NEW DIMENSIONS IN NURSING

PREPARED BY: ABBI Q. GUTIERREZ, RN

Paradigm Shift
Globalization

Empowerment
Global Competitiveness

NEW DIMENSIONS IN NURSING

NURSING YESTERDAY & TODAY

Impact of the birth of JESUS CHRIST and His

teaching on society and the care of the sick. BENEDICTINE monasteries rule: - The care of the sick is to be placed above and before every other duty, as if indeed Christ were being directly served by waiting

upon them.

Hospitals outside the monasteries were built. - brothers & sisters 19th century: rapid growth of hospitals and community nursing associations HOLISTIC APPROACH
Florence Nightingale: Needs of the spirit are as critical to health as the individual organs which make up the body.

PARADIGM SHIFT

DEFINITION YESTERDAY

Nursing is

"the act of utilizing the environment of the patient

sick or well and in all settings. Nursing includes the

TODAY

to caring.

assist individuals of recovery groups and communities, him in his all ages, families,

Nursing encompasses autonomous and collaborative care of

The unique function of the nurse is to assist the

and in patient and health systems management, and education are also key nursing roles.

promotion of health, prevention of illness, and the care of ill,

disabled and dying people. Advocacy, promotion of a safe

environment, research, participation in shaping health policy individual, sick or well, in the performance of

those activities contributing to health or its

Last Updated he had the necessary perform unaided ifon Monday, 12 April 2010

recovery (or to peaceful death) that he would

- International Council of Nurses

strength, will or knowledge"

WHO WERE/ARE THE NURSES? YESTERDAY Male Catholic monks Men and women serving punishments (Drunk, obnoxious men, prostitute and other criminal women) TODAY REGISTERED NURSE Facilities or areas in which nurses typically are employed include: Hospitals

Nuns and the military

FLORENCE NIGHTINGALE

Clinics or Offices
Nursing Homes Home-health Public Health Occupational Health or Industrial Nurse Leadership positions Teaching positions at hospitals, colleges and Universities

QUALIFICATIONS YESTERDAY Physically strong TODAY Physically fit

Have certain powers of

resistance Tall and strong Not clumsy Well formed and having

Intellectually capable
Emotionally stable Spiritually guided

good looks is an advantage

Has had lot of experiences of the world

ROLES YESTERDAY Religious service To attend the sick and obey matrons orders TODAY Key management roles in healthcare

Follow direction of physicians Independent/collabor

ative MINISTRY -Nurses Christian Fellowship Nursing specialties

NATIONAL GOVT & corporate policies shapes:

- trade, capital flows, & foreign

investment through

supranational decisionmaking organizations

GLOBALIZATION

GLOBALIZATION

Before nurses can take a larger role in the

collaborative work of 21st-century health issues,

they must see the new world and themselves as

they are, not through the often rosy spectacles of the past.

GLOBALIZATION

Advanced practice in a globalizing environment

means adopting nontraditional and unfamiliar perspectives and methods. It requires new skills, going beyond the

individual to obtain organizational and policyinfluencing abilities.

GLOBALIZATION

EMPOWERMENT

AUTONOMY

FLORENCE NIGHTINGALE

Nursing during the Civil War

increased the need for nurses.

EMPOWERMENT

CLARA BARTON

She lobbied presidents and

senators to allow nurses to

form an organization.

EMPOWERMENT

MARGARET SANGER

A true activist that pushed

the idea of Birth Control

EMPOWERMENT

Electricians
Mathematicians

Sociologists

POWER

Having control, influence, or domination over

something or someone (Chandler, 1992) The ability to get things done, to mobilize resources, to get and use whatever it is that a person needs for the goals he or she is attempting to meet (Kanter, 1993, p. 166)

POWER

Power includes caring practices by nurses which

are used to empower patients (Benner, 2001)

One of the characteristics of a profession is that

professionals have power over the practice of their discipline which is often referred to as professional autonomy (Laschinger, Sabiston, & Kutszcher, 1997).

POWER

Nurses need power to be able to influence

patients, physicians, and other health care professionals. Powerless nurses are ineffective nurses. Lack of nursing power may also contribute to poorer patient outcomes (Manojlovich & DeCicco, in review).

1.
2.

Control Over the Content of Nursing Practice

Control Over the Context of Nursing Practice

3.

Control Over the Competence of Nursing

Practice

Power and Empowerment in Nursing: Looking Backward to Inform the Future

Present Curriculum hailed as a blueprint for

excellence and has been adopted by many Asian

and western countries.

- in parallel with the global standards of nursing care and practices.

GLOBAL COMPETITIVENESS

THANK YOU!!!