em ee ome emo, FUTURISTIC NURSING 4 INTRODUCTION I i Many trends in nursing are likely to develop in the near future. Some can be predict with certainly while others may be unexpected. These trends of the future will result i i from very rapid chafges that take place in all areas of life. i é MEANING i i FUTURSTIC - (innovative or revolutionary” fi i Another words we can state that denoting or relating to design, technology, that is I i thought likely to be current or fashionable at some future time. % 3 DEFINITION i i Futuristic nursing is define as the “ art of using the latest technology and science to 2 i promote quality of life as defined by patients and families throughout their life i i experiences from birth to end of life.” i (or) Futuristic nursing in 1987, followed by this shorter version in 2002. Nursing encompasses autonomous and collaborative care of individual of all ages, families, groups and communities, sick well in all settings. International council nurses (1987) —_— -—_ : 4 VISION FOR THE FUTURE OF NURSING i In many ways this is a time of choice within health care system around the world. The i economic downturn in the global society has impacted on health care. In many Places i services have been cut and access to services reduced t * Addition new diseases and the threat of bio- terrorism, > H + New treatment and technologies. ¥ owrky 4 4 4 4 * Patients are moved out of hospital rapidly, those that remain are more acutely ill, * Those discharged patients need more assistance at home and in the community. CLASSIFICATION OF FUTURISTIC NURSING tic nursing can be classified in terms of nursing education, practice, research, Futur i administration, and an amalgamation of all the four components which might occur in ‘ : the years to come. | i NURSING EDUCATION Nursing education has moved ahead from what it was in the beginning i to what it is B.Sc. Pc BSc. MSc, PhD and the post doctoral programmes.jThere are . numerous web sites that give the number of Universities, nursing colleges and programmes in India. It 4 has become mandatory to update oneself to be in a position to complete in a i country of numerous oppertunites and to keep abreast with the changes in education i and technology. NURSING SERVICE i It has provided leadership opportunities and these have to be chanelised appropriatelyto get the things done for_the benefit of the pati t and provide quality health care ie affordable by | advent of specialist. Nurses as pain control nurse. infection control nurse skin care nurse and diabetic educator nurse have a wide range af covsnded roles. This also nvolves proper use the nurses time in previdien health careservices rather than being caught up in the web of lone nie only the environmental factors of the agency of looking into o1 i i 4 4 Patient with the i OF scanned win onEN ScannerReveluboney- vnvenwing gr ng D WMmpl©sTgk ox drome eo, £ Tmouiive | - win MUO meltodsGr iden. \Lbion The abtlhy to Hunk about or Plo Ste pote Your, vnaginale,. Bio -tejontyn 1 — ay te dabenhpnal rurcare SEES Wr, bacheut er, texas o- Ober shabinebut ogens that Can Veena Kall peopee Cinimalls o7- puloldbs +NURSING ADMINISTRATION It involves making policies and promoting the betterment of health care by being a amember of the committee within the organization and also inter acting with other organizations to bring out positive changes. Proper job description and job satisfaction will make the work of a nurse easier and for other health care professionals to know what to expect from the nurse. NURSING RESEARCH Nursing research with its small beginning now has moved a long way in which nursing research is being done as a small project in the BSc nursing and a lot of individualized research activity is being carried out at the master level. Institutional researcher and collaborative research have also been started on a small scale but the findings of the research has to be disseminated and put into practice with the permission of the organization, ASPECTS OF FUTURISTIC IN NURSING They are two aspects of nursing: 1. Nursing education 2, Nursing services 1. Nursing education A. Future direction of education In 1993, three major organization issued statements and reports about nursing education for the twenty first century. Their reports addressed the new directions of nursing education needed to take in the future. Schools should recruit diverse students and facilities that reflect the multicultural nature of society. 1. Curricula and learning activities should develop student ‘s critical thinking skills. 2. Curricula should emphasize student's abilities to communicate from interpersonal families and inter disciplinary colleagues. 3. The number of advanced practice nurses should de increased and curricula should emphasize health promotion and health maintenance skills for all nurses. 4. Emphasis should be placed on community-based care increased accountability state of the art clinical skills and increased information management skills. 5. Cost effectiveness of care should be focus in nursing curricula, 6. Faculty should be develop programmers’ that facilities programmers articulation and career mobility. 7. Continuing faculty development activities should support excellence in practice teaching and research. B. Future direction of medical education The university of queensland hosted the first Australian national medical education colloquium in august 2005. Student centered learning ‘Adaptive curriculum Teaching innovations iv. System approach y. _ Fitness to practice vi, Medical education j, Student centered learning Harden highlighted the importance of student centered learning as being pivotal to thinking about learning and teaching, He suggested that medical institutions includes a —_ “om ome ~ ome cme cme . a a | a OF scanned wth oxen Scanner—— Le ee ey bank of leaming objects (e.g x-ray images , videos ) curricula maps, virtual patients and guided learning needed of individual students. ii. Adaptive curriculum ‘An adaptive curriculum modifies and personalizes learning by designing teaching and learning experiences in response to the specific needs of the individual students. Harden explained that concepts of just for me learning and just in time learning are accommodated by technology when the learner is ready the teacher will appear via technology. Innovations in medical education extend to curriculum technology assessment and professionalism. The curriculum model of the future should be student centered problem or task based, inter professional, community based and elective driven with core and student selected components. iv. System approach The need for medical education programs to prepare graduates who are responsible to both the needs to the health system, in which they will function and needs of patients they will treat. Currently medical students spend most time in teaching hospitals but they will eventually work in the community, where most patients present are treated. y. Fitness to practice According to Walt fitness to practice is an issue with which all medical schools are currently grappling®Overall we are probably handling the issues of knowledge and clinical skills quite well. There is still debate about what is really means, what is i i i i i i i i i i i components are and what we need to do much better. i i i i i i fk i i i i i vi. Medical education In order to validate the effectiveness of new teaching approaches medical education research must emphasis appropriate methodology. Parizeau said that very little research in undertaken of our teaching programs medical schools. He challenged to make medical education as integral part of their school services. 2.Nursing services «By the 2020-less than 15 years from now a study from occupational health and safety administration predicts that he need for registered nurses in nursing homes will increase 66% licensed practical and vocational nurses by 72% certified nursing assistants will increase by 69% nurses working in home healthy settings- above 250% increase at every level of licensing. Nursing shortage in future * According to austrelia shortage of RN’S by 2025 be as high as 5,00,000 © Demand of RN’S is expected to grow by 2% or 3%each year «Hospital will be reserved only sickest Increase risk for errors. «Increase risk of spreading infection to patients and staffs «Increase risk for occupational injury «Increase in nursing turnover # Increase perception of unsafe working, «Increase stress _ To sight d (OF scanned wth oxEN Scanner| ae oR om om om om om om oe om om om oe omy SOLUTION FOR NURSING SHORTAGE IN FUTURE REGENTS BLUE RIBBON TASK FORCE ON THE FUTURE OF NURSING ‘The regents blue ribbon task force has a critical role in addressing the current nursing, | shortage, solutions to the problem and long term future of nursing. The leaders from education, health care government were the members of the task force Task force | gecommends the following solutions to the nursing shortage. Recruitment I i i Education i i i i Technology Data collection Clatify existing laws and regulations Scope of practice for nurses Future of nursing career As aresult of nursing shortages . If the nursing shortage continues 1. Recruitment i Expand the nursing workforce by the recruiting additional numbers of men, non- practicing nurses and recent high graduates, 2 Education Provide additional academic and financial support systems to increase and school of nursing and graduates and creates career leaders. 3. Technology Increase the application of labor saving technology to eliminate unnecessary, duplicative paper work and communication of patient information, there by improving work place conditions. 4. Data collection Develop a reliable central source of data on the future need for nurse in the work force upon which employers, policy makers, researchers and legislators may be base public policy and resource allocations. 5. Clarify existing laws and regulations The existing laws are to be clarified to the nurses. i i A i 4 4 6. Scope of practice for nurses i i i ' i i wer awaenr Issues practice guidelines to clarity the legal scope of practice of nursing including those takes which do not require licensure. 7. Future of nursing career Predictions are that in 10 or 20 years it will look nothing like it does today! With new technologies and drugs, changes in insurance and health care in nurses, the profession will have to reinvest itself. Many n automated such as documentation updating patient records, signs and voice activated technology. 8. As result of nursing shortages Health care facilities will be forced to use their nurses more time at the bedside as educators and care coordina They will need to know how to access knowledge and their loved ones. Futuristic Cyber Nursing : In Future + When you arrive at work, your [.D. tag is automatically detected and you are i clocked in as you walk through the door. f ‘The patient is being monitored by automatic vital signs, i + You do your assessment verbally into your hand held device that converts it to 5 readable notes on the computers’ main system. i polices and the shortage wursing functions will be smart beds to monitor vital judiciously nurse will spend tors to refocus on the patient, transfer it to the patient and oS ee SD TO oe Ma cect sccm meme tyber — AT Comput or Compuber ED ame came came came (OF scanned win oxen Scanner(oo mom sm sem omc) ome ome om am # At patient’s bed side, you can get chemistry, hematology with a small hand held device that requires no blood drawn. You just place the sensor on the patient’s skin and you have auto results. + You verbalize your order into the hand held which goes directly to pharmacy which fills the orders automatically directly to patient's room. # Most diagnosis will have a system for auto care plans upon patient admission. * Patients have a bedside computer to access educational tools and | progress of their recovery or stay. «Nurses getting laptops and using intranet to do their jobs. This is a way to | spend more time with patients and less time for doing paperwork. i ome ome cme TRENDS IN FUTURISTIC NURSING 1 SERVICE [PRACTICE] EDUCATION Innovations in the health care, expanding health care systems and practice settings, and the increasing needs of clients have been a stimulus for new nursing roles are specific employment positions or paths. Because of increasing educational opportunities for nurses, the growth of nursing as a profession, and a greater concer for job enrichment. It includes three broader areas:~ A. Practice (nursing’care) B. Research C. Administration A. Practice [nursing care] Graduate education prepares nurses for advanced practice in a variety of specialized roles in primary, secondary and tertiary settings. i, Clinical nurse specialist ii, Nurse practitioner & academic administration . Adult nurse practitioner . Family nurse practitioner master’s education . Acute care nurse practitioner |, Doctoral programs in nursing . Geriatric nurse practitioners Bachelor of science in management . Pediatric nurse practitioner |. Women’s health nurse practitioner 76 mete cme LCLINICAL NURSE SPECIALIST:- The e.ns is an advanced nursing practice with nursing expertise in a specialized area of practice and may work in any practice setting. FUNCTION OF C.N.S Expert clinician Educator Case manager Consultant Researcher 2 em cm RNR Om mm mam SR srmese oe Ome me cme mee ca (© scanned wih onEN ScannerI = > SE PS em mm = ee eee oe Il. NURSE PRACTITIONE Nurse practitioner provides health care to clients usually in a out care, or community based settings. Nurse practitioner have implement patient management by ordering diagnostic tests and treatments, I em patient, ambulatory legal authority to a, Adult nurse practitioner Provides primary, ambulatory care to adults with non- emergent acute or chronic illness and in some settings tertiary care. ROLE « Case management « Leadership » Education * Research & health policy development b. family nurse practitioner: Provides primary ambulatory care for families, usually in collaboration with a family care physician. The f.n.p meets the © family health care needs © manages some illness by direct care © guides or counsels the family as needed. c. acute care nurse practitioner Is a registered nurse with a graduate degree in nursing who is prepared for advanced practice using a collaboration model to provide direct services to adult patients. A.n.p generalist used based in © internal medicine © Focusing on the care of the hospitalized patient ° 4d. geriatric nurse practitioners G.NP are trained in:the specialized needs of the © ageing adults © with emphasis on health on health promotion © health maintenance © Functional status. . pediatric nurse practitioner ‘© P.NP provides specialty care for children from birth to 21 years of age. P.N.P practicing hospital ambulatory care, emergency care and physicians offices. + viwomen’s health nurse practitioner * provide ambulatory care to women seeking obstetrical and gynecological health care. II, CERTIFIED NURSE MIDWIFE C.N.M is a registered nurse who has advanced educational preparation in midwifery which includes theory and extensive supervised clinical experiences in prenatal care, management of labor and delivery, postpartum care of the mother and the infant, family planning, pap smears and treatment for vaginal infections. 1V. CERTIFIED REGISTERED NURSE ANESTHETIST:- CRNA is a registered nurse who advanced educational preparation, including Classroom and laboratory instruction and supervised clinical practice in the practice settings, including hospitals, ambulatory surgical centers, birthing centers and clinics. Role :- ee EN EN a ee Te me ee ete me © scanned wth oxen Scannervrsings— Jy A Speu tha weeds” | @ Spave-_ydvrsing uth aakkona to debernune medrea) {pihnos fer Huy mM» | ep utp nish tee membew to dronelte Om trgenes wn cobalt 9 ner le ebscer of, Space’ Hiatt on the Aura _fsdnonouk, An stacl:vrelual Urhe tha, , Space « ‘ane ee) or QA perkon Tamed tor fevelg vn Space.2 A oe oe am «Performing physical assessment © Participating in pre- operative teaching © Preparing for anesthetic management Maintaining for anesthesia intra operatively + Overseeing recovery from anesthesia Other areas for practice in service L.Mobile nursing: Is a service agency th needs and health problems. | Beneficiaries of mobile nursing : ‘= Patients discharged early from hospitals. Patients suffering from chronic and acute medical problems. + Surgical patients. + Patients requiring I.V therapy. at provides home teaching and care for patients with varied Elderly respiratory patients. Ventilator dependent 2. Space nursing:~ Space nursing society founded in 1991, over 400 members from around the world. Provided a forum the discussion and exploration of issues related to nursing in space and its impact upon the understanding of earth bound nursing through conference participation. Functions of space nursin; + Evaluate the emergency plans + Use of medications in space + Telemedicine opportunities «Performing surgery in space Forensic nursing:- — (uiovile cane Yor PY Who ae vitchims- = Specialized traning in forensic evidence collection, criminal procedures, legal testimony expertise, . Liason between the medical profession and that of the criminal justice system. . Came about in 1992 during the first ever national convention of ‘sexual assault nurses. SS om om 4.Arrow nursing:~ Clinical laboratory services Activities services Dental services Mental health services Nursing services Occupational therapy services Pharmacy services Physical therapy Social work services Diagnostic x-ray services es See gee ee |. em mom mm Sm om me om mE (© scanned wt OREN Seannera 5,Disaster nursing:- Readiness and preparedness in responding to immediate community needs and after a catatstopic events © Medical history and physical assessment, psychosocial assessment and referral health services \ 6 Telemedicine of telemedicine was introduced more than 30 yrs ago through hone and slow-scan games. (The term telemedicine in short refers to the tion of telecommunication technology for medical diagnosis, treatment and rey dicine is a rapidly developing application of clinical medicine nis transferred via telephone, the internet or other networks =, i A i i i f consulting and sometimes remote i i i i i i i i i The concept i the use of telep! int carey Teleme i where medical informatio i forthe purpose 0 i medical procedur : cine enable i . grspecialist at on one site to deliver healthcare, diagnose patients, give intra-operative i assistance, provide therapy or consultwith another physician or paramedical personnel Y at a remote i site,Telemedicine system consists of customized medical software integrat ! cdwith computer hardware, along with medical diagnostic instruments. i The great impact of telemedicine may be in fulfilling its promise to i improve the quality, increase the efficiency and expand the access of the health care delivery system to the rural population and developing countries i 7 Robot-Nursing Robot-Nurse heips nurses in hospitals. Her body is developed by i Samsungand her brain by RobotHosting.com. The nursing school and the psychology departments of the University of Auckland are creating her i nurse knowledge base. ; She has face recognition (Camera), voice recognition (Micropho i ne), arms and hands. She talks (Speaker) with the Patients, H Doctors and Nurses in 8 humanlanguges. Another responsibility is i talking with those patients who do not have any visitor Her to keep their ‘ company, just carry the conversation to make them happy. Therefore they will not i feel lonely. B. RESEARCH:- i i Research is directed towards building a body of nursing knowledge about “"human ' response to actual or potential problems". The version in the 21st century is the es or examinations.Telemedicine enables a physician i development of scientific knowledge base that enables that nurses to implement on evidence based practice. i i i Aims research in future :- : © To create a research culture i i © Develop a sound research infrastructure } Obtain sufficient funding for essential research i i i i A CONCLUSION ; e. The nurses can make use of the scope for their i vi ir li ing it exists today has sional advancements and to safeguard their lives. nursing it es i ae ding the ups and downs that social, political, economic, have put forward. Futuristic nursing can be fn, administration of Future of nursing is great scop: us, cultural, technological changes religio ; n Classified in terms of nursing education, nu ‘1 ‘hich might occur in years to come. all the four components w! scree come cma ccm ccmmn6 = ERE? © EAR ES A SH “: i Pome a long Way, withstan i nursing practice, researc . OF scanned wth OREN Scanner