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FUTURISTIC NURSING

By:

Sathish RAJAMANI M. Sc (N), Lecturer, BKIN, Daudhar

INTRODUCTION
It is the Time of Chaos for Health Care Services all over the world. Economic Downturn in global society have its impact on Health Care Industry too. Access to health care had been reduced and in many places services had been cut down. Threats to new diseases and Bioterrorism is a new challenge to health care industry.

Development in technologies occurs rapidly. Financing to health care became more expansive. Patients seeking medical aid in hospital is reducing every day. Shortage of nurses is a big challenge. Nursing personals must gain awareness of these issues and must plan for the future demands.

RAPID CHANGES IN HEALTH CARE TECHNOLOGIES AND THERAPY


New therapies may reduce sick time. These technologies have prolonged the lifespan, reduced mortality has changed fatal illness into more chronic illness. The growth of telemedicine, tele-nursing, and tele-health will also change the way we function. With lowered acute care stays, many more people will require care in their own communities.

RAPID CHANGES IN HEALTH CARE TECHNOLOGIES AND THERAPY


Nurses need to be better prepared to work within this area; financial issues of care provision need to be addressed and nurses need to be better prepared to work with chronic care needs.

DEMOGRAPHIC TRENDS, EPIDEMIOLOGICAL TRENDS, AND HEALTH CARE STATISTICS


These help us recognize health care needs for society and give information for future planning of cost effective services. Increasing lifespan is a driving force for the development of improved services for the elderly. End of life care has received more attention over the last few years, but nursing research into this area needs to be further developed and findings disseminated

FLOW OF RESOURCES
Where is the money going and where is it likely to go? Money flowing into health care in the community will be a driving force for changes in that area, but a blocked flow will be are straining force to preventive health care services. Nursing input and political power can impact that flow to provide effective health care program and services.

SUPPLY OF MAN POWER AND COMPETITION


Manpower shortages or surpluses in health care professions impact the utilization of nurses and advanced practice nurses. At the same time we need to explore whether more collaborative programs of care can be developed effectively. So that we are not holding on to outmoded ideas of the profession but can develop newer modes, such as advanced practice nursing, to work in interdisciplinary collaboration.

SUPPLY OF MAN POWER AND COMPETITION


Collaborative rather than competitive strategies can strengthen quality of care by better utilizing the expertise of each participant.

ROLE DELINEATION, ROLE CONFUSION


Are the jobs keeping up with the expectations of nurses and with advanced practice nursing? How are supports worker jobs defined? How do professional standards interact with reality? How many people are required to do the job? Can one person realistically do the job? How can job satisfaction be increased in this era of high stress in the workplace?

PUBLIC OPINION
Nurses need to be aware of the public perception of their role. Development of coalitions and supporters within communities and media can be a driving force for advanced nursing practice.

GLOBAL TRENDS
We are a global economy and health care services face similar problems internationally. We can learn and benefit from contacts in other countries. Global terrorism needs to be addressed, and nurses need to be well prepared to deal with the aftermath and to document its effects on those we care for.

NURSING PRACTICE AND THEORY


Nursing research and theory development need to be supported and findings disseminated to continue to build our nursing science and incorporate the results into practice. These nurses are now able to provide medical expertise in diagnosing and treating specific conditions, but are not minidoctors.

LEADERSHIP WITHIN THE PROFESSION


Nursing is moving towards professionalism due to the untiring efforts of nurses who have been dedicated to achieve the aim. Leadership within the profession also influences the trends in nursing.

WORKING CONDITIONS
There is a gradual change towards shorter and more convenient hours of duty, better accommodations and higher salaries

PATIENTS BILL OF RIGHTS


After the development of the Patients Bill of Rights, the nurses are also accountable for patients care and have legal responsibilities for the patient.

NURSES FUTURE CHALLENGE

The change in health care delivery systems has also afforded nurses a wider range of functionality. . Trends towards downsizing and the current nursing shortage have increased the use of non-licensed personnel in many healthcare arenas. This will continue to force the nursing profession to identify, clarify, and communicate its scope of practice.

Advances in Technology
Growth of technology Advancements in telemedicine Tele Nursing Changes the way the nurses function. Electronic medical records X-ray images will be transmitted by computers and saved on floppy disc. Increased demand for alternative and complementary health care choices.

The promotion of advanced directives, organ donation, and comfort measures for the terminally ill will lead to elevation in hospice care providers. Nursing research will greatly contribute in developing and implementing these therapy options.

Work Environments
Dissatisfaction with the workplace environment. This dissatisfaction was multifaceted, Workplace violence, Inability to attend continuing education programs due to heavy workloads, Exhaustion, and inability to provide safe patient care. Mee and Robinson (2003) state that "nurses need work environments with strong professional practice models that value their work and recognize their impact on patient outcomes.

Nursing Shortage
To overcome nurses shortage we need to implement some changes like, Greater access to federal loans and grants. New educational methods including shortening the time required to become a. registered nurse

Globalization
Factors contributing to globalization include Advances in information technology and communications, International travel and commerce, The growth of multinational corporations. Future nurses will face the challenge of maintaining a holistic approach to client care in an environment of growing specialization.

CONCLUSION
Nursing as it exists today has come a long way, withstanding the ups and downs that social, political, economic religious, cultural, technological changes have put forward. These factors such as religion, economy & culture have a major impact on the entrant. The only thing that is constant is change Futuristic nursing can be classified in terms of nursing education, nursing Practice, nursing Research, nursing administration and an amalgamation of all the four components which might occur in years to come

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