FUTURISTIC NURSING

Presented By:
Kanwaljit Kaur
M.Sc. Nursing (1st yr)
 INTRODUCTION

Many new trends in nursing are likely to develop

in the near future. Some can predicted with
certainly while others may be unexpected. These
trends of the future will result from very rapid
changes take place in all areas of life. You will
have to make a constant effort to keep informed
through all available sources. It is the only way
which will help you to know what is happening at
present and what may come about in the near
future.
 Modern Nursing

The art of using the latest technology

and science to promote quality of life
as defined by patients and families
through out their life experiences
from birth to the end of life.
Aspects of future of Nursing

 Nursing Education

 Nursing Services
 NURSING EDUCATION

Nursing educators are responsible for developing,

creating and implementing academic and clinical
courses for nurses and nursing students. They play
vital roles in the effectiveness of skills and application
of knowledge of nurses and become key components
in the nursing industry by sharing their knowledge and
ideas with their students. With a master degree in
nursing education, you will find employment among
hospital, colleges, online study program and other
healthcare instructing institutions.
 Future directions for nursing
Education
In 1993, three major organizations 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.
Although the three organizations advocated
somewhat different approaches and strategies,
but several common themes emerged in their
reports and remain as important today as they
were in 1993.
 DIRECTIONS

 Schools should recruit diverse student and

provides facilities that reflect the
multicultural nature of society.
 Curricula and learning activities should
develop students critical thinking skills.
 Curricula should emphasize students
abilities to communicate from interpersonal
families and inter disciplinary colleagues.
 Cont……..

 The number of advanced practice should be

increased and curricula should emphasize
health promotion and health maintenance
skills for all nurses.
 Emphasis should be placed on community –
based care increased accountability state of
the art clinical skills and increased
information management skills.
 Cont…..

 Cost effectiveness of care should be focus

in nursing curricula.
 Faculty should develop programme that
facilitate programme articulation and
career mobility.
 Continuing faulty development activities
should support excellence in practice
teaching and research.
 Future direction for Medical
Education

The university of Queensland hosted the

first Australian National Medical Education
Colloquium in August 2005. The priority
directions for medical education identified
by plenary speakers are :
 Priority directions for medical
education
 Student centered learning

 Adaptive curriculum

 Teaching Innovations

 System approach

 Fitness to practice

 Medical Education
 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
bank of learning objects (e.g. x-ray images,
videos) curricula maps, virtual patients and guided
learning that is responsive to the learning needs
of individual students.
 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.
 Teaching Innovations

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.
 System Approach

The need for medical education programs to

prepare graduates who are responsible to both
the needs of the health system in which they
will function and needs of patients they will
treat. Currently medical students spend more
time in teaching hospitals but they will
eventually work in the community, where most
patients present and are treated.
 Fitness to practice

According to Walton, 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 it really
means what its components are and
what we need to do much better.
 Medical Education Research

In order to validate the effectiveness of new

teaching approaches medical education
research must emphasis appropriate
methodology. Parideaux said that very little
research is undertaken of our teaching
programs in medical schools. He challenged
to make medical education research is an
integral part of their school service.
 Nursing Services

By the year 2020- less than 15 years from now a

study from occupational. Health and safety
administration predicts that the need for:
• Registered nurses in nursing homes- 66%
• Licensed practical and vocational nurses-72%
• Certified nursing assistants- 69%.
Nurses working in home health settings which
include managed care nursing home settings. Those
numbers are even higher above 250% increase at
every level of licensing.
 On site Nurse in Senior Housing

Many senior don’t need round the clock nursing

care, but do need some nursing supervision.
Senior housing communities often have an on
site nurse who is available to help residents
with medication problems and be available in
case of an emergency. The nurse on site will
also often consult with doctors to help manage
any medical care that they need.
 Regents Blue Ribbon Task
Force on the future of Nursing

In April 2001, New York state Board of

Regents named a Blue Ribbon Task Force on
Future of the Nursing, chaired by Regent
Diane. The Regents Blue Ribbon Task Force
has a critical role in addressing the current
nursing shortage, solutions to the problem
and the long term future of nursing. The
leaders from education, healthcare and
government were the members of the Task
Force.
 Task Force Recommendations for
nursing shortage

 Recruitment
Expand the nursing workforce by recruiting
additional numbers of men, non-practicing
nurses and recent high school graduates.
 Education
Provide additional academic and financial
support systems to increase and pool of nursing
school graduates and creates career leaders.
 Cont….
 Technology
Increase the application of labor saving technology to
eliminate unnecessary, duplicative paper work and
communication of patient information, thereby improving
workplace conditions.
 Data Collection
Develop a reliable central source of data on the future
need for nurses in the workforce upon which employers,
policy makers, researchers and legislators may base
pubic policy and recourse allocations.
 Clarify existing laws and regulations

Issue practice guidelines to clarify the

legal scope of practice of nursing including
those tasks which do not require licensure.
These guidelines will reaffirm the
individual practitioner’s responsibility for
patient care.
 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
policies and the shortage in nurses, the
profession will have to reinvest itself. Many
nursing functions will be automated. This would
give nurses more time to provide a human touch
to their patients.
 As results of nursing shortages

 Health care facilities will be forced to

use their nurses judiciously.
 Nurses will spend more time at the
bedside as educators and care
coordinator to refocus on the patient.
 Technology will possibly attract more
men into the profession.
 cont…
 More loans and scholarship for master’s
and PhD's would have to be in place.
 As technology and research progresses,
nurses would focus more on preventing
the illnesses rather than treatment.
 Grater emphasis must be placed on
supporting teaching career and recruiting
educators.
 If the nursing shortage continues

 Hospitals may have to be reserved only

for the very sickest.
 Nurses will serve more prominent roles in
clinics and technology companies.
 Nurses will provide community education
and work with employers to develop
programs that save money as well as
promote health.
 TECHNOLOGY CHANGED THE
NURSING

Technology can make it more

challenging to make sure the art of
nursing in not over shadowed by
science. If we merely take care of the
physical person and miss the target in
the spirit of the person, we fail as a
profession.
 Cont….

 Technology has facilitated change and

improvements in health care at a more rapid pace
than ever before with each passing year. Nurses
now tend to be specialists rather than generalists
because the equipment they use is so specialized.
In addition computers have helped tremendously
because they have taken away the need for
nurses to remember so much information.
 Telemedicine

The concept of telemedicine was

introduced more than 30 yrs ago through
the use of telephone and slow-scan
games. The term telemedicine in short
refers to the utilization of
telecommunication technology for medical
diagnosis treatment and patient care.
 Cont…

 Telemedicine is a rapidly developing

application of clinical medicine where
medical information is transferred via
telephone, the internet or other networks
for the purpose of consulting and
sometimes remote medical procedures or
examinations.
 Cont….

• Telemedicine enables a physician or

specialist at on one site to deliver
health care, diagnose patient, give
intra-operative assistance, provide
therapy or consult with another
physician paramedical personnel at a
remote site.
 Cont…
 Telemedicine system consists of customized
medical software integrated with computer
hardware, along with medical diagnostic
instruments.
 The great impact of telemedicine may be in
fulfilling its promise to improve quality,
increase the efficiency and expand the access
of the health care delivery system to the rural
population and developing countries.
 Telehealth Nursing

Telehealth Nursing is generally not a separate

nursing role. Few nurses use telehealth
exclusively in their practices. Nurses have
always used the telephone to communicate
with physicians, patients and other health care
providers. Today's technologies have evolved
far beyond the telephone to include
computer, interactive audio and video
linkages, teleconferencing.
 Definition

Telehealth is defined as "the removal of

time and distance barriers for the
delivery of health care services and
related health care activities through
telecommunication technology".
 Cont….
 The goals of healthy people 2010 include
eliminating health disparities among population
& improving quality of life and life expectancy.
Many health disparities occur because of
barriers such as geographic location e.g. rural
population’s experiences greater health
disparities, Age that creates health disparities
because of limited health care access, home
bound status & transportation issues.
 Cont…

 The use of telehealth expands access to

health care for underserved populations and
individuals in both urban and rural areas. It
also serves to reduce the sense of
professional isolation experienced by those
who work in such areas and may assist in
attracting and retaining health care
professionals in remote areas.
 Impact on Patient outcomes

 Telehealth use in home health care opens the

door for direct communication between the
patient and the provider by integrating
information and technology to facilitate health
care delivery. Telehealth essentially removes time
and distance barriers via videophones, video
camera and sensory monitoring devices. The
telehealth contributes to positive outcomes in
terms of self management and compliance.
 Robot Nursing

 Human nurses can have peace of

mind. Their jobs are secure but little
helper has come to rescue to do
most of the boring nursing tasks for
them.
 Cont…
 Robot-Nurse helps nurses in hospitals. Her body
is developed by Samsung and her brain by
Robot-Hosting. com. The nursing school and the
psychology departments of the University of
Auckland are creating her nurse knowledge
base. She has face recognition (Camera), voice
recognition (Microphone), arms and hands. She
talks (Speaker) with the Patients, Doctors and
Nurses in 8 human languages.
 Futuristic Cyber Nursing

In Future
 When you arrive at work, you I.D. tag are
automatically detected and you are clocked in as
you walk through the door.
 The patient is being monitored by automatic vital
signs.
 You do your assessment verbally into your hand
held device that converts it to readable notes on
the computers' main system.
 Cont……
 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.
 Cont…..
 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.