, deeply inspired into the lungs and attaches to the tissue surface” www.iub.edu.pk
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.
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
Care Pathway Care Pathway
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)
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.”
New Technology for Patient Assessment Pain-Free Blood Testing Technology
Mobile health applications
Application of Artificial Intelligence in Patient Care
Application of Artificial Intelligence in Patient Care
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
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
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
New Trends in education
New Courses M.Sc. in Oncology M.Sc. in Forensic Science Nurse Practitioner Course Advance Skill Training ACLS, PALS,NALS , ATCN New Courses
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
they may encounter there, and thus, helps them develop skills, build confidence, and prepare for clinical practice. Virtual Nursing Education
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
Advance Skill BLS ACLS ATCN PALS ICN Critical Care Diploma in Oncology Advance Skill
Current Nursing SIU Current Nursing SIU
Innovative Technologies Technology
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
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
New trends in Nursing Research
Current Trends in Nursing Research Across Five Locations: The United States, South Korea, Taiwan, Japan, and Hong Kong First published: 03 August 2020 https://doi.org/10.1111/jnu.12592 Six themes reflecting the current trends in nursing research were extracted: demographic alterations; increasing diversities and globalization; technology innovation; individualized or personal care and population health initiatives; health policies and regulations; nursing workforce changes. New Trends in MSN Nursing Research
Current trends in Medical Nursing research New Trends in Research
Issues in medical surgical nursing 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
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.
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 equipment's may risk the nurses health and life. Exposure to radiation Risk of Infection Personal Trauma while care
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.
Personal health Working in a stress full health care system causes physical and mental disequilibrium.
Summery – MSN Trends & Issues Trends in Nursing Practice , Education and Research Issues in Medical Surgical Nursing