Changing Health Care Scene

Shejila Chillakunnel Hussain Rawther

Lecturer
School of nursing
UCSI University
Lecture-7
At the end of the lecture students will be able
to
 State the changes taking place in the health
care scene
 Discuss the implications of these changes on
nursing
 Time of great uncertainty and
change affects every aspect of society
 Health care industry is not exempted
 Society is experiencing transformations that
are more comprehensive and revolutionary
 Health care is central structure within the
society
 In past health care was delivered mainly in
acute care facilities

 At present it is delivered in hospitals,

outpatient,transitional care,long term
care,rehabilitative care and private office
settings
 Economic downturn
 Measures taken to reduce health care costs
 Services have been cut
 the number of hospitals has been decreased
 the length of hospital stay has been reduced
 Access to certain services has been reduced
 New diseases have emerge
 AIDS,SARS, Avian flu
 Threat of boi -terrorism
 Re-emergence of old diseases
 Women’s health
 Breast cancer
 Abuse
 Osteoporosis
 STD
 Advanced technology and therapies
Open doors of knowledge
Medicine
Nursing
Health
 Sophisticated surgical technologies

less invasive
promotes quicker healing
expensive
 New therapies
 Reduce sick time
 Prolonged the life span
 Reduced mortality
 Changed fatal illnesses into more chronic illness
 Communication technology
 Telemedicine
 Telenursing
 Telehealth
 Demographic trends
 Increase in life span-elderly
 End of life care
 Singleparent families
 Alternative family structures
 Immigrant issues
 Cultural and ethnic diversity
 Knowledgeable consumers
 Demand for quality care
 Want to be involved in making decisions
 Aware of how life style effects health
 Desire more information and services related to
health promotion and illness prevention
 Organizations
 Strict
hierarchies are changing to
multidisciplinary teams
 Role of nurse
 Required to be global as well as local
 HCWs are asked to be autonomous while being
part of a team
 Professionals are called on to be more flexible
 Required to work on a number of different projects
within a short period of time
 Nursing professionals
 Move from jobs for life to careers for life through
multiple jobs
 Keep moving for better areas
 Trends in health care suggests changes in
nursing practice and implications for nursing
education
 Changing demographics emphasis on health
promotion ,health care costs, movement
towards community based care, and
expanding technology are facts that
 Shape health care system of the future
 Educational preparation for nurses
 Nursing education will have to prepare
students for future practice that
 Will be more complex and specialized
 Will be provided in multiple settings
 Requires
 Extensive knowledge
 Critical thinking
 Other cognitive skills, technologic and psychomotor
skills
 A value system for making ethical decisions
 Other outcomes of nursing education
programme include learning to learn,
handling ambiguity, thinking like a
professional, and accepting responsibility for
decisions made in practice
 For nursing to assume a central role in the
health care system nursing education has to
reform
 Nurse leaders have to
 Be highly educated
 Be proactive
 Be dynamic
 Re-look at nursing practice
 Set new standards
 Develop a new nursing model
 Continuously evaluate nursing practice
 Nurses in clinical practice
 Highly specialized
 Multiple roles
 Research minded
 Critical thinkers
 Evidence based decisions
 Good in economics
 Transformational leadership is best suited to
the present climate
 Transformational nursing leader
 Providethe skills and desires for other nurses to
stretch their boundaries and become innovative
 Roles of nurses will change
 Knowledgeable nurses
 Profession must be respected by public
 Dominant force in shaping the health care
system of the future
 Leddy, S. & Pepper, J.M. (1998). Conceptual
bases of professional nursing. (4th Ed.).
Philadelphia: Lippincott.
 Zerwekh, J & Claborn, J.C (2009). Nursing
today. Transition and trends.(6th
Ed.).St.Louis: Saunders- elsevier.

Changing Health Care Scene

Uploaded by

Copyright:

Available Formats

Changing Health Care Scene

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Changing Health Care Scene

Uploaded by

Copyright:

Available Formats

Shejila Chillakunnel Hussain Rawther

 At present it is delivered in hospitals,

 Sophisticated surgical technologies

You might also like