Shejila Chillakunnel Hussain Rawther

Lecturer
School of nursing
UCSI University
Lecture-7
At the end of the lecture students will be able
to
 State the changes taking place in the health
care scene
 Discuss the implications of these changes on
nursing
 Time of great uncertainty and
change affects every aspect of society
 Health care industry is not exempted
 Society is experiencing transformations that
are more comprehensive and revolutionary
 Health care is central structure within the
society
 In past health care was delivered mainly in
acute care facilities

 At present it is delivered in hospitals,

outpatient,transitional care,long term
care,rehabilitative care and private office
settings
 Economic downturn
 Measures taken to reduce health care costs
 Services have been cut
 the number of hospitals has been decreased
 the length of hospital stay has been reduced
 Access to certain services has been reduced
 New diseases have emerge
 AIDS,SARS, Avian flu
 Threat of boi -terrorism
 Re-emergence of old diseases
 Women’s health
 Breast cancer
 Abuse
 Osteoporosis
 STD
 Advanced technology and therapies
Open doors of knowledge
Medicine
Nursing
Health

 Sophisticated surgical technologies

less invasive
promotes quicker healing
expensive
 New therapies
 Reduce sick time
 Prolonged the life span
 Reduced mortality
 Changed fatal illnesses into more chronic illness
 Communication technology
 Telemedicine
 Telenursing
 Telehealth
 Demographic trends
 Increase in life span-elderly
 End of life care
 Singleparent families
 Alternative family structures
 Immigrant issues
 Cultural and ethnic diversity
 Knowledgeable consumers
 Demand for quality care
 Want to be involved in making decisions
 Aware of how life style effects health
 Desire more information and services related to
health promotion and illness prevention
 Organizations
 Strict
hierarchies are changing to
multidisciplinary teams
 Role of nurse
 Required to be global as well as local
 HCWs are asked to be autonomous while being
part of a team
 Professionals are called on to be more flexible
 Required to work on a number of different projects
within a short period of time
 Nursing professionals
 Move from jobs for life to careers for life through
multiple jobs
 Keep moving for better areas
 Trends in health care suggests changes in
nursing practice and implications for nursing
education
 Changing demographics emphasis on health
promotion ,health care costs, movement
towards community based care, and
expanding technology are facts that
 Shape health care system of the future
 Educational preparation for nurses
 Nursing education will have to prepare
students for future practice that
 Will be more complex and specialized
 Will be provided in multiple settings
 Requires
 Extensive knowledge
 Critical thinking
 Other cognitive skills, technologic and psychomotor
skills
 A value system for making ethical decisions
 Other outcomes of nursing education
programme include learning to learn,
handling ambiguity, thinking like a
professional, and accepting responsibility for
decisions made in practice
 For nursing to assume a central role in the
health care system nursing education has to
reform
 Nurse leaders have to
 Be highly educated
 Be proactive
 Be dynamic
 Re-look at nursing practice
 Set new standards
 Develop a new nursing model
 Continuously evaluate nursing practice
 Nurses in clinical practice
 Highly specialized
 Multiple roles
 Research minded
 Critical thinkers
 Evidence based decisions
 Good in economics
 Transformational leadership is best suited to
the present climate
 Transformational nursing leader
 Providethe skills and desires for other nurses to
stretch their boundaries and become innovative
 Roles of nurses will change
 Knowledgeable nurses
 Profession must be respected by public
 Dominant force in shaping the health care
system of the future
 Leddy, S. & Pepper, J.M. (1998). Conceptual
bases of professional nursing. (4th Ed.).
Philadelphia: Lippincott.
 Zerwekh, J & Claborn, J.C (2009). Nursing
today. Transition and trends.(6th
Ed.).St.Louis: Saunders- elsevier.