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INDEX
S.n o Topics P.no. 1. 2. 3. 4. 5. 6. 7. 8. 9. 1 0. Vision for the future of nurs
ing
Future of Nursing careers
Nursingâ s future challenges
Nursing and higher education
Changing role and functions of nurse Nursing in the 21st century Future directio
ns for nursing research Continuing Education for 21st century â ¢Methods of obtaining
nursing Continuing Education â ¢ Journal reference Bibliography 1-3
03
3-4
05
06
06
07
08
09 10
VISION FOR THE FUTURE OF NURSING In many ways this is a time of chaos within hea
lth care systems around the world. The economic downturn in the global society h
as impacted on health care. In many places services have been cut and access to
services reduced. In addition, new diseases Such as AIDS, SARS and the threat of
bio-terrorism have entered our lives. New technologies and treatments occur rap
idly, but are often expensive, and financing these advances can be difficult. Pa
tients are moved out of hospital rapidly, and those that remain are more acutely
ill than they have been in the past. Those discharged patients often need more a
ssistance at home and in the community than in previous years, and those service
s can also be expensive. Nurses are a vital part of the health care scene, but n
ursing shortages have appeared in many areas, The nursing profession needs to be
gin to recognize new trends and patterns that are emerging in health care 1. Rap
id changes in health care technology and therapies likely mean continued lowered
acute care stays. Driving forces include increasingly sophisticated surgical te
chnologies that are less invasive and promote quicker healing. New therapies may
reduce sick time, hopefully even in areas such as cancer, HIV/AIDS and genetic
disorders. However, as those technologies have prolonged the life span, reduced
mortality has changed fatal illness into more chronic illness, which may still r
equire care and control. The growth of telemedicine, telenursing, and telehealth
will also change the way we function, and have great potential and challenges f
or the development of new nursing roles. With lowered acute care stays, many mor
e people will require care in their own communities. Nurses need to be better pr
epared to work within this area; financial issues of care provision need to be a
ddressed and nurses need to be better prepared to work with chronic care needs.
2. 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 life span is a driving force for
the development of improved services for the elderly. End of life care has rece
ived more attention over the last few years, but nursing research into this area
 needs to be further developed and findings disseminated. In many societies immi
grant issues have created the need for better cultural understanding of health c
are needs and require resources for care. 3. Flow of resources. Where is the mon
ey going and where is it likely to go? Money flowing into health care in the com
munity will be a driving force for changes in that area, but a blocked flow will
be a restraining force to preventive health care services. Nursing input and po
litical power can impact that flow to provide effective health care programs and
services. 4. Supply of manpower and competition.
Manpower shortages or surpluses in health care professions impact the utilizatio
n of nurses and advanced practice nurses. Who are our competitors for delivery o
f services and resources? This is a particularly important area in times of nurs
ing shortage to be sure that less qualified health care workers are not used to
substitute for the sake of expedience and reduced costs. How can we develop comp
etitive and marketing strategies? How can we form coalitions to reduce competiti
on? At the same time we need to explore whether more collaborative programs of c
are can be developed effectively, so that we are not holding on to outmoded idea
s of the profession but can develop newer modes, such as advanced practice nursi
ng, to work in interdisciplinary collaboration. Collaborative rather than compet
itive strategies can strengthen quality of care by better utilizing the expertis
e of each participant. 5. 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 realit
y? How many people are required to do the job? Can one person realistically do t
he job? How can job satisfaction be increased in this era of high stress in the
workplace? 6. Public opinion. Nurses need to be aware of the public perception o
f their role. Development of coalitions and supporters within communities and me
dia can be a driving force for advanced nursing practice. Consumer or profession
al opposition can provide barriers to practice, and be a restraining force. 7. G
lobal trends. We are a global economy and health care services face similar prob
lems Internationally. We can learn and benefit from contacts in other countries,
and we can offer our services when appropriate to improve overall healthcare in
both developing and industrial countries. Global terrorism needs to be addresse
d, and nurses need to be well prepared to deal with the aftermath and to documen
t its effects on those we care for. Nurse educators need to incorporate disaster
training and stress counseling into the curriculum and to provide workshops in
this area for nurses already in practice. It is essential that nurses participat
e in the political process to reduce this threat. 8. Nursing practice and theory
. Nursing research and theory development need to be Supported and findings diss
eminated to continue to build our nursing science and incorporate the results in
to practice. We need to increase our core of nurses who have met high academic s
tandards for carrying out research and provide resources for their activities. N
ursing
research and theory also have the potential to contribute to the body of knowled
ge of other disciplines in the same way that we have borrowed from other theoris
ts to use in our practice. The role of advanced practice nursing has been growin
g and has demonstrated effectiveness in the health care system. These nurses are
now able to provide medical expertise in diagnosing and treating specific condi
tions, but are not mini-doctors. The medical portion of their practice is only o
ne tool within their whole tool box of nursing competencies for use in providing
holistic nursing care and health. Education. 9. Leadership within the professio
n Leadership within the profession also influences the trends in nursing. Nursin
g is moving towards professionalism due to the untiring efforts of nurses who ha
ve been dedicated to achieve the aim. 10. Working conditions Working conditions
for nurses are also changing. There is a gradual change towards shorter and more
convenient hours of duty, better accommodations and higher salaries 11. Patient
s Bill of Rights After the development of the â Patients Bill of Rightsâ , the nurses are
also accountable for patients care and have legal responsibilities for the patie
nt. Future of Nursing Careers Predictions are that in 10 or 20 years, it will lo
ok nothing like it does today! With new technologies and drugs, changes in insur
ance and health care policies, and the shortage in nurses, the profession will h
ave to reinvest itself. Many nursing functions will be automated. For example, d
ocumentation and updating patient records, smart beds to monitor vital signs, ba
r codes, and automatic medicine carts could reduce the time and errors in dispen
sing medications, and voice-activated technology would eliminate the need to con
stantly write things down. Other nursing task such as serving meals will be take
n over by aides. This would give nurses more time to provide a human touch to th
eir patients. As a result of nursing shortages, healthcare facilities will be fo
rced to use their nurses judiciously. Nurses will spend more time at the bedside
as educators and care coordinators to refocus on the patient. With the lengths
of patient stays shortening, nurses will have to make the best use of a shrinkin
g amount of time hospital stays. Nurses will also spend more time in administrat
ion and supervision positions. They will need to know how to access knowledge an
d transfer it to the patient and their loved ones. Nursingâ s Future Challenges

Futuristic Nursing
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