Trends and issues in medical surgical nursing

Trends and issues in medical surgical nursing

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

26. THANKYOU EDWIN JOSE L MEDICAL SURGICAL NURSING 15.02.2021