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NURS 3001 Week 5 Discussion Essay (Walden)
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Week 6 Discussion 2
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In any healthcare profession, advances in technology, changes in patient population, and current events can have an impact on the job and on patient outcomes. Nurses are often on the front lines of these types of shifts, so it is always worth considering the pervasive healthcare trends that are both internal and external to patients and service providers. Take a look at these ten nursing trends to get a clear picture of where nursing is headed in 2015.
The Latest Trends and Technology in Nursing 2018
Patient Engagement. As with most industry trends, nurses are on the front lines of patient engagement efforts. If you haven’t already been exposed to the concept, patient engagement is the practice of a patient taking more responsibility for their own health and well-being. When providers and patients work together, health outcomes are improved. New technologies are being developed to support patient engagement, and nurses are finding themselves more involved in helping evolve engagement efforts for their patients.
Precision Medicine. Another newer concept that will ultimately involve nurses providing direct care to patients, Precision Medicine, refers to the advancement of medical research that targets how certain diseases impact people differently based on their genetic makeup. It may include different treatments for certain types of cancers based on the genetics of the tumor. Precision medicine is an acknowledgment that healthcare is never one-size-fits-all and treatments are being adapted to the individual rather than the disease.
Centralized Command Centers. Inspired by NASA, many hospitals are implementing command centers that serve as a “mission control” for all of the services and functions related to patient care. Today’s nurses are finding themselves able to interact with a second set of eyes and also have help in managing daily bottlenecks. These command centers are also being utilized for central monitoring of patients to overcome alarm fatigue from the 90% of hospital alarms that aren’t actionable. The centers utilize complex algorithms and analytics to assist nurses in making real-time decisions to improve quality of care and reduce costs.
Smarter Smartphones? All of us are already using our smartphones for just about everything we track, post, and read lately, so nurses using them for their work is not surprising. One example of ways that nurses are able to use their smartphone is called Steth IO, which turns your phone into a modernized stethoscope. A special case is attached to your iPhone (not yet available for Android) and channels the sounds of a patient’s heart and breathing into the microphone. The Steth IO app then digitizes the heartbeat into a graph on the phone screen to record and enable easier detection of abnormal heart sounds.
Overcoming Language Barriers. As our nation’s population becomes more diverse, nurses are finding themselves in more frequent situations where patients speak a language other than English. This often leads to another nurse who speaks the language being brought in to translate. By September of this year, a hand-held, two-way voice translator, The Pocket, will be available to translate up to 63 languages in real time. Working via Wi-Fi, mobile data, or a personal hotpot, the translator transfers speech to text on the screen and relays responses verbally. Nurses will also be able to save up to 20 exchanges to assist with post-visit notes and charting.
Nursing Trends to Watch
Nursing is always changing—sometimes quickly, sometimes slowly. It’s helpful to step back once in a while and look at of some of the biggest developments in the field to know what’s ahead so you can be prepared to face new challenges and continue to thrive in your nursing career.
More Outpatient Care
Outpatient care is in demand due to a number of factors, including pressure to keep down costs and more effective technologies and treatments that have eliminated the need for overnight hospital stays. Financial constraints, such as high insurance deductibles, have also caused many patients to put off elective procedures. However, these patients often still require extensive medical attention, hence the need for more outpatient facilities and care. Nurses will also find opportunities in outpatient settings such as ambulatory care clinics, rehabilitation centers, and clinics attached to assisted-living facilities, and even health providers.
The Importance of Cultural Competency
At its core, health care is about people, and different people have different needs. That has never been more true in the U.S. health care system than today, when nurses are helping individuals, families, and groups from ever more diverse backgrounds. Nurses who are who are sensitive to the cultural habits, traditions, and beliefs of their patients will be able to provide care that takes these into account. For example, some patients may speak English as a second language, affecting their understanding of directions or medical terminology; patients from certain religions may have dietary restrictions; and some individuals come from cultures where they fare best when they are surrounded by family rather than isolated in a hospital room.
Preventive Health
Wellness continues to be a growing issue in health care, especially as organizations move to keep costs down as they improve outcomes. Patients are becoming savvier about maintaining their own wellness, from modifying their diets to wearing trackers that measure their activity levels. Nurses can help by focusing on measures to prevent chronic illnesses such as diabetes, slow down or mitigate the effects of aging on the body via exercise, and improve overall wellness—as well as by educating patients about what further steps they can take on their own to improve their health.
Increasing Consumer Sophistication
Patients are also extremely knowledgeable about where to turn for health information, often doing their own research on the Internet. Consequently, patients may come to appointments with their own possible diagnoses and suggested treatments and medications. Such awareness can be as potentially harmful as it is helpful, forcing nurses to sort through possibly flawed information and incorrect assumptions as they perform health assessments.
The Rise of Nurse Informatics
As technology produces more data, supports better record keeping, and allows for detailed analysis, health informatics has become increasingly important in health care. Similarly, nurse informatics can support evidence-based nursing practice and improved patient care through better data collection, information analysis, easier and faster collaboration between health care professionals, and identification of both large- and small-scale health and patient trends. As they are situated on the front lines of patient care, nurse informatics are especially suited for playing a greater role in health care planning and decision-making.
With already a month of 2017 behind us, it is clear that this year is going to be full of monumental changes in every American business sector. Healthcare is no exception, and between a new policy landscape and further technological innovations, there is much uncertainty as well as the promise of new opportunities. In December, the consulting firm PwC outlined its predictions for the top health industry issues of 2017, and through adaption, innovation, and building new programs, health organizations will have to learn how to address the shifts that are coming.[1] The following summarizes the top ten changes predicted by PwC predicts and reviewed by Healthcare IT News in an article linked to in the citations of this post:[2]
Nursing professionals across the nation have experienced a bevy of changes in the healthcare industry and have equipped themselves with the latest technology and medical trends as they navigate through the front lines of patient care.
On the account of International Nurses Day, let’s talk about the emerging trends in nursing that are revolutionizing the health care industry:
Latest nursing specialties to foray into
Nurses are versatile, it’s one of their many qualities that they possesses that help them jump start their career. However, there are two specialties that are leading the future of nursing globally:
Genetics Nurse – Due to continuing advancements in the study of genetics, nurses with specialized training in genetics will be in great demand as sequencing technology becomes more prevalent. We are learning more about rare diseases and debilitating conditions through genome sequencing than any other current area of research. This transformational research will need support from a growing number of clinicians with a specialty in genetics.
Stem Cell Technology Nurse – An increasing amount of research is being conducted into the beneficial aspects of stem cell technology in the treatment of multiple diseases, including many cancers. Soon, nurses with specialized training in stem cell technology will be in great demand in care facilities as opposed to their current limitation to research facilities.
Holistic Nursing – In January 2017, The National Institute of Health (New York) published a study on holistic care, which primarily spoke about nurses educated in traditional allopathic approach being unfamiliar with the concepts of holistic care. Holistic nursing embraces the total mind, body and spirit approach to patient care and is one of the main drivers of alternative care revolution. There is a growing focus on mental wellness activities apart from mere physical care. Today, holistic nurses are integrating their approach with modern methodologies to enhance their overall level of patient care. They are also specializing in offbeat approaches such as the use of natural products (Herbs, vitamins, minerals, and probiotics) and mind/body practices including Yoga to combat stress, Core Strengthening Tai Chi, Osteopathic Manipulation, Meditation and Deep Breathing to ensure all facets of their patients’ wellness are taken care of.
Technology is changing the way nursing operates
There have been several talks on how Artificial Intelligence is going to make us redundant and advances in technology are going to replace human interaction, however, in the near term they will be used to supplement the nursing workforce, not replace them. Research projects globally are integrating an array of applications with robotic interfaces into the healthcare setting. Japan, Belgium and Singapore are some of the countries that have hopped onto the robotic automation bandwagon.
GPS Tracking in elderly care situations, Wireless Patient Monitoring in retrieval of necessary data and Intelligent Alarms ability to discern which patients need immediate intervention are now an imperative part of the day-to-day functionality in patient care. Today’s nursing professionals are enhancing their skill set by evolving technologically every year.
Home Healthcare – Healthcare at your doorstep
Several Indian nurses are expected to join forces with home healthcare services providers due to the flexibility and comfort offered to them on the job over global hospital conglomerates. This trend will see the rise of home healthcare nursing in the future as fast paced lifestyles leave little or no room for regular hospital visits. Nurses are predicted to shift away from institutional care to home healthcare as better salaries, positions and roles await them.
The shift from hospital-based to home healthcare demands will have a major impact in the future of nursing. Majority of nurses are used to hospital-based practice, shifting to home-based nursing practice will need adjustments in enhancing skills on independent nursing actions, decision-making and in-depth head-to-toe assessment.
trends and issues in nursing
Current Trends in Nursing
The field of nursing is rarely static. Being aware of the driving forces in any field helps individuals find a competitive edge in research, academics and their careers. Three current trends in nursing relate to technology, preventive care, and nursing education, all of which are interconnected and interdependent.
To improve patient outcomes, many hospitals have launched their own clinical decision support systems (CDSS) to provide appropriate, relevant, person-specific data. The CDSS is a tracker that improves the administration of pharmaceuticals, allows faster reactions time to adverse effects, and keeps better track of outcomes to inform future decisions. Such gains in technology affect many aspects of nursing, including the methods healthcare professionals use to prevent the spread of disease, keep data secure and protect patient privacy.
Prevention has been especially popular for U.S. policymakers for its ability to cut costs. With a relatively low upfront cost and a long-term ability to reduce chronic illness, preventive healthcare is one of the biggest trends in nursing. Today, technology has become one of the leading factors for disease prevention. Wearable technology and CDSS come together to give healthcare professionals the information they need to prevent an acute problem from becoming chronic. Nurses will need to understand the value of this technology, how to use it, and how to protect patient privacy.
The introduction of the Affordable Care Act brought additional patients into the healthcare system; patients who may have once relied on the emergency room for help can now schedule regular visits with a primary care provider. These changes are placing greater demands on the healthcare system, which will therefore require a larger labor force, making nursing education more important than ever.
The current trends in nursing are interconnected; to be a truly successful nurse, one must understand each trend and the underlying dynamics. The changing demographics of the patient population have put a strain on the healthcare system, increasing the demand for solutions. Improved nursing education teaches nurses how to use new technology and protect patient privacy. Ultimately, the use of technology to improve patient outcomes along with preventive healthcare measures are some of the best vehicles for reducing healthcare costs.
Nursing leadership: influencing and shaping health policy and nursing practice¶ The leadership discourse in the United Kingdom has to date been concerned with professional issues and as a result has focused upon developing nurses and nursing. This paper reports on the findings of a research study which examined the broader sociology-political factors impacting upon nursing leadership. The study forms an integral part of the Royal College of Nursing’s leadership program-me. The principal aim of the research was to examine critically contemporary nursing leadership within the context of health policy. An ethnographic approach was used. Informal semi-structured interviews were undertaken with a purpose sample of 24 leaders who were recognized for their effectiveness in leading nursing. Data were analyzed for themes. The main themes are presented and discussed here. The findings of the study question the political success which the internally focused nature of leadership has had for the profession. Nursing and therefore nursing leadership is shaped dramatically by the impact of politics and policy. The research discovered that in recognition of this, contemporary nursing leadership has both an internal and an external focus. That is, effective nursing leadership currently is a vehicle through which both nursing practice and health policy can be influenced and shaped. The research also identified the profile of the effective nurse leader, together with the processes through which leaders interpret and translate between the macro issues of policy and the micro issues of practice. In addition, an understanding of what nursing leadership is, has been proposed. Appropriate recommendations for the future of nursing and nursing leadership are outlined.
There is no question that in 2012 we are witnessing an evolving nursing profession. Today’s nurse is not the same one who donned uniform and cap just 50 years ago. Today’s nurse isn’t the same as the one from a mere decade ago. So, it makes sense that as the profession develops there are a number of emerging trends and challenges that must be addressed.
The Institute of Medicine recently released its report on the future of nursing, and the challenges they outlined reflect issues being faced by leadership across the country.
First, our profession is struggling to identify an educational requirement for entry to practice. As more health professionals continue to educate themselves through masters, doctorates and fellowships, many nurses do not enter the work force with a bachelor’s degree. Existing nurses need to complete their undergraduate degree, while future nurses need advanced education that can be put into practice to improve patient outcomes and the population’s health.
Second, health care is challenged with how to keep up with ever-changing technology. Let’s face it, technology has gone Star Trek. Whether the Electronic Record or the operating room, technology is an integral part of patient care and the practice. Leaders must recognize that education is necessary to make technology user-friendly for all nurses. Technology ultimately improves work flow, but first nurses must be engaged during planning, implementation and optimization of systems.
Third, as the world continues to diversify, the nursing profession also must become more diverse. Nurses need to be educated in cultural differences and have access to resources that make care for patients of all cultures routine.
Finally, the nursing average age continues to increase. A large percentage of nurses are baby boomers who are approaching retirement. Managers need to leverage their contributions and keep them in the workplace. At the same time, a potential shortage of nursing staff—particularly highly qualified nurses—needs to be addressed to prevent compromising patient care.
While each of these trends and challenges can seem daunting, there has never been a more exciting time to enter nursing. Just think of everything that nurses of the future will learn and accomplish.
As a nurse in 2012 and beyond, a person has the opportunity to not only be educated in a chosen field, but also constantly learn as he or she interacts with other disciplines throughout the health care system.
There are no limits to where a career in nursing can take someone. A nurse need only choose the career track he or she would like to follow, and with the right attitude and knowledge, the opportunities are limitless. Whether it is continuing as a clinician or a transition into systems leadership, with the proper education and real-world experience, nurses are positioned to be the leaders as health care transforms.
A successful career in nursing also brings rewards such as being a member one of America’s most respected professions. And, in addition to educating patients, preventing complications and being the front line of accountability for cost mitigation, today’s nurse will witness the continued evolution of a great field. Yes, it’s a great time to be a nurse…and it will be even greater and more respected in the future.
Nurses play an integral role in the healthcare industry, providing care to patients and filling leadership roles at hospitals, health systems and other organizations.
But being a nurse is not without its challenges. It’s a demanding profession that requires a lot of dedication and commitment.
Here are five big issues facing nurses today.
1. Compensation. When it comes to nurse compensation, regional differences are to be expected based on cost of living.
Nurses living in certain regions of the U.S. make much more than nurses in other regions, according to the Association of preoperative Registered Nurses organization.
Nurses in the Pacific region make about $18,000 more than the average staff nurse, for instance. Next is the Mid-Atlantic region, where nurses make $14,800 more than average. Nurses in the East South Central region, however, make $4,300 less than average.
Beyond regional differences in pay, nurse pay gaps also persist between genders.
Male registered nurses earn, on average, upwards of $5,000 more than their female counterparts. The gender pay gap is present in all specialties except orthopedics, according to a study published in JAMA. Among nurse specialties, chronic care had the smallest gender pay gap, at $3,792, and cardiology had the highest gap, at $6,034.
2. Workplace violence. Another major challenge nurses face is violent behavior while on the job, be it from patients or coworkers.
Between 2012 and 2014, workplace violence injury rates increased for all healthcare job classifications and nearly doubled for nurse assistants and nurses, according to data from the Occupational Health Safety Network. A total of 112 U.S. facilities in 19 states reported 10,680 Occupational Safety and Health Administration-record able injuries occurring from January 1, 2012, to September 30, 2014. There were 4,674 patient handling and movement injuries; 3,972 slips, trips and falls; and 2,034 workplace violence injuries.
This year, North Carolina took a stance against workplace violence. Starting Dec. 1, people who attack hospital workers in North Carolina could be charged with a felony, thanks to a new state law. The News & Observer reported that the new law passed by “large margins” and was signed into law last month.
Other states are also cracking down on workplace violence: In Massachusetts, the Massachusetts Nurses Association union is pushing a workplace violence bill that would add enhanced plans around workplace safety.
3. Short staffing. Staffing is an issue of both professional and personal concern for nurses today. In fact, issues related to staffing levels, unit organization or inequitable assignments are one of the top reasons nurses leave a hospital job, according to Karlene Kerfoot, PhD, RN, vice president of nursing for API Healthcare.
Back in June, the Health Policy Commission unanimously approved a mandate on nurse staffing in intensive care units throughout Massachusetts. The regulations require that nurses in intensive care units in hospitals, including hospitals operated by the Massachusetts Department of Public Health, be assigned only up to two patients at a given time. The regulations apply to all ICUs, including special units for burn patients, children and premature babies.
If staffing is inadequate, nurses contend it threatens patient health and safety, results in greater complexity of care, and impacts their health and safety by increasing fatigue and rate of injury. NURS 3001 Week 5 Discussion Essay