Glimpse of contemporary nursing

Glimpse of Contemporary Nursing,[object Object],Prepared by:-Mr.Kim Monteiro RN.BScN.PGDPC,[object Object],Clinical Nurse Educator, Faculty of Nursing,[object Object],Datta Meghe Institute of Medical Sciences ,India,[object Object]

Introduction ,[object Object],Diogenes one of the great philosophers , once he has seen the pathetic situation of the people in Athens. He thought how pathetic the situation where there is no knowledge. So He put up a tent at a busy junction at Athens with this inscription On the door, “WISDOM SOLD HERE” .After some time a passer –by read the inscription .He roared with laughter .Calling one of his servants he gave 3 coins and said , “Ask that bragger ,how much wisdom he dispenses for 3 coins”,[object Object]

Contd :-,[object Object],Diogenes pocketed the money and said to the servant give this maxim to your master “IN ALL YOUR WORKS FIX YOUR EYES ON FINAL END” .,[object Object],My dear Friends during this journey of study I want to say the same .,[object Object],“SET YOUR GOALS AND AIMS TO BECOME A BETTER PERSON AND A BEST PROFESSIONALIST”,[object Object]

As we talk on Modern Nursing ,We the nurses have misunderstood the scope of our profession .,[object Object],As in other professions ,,[object Object], Nursing’s Scope –SKY IS THE LIMIT ,[object Object]

Pioneer of Modern Nursing-Florence Nightingale ,[object Object]

Definition of Nursing :-,[object Object],Florence Nightingale:-Florence Nightingale defined nursing over 100 years ago as "the act of utilizing the environment of the patient to assist him in his recovery( Nightingale,1860). ,[object Object],The American Nurses Association (ANA) uses this definition of nursing. -"Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations." ,[object Object]

NURSES –TO THE RESCUE,[object Object],Nurses have always been an integral part in dispensing of Primary Health Care.,[object Object],All over the world there is an acute deficiency of Primary care Physicians leading to inequitable distribution of Health care which is a matter of Social Injustice.,[object Object],Nurses have formally stepped in to fill this gap all over the world, thus Advancing nursing practice and providing efficient independent and collaborative services .,[object Object]

So m e Advanced Nursing Roles ,[object Object],Nurse Practitioner ,[object Object],Clinical Nurse Specialist,[object Object], Nurse Midwifery Practitioner,[object Object],Certified Registered Nurse Anesthetist,[object Object],RN-First Assistant,[object Object],Nurse Case Managers ,[object Object],Nurse Entrepreneurs –Nurse Led Clinics,[object Object],Forensic Nurse,[object Object],Nurse Legal Consultant,[object Object],Nurse Educator ,[object Object],Nurse Scientist,[object Object],Nurse Administrator ,[object Object]

Nurse Practitioner,[object Object],"A Nurse Practitioner/Advanced Practice Nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice. A Masters degree is recommended for entry level.” (ICN),[object Object]

NATURE OF PRACTICE OF A NURSE PRACTITIONER (I.C.N.),[object Object],1.Integrated research, education, practice and management.,[object Object],2.High degree of professional autonomy and practice ,[object Object],3.Case Management and independent case load.,[object Object],4.Advanced health assessment skills ,decision making skills and diagnostic reasoning skills .,[object Object],5.Recognised advanced clinical competencies .,[object Object], 6.Provision of consultant services to the health providers .7.Plans ,implements and evaluates programmes .,[object Object],8.Recognised first point contact for clients.,[object Object]

REGULATORY MEC H ANISMS–Country specific regulations which underpin N.P. practice.,[object Object],1.Right to diagnose.,[object Object],2.Authority to prescribe medication.,[object Object],3.Authority to prescribe treatment.,[object Object],4.Authorrity to refer clients to other professionals .,[object Object],5.Authority to admit the patients to hospitals .,[object Object],6.Legislation to confer and protect the “Nurse Practitioner/Advance Practice Nurse”.,[object Object],7. Legislation or some form of regulatory mechanism specific to advance practice nurses.,[object Object],8.Official titles for nurses working in advance practice roles,[object Object]

Clinical Nurse Specialist,[object Object],Clinical nurse specialists, who provide care in a range of specialty areas, such as cardiac, oncology, neonatal, pediatric, and obstetric/gynecological nursing,[object Object]

Nurse Midwifery Practitioner ,[object Object],Independent management of Normal Vaginal deliveries and antenatal and post natal health management and may provide referral services if handling the case needs more medical specialist expertise .,[object Object],It is the first Nurse Practitioner programme to be approved by the Indian Nursing Council, Delhi.,[object Object]

Certified Registered Nurse Anesthetist,[object Object],CRNAs take their patients through the entire operative process - inducing sleep, monitoring vital signs, adjusting anesthesia levels, and waking the patient after surgery.,[object Object],Nurse anesthetists were the first anesthesia providers and CRNAs practice in every part of the country, deliver every type of anesthetic, and work in every setting in which anesthesia care is delivered.,[object Object]

Nurse Case Managers ,[object Object],Nurses in this field coordinate care for patients receiving long-term therapy, providing for optimal timing in all aspects of treatment. For cancer patients, for example, they coordinate primary care visits, surgery, radiation, and chemotherapy. A Nurse Case Manager usually specializes in one specific area such as AIDS, geriatrics, or children.,[object Object]

Nurse Entrepreneurs –Nurse Led Clinics,[object Object],A broad definition of a nurse-led clinic defines these clinics based on what nursing activities are performed at the site. Nurses within a nurse-led clinic assume their own patient case-loads, provide an educative role to patients to promote health, provide psychological support, monitor the patient's condition and perform nursing interventions.,[object Object],Nurse-led clinics typically focus on chronic disease management: conditions where regular follow-up and expertise is required, but also where a patient may not necessarily need to see a physician at every visit. Most nurse-led clinics use nursing theory and knowledge to educate patients and form care plans to manage their conditions.,[object Object]

Forensic Nurse,[object Object],A forensic nurse is first a trained nurse, with typically an R.N. degree, who has chosen to take additional training either post graduate certificate, or masters or doctorate level work in forensics. These extra studies train the nurse to not only deliver healthcare, but also to investigate the potential of someone having been injured through criminal behavior or by lack of appropriate care that could constitute hazardous circumstances or criminal negligence.,[object Object],There are a number of fields in which the forensic nurse may work and many areas in which these specialists find employment.( Sexual assault nurse examiners , examine the dead, as employees in coroner’s offices, treat include gun shot victims, those suspected of having been abused, victims of rape, and others),[object Object]

Legal nurse consultant (LNC),[object Object],A legal nurse consultant (LNC) is a registered nurse who uses expertise as a health care provider and specialized training to consult on medical-related legal cases. LNCs assist attorneys in reading medical records and understanding medical terminology and healthcare issues to achieve the best results for their clients.,[object Object],Legal nurse consulting is defined as a specialty practice of nursing noting that the professional foundation is first and foremost, nursing.,[object Object]

Registered Nurse First Assistant ,[object Object],"The RN First Assistant at surgery collaborates with the surgeon and the health care team in performing a safe operation with optimal outcomes for the patient. The RN First Assistant practices perioperative nursing and must have acquired the necessary knowledge, skills and judgement specific to clinical practice. The RN First Assistant practices in collaboration with and at the direction of the surgeon during the intraoperative phase of the perioperative experience. The RN First Assistant does not concurrently function as a scrub nurse”,[object Object]

Nurse Educator ,[object Object], A nurse educator is a nurse who teaches and prepares licensed practical nurses (LPN) and registered nurses (RN) for entry into practice positions. They can also teach in various patient care settings to provide continuing education to licensed nursing staff. Nurse Educators teach in graduate programs at Master’s and doctoral level which prepare advanced practice nurses, nurse educators, nurse administrators, nurse researchers, and leaders in complex healthcare and educational organizations.,[object Object]

Nurse Scientist/Researcher ,[object Object],Development of body of nursing knowledge through leadership and collaborative research roles with nurses , other Health care professionals and members of the community.,[object Object],Development of Nursing models and theories .,[object Object]

Nurse Administrators ,[object Object],President ,Indian Nursing Council/State Council.,[object Object],President ,Voluntary Nursing Associations,[object Object],Director of Health Services (Nursing),[object Object],Deputy Director Health Services (Nursing ),[object Object],Addl. D.D.H.S (Nursing),[object Object],State Nursing Superintendent ,[object Object], Hospital Nursing Director/Modern Matron,[object Object],Dean /Principal ,[object Object],Nurse Managers ,[object Object],Head Nurses,[object Object],Incharge Nurses,[object Object]

Then where is the PROBLEM ,[object Object],The problem comes from within us .We all have the thought of little imagination and little outcome .,[object Object],Let us also think as our Former President A.P.J.Abdul Kalam said ,[object Object],“PROBLEM SHOULD NOT BECOME YOUR CAPTAIN ,YOU BECOME THE CAPTAIN OF THE PROBLEM”.,[object Object],YES- THEN THE ULTIMATUM WILL BE REACHING THE GOAL.,[object Object]

Glimpse of contemporary nursing

Glimpse of contemporary nursing

Glimpse of contemporary nursing

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