New Trends in Medical

Surgical Nursing

By
Salwa Hagag Abdelaziz
Lecturer of Medical Surgical Nursing
Cairo University
2018
Outlines:
Selected New Trends in Medical Surgical
Nursing
A. Technological
1. Robots to assist nurses
2. Wireless patients monitoring
B. Diagnostic Modalities
1. Non-invasive Glucose Monitoring
2. Cancer genetics and genomics
C. Nursing Management
1. Nursing precision
2. Ayurvedic practices part of Holistic Care
New Trends:

How to combine , Synthesis , and Move

Towards Accurate Direction

Medical
T o p ic
Surgical
Nursing

SEducation
tud y 1 S Practice
tud y 2 SResearch
tud y 3
 Introduction

In both medical and surgical nursing,

trends are interrelated with emphasis on specific
framework for guiding nursing practice ,education
and research.
Integration of Evidence Based Practice

Medical
T o p ic
Surgical
Nursing

SEducation
tud y 1 S Practice
tud y 2 SResearch
tud y 3
 A Technological
1- Robots to Assist Nurses

What is Robot :

A reprogrammable , multifunctional manipulator

designed to move material ,parts ,tools or specialized
devices through various programmed motions for the
performance of variety of tasks(British Automated and
Robot Association,2017).
Robots to Assist Nurses

In Japan, a robot has been developed as an  

assistant to lift up and move patients from beds to
wheelchairs and reduce debilitating lifting injuries.

In Belgium another robot developed as an automated  

Triage Nurse, capable of taking a patient's vitals, updating
medical records and medical history.

In Duke University ,a robot is designed to take vital signs

for patients with infectious diseases.
A system Framework for Telepresence and Direct Nurse
Robot Interaction (Idir M,2014)
Advantages of Using Robots in Nursing:

-A wheelchair robot help paraplegic patients to

move in and out of bed.
-Monitor patients vital signs.
-Remind the patients to take their pills.
- Remaining healthy muscle tissue for stroke
patients by offering range of motion exercise.
-Offering automated chest compression. (Frennert, S et
al., 2013:Archiblad&Barnard,2018)
Advantages of Using Robots in Nursing:

-Offering brain fitness exercise.

- Offering games, TV, Video, music,Facebook…..to
reduce social isolation.
-Taking blood sample.
-Submit medical data into a centralized medical IT
system.
-Help in toileting with dignity preservation.
-Perform a task without fatigue and with accuracy.
(Kamel et al., 2014)
Examples of Robots In Egypt:

National Cancer Institute in Cairo

(Used in Surgery)
National Heart Institute in Cairo
(Used in Surgery)
 A Technological
2- Wireless Patients Monitoring

Wireless patients monitoring was designed to

facilitate long-term remote monitoring of vital signs and
activity metrics within the hospital environment as well as in
the post discharge period (Martin et al.,2016).

In Egypt study conducted by Abo Zahhad M et

al., (2014) reported that nurses and doctors can monitor
patients vital signs using wireless system for early
treatment during hospitalization.
Schematic representation of eyeglasses biosensor system
which integrate a wireless circuit board
 B Diagnostic Modalities

1- Non-invasive Glucose Monitoring

Glucose monitoring devices represent an exciting

frontier in diabetes research, holding the potential to
improve the lives of over 400 million people worldwide this
number is expected to rise by approximately 55% within the
next 25 years.(International Diabetes Federation ,2015).
 Glucose Sensor integrated in to
Glucotrack Device a wearable wristband

Google and Novartis smart Glucose sensing patch on the forearm

Contact lens
The systems use a glucose sensor. The sensor wirelessly transmits results to
a small recording device (about the size of a cell phone).(David K, 2018)
Advantages of Non-invasive Glucose Monitoring

-It displays blood sugar level every few minutes.

-Can trigger alarm if the blood sugar level is above or below a
normal level.
-Blood glucose results can be download to computer or smart
phone, allowing nurse and patients to see blood sugar trends
over time.
-Reduce the long-term complications.
-Provide long-term valuable and enables immediate feedback
regarding glycemic control that reveals hypo- or hyperglycemia.
New possible horizons is essential for wearable glucose
monitoring sensor applications and perspectives in terms of big data
analytics for personalized and proactive care.
B Diagnostic Modalities

2- Cancer Genetics and Genomics

Cancer genetics and genomics are important

aspects in nursing fields. So nurses should have in-
depth genetic knowledge and skills in oncology
settings(Umberger et al.,2013).

Clinical application of cancer genetics and

genomics requires extensive educational preparation
,working in multidisciplinary team ,identify patient at
risk through assessing family history, facilitating
genetic testing and counseling services.(Boucher,
Habin, and Underhill,2018).
Levels of Oncology Nursing Practice in Genetics and Genomics
ANA,2008
 Competencies of Genetic and Genomic Oncology
Nursing

-Genetic and genomic knowledge.

-Pedigree, family history and comprehensive
physical examination.
-Cancer risk assessment.
-Genetic counseling.
-Genetic testing.
-Targeted therapy. (International Society of Nurses in Genetics,2009)
C

1- Nursing Precision

The precision nursing is nursing care based on

patient needs. So, the nurse researchers should
develop more tools related to health data collection
and improve the ability of data analysis to provide
clinical nurses with a prospective guide.(Chris P, 2016)
 Screening
Patient
and
nursing advocacy
diagnosis

Anticipation
of Patient
treatment Precision support
Nursing

Ongoing
Ethical
chronic
implication
Decision monitoring
making
support

(Chiang L, 2016)
 C
2- Ayurvedic practices part of Holistic Care

Ayurveda is form of alternative medicine  that is the

traditional system of medicine in India and seeks to treat and
integrate body, mind, and spirit using a comprehensive holistic
approach(National Institute of Ayourveda,2016). The National
Institute of Health (2017) analyzed holistic care and found that
nurses who are educated in a traditional approach are not

familiar with the concepts of holistic care.

 Ayurvedic practices:

- Examples of Ayurvedic practices are oil and coffee

enema which produce anti-oxidative effects and
considered a significant part of alternative practices.

-Health problems commonly treated by enema

Constipation, lower backache ,Rheumatoid,
osteoarthritis, headache, liver cancer, edema, loss of
appetite, gout,…….etc. (NCCAM,2012:WHO,2012)
-For healthy person oil enema should be administered twice a year
(Center Disease Control and Prevention,2016).
Global Enema Use by Region (WHO, 2016)
 A study conducted in India by Sarvish &
Kshipra(2015) entitled: Ayurvedic approach in the
management of spinal cord injury: A case study
concluded substantial clinical improvement was reported
after 2 months of the Ayurvedic treatment in existing
neurological deficits and in quality of life.
.
A study carried out in India by Pradeep L et al.,
(2014) entitled: Effect of oil enema on symptoms of
osteoarthritis, concluded that oil enema administration
was significant in reducing the subjective symptoms of
osteoarthritis. 
 References
1. BARA http://www.bara.org.uk/definition-of-robots.html
2. Frennert, S.A.; Forsberg, A.; Östlund, B. 2013.Elderly people’s
perceptions of a telehealthcare system: Relative advantage, compability,
complexity and observability. Journal of Technology Hummanity Services
(31) 218–237.
3. Kamel Boulos, M.,Castellot Lou, R., Anastasiou, A., Nugent, C.,
Alexandersson, J., Zimmermann, G., Cortes, U., Casas, R. 2014
Connectivity for healthcare and well-being management: Examples from
six European projects. International Journal of Environmental Research.
Robotics
4. Archibald M and Brnard A .2018.Futurism in nursing: Technology, robotics
and the fundamentals of care.Journal of Clinical Nursing.27(11-12),2473-
2480. doi: 10.1111/jocn.14081
5. International Diabetes Federation (IDF) diabetes atlas.2015. Brussels,
Belgium: International Diabetes Federation.Ding M et al.,2012.Comfort
Estimation during Lift-up Using Nurisng Care Robot.First International
Conference on InnovationEngineering Systems,7-9
December ,Alexandreia, Egypt.
6. Horman K, Y Mayzel, A Gal, K Bahartan, A Drexler and T
Lin.2016.Performance and User Experience Evaluation of a Non-Invasive
Glucose Monitoring Device. International Diabetes Metabolic Disordered
1(2), 1-7.
 References
7- Tamar L .,Avner G., Yulia M., Keren H. and Karnit B.2017.Non-Invasive
Glucose Monitoring: A Review of Challenges and Recent Advances. Integrity
Applications Ltd., Ashdod, Israel.
8- Abdel Alim, M. and El-Sayed R. 2017.Organizational Attributes and its
Relation to Organizational Citizenship Behavior among Academic Nursing
Staff, Egyptian Nursing Journal,  Vol. 14, Issue: 1
9- Haviland N., Walsh, J., Roberts R., and Bailey T. 2016.Update on Clinical
Utility of Continuous Glucose Monitoring in Type 1 Diabetes. Current
Diabetes.(16) ,115.
10- Price, S. and Reicher, C. 2017 .The Importance of Continuing Professional
Development to Career Satisfaction and Patient Care. Administrative Sciences
(ISSN 2076-3387) Pub. 1
11- Afaq, A. (2013): Capacity Development and Leadership Challenges in the
NGO Sector of Pakistan, Florida State University Libraries.
12- Mendes I. and Ventura C.2017. Nursing Protagonism in the UN Goals for the
people’s health, Rev. Latino-Am. Enfermagem;25:e2864.
 References
13. Boucher, Habin, & Underhill .2018 . Cancer Genetics and Genomics:
Essentials for Oncology Nurses. Clinical Journal of Oncology
Nursing .18(3).
14. Zaro L .2016. Breast Cancer Risk Assessment: Evaluation of
Screening Tools for Genetics Referral. Master Thesis.
15. Chiang L.,Yeh and M.,Su S.2016. Precision Nursing: Individual-Based
Knowledge.
16. David K., David M., and Jean E.2018.Patients Self Monitoring of
Blood Glucose in Diabetes Mellitus (Beyond the Basics).
17. Pradeep L. and Shivakumar S.2014. Effect of Oil Enema on symptoms
of Osteoarthritis.An International Quartely Journal of Research in
Ayurveda ,35(2),148–151.
‫شكرا‬
‫شكرا‬